Inspection on 02/10/08 for The Hawthorns

This inspection was carried out on 2nd October 2008.

CSCI found this care home to be providing an Good service.

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.

Other inspections for this house

The Hawthorns 03/10/06

The Hawthorns 30/01/06

The Hawthorns 03/08/05

The Hawthorns 20/10/04

The Hawthorns 26/04/04

The Hawthorns 30/01/04

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Hawthorns 86 Wymington Road Rushden Northants NN10 9LA The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Perrins Date: 0 2 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 33 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: The Hawthorns 86 Wymington Road Rushden Northants NN10 9LA 01933395533 01933395511 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Marie Jeanette Judith MatherFranks Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 6 2 0 0 learning disability physical disability Additional conditions: The total number of service users must no exceed 6 All service users have a Learning Disability No service users with a physical disability may be admitted to the home when there are already 2 such service users within the home Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home The Hawthorns is one of three homes in Rushden owned by Mrs Mather-Franks. It is a large house in Rushden. 5 people live their at the moment. It is close to shops and buses. Everybody who lives at the home has their own bedroom. Care Homes for Adults (18-65 years) Page 5 of 33 Fees range from 608.71 pounds to 901.80 pounds per week with additional charges for hairdressing, toiletries magazines and some activities such as cinema trips. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: Individual needs and choices Lifestyle two star good service Personal and healthcare support Concerns, complaints and protection Environment Staffing Choice of home Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 33 How we did our inspection: This is what we did when they were at the care home The visit lasted 5 hours. Most of people who live at Hawthorns were out at day centres. We spoke to one person who lives at the home. Other people told us what they thought of the home in a survey that we sent to them. We spoke to staff who work at the home. We looked at care plans. These tell staff how people like and need to be supported. Page 7 of 33 Care Homes for Adults (18-65 years) What the care home does well Staff have good information to make sure that they are able to support people in the right way. Care Homes for Adults (18-65 years) Page 8 of 33 People enjoy a good range of social activities and can also go to a number of local day centres. People have a say about the matters that are important to them in the home. The property is spacious, comfortable and homely. Care Homes for Adults (18-65 years) Page 9 of 33 The downstairs of the property is generally well adapted for people who use wheelchairs. Staff have a good training to help them do their jobs in the right way. What has got better from the last inspection Care Homes for Adults (18-65 years) Page 10 of 33 People are helped to take their medication in the right way. The home is generally safe. What the care home could do better Care Homes for Adults (18-65 years) Page 11 of 33 Written information needs to be made easier for people to understand . People who spend a lot of time in a wheelchair could develop pressure sores. The home needs to make sure staff have information about how to stop this from happening. Peoples money must be kept safe. Care Homes for Adults (18-65 years) Page 12 of 33 People who use wheelchairs should be able to get into the kitchen. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact:Catherine Perrins Eastern Regional Contact Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE Tel: 01223 771300 Care Homes for Adults (18-65 years) Page 13 of 33 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 14 of 33 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 15 of 33 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who come to live in this home can be confident their needs will be met. Evidence: The home has a statement of purpose and service user guide which contain good information about the home for people who may wish to live there however the format would benefit from being reviewed to make it more accessible for people with learning disabilities. There have been no new admissions to the home recently. There is currently one vacancy at the home but there are no plans for anyone to move in at the moment. The manager outlined the admissions process which includes a thorough assessment of the persons needs, the person visiting and staying over night so that everyone can make sure that the move is right for all involved. Care Homes for Adults (18-65 years) Page 16 of 33 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who live in this home have their individual needs met and their choices respected. Evidence: Each person who lives at the Hawthorns has an individual plan of care which includes a person centred plan which is written in simple language with photos and pictures to make the information easier for the people who live at The Hawthorns to understand. The individual plans of care contain details of peoples needs, likes and dislikes so that staff have all the information that they need to support and care for people in the right way. Records seen gave staff clear guidelines on how people need and want to be cared for with clear pictures and photographs to help the staff to know exactly what to do. Each person also has a key worker who makes sure that all of the information in their file is up to date. Care Homes for Adults (18-65 years) Page 17 of 33 Evidence: The home needs to consider whether a specific care plan is needed for people who spend a lot of time in a wheelchair so could be at risk of developing pressure sores. Individual plans of care contain risk assessments which cover the areas necessary to ensure that people were safe but still able to live active and fulfilling lives. Care Homes for Adults (18-65 years) Page 18 of 33 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who live at this home benefit from good access to day services and leisure activities. Evidence: People who live at the Hawthorns enjoy a good range of social activities such as listening to music, watching films, bowling, swimming and going to the gym. People can also go to a number of local day centres. The manager explained that when people moved to the Hawthorns they were able to continue going to the day centre they attended prior to moving if they wanted to. This gives people the chance to keep in contact with friends and acquaintances. A weekly meeting is held where people can plan their menus, discuss what they would like to do the following week and generally have a say in the running of the home. Minutes to these meetings were viewed and showed that everybody got to have a say Care Homes for Adults (18-65 years) Page 19 of 33 Evidence: about the matters that were important to them. The weeks menu appeared varied and nutritious. One person spoken to said that the food was very good. The main meal on the day of inspection was grilled beef steaks with potatoes and vegetables. Minutes to the residents meetings showed that everybody who lives at the Hawthorns enjoyed taking a turn at doing the food shopping. Care Homes for Adults (18-65 years) Page 20 of 33 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Personal and health care is well managed and meets the individual needs of the of the people living in the home. Evidence: People who live at the Hawthorns benefit from the involvement of a range of health and social care professionals such as consultant psychiatrists, continence advisors, behaviour therapists, general practitioners, opticians and dentists. People have access to speech and language therapists to assist them with communication. This has enabled people to make choices and have a say about their lives. People are able to see a physiotherapist if they need to. Detailed instructions with photographs are available to show staff of how to support people with their physiotherapy exercises. Medication administration records were viewed and show the administration of medication to be well managed. Adequate arrangements were in place for the storage of medication however the home does need to look at how it is storing medication to Care Homes for Adults (18-65 years) Page 21 of 33 Evidence: ensure that it complies with the latest guidance from the Royal Pharmaceutical Society of Great Britain. Care Homes for Adults (18-65 years) Page 22 of 33 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There is an effective system for the home to respond appropriately to complaints and allegations. Systems need to be reviewed to ensure that people’s finances are accurately recorded to ensure that their money is safe. Evidence: The home has a complaints procedure which is available in a format that has been made more accessible for people with learning disabilities but this would benefit from being revised to make the information easier for people to understand. Staff receive training on how to keep people safe from harm and the manager shows a good understanding of the local safeguarding adults policy and procedure. Peoples cash tins were stored securely and a policy was in place to limit staff access to peoples money. A spot check was conducted of peoples cash tins. This showed that the money people had in their cash tins was not the same as the amount recorded on their cash recording sheet. The manager was able to account for all monies and made the necessary corrections during the inspection, however, the home needs to ensure that all monies that belong to the people who live at the Hawthorns are accurately recorded to make sure that peoples money is safe. Care Homes for Adults (18-65 years) Page 23 of 33 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who live at the Hawthorns have a homely and comfortable place to live. Evidence: The Hawthorns is a large detached property approximately fifteen minutes walk from the town centre. It is spacious and comfortable with pictures, ornaments and other personal effects giving it a homely feel. Each person has their own bedroom with an en suite shower room. Bedrooms seen reflect peoples individual taste and style with their own choice of decor, furnishings and effects. The home is generally clean and well presented but was showing some signs of wear and tear in places for example chips to paint work on door frames. People who live at the Hawthorns have a communal lounge, sun room and dining room, as well as an enclosed garden with a patio area and ramp to the lawn making it accessible for people who use wheelchairs. None of the radiators in the home have radiator covers. These are used to protect people from being burnt by the radiator should they fall against it. The manager explained that this issue was being looked at by the homes health and safety Care Homes for Adults (18-65 years) Page 24 of 33 Evidence: consultant. The downstairs of the property is generally well adapted for people who use wheelchairs however the kitchen remains inaccessible as the doorway is too narrow. Whilst people do not prepare their own meals they do assist the staff and may prepare a snack for themselves with assistance. One person currently does this at the table in the dining room as he is unable to get into the kitchen. Care Homes for Adults (18-65 years) Page 25 of 33 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Suitably qualified and trained staff are provided in adequate numbers to ensure resident needs can be met. Evidence: Records show that the recruitment process at the Hawthorns is well managed and that all the necessary checks are carried out to ensure that the staff are safe to work with people with learning disabilities. New staff have a good induction followed by on an going programme of training including epilepsy awareness; fire safety, moving and handling, first aid; food hygiene; safeguarding adults; the Mental Capacity Act; challenging behaviour; infection control and cultural awareness. Staff also have access to National Vocational Qualifications. Staff receive training and guidance to enable them to help people with any specialist equipment such as electric wheelchairs. Staff rotas were seen and show that their are adequate staff members on duty to meet the needs of the people who live at the Hawthorns. The manager explained that if any cover is needed when regular staff are unwell or on holiday then staff from the other two homes owned by the registered manager will cover. This ensures that people are always supported by staff who they know and who are familiar with their needs and Care Homes for Adults (18-65 years) Page 26 of 33 Evidence: preferences. Staff files show that staff members have supervision sessions with their manager. Records available indicate that staff had not had any supervision recently however the registered manager explained that people had received supervision and the minutes were currently being typed. Care Homes for Adults (18-65 years) Page 27 of 33 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is well managed in the best interests of the people who live there. Evidence: The current manager is not registered with the Commission for Social Care Inspection however she stated that she would be registering and that the registered owner was currently sorting this out. She has obtained a National Vocational Qualification level four in care and a registered manager award. Discussions with the manger demonstrate that she has a good knowledge of the needs and preferences of the people who live at the Hawthorns. The manager stated that she carries out regular checks on peoples medication and finances and makes sure that their care plans and risk assessments are up to date. Records show that the necessary health and safety checks have been carried out. The manager explained that she was planning to send out satisfaction surveys to the people who live at the Hawthorns in January 2009. This will give the home feedback Care Homes for Adults (18-65 years) Page 28 of 33 Evidence: from the people who live there so the manager can make sure that people are happy with the support they receive. A detailed fire plan has been put together and is kept by the fire panel. This tells staff what to do if there is a fire to keep people as safe as possible. The plan includes information specific to people with mobility problems. Care Homes for Adults (18-65 years) Page 29 of 33 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action 1 42 13 All parts of the home to 10/10/2006 which service users have access must be kept free from hazards to their safety. Care Homes for Adults (18-65 years) Page 30 of 33 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 20 13 The manager should review 01/02/2009 the storage of medication to ensure that it complies with the latest guidelines from the Royal Pharmaceutical Society of Great Britain. To make sure that all medication, including controlled drugs, can be stored safely. 2 23 17 The manager must ensure that all monies are accurately recorded. 01/11/2008 This is required to make sure that peoples money is safe. 3 37 8 The registered provider must 13/12/2008 ensure that the home has a registered manager. To ensure that the home is run by someone which the Care Homes for Adults (18-65 years) Page 31 of 33 necessary skills and competence. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 The home needs to consider whether a specific care plan is needed for people who spend a lot of time in a wheelchair so could be at risk of developing pressure sores Adaptations are made to the kitchen to make it accessible for people who use wheelchairs. The registered manager should consider installing radiator covers to reduce the risk of people being burnt. 2 3 29 42 Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 33 of 33 - 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. 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