Inspection on 27/09/05 for Little Hayes

This inspection was carried out on 27th September 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 Hayes 18/12/06

Little Hayes 13/05/05

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 Inspection 27th September 2005 09:30 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 Hayes DS0000012508.V251467.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 Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Little Hayes Address Church Hill Totland Isle Of Wight PO39 0EX 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) 01983 752378 01983 759785 Mr David Burn Mr Christopher John Negus James Mrs Julia Burn Care Home 26 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (26), of places Physical disability over 65 years of age (7) Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th May 2005 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 DS0000012508.V251467.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a busy Tuesday morning in late September. Unfortunately at the time of the inspection both the manager/proprietor and deputy manager were unavailable and management responsibilities were being very effectively carried out by one of the home’s care supervisors. During the course of the inspection a tour of the building was undertaken, a number of residents and staff spoken with and a range of records and documents examined. From the evidence collected it was clear that the home was operating effectively and that the physical, social and emotional needs of residents were being effectively met. What the service does well: What has improved since the last inspection? What they could do better: Nothing identified during this inspection Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 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 DS0000012508.V251467.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 Hayes DS0000012508.V251467.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): 5&6 All prospective residents are assessed prior to admission to determine if their care needs could be met within the home. The process relating to the home’s two most recent admissions was examined and found to be appropriate. EVIDENCE: The home has a well established admissions policy and procedure that requires an assessment to be undertaken on all prospective residents prior to admission. If it is felt the home could meet the needs of the prospective resident a visit to the home is arranged. During the inspection discussions were held with two residents who had recently been admitted. While one had visited prior to admission, the other had moved down to island from the mainland, and as a consequence had to ask relatives to visit the home on her behalf. In both instances the new residents felt that the home’s staff had provided them with appropriate information that had made their move to residential care less traumatic. The care supervisor in charge explained that the home does not offer any specialised intermediate care but will, if a room is available, offer short term Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 9 respite stays. One resident spoken with was undertaking a respite stay and said that staff encouraged her to remain as independent as possible in preparation for her return home. Little Hayes DS0000012508.V251467.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): 8 & 11 Through discussions with one of the home’s care supervisors and a number of residents it was clear that the physical, social and emotional needs of residents were being regularly monitored and intervention sought from health professionals as and when required. EVIDENCE: All residents are registered with local GP surgeries that were, according to a member of staff, always willing to undertake domiciliary visits. The care supervisor spoken with said that staff would, if required, both arrange transport and accompany residents to hospital appointments. Other medical intervention, such as dentistry and chiropody, is arranged as and when required. A record is kept on residents’ care plans of all health related interventions. On admission the views of residents on the arrangements to be made in the event of their deaths is established. From discussions with staff it was clear that the all the current residents had either family members or solicitors to advocate on their behalf. Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Residents spoken with talked in positive terms about both the quantity and quality of food they were receiving. EVIDENCE: During the inspection a visit to the kitchen was undertaken during which the cook was spoken with and food related records and menu plans checked. The home operates a four-week rolling menu that incorporates seasonal variations. The home employs one full-time and one part-time cook. The cook explained that individual tastes and special dietary needs are incorporated into the menus. An alternative main course is always on offer. While the home keeps a stock of dried and frozen goods, fresh produce such fruit and vegetables are purchased regularly. While the main meal of the day is lunch, records revealed that the evening meal was of a substantial nature. Residents could choose to eat either in their rooms or the home’s dining room. The kitchen was observed to be appropriately furnished with stainless steel work surfaces etc. The kitchen’s food preparation area is separated from the dish washing area. Since the last inspection the kitchen has received a new tiled floor. The cook explained that the evening meals are prepared by Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 12 members of the care staff team. All care staff have to undertake foodhandling training. Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 While the home has a well-established complaints procedure staff were found to be pro-active in regularly seeking out the views of residents and addressing any concerns before they developed into major issues. The care supervisor spoken with confirmed that staff receive training in various adult protection issues. EVIDENCE: While no complaints had been registered since the last inspection, the care supervisor spoken with said that staff were generally pro-active in seeking out, on a daily basis, the concerns of residents. Residents spoken with stated that they would have no difficulty in registering concerns with any of the staff team. The care supervisor explained that every effort is made to ensure that residents can exercise their legal rights. Residents are registered on the electoral roll prior to any elections and postal votes sought. Residents are kept abreast of local events via local newspapers that are freely available within the home. Staff are introduced to the concept of adult abuse through their initial induction and training. The home was observed to have well-established policies and procedures on both the reporting of abuse and whistle-blowing. Little Hayes DS0000012508.V251467.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): 20, 21 & 24 A tour of the building revealed that the home was structurally sound and in good decorative order. Evidence indicated that the accommodation and its facilities met the needs of the present residents. EVIDENCE: All the residents are accommodated in single rooms on two floors. 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. Communal facilities include a spacious lounge and a well-appointed dining room. There are a number of toilets located close by communal areas. A tour of the building revealed that residents’ rooms were appropriately furnished and included a suitable bed, wash hand basin, easy chair, drawers and hanging space. The furniture was observed to be of good quality. While many of the residents’ rooms did not contain two seats the manager said that this was through choice and that extra seating was always available when residents had visitors in their rooms. Many of the residents’ rooms observed Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 15 contained personal belongings such as small pieces of furniture and photographs; this helped create a homely feel. Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 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): 28, 29 & 30 The home benefits from a stable staff team that has contributed greatly to consistency in the delivery of care. Staff spoken with confirmed that morale was good within the team and that staffing levels were appropriate to meeting the needs of the current resident group. EVIDENCE: The home is fortunate in having both a stable and experienced staff team and for example, the home has not had to employ any new staff since the last inspection. Staff spoken with indicated that the home was a pleasant and stimulating place to work. The proprietors are committed to having a qualified and competent staff team and there is a general expectation that all staff will undertake regular staff training. Many of staff are presently engaged in NVQ training. The home has a well established recruitment policy and procedure that requires all prospective employees to complete an application form, undertake a Criminal Record Bureau check, attend for interview and produce the name of two referees, one of which should be from their most recent employer. All new employees have to complete a probationary period. Residents and staff spoken with indicated that staffing levels were appropriate to meeting the needs of the present residents. When asked, a number of residents indicated that call bells were always answered quickly. The care supervisor spoken with said that members of the team were very supportive of Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 17 each other and that on the rare occasions any additional cover was required to cover holidays, illness etc, members of the team were always forthcoming. As a consequence the home does not employ agency staff. Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 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): 33, 34, 35, 36 & 38 Staff confirmed that the proprietors, manager and deputy manager are all both approachable and supportive. There was evidence to indicate that 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 home has not developed a specific quality assurance system, however, the views and opinions of residents and their relatives are sought on an ongoing informal basis. For example, the deputy manager makes a point of visiting every resident each day to make sure they do not have any worries or concerns. The views of staff are also obtained via staff meetings that are minuted. Residents spoken with felt that their views were regularly sought on all aspects of their lives within the home. Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 19 It is the home’s policy to minimise its involvements in the management of residents’ finances. However, the home will hold money on behalf of residents to cover expenses such as chiropody and hairdressing. The handling of money within the home is kept to a minimum and the majority of residents’ fees are now paid by standing order and direct debit into the home’s account. The present arrangements meet the required standard. As mentioned previously, the home benefits from having a stable and well motivated staff team. The home’s new staffing structure, that has introduced the new role of care supervisor, ensures that responsibilities are now shared amongst a group of experienced staff. According to one of the care supervisors spoken with this system also provides more opportunities for senior staff to work alongside and provide guidance for the younger, less experienced staff. The system has apparently bedded down well and led to much greater consistency in the delivery of care. The home’s working practices are developed in line with legislative changes and health and safety guidance. There was documentary evidence to demonstrate that many aspects of life within the home are subject to a process of risk assessment. It was observed that staff were keeping regular visual checks on residents deemed to be at risk of falling. All staff receive training in manual handling, first aid, fire safety, adult protection and food hygiene. All incidents and accidents are recorded and those that fall within Regulation 37 Care Homes Regulations 2001 are reported, as required, to the Commission. Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 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 X X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X 3 3 X X 3 X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 3 3 X 3 Little Hayes DS0000012508.V251467.R01.S.doc Version 5.0 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. 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 Hayes DS0000012508.V251467.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW 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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