Inspection on 28/12/05 for Little Haven Nursing & Residential Home

This inspection was carried out on 28th 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.

Other inspections for this house

Little Haven Nursing &... 06/12/06

Little Haven Nursing &... 30/08/05

Little Haven Nursing &... 07/12/04

Little Haven Nursing &... 28/07/04

Little Haven Nursing &... 17/02/04

Little Haven Nursing &... 18/08/03

Little Haven Nursing &... 09/12/02

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

CARE HOMES FOR OLDER PEOPLE Little Haven Nursing & Residential Home Beaulieu Road Dibden Purlieu Southampton Hampshire SO45 4JF Lead Inspector Sue Maynard Unannounced Inspection 28th December 2005 09:15 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 Little Haven Nursing & Residential Home DS0000011432.V272235.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. Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Little Haven Nursing & Residential Home Address Beaulieu Road Dibden Purlieu Southampton Hampshire SO45 4JF 02380 847222 02380 847585 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) The Wilverley Association Limited Mrs Adele Roberts Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 23 beds may be used at any one time for service users who are in need of nursing care. 30th August 2005 Date of last inspection Brief Description of the Service: Little Haven is a registered care home that accommodates forty-three service users over the age of 65years. Twenty-three service users are in receipt of nursing care and the remaining twenty are in need of assistance with personal care only. The home is the sister home to Forest Oaks and is administrated by the Wilverley Association Ltd, which is a charitable trust, and as such, all members of the governing committee are volunteers. The home was purpose built some years ago and is housed on three floors in pleasant gardens and is situated in a semi-rural area close to the New Forest. The home is close to shops and other local amenities. Many of the residential service users are independent and are able to go out into the community independently. All 43 rooms are single occupancy and have en-suite facilities and have extra facilities within them for storage. The service users who receive personal care furnish those rooms and supply all soft furnishings making each room very individual. The home has two passenger lifts installed. The grounds surrounding the home are well maintained. Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second statutory unannounced inspection for 2005/2006. The inspection was conducted by one inspector and lasted four and a half hours. The manager was present throughout the inspection. A tour of the building was made and records were examined. The inspector met with residents and members of staff. Feedback from residents and staff was very positive. Staff and residents stated that communication with the manager and her deputy is very good. The residents spoken to confirmed that always felt comfortable in discussing any concerns they had with the manager or any other member of staff. Members of staff confirmed that the training they receive and support from the manager and her deputy enables them to maintain a high standard of care in the home. They stated that they found their job very rewarding. Residents told the inspector that the staff in the home were always kind and supportive towards them. What the service does well: What has improved since the last inspection? Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 6 Nutritional assessments are now in place for all residents in the home. Residents’ records demonstrate that these assessments are regularly reviewed and updated. 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. Little Haven Nursing & Residential Home DS0000011432.V272235.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 Little Haven Nursing & Residential Home DS0000011432.V272235.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): 3 Arrangements for assessments are in place, prior to admission, which ensure that the needs of the resident can be met. Standard 6 is not applicable to this service. EVIDENCE: The manger or her deputy undertakes a full needs assessment for all service users who are to be admitted to the home to ensure that all their care needs will be met. The assessment includes all aspects of personal care and well-being, their physical and psychological needs and personal safety. The information for this assessment is obtained from the resident, their families and other health care professionals who may be currently caring for the prospective resident. This assessment identifies the health care needs of the resident and forms the basis for care plans that will be written to address the care needs of the resident. Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 9 Service users who are to be admitted to the residential wing of the home visit the home and are assessed during this visit. Residents for this area of the home are generally self-caring and independent, but may on occasions require some assistance with personal care and mobility. Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 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 the following standard(s): 7 and 8 The care planning and communication systems in the home ensure that the health and care needs of the residents are met in a way that respects their privacy and dignity. Standards 9 and 10 were assessed during the inspection undertaken in August 2005. EVIDENCE: The inspector examined records for four residents. All the records examined contained a comprehensive pre-admission assessment. On admission to the home a further assessment is undertaken to provide additonal information allowing the staff to identify the individual care needs of each resident. Personal details documented, included the contact details for the service user’s next of kin, date of birth, the date that they were admitted to the home, and the doctor with whom they are registered. Care plans had been drawn up to address the care needs of the resident. The care plans identified the problem and clearly demonstrated the action plan and Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 11 the outcome that was to be achieved; ensuring that the health care needs of the resident is met. Residents are able to access dental and optical care as required. Podiatry care is provided every six weeks for the residents and they are able to choose whether they receive the service from a male or female podiatrist. All residents are registered with a local doctor. For residents who lived in the local area prior to admission to the home, they are able to retain their own doctor. The manager was able to confirm that no residents had a pressure sore. A tissue viability risk assessment is undertaken for all residents and this is reviewed and re-evaluated every month. Residents assessed as being at risk are nursed on a pressure-relieving mattress appropriate to their assessed needs. Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 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 the following standard(s): These standards were assessed at the last inspection in August 2005. EVIDENCE: Little Haven Nursing & Residential Home DS0000011432.V272235.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): These standards were assessed at the last inspection in August 2005. EVIDENCE: Little Haven Nursing & Residential Home DS0000011432.V272235.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): These standards were assessed at the last inspection in August 2005. EVIDENCE: Little Haven Nursing & Residential Home DS0000011432.V272235.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): 28 Comprehensive training undertaken by the staff enables them to be competent to do their jobs. EVIDENCE: Health care assistance working in the home have the opportunity to undertake training for NVQ at level 2and 3. The training officer for the home reported that at this time six health care assistants have achieved NVQ at level 2 and an additional six of their colleagues are working toward their level 2. One health care assistant has achieved NVQ level 3 and a further four are working towards this qualification. Members of staff spoken to confirmed that the home provides a very comprehensive training programme and that they are encouraged and supported by the manager and the training officer. Those members of staff spoken to who have undertaken their NVQ level 2, stated how much they had enjoyed the training and that it had given them more understanding of their role within the home. Little Haven Nursing & Residential Home DS0000011432.V272235.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): 31, 35 and 38 The manager of the home is able to demonstrate that she is suitably qualified to ensure that the home is well run and that the needs of the residents are met. Procedures are in place to ensure that residents’ financial interests are safeguarded Close monitoring of practices within the home safeguard the health, safety and welfare of residents, staff and visitors to the home. EVIDENCE: Mrs Adele Roberts, is a Registered General Nurse, Level 1and has been the registered manager for the home since 2002. Mrs Roberts has her Registered Managers award which she completed in 2004 and has also completed her Management in Care award. Further post registration qualifications include specialist training in coronary care, diabetes. Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 17 Mrs Roberts has also undertaken teaching qualifications from City and Guilds in Adult Education and a nurse specific teaching qualification, ENB 998. She will be undertaking a training course for managers in Abuse Awareness in January 2006. The home is responsible for the monies of one resident. Copies of all receipts of expenditures are obtained and are forwarded to the resident’s solicitor who is their Power of Attorney. Inspection of records indicated that regular tests are undertaken of all equipment and systems used in the home, including fire safety equipment, emergency lighting and extinguishers. The records also demonstrated that fire drills and instructions take place regularly and any faults noted in the system are rectified immediately. Staff members spoken to confirmed this. The weekly testing of the fire alarm system was undertaken during the inspection. All staff employed in the home undertakes regular training for: Fire safety Safe moving and handling Infection control First aid On the day of the inspection the kitchen was found to be very clean and tidy. Records examined by the inspector demonstrated that there is a regular programme of cleaning of all areas in the kitchen and that the temperatures of fridges and freezers are recorded daily. Little Haven Nursing & Residential Home DS0000011432.V272235.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations Little Haven Nursing & Residential Home DS0000011432.V272235.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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