Inspection on 06/12/05 for Netherhayes

This inspection was carried out on 6th 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

Netherhayes 08/11/06

Netherhayes 21/06/05

Netherhayes 25/11/04

Netherhayes 02/06/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Netherhayes Netherhayes 13 Fore Street Seaton Devon EX12 2LE Lead Inspector Vivien Stephens Unannounced Inspection 6th December 2005 11:30 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 Netherhayes DS0000045371.V269226.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. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Netherhayes Address Netherhayes 13 Fore Street Seaton Devon EX12 2LE 01297 21646 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) carehomesllp@btconnect.com Adelaide Lodge Care Home LLP Mrs Shirley Elizabeth Fitter Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (28) Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2005 Brief Description of the Service: Netherhayes is a large 3-storey house situated in the main shopping area of Seaton. It is close to the seafront and very convenient to all local amenities. In order to provide good security the front door is kept locked and the entrance to the home is via a pedestrian tunnel from the main shopping area. Despite the close proximity to shops and seafront the home is surprisingly quiet and the gardens tranquil with lawned areas, flower beds, trees and duck pond. There are some parking spaces on site, or alternatively there is a Pay and Display car park at the rear of the home. Accommodation and personal care is provided for up to 28 service users. Bedrooms are on the ground, first and second floors. The home has 2 stair lifts for those people with poor mobility. 16 rooms have en suite facilities and 1 room is a double. The home accommodates elderly people who have needs associated with old age, who may have dementia type illnesses and/or who have physical disabilities. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4 ½ hours. The manager, Shirley Fitter, was not on duty on the day of the inspection. Iris Larcombe was in charge of the home that day, assisted by Caroline Denslow. Terry Lewis, Managing Director of Adelaide Lodge LLP was also present. Most of the standards were covered at the last inspection and therefore the main focus was to talk to residents and staff and find out their experiences and opinions of daily life at Netherhayes. Fourteen residents were interviewed (this was half of the 28 residents accommodated at the time of this inspection). The inspection also focussed on 2 standards not covered at the last inspection – standard 14 – choice, and standard 30 – staff training. What the service does well: The home takes times to assess prospective new residents and make sure they receive good information about the home and opportunity to visit before deciding to move in. Residents talked about the range of activities, outings and entertainments provided and how much they enjoy these. One resident had been shopping during the morning with a member of staff, and others talked about musical entertainments, outings, arts and crafts that they have enjoyed in recent months. A number of examples were given of how staff help residents to exercise choice during their daily lives. Residents confirmed that they can lead their lives just as they wish, and that staff help them to remain independent. The catering is of a high standard. Menus are varied, nutritious, and meet all individual needs and preferences. All of the residents interviewed spoke highly of the choice and standard of meals. Comments included “The food here is lovely”. All areas of the home have been well maintained and appeared attractive, comfortable and homely. Staffing levels are regularly reviewed and adjusted in order to meet the needs of the residents. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 6 A good range of training has been provided to staff in the last year. While the home is unlikely to meet the recommended level of 50 of staff trained to NVQ level 2 or above by the end of 2005, when all of the staff currently undertaking NVQ’s have completed their training in the near future it is expected that the home will exceed this target. What has improved since the last inspection? 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. Netherhayes DS0000045371.V269226.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 Netherhayes DS0000045371.V269226.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): 1,5 Prospective residents are given good information about the home and ample opportunity to visit before deciding to move in. EVIDENCE: Residents talked about how they came to live at Netherhayes. Some had been in hospital due to illness or accident and realised they would not be able to return to live safely in their own homes. Some had tried other residential homes but found them unsuitable. Without exception, they all said that their move to Netherhayes was a positive experience. Some said they had visited the home themselves, and others said their families or representatives had looked at a range of homes and had chosen Netherhayes on their behalf. During the day a prospective new resident and her relative/supporter visited the home. A senior member of staff spent time showing them around the home, answering questions and giving important information. This was backed up by written information/brochures. Prospective new residents are encouraged to visit for the day or have a short stay (depending on vacancies) before deciding to move in. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not inspected – see last inspection report for further information. At the last inspection a requirement was made that medicines should be recorded on receipt into the home. Since that inspection policies and procedures for the administration and storage of medicines have been revised. Detailed procedures are now in place covering all aspects of administration, including receipt of medicines into the home. In addition many of the staff have received training on the safe administration of medicines. The home ensures that staff receive periodic updates on this training. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14, 15 A good range of activities, outings and entertainments are provided to suit all interests, preferences and requests. Residents are encouraged and enabled to exercise choice over all aspects of their daily lives. The catering is of a high standard. Menus are varied, nutritious, and meet all individual needs and preferences. EVIDENCE: Residents and staff talked about daily life at the home. There are activities, outings and entertainments provided almost every day. These include weekly exercise sessions, twice weekly musical entertainment, arts and crafts, games and quizzes. One resident said a member of staff had taken her to the shops that morning. Some said they like to go out for a walk. Residents also talked about outings they have had during the year. One resident said that the Seaton Carnival had been a special occasion – chairs had been set out on the pavement outside the home and residents had been able to sit and watch the carnival procession in comfort. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 11 The staff talked about how they like to spend ‘quality’ time with the residents, particularly in the afternoons. They often sit and talk to them or read articles from the daily papers or magazines. They also give manicures and beauty treatment – several residents had attractively polished nails. There were a number of examples of how residents are helped to exercise choice in their daily lives. They talked about how they can choose what time they get up and go to bed, how their room is decorated and furnished, what they want to eat and drink, where they go and what they do. They have been consulted on the decoration of the dining room. They are also invited to comment on day-to-day issues within the home through regular Residents’ Meetings. Information on a range of topics, and local facilities and services is displayed on notice boards in the corridor. Residents know that they can look at their own personal records if they wish. Residents talked about the range of meals and drinks provided by the home. Beverages are provided at regular intervals throughout the day, and jugs of water and fruit juices were seen around the home within easy reach of residents to ensure they have a good fluid intake. Residents said they have good choices of menus each day. One person said she had an omelette for lunch (she had specially requested this) and said she had thoroughly enjoyed it. Another person said she is diabetic and that the menus always cater for her needs. Similarly another resident said she is vegetarian, and confirmed that she was always satisfied with the meals. Comments included “The food is always lovely”. During the afternoon a member of staff went around to every resident with a selection of sliced fresh fruit – comments from residents included “Delicious!” and “I always enjoy this fruit.” Later in the afternoon a selection of appetising home made cakes were offered with the afternoon tea. The Christmas menu has just been drawn up and was about to be printed. An excellent range of seasonal foods are on offer to equal any good restaurant. A member of staff was observed helping a resident with her lunch. Her manner was caring and attentive. She talked to the resident while she helped her, and was relaxed and unhurried, allowing plenty of time for the resident to eat her meal, checking all of the time that the resident was enjoying the food. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 12 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): EVIDENCE: These standards were not inspected – see last inspection report for information. At the last inspection recommendations were made that staff receive training on the protection of vulnerable adults. It was also recommended that the homes’ policy on the protection of vulnerable adults should be amended in line with the Devon County Council policy entitled ‘Alerters’ Guidance’. These recommendations have been met in full. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The home is safe, well maintained attractive and comfortable throughout. EVIDENCE: During the inspection the lounges and dining rooms, laundry and some of the bathrooms and bedrooms were seen. All areas of the home both internally and externally were in good order. The gardens were neat and tidy. A full time maintenance man is employed, and at the time of this inspection the dining room was being re-decorated. The home looked festive with Christmas decorations in the lounges and communal areas. All areas of the home were clean, tidy, warm and comfortable. Attractive finishing touches such as pictures, plants and co-ordinated furnishings give a homely and welcoming appearance. Since the last inspection security of the home has been improved by the provision of a new side entrance. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 14 A recommendation was made at the last inspection to provide low surface temperature covers to all radiators. All radiators assessed as a high risk have been covered and just a few low risk radiators remain uncovered. The owners have given assurance that all radiators will be covered within their programme of on-going maintenance and upgrading of the home. Netherhayes DS0000045371.V269226.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): 27, 30 Staffing levels are sufficient to meet the needs of the residents. A good range of training has been provided to staff in the last year. EVIDENCE: The staff rota was on display in the office. The following staff are normally on duty – Mornings – 1 manager, 3 carers, 2 cleaners, 1 maintenance person, 1 cook and 1 kitchen assistant Afternoons – 1 manager, 3 carers, 1 maintenance person. In addition, during the daytimes Terry Lewis and Iris Larcombe are on duty – they share their time with another home owned by the company. An Administrator is also employed. Evenings – 3 care staff until 9pm, plus a 4th carer between 6pm and 7pm. At night there are 2 waking care assistants. The staffing levels are regularly reviewed and adjusted. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 16 A plan of staff training was also on display in the office. A file containing copies of training certificates was seen. The plan showed the dates and topics of training provided to each staff member. All staff have received training and regular updates on all mandatory health and safety related topics. Additional topics covered this year have been – Sip feeds, dementia, elder abuse, care of the dying, challenging behaviour, infection control and nutrition. All of the senior managers hold or have just completed the Registered Managers’ Award. 5 senior staff are currently undertaking NVQ level 4. 3 staff are currently undertaking NVQ level 3. 3 staff are currently undertaking NVQ level 2. The Cook is currently taking an NVQ in Catering and Food Preparation. While the home is unlikely to meet the target of 50 trained staff by the end of 2005, they have demonstrated a determination to meet this within the near future. Training has been given a high priority in the last year and this was evident in the confident and caring manner of the staff. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 17 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): EVIDENCE: These standards were not inspected – see last inspection report for information. Netherhayes DS0000045371.V269226.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 3 X X x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x 4 X X X X X X x STAFFING Standard No Score 27 3 28 X 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X x Netherhayes DS0000045371.V269226.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. 1. 2 Refer to Standard OP25 OP30 Good Practice Recommendations The programme of covering radiators to be continued in order to eliminate the risk of burns and scalds. The home should meet the target of 50 of staff trained to at least NVQ level 2. Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Netherhayes DS0000045371.V269226.R01.S.doc Version 5.0 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!