Inspection on 12/12/06 for The Hazelford Care Home

This inspection was carried out on 12th December 2006.

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

The inspector 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 Hazelford Care Home 18/03/08

The Hazelford Care Home 20/02/06

The Hazelford Care Home 01/09/04

The Hazelford Care Home 24/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Hazelford Care Home Boat Lane Bleasby Nottingham NG14 7FT Lead Inspector Julie Western Unannounced Inspection 12th December 2006 09:00 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 The Hazelford Care Home DS0000008689.V322156.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. 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 Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hazelford Care Home Address Boat Lane Bleasby Nottingham NG14 7FT 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) 01636 830 207 01636 830868 A.N.I. Healthcare Services Mrs Sylvia Daly Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A.N.I. Healthcare Services is registered to provide personal care and accommodation at The Hazelford for service users of both sexes whose primary needs fall within the category: Old age, not falling into any other category (OP) 36. The maximum number of service users to be accommodated at The Hazelford care home is 36. 20th February 2006 2. Date of last inspection Brief Description of the Service: The Hazelford residential home is the sole home owned by ANI healthcare services The home is a former hotel on the site of the Hazelford ferry across the river Trent. It was converted in 1999 to provide personal care and accommodation for up to 36 older people. It is located on the outskirts of the village of Bleasby, and stands on the banks of the river Trent, with grounds opening onto the river. There are minimal facilities in the village and the home does not have access to public transport. Local bus and train services are available from the village, about 1/2 mile walk away. The accommodation is arranged between two floors, has a purpose built ground floor extension and a conservatory. A passenger lift is provided, all bedrooms have en-suite facilities, and there are 34 single bedrooms and one double bedroom. At the time of the inspection the manager confirmed that the weekly fees ranged from £475 to £650, with additional charges made for hairdressing, chiropody, personal newspapers and private telephone lines. Information about these costs as well as the day-to-day operation of the home is available in the manager’s office. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took any previous information held by the Commission about the home into account. The site visit took place over four hours and consisted of tracking the care received by three service users through the checking of records, discussions with the service users, visitors, care staff and observations of practices. Some policies and procedures were inspected. A partial tour of the building was conducted and discussions were held with the new manager and the deputy manager. On the day of the inspection 26 people were living at the home. What the service does well: What has improved since the last inspection? Care plans are now in more detail and contain more information to enable staff to meet the needs of service users. The home now has a training record and plan. There is a procedure for service users wishing to self-medicate. Recruitment procedures have been reviewed. The Hazelford Care Home DS0000008689.V322156.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 Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 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 The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not set out clearly how it intends to meet the needs of the residents. Residents receive full assessments and have a chance to visit the home before making the decision to move in on a permanent basis. An intermediate care service is not provided. EVIDENCE: Service users are given a brochure containing certain information about the services provided at the home. However, the current statement of purpose and service user guide were not in enough detail to give prospective residents and their families all the information they needed The manager, who commenced in post a few weeks ago was aware of this and said that she and the deputy manager were in the process of reviewing the current documents. They agreed to forward copies of these to the Commission on completion. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 9 The home does not currently send a letter stating whether it can meet the needs of the assessed resident. The home does not provide intermediate care. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s records do not give a clear enough picture of the health care needs of the residents to enable staff to meet these needs. EVIDENCE: The three care plans looked at in depth, contained information about the residents’ health and personal care needs. They were reviewed regularly and signed where possible by the service user or relatives/advocates. Some information should be more detailed; for example, one care plan did not give enough information about how the personal care needed was to be given. Another care plan referred to the occasional aggressive behaviour of the service user; however, it did not give clear information about how this behaviour was to be addressed. The manager said that she was in the process of reviewing all care plans to give more detail about how staff members should give personal care. It was suggested that the home kept some information on different religions and cultures for reference. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 11 There was a clear medication policy and the pharmacist visited regularly, the last visit on 31/11/06 found no issues of concern. The staff team were observed carrying out their duties with kindness and sensitivity towards the residents, especially when attending to their personal needs. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a variety of events and activities which residents are informed about. The residents can exercise choice about which activities, if any, they wish to take part in and what meals they wish to eat. EVIDENCE: The home has a designated activities co-ordinator and a social care file lists all activities, likes and dislikes and consultations with residents, including meetings. There is a programme of regular activities, including entertainers, armchair exercises, church services, various games and crafts and clothes parties where residents can buy clothes. A resident described recent events, which included carol singing, bell ringing and a Christmas Fair. Details of forthcoming events were displayed in the entrance area. Residents spoken with all said they had a choice of whether or not to take part and some preferred to sit in the ‘quiet’ lounge instead. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 13 Residents were seen eating the mid-day meal, which was well presented and nutritionally balanced; all said they enjoyed it. The day’s menu was displayed in the dining room and offered three alternative choices of meals. The cook has the National Vocational Qualification in catering at Level 2 and at intermediate level. She was knowledgeable about the nutritional needs of service users and described cooking for diabetics and people with gluten-free diets. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure is clear and gives residents and their families the confidence that comments and concerns will be listened to. There is a clear adult protection policy to safeguard residents. EVIDENCE: Residents spoken with said they did not wish to complain but knew how to make a complaint. The home had a copy of the Local Authority adult protection procedures. Since the last inspection there have been four complaints; two were addressed within the timescales. Of the two outstanding complaints, one was being investigated under adult protection procedures. The other had just occurred and the manager was advised to contact Social Services, as this was also a potential adult protection issue. In both cases, the manager had taken the correct steps to ensure that residents were not placed at risk. The manager said that all staff members had received in-house training in adult protection, with a view to organising external training at a later date. Staff spoken with confirmed that they had received training in safeguarding adults. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, comfortable and pleasant environment with both private and communal space being on the whole suitable for their needs. EVIDENCE: Overall, the standard of decoration internal was high and afforded residents a great degree of comfort. The gardens were well maintained and offered pleasant places for residents to sit out in good weather. One resident said ‘I love to just sit in the conservatory and watch the river flowing’. There were safety notices around the building to prevent the spread of infection and COSHH regulations were observed throughout. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 16 Although there is a lift, the building has different levels and steps throughout and the manager said that wheelchair users could only be accommodated on the ground floor in certain rooms. The most recent visit from the Environmental Health Officer was from a representative of ‘Safer Foods, Better Business’, who also gave some training to staff on food hygiene. The building smelled clean and fresh throughout and a visitor and a staff member commented upon the high standard of cleanliness compared with other homes they had seen. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for the residents. Residents are confident that staff members are suitably trained, qualified and competent to give them appropriate care. EVIDENCE: The daily staff rota showed that there was a minimum of 3 staff for 26 residents. In addition the manager and deputy manager could assist during busy periods, although they said that at present this was not necessary. The home also employed a cook and domestic staff. There were no vacancies at present. Seven members of staff have achieved the NVQ at Level 2, with a further two undertaking it. One staff member had achieved Level 3, with one undertaking it. The most recent staff member to be employed described how she had an interview, gave three references and underwent CRB/POVA checks. She had also undertaken the Skills for Care induction course. Staff records confirmed this. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 18 Staff training records demonstrated that statutory training has been undertaken. Staff records showed that staff had received regular monthly supervision and there were minutes of regular staff meetings, which were also held on a monthly basis. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed competently and the staff members are supported in carrying out their respective roles. The views of residents are listened to and they are involved in decisions affecting them. The health and safety procedures help to safeguard staff and residents. EVIDENCE: The manager, who is registered, has been in post since August 2006. She has the NVQ at Level 4 and the Registered Manager’s Award. She is also an NVQ assessor. The deputy manager has the NVQ at Level 4 and has worked in the home since it was opened in 1999. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 20 The manager operates an open-door policy and residents and staff spoken with said that both she and the deputy manager were accessible and approachable. There is a sound quality assurance procedure, with separate questionnaires for residents, relatives and visitors and staff. The results are collated and subsequently acted upon. Health and safety policies and procedures are well documented and demonstrate a clear commitment to ensuing the wellbeing of residents. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 21 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 22 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 OP1 Regulatio n 4[1][2] Requirement The registered person must compile a statement of purpose as set out in Schedule 1. Timescale for action 09/02/07 2 OP1 5[1] The registered person must 09/02/07 produce a service user’s guide as in National Minimum Standard 1. The registered person must confirm in writing that the care home is suitable for the purpose of meeting the service user’s needs in respect of his health and welfare. The registered person must ensure that care plans fully reflect the health care needs of residents, including behavioural and mental health needs. 09/02/07 3 OP3 14[1][d] 4 OP7 15[1] 09/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 23 1 OP7 Information about different religions and cultures should be kept in the home for reference and staff awareness. The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 The Hazelford Care Home DS0000008689.V322156.R01.S.doc Version 5.2 Page 25 - 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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