Inspection on 07/06/05 for Huntingdon Court

This inspection was carried out on 7th June 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 24/08/05

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 7 June 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 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Huntingdon Court Address Regent Street Loughborough Leicestershire LE11 5BA 01509 217474 01509 268393 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) Leicestershire County Council Social Services 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 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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 Date of last inspection 25th January 2005 Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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 which 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 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.15am and 3.15pm. Opportunity was taken to look around the home, view records and policies which included viewing the care plans of four residents residing at the home and three individuals accessing respite or rehabilitation services. The Inspecting Officer spoke to residents and staff. The Deputy Manager and Assistant Manager facilitated the Inspection, spending time with the Inspector and discussing the management of the home. What the service does well: What has improved since the last inspection? What they could do better: Care plans could be improved by reflecting a holistic approach to care such as socialisation and activities external and internal with specific reference to Dementia Mental Health needs where appropriate. Residents would benefit from a comprehensive daily record being completed by care staff, which reflects there identified needs and incorporates daily social activities. This recorded information would provide information, which would support staff in the reviewing of residents in both long term and respite care and those accessing the rehabilitation unit. A Statement of Purpose could be produced for those individuals accessing the rehabilitation unit and respite care. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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) 1, 3, 4 and 6. On the whole the admission process is well managed with residents needs being accessed ensuring staff have the appropriate information to meet individual needs. EVIDENCE: There is a comprehensive Statement of Purpose and Service Users’ Guide for service users accessing long term care. This document however does not fulfil the needs of individuals accessing respite or rehabilitation services. The admission procedure is adequate in that assessments of individuals are carried out by a Social Worker as part of the referral process, for individuals accessing the rehabilitation unit an additional assessment is undertaken by an Occupational Therapist. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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, 9, 10 and 11. Residents are looked after well in respect of their health and personal care needs and are involved in the drawing up of their plans. EVIDENCE: Care plans of seven individuals viewed reflected residents’ specific needs and contact with other healthcare professionals, this is particularly apparent for those individuals accessing the rehabilitation unit. One lady spoken to had a clear understanding of her care plan and the goals in which she had to achieve in order to return home. Records indicated as to whether residents or staff managed medication, medication administration records of seven residents were viewed and found to be in good order. Care plans could be improved by reflecting a holistic approach to care such as socialisation and activities external and internal, with particular reference to Mental Health and Dementia care needs where appropriate. At the time of the Inspection a District Nurse was in the home visiting various residents. The District Nurse spoke very favourably of the home, praising the care of residents and the knowledge of staff and their attitude towards the residents in their care. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 11 One relative/visitor comment card was completed, all responses to questions were positive, and additional comments were made. “In the eight years my sister has been resident at Huntingdon Court I have found staff and carers good, caring and understanding.” Observation during the Inspection showed that staff have a good awareness of how to protect residents’ privacy and dignity. Staff were seen to knock on doors before entering, and sought the approval of residents before entering their room. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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) These standards were not inspected on this occasion. EVIDENCE: Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 13 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) These standards were not inspected on this occasion. EVIDENCE: Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 14 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, 21, 22, 23, 24, 25 and 26 A comfortable and safe standard of accommodation is provided for the residents however some areas within the home require decoration. Residents have access to a garden with seating provided. EVIDENCE: Huntingdon Court was refurbished several years ago, and some communal areas now require decoration and maintenance. The home has communal areas consisting of dining and seating areas on both the ground and first floor. The bedrooms of seven residents were viewed and in general rooms were in good decorative order, some bedrooms do however require decorating and attention to floor coverings. Two residents were asked as to whether they were happy with their private accommodation, one gentleman stated he liked it just the way it was, whilst one lady said she would be happy for her room to be redecorated, her only concern was how this was to be managed whilst she was in residence. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 15 The home provides sufficient lavatories and bathing/shower facilities to meet the needs of residents. Residents have access to equipment such as hoists to assist them and staff in the delivery of personal care. The pre-inspection questionnaire completed by the Registered Manager details the regular maintenance checks undertaken within the home. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 16 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, 29 and 30. Staff at the home are well trained and supported, and employed in sufficient numbers to meet the needs of residents. Recruiting procedures are robust, with checks in place for the protection of residents. EVIDENCE: Staff rotas indicated good levels of staffing which were sufficient to meet the needs of residents. Huntingdon Court senior staff team consists of the Registered Manager, Deputy Manager and two Assistant Managers. The home employs seventeen care staff that who are supported by fifteen ancillary staff. The pre-inspection questionnaire completed by the Registered Manager states that ten care staff have attained a National Vocational Qualification at level 2 or 3. Staff training records reflected a variety of topics of training accessed, which included health and safety, adult protection, care practices and specifically training in mental health and rehabilitation. Records of two members of staff recruited since the most recent Inspection were viewed and found to contain all relevant documentation including Criminal Record Bureau checks. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 17 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) 31, 32, 34, 36, 37 and 38. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: A tour of the environment noted that banisters of stairs were low in height, and in the opinion of the Inspector represent a potential risk to the safety of residents. A risk assessment should be undertaken to establish the risk, if any, this may pose to residents, and any risks identified acted upon. Records of tests to fire safety equipment were in good order and health and safety issues were well documented. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 18 A member of care staff spoken to stated that she receives a formal one to one supervision session with a member of the management team, these take place on a regular basis and are used to discuss training needs, changing needs of residents and any areas of concern. The management team were observed to work well together, and have a good understanding of each other’s roles and responsibilities. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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 2 x 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 3 x 3 x 3 3 2 Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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 19 Regulation 23(2) Requirement The Registered Person to ensure that the following areas of decoration/maintenance are undertaken. 1. Smokers lounge, located on the ground floor to be decorated and the carpet replaced. 2. Zone 8 - corridor repair and decoration to doors, door frames and skirting boards. Wallpaper below the dado rail to be replaced. 3. Zone 8 - carpet to be cleaned or if the stains remain to be replaced. 4. Zone 2/3 corridor repair and decoration to doors, door frames and skirting boards. Wallpaper below the dado rail to be replaced. 5. Zone 9 lounge area to be decorated and the carpet to be replaced. 6. Zone 9a lounge curtains to be cleaned. 7. Bedroom 4 - walls to be painted. 8. Bedroom 15 - carpet to be cleaned of if the stains remain to be replaced. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 21 Timescale for action 30th September 2005 2. 38 13 9. Bedroom 20 - walls to be painted. 10. Bedroom 37 - walls and woodwork to be decorated. The Registered Person to ensure that a risk assessment is carried out on the banisters of stairwells taking into account individual residents, and that risks identified are acted upon. July 30th 2005 3. 38 13 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. 2. Refer to Standard OP7 Good Practice Recommendations It is recommended that care plans incorporate an holilstic approach to care, and reflection all aspects of care, dementia/mental health and social activities. Huntingdon Court C51 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 S33477 Huntingdon Ct V229989 070605.doc Version 1.30 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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