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Inspection on 13/12/05 for Hunters Creek Nursing Home

Also see our care home review for Hunters Creek Nursing Home for more information

This inspection was carried out on 13th December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Many of the staff have worked in the home for several years providing a stable workforce and consistency of care for residents. Increased staffing levels have had a significant impact and calls bells were answered quickly. The manager assesses new residents prior to them moving into the home to ensure that the home is able to meet their needs and each resident has a comprehensive assessment and a plan of care.

What has improved since the last inspection?

The home now has a manager registered by the Commission for Social Care Inspection. A system for recording menus has been put in to place with a view to the home ensuring that residents receive the correct diet, such as a diabetic or soft diet.

What the care home could do better:

An immediate requirement was left requiring that the manager ensures that all new staff have two written authentic references.

CARE HOMES FOR OLDER PEOPLE Hunters Creek Nursing Home 130 London Road Boston Lincolnshire PE21 7HB Lead Inspector Jean Cope Unannounced Inspection 13th December 2005 09:30 X10015.doc Version 1.40 Page 1 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 Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 2 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. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hunters Creek Nursing Home Address 130 London Road Boston Lincolnshire PE21 7HB Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01205 358034 01205 361398 Tanglewood (Lincolnshire) Limited Caroline Greaves Care Home 83 Category(ies) of Old age, not falling within any other category registration, with number (83), Physical disability (16) of places Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care with nursing for service users of both sexes. The maximum number of service users to be accommodated is 83(OP) not falling within any other category and up to 15 service users under the category PD. Rooms 64-79 (inclusive of the Garden Wing) cannot be used to accommodate residents requiring nursing care. Up to 15 service users within the category (PD) will be aged between 50 and 64 and up to 3 may be aged between 24 years and 64 years with a maximum within the category (PD) of 15 Up to fifteen of the following rooms may be used to accommodate people within the category PD: numbers 12, 14, 15, 16, 17, 18, 26, 27 48, 49, 50, 51, 52 & 54 and 59. When used by service users within the category PD, these rooms will be used on the basis of single occupancy and, where they are otherwise used by Older People as double rooms, the overall occupancy will be reduced proportionately. Rooms 16, 17, 18, 51, 52 and 54 may not be used for people who are wheelchair users and and all rooms must only be used by people within the category PD if the useable floor space is sufficient to meet their needs) including any necessary equipment). One named service user under the age of 20 years within the category PD can be accommodated. The one PD bed for the service user under the age of 20 is as named on the Notice of Proposal dated 17 August 2005. 17th June 2005 2. 3. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Hunters Creek is a modern, two storey, purpose built home which is situated in a residential area on the edge of the market and coastal town of Boston. The home is within close proximity of the town centre and is on a bus route. The home is registered to accommodate eighty three service users. There are a number of small lounge and conservatory areas on the first and ground floor. Within the grounds, there are two single storey bungalows occupied by service users needing personal care only. The home provides nursing and personal care for people of over sixty five years, and also provides accommodation for up to twelve people under the age of sixty five. There is a car park to the side Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 5 of the building. The gardens are landscaped, and well maintained. Service users have access to the garden, which, in the summer offers seating. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place with the assistance of the registered manager. One inspector undertook the inspection spending eight hours in the home accompanied by a contracting officer from Lincolnshire County Council. The main method of inspection used was called ‘case tracking’ which involved selecting one resident and tracking the care that they received through the checking of their records What the service does well: What has improved since the last inspection? What they could do better: An immediate requirement was left requiring that the manager ensures that all new staff have two written authentic references. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 7 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. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 3 and 6 Residents know that their needs are assessed prior to them moving into the home. EVIDENCE: The manager or senior staff assesses residents prior to them moving into the home. This assessment can take place in the resident’s home or in a hospital setting. Assessments from specialist health professionals involved in a resident’s care were found in the resident’s file with appropriate risk assessments. A comprehensive assessment is undertaken. The home does not provide a service for intermediate care. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 7 and 8 Comprehensive care plans are developed for each resident in the home so that care staff know how to care for individual residents. EVIDENCE: Each resident has a plan of care, which the manager said is regularly reviewed. A care plan and daily records viewed gave a comprehensive picture of a resident’s care needs, dietary needs, communication needs. Appropriate risk assessments had been undertaken and were in the records. Other information was also on file from the nurse assessor, social worker and there was evidence of a GP visiting. The daily notes indicated that there was due to be further involvement from hospital based staff who were due to review the care needs of the resident. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 12, 13, and 15 Residents can receive visitors in their own rooms or in the communal areas depending on their choice. The catering staff are able to provide specialist diets on request and the nursing team ensure that these are appropriate for individual residents. EVIDENCE: Activities were planned for Christmas and advertised on the notice board in the reception area. The home was decorated for Christmas. The visitors’ book indicated that throughout the period of the inspection, many visitors had been present in the home. All residents are offered a choice of menu at meal times. Care assistants ask residents what choice of menu they would like for the following day. These records are then passed to the kitchen staff who prepare the meals chosen. Immediately prior to the inspection a system had been put in place whereby the qualified nurse on duty checks the recorded choice of diets on a daily basis to ensure they are correct for individual residents. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18 Staff received training on how to recognise abuse to ensure that residents are protected. EVIDENCE: The home has a complaints procedure, which is available to residents and their relatives in the welcome pack, provided when residents move into the home. All staff are provided with training during their induction on how to recognise and recognise and report incidents if they suspect adult abuse. The home has notices displayed in corridors and communal areas explaining what to do should staff members suspect any incident of adult abuse and reminds staff that they have a duty to protect vulnerable residents living in the home. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 13 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 the following standard(s): EVIDENCE: These outcomes were not inspected. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 The manager must ensure that residents are protected through the use of safe recruitment practices. EVIDENCE: Three staff files were examined and none of them had two written references. It was recorded that each member of staff had received a CRB Disclosure. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 A competent manager who is respected by her staff team runs the home. EVIDENCE: The manager has been registered by the Commission and is working towards completing her Registered Manager’s Award. Staff were complimentary about her style of management. Following issues raised with the Commission, different systems have been put in place. Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 17 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. Standard OP29 Regulation 19(4)(c) & Sch 2 Requirement Staff must be recruited safely with two written authentic references. An immediate requirement notice was left. Timescale for action 13/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Hunters Creek Nursing Home DS0000002540.V275162.R01.S.doc Version 5.1 Page 19 - 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. 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