Inspection on 27/02/06 for The Hawthorns

This inspection was carried out on 27th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Hawthorns 18/07/07

The Hawthorns 20/07/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Hawthorns 53 Station Road Bardney Lincs LN3 5UD Lead Inspector Kima Sutherland-Dee Unannounced Inspection 27th February 2006 10:10 The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Hawthorns Address 53 Station Road Bardney Lincs LN3 5UD 01749 676724 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) Home From Home Care Ltd Ms Julie Anne Heron Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users aged 18-65 years of age of both sexes whose primary needs fall within the following categories:- Learning disability (LD) - 6 The maximum number of service users to be accommodated is 6. 2. Date of last inspection New Service. Brief Description of the Service: The Hawthorns opened in December and is a large redeveloped residential house in the village of Bardney. The home is owned by Home from Home Care. The registered manager is Julie Heron, however Ms Heron is now an area manager and Mr Mick Bell has applied for registration and has daily management responsibilities for the home. The home is registered for 6 adults with learning disabilities who require support with daily living. 5 of the residents require 1 to 1 staff ratio throughout the day. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place between 10.10 and 13.30 and involved talking with the manager, residents and staff. The inspector also toured the home and reviewed a sample of the documents. A method of inspection called ‘case tracking’ was used, which involves looking at the care records and assessments for a sample of the residents and then following their care, and talking to the staff who support them. What the service does well: What has improved since the last inspection? Not applicable. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 6 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 Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 This home is giving prospective residents the information they need to make an informed choice. It is also providing contracts and terms and conditions whilst assuring residents that their needs can be met. EVIDENCE: There are currently 5 residents with another person moving in, in March 2006. The manager stated that the home was arranging for their favourite meal to be prepared on their first day. 4 pre admission assessments were available, but one was not and the information was unclear about whether this person’s needs were within the registered categories, however their needs are currently being met. A requirement has been made for the manager to fax the assessment to the commission within 7 days of the inspection. The care plans did contain ‘terms and conditions’ and contracts were available. The majority of the residents had opportunities to visit the home before they moved in, and where this had not happened it was because decisions had been made that this would be detrimental to the residents well being. The providers have developed a statement of purpose and a service users guide that give information about the home. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 The staff are supporting the residents to understand their care plans and to participate in the running of the home. Risks have been assessed and they provide the framework for individual development. EVIDENCE: The residents are supported in very individual ways that are tailored to their needs. The information the staff need to support each person is recorded in the care plans. The plans are very detailed they include the persons preferred routines. The staff are continuously developing the care plans and reviewing them as they get to know the residents. Two of the staff including the manager have attended training in ‘person centred planning’ and they intend to put this into practice. The plans include risk assessments for individuals that guide the staff and add to decision making about how to support each resident. There are also risk assessments for the building in the event of emergencies. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 10 The residents were making choices about their activities, during the day 2 people went swimming, one person went to the shops and 2 people stayed at home. The home operates a system that rewards the residents for their achievements and the positives and negatives of this were discussed with the manager. The residents are encouraged to make decisions and to participate in the running of the home, they can choose to attend weekly meetings and to discuss individual issues with their key worker. One resident was supported to bake cakes for the other residents and the staff, this was their speciality and they were proud to be able to contribute. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 This home is offering individual care that supports the residents to achieve all of the outcomes. EVIDENCE: The manager spoke about the systems that have been introduced to indicate the development the residents are making. These were seen in the care plans. Some of the systems detail behaviour and others indicate the progress made in daily living skills. The manager and the staff were observed guiding the residents and supporting them with their decisions. One resident was supported to contact their family and friends. The manager described some of the activities that the residents are involved in. There are community links through using local facilities and through the open day that was held prior to the service opening. The residents are involved in age appropriate leisure activities and in education. One resident has joined the Territorial Army, and has organised driving lessons, whilst others are working with the gardener. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 12 The staff support the residents to make choices about their diet and they record their daily food intake. The diet is varied and flexible. The residents spoke about a take away they had enjoyed recently. The kitchen notice board contained pictures of food choices for the residents who may not be able to verbally communicate. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 The home meets the needs of the residents and enables them to take their medication safely. EVIDENCE: The staff support the residents to take their prescribed medication, although none of the residents are currently self-medicating. The medication is stored securely and the staff have received training in administration. The residents are registered with the local G.P’s and the staff support them to attend appointments and follow treatments. Other appointments have been made with health professionals including a psychologist. The care plans contain information on the health care needs of each resident, and general information on epilepsy. The care plans detail how the staff should care for each resident and their preferences regarding who cares for them. The level of care is determined by the individual’s abilities and the staff said that they enable the residents to maintain their independence. Where a resident or their family have expressed a view on the death of a resident this is included in the care plan. The manager said that if this were not completed they would seek the resident’s views over a period of time. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The staff have received training in protecting the residents from abuse and the home has procedures for dealing with complaints. EVIDENCE: The home has made links with advocacy services and meetings have been arranged for some of the residents. The training programme showed that staff have attended an adult abuse awareness course and four staff within the company have a qualification to teach physical interventions to other staff. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 The home is newly refurbished and there is high standard of decoration, furnishings and equipment. EVIDENCE: The home is clean and comfortable. The residents can be involved in maintaining their home with staff support. There are 3 communal rooms including the large kitchen/diner, a comfortable lounge and a quiet room. The bedrooms are being personalised by the residents and they said they liked their rooms and were comfortable. Each bedroom has en-suite bathrooms or showers. Adaptations have been made and there is a lift to the first floor. Outside there are extensive gardens and plans to develop outbuildings into a sensory room and a separate art room. There are also plans to install a stage for drama and a hot tub for relaxation. Residents from the other homes in the group will use some of these facilities. Currently the residents at this home use facilities at the other homes. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 16 The home meets the environmental and fire regulations and the residents, with staff support have been given specific responsibilities, such as infection control and fire testing. The manager stated that any defects were attended to promptly and the providers had been extremely efficient at making sure all the facilities and fixtures were working properly. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36 The home is competently managed and there is an effective staff team who are receiving training. EVIDENCE: The initial staff team started work before the residents moved to the home , so they had opportunities to undertake training and induction. Two new staff started on the day of the inspection and the deputy manager was carrying out their first day induction. 6 staff are currently awaiting their C.R.B checks before they join the team The staff have regular meetings and the manager has recorded their individual supervision meetings. There is a training plan that covers both statutory and specialist courses. It was noted that there are care staff that are preparing food who have not yet completed their food hygiene course and a requirement has been made to ensure that staff have been trained. The manager is supported by the structure of the provider organisation and they said they ‘ feel well supported, and able to seek advice’. The residents said they really like the staff and they were ’patient and kind and never got cross’. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39,40,42 The home is managed in the best interests of the residents and they are supported to participate and express their views. The home is new but has been developed with regard to the safety of the residents. EVIDENCE: The home has been provided with the policies and procedures to meet the requirements. The staff then gain knowledge about putting them into practice at staff meetings and through instruction from more senior staff. The home seeks the views of the residents and a questionnaire was given to the residents and the staff in February 2006. 2 residents were either unable, or choose not to respond. The other results were seen and they were positive. Residents can also express their views at meetings. The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 2 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 3 27 3 28 4 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 X X 3 3 X 3 X The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 20 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 YA3 Regulation Requirement Timescale for action 16/03/06 2 YA35 14(1)(a)(b) The registered person must obtain a copy of one resident’s assessment and forward a copy of the assessment to the commission. The reason for offering a place at the home needs to be clearly defined, within that assessment. 18(1)(a) The registered person must ensure that staff who prepare food at the home have a food hygiene certificate. 30/05/06 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 The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 The Hawthorns DS0000063646.V281357.R01.S.doc Version 5.1 Page 22 - 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. 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