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Inspection on 10/08/05 for Seely Hirst House Care Home

Also see our care home review for Seely Hirst House Care Home for more information

This inspection was carried out on 10th August 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.

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 home provides a very domestic and comfortable environment, which is well maintained, decorated and cleaned to a high standard. The manager and staff are very committed to providing a first class service for the residents. The food is highly thought of and residents feel respected and enabled to socialise in a manner that is comfortable for them. The gardens are well maintained with help from residents and the gardens provide a comfortable place to relax, away from noise and traffic. Health and Safety is well managed and the home`s care planning process and other documentation required meets the National Minimum Standards.

What has improved since the last inspection?

The home manager was not available for the inspection and not all of the National Minimum standards were assessed. The home continues to provide a high standard of care in a comfortable and pleasant environment.

What the care home could do better:

It was not possible to identify any areas in terms of service provision and environment that the home could improve upon, on this inspection. The remaining standards will be assessed during the next visit.

CARE HOMES FOR OLDER PEOPLE Seely Hirst House 62-68 Mapperley Road Mapperley Nottingham NG3 5AS Lead Inspector Andrew Sales Unannounced 10 August 2005 - 10:00 th 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. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Seely Hirst House Address 62-68 Mapperley Road Mapperley Nottingham NG3 5AS 0115 960 6610 0115 985 6283 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) The Trustees of Seely Hirst House Miss Lynda Dyer Care Home - Private 38 Category(ies) of DE - Dementia 65 years and over 12 registration, with number OP Old Age 38. of places Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 12/01/05 Brief Description of the Service: Seely Hirst House is registered to accommodate up to 38 older people some of whom may be suffering from dementia.The accommodation is provided over two floors with a passenger lift providing independent access.The home is maintained to a very good standard with well-maintained enclosed gardens.Seely Hirst House is situated in a residential area with good public transport links to the city centre. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted by A.J. Sales on 10 August 2005. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The inspector also spent time talking to a number of other residents in the home and a member of staff. Overall the feedback was excellent. Residents were very keen to express their views about the home, they were extremely positive in terms of the attitude and commitment of the management team, the skills and attitude of the staff and of the overall standards of care, food, social recreation and the environment. What the service does well: The home provides a very domestic and comfortable environment, which is well maintained, decorated and cleaned to a high standard. The manager and staff are very committed to providing a first class service for the residents. The food is highly thought of and residents feel respected and enabled to socialise in a manner that is comfortable for them. The gardens are well maintained with help from residents and the gardens provide a comfortable place to relax, away from noise and traffic. Health and Safety is well managed and the home’s care planning process and other documentation required meets the National Minimum Standards. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 6 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. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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 Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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) 3,4 Thorough assessments of need have been carried out prior to admission and the residents were fully involved in the process. Residents’ quality of life has been enhanced through the services provided by the home. EVIDENCE: Three residents were case tracked and a number of others spoken with. All of the assessments were comprehensive and contained sufficient information to enable staff to ensure that they could meet the residents assessed needs. One resident in particular spoke of her admission to the home, which has greatly improved her quality of life in terms of stimulation, environment and services available. Many others echoed these feelings. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 9 In a discussion with the member of staff it was clear they had a thorough understanding of the emotional impact admission to residential care may have on individual residents and were able to describe how they support residents to come to terms with such a transition. Observations were made of professional interaction with residents, which supported resident’s comments that they feel well respected and supported. Staff spoke of a number of training subjects and courses they have attended, which evidence that the staff team is well equipped with a range of skills and experience to meet the needs of residents. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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) 7,8,10 Care services, from assessment planning to care delivery are well managed and documented. Residents rights and choices are respected. EVIDENCE: Three residents were case tracked. Care plans and risk assessments were inspected. Plans contained all areas of assessment required in this standard. Outcomes for residents were discussed during individual discussions with the inspector and the individual. All stated that they were satisfied with the standards of care they received and the way their support is planned. Residents also confirmed they are involved in the care planning process. The assistant manager and staff state that care plans and risk assessments are reviewed. The senior care staff spoken with confirmed that residents are involved in this process. Care plans evidenced reviews that were dated and signed. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 11 There is evidence on care plans of cognitive assessments, weight management and monitoring of residents psychological well-being. Residents receive chiropody treatment and other community health services via domiciliary visits, This is documented on care plans. Seven residents were spoken with. Case tracking was applied to three of these residents. All maintained that the staff were courteous and respectful of their wishes and choices. Staff spoken with show a clear appreciation of the need to ensure residents privacy and dignity are protected, and knowledge of the ways this can be achieved. Staff were observed interacting with residents with patience and sensitivity. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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) 12,13,15 Residents are supported to pursue, religious and social interests. Residents are helped to exercise choice and control over their lives. Residents receive good quality food and a balanced diet in a relaxing atmosphere with support from staff where required. EVIDENCE: The assistant manager, residents and staff confirmed that the routines of the home are flexibly implemented to suit the preferences of individuals. Residents feel they are kept well informed about local events and available activities. Two residents rooms that were observed were well furnished and personalised and they confirmed they are able to bring in their own possessions. Three residents who were case tracked confirmed they were very satisfied with the food provided by the home. Four other residents supported this. Lunch was observed by the inspector, staff support was unhurried. Large number of relatives were observed visiting their relatives, who confirmed there are no restrictions on visiting. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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 standard(s) 16,18 The home has satisfactory procedures in place to deal with adult protection and complaints. Measures are in place to protect residents. EVIDENCE: The home has a comprehensive complaints procedure, which is appropriately displayed, throughout the home. According to records observed, no complaints have been received in nearly years. The home has an appropriate Whistle Blowing Policy and a copy of the Adult Protection Procedures. The homes policies and procedures for responding to suspicion or evidence of abuse, or neglect, are all satisfactory. The home has comprehensive policies regarding residents money and financial affairs. The assistant manager stated that staff receive in house training on Adult Protection, the next event is planned for 8 November 2005. The manager and deputy manager have attended formal training in Adult Protection the previous year. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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 standard(s) 19. The home provides a safe and well maintained environment. EVIDENCE: The home has been maintained to a very high standard. An annual development program was observed. The homes gardens are well-maintained and provided very pleasant outdoors space for service users. All residents spoken with stated how impressed they were with the homes décor and furnishings. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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 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 Staff are employed in sufficient numbers to meet the needs of residents. EVIDENCE: There were adequate staff on duty at the time of this inspection. The domestic and catering hours are appropriate to the number of service users. Residents spoken with stated that they felt support was timely and there were sufficient staff to provide unhurried assistance. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 31,32,33,36,38 The home is very well managed with residents interests put first. Health and safety management is well documented. Staff are well supported and supervised. EVIDENCE: Residents said they felt the home was extremely well run and the management team were always on hand for support and advise. Staff spoken with confirmed that they felt supported by the managers and that they are approachable to discuss any issues. They confirmed that there is an open management approach and a culture within the home, which promotes development of new initiatives and individual staff development. The Staff confirmed they receive monthly supervision and attend regular team meetings. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 17 The assistant manager stated that the staff have received training updates in the last year on moving and handling, first aid, basic food hygiene, administration of medication and health and safety issues including hygiene control. The senior care staff confirmed this. Equipment is serviced and maintained on an annual basis by agreed contracts. There is a written health and safety policy to guide staff. In addition to individual risk assessments for residents, there are risk assessments recorded on the use of equipment inside and outside the home. Records of fire system tests, water temperatures and other health and safety records were observed and was found to be carried out at the required intervals. Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 4 4 x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x x STAFFING Standard No Score 27 3 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 3 x 3 4 4 4 x x 4 x 4 Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 19 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. 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 Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Seely Hirst House C53 C03 S2218 Seely Hirst House V243695 110805 Stage 4.doc Version 1.40 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!