Inspection on 27/06/07 for The Hawthorns

This inspection was carried out on 27th June 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

The Hawthorns 20/10/09

The Hawthorns 10/06/09

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Hawthorns O`Neill Drive North Blunts Peterlee Durham SR8 5UQ Lead Inspector Mrs Sue Lowther Key Unannounced Inspection 27th June 2007 09:30 X10029.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 The Hawthorns DS0000069204.V346611.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 and 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 DS0000069204.V346611.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hawthorns Address O`Neill Drive North Blunts Peterlee Durham SR8 5UQ 0191 5871251 0191 5866779 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) Barchester Healthcare Homes Ltd Julia Mary Atherton Care Home 105 Category(ies) of Dementia - over 65 years of age (24), Mental registration, with number disorder, excluding learning disability or of places dementia (6), Old age, not falling within any other category (49), Physical disability (26) The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Named Individual: The home may accommodate a named individual as set out in a letter to the registered person dated 11 September 2006 which establishes the basis on which the individual’s needs will be met by the home. Where necessary the home’s Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else other than the named individual who falls outside the registered category. Date of last inspection Brief Description of the Service: The Hawthorns Care Home was opened in 1996. It is situated on the outskirts of Peterlee, adjacent to the community hospital and is conveniently located for access to all local amenities. Barchester Healthcare became the owners of the home in 2006. The company changed to Barchester Healthcare Limited in February 2007. This is the first inspection since Barchester Healthcare Limited came into being. The home is a two-storey building that is serviced by passenger lifts. There are three separate units within the service. The general unit for older persons, which caters for people with predominantly nursing needs, is located on two floors. The mental health unit is located on the ground floor and caters in the main for people with dementia. The rehabilitation unit is for people between the ages of 18 and 65 years who require help to maximise their independence. This unit is also located on two floors and the people accommodated upstairs generally have intensive nursing needs. There are a mixture of single and double rooms within the home, some of which have en suite facilities. There are sufficient and suitable additional bathrooms and toilets located throughout the home. Each unit also has a range of sitting and dining areas available. The garden areas are accessible and pleasant. Car parking facilities are available at both the front and rear of the building. The fees charged at the time of this inspection were between £419:50p and £2400 weekly. This does not include charges for personal newspapers, toiletries, hairdressing and chiropody. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of The Hawthorns took place on the 27th and 28th June 2007. Records were examined and a tour of the building took place. The registered manager was present throughout the inspection. Time was spent talking to service users, staff and relatives. Some information was supplied on a pre inspection questionnaire. The inspection focussed on standard outcomes for the people who live in the home. The main standards used were Care Homes for Older People because the service caters mainly for older people. However where applicable these were cross-referenced with the standards applicable to Care Homes for Younger Adults (18- 65 years). What the service does well: What has improved since the last inspection? Since the last inspection the manager has been registered with the Commission for Social Care Inspection (CSCI) as required in the last report. The unit which provides care for people with dementia has been decorated in a ‘memory lane style’. This colour scheme should help people remember where different facilities are located for example their own bedroom or the toilet. The garden has been recently landscaped to a good standard and provides a safe environment for the people who live in the home. The last report for the service recommended that bathrooms should not be used for storage of inappropriate items. The bathroom areas were not being used for storage at the time of this inspection. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 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 summary of this inspection report can be made available in other formats on request. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP1 (YA1), OP2 (YA5), OP3 (YA2), OP4 (YA3), OP5 (YA4) and OP6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information is available for people to make a decision about whether they would like to live in the home. Assessment procedures are in place to ensure that the home can meet the needs of the people who go to live there. EVIDENCE: The home has a comprehensive brochure available, which provides people with all of the information they need to make a decision about whether they would like to live in the home. People are provided with a contract which tells them the amount of fees to be paid and what is included. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 9 The nurse in charge of each unit visits people before they are admitted to the home to carry out an assessment. This is to make sure that their individual needs can be met. Ten care plans examined showed that pre-admission assessments had been carried out. All of the people who returned questionnaires said that they were supplied with sufficient information before moving into the home. One service user said, “ I came to look around the home and found it could provide everything I need”. The manager confirmed that people are welcome to visit the home at any time and they will be shown the facilities. If someone wanted to stay for a short time to try out the facilities, this is arranged provided a room is available. The home have a unit dedicated to rehabilitation. The staff team is multidisciplinary and includes nurses, physiotherapists, occupational therapist, care staff and other support staff. Specialist facilities are available within this unit. This makes sure that people are supported in maintaining their independence and are encouraged to return home where possible. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP7 (YA6 & 9), OP8 (YA19), OP9 (YA20), OP10 (YA16 & 18) and OP11 (YA21). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good systems are in place to ensure that health care needs of service users are met. People can be confident that their privacy and dignity is protected and that they are treated with respect. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 11 EVIDENCE: The nurse in charge of each unit said that all of the service users have care plans. Ten were looked at during the inspection. In the main these were comprehensive and well written. This gives staff the information they need to look after the people who live in the home. However two that were seen did not have care plans for all of the problems identified in the assessment and had not been updated when needs had changed. Records examined showed that service users receive visits from other healthcare professionals. These include district nurses, doctors and a variety of other professionals from health and social care. This makes sure that the healthcare needs of people are met. One visiting professional said that the staff are willing to seek her advice and act on any suggestions she makes. Medication systems were looked at during this inspection. The home uses a monitored dosage system. All of the medication was signed for on the medication administration records. Service users and relatives said that the staff are polite, friendly and treat people with respect. One relative said, “I am very happy with the staff who look after my mother. I could not wish for a better care home”. Another said “My mother is well cared for by a committed and helpful staff team. This is much appreciated by all members of my family”. All of the people spoken to confirmed that their privacy is maintained. One person said, “Staff always knock on the door and speak to me nicely”. Several staff have been trained in palliative care and the home has strong links with the Macmillan Nurses. This makes sure that people have the appropriate skills to look after people with sensitivity and respect at the time of their death. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP12 (YA11, 12 & 14), OP13 (YA13 & 15), OP14 (YA7) and OP15 (YA17). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activities are varied and provide recreation for some of the people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and service users are given a choice. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 13 EVIDENCE: Comments about activities within the home were mixed. The activities organiser in the older persons unit said that she is introducing some new ideas to try to make sure all of the people enjoy the activities. One visitor said “My relative likes to get involved in the activities when she can. She really enjoys the singers”. One person who lives in the home said “It is more around getting me home. Not really here for the social scene, nothing much to do at the moment”. Another said “There are spells of boredom when there are not enough people about”. The surveys returned by the people who live in the home indicated that activities are sometimes limited. Three people said that there are always suitable activities available. Two said there were usually available and two said that there were sometimes available. The Hawthorns has a policy of open visiting. Visitors said they always felt welcome. One relative said, “Staff are nice. They always make me welcome and keep me informed about important matters”. Family members can access community transport and facilities and sometimes take their relatives out. People said they have control over their lives following a risk assessment. Care plans are then agreed. One person said “I can go out on my own within my agreed rehabilitation programme. Another said, “ I can get up and go to bed when I want and can have a shower anytime”. The menus are displayed each day. Most of the people said that they liked the food and that a choice is always available. One service user said, “ The food is good and you get a choice”. The nutritional needs of the people who live in the home are considered and recorded in care plans. Specialist diets are provided where necessary. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP16 (YA22), OP17 (YA23) and OP18 (YA23). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: Information is available for people on how to make a complaint. The views of the people who live in the home and their families are obtained through regular contact and an ‘open door policy’. Some people said that they feel confident in discussing any issues with the nurse in charge and the manager. One person said, “I can approach the nurse in charge when I have a problem and it is dealt with immediately”. Another said” I am not really sure about how to make a complaint, though I would raise it with the unit manager. Two relatives who returned questionnaires said that they were not aware of the complaints procedure within the home. The registered manager should consult people to make sure they are aware of the process to follow if they wish to make a complaint. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 15 There were three complaints recorded within the home since the last inspection. These had been appropriately addressed using the policies and procedures available within the company. Training in adult protection is provided for all of the staff during their induction and is updated on a regular basis. This ensures the safety and protection of the people who live in the home. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP19 (YA24), OP20 (YA28), OP21 (YA27), OP22 (YA29), OP23 (YA25), OP24 (YA26), OP25 (YA24) and OP26 (YA30). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 17 EVIDENCE: The inspector looked around the home and found it to be light and airy. It was well maintained and decorated to a good standard. The communal areas of the home were clean and people said that their bedrooms are always cleaned to a good standard. The garden has been recently landscaped to a good standard and provides a safe environment for the people who live in the home. The unit which provides care for people with dementia has been decorated in a ‘memory lane style’. This colour scheme should help people remember where different facilities are located for example their own bedroom or the toilet. Some rooms are en suite. During the tour of the building the inspector saw that there are sufficient additional bathroom and toilet facilities available. There was a range of specialist equipment available throughout the home to help staff look after people and maximise the independence of people living in the home. The last report for the service recommended that bathrooms should not be used for storage of inappropriate items. The bathroom areas were not being used for storage at the time of this inspection. People said that they could take their own possessions into the home to make their rooms more pleasant and homely. There were no unpleasant smells apparent on the day of inspection. All of the people who returned questionnaires said that the home is always clean and fresh. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP27 (YA33), OP28 (YA32), OP29 (YA31 & 34) and OP30 (YA35). Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are appropriately recruited, trained and in sufficient numbers to meet the basic care needs of the people who live in the home. EVIDENCE: The home had staff files in place, which provided evidence that the appointment of new members of staff is made through proper recruitment processes. This includes the vetting of staff through the use of Criminal Record Bureau (CRB) checks, Protection of Vulnerable Adult checks (POVA) and written references. The staffing rotas were examined during the inspection. Staff felt that there are usually sufficient staff to meet the needs of the people who live in the The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 19 home. Relatives who returned questionnaires said that sometimes there are insufficient numbers of staff on duty. One person who lives in the home said, “I sometimes have to wait for attention if the staff are busy, mainly on a morning. I am attended to promptly every other time”. There is a commitment at the home to having a trained workforce with in excess of 50 of staff having completed NVQ level two or three training in care. Several more staff are currently enrolled on the programme. A range of training has also taken place. The required training in the areas of fire training, health and safety training and protection of vulnerable adults has taken place for all staff. Some staff have also attended specialist training in areas such as palliative care and dementia care. This makes sure that the staff have the appropriate knowledge and skills to look after people well. In addition because of the specialist units within the service there are always staff around with a variety of skills. This means that staff from one unit can call on staff from the other units when their specialist skills are required. One recently recruited member of staff said, “I found the induction to be really useful and comprehensive. I was given all of the information I needed to be able to look after the people who live here”. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP31 (YA37), OP32 (YA38), OP33 (YA8 & 39), OP34 (YA43), OP35 (YA23), OP36 (YA36), OP37 (YA10, 40 & 41) and OP38 (YA42). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 21 The people who live in the home can be assured that the home is well managed and they are given the opportunity to comment on how the home is run. Policies and procedures are in place to safeguard their health, safety and wellbeing. EVIDENCE: The manager is well qualified. She is trained nurse and has several years of management experience. Since the last inspection the manager has been registered with the Commission for Social Care Inspection (CSCI) as required in the last report. One member of staff said, “The manager is good, she is approachable and supportive”. Meetings are held every month. The people who live in the home and their families are welcome to attend. This gives people an opportunity to make their views about the home known. A recent survey has taken place with regard to the views of people living in the home. The manager said that an action plan would be put in place to address the issues raised. The manager said that the area manager carries out a quality assurance and monitoring visit on a monthly basis. This covers all aspects of care delivery and environmental issues. The home does not hold money on behalf of the people who live in the home. The home will purchase items and pay bills such as hairdressing and newspapers. These costs will them be itemised on a monthly basis along with the fees due. The total amount will then be requested from the person who is in control of the money for example a family member. Staff said that they receive regular supervision. In this home it is called a ‘job chat’. This gives staff the opportunity to discuss any concerns and areas where they feel they may need further training. The home has comprehensive policies and procedures in place. These are regularly reviewed. This ensures that the rights and best interests of people who live in the home are safeguarded. The manager confirmed that the home carries out regular health & safety checks. The inspector checked some of the records. Those viewed were up to date. The home employs a team of maintenance people. There is someone on call twenty four hours a day in case of an emergency outside of normal working hours. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 4 3 5 3 6 4 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 3 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 3 33 4 34 3 35 3 36 3 37 3 38 4 The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP7 Regulation 15 (1) & (2) 18 (1)(a) Requirement Care plans must be reviewed to ensure that they are up to date with the care that the people are receiving. Staffing levels must be reviewed to ensure that they are in sufficient numbers to meet all of the needs of the people who live in the home. Timescale for action 31/08/07 31/08/07 2. OP27 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. 2. Refer to Standard OP12 OP16 Good Practice Recommendations The people who live in the home users need to be consulted about the activities being provided and this information should be included within the care plan. The registered manager should consult people to make sure they are aware of the process to follow if they wish to make a complaint. The Hawthorns DS0000069204.V346611.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. 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