Inspection on 18/03/08 for The Hazelford Care Home

This inspection was carried out on 18th March 2008.

CSCI found this care home to be providing an Good service.

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 12/12/06

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 18th March 2008 09:30 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.V361019.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.V361019.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 830207 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.V361019.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. 12th December 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 is car parking to the front of the building. 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. Information about costs as well as the day-to-day operation of the home is available in the manager’s office. The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. 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 two hours and consisted of tracking the care received by 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 24 people were living at the home. What the service does well: The home is in a scenic part of the countryside and the close proximity of the river provides service users with picturesque views from their rooms or from the conservatory and from the patio in good weather. A visitor commented upon this as one reason for choosing the home. Residents are cared for in a clean and comfortable environment and the home is decorated to a good standard. All residents spoken with made positive comments about the care they received; one said ‘It’s like being on holiday here’ and another said he enjoyed sitting on the patio in the summer and waving to the passing boats. The staff group is well trained and knowledgeable about the residents living at the home and how they prefer to be cared for. The manager and deputy manager work well as a team and there is a very stable staff group, enabling good knowledge of residents’ needs. Residents are encouraged to make choices about their daily lifestyles and individual likes and dislikes are catered for. The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. The Hazelford Care Home DS0000008689.V361019.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.V361019.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The up to date statement of purpose sets out clearly how it intends to meet the needs of the residents. Residents receive full initial assessments and have a chance to visit the home before making the decision to move in permanently. EVIDENCE: The deputy manager confirmed that she or the manager always visited prospective residents at home or in a care setting such as a hospital to undertake a thorough assessment of all their care needs. Records confirmed this. Written admission documentation was comprehensive and clear, giving staff the information they needed to meet the residents’ needs. The statement of purpose was very comprehensive and contained terms and conditions and contracts. The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 9 The service user guide was comprehensive but not particularly directed at information for the service user. It was in fairly small print. The manager, who became the registered manager a few days ago and commenced in post in October 2007, was aware of these issues and said that she and the deputy manager were in the process of reviewing the current service user guide. A resident described how he had visited for the day before he was sure he wanted to move in permanently. A relative said that this home had been chosen because ‘It was the best of the ones we saw’. A staff member described the admission process and the importance of making new residents and their families welcomed. The home does not provide intermediate care. The Hazelford Care Home DS0000008689.V361019.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 good. This judgement has been made using available evidence including a visit to this service. The home’s records give a clear picture of the health care needs of residents to enable staff to meet these needs. EVIDENCE: The 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. There was some duplication of information and the manager said that she and the deputy manager were in the process of reviewing all care plans to make them more concise. There was a clear medication policy and the pharmacist visited regularly. Residents received regular visits from district nurses, Macmillan nurses, CPN’s and other agencies involved with their care. The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 11 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.V361019.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. There is a programme of regular activities, including entertainers twice monthly, armchair exercises, church services and various board and card games. On the day of the inspection residents were going to the village hall for an Easter Bonnet Parade and party that they were holding with another local home. 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. They described how, in the summer, they went for walks by the river with the carers. The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 13 Residents spoken with all said they enjoyed the meals served; one said ‘It’s good food, home-made and very tasty’. The day’s menu was displayed in the dining room and offered alternative choices of meals. The cook said that if residents didn’t like any of these choices, she would make them an alternative within reason. The cook has the National Vocational Qualification in care at Level 2. 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.V361019.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. Residents are protected and safeguarded from harm by robust complaints procedures and by appropriate staff training. 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 no complaints. Staff spoken with confirmed that they had received training in safeguarding adults. The Hazelford Care Home DS0000008689.V361019.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 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. Staff described how any maintenance issues were addressed quickly by the maintenance personnel. Recent improvements included redecoration of some rooms and new carpets to the entrance hall and the The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 16 Three residents who were sitting in the conservatory said they enjoyed sitting there and watching the river. There were safety notices around the building to prevent the spread of infection and COSHH regulations were observed throughout. Although the building has different levels and steps throughout there is a lift and a stair lift to enable residents to access the whole building. The most recent visit from the Environmental Health Officer found no issues of concern and the service had been awarded a ‘good’ standard. The building smelled clean and fresh throughout. The Hazelford Care Home DS0000008689.V361019.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 24 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. The manager said that by October 2008, 100 of staff members would have a National Vocational Qualification [a nationally recognised qualification]. Six members of staff have recently achieved the NVQ at Level 3, and three staff members had achieved Level 2. The most recent staff member to be employed described how she had an interview, gave three references and underwent CRB/POVA checks. She was still undertaking the induction course. Staff records confirmed this. Staff training records demonstrated that statutory training has been undertaken and that staff received regular supervision. There were minutes of regular staff meetings. The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 18 Records also showed that there is very little staff turnover and staff spoken with confirmed this. The Hazelford Care Home DS0000008689.V361019.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 service is managed competently and the staff members are supported in carrying out their respective roles. Residents and their families are involved in decisions affecting them. Clear health and safety procedures ensure that residents are safe and protected from harm. EVIDENCE: The manager, who is awaiting a formal letter to confirm that she is registered, has been in post since October 2007. She has the NVQ at level 4 and is currently undertaking the Registered Manager’s Award. She has worked at the home for 9 years, part of these being as deputy manager. The deputy The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 20 manager has worked at the home for a year and is also undertaking the RMA, as well as the Assessor’s course, to enable her to assess NVQ candidates. The manager and deputy manager work very much as a team and staff members spoken with said they were very approachable and accessible. There is a sound quality assurance procedure, with separate questionnaires for residents, relatives/visitors and staff. The results are collated and subsequently acted upon. Health and safety policies are well documented and demonstrate a clear commitment to ensuring the wellbeing of residents. Although it was clear the policies and procedures had recently been reviewed, there should be written evidence that these are updated regularly. The Hazelford Care Home DS0000008689.V361019.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 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 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.V361019.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP1 Good Practice Recommendations The service user guide should be in a large print, to make it easy for prospective residents and their families to read. The Hazelford Care Home DS0000008689.V361019.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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