Inspection on 02/08/05 for The Hayes

This inspection was carried out on 2nd August 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 15/12/05

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 The Hayes Culverhayes Sherborne Dorset DT9 3ED Lead Inspector Gloria Ashwell Unannounced 2 & 10 August 2005 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 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. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Hayes Address Culverhayes Sherborne Dorset DT9 3ED 01935 814043 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Dorset County Council Ann Aylott CRH PC- Care Home Only 50 Category(ies) of DE(E) Dementia - over 65 (20) registration, with number of places OP Old age (30) The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1: Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. 2: One service user (as known to the CSCI) may be accommodated under the category of learning disability (LD). The conditions are met. Date of last inspection 2nd March 2005 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 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 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 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. A social and recreational programme is co-ordinated by an Activity Officer. The home has 3 pet cats. The home is set in its own grounds with a car parking area at the front and courtyard gardens for the use of residents. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 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. Since the last inspection no complaints against the home have been received or investigated. The inspection took place over two days; the inspector arrived (unannounced) at 10.40 on 2 August 2005. During that morning she spoke to 43 residents, 6 members of staff and the visiting relative of one resident. The inspector observed staff interaction with service users, the carrying out of routine tasks and toured the premises. Additional information used to inform the inspection process included formal notifications of events and monthly reports regularly provided to the Commission by the registered provider. As agreed following the visit on 2 August 2005, the inspector returned to the home at 10.00 on 10 August 2005 and together with the officer in charge considered other evidence relating to the National Minimum Standards, as described in this report. The previous inspection took place on 2 March 2005; the report of that inspection contained no requirements or recommendations; accordingly, this inspection was purposefully brief and focussed on the opinions of residents. The duration of the inspection (both days combined) was 2 hours and 15 minutes. 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: “It’s perfect…I couldn’t be better looked after, or more comfortable in a 5 star hotel”. Appropriate and well organised activities regularly take place and there are occasional excursions. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 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. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 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 standard(s) 3 & 6 The home does not provide or intermediate care so Standard 6 does not apply. Prospective residents (and/or their representatives) are encouraged to visit in advance of admission to establish their impressions of life at the home and the standard of available accommodation. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. EVIDENCE: The records of a recently admitted resident included details of pre-admission assessment which had been carried out by the manager to identify the needs of the prospective resident and determine if the home will be able to meet them. The particular resident was familiar with The Hayes, having stayed in the home on a number of occasions, for respite care. The resident made the decision to permanently remain in the home during the latest period of respite care. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 & 10 The standard of health, personal and social care is very good and is delivered in accordance with a written plan of care, to ensure staff have information necessary to provide correct care to each resident. Doctors and nurses visit the home to carry out specific actions for individual residents, ensuring their health care needs are met. Residents receive prescribed medicines at the correct times and in correct amounts thereby protecting residents from medicine errors. Residents wishing to do so can manage their own medicines. Residents said they are treated with respect and their privacy and dignity is protected at all times. EVIDENCE: All residents with whom the inspector spoke said they felt very well cared for and safe. Comments included: “The staff are very good…the way they talk…the way they treat you” “They’re all very kind” “They’re all very good…the staff….the head ones…”. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 10 Staff to whom the inspector spoke were aware of each residents health and social care needs. Although the home does not provide nursing care, community nurses may visit to carry out particular tasks (e.g. wound dressing) for residents. Risk assessments form the basis for comprehensive and clear care plans and daily records describe the care of each resident. Since the last inspection the home has commenced routine recording of nutritional screening for each resident. Residents wishing to do so can manage their own prescribed medicines, although most prefer this to be done by the staff. Residents said that staff give them the correct medicines, at the correct times. Medicine records were accurate and indicated medicines had been properly administered. Staff involved in handling medicines have received related training. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 11 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 standard(s) 12, 13, 14 & 15 The quality of daily life in the home is extremely good with residents assisted to maintain as much independence as possible. Social and leisure activities are varied and suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Meals are appetising and of good quantity and quality. Most residents take meals in the dining rooms; some receive them in their bedrooms. EVIDENCE: The inspector spoke to a number of residents; all expressed great satisfaction with every aspect of the home, including the range of activities, meal provision, staff and premises. Comments included: “It’s a wonderful place…there’s always plenty to do…there’s a good assortment (of activities)…the meals are good; something different every day…” The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 12 “We do very well…they don’t interfere with us (regarding times of getting up, going to bed, where residents spend the day etc.)..” “It’s my home….it’s perfect”. The Activities Officer coordinates social and leisure activities. During the morning of 2 August 2005 an art activity was taking place in the main lounge; many residents were keenly participating and obviously enjoying themselves. Visitors are welcome at any time and residents can go out of the home whenever they wish, and for as long as they wish. Each cottage has a dining room where most residents eat; some prefer to receive meals in their bedrooms. Each cottage also contains a kitchenette facility within the dining area, for the preparation of snacks and drinks and temporary storage of main meal foodstuffs. Residents select meals in advance, from a planned menu. During the first visit (on 2 August 2005) the inspector observed the residents selecting meals for the following day and noted the friendly, unhurried and helpful way in which the carer described the meals to individual residents and assisted them to make their decisions, ensuring each had extensive choice and sufficient time to decide. All residents said that food is of high standard, for quality, choice and quantity. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 13 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 standard(s) 16 Complaints are managed properly and residents said they are confident their concerns are listened to and taken seriously. EVIDENCE: The ‘service user guide’ includes a clear complaints procedure and policy. All complaints are recorded, together with details of investigation and outcome. In the event of a complaint being received and following conclusion of any investigation the home would then provides information on the outcome, to the complainant. No complaints against the home have been received or investigated since the last inspection. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 14 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26 The home is comfortable, clean, well equipped and suited to the needs of the residents. EVIDENCE: The layout of the home is in five ‘cottages’ each with a lounge and dining area, additional to the ‘main lounge’ in the centre of the home. There is level access to all parts of the home and gardens. Each cottage has an enclosed garden comprising a paved patio with plants, tables and chairs. No bedroom has an en suite toilet or bathing facility but all bedrooms have a wash hand basin. Some residents use commodes in their bedrooms at night. Close to each bedroom is a toilet. There are a variety of assisted bathrooms equipped to ensure the availability of an extensive range of items. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 15 Residents rooms contain a variety of personal belongings; many residents provide items of their own furniture. The home is maintained to a good standard and provides a safe environment. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 30 The home employs enough staff to meet the needs of residents and to ensure their safety and comfort. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: Staffing levels are provided in accordance with the assessed needs of residents and are recorded on a rota. The inspector spoke to a number of staff, including senior care staff, care workers and household staff. Without exception all expressed unreserved support of management and all aspects of the home, indicating good team working, provision of good care and encouragement for training. There is an enthusiastic approach to staff training; individual staff are encouraged to attend training sessions arranged by the provider organisation on a variety of relevant subjects including bereavement, dementia, visual impairment awareness and deaf awareness. Staff are assisted to train for National Vocational Qualifications; most already hold these awards. All new staff undergo induction training, in accordance with TOPSS. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 Staff have very good leadership – from the registered manager and senior care staff. EVIDENCE: Mrs Ann Aylott is the registered manager of The Hayes; she possesses NVQ4 in management in care, a Diploma in Social Work and is suitably experienced. Staff and residents hold her in high regard; comments included “(she is) very professional…very approachable…everything is geared towards the residents”. The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x x x x x x x The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 19 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 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. 1. Refer to Standard Good Practice Recommendations The Hayes D55 S32233 The Hayes V242253 020805 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset 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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