Inspection on 11/07/07 for Hallaton Manor

This inspection was carried out on 11th July 2007.

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 01/06/06

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 Helen Abel Unannounced Inspection 11th July 2007 10:15 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.V340993.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.V340993.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 elainefarrall@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 Ms Elaine Farrall 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.V340993.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 applicated 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. 1st June 2006 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 £600 per week 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.V340993.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting three service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The home’s Registered Manager was not on duty, so the Care Manager assisted with the inspection process. Planning for the Inspection included assessing notifications of significant events sent to the Commission for Social Care Inspection. The Inspection took place between 10.15 and 2.30 and included a selected tour of the building, inspection of records and indirect observation of care practices. The Inspectors spoke with four residents and four members of staff and the Registered Provider. What the service does well: Prospective residents have comprehensive information they need to make an informed choice about where to live. Assessments are robust and undertaken by people trained to do so. Resident’s health, personal and social care needs are set out in an individual plan of care. It was observed that managers and care staff had a warm rapport with residents and were treated with respect and dignity. Residents receive a wholesome appealing diet in pleasing surroundings. In warmer weather refreshments and meals can be taken outside in the landscaped gardens. The gardens area provides safe paths and a variety of comfortable cushioned seating, garden tables and sun umbrellas. A gym area is available for residents. The premises are well maintained with clean and comfortable furniture. Resident’s case tracked told the Inspector,“ St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 6 Staff are nice, the food is good” Staff are trained and competent to do their jobs and are well supervised. 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. The summary of this inspection report can be made available in other formats on request. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 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 St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive information about the service is available to prospective residents. Residents’ needs are assessed in order to inform the care planning process. EVIDENCE: The Registered Provider produces and makes available to prospective residents a pack including a colour brochure, a service users guide, philosophy of care and a complaints procedure. Three residents were case tracked, one was a new resident and had a wide range of assessment documents in their files covering a range of care needs. These are undertaken by one of the managers. A photograph of the new St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 9 resident remains outstanding and will be made available shortly, confirmed the Care Manager. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 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. 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 residents care files case tracked contained very comprehensive care plans that identified need, desired outcome and how the outcome is to be achieved. Medicine records and medicine storage were examined for resident’s case tracked, and found to be in good order and well maintained. It is recommended the invasive medication for the identified resident be taken with the staff member when escorting the resident outside the home in case it is required. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 11 Residents’ health care needs are identified and they are supported to access health services as appropriate. All three residents case tracked were spoken with by the Inspector and all confirmed that their health needs are met and they are treated with respect and dignity. It was observed that managers and care staff had a warm rapport with residents. Residents were observed coming and going to the office talking with managers, and were listened to and reassured. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 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. 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 experience a homely life style, receive a balanced diet, and visitors are encouraged to visit. EVIDENCE: A resident case tracked confirmed family members visit regularly and take her on shopping trips. She spoke of enjoying the Sunday musical entertainers at the home and was looking forward to her forthcoming birthday celebrations. Another resident case tracked spoke with the Inspector and had concerns around things to do in the home. Activities are provided to meet his cultural needs but infrequently, and with weeks and months apart. It is recommended that resident’s activities around his social, cultural and religious background be promptly reviewed to meet his expectations and preferences. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 13 Another resident case tracked enjoys listening to his radio and going outside independently in the homes extensive garden. The Registered Provider is in the process of purchasing two green houses and residents will be responsible for the planting and maintaining the plants. One lounge area provides a pool table for the benefit of residents and a computer is also located in this room. A new fully equipped gym is available to residents in a separate building. Holy Communion maybe taken at the home which is visited by the local Church of England vicar and Roman Catholic priest. Meals were observed being served and were appealing, varied and nutritious. Hallal meat is also provided. Meals were of a good portion size and contained fresh produce. Those residents who required assistance with their meal were supported in a sensitive manner, promoting their dignity and choice. The lunchtime period although busy, appeared relaxed and informal. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 14 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. 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: A copy of the complaints procedure is provided in a pack to prospective residents before entering the home. The policy is also displayed in the home. Residents spoken with all confirmed they would speak to the staff and managers if they had concerns. The home has an adult protection procedure and a copy of the Multi-Agency Vulnerable Adult Protection document No Secrets’. The Care manager confirmed there have been no complaints since the last inspection. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 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, clean and comfortable. EVIDENCE: The Inspector viewed parts of the home and saw communal areas and the rooms belonging to the resident’s case tracked. All areas were very clean and tidy and all were in good decorative repair. One resident told the Inspector he couldn’t reach his call bell and requested support by staff to rise earlier in the morning. The Care Manager agreed to see to this request and will be taking steps to resolve the call bell system immediately. A review of the all call bells must take place to ensure they are appropriately sited for residents to access. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 16 The out door areas has been landscaped and provides attractive areas to move around freely with safe pathways and a variety of comfortable cushioned seating and garden tables and sun umbrellas. The garden overlooks farmer’s fields and animals were seen grazing outside. A resident case tracked confirmed he liked to go out in his motorised wheelchair and look at the cows. Staff reported residents regularly sit in the garden and often take their meals outside (weather permitting). St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 17 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. 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: Resident’s case tracked told the Inspector, “ Staff are nice, the food is good” “ The boss is good to me” “ Very nice staff, most of them are alright” Some staff files were examined and all contained appropriate references and Criminal Records Bureau checks or equivalent. Staff have received a range of training in including manual handling, food hygiene, first aid, dementia care and others. Staff also receive regular supervision and ongoing training through National Vocational Training in Care. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 benefits from two managers, the Care Manager was present on the day of inspection. Residents spoke positively about both the managers. Residents, their families and other stakeholders are regularly surveyed to ascertain their views of the home. Residents financial arrangements are St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 19 detailed in their files, up to date records of their financial situation are kept. This includes detailed risk assessments. St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 2 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 x x 3 x 3 x x 3 St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP22 Regulation 16 Requirement A review of all the call bells in bedrooms should take place to ensure they are appropriately sited for residents to access. This would safeguard residents. Timescale for action 11/07/07 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 OP9 Good Practice Recommendations It is recommended an invasive medication be taken with staff when escorting an identified resident, once away from the home. This will allow the medicine to be accessible and administered straight away, and maintain the health and well being of the resident. It is recommended that the identified residents activities around social, cultural and a religious background be reviewed to meet the resident’s expectations and preferences. 2 OP12 St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 St Bernards DS0000001825.V340993.R01.S.doc Version 5.2 Page 23 - 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. 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