Inspection on 15/12/05 for The Hayes

This inspection was carried out on 15th December 2005.

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 Hayes 02/05/07

The Hayes 02/08/05

The Hayes 02/03/05

The Hayes 13/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Hayes (The) Culverhayes Sherborne Dorset DT9 3ED Lead Inspector Gloria Ashwell Unannounced Inspection 15th December 2005 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hayes (The) Address Culverhayes Sherborne Dorset DT9 3ED 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) 01935 814043 Dorset County Council Ann Pamela Aylott Care Home 50 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (30) of places Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. One service user (as known to the CSCI) may be accommodated under the category of learning disability (LD). 2nd August 2005 Date of last inspection Brief Description of the Service: The Hayes is a purpose built home, registered to provide care and accommodation for a maximum of 50 people, age 65 and over. The registered provider is Dorset County Council; Mrs Ann Aylott is the registered manager responsible for the day-to-day running of the home. The Hayes is in the centre of Sherborne, close to town centre shops and facilities. The category of registration includes up to 20 places for people with dementia and up to 30 places for old age. There are 3 rooms used for respite care. The home is arranged in 5 interconnected cottages each accommodating 10 residents; each cottage has a lounge, dining area and kitchenette. There are no specifically designated cottages for residents with dementia; all residents are integrated throughout the home. All resident areas are on the ground floor. All bedrooms are single and have a wash hand basin. There is a spacious communal lounge incorporating a designated smoking area. The home is continually staffed over a 24 hour period, including wakeful night staff. A social and recreational programme is co-ordinated by an Activity Officer. The home has3 pet cats and is set in its own grounds with courtyard gardens for the use of residents and a car parking area at the front. Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two statutory inspections required in accordance with the Care Standards Act 2000. The previous inspection took place over 2 days in August 2005; since that inspection no complaints against the home have been received or investigated. The inspector spoke to most residents, and together with manager Mrs Aylott considered other evidence relating to the National Minimum Standards, as described in this report. Additional information used to inform the inspection process included the reports routinely sent to the Commission by the provider organisation and the 30 Comment Cards completed and returned to the Commission since the previous inspection; 25 were from residents and 5 cards were from health and social care professionals. The cards indicated high levels of satisfaction. In recognition of the circumstances and history of this home, which is known to routinely meet all National Minimum Standards this inspection was relatively brief in duration and focussed on discussion with residents and assessment of only the most essential standards. Standards assessed and found met during the previous inspection were not reassessed during this inspection; this report should therefore be read in conjunction with the report of the previous inspection. What the service does well: The Hayes provides residents with a very good quality of life and social care, in comfortable surroundings providing privacy, companionship and assistance when needed. Residents are very satisfied with all aspects of the home; comments made during the inspection included: “We’re all very happy together…(the staff) treat us properly and with care” and “I don’t think they could do more; you couldn’t want for more”. Appropriate and well organised activities regularly take place and there are occasional excursions. Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 6 Staff are encouraged to undertake training in related subjects and are supported and supervised in their work. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 was assessed and found met at the previous inspection. The home does not provide or intermediate care so Standard 6 does not apply. EVIDENCE: Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10 were assessed and found met at the previous EVIDENCE: Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards were assessed and found met at the previous inspection. EVIDENCE: Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 (Standard 16 was assessed and found met at the previous inspection) The home has implemented measures to protect residents from abuse. EVIDENCE: The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and has provided staff with associated training. Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards were assessed and found met at the previous inspection. EVIDENCE: Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 (Standards 27, 28 & 30 were assessed and found met at the previous inspection) Recruitment practices ensure the protection of residents from potentially unsuitable staff. EVIDENCE: The records of a recently employed staff member were examined and found to contain required information, indicating evidence of personal identification, CRB check and personal health and fitness. Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 & 38 (Standard 31 was found met at the previous inspection) Residents are satisfied with the home and feel staff care for them well and put them at their ease. With the exception of the personal allowances of some residents, the home does not manage the finances of residents. Service users and staff are properly protected from harm and their wellbeing is promoted. EVIDENCE: The home has developed a ‘Quality Assurance framework’ for 2006/2007 including a ‘Suggestion Box’, monthly Residents Meetings and the issue and subsequent audit of twice yearly ‘user satisfaction’ questionnaires to ensure that residents and their representatives remain satisfied with all aspects of the home. Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 15 With the exception of the personal allowances of some residents (for which all transactions are confirmed by receipt), the home does not manage the finances of residents. At all times there are staff on duty in the home trained in First Aid and with knowledge of how to deal with accidents and health emergencies. Residents indicated they are extremely well satisfied with The Hayes; they said they feel safe and well cared for. Records of fire safety equipment checks and tests, staff fire safety training and fire drills show that these essential aspects receive appropriate attention. The inspector was shown records indicating the safety of the premises and equipment including the water supply and gas and electrical installations. Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 Hayes (The) DS0000032233.V273147.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. 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