Care Home: Hamshaw Court

What the care home does well The home makes sure that there is enough information provided to people who are thinking about moving in to the home so they can make an informed choice about whether the home can met their needs and it is the right place for them. The home make sure that every one who is thinking about moving into the home are properly assessed so that their needs can be met and the staff can look after them properly. The home makes sure that there are enough activities going on for the people who live there to choose from and that they go out on a regular basis. They also make sure that relatives are made welcome and that they can see the people who live at the home in private if they want to. The home makes sure that the people who live there live in comfortable surroundings and that the home is clean and tidy. The makes sure that any prospective employees are properly checked before they come to work at the home, this ensures the safety of the people who live there. What has improved since the last inspection? The home has recently been taken over by new owners and this is the first inspection with the new owners. What the care home could do better: The home needs to make sure the senior staff have more training about how to make safeguarding adults referrals to the local authority. This will further ensure that the people are protected. CARE HOMES FOR OLDER PEOPLE Hamshaw Court Wellsted Street Hull East Yorkshire HU3 3AG Lead Inspector George Skinn Key Unannounced Inspection 09:30 17 September 2008 th 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 Hamshaw Court DS0000070675.V369245.R02.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. Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamshaw Court Address Wellsted Street Hull East Yorkshire HU3 3AG 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) 01482 585099 01482 585106 Minster Care Management Limited Sally Ann Eddom Care Home 45 Category(ies) of Dementia (45), Old age, not falling within any registration, with number other category (45) of places Hamshaw Court DS0000070675.V369245.R02.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 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 2. Dementia - Code DE. The maximum number of service users who can be accommodated is: 45 Date of last inspection Brief Description of the Service: Hamshaw Court is a care home registered to provide accommodation and personal care up to 45 people over the age of 65, some of who may suffer from dementia. Hamshaw Court is less than a mile from Hull City centre and is located in the Hessle Road shopping area of Hull. It is close to a range of shops, pubs, a post office, churches and leisure facilities and on a major bus route. The home has a well-kept enclosed garden with car parking space to the front and side. The majority of accommodation consists of self-contained flats with en-suite bathrooms and small functional kitchens. A small number of flats were designed for sharing by couples. There is a communal dining room, sitting room and quiet room. The home has a ground and first floor accessible by a passenger lift. The home will accept people who are privately funded and people who are funded by the local authority. The fees (weekly charge) range from £348.50 with a top up charge which can range from £10.00 up to £100 dependent on individual financial circumstances. Extra charges are made for items such as hairdressing, newspapers, chiropody and toiletries. Hamshaw Court DS0000070675.V369245.R02.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 that the people who use this service experience good quality outcomes. The key inspection has used information from different sources to provide evidence. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on an Annual Quality Assurance Assessment (AQAA) Comment cards returned from people who live at the home, relatives and staff A visit to the home carried out by one inspector. A site visit was carried out which lasted 5 hours. We spoke with the people who live at the home, their relatives and staff. Records relating to the people who live at the home, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The manager was available to assist throughout the day. What the service does well: The home makes sure that there is enough information provided to people who are thinking about moving in to the home so they can make an informed choice about whether the home can met their needs and it is the right place for them. The home make sure that every one who is thinking about moving into the home are properly assessed so that their needs can be met and the staff can look after them properly. The home makes sure that there are enough activities going on for the people who live there to choose from and that they go out on a regular basis. They Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 6 also make sure that relatives are made welcome and that they can see the people who live at the home in private if they want to. The home makes sure that the people who live there live in comfortable surroundings and that the home is clean and tidy. The makes sure that any prospective employees are properly checked before they come to work at the home, this ensures the safety of the people who live there. 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. Hamshaw Court DS0000070675.V369245.R02.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 Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. EVIDENCE: The home has recently changed ownership and we saw that the new owners had updated the Statement of Purpose and the Service User Guide. We looked at a sample of files which belonged to the people who live at the home and we saw that some of these contained copies of assessments undertaken by the placing authority and the home. Others were kept in a locked filing cabinet in the admin office. This assessment information is then used to write a care, or support, plan describing what staff need to do to look after each person. Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 9 The home does not provide intermediate care, which is a specialist service aimed at maximising people’s independence and return home after a hospital admission. Hamshaw Court DS0000070675.V369245.R02.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 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. EVIDENCE: We looked at four care plans, which belonged to the people who live at the home. We saw that personal support is provided in accordance with the care plan; these contained risk assessments around the area of falls, tissue viability, nutrition and diet. The new owners have put in place new care plans for all the people who live at the home. We saw that the people who live at the home can access healthcare professionals like doctors and nurses when needed, some people also have input from specialist nurses like community psychiatric nurses (CPN). Some Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 11 people have involvement with psychiatrists, specialist social workers, physiotherapist and dieticians. When we spoke with the staff they were clear about how to maintain someone’s dignity and uphold their rights. We saw that the staff were sensitive to peoples needs when undertaking any personal tasks and were sensitive and patient when dealing with those people who have dementia. At no time did we hear any of the staff using any derogatory language or belittling any one in any way. We looked at the way the home handles and stores medication. We saw that the way this was done ensures the safety of the people who live at the home. The medication was stored in the proper cabinets and secured in a separate storage area. The staff make sure that the pharmacist has supplied the correct medication when it is delivered and any mistakes are quickly rectified. The staff make sure that the recording of the medication is up to date and gives a clear indication that the medication has been administered. The recording also indicates when the medication has not been given and why. All of the staff who give out medication have had the proper accredited training and we saw certificates which confirmed this. Hamshaw Court DS0000070675.V369245.R02.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 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender including gender identity and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. EVIDENCE: When we spoke with the people who live at the home they said they could make choices about activities, food, how to spend their time and when to get up and go to bed. The home encourages contact with relatives and friends. We saw that visitors were made welcome to the home and had good relationships with the staff. Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 13 We saw that a selection of activities are arranged by the activities co-ordinator for the people who live at the home to take part in if they wish; these included reminiscence, one to one discussions, bingo, quizzes, table games, dominoes, crosswords and nail care. Advertisements around the home told us that that entertainers visit regularly and during the summer months trips out are booked, weather permitting. When we spoke with the people who live at the home about the food they told us it was very good. One person said “there is always plenty of it and there is always a choice”. Lunch on the day of the inspection was nicely presented and looked wholesome and nutritious. Staff helped those people who required assistance when eating in a relaxed unhurried manner. The cook told us that they had information and knowledge about peoples diets and had received the appropriate training. Many of the people who live at the home eat in their flats and the staff have a record of this to ensure no one goes without anything to eat. Hamshaw Court DS0000070675.V369245.R02.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 quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. If people have concerns with their care they, or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. EVIDENCE: Information provided prior to the inspection on the AQAA indicated that the home had received 1 complaint since the last inspection and this had been dealt with. The CSCI have received no complaints about the home since the new owners have taken over, or since the last inspection. The home has recently been the subject of 3 safe guarding adult investigation. All are currently under investigation by the Local Authority. At all times the home acted accordingly in reporting the instances as this ensures the safety of the people who live at the home, this is in accordance with the proper procedures. When we spoke with the people who live at the home they told us that they were aware they had the right to make complaints. They told us that they would talk to their key worker or approach the manager. The home has a policy and procedure for safeguarding adults and the staff interviewed were aware of this, all had received training about Protection Of Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 15 Vulnerable Adults (POVA). It is recommended that this updated, as some of the senior staff when asked about referrals were unsure. Hamshaw Court DS0000070675.V369245.R02.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 & 26 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. EVIDENCE: The home is large and purpose built. Each person has his or her own flat and this comprises of bathroom, toilet and lounge/bedroom. The flats are used by the people who live at the home to varying degrees dependent on their dependency on the staff. We saw some people spend a lot of time in their flats, others who were more dependent on the staff spent their time in the communal areas. This was so the staff could better monitor their safety and respond better to their needs. We saw that the home was clean and tidy and all areas were bright and welcoming. The people who live at the home have a choice of lounges and the Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 17 dinning room is large enough to accommodate people comfortably while eating their meals. The home provides private areas for people to receive visitors and people can use their rooms. The home have a separate activities room where activities such as bingo are undertaken, this means that those who want to join in can go the room and those who don’t are not subjected to activities which are not of their choosing. The home has the required amount of toilets and bathrooms for people to use and the ancillary staff do a good job in keeping the home clean and tidy. The home have mobile hoists which aid the staff to help any one who is at risk of falling, or have poor mobility, to move safely. Hamshaw Court DS0000070675.V369245.R02.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, 28, 29 & 30 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. EVIDENCE: There is a satisfactory staff rota in place that records the role of each member of staff. The staffing levels are based on the needs of the people who live at the home. There is a cook on duty each day as well as a kitchen assistant, and other ancillary staff. This enables care staff to concentrate on assisting people with personal and social care activities. There is a separate rota for night staff. Training records and information provided prior to the site visit on the homes AQAA indicated that that more than 50 of the staff are trained to NVQ level 2 which includes training on equality and diversity and an awareness of abuse. The recruitment and selection procedures remain robust and all checks are undertaken prior to staff commencing work at the home. The staff files looked at contained references from previous employer, an application form, which Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 19 identified gaps in employment, and a completed Criminal Record Bureau (CRB) check. There is a training and development plan in place that shows all staff have undertaken core training and that some staff undertake more specialised training such as Challenging Behaviour, Dementia, Palliative care and epilepsy. We saw that staff records include information about individual training achievements and a copy of training certificates is kept on their file. Staff have refresher training as appropriate to ensure that their skills and knowledge are kept up to date. All staff have received mandatory training in Health and safety, Manual handling, Basic Food Hygiene, First Aid and Fire; this is updated as required. Staff receive regular supervision and developmental opportunities are given for the staff to attend further training. When we spoke with staff they said they found the training excellent and where pleased that the new owners encouraged them to attend lots of training. They felt this gave them the skills needed to care for the people who live at the home. Hamshaw Court DS0000070675.V369245.R02.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 & 38 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection (CSCI) and holds the Registered Managers Award. When we spoke with the people who live at the home they said she was approachable and they felt confident that they could go to her if they had any concerns. The staff also said she was approachable and they could go to her for advice or guidance. Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 21 The people who live at the home are consulted on a regular basis about their satisfaction with the way the home is being run. An annual survey is made to determine people’s satisfaction with the care and services provided. The home has a certificate for the local authority quality development scheme. The AQAA completed by the home indicates all policies and procedures are reviewed annually and the manager confirmed changes are also made as necessary. The homes over all policy is for families to handle people’s financial affairs but they will assist if required. The home promotes the health, safety and welfare of people there and the staff. Mandatory training and updates are all taking place. All the relevant maintenance certificates were available for us to look at. We saw that all the appliances had been serviced since the last inspection. The AQAA returned by the home was comprehensively completed and showed that the home had plans for future improvement. It showed that the home had identified areas of improvement and were addressing these. Hamshaw Court DS0000070675.V369245.R02.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 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 3 X X 3 Hamshaw Court DS0000070675.V369245.R02.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. 1 Refer to Standard OP18 Good Practice Recommendations The home should make sure that the senior are staff have their POVA training updated. Hamshaw Court DS0000070675.V369245.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Hamshaw Court DS0000070675.V369245.R02.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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