Inspection on 13/05/05 for Little Hayes

This inspection was carried out on 13th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Hayes 18/12/06

Little Hayes 27/09/05

Little Hayes 03/12/04

Little Hayes 28/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Little Hayes Church Hill Totland Isle of Wight PO39 0EX Lead Inspector David Coulter Unannounced 13 May 2005 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. Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Little Hayes Address Church Hill, Totland, Isle of Wight, PO39 0EX 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) 01983 752378 01983 759785 Mr David Burn and Mr Christopher John Negus James Mrs Julia Burns Care Home 26 Category(ies) of DE(E) (5), OP (26), PD(E) (7) registration, with number of places Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3 December 2004 Brief Description of the Service: Little Hayes is a Residential Care Home, that offers care for twenty-six elderly residents. It is situated on the outskirts of Totland and is within walking distance of both the shops and the sea. It is owned by Mr David Burn and Mr Christopher James and is managed by Mrs Julia Burns. All the residents are accommodated in single rooms, twenty-one of which have en-suite facilities. A number of the rooms to the front of the building offer views of the sea. The property is a building of some character that sits in its own well-maintained gardens. There is outdoor seating strategically placed around the outside of the building. The home has two passenger lifts that provide access to the first floor. Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: * Provide a separate room for visitors to meet with residents Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 6 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 Hayes H55_H04_S12508_Little Hayes_V218140_130505_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 Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_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) 1,2, 3 &4 The home was found to have a well established admissions process that necessitates a full assessment of any prospective resident. The deputy manager was clear about the home’s registration categories and the type of resident the home can best provide care for. Trial stays are encouraged and every effort is made to involve the prospective resident in the admissions process. EVIDENCE: The home has developed a statement of purpose that aims to detail the nature of the service on offer, the target population, the facilities within the home and the expertise within the staff team. Each resident is provided with a contract that details the conditions of residency and makes clear the fees and any additional costs associated with services such as hairdressing and chiropody. All prospective residents are assessed by a member of senior staff prior to admission. The home has developed its own pro-forma to help identify the physical social and emotional needs of residents. The deputy manager explained that every effort is made to gather information from other sources including family members, care managers etc. The deputy manager was quite Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 9 clear on the home’s categories of registration and the type of client that can be best served within Little Hayes. Pre-admission visits usually include an opportunity to meet with and share a meal with the residents. Unfortunately as some admissions take place straight from hospital it is not always possible. All placements are subject to an initial trial. The deputy manager explained that a new resident was transferred to nursing care as it became apparent after a short time that their medical needs were greater than the initial referral indicated. Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_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&10 There was clear evidence that the care needs of residents had been identified through the home’s care planning process and were being regularly monitored by staff. Health needs were being addressed by a range of health professionals. EVIDENCE: During the inspection it was noted that all residents had individual care plans. According to the deputy manager information obtained through the admission process is used to formulate an initial care plan, however, during the early weeks of a resident’s admission staff develop a comprehensive care plan identifying how the specific care needs of the individual could be met. A number of care plans were randomly selected and inspected and it was evident that information had been gathered from a variety of sources including General Practitioners, care managers, family members and the residents themselves. Care plans were found to contain risk assessments. The health care needs of residents are closely monitored by staff and there was documentary evidence that a range of health professionals such as District Nurses, General Practitioners and chiropodists had visited. The manager Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 11 explained that if the need arose residents would be accompanied to hospital appointments. Medication is only dispensed via a pre-packed Nomad system by senior staff who have undertaken specific training and demonstrated their competence. Since the last inspection staff have received training in pain relief from the community pharmacist. At the time of the inspection there were no residents self-medicating. The deputy manager was clearly aware of the need to undertake risk assessments on all residents wishing to self-medicate. Records are kept in regard to all medicines received within the home and administered by staff. A separate book documents those medicines returned to the pharmacy for disposal. Medication was found to be stored in an appropriately locked facility. The drug regimes of residents are closely monitored by staff and regularly reviewed by General Practitioners. A number of residents were spoken with and all confirmed that they were regularly consulted about their wishes including issues surrounding the delivery of personal care. Residents are encouraged to maintain contact with their family and friends via telephone calls and visits. Staff will, if required, assist with the writing and reading of letters. A telephone is available for residents’ use. Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 &14 Residents are encouraged by staff to remain as physically and socially active as possible. Residents spoken with confirmed that they were able to take responsibility for many aspects of their lives and were able to exercise choice over such things as food, participation in recreational activities and management of their own financial affairs. EVIDENCE: A number of residents were met and a group spoken with in the lounge. All confirmed that they were regularly consulted over various aspects of their lives within the home. While residents can, for example, choose to eat in their own rooms, staff like them to join with others in the home’s dining room. The deputy manager said that while many of the residents appreciated a ‘quiet life’ and spent large periods of time in their own rooms, over recent months the residents lounge had become increasingly popular with an increasing number who were enjoying the stimulation of each other’s company. The home has an open-door visiting policy and refreshments are provided free of charge. While there are a number of areas around the home where residents can meet with visitors, the manager said that the majority of residents invite visitors into their rooms. The home receives regular visits Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 13 from members of local churches. are asked to sign in. For security reasons all visitors to the home Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected during this inspection EVIDENCE: Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22,23,25 &26 A tour of the premises revealed that the home was structurally sound and in good decorative order. All the residents are accommodated in single rooms on two floors. The majority of rooms have en-suite facilities. There are two passenger lifts that provide access to the first floor. Hand and grab rails are strategically placed around the home to assist less mobile residents. There is a spacious lounge that provides good views into the garden and a large wellappointed dining room. EVIDENCE: The deputy manager attributed the good state of the building to a rolling programme of replacement and refurbishment and, for example, a new ensuite facility has been created in one of the ground floor rooms during the last year. This addition now means that twenty-one of the twenty-six residents’ rooms have en-suite facilities. There is also a separate toilet and three bathrooms all of which contain toilets. Two of the bathrooms have assisted hoists. The home has also two shower facilities. There are toilets located Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 16 close by the communal areas. The existing facilities appear to meet the needs of the present residents. A visit to a number of residents’ rooms revealed that they were clean, tidy and appropriately furnished. All the rooms were observed to contain a suitable bed, wash hand basin, easy chair, drawers and hanging space. Many of the residents’ rooms also contained personal items such as small pieces of furniture and photographs; this helped create a homely feel. Residents spoken with were very satisfied with their accommodation. Even though the inspection took place on a cool day, the home was found to be pleasantly warm and well ventilated. The home has gas-fired central heating and all residents’ rooms have radiators with heat controlling valves. The home’s hot water supply has a regulator that controls the hot water temperature throughout the home. Records demonstrated that the heating, electrical and gas system were all subject to regular inspection and servicing. The home has three designated staff, a housekeeper and two cleaning staff, who are responsible for ensuring that the home is kept clean and tidy. A tour of the building revealed that all areas were free from any offensive odours. There is a designated laundry facility that contains commercial washing and drying equipment. The laundry area is located well away from both areas of food storage and production. The home has an infection control policy and all staff are made aware of it through induction and staff training sessions. There are clear guidelines for staff on the storage and safe handling of hazardous materials. Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_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) 27, The home benefits from having a stable, experienced and well motivated staff team. EVIDENCE: The deputy manager explained that staff are generally deployed in greater numbers during the busiest times of the day, such as the morning. The same staffing levels are maintained throughout the week. Additional staff can be deployed if the needs of residents increases due to illness etc. The home operates with two wakeful night-staff who can, if required, call upon on designated on-call staff. The manager, deputy manager, proprietors, cooks and cleaning staff are supernumerary to the staffing complement. The staffing levels were assessed as being appropriate to meeting the needs of the present resident group. Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_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) 31,32&37 The home’s manager, a trained nurse, has many years’ experience of running a care home. Both residents and staff confirmed that she is both approachable and supportive. The home is run in the best interests of the residents and every effort is made to ensure that their physical, social and emotional needs are met on both a collective and individual basis. EVIDENCE: The manager is a Registered General Nurse who has many years’ experience in the field of elderly care. The manager has maintained her nursing registration and as a consequence undertakes a number of training events each year. According to staff and residents spoken with, the manager has a ‘hands on approach’ and involves herself in all aspects of the delivery of care to residents. She is supported in the management of the home by a small team, which includes a deputy manager, who is in the process of completing her NVQ level 4 and senior staff. Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 19 The manager always operates in a supernumerary capacity and will often work alongside staff on the floor. Residents spoken with felt that the manager had established good professional standards within the home and that she was determined to maintain them. Communications between members of staff on different shifts was said to be good. Staff confirmed that they were regularly consulted over developments within the home including the development of new policies and procedures. Staff meetings are held every six weeks and a record kept. During the course of the inspection a range of records and documents relating to all aspects of the management of the home was examined including; care plans, staffing rotas, insurance certification, accident records and fire safety records. All the records seen were maintained in good order, held securely and used in accordance with the Data Protection Act 1998. Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_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 3 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 x COMPLAINTS AND PROTECTION 4 x x 3 3 x 3 4 STAFFING Standard No Score 27 4 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 4 4 x x x x 3 x Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 21 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 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 Good Practice Recommendations Little Hayes H55_H04_S12508_Little Hayes_V218140_130505_Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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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