Care Home: Cardinal Heenan House

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What the care home does well People that use services live in a welcoming and comfortable homelike care home, which has been improved to offer people more comfortable dining facilities. People receive a good standard of health care so they are supported to remain healthy safe and well and their health is promoted. We received comments form a health care professionals at the time we visited who said "This is a really friendly, relaxed and homely place to live. The staff are great, really good. They seek advice when they need it and do not use the doctors unnecessarily. They look out for things we ask them to and check on peoples skin and fluid intake and will complete fluid and food charts if we think they need to keep them". People that live at the home made positive comments about living at Cardinal Heenan House. A Person living there said, "I like the green house, growing vegetables and gardening which keeps me healthy as well as a walk to the pub". The personal care and health needs of people that use services are met to a good standard so they are supported to maintain their personal appearance and hygiene. Surveys returned to us before the visit made positive comments about living there. Comments received were ` I am treated with respect and love. There is always someone to talk to and put your mind at rest in any problems. Well done Cardinal Heenan House` and `I am very pleased with my care`. We also received comments from social and health care professionals that visit the home who commented, `Generally gives excellent personal care` and `Cardinal Heenan is a very nice home and all the staff are nice toward residents and visitors. Staff respect the residents` wishes. There is always activities going on for residents to join in. The food choice is very good and the meals are nice` The home provides staff with a training programme so staff were provided with training and support to do their jobs. There is a stable staff group who have positive attitudes to the people that live there so staff treat people with dignity and respect. Appropriate staffing levels are provided so people that use services were supported around their needs. What the care home could do better: Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices. The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their careunderstand how important peoples` daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. Staff should have safeguarding training at least every two years so they are able to recognise the indicators of neglect or abuse and understand their responsibility and accountability for reporting suspicions or allegations of neglect or abuse. Random inspection report Care homes for older people Name: Address: Cardinal Heenan House Don Orione Centre School Lane Roby Mill, Upholland Lancashire WN8 0QR three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anthony Cliffe Date: 0 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Cardinal Heenan House Don Orione Centre School Lane Roby Mill, Upholland Lancashire WN8 0QR 01695622885 01695627609 upholland@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sons of Divine Providence Trading As Orione Care Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 31 Number of places (if applicable): Under 65 Over 65 31 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 31 Date of last inspection Brief description of the care home Cardinal Heenan House is owned by the Sons of Divine Providence, and their head office is based in London. Care Homes for Older People Page 2 of 10 Brief description of the care home Cardinal Heenan House is set in a rural area of Roby Mill, which is approximately one mile from the village of Upholland where a number of local community facilities can be accessed. Within the home there is a large entrance hall, with seating. The home also consists of a chapel, a large open plan dinning room, with access to ground floor bedrooms and the first floor. There are two lounges on the ground floor, and access to the outside seating area. There are two toilets and a bathroom with an assisted bath also on the ground floor. The first floor consists of bedrooms, two bathrooms, and a smoking room. There is also bedroom accommodation on the lower ground floor. In total there are 32 single rooms with en-suite facilities. The home is registered to provide personal care to 31 older people. Information about the range of fees, facilities and services available at the home can be obtained by contacting the manager. Care Homes for Older People Page 3 of 10 What we found: This random visit took place on the 7th May 2010 and lasted three and a half hours. One inspector carried out the visit. We did this random visit which is a short focused visit to check compliance against The Care Standards Act 2000 and Care Homes Regulations 2001 to see if our judgement about the service made at the last key inspection is still correct. This helps us determine if the management of the home see the service they provide in the same way we do and if our judgements are consistent with home owners or managers. In the last two years we have completed annual service reviews which which told us the home was still providing an excellent service. An annual service review is a summary of our knowledge about how a service that has not had a visit in the last year is still performing. It is also how we decide if a service is still as good as we thought it was since out last visit or annual service review. During the visit various records were looked at as well as the premises. We spoke to people living at the home, staff and a visiting health professional and they gave us their views about living and working there. We looked at information gathered about the health needs of people living at the home to see how this was used to plan and provide the right care and support for people so their health was promoted and they received the right health care. We saw that information gathered about the needs of people that lived there was transferred into care or support plans. We could see that the home used a person centred approach but did not use a person centred plan. Person centred planning is a really good way for people that use services to take control of their lives. Person centred thinking helps staff that care and support people that use services to listen to them and then to get what they want. A person centred plan contains information on what is positive about people that use services for example what people like and admire about them and their gifts and talents. Information should be included about what and who is important to people that use services from their viewpoint, as well as what people want for their future. A person centred plan should have information about how people that use services want to be supported, so stay healthy, safe and well. This is called a support plan but may be called a care plan. This should be detailed enough to provide a living description of how people that use services want to be supported, how they make decisions and says who will do what by when. We could see that care or support plans were kept in the office so could not see how people were included or contributed to their care or support plans as they did not reflect peoples routines, decisions or lifestyle choices about how they wanted their care to be provided so staff did not always have personal information on which to provide individual care or their care based around their needs and choices. The care or support plans we saw were not individualised to people using the service and lacked information about their personal routines and choices about personal care or if Care Homes for Older People Page 4 of 10 they could help themselves. The care plans we saw said where people needed medical care and support and told us how people were supported to remain healthy safe and well. We saw information in care and support plans that guided staff about the health needs of people using the service. We saw positive outcomes when staff had requested help and advice from medical professionals. We saw that a person who had problems with nutrition and swallowing was able to be provided with a diet and the speech and language therapist had been involved in providing advice about nutrition and the safe way of assisting the person to eat and drink safely. This guidance was included in the care plan to assist the person to eat and drink safely so staff could ensure the person was not at risk of choking or breathing fluid into their lungs. We saw that when the home identified that another person had concerns over their mental health needs they sought advice from their doctor who requested that mental health professionals assessed the needs of the person. Surveys returned to us by people living at the home before the visits said they always or usually received the health care support they needed. We saw that staff treated people that use services with courtesy, dignity and respect and sought their views about how they wanted to be supported by asking them questions and saw staff help them make decisions. we did not see information in care or support plans about how people made decisions where they lack capacity, judgement or have sensory impairment which affects their ability to make or reason decisions so we could not see how staff were to provide support and assistance for people in the decision making process. Medication policies were detailed so staff had guidance on how to receive, store, administer, record and dispose of medicines safely. The home had a storage area for the safekeeping of medicines. The storage area contained the policies and procedures for medicine administration with specimen signatures for the staff responsible for the management and administration of medicines so staff were aware of their responsibility and accountability for managing and administering medicines. Storage included controlled drugs storage. We looked at how controlled drugs were received, recorded, stored and administered and found them to be managed safely so the policies and procedures of the home were followed. People that use services were able to manage their own medicines so had the choice to take them independently. During the visit we saw the complaints policy was available to people using the service and displayed for people using the service to see so they had access to it. The records we saw also contained a copy of the complaints procedure. We had not received any complaints about the home since our last visit and the home told us they had received none either. Before the visit people living at the home returned surveys to us and said they knew who to speak to if they were unhappy and how to make a complaint. Policies and procedures were in place to protect vulnerable adults called the safeguarding adults procedures. The safeguarding adults procedure is how we, the local council, police and other agencies respond to and manage allegations or suspicions of abuse against vulnerable adults. We spoke with staff who were able to tell us about their responsibility for recognising and responding to allegations of abuse and who they reported allegations to so people could be protected from potential further abuse. We saw that staff had training on safeguarding adults procedures in 2009 and 2010 but the records the manager showed us recorded some staff had not had training for three years so we could not be confident that all staff would understand their responsibility and accountability and Care Homes for Older People Page 5 of 10 how to report allegations of abuse or neglect. An example of this was that staff had recorded in September 2009 that a person living at the home had behaved aggressively to another and caused injury but there was no other records of this and staff on duty at the home could not recall the person ever showing aggressive behaviour to anyone. The manager is going to look into this so we can be confident that any matters that need to be reported under the safeguarding adults procedure are reported correctly. What the care home does well: What they could do better: Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices. The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care Care Homes for Older People Page 6 of 10 understand how important peoples daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. Staff should have safeguarding training at least every two years so they are able to recognise the indicators of neglect or abuse and understand their responsibility and accountability for reporting suspicions or allegations of neglect or abuse. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care understand how important peoples daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices. Staff should have safeguarding training at least every two years so they are able to recognise the indicators of neglect or abuse and understand their responsibility and accountability for reporting suspicions or allegations of neglect or abuse. 2 7 3 18 Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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