Inspection on 20/05/05 for Huyton Hey Manor Residential Care Home

This inspection was carried out on 20th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Huyton Hey Manor Residential... 17/06/10

Huyton Hey Manor Residential... 23/03/10

Huyton Hey Manor Residential... 13/10/08

Huyton Hey Manor Residential... 28/07/06

Huyton Hey Manor Residential... 12/12/05

Huyton Hey Manor Residential... 13/12/04

Huyton Hey Manor Residential... 21/05/04

Similar services:

Dystlegh Grange

Thornton Lodge

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Huyton Hey Manor Huyton Hey Road Huyton Knowsley L36 5RZ Lead Inspector Lynn Paterson Unannounced 20.4.05 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. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Huyton Hey Manor Address Huyton Hey Mnaor Huyton Knowsley L36 5RZ 0151 489 3636 0151 426 6415 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) Cranford Care Homes Limited Miss A Williams Care Home 30 Category(ies) of OP Old Age (30) registration, with number of places PD(E) Physical Disability Over 65 (30) Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 30 OP and 30 PD(E) The service should employ a suitable qualified and experienced manager who is registered CSCI Date of last inspection 13/12/04 Brief Description of the Service: Huyton Hey Manor is a care home regsitered to provide placements for 30 persons of the category old age. The home is situated in pleasant grounds in a residential area close to local amenities and Huyton Village centre. Accommodation is provided on three floors and there is a passenger lift to all levels.The home have a variety of aids and adaptations in place around the home to assist residents with mobility . Twenty four of the bedrooms are single,three are double and none of the bedrooms have en suite facility.There are two communal toilets to the ground floor plus two btahrooms and toilet combined.There are two communal toilets to the first floor plus one shower and toilet combined and two communal toilets and one bathroom to the second floor. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours and was unannounced. The home had addressed all the requirements and recommendations made at previous inspections. A tour of the premises took place and the management policies, staff records and care files were inspected. The manager, three staff and twenty -six residents were spoken with. Case tracking was used for four of the residents of the home. What the service does well: What has improved since the last inspection? The home has benefited from an ongoing redecoration programme that has greatly enhanced resident’s bedrooms. The manager has developed systems in respect of pre admission assessments and care planning for residents, these system changes were in the initial stages and therefore it was not possible to test them on this occasion. The manager needs to provide leadership and guidance to all staff in respect of these new systems so that there is consistency in the assessment and care planning process. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 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. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 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 standard(s) 3 Systems were in place for a pre admission process to be undertaken for all prospective residents to check that the home could meet their need. However the home was not registered to provide dementia care although some newly admitted residents had been assessed as having dementia care needs. The pre assessment process must therefore take into account the category of registration of the home and the ability of the home to meet the assessed need. EVIDENCE: Pre admission information observed indicated that the home had put systems in place to ensure that a pre assessment was carried out on all prospective residents prior to admission. This system had recently been introduced and could not be fully tested and measured at the time of the inspection. Conversation with the most recently placed resident identified that he was unable to provide information about his assessment or care needs although the home manager was able to show that his care needs had been fully recorded. Three sets of individual records of resident’s pre admission assessments showed that assessment details were in place, however two of these Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 9 assessments identified dementia care need and the home currently employs no staff who are trained to provide dementia care and is not registered to provide dementia care. In discussion with the home manager it was agreed that the home should apply to CSCI for a variation in category to enable them to become registered to provide some dementia care placements within the home. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.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) 7.9. The manager has made progress with care planning for the health and personal care needs of residents to be identified and met. Medication systems currently used have a potential to place residents at risk. The manager needs to provide leadership and guidance to all staff to ensure staff are consistent in the assessment, care planning and administration and recording of medication. EVIDENCE: Revised care plans were in the process of being introduced into the home however the transfer and update of information was in the early stages and it was not possible to fully test and measure although care plans viewed showed that the home had made improvements to the care planning process since the previous inspection. Daily entries into case records were basic but care planning charts held details of activities and actions and involved a tick box system to ensure that care had been provided as appropriate. Residents spoken with who were able to discuss their care needs said that staff were kind and assisted them as much as they could, time allowing. Three care plans viewed showed they had been signed and dated as having been monitored and reviewed by staff but none held any amendments to the care planning process. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 11 The medication records showed inconsistency in the recording of controlled drugs to include the drug count on receipt of new stock. The drug count figures were crossed out and amended on the records with no explanation given for the inconsistency. Staff were taking and recording pulse rates on the medication record sheets and the manager stated that they would not administer a specific prescribed medication if the residents pulse rate was not as appropriate although she did not have any written instruction from the residents GP for the sue of this medication. Other discrepancies on the medication- recording sheet related to the use of abbreviation to record why a resident had not taken a prescribed medication. The practice of administering medication should be in line with the policies and procedures of the home and as instructed in training and by the local Primary Care Trust Pharmacy. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 12 Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 13 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) 12.15. Activities are arranged within the home but residents advised they do not fully meet the needs of the individuals. Menus are varied, food well cooked and presented, however residents felt that they were not always afforded full choice of menu. Staff should consult with residents so that activities can be arranged to suit individual choice, capabilities and interests. EVIDENCE: Most of the residents were spoken with and those who were able said that the food was generally good but they were not always aware of the menu of the day. Residents felt that they were not afforded choice and if they did not like their meal they just did not eat it. The menus inspected appeared to be balanced and varied with choices being offered at all meal times. Residents observed in the dining room at lunch -time appeared to be fully enjoying the meal, which was well presented and looked most appertising. It was noted that most residents were eating pork chop, potatoes and vegetables although one resident was eating an omelette and another eating sandwiches. Discussion with the home manager evidenced that she was concerned about the comments made about the food provision and would ensure that a residents meeting was arranged as soon as possible to arrange menus to suit the tastes and choices of all residents. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 14 Residents advised that they did not do too much of interest in respect of activities in the home and sometimes felt a little bored during the day. The home manager produced an activities programme that showed activities were arranged however she agreed that most residents did not participate. Residents said they liked Bingo and Quizzes but stated that not all the residents were able to participate. Discussion with the home manager evidenced that she was aware of the lack of stimulation for some residents and would address this also by way of a residents meeting. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 15 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) 16.18 The home had a vulnerable adults procedure and staff understood the process. Residents were not aware of the complaints procedure and were not confident to voice their concerns to staff as they felt they would not be listened to. Complaints systems must be introduced so that residents and their representatives are able to make complaints with confidence that their complaints would be listened too and resolved. EVIDENCE: The home had a complaints procedure however all residents spoken with said they had no knowledge of this process. Residents advised that they did not know how to complain and that they did not feel confident enough to express concerns to the manager or staff. One resident said that “the home had a take it or leave it attitude now” another said ”there is no point complaining as they don’t take any notice”. This was discussed with the home manager at the end of the visit and she commented that no one had complained to her. The home had a procedure for responding to allegations of abuse and it was noted that adult protection information leaflets were available throughout the home. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 16 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) 24 Improvements have been carried out to the decoration, fabrics and furnishings of the resident’s bedrooms and residents advised that they felt safe and comfortable in their rooms. EVIDENCE: Bedrooms appeared bright clean and comfortable and residents advised that they felt safe secure and happy with their private accommodation. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 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) 29.30 The home has recruitment and selection procedures, which offer protection and safeguards for residents and staff. Staff -training programmes are in place so that staff are trained and competent to carry out their duties to provide personal and social care to the residents. This does not include training in dementia care although some residents of the home were exhibiting dementia care need at the time of the inspection. EVIDENCE: Staff turnover has been very low and records showed that all staff had the relevant documentation in place in respect of the protection of residents and other staff of the home. Criminal Records Bureaux checks were also in place. Staff training programmes held details of ongoing training in all aspects of care practices pertaining to the care of older persons and the manager advised that over half the staff had acquired NVQ level 2/3 awards. Residents spoken with during the visit advised that they were assisted with their daily living tasks by staff who were kind and helpful although they stated that sometimes staff were very busy and they had to wait their turn for assistance. The home manager stated that no staff had dementia care training or experience in this field although some residents experience dementia. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 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) 32.33 The recent change of management in the home has created a situation in which residents do not feel comfortable to express their feelings or participate in discussion for change. Residents felt that the new manager had instigated changes in the home without discussion and that she did not have a system in place to enable the residents to have input into the management or the service provision of the home. EVIDENCE: The manager has recently been approved by CSCI and has evidenced that she is in the process of changing and developing systems, which she feels will enhance the daily living for the residents. Residents advised that they have experienced change since the appointment of the new manager and gave examples of these to include staff being inconsistent with their care practices, being left for sometime when they pulled their call bell alarm, different activities and menus being in place with no consultation to the residents choices. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 19 A newsletter written by the home manager evidenced that it held details of all the activities, events and news from the home. The newsletter was most interesting however residents advised that they had not seen this paper and were not therefore aware of the content. This resulted in residents feeling uncertain about the leadership and management approach of the home. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x 3 x x STAFFING Standard No Score 27 x 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 x 2 2 x x x x x Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 21 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 3 Regulation 14 Requirement Accomodation must not be provided to residents unless their full needs have been assessed.The assessement must be suffcieint in detail to enable care staff to identify if the home can meet the assessed need The manager must ensure that medication is managed as per the policies and procedures of the home. The registered person must ensure that activites are arranged in the home tosuit the choices,capabilties and interests of the residents. The registered person must ensure that the home has a complaints system that is know and accessibel to residents and their reprersentatives. The regsieterd person must ensure that staff are fully trained to carry out their remit. The regsistered person must ensure that residents benefit form the ethos,leadership and management approach of the home. The registered person must ensure that the home is run in F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Timescale for action 20.6.05 2. 9 13 20.5.05 3. 12 16 20.6.05 4. 16 22 20.5.05 5. 6. 30 32 18 24 20.6.05 20.6.05 7. 33 24 20.6.05 Page 22 Huyton Hey Manor Version 1.30 the best interests of the residents. 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 15 14 Good Practice Recommendations It is recommended that the menu is provided to residents at each mealtime to ensure that residents know that choices are provided. It is recommended that the regsitered person make applciation for a variation of category if it is the intention of the home to provide placements for older persons within the category dementia. Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 2nd Floor Burlington House Crosby Road North Waterloo L22 0LG 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 Huyton Hey Manor F53 F03 S21478 Huyton Hey Manor V227655 200405 Stage 4.doc Version 1.30 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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