Inspection on 07/06/07 for Thomas Henshaw Court

This inspection was carried out on 7th June 2007.

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

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Dystlegh Grange

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Springfield Cottage

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Sue Ryder Care Birchley Hall

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

CARE HOMES FOR OLDER PEOPLE Thomas Henshaw Court 105 Norwood Road Southport Merseyside PR8 6EL Lead Inspector Mrs Rukhsana Yates Unannounced Inspection 10:30 7th June 2007 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 Thomas Henshaw Court DS0000067930.V324478.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. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thomas Henshaw Court Address 105 Norwood Road Southport Merseyside PR8 6EL 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) 01704 533 317 01704 534 616 keri.sherwood@anchor.org.uk Anchor Trust Lesley Colby Care Home 43 Category(ies) of Physical disability (9), Physical disability over 65 registration, with number years of age (43) of places Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 9 in the category of Physical Disability Service users to include up to 43 in the category of Physical Disability (E) Not applicable Date of last inspection Brief Description of the Service: Thomas Henshaw Court is a purpose built care home and is owned and maintained by Anchor Trust. The home is situated in a residential part of Southport, is close to bus routes to the town centre, and has shops, pubs and a post office nearby. Thomas Henshaw Court provides residential care for 43 people, both male and female, who have physical disabilities and people with a sensory impairment. Accommodation is provided in 42 self-contained flats, all of which have an ensuite bathroom and kitchenette. The current scale of charges at the home are £390 to £410 per week, with additional charges for hairdressing, chiropody, newspapers, beautician services. Further information about the service is included in the Service User Guide which is provided to people living at, or considering a move to, Thomas Henshaw Court. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In order to find out about the experiences of people living at Thomas Henshaw Court, a visit to the home took place without letting anyone at the home know beforehand. A total of 7 hours were spent at the home. The time was spent talking with people about their daily life in the home, watching the ways in which staff supported them, talking with the deputy manager and looking at paperwork relating to care and safety. The findings of the inspection take account of comments made by people living and working there and visitors to the home. Individual discussions took place with 6 of the residents. The service was inspected against key standards for homes for older people to see how well it was meeting a range of needs. These standards cover moving in, the care provided, daily routines and lifestyle, complaints, safety, comfort and cleanliness, how staff are employed and trained, and how the service is managed and developed. The term preferred by the people consulted during the visit was “residents”. This term is, therefore, used throughout the report when referring to those living at the home What the service does well: Residents feel well supported by staff who know what they like and understand their needs and personalities. Staff have a good range of skills and show respect for the residents. Residents feel at home because they are encouraged to make decisions about their choices and routines, have their own flats within the home, and take part in activities and hobbies they enjoy. The service is managed well so that the needs of the residents come first and they feel valued as individuals. Some of the comments made by residents were: “They look after your anxieties as well as your personal health”; “We have total choice over our routines ”, “Those of us with disabilities get all the help we need”, “The entertainment is terrific”, “What you take part in is entirely up to you”, “There’s lots of trips out”, “I like doing my own thing. We’re all different and we can be different. That’s good isn’t it”. “the carers are wonderful; they never come to you without a smile”. Thomas Henshaw Court DS0000067930.V324478.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. Thomas Henshaw Court DS0000067930.V324478.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 Thomas Henshaw Court DS0000067930.V324478.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: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with information about the service, and assured that the service is suitable for them before moving in. EVIDENCE: All residents have a statement of purpose and service user guide that accurately reflect the facilities and services available. These documents are provided in differing formats, including CD, tape, Braille or large print if needed. Residents confirmed that they were aware of the contents, and that a staff member would explain anything to them that they may be unsure about. Prospective residents are given information about the service and have their needs assessed. They are encouraged to visit the home, have lunch with other residents and talk with staff before making a decision. The first four weeks of the stay is a trial period to ensure the service is suitable. Initial assessments have been signed by the residents and record individual preferences in additional to personal care needs. One resident said “I looked at other homes before coming here. There’s nowhere better, it was so welcoming”. (Standard 6 is not applicable to this home). Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 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. 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. Residents’ lives are enhanced by care practices that promote their physical and emotional health. EVIDENCE: Care plans are in the process of being transferred to a new format that is comprehensive and well structured. The four care plans seen included information relating to significant life events, family history, all care needs, and action plans to remove or reduce risks. The related progress and evaluation records highlighted good outcomes for residents in areas such as increased confidence and mobility. Health needs are met, and there was evidence of independence being promoted with involvement from an Occupational Therapist or Physiotherapist as needed. Residents go to their GP, dentist or optician for appointments where possible rather than requesting domiciliary visits. Residents’ involvement in care planning was confirmed through discussions, records and minutes of residents’ meetings. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 10 Some examples of the comments made by residents regarding personal and health care were; “They look after your anxieties as well as your personal health”; “If you’re not well they really look after you and get the right people in”; “They talk to you before writing things down in your plan”; “They ask you all through the year if anything in your plan needs to be altered in any way”. Induction training for staff covers the principles of care, including respect and privacy. These principles were clearly reflected in practice, understood by staff and confirmed by residents. Medication is safely managed and residents may control their own medication if considered, following risk assessment, able to do so. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The quality of residents’ lives is enhanced by the promotion of fulfilling activities, personal choice and a varied and healthy diet. EVIDENCE: Discussions with residents and the activities co-ordinator confirmed that an excellent range of activities is offered based on personal choice. Some examples of activities are theatre visits, entertainers, horse riding, swimming, church visits, bowling, mystery tours, outing to the market, cafes, local shops and pub. There is also a weekly trip to the supermarket. Residents can pay a visiting beautician who carries out facials, head massage, waxing, manicures and pedicures. Residents are enabled to practice the religion of their choice through attendance at church and a variety of services at the home. Residents’ rights are promoted through the use of advocacy services when required, and each person’s individuality is valued. This was reflected in the comment by one resident, “I like doing my own thing. We’re all different and we can be different. That’s good isn’t it”. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 12 Other comments from residents were, “We have total choice over our routines ”, “Those of us with disabilities get all the help we need”, “The entertainment is terrific”, “What you take part in is entirely up to you”, “There’s lots of trips out”, “Someone reads the news out to us every morning”. Everyone was very positive about the quality of the meals and confirmed that the food is tasty, well presented, balanced, and the menus imaginative and varied. During lunch, residents enjoyed conversations with one another and with the staff, contributing to a pleasant and stimulating experience. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 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. 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 confident that any issue they raise will be dealt with promptly, and they feel safe and well cared for. EVIDENCE: Residents feel that their views are listened to, taken seriously, and inform the day-to-day running of the home. Information about making a complaint is made available to them, and regular meetings provide further opportunities to air opinions. One resident said “Anything you bring up is dealt with straight away”. Another said of the staff, “You can ask them about anything that is puzzling you. It makes you feel confident”. Records and consultation with staff confirmed the provision of adult protection training and an understanding of the procedure to be followed. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy living in a comfortable, clean and well maintained home that promotes their privacy. EVIDENCE: Each resident has their own flat, which has en-suite facilities, a kitchenette and small lounge area. Flats had been personalised to varying degrees by the residents occupying them. Full consideration of the particular needs of residents was evident throughout the environment. For example, different colour schemes in corridors to aid orientation, adapted bathing facilities, raised numbers on doors, and “bump-ons” on corridor rails to assist those who are blind to find their way around. The lounge television has audio description accompanying programmes, and a magnifying screen is available to help people to read documents more easily. Residents spoke highly of the cleanliness and of their living environment. Risk assessments and the required safety checks ensure that the premises are safe and suitable. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 15 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. The arrangements for employing and training staff are effective in ensuring that residents’ individual needs are met. EVIDENCE: Staff numbers on duty are sufficient to meet residents’ needs and the gender mix of staff allows for residents’ care preferences to be met. In addition to care staff, the service employs people responsible for housekeeping, maintenance, activities, laundry and catering. Recruitment procedures are safe and robust, with volunteers subjected to the same background checks as paid staff. The staff team reported good working relationships with one another and with the management team. Induction and training arrangements are comprehensive, with evidence of this clear in staff records and through discussions. Staff are encouraged in achieving NVQ qualifications and some of the topics covered in the training programme include health and safety, fire safety, adult protection, back care, first aid, visual impairment awareness, food hygiene and dementia care. There are regular staff meetings and each staff member has regular supervision meetings to discuss practice and their development needs. Residents spoke highly of the attitudes and skills of staff, with comments like they are “excellent, kind, caring”, “totally dedicated”, “respectful and trustworthy”, “the carers are wonderful; they never come to you without a smile”. A staff member said she received “loads of training” , and described her colleagues as “friendly and helpful”. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 16 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 and 38: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Effective management arrangements ensure that care practices promote residents’ rights and best interests. EVIDENCE: The Deputy Manager was in charge at the time of this visit. She demonstrated a high level of competence and experience in managing the service in the best interests of the people living and working there. The service has a quality assurance system in place that seeks and acts on the views of residents in areas such as housekeeping, personal care, staff attitudes and meals. Residents are informed of the results of quality monitoring exercises and the actions to be taken in response. An independent quality assurance validation took place in May this year and highlighted good outcomes for residents. Health and safety checks are in place to promote residents’ welfare and residents’ finances are suitably managed. Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 17 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 4 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? NA 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 Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Thomas Henshaw Court DS0000067930.V324478.R01.S.doc Version 5.2 Page 20 - 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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