Inspection on 30/01/06 for The Hawthorns

This inspection was carried out on 30th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Hawthorns 02/10/08

The Hawthorns 03/10/06

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 09/07/2008.

CARE HOME ADULTS 18-65 Hawthorns, The 86 Wymington Road Rushden Northants NN10 9LA Lead Inspector Ms Sarah Jenkins Unannounced Inspection 30th January 2006 07:55 Hawthorns, The DS0000012799.V267539.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 Hawthorns, The DS0000012799.V267539.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. Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hawthorns, The Address 86 Wymington Road Rushden Northants NN10 9LA 01933 395533 01933 395511 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) Mrs Marie Jeanette Judith Mather-Franks Vacant Care Home 6 Category(ies) of Learning disability (6), Physical disability (2) registration, with number of places Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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 3rd August 2005 Date of last inspection Brief Description of the Service: The Hawthorns is one of three homes in Rushden owned by Mrs M. MatherFranks. It is a six bedded home in a residential area of the town with good access to local facilities and amenities. The house is a spacious, modern home offering six individual bedrooms and a range of communal space including an enclosed garden area. The home offers personal care for up to six service users, two of whom may have an additional physical disability. Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 1 service user and tracking the care they receive through meeting with the service user, a review of their records, discussions with the care staff and observation of care practices. The Inspector visited during the early morning period. Service users have learning disabilities and some have additional physical disabilities. Communication for some is difficult. Establishing Service Users choices and informed decisions is dependant to some extent upon the consistency of staff, service users relationships with staff, and the quality of communication. Feedback obtained from Service Users in this report was in part through observations of their relationships with staff, and also through interpretations of their general levels of happiness with their routines. The Inspector spent half an hour preparing for the inspection and two hours in the home. No feedback cards or questionnaire was due or received. There is currently no registered manager at the home and the management aspects of the inspection were therefore undertaken with the homes Acting Manager. What the service does well: What has improved since the last inspection? Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 6 Previous requirements and recommendations have mainly been met and Service Users care plans have been reviewed and updated. 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. Hawthorns, The DS0000012799.V267539.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 Hawthorns, The DS0000012799.V267539.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): 2 The procedure for admitting Service Users was found to be satisfactory. EVIDENCE: There have been no new Service Users admitted to the home recently. There is a planned admission for a Service User who is considering transfer from one of the other homes, and the admission process for this person will be slightly different in accordance with their individual needs. The Inspector discussed the normal admission process with the Acting Manager and sampled the homes admission documentation and information and found that these met the Standards. Hawthorns, The DS0000012799.V267539.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): 7,9,10 Service Users preferences, choices and decisions are properly reflected in their care plans. EVIDENCE: Service Users who spoke to the Inspector expressed general content with the care at the home. Care plans were seen to have been updated and reviews undertaken involving relevant professionals and relatives. Service Users choices and decisions are reflected in their care plans and the principle of offering choice is integral to the practices of the home. Risk assessments demonstrated that the staff at the home aim to ensure Service Users are able to live as normal lives as possible with an element of reasonable risk that is recognized and minimized. Advice was given that the recording of residents meetings should be in accordance with Data Protection principles. Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 10 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): 16 Service Users rights are understood and promoted by staff. EVIDENCE: Service Users presented as confidant that they were able to enjoy their chosen lifestyles, including the work placements that they enjoyed and being supported in their home lives. There was evidence in records of respect for Service Users rights, and they are also properly supported in their responsibilities towards others. Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 11 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): 20 Medication is properly managed and administered by staff EVIDENCE: The Inspector observed the routine for administering medications, inspected the medication cabinet and a sample of medication records. The system was well organized and managed. Service Users do not currently manage their own medications. Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 12 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): 0 EVIDENCE: This area was not reviewed at this inspection. Staff are to undertake Protection of Vulnerable Adults training shortly Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 13 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, 30 Service Users live in a homely and comfortable environment, with a pleasant garden area available. EVIDENCE: The home is well maintained, decorated and furnished. The home is spacious, with furnishings suitable for the Service Users and there is access to all communal areas, including the garden, for Service Users with a physical disability. Service Users have personalized their rooms with assistance from staff. The home was very clean and there was evidence of a commitment to safe and hygienic practices in the information to staff and the equipment available. Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 14 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): 32 The training of staff varies, and therefore not all shifts are adequately covered. EVIDENCE: Some shortfalls in staff training were noted, appropriate training courses have been accessed and relevant training is planned. There has been a late response to a previous requirement on essential staff training. (See also under “Management”, re First Aid. Service Users spoke positively about staff and indicated that they had good relationships with all staff. Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 15 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, 42 Service Users Health and Safety is properly promoted. The Registered Owners overview of the home needs to be recorded. EVIDENCE: Health and Safety issues appear to have been properly addressed by the Acting Manager and there were no shortfalls except the failure to ensure a qualified First Aider is on duty on each shift. The Registered Owner has not been completing full Regulation 26 visits and reports which should be done regularly and especially in view of there being no Registered Manager at the home at the present time. It is understood that the Registered Owner visits regularly and discusses issues with the Acting Manager. Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 16 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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x 3 x 3 2 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x x x 1 x x 1 x Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 17 Yes 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 2 Standard YA39 YA32YA42 Regulation 26 13 Requirement The Registered Owner must produce regular reports in line with Regulation 26 requirements Each shift must have sufficient trained experienced staff to safeguard Service users. To this end staff training must be provided in First Aid. (This requirement is outstanding from the last report) Timescale for action 16/03/06 16/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA10 Good Practice Recommendations Care should be taken to ensure that all Service Users information is documented and stored in accordance with the criteria of The Data Protection Act Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hawthorns, The DS0000012799.V267539.R01.S.doc Version 5.1 Page 19 - 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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