Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 16/02/06 for Paks Trust Hatfield House

Also see our care home review for Paks Trust Hatfield House for more information

This inspection was carried out on 16th February 2006.

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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service continues to provide a homely and relaxed environment, currently for three people with a variety of needs, who all appeared to get on well with each other and the staff. People living in the home were complimentary and appreciative about the home, the staff, and the help and support provided.

What has improved since the last inspection?

The home has worked hard to address the requirements from the previous inspection, as is evidenced by the drastic reduction in the number of requirements. In particular, the use of one room as a staff office/sleep-in room means that the rest of the home does not suffer from having communal areas containing files and a bed and items relating to the staff.

What the care home could do better:

The home must confirm that it will not have more than four residents in future, and must continue with refurbishments. By ensuring any hazardous substances are safely locked away, it can enable residents to access to the garage in a more independent way, subject to risk assessments.

CARE HOME ADULTS 18-65 Paks Trust - Hatfield House 17 New Road Ash Green Coventry West Midlands CV7 9AS Lead Inspector Martin Brown Unannounced Inspection 16th February 2006 2:00 Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 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 Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 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 Adults 18-65. 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. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Paks Trust - Hatfield House Address 17 New Road Ash Green Coventry West Midlands CV7 9AS 02476 362326 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) PAKS Trust Joy Rebecca Lewis Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. NVQ level 4 That NVQ level 4 in care and management is achieved by 2005. 21st July 2005 Date of last inspection Brief Description of the Service: Hatfield House is a detached mid twentieth century house situated on a corner of a cul-de-sac in a residential area with garden at the front, side and rear. The house has an entrance porch, which serves as cloakroom and smoking area; dining room, lounge, kitchen and utility/shower room and one resident’s bedroom on the ground floor. Stairs lead off the dining room to the first floor where there are four bedrooms for residents and a bathroom and toilet. There is a very large garage at the back of the property and parking for three cars. The home is close to some local shops and a bus route. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is of the second unannounced inspection of the inspection year at this home, and should be read alongside the previous inspection report, from November 2005, for a fuller picture. Where key standards have been assessed on the previous inspection and have been met, these have not necessarily been inspected on this occasion. ‘Comment’ cards, and a pre-inspection questionnaire, designed to provide information relevant to the inspection, have not been received. The inspection took place late on a weekday afternoon, and lasted just over three hours. All service users were seen, as well as three staff who were on duty during this period. All were welcoming and helpful. What the service does well: 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. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Initial assessments enable prospective residents to be confident that the home can meet their needs and wishes. Residential agreements clarify terms and conditions between the home and the person residing there. EVIDENCE: An assessment was seen concerning a service user who was admitted to the home within the past year. This detailed what help and support was needed by the person at that time and how this was to be met by the service. Residential agreements were seen, outlining what people living in the home could expect to be provided for them. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,10 The meeting of residents’ needs is supported by updated and regularly reviewed care plans. Where needs have changed rapidly, care plans should be updated more regularly to reflect this. Information about service users is stored appropriately, and service users are able to make decisions about their lives with the right level of support and advice. EVIDENCE: Care plans for the two long-established residents were seen to be up-to-date, with clear and relevant information. There were some headings for information that was not relevant in specific cases; for example, ‘pressure sores’, and ‘violent behaviour’. The newest arrival was not yet due for a six monthly review. Nevertheless, he had made such progress during his time at the home that many of the needs identified at the initial assessment had now diminished. Discussion with staff showed that they were fully aware of his current needs and were meeting them in a sensitive and discreet manner. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 9 Residents were seen to make decisions about their daily lives, with varying levels of support, according to need. One person, who preferred to ask questions, was encouraged to answer questions and make simple decisions. Files are now stored appropriately in the office; staff were clear in discussion what the policy and procedure is in regard to sharing information; the policy on confidentiality was seen. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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 The service is able to recognise and respect the rights and responsibilities of the people living in the home, and to cater for the wide variety of needs, wishes, and activities that these call for. EVIDENCE: The majority of these standards were met during the previous inspection and were not fully looked at on this occasion. Service users all had a variety of activities to meet their needs, either through day services, or individual or social activities. The people living in the home exercise responsibilities and rights in greatly varying ways; one person was discussing changing his college courses, whilst another was advised and supported in making more immediate decisions. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 The home is able to meet the varying physical, emotional and health needs of the people living in the home in a sensitive and flexible manner. EVIDENCE: Great progress in the well-being of the most recent admission to the home was noted. His health, self-caring and mobility had all improved tremendously from that noted on his initial assessment. The service was also seen to be offering suitable support and encouragement with other identified needs with the other people living at the home. Evidence of the involvement of doctors and other outside health professionals was seen, and staff were able to demonstrate in discussion their knowledge of, and competence in dealing with, a variety of health issues, from those needing hospital admission to those requiring support from the dietician. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Service users are confident that staff, or the organisation, will listen to and act on their concerns. Service users’ finances are managed appropriately. EVIDENCE: A complaints policy was seen, there is a complaints log, and service users’ meetings take place, where people can raise subjects of concern. In addition, people have contacts with outside agencies. Nevertheless, the most typical response in respect of raising matters of concern was “If I’m not happy about something, I would tell staff.” When pressed further, residents said that if they were still not happy, they would tell the manager or other people either outside the home or who visited the home. Everyone found it difficult to imagine a concern that couldn’t eventually be resolved, or at least helped, by the staff or the manager. Concerns raised during the visit tended to involve matters outside the home. Staff showed how service users’ finances are now managed, with individual books clearly showing expenditure, with it being signed and receipted with at least two signatures, and service users having their own lockable facility. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Hatfield House continues to be a homely, comfortable and clean environment, and much improved by the provision of a staff sleep-in room/office. EVIDENCE: The major change since the last inspection is that one of the bedrooms is now the staff sleeping-in room and office. This has released communal space, and enabled files and confidential material to be kept more safely and suitably. There are currently three residents in the home; the home is spacious enough to comfortably accommodate them. There is now one vacancy. The dining room has been re-arranged and ‘de-cluttered’, enabling easier access. One drawer fascia in the kitchen requires fixing/replacing. Staff advised that this equipment is to be replaced. Bedrooms were seen to reflect the needs and wishes of the individuals concerned. The vacant bedroom is awaiting redecoration. The ground floor bedroom is being used for someone with limited mobility, and is suitably equipped. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 14 Laundry facilities, as well as a freezer, are located in the garage; at present this is locked and residents must be accompanied in there by staff, principally because there are COSHH materials stored in there. Additionally, there is an accumulation of furniture and other bulky items in there. The front porch is still used as a smoking area. Staff advised that no staff smoke now, and that only one resident does so, and only then when the weather is inclement. There was an ashtray there; no smell of smoke or similar was noted. Staff had repainted the kitchen and hallway to a good standard. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): People living in the home continue to be supported by an effective staff team. EVIDENCE: These standards were not fully assessed on this inspection, as they had been inspected on the previous visit. The outstanding requirement, regarding a staff sleeping–in room, is now met. There were sufficient staff on duty, who were knowledgeable, and inter-acted positively with residents. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The health, safety, and well-being of the service users is promoted and protected by the policies and procedures in the home. EVIDENCE: The manager was not available on this occasion, limiting access to some information. Following the conversion of one bedroom to a staff sleep-in room the home now only has capacity for four residents in total. Records of monthly visits by the provider to the home were seen; copies of these have not been received by the Commission for Social Care Inspection. Records of monthly residents’ meetings were seen; these highlighted residents’ views, concerns, and wishes. Staff and residents were aware of what to do in the event of the smoke alarms sounding. Fridge/freezer temperatures are recorded daily and were within acceptable limits. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 3 3 x 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 2 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X x x x x x x 3 x Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 18 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 Standard *RQN YA28 YA28 Regulation 39 13 13 Requirement The home must seek an amendment in its registration, from five to four residents. The kitchen drawer fascia must be repaired or replaced. The home must take steps to ensure accessibility and safety in the garage is not compromised by a build-up of unwanted items. The registered provider must forward copies of Regulation 26 reports to the Commission for Social Care Inspection Timescale for action 21/04/06 21/04/06 21/04/06 4 YA43 26(5)(a) 21/04/06 Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 19 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 3 Refer to Standard YA6 YA6 YA28 Good Practice Recommendations The home should consider more frequent reviews/updates of care assessments where rapid change/progress has been made. Individual care plans should not include headings for topics that are not currently relevant to that person. COSHH substances in the garage should be stored securely in order to allow more independent access to the rest of the garage. Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Paks Trust - Hatfield House DS0000004455.V283467.R01.S.doc Version 5.1 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!