Inspection on 01/06/06 for Hallaton Manor

This inspection was carried out on 1st June 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 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

Hallaton Manor 02/12/09

Hallaton Manor 07/07/09

Hallaton Manor 03/06/08

Hallaton Manor 11/07/07

Hallaton Manor 19/10/05

Hallaton Manor 07/07/05

Hallaton Manor 15/03/05

Hallaton Manor 27/07/04

Hallaton Manor 25/02/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

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

CARE HOMES FOR OLDER PEOPLE St Bernards Cranoe Road Hallaton Market Harborough Leicestershire LE16 8TZ Lead Inspector Mr Stephen Hunnybun Unannounced Inspection 1st June 2006 10:00 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 St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 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. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Bernards Address Cranoe Road Hallaton Market Harborough Leicestershire LE16 8TZ 01858 555271 01858 555332 elainefarrell@aol.com 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) St Bernard’s Hallaton Manor Limited Alison King Care Home 41 Category(ies) of Past or present alcohol dependence (41), Past or registration, with number present alcohol dependence over 65 years of of places age (41), Past or present drug dependence (41), Past or present drug dependence over 65 years of age (41), Dementia - over 65 years of age (41), Learning disability (6), Learning disability over 65 years of age (6), Mental disorder, excluding learning disability or dementia (41), Mental Disorder, excluding learning disability or dementia - over 65 years of age (41), Old age, not falling within any other category (41), Physical disability (33), Physical disability over 65 years of age (33) St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. The minimum age of admission to the Home of persons falling within any of the categories PD, A, D or LD is 55 years of age. The minimum age of admission to the Home for persons falling within category MD is 50 years of age. No person falling within categories PD or PD(E) may be admitted to the Home when there are 33 persons in total of the combined categories already acc. No person falling in categories LD(E) or LD may be admitted to the Home when there are 6 persons in total of the combined categories already admitted To be able to admit the person of category PD named in variation application number 37503 received on 29th July 2002. To be able to admit the named person of category A named in variation application number 39453 dated 17th October 2002. 19th October 2005 Date of last inspection Brief Description of the Service: St Bernard’s is a care home providing personal care and accommodation for up to forty-one older persons, who may have additional care needs including mental disorder, dementia, past or present alcohol/drug addiction and learning disability. The home is a large converted country house, which is situated in beautiful countryside approximately one mile from the village of Hallaton. Accommodation is on two floors that can be accessed via stairs or a passenger lift. The majority of the rooms are single occupancy, many of them with en suite facilities. There are a variety of lounges and a dining room, with a separate facility for those residents wishing to smoke. The home has ample gardens and outside areas. Minibus transport is available. New referrals are provided with a brochure and residents’ guide as well as documents such as the complaints procedure. All residents are charged a base fee of £550 with any extras such as one to one support being charged on an individual basis according to assessed needs. Extra services such as hairdressing or chiropody are charged directly by the provider of the service. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting four residents and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. The inspection was positive indicating good outcomes for residents. No requirements or recommendations were made. 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. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 6 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 St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 7 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed in order to inform the care planning process. EVIDENCE: Three of the four residents tracked had a useful range of assessment documents in their files covering a range of care needs. The other resident was initially admitted on an emergency basis for an initial period of one month. The registered manager stated that the resident has now decided to live at the home and suitable assessments have been sought from her social worker. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 8 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: All files tracked contained very comprehensive and useful care plans that identified need, desired outcome and how the outcome is to be achieved. Care plans existed for a range of headings such as hygiene, self-esteem and alcohol use. Residents’ health care needs are identified and they are supported to access services as appropriate. All four residents, whose cases were tracked, spoke with the inspector and all confirmed that their health needs are met. Medication records and storage were examined and were found to be appropriate. All residents stated that they are treated with respect and dignity. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 9 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ rights, activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: Residents who spoke with the inspector have a diverse range of cultural and recreational needs but all stated that the home aims to meet these needs. One resident who is Moslem is enabled to visit a mosque, other residents are happy not to access activities offered. Extensive information was available in care plans regarding contact with families and friends. All residents stated that they are supported to keep in touch with their loved ones. One resident’s brother visits weekly. Residents stated that they appreciate the choice and flexibility within the home. All residents responded positively about the food at the home. The inspector joined residents for lunch, a choice of pasta or gammon was offered and both appeared to be enjoyed by those that had chosen them. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 10 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home has a robust complaints procedure. Records of concerns indicated that they are dealt with in a timely fashion. All residents stated that they knew what to do in the event of a complaint. Care plans detailed specific areas for residents regarding keeping them safe. The home has an adult protection procedure and a copy of the Multi-Agency Vulnerable Adult Protection document No Secrets however it is out of date. The registered manager was advised to contact the adult protection team for an updated copy. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 11 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The property is homely, comfortable and safe. EVIDENCE: The inspector was taken round the building by the registered manager and saw communal areas and the rooms belonging to the four residents tracked. All areas were clean and tidy and all were in good decorative repair. Residents all stated that they like their rooms and all use the various communal areas according to need. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 12 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: All residents stated that they like the staff and that they meet their needs. Staff are undertaking NVQ 2 courses, most having completed the course. Four staff files were examined and all contained appropriate references and Criminal Records Bureau checks or equivalent. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 13 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. EVIDENCE: The home has two managers, one is currently registered and the other intends to apply for registration. Residents spoke positively about the managers. Residents, their families and other stakeholders are regularly surveyed to ascertain their views of the home. Residents financial arrangements are detailed in their files, up to date records of their financial situation are kept. All records regarding health and safety were found to be up to date and accurate. This includes very useful risk assessments. St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 14 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 15 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. Refer to Standard Good Practice Recommendations St Bernards DS0000001825.V297716.R01.S.doc Version 5.2 Page 16 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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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