Inspection on 17/02/06 for Hutton Village Nursing Home

This inspection was carried out on 17th February 2006.

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

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

Other inspections for this house

Hutton Village Nursing Home 31/01/07

Hutton Village Nursing Home 08/08/05

Hutton Village Nursing Home 17/03/05

Hutton Village Nursing Home 19/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Hutton Village Nursing Home Hutton Village Brentwood Essex CM13 1RX Lead Inspector Christine Bennett Unannounced Inspection 17th February 2006 10:10 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 Hutton Village Nursing Home DS0000015539.V277971.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. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hutton Village Nursing Home Address Hutton Village Brentwood Essex CM13 1RX 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) 01277 261929 01277 233955 wattsma@bupa.com BUPA Care Homes (BNH) Limited Mrs Mary Watts Care Home 48 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (46), Physical disability (1), of places Terminally ill (2) Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Personal and nursing care to be provided to up to 46 older people. Personal and nursing care to be provided to up to 10 older people with dementia. Personal and nursing care to be provided to up to 1 service user with physical disability. Personal and nursing care to be provided to up to 2 people with terminal illness aged 55 years or over. Maximum number to be cared for shall not exceed 48. Personal and nursing care for people under 65 years of age is limited to 2 service users who are known to the CSCI. 8th August 2005 Date of last inspection Brief Description of the Service: BUPA Hutton Village Nursing Home provides care with nursing for 48 older people incorporating some categories of dementia and terminal illness. The home is situated in a semi rural location, approximately four miles from the centre of Brentwood. It is easily reached from junction 28 of the M25 and from the A12. Shenfield main line railway station is one mile from the home. Some local shops are within easy walking distance. Shenfield shopping centre offers a wide variety of facilities including the post office, several banks, library and many specialised shops. Apart from the main dining room, which is housed in a converted Victorian schoolroom, the home is purpose built. It is surrounded by its own well maintained gardens. There is ample parking both at the front and at the rear of the building. The home has thirty single bedrooms and nine double bedrooms, all with en suite facilities. All the downstairs rooms have floor to ceiling windows overlooking the gardens or fields. Public areas of the home include three residents lounges and two dining rooms. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place on 17th February 2006, lasting for 6 hours 20 minutes. The inspection process included discussion with the manager, five members of staff and one visitor. A tour of the building was undertaken and a random selection of policies and records viewed. Time was spent among the residents of the home and discussion took place with seven of them. The inspection findings were discussed with the manager and guidance given. The inspector would like to thank everybody who was involved in the inspection process. What the service does well: What has improved since the last inspection? There have been major building works to achieve fire curtain compartmentalise and the home has been divided into nine fire zones. The main corridor has been redecorated and a new carpet has been laid in this area and in the main lounge. New curtains and bedspreads have been provided in seven bedrooms in the extension, and new carpet and curtains have been put in the staff room. There has been extensive training to give staff the skills to meet the care needs of the residents. There are plans to landscape the garden to include a sensory garden and a vegetable plot. The local school is helping with the formation of this project. Care planning reviews are being updated to involve residents and their relatives and staff are being given time to complete these reviews. The activities programme has been further developed to include themed days, which means more residents are involved. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 6 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. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 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 Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 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): 3, 4. The home operates a thorough pre admission assessment ensuring appropriate admissions. EVIDENCE: The manager confirmed that the pre admission procedure to the home had not changed. She described a thorough process whereby she visits prospective residents in their own home or hospital to ensure that their needs can be met by the home. They and their relatives have the opportunity to visit the home before moving in, to see if it meets their expectations. Staff have an ongoing training programme to ensure that they have the skills to deliver the appropriate care that is required by individuals. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 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, 10 Care plans need to have the information to meet the current needs of the residents. Personal support is offered in such a way as to promote and protect the residents’ dignity, privacy and independence. EVIDENCE: Residents were complimentary about the care they receive in the home and spoke of the kindness of staff. One resident said, “they are nice people to help us”. Staff had a good knowledge of residents and their individual care needs. Care plans relating to these needs still did not have all the information to be able to fulfil them. The manager recognises that the care planning system needs to be improved and is in the process of writing to relatives to invite them to come to the home to be involved in a review of the care needs of their individual relative. Extra time is being given to the care staff in order to achieve this. However one care plan was examined for a resident who had had a fall, and whose needs had changed, but this was not well recorded in the plan. Another care plan had not been reviewed since October 2005. Staff must be aware that the plan must be updated, not only routinely but also when needs have changed. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 10 Residents confirmed that they are always treated with dignity and respect. One lady said that the staff are kind and sensitive when giving care. All residents have access to a phone in their room and a member of staff was seen to knock on the door before entering a resident’s room and to address her politely. A visitor to the home said of the staff, “they are so lovely, they are so gentle”, and when speaking generally about the home said, “I have been surrounded by kindness”. The residents were able to confirm that they were wearing their own clothes and that they were happy with the laundry service. The staff member in the laundry said that the residents have clean clothes every day, more often if necessary and residents’ general appearance was of being clean and well cared for. Hutton Village Nursing Home DS0000015539.V277971.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, 14, Residents experience a stimulating and varied life in the home. EVIDENCE: The home employs an activities coordinator who is developing the range of activities in the home to appeal to a wider range of people. The programme has been extended to include weekends and bank holidays and it is varied and interesting. The home is also organising fundraising events and the staff are participating in a sponsored slim, and the manager and the activities coordinator are being sponsored to be carers for the day. Themed days now take place, which have included celebrating Chinese New Year, Valentine’s Day and St David’s Day. The activities coordinator was able to describe the preparations for Chinese New Year, which included decorating the home with lanterns and dragons made by the residents, and a special Chinese meal for those who wished to participate. Individual activities also take place and one resident described how she was taken to a haberdashery shop to choose wool and patterns for her knitting. She spoke with enthusiasm of the journey there and back, revisiting the places of her childhood. A big project is planned in the garden to include a sensory and wildlife garden and a vegetable patch. The local school are involved in this project by growing plants and making sensory mobiles. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 12 Visitors are welcome in the home at any time and the manager told of two visitors who come on a daily basis to see their relative. Residents were able to demonstrate that they have choice in the home. One lady told how she prefers to have her meals in her room, and another resident is able to handle her own financial affairs. Nobody in the home has an advocate, but details of the advocacy service are displayed in the home. The bedrooms in the home were seen to be personalised with the resident’s own items of furniture and ornaments if wanted. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 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, 18 The home has a satisfactory complaints procedure, which must be followed to ensure that residents and relatives feel their views are listened to and acted upon. Staff are aware of issues relating to the protection of vulnerable adults ensuring that the residents are not put at unnecessary risk. EVIDENCE: The home has a satisfactory complaints procedure. There have been four complaints since the last inspection. Two of these had been processed satisfactorily, but the other two did not have evidence to show that the complainant had been responded to and was satisfied with the outcome, although the manager was able to confirm that both had been dealt with and explain the outcomes. There have been no POVA issues in the home since the last inspection and staff spoken with had a good understanding of different forms of abuse and the reporting of it. Residents said they felt safe in the home and that the staff treated them with kindness. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 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): 19, 20, 22, 25, 26 The standard of the environment in the home is good, providing residents with an attractive and homely place to live. EVIDENCE: Generally the home was clean and bright with no offensive odours. However there were two areas that did have an unpleasant odour and this was discussed with the manager at the inspection. There have been major building works since the last inspection to comply with fire regulations. The main corridor of the home has been redecorated and a new carpet laid here and in the lounge. Seven bedrooms have new curtains and bedspreads and the staff room has new carpet and curtains. The Environmental Health Officer visited the home and any requirements have been complied with by November 2005. Staff felt they have adequate equipment to perform their jobs. A new hoist has been purchased which incorporates weighing scales and another is on Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 15 order. Equipment was seen to be in good order and regularly serviced. Call bells were within reach of residents who were in their rooms. On the day of inspection the water tanks were being tested for Legionella, and taps tested delivered water at less than 43 degrees. The laundry has two washing machines with sluice programmes for foul laundry and the laundry person had a good knowledge of safe practice within the laundry area. However it was noticed that she and other staff members do not wear aprons as protective clothing to assist with the control of infection, even though these are available. This was discussed with the manager who acknowledged that this is an area that needs to be addressed. She confirmed that all staff have to do a Company distance-learning course on infection control. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 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 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): 27, 28, 30 The home is fully staffed and has an effective and competent staff team. EVIDENCE: The home is fully staffed and the manager confirmed that agency staff are only used to cover sickness and annual leave. Due to it’s rural location, the home has a recruitment programme from overseas, mainly Poland. Staff spoke of a good team spirit and a new member of staff said that the staff team had been very helpful to her. One member of staff said that she feels more staff in the morning would improve the home. She said, “if we want to do it properly, it takes time” when speaking about personal care for residents. Lunch was observed on the first floor, and there was only one member of staff to assist with feeding four residents. This meant residents had to wait, and the staff member was not able to spend time with individuals, but was going between them. The manager must look at the deployment of staff and decide if she has enough to allow them to perform their tasks effectively. The home has a comprehensive training programme and the manager was able to detail recent training opportunities. The staff confirmed that there is a monthly training programme and the training profile was seen for two members of staff. These evidenced statutory training in fire safety, manual handling, basic food hygiene and COSHH and other training including care of the elderly, pain control, optical awareness, Parkinson’s disease, continence, protection of vulnerable adults and care planning. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 17 The home employs a total of twelve registered nurses. There are twenty three care assistants of which three have achieved NVQ at either level 2 or 3. Two have started NVQ level 2 and four are adaptation nurses. The manager confirmed that the Polish care workers are initially taken on a one year contract, which can then be renewed and they have the opportunity to commence an NVQ training. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 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 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, 32, 33, 35, 37, 38 There is leadership, guidance and direction to staff and the home has in place practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: The manager has demonstrated that she has the qualifications, competencies and experience to ensure that the home is managed in a manner which promotes the aims and objectives of the home. Staff and residents said she is approachable and felt any concerns would be addressed. One member of staff said, “However busy she is, she listens”. The home has regular staff meetings and recent questionnaires have been completed from residents/relatives and stakeholders of the service. The manager was advised to collate the information received from these sources and formulate a plan of action, which is to be made available to residents and CSCI. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 19 One resident handles their own finances, otherwise relatives act on their behalf. A random check was made on money held by the home on the residents’ behalf and this was accurate. All records seen were well maintained and stored securely. Records indicated that fire drills and instruction had taken place regularly, incorporating day and night staff. Health and safety issues were well managed with health and safety meetings being held three monthly. New staff are supplied with a health and safety booklet to complete. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 20 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 3 X 3 X X 3 2 STAFFING Standard No Score 27 3 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X 3 3 Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 Requirement The registered person must prepare a written plan as to how the residents needs are to be met involving the resident/relatives and review according to individual needs This is a repeat requirement The registered person must ensure that any complaint made under the home’s complaint procedure is fully investigated and the action taken in response The registered person must ensure the home is free of odours and protect against infection. This refers to staff wearing plastic aprons when performing some of their duties. Timescale for action 01/06/06 2. OP16 22 01/05/06 3. OP26 13(3) 16(k) 01/05/06 Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 22 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. 3. 4. Refer to Standard OP15 OP19 OP28 OP33 Good Practice Recommendations It is recommended that the deployment of staff at mealtimes ensures that residents’ food remains warm, and they can be assisted in an unhurried way. It is recommended that the recent requirements identified by the fire service are actioned. It is recommended that a minimum of 50 of care staff achieve an NVQ qualification. It is recommended that the registered manager collates the information received as part of the quality assurance programme, and makes a copy of any plan to residents and CSCI. Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Hutton Village Nursing Home DS0000015539.V277971.R01.S.doc Version 5.1 Page 24 - 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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