Inspection on 20/02/08 for The Hurst Nursing Home

This inspection was carried out on 20th February 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 Hurst Nursing Home 04/01/10

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Hurst Nursing Home 1 Mill Road Worthing West Sussex BN11 4JR Lead Inspector Sheila Gawley Unannounced Inspection 20th February 2008 10:00 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 Hurst Nursing Home DS0000070403.V357022.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 Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hurst Nursing Home Address 1 Mill Road Worthing West Sussex BN11 4JR 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) 01903 236935 01903 236566 Lotus Care 1 Ltd Mrs Sheila Mary Sheriff Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (0) of places The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with Nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - (OP) The maximum number of service users to be accommodated is 21 Date of last inspection N/A Brief Description of the Service: The Hurst is a care home offering Nursing and personal care to up to 21 older people. It is situated in a quiet residential area of Worthing. It is a detached corner property with a well-maintained garden. Accommodation is available on three floors and there is passenger lift access. One room is accessed from a mezzanine between floors and there is a stair lift available. Two rooms are shared. All areas are well decorated in a homely manner. The fees charged are £550-£635. The Hurst Nursing Home DS0000070403.V357022.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 stars. This means the people who use this service experience good quality outcomes. This site visit as part of the inspection process was carried out on 20/02/08. This was the first inspection to a new registration of an existing home. The inspection was facilitated by the Registered Nurse in charge on the dayand the group manage of the organisation. People who use the service, staff and relatives spoken to stated that they were happy under the new organisational management of the home. Prior to the visit the service file was reviewed as were any comments or complaints received by the Commission for Social Car inspection. The Home had sent us their Annual Quality Assurance Assessment for the inspection, which gave us the information we needed on the home. Any records or documents required on the day were made available. Three people who use the service were spoken to on the day, as were two relatives and all expressed satisfaction with the service. What the service does well: There is an up to date and comprehensive Service User Guide and Statement of Purpose available to people who use the service and their residents or representatives and all needs are assessed prior to admission. People who use the service spoken to stated that they are treated with respect. There is varied menu in place and choice is offered to people who use the service People who use the service live in a safe and well-maintained environment. The Hurst Nursing Home DS0000070403.V357022.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 Hurst Nursing Home DS0000070403.V357022.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 Hurst Nursing Home DS0000070403.V357022.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): 1,3, Standard 6 is not applicable People who use this service experience good outcomes in this area, as there is a clear assessment and admission process. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an up to date and comprehensive Service User Guide and Statement of Purpose available to people who use the service and their residents or representatives to enable them to have information and make choices about the home. The Service User Guide was seen in individual’s rooms. People who use the service have an individualised pre-admission assessment, which forms the basis for suitability for admission to the home. The Manager completes pre-admission assessments. The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 9 For those people who use the service who are referred through Care Management Services the home obtains a summary of the Care Management assessment and a copy of their care plans. Documentary evidence to support this process was evident in the care plans inspected. The AQAA states that the care home welcomes enquiries from any individual in society and that he pre-assessment process will identify whether their needs can be met. The Hurst Nursing Home DS0000070403.V357022.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): 7-10 People who use this service experience good outcomes in this area because all needs are assessed and met, set out in a plan and residents are treated with respect. Medicines are handled appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents had a plan of care. Three people who use the service were case tracked. The care plans inspected contained information on health, nursing, personal and social need. The care plans were drawn up following an assessment of these needs. This included nutritional assessments, mobility, hygiene, continence, and pressure areas, and risk assessments. The risk assessments covered falls, nutrition, mobility, skin assessment, nursing and personal care needs. The care plans were up to date and had evidence of monthly review. Weight is monitored. Nursing need and plans were up to date. The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 11 Access to specialist health support is available as required including general practitioner, chiropodists, and outpatient appointments. There is a domiciliary dental and optician service. Staff were observed offering care in a respectful and encouraging manner and people who use the service spoken to stated that they are treated with respect. Two relatives spoken to stated that they were happy with the care offered in the home. A chiropodist visiting the home was spoken to and she stated that she feels people who use the service are offered care appropriately. She stated that they are always clean and well groomed. Medicines are received, stored, administered and recorded appropriately. Medicine administration charts inspected were up to date. Topical items are signed for on intervention sheets in the rooms of people who use the service. The Hurst Nursing Home DS0000070403.V357022.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): 12-15 People who use this service experience good outcomes in this area, because lifestyle in the home meets their expectations. Activities and events provided satisfy social, cultural and recreational needs. There is a variety of nutritional food on offer. This judgement has been made using available evidence including a visit to this service EVIDENCE: The interests of people who use the service are recorded in their care plans. The AQAA states that the home has good links with the community so that people who use the service can access local activities i.e. Library, Church etc and the community can be involved in the homes activities. This was evidenced on the site visit by activities seen listed on the notice board and in the activities folder. People who use the service and relatives spoken to confirmed activities. The home operates the West Sussex Safer Food Better Business pack which was seen to be up to date. The chef was spoken to. There is varied menu in place and choice is offered to people who use the service. The meal seen The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 13 prepared and served today was attractive and nutritious and people who use the service said they enjoyed it. Two visitors were spoken to and they stated that the meals served always appear nutritious and appetising People who use the service confirmed that they have choice in daily life, one spoken to stated that he liked to stay in his room but liked to go to the dining room for lunch “the staff are lovely, they will take me down for lunch” The people who use the service who were spoken to all stated that they are treated with respect. The Hurst Nursing Home DS0000070403.V357022.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 People who use this service experience good outcomes in this area, as there are policies and procedures in place for complaints and safeguarding adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA states a copy of the homes complaints procedure is included in the Statement of Purpose. It illustrates time scales and how complaints are dealt with. The complaints procedure is on display and is included in the Service User Guide seen in the rooms of people who use the service. A complaint folder containing all complaints together with actions taken is maintained. This was available for inspection. People who use the service spoken to confirmed that they would know how to make a complaint if necessary. Two visitors spoken to also stated that they did not have reason to complain but would know how to do so. There is the facility to record any complaints including actions and outcomes. Postal votes are arranged for people who use the service and there are details of advocacy services in the home, this is referred to in the Service User Guide and details are in a folder in the hall. The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 15 There are policies and procedures in place regarding safeguarding adults and whistle blowing. Staff spoken to were clear about the procedures to follow in safeguarding adults allegations. Training records show that staff have training in safeguarding adults policies and procedures. The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 16 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): 19,22,25,26 People who use this service experience good outcomes in this area because they live in a safe and well-maintained environment. This judgement has been made using available evidence including a visit to this service EVIDENCE: People who use the service live in a safe and well-maintained environment. There is new carpeting in the communal areas and some bedrooms have been redecorated. A programme of routine maintenance works is kept within the home and the home employs a handyman in order to affect any action promptly. Records were available for inspection. The garden is well maintained and accessible. The home has plans in place for replacement counter work and flooring in the kitchen to meet the recommendations of a recent environmental health inspection. This work was not compulsory at this time. The home has met the The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 17 requirements of a recent fire authority inspection. The general manager stated that the home is looking at ways to increase the communal space. People who use the service have their needs met by the provision of suitable adaptations and equipment. The home has a passenger lift for access to all floors. The home has lifting aids and hoists to meet assessed need. There is a stair chair, which is used to access the stairs on the middle and top floors for people who use the service. Doorways into communal areas and Service Users bedrooms are suitable for wheelchair access. The home has a call bell system with an accessible alarm facility in every room. The home is fully centrally heated and temperature control valves have been fitted to all taps for the protection of people who use the service. Temperatures are recorded and the system is checked for Legionella. These records were available for inspection. The home on this occasion was neat, clean and free from offensive odours. The laundry is sited at the rear of the building and laundry is not carried through areas where food is stored, cooked or served. The home has sluicing facilities. The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 18 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): 27-30 People who use this service experience good outcomes in this area because needs are met by a staff trained and qualified to do so. This judgement has been made using available evidence including a visit to this service EVIDENCE: There was sufficient staff on duty to meet the residents care needs as detailed in the care plans. Staff spoken with confirmed that they were happy with staffing levels and that this was good place to work. Residents spoken to stated they were happy with the number of staff at the home and found them to be kind and approachable. They confirmed that they were well cared for. Relatives and a visiting chiropodist confirmed this also. There are robust recruitment policies and procedures in place to ensure the health, safety and welfare of people who use the service. Training files were seen and staff confirmed that induction, mandatory and National Vocational Qualifications are provided. An external training provider undertakes all mandatory training. The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 19 Three staff files were checked they showed that the home had undertaken all the necessary checks to ensure protection of residents. Two references were in place and Criminal Records Bureau Clearance and POVA checks had been undertaken. Domestic staff and a chef support the nursing and care staff. The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 20 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): 31,33,35, 36,38 People who use this service experience good outcomes in this area because the home is run in the home is run in the best interests of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager is a Registered Nurse and has the Registered Manager Award and has many years of experience as a manager in care homes. There was evidence that the home operates a clearly defined organisational line of accountability and responsibility for all aspects of the management of the home. An organisational chart is available in the Statement of Purpose The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 21 and Service User Guide. The site visit was discussed with the Registered Manager on the telephone, as she was not present for the sit visit. She confirmed that she is supported in her role the Service Provider in order to ensure the health and welfare of people who use the service. Quality assurance systems are in place to elicit opinion from the residents on how the home is run. This includes surveys and there are quarterly staff meetings. The home does not hold monies for people who use the service. Staff are supervised and records of this were seen in staff files. The health and safety of residents and staff are ensured by the provision of mandatory training and policies on health and safety. Evidence of utility and equipment testing and maintenance is held and was available for inspection. The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 22 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 3 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 3 18 3 3 X X 3 X X 3 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 3 3 X 3 The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 23 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 The Hurst Nursing Home DS0000070403.V357022.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Hurst Nursing Home DS0000070403.V357022.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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