Inspection on 26/09/05 for Hunter Hall

This inspection was carried out on 26th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hunter Hall 26/08/09

Hunter Hall 10/03/09

Hunter Hall 23/10/08

Hunter Hall 08/04/08

Hunter Hall 10/04/07

Hunter Hall 17/07/06

Hunter Hall 14/06/05

Hunter Hall 22/02/05

Hunter Hall 26/07/04

Hunter Hall 16/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hunter Hall Kent Avenue Wallsend Tyne & Wear NE28 0JE Lead Inspector Ian Armstrong Unannounced 26 September 2005 9:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hunter Hall Address Kent Avenue Wallsend Tyne & Wear NE28 0JE 0191 263 9436 0191 262 3633 hunter.hall@fshc.co.uk Tamaris Healthcare (England) limited (WHolly owned subsidiary of Four Seasons HEalth Care) Mrs Valerie Appleby CRH 46 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of DE - Dementia (1) registration, with number DE(E) - Dementia - Over 65 (45) of places Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: That Mrs Appleby is to achieve Level 4 NVQ in Management by 2005. One named resident in category DE also has a learning disability. Date of last inspection 14/6/05 Brief Description of the Service: Hunter Hall is a care home with nursing. Providing care for older people with enduring mental health needs. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned and managed by Four Seasons Healthcare Limited, a large national care provider for vulnerable client groups. The care home is situated in Wallsend to the east of the city of Newcastle upon Tyne close to local shops and good public transport links. The building is of two floors with 46 single resident bedrooms all with en-suite facilities. Each floor has seperate lounge and dining rooms with a number of toilets and bathrooms. The home shares a kitchen and laundry facility with an adjacent home. To the rear of the home there is a nice garden and patio area. The philosophy of care is to support the residents in their activities of daily living and to provide for their physical and mental health needs. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a follow up unannounced inspection to check on the progress of the requirements from the last inspection and it took place over 3 hours. The inspector looked around some parts of the building and a number of records were inspected. Four of the residents and three members of staff were spoken to. What the service does well: What has improved since the last inspection? What they could do better: All residents in the home need to have written individual social care plans. The residents weekly activities programme needs to be improved to provide a greater choice and variety of activities. Menus need to show a better choice and variety of food. Maintenance work identified in this report needs to be carried out. Clinical waste bins must be kept locked at all times. Two staff signatories should be recorded for all residents financial transactions. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. No service user moves into the home without having his /her needs assessed and been assured that these will be met. EVIDENCE: Four residents pre-admission assessments were read all of these were satisfactorily completed, however two of the documents were not signed. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9. The service user’s health, personal and social care needs are in the main set out in an individual plan of care. Service users, where appropiate, are responsible for their own medication, and are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Four residents care records were inspected satisfactory care plans were in place for health and personal care needs. However social care plans were not completed in all four records. The systems for the storage, receipt, disposal and administration of medicines were checked and found to be satisfactory. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15. Service user’s do not fully find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users menus need to be improved so that they receive a wholesome appealing balanced diet in pleasing suuroundings at times convenient to them. EVIDENCE: The homes weekly activities programme for residents needs to be improved to provide a greater variety of leisure pursuits.Menus in the home do not at present show enough alternative choice or variety of food being offered at mealtimes. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: None of these standards were inspected. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,24,26. Service users generally live in a safe, well-maintained environment. Service users in the main live in safe, comfortable bedrooms with their own possessions around them. The home is generally clean, pleasant and hygienic. EVIDENCE: Due to recent flooding to the majority of the ground floor of the home the 39 residents are being cared for upstairs during the daytime. However 11 residents are still sleeping downstairs in that part of the lower floor unaffected by the flood. Some of these bedrooms have two beds in them. In one bedroom one of the two beds was positioned against the en-suite door thus denying access to the toilet for both residents. The radiator guard was also broken by the bed being pushed against it. In another ground floor bedroom where the door handle had been moved a hole left in the door has still not been repaired. In an upstairs bedroom water damage to the ceiling still needs repair, the roof needs to be checked as it is believed a tile requires repair. Shelving for toiletries still needs to be installed in all en-suite rooms. The downstairs dining room needs to be decorated. Clinical waste bins were once again found to be not kept locked. The letter box fitting needs to be replaced to the front door. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 13 Considering the flood damage generally the home was found to be fairly clean particularly in those parts of the home used by the service users. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29. Service users needs are met by the numbers and skill mix of staff. Service users are supported and protected by the home’s recruitment policy and practises. EVIDENCE: Staff duty rosters were seen these showed the following levels of staff in the home each day; Am, 2 Qualified and 5 care staff, pm, 2 Qualified and 4 care staff, Nights, 1 Qualified and 4 care staff. This level of staffing is in line with the assessed needs of the residents. An additional care member of staff is being deployed on night duty due to the current situation caused by the flooding. Two staff files were checked, both of these had all the appropriate checks in place and two written references. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,38. Service users financial interests are in the main safe guarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: A number of residents financial records were checked there was evidence of regular expenditures. However two staff signatories were not present for all transactions. The homes fire log and accident records were satisfactory. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 2 COMPLAINTS AND PROTECTION 2 x x x x 2 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 2 x x 3 Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 17 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard 3 7 12 Regulation 14.1(a) 15.1 16.2(m) Requirement Pre-admission assessments when completed must be signed. Social care plans still need to be written for all residents in the home. The weekly activities programme for residents still needs to be improved to provide a better choice and range of leisure pursuits. Menus in the home need to show a better choice and variety of food. Water damage to the upstairs bedroom ceiling needs to be repaired. The bedroom door downstairs where the handle has been moved the hole to the door needs to be repaired. The radiator guard to the downstairs bedroom needs to be repaired. Also one of the beds in this room needs to be repositioned away from the ensuite door. Clinical waste bins must be kept locked at all times. The letter box to the homes front door needs to be replaced. Shelving needs to be installed in Timescale for action 26/9/05 30/11/05 30/11/05 4. 5. 6. 15 19 19 16.2(i) 23.2(b) 23.2(b) 30/11/05 30/11/05 30/10/05 7. 19 23.2(b) 26/9/05 8. 9. 10. 19 19 24 23.2(o) 23.(b) 23.2(f) 26/9/05 30/11/05 30/11/05 Page 18 Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 all residents en-suite facilities. 11. 15 23.2(b The downstairs dining room needs to be redecorated. 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 35 Good Practice Recommendations Two staff signatories should be recorded for all resident financial transactions. Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hunter Hall B53-BO3 S28817 Hunter Hall V241218 260905 Stage 4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!