Inspection on 24/08/05 for Huntingdon Court

This inspection was carried out on 24th August 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.

Other inspections for this house

Huntingdon Court 10/01/07

Huntingdon Court 07/06/05

Huntingdon Court 25/01/05

Huntingdon Court 18/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Huntingdon Court Regent Street Loughborough Leicestershire LE11 5BA Lead Inspector Linda Clarke Unannounced 24 August 2005, 10:15am th 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. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Huntingdon Court Address Regent Street Loughborough Leicestershire LE11 5BA 01509 217474 01509 268393 None Leicestershire County Council Social Services 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) Mr Simon Davis Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (4) Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No person to be admitted to the home in categories DE or DE/E when 30 persons in total of these categories/combined categories are already accommodated in the home. No person to be admitted to the home in categories PD or PD/E when 20 persons in total of these categories/combined categories are already accommodated in the home. No persons under 55 years of age who fall within categories LD, DE, PD, MD and SI may be admitted to the home. No persons falling within category DE may be admitted to the home where there are 8 persons of category DE already accommodated. No persons falling within category PD may be admitted to the home where there are 8 persons of category PD already accommodated. No person to be admitted to the home in categories MD or MD/E when 6 persons in total of these categories combined/categories are already accommodated in the home. No person to be admitted to the home in categories SI or SI/E when 4 persons in total of these categories combined/categories are already accommodated in the home. No person to be admitted to the home in categories LD or LD/E when 4 persons in total of these categories combined/categories are already accommodated in the home. No person falling within category MD may be admitted to the home where there are 4 persons of category MD already accommodated. The home may admit persons for purposes of intermediate care as prescribed in the statement of purpose and falling within existing registered categories. To be able to admit a person under the age of 65 years named in variation application number V19978 for a period of 4 weeks to commence 12th May `05. Date of last inspection 7th June 2005 Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 5 Brief Description of the Service: Huntingdon Court is a care home providing personal care and accommodation for forty older persons. Huntingdon Court has two respite beds, two assessment beds and four beds dedicated to rehabilitation. The forty single bedrooms are without ensuite facilities. The home has a central and rear garden which is well maintained and is accessible to all service users residing in the home. The premise is owned by the Leicestershire County Council Social Services Department and is situated close to Loughborough town centre where service users have access to shops, pubs, the post office and other amenities. The home is easily accessible by private or public transport. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Huntingdon Court is fully accessible. Communal areas are provided on both floors of the home.. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.15am and 1.30pm. The opportunity was taken to look around the home, spend time with residents, view records and policies which, included viewing the care plans of three residents residing at the home, one individual in rehabilitation and one individual undergoing an assessment of need. Information recorded on the pre-inspection questionnaire and the one received relative comment card has been incorporated into the Inspection report. A Relief Officer facilitated the Inspection, spending time with the Inspector; the Inspector also interviewed one member of care staff. What the service does well: What has improved since the last inspection? What they could do better: Resident’s quality of life and care provision would benefit from an appointment of an Activity Organiser to ensure the frequency and variety of recreational pursuits, and through the provision of an equal number of care staff at weekends as employed during the week. Care plans could further be developed to contain greater detail as to the resident’s physical and mental health, and how this impacts on their daily lives, and the role of care staff in supporting them. Care plans could also further be improved by incorporating social interest, hobbies and recreational pursuits of residents. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 7 Staff if they were to access training in care plan and report writing along with medical conditions including mental health, to which residents are diagnosed, would be able to offer a more tailored approach to individual care, and state how this could should be delivered within the care plan. The health and welfare of residents where identified by care staff as potentially benefiting from adjustable height beds should be considered, and where indicated specialist equipment provided. Staff responsible for the administration of medication could further improve the health and welfare of residents by ensuring residents receive the medication they are prescribed. 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. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 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 standard(s) 3 and 6. The admission process is well managed with residents needs being assessed ensuring staff have the appropriate information to meet individual needs. EVIDENCE: As part of the assessment process residents and relatives are asked to provide a history of their life prior to admission, this provides additional information to help in the delivery of care and activities provided. Information supplied could be used to a greater advantage in the developing of resident care plans. Records of three residents residing at Huntingdon Court, and records of two individuals accessing specialist services were viewed, all were found to contain a Social Workers Comprehensive Assessment, reflecting the needs of the individual, and the role of staff in supporting their physical care needs. For individuals accessing rehabilitation an outline of goals to be achieved to maximise independence is detailed, setting objectives for the individual and guidance for care staff. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 9. Residents are looked after well in respect of their health and personal care needs. Medication anomalies identified could have a detrimental affect on the healthcare of residents. EVIDENCE: Care plans of three residents were viewed, it was noted that the level of detail within care plans has improved since the last Inspection, with care staff giving consideration to the level of detail incorporated, along with the mental health needs and social needs of residents. The development of care plans needs to continue, to ensure that all aspects of a persons care are identified, and the role of staff in supporting residents is recorded. As part of the Inspection process the Inspector interviewed a member of staff, part of this process was to discuss care plans and daily records and their role in reflecting resident’s needs. The care staff member confirmed that she had not received any formal training in the writing of care plans and daily records. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 11 Records evidence regular contact with health care professionals where appropriate, for example, Opticians, General Practitioners, District Nurses and Chiropodists. On the day of the Inspection a medical emergency arose, which was dealt with efficiently by the Relief Officer and care staff, with appropriate emergency health care professionals being contacted. The Inspector received one completed comment card from relatives/visitors, which confirmed they were happy with the overall care provided. An additional comment was incorporated: - “I have found staff and carers good, caring and understanding.” Medication polices and procedures are generally sound. However an anomaly for one resident was noted, in that medication had been signed as administered however remained within the monitored dosage system. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 12 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, 13, 14 and 15. The organisation of activities is the responsibility of care staff, which does not fully meet the needs of all residents. EVIDENCE: The Inspector noted that unlike other care homes managed by the Local Authority Huntingdon Court does not have a dedicated Activity Organiser. A member of the management team has undertaken a course on exercises through activity, however this is reliant upon care staff on duty to implement. On the day of the Inspection a medical emergency occurred, which resulted in one member of care staff supporting the particular resident and liaising with emergency medical staff, whilst other staff continued to care for residents, whilst others dealt with visiting professionals such as an Optician. Therefore in the opinion of the Inspector the ability for care staff to engage in regular and planned activities is difficult, as residential homes may often have to deal with unexpected events and occurrences. To ensure residents are provided with the opportunity to engage in worthwhile recreational pursuits it is recommended that the appointment of an Activity Organiser be considered. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 13 Daily records of the previous four months were read of three residents, during this period three entries recorded visits into Loughborough town centre and the local park. The Relief Officer stated that care staff undertake to provide activities when ever possible, and that outside entertainers visit the home providing musical and singing sessions. The Inspector spoke with four residents asking them as to the provision of activities and recreational pursuits. The residents made the following comments: “It’s nice to go out, however staff are often too busy.” “It’s nice to have musical and singing sessions.” “I would like to go out on organised trips, like garden centres.” “I’m happy with the way things are, I don’t wish to do anything else.” The record of resident meetings could not be located on the day of the Inspection; it is recommended that the provision of activities and residents wishes be obtained. The Inspector asked residents if they enjoyed meals at Huntingdon Court, all confirmed that they did. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 14 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) 16 and 18. A robust complaints procedure enables residents to raise concerns. Policies and procedures are in place for staff detailing how residents are to be protected from abuse. EVIDENCE: Huntingdon Court has no recorded complaints. The Commission of Social Care Inspection has not received any complaints in relation to Huntingdon Court. Policies and procedures devised by the Local Authority outlines the action to be taken by any member of staff should they suspect abuse. Staffs as part of their National Vocational Qualification, study the protection of adults from abuse consistent with the Department of Health’s Guidance. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 15 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, 20 and 22. A comfortable and safe standard of accommodation is provided for the resident’s including garden areas, which individually and collectively meets the resident’s needs. EVIDENCE: Huntingdon Court is well maintained and is suitable to the needs of residents; areas identified at the previous inspection for decoration have yet to be addressed, however quotes have been obtained identifying the work to be carried out. Huntingdon Court is in the process of installing two adjustable height baths, and a ceiling hoist is being fitted to another bathroom, this will benefit both residents and staff. Staff indicated to the Inspector that some residents within the home have adjustable height beds; these however have been provided by the residents themselves, staff stated that other residents would benefit from this type of bed, the needs of these residents should be assessed to determine as to whether specialist equipment is needed, and if identified should be provided. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 16 A response from the Registered Manager confirmed that should height adjustable beds be required, that a referral to an Occupational Therapist would be initiated, and if found necessary would be provided by the Social Services Department. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 17 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, 28 and 30. Staff training does not fully encompass the needs of all residents. EVIDENCE: Huntingdon Court currently employs seventeen members of care staff, of which seven have achieved a National Vocational Qualification at level 2, with one staff member having achieved level 3. Staff training records were viewed; staff receive regular training in moving and handling, hoist awareness, first aid and other practical issues. Records evidenced that only four members of staff have received training in Dementia, which took place in 2001, whilst some staff have received training in rehabilitation. The Relief Officer confirmed that Dementia training has been scheduled for September 2005. The Departmental Training Plan details training available to care staff in care plan and record writing and medical conditions including physical and mental health. Care staff should therefore be encouraged to access these courses to increase their awareness and understanding, supporting staff in the delivery of care to residents and development of care plans. Two staff stated that there is one less member of care staff on duty at the weekend, which can affect the time spent with individual residents in the delivery of care. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 18 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) 33 and 35. Residents are consulted on the running of the home. EVIDENCE: As part of the Inspection the systems of the home were viewed with regards to involving residents in the day to day running of the home, residents were observed making day to day decisions with regards to daily living, in respect of day to day choices such as meals, minutes of resident meetings could not be located. Residents to whom the Inspector spoke with confirmed that they attended residents meetings, and were asked as to their views on issues such as meals. Records indicated that financial arrangements were managed in a variety of ways, by the resident themselves, their relatives or a Power of Attorney. It could not be determined at the Inspection as to whether a risk assessment has been undertaken of the banisters and stairwells with regards to resident safety. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 19 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 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 2 x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x x Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 20 No 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 9 Regulation 13(2) Requirement The Registered Person to ensure that medication adminsitration and records are handled appropirately by staff consistent with training received and the homes policies and procedures. Timescale for action 30th July 2005 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 7 Good Practice Recommendations It is recommended that care plans contain additional information, evidencing an holistic approach to care. 1. Mental Health and its affects on the individual to be more detailed. 2. Recreational and activities form part of the care plan. 3. Daily records contain more detailed information, indicative of their care plan. It is recommended that a Activity Organiser is appointed to provide residents with regular and varied activities, and residents are consulted as to their wishes. It is recommended that residents needs be regularly reviewed with regards to the provision of specialist equipment, and any equipment identified should be provided. C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 21 2. 3. 12 22 Huntingdon Court 4. 5. 27 30 It is recommended that the Registered Person reviews the care staff provision at weekends. It is recommended that staff access training in care plan writing and medical conditions, including mental health and dementia as detailed within the Departmental Training Plan. Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Huntingdon Court C51 C01 S33477 Huntingdon Ct V242508 240805 Stage 4.doc Version 1.40 Page 23 - 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. 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