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Inspection on 16/12/05 for Huntington House Nursing Home

Also see our care home review for Huntington House Nursing Home for more information

This inspection was carried out on 16th 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

The home was running efficiently on the day of the inspection and there was a good atmosphere of festivity, being the week before Christmas, staff and relatives were busy in communication with the residents and there was a lot of telephone contact with the home and visitors popping in. The home was nicely decorated to welcome the festive season and there were arrangements made to entertain the residents during the Christmas period. Residents spoke highly about the care they received and about the carers who looked after them. A relative also spoke with the inspector and gave very good feedback about the home. It was apparent that the home welcomed relatives` comments and encouraged the relatives to participate in the care of their loved ones. Some relatives were observed expressing their satisfaction to staff about the way their relative was looked after. The Care Consultant also explained how the staff worked well with the relatives and always aimed to work in partnership with them. Most residents had regular visitors. The care documentation was maintained accurate and well written.

What has improved since the last inspection?

There were no requirements made during the previous inspection. The range of services provided by Huntington House remained of good standard. In fact during this inspection there were still no requirements made.

What the care home could do better:

There were no requirements but 1 recommendation made during this inspection to increase the font (size of print) for the menu to allow those with sight problems to see it better. The Care Consultant stated that this could be easily rectified. The home was providing a good range of services and the residents stated that they were happy.

CARE HOMES FOR OLDER PEOPLE Huntington House Nursing Home Huntington House Drive Hindhead Surrey GU26 6BG Lead Inspector Kathy Martin Unannounced Inspection 16th December 2005 10:00 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 Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 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. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Huntington House Nursing Home Address Huntington House Drive Hindhead Surrey GU26 6BG 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) 01428 604600 01428 606825 manager@huntungtonhouse.co.uk Huntington House Limited Mrs Marilyn F M Hoare Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 41 beds providing nursing care for older persons from the age of 60 years 2nd August 2005 Date of last inspection Brief Description of the Service: Huntington House is a registered care home providing nursing for up to 41 residents. It is located near Hindhead, set in 30 acres of well-tended grounds, providing a very peaceful setting. Most bedrooms are for single accommodation, 26 offer an en-suite facility. There are adequate parking facilities and the home provides internal catering and activities. The residents benefit from good sized communal areas. The home is owned and run by Mr and Mrs Hoare, both involved in the day-to-day operations. A Care Consultant is also employed to assist the management. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second CSCI inspection this year. The first inspection took place on the 2nd August 2005. This visit was unannounced meaning that the staff, residents and visitors had not been informed it was taking place. All of the key national minimum standards have now been assessed during both visits. The visit started at 10:00 am and it was the week before Christmas when there were lots of activity, visitors and generally a busy and festive atmosphere was felt. The house was clean and tidy and residents were relaxed and comfortable. The residents were observed in their own daily routines or in conversation with each other and staff and also some walking around the house. Many are very physically frail and are not able to freely mobilise due to their illnesses. However the staff and ethos of the home did encourage residents to participate in social activity as much as they were able to by not focusing on clinical aspects. The décor is very homely. The inspector met the Care Consultant, as the registered manager was not present. The Care Consultant was present throughout the inspection and provided information used in this report and assisted the inspector with documentation and also within discussions about the running of the home. The inspector had ample opportunity to meet with residents and a visitor who also spoke about their living accommodation. Staff also provided information about their working environment. The inspector toured the premises and looked at documentation as part of the inspection. What the service does well: The home was running efficiently on the day of the inspection and there was a good atmosphere of festivity, being the week before Christmas, staff and relatives were busy in communication with the residents and there was a lot of telephone contact with the home and visitors popping in. The home was nicely decorated to welcome the festive season and there were arrangements made to entertain the residents during the Christmas period. Residents spoke highly about the care they received and about the carers who looked after them. A relative also spoke with the inspector and gave very good feedback about the home. It was apparent that the home welcomed relatives’ comments and encouraged the relatives to participate in the care of their loved ones. Some relatives were observed expressing their satisfaction to staff about Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 6 the way their relative was looked after. The Care Consultant also explained how the staff worked well with the relatives and always aimed to work in partnership with them. Most residents had regular visitors. The care documentation was maintained accurate and well written. What has improved since the last inspection? What they could do better: 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. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: This section was fully assessed during the previous inspection. The inspector was advised that the comments made then remained current. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 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 the following standard(s): 7, 8 and 9 Each resident had a full care plan, which clearly described all their areas of needs and how these were being met. The home provided nursing care and residents were able to access all other health care professionals. The procedures for the management of medication were used effectively and ensuring safe practices. EVIDENCE: Standard 7: Three care plans were selected at random and inspected. There were individual folders maintained for each resident containing all their clearly written areas of needs both physical and social ones. All details of recreational activities were clearly stated. Daily notes were also written offering meaningful documentation and a good written communication to the next shift. Also present were all the clinical assessments for manual handling, falls, nutrition, wound care/ pressure sores assessments and also risk assessments. Staff updated the care notes regularly. These were signed and dated at each entry. The Care Consultant explained that the notes were regularly sampled and audited to ensure good practice at all times and staff met regularly to discuss care documentation. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 10 Standard 8: All residents are registered with a doctor and many have assistance from the wider network of health care professionals from hospitals to district nurses, chiropodist, dentist, opticians and physiotherapists. The staff of the home are able to refer easily when the need arises. Copies of correspondence and appointments attended are logged in the care notes for easy reference. Standard 9: The home had policies and procedures for the management of the medicines. The staff received training in medication with regular updates. The storage was adequate and appropriate. The Medication Administration Records were completed clearly and there were no unexplained gaps. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 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): 13 and 14 EVIDENCE: Although all of the key minimum standards were met during the previous inspection in August, being the festive season, the inspector was able to observe the lively atmosphere in the home during this inspection. Staff were very friendly and were observed in conversation with the residents and relatives. The arrangements for Christmas celebration were underway. The home has the use of a 4x4 vehicle and also a wheelchair accessible minibus thus enabling residents to access shops and taking trips. Recent trips included Birdworld and the seaside. There are external entertainers who also provide various activities such as music from a nearby school, high teas and wine tasting (this was reported as an event which particularly went down well by residents and relatives alike). Residents were able to have choice in what they wear, eat and take part in activities if they wished. Residents can have a telephone in their bedrooms (to their own costs), have a newspaper delivered, receive visitors and decide on what times to get up and go to bed. Standard 15: Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 12 It was noted that the menu was printed in small print possibly not appropriate to those with sight problems. A recommendation was made to increase the print size. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 The home has procedures in place to assist the residents/ visitors to make a complaint and for the home to address these. The staff are trained to refer any issues under the Safeguarding Adults procedures, formerly the protection of vulnerable adults (POVA) procedures. EVIDENCE: The complaints procedure is accessible to all residents and their relatives from admission. The Care Consultant stated that the staff took pride in their good working relationships they are good at forging with relatives. There were minimal complaints and these are addressed promptly to resolve any issues. The inspector had opportunity to speak with a relative who mentioned that he felt able to talk to the staff and the manager about any issue. The home is currently dealing with one complaint and this was discussed with the inspector who advised for the issues to be referred under the Safeguarding Adults procedures for an independent assessment because of the complex issues involved. The complaint did not relate to care received in the home. However the staff do receive training in Safeguarding Adults and the Care Consultant was familiar with the procedures. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: There were no changes from the inspection report of August 2005. The home remained in good decorative order and was clean and tidy. Residents’ bedrooms were decorated in their familiar pieces of furniture and other items to personalise their living accommodation. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: This section was assessed during the inspection in August 2005 and the inspector was informed that there were no issues relating to staffing and training. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 16 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): 35 and 38 The home has procedures to encourage residents to manage their money independently as much as possible and only keeps a small amount of money for those unable to do so in order to protect them against the risk of financial abuse. There are procedures in the home to maintain health and safety. EVIDENCE: Standard 35: The home encourages residents to maintain their independence including managing their finances themselves. Some residents have appointed next of kin as power of attorneys and also solicitors to handle their financial affairs. Residents who are unable to look after their money received assistance from staff. However this is only for small amounts to be kept at any one time for purchasing toiletries, going on trips or for hairdresser visits. A clear log of Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 17 entries is maintained individually on those who use this service. Receipts are also kept to easily track the money spent. Standard 38: There are a number of policies and procedures to ensure the home ran safely and protected all those living and working there. All staff received training in various aspects of Health and Safety including moving and handling, food safety, First Aid, medication, fire, abuse and risk assessments. The premises are regularly checked for any signs of damage or risk and any issue raised are promptly dealt with. The equipment for nursing, fire and catering is also regularly serviced. Fire records are maintained. Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 18 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 19 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. Standard Regulation Requirement Timescale for action 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 15 Good Practice Recommendations Increase the font size of the menu Huntington House Nursing Home DS0000017617.V272045.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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