Care Home: Harbour View Nursing Home

What the care home does well The service continues to provide care and support for people in a warm, comfortable and homely environment. People living there are able to bring in their own things to make their rooms more personal and those bedrooms we saw had people`s own possessions and items of significance to them. The home is well maintained, with a clear maintenance programme and safety testing to keep people safe. The grounds are tidy and accessible to people living there. The communal areas are warm and welcoming and furnished withsuitable chairs for different needs and arranged in informal groups, we saw these areas are well used for group and individual activities. We observed and commented upon the calm atmosphere within the home and that there appeared to be a happy atmosphere and a good rapport between the staff and people living there. The nursing, care and activities staff try to make sure that there are plenty of opportunities for people to be involved in a wide range of activities in the home and there is a full activities programme. Individual recreational preferences are addressed with people to help them achieve or gain access to things they enjoy doing or that are important to them. The service has good systems in place for recruitment and training and this helps make sure that people are supported by the right staff who understand their needs. The management team have good systems for monitoring the home`s performance with regular quality audits and through consultation with the people living there and the staff working there. This helps to make sure they are meeting people`s expectations and helps show if they need to improve any aspects of the service to make it better or safer for people. There are effective complaints and safeguarding systems for the people living there and for staff to help sure that concerns and complaints will be taken seriously, investigated and action taken. The home has a competent management team that display a clear focus on maintaining high standards of care in the home and on supporting staff in professional development to improve the care they give. The home also maintains good working relationships with local doctors and specialist and district nursing services. The manager keeps CQC informed of any changes or incidents in the home and responds positively to the inspection process and any advice given. There is a good standard of catering in the home and menus show choice and availability of nutritious meals. The home is clean and tidy and systems are in place to minimise any cleaning issues such as odours. What the care home could do better: Harbour View has its own procedures in place for monitoring and improving practices. The manager acts on areas identified as needing improvement. We have found that the management team welcome suggestions that will help them improve their service to benefit the people living there and work well with other agencies to try to do this. We did not make any requirements at this inspection. Random inspection report Care homes for older people Name: Address: Harbour View Nursing Home Bransty Road Whitehaven Cumbria CA28 6HA three star excellent service 29/04/2007 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: Marian Whittam Date: 2 8 0 4 2 0 1 0 Information about the care home Name of care home: Address: Harbour View Nursing Home Bransty Road Whitehaven Cumbria CA28 6HA 01946599963 01946599964 Telephone number: Fax number: Email address: Provider web address: www.fshc.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Gillian Margaret McAllister Type of registration: Number of places registered: Conditions of registration: Category(ies) : Tamaris Healthcare (England) Ltd care home 50 Number of places (if applicable): Under 65 Over 65 6 50 0 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 50 The maximum number of service users who can be accommodated is: 50. The registered person may provide the following category of service only: Care home with nursing - Code N. 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, Dementia - Code DE, Physical disability Code PD. Date of last inspection 0 1 0 9 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Harbour View is a purpose built care home registered to provide nursing care for up to 50 residents from the age of 18 years. The home is built on Bransty hill overlooking Whitehaven harbour. There is a good-sized car park in front of the home. Accommodation is provided in single en suite bedrooms on two floors. The facilities are accessible and meet the needs of residents and aids and equipment are in place to assist where necessary. The current general scale of fees ranges from £422.00 to £625.00. There are higher rates for those with more complex nursing and personal care needs depending upon what they need to support them. Both groups may be entitled to a nursing care contribution for additional nursing care on top of the fees. Hairdressing and chiropody is not included in these fees. Information is made available on facilities and terms and conditions in the homes Statement of Purpose and Residents Guide. Care Homes for Older People Page 3 of 9 What we found: We made an unannounced random visit to this service on 28th April 2010 between the hours of 10.00 and 15.00. The current quality rating for this service is 3 star. This means that the people who use this service experience Excellent quality outcomes. We visited the home to undertake a random visit and assess and monitor how they were meeting key National Minimum Standards and make sure that there had been no decrease in the standard of service for people living in the home. Information about the service was gathered in different ways before our random visit to provide us with information for our visit: We (CQC) sent out an Annual Quality assurance Assessment (AQAA) to the home for the registered manager to complete and return to us. The AQAA is a self assessment and a dataset that is completed annually by all providers of registered services. The manager provided all the information we asked for. We sent out surveys to people living in the home to complete to get their views on the home and the service they received. We found that people living there had positive things to say about the service and the care they received. No one responding to our surveys had any negative comments to make about the standard of the care and support provided These comments included: Everything here is clean and comfortable. They do everything well, covers my needs. The activities are well arranged. We looked at all the information we have about the service before we visited and any changes they have made and how the management has dealt with any complaints or the safeguarding of vulnerable adults. We found ,during the visit, that there had not been any written complaints made in the last year but the manager did record verbal concerns or complaints made to her and investigated these. The records of these showed that the homes policies and procedures were followed and that action had been taken to address the verbal concerns raised. During our visit we looked at the policies and procedures for handling complaints and these were detailed and easily accessible in the home. The manager has not needed to refer any incidents for investigation under safeguarding procedures. We found that staff had been given training on this to help safeguard peoples interests and keep them safe. We found that staff working for the service had been through an effective recruitment procedure, based on equal opportunities to help ensure the protection of the people living there. Harbour View provides plenty of useful and accessible information for people thinking of coming to live there to help them make a decision. We found that people are also being well supported, through a planned admission process that is a process led by the individual and at their own pace. The senior staff and manager do individual needs assessment with people to provide a comprehensive assessment of individual needs and preferences so they know before people come to live there how a person likes to live their life. This also allows them to Care Homes for Older People Page 4 of 9 prepare peoples rooms with them and make sure any specialist support or equipment they may require is in place for them. We found there were 47 people living in the home on the day of our visit and they were being supported by suitably qualified and trained nursing and care staff. In addition there were maintenance, housekeeping, catering staff and the manager and her deputy were on duty. As we walked around the home we observed what was happening and spoke with some of the people living in the home, the staff and the registered manager. We saw that the home was running smoothly, people had been cared for that morning and were appropriately dressed and spending time in the lounges or in their bedrooms as they chose. We could see from records and care plans that people were having their needs assessed before they came to live in the home and that their assessments were used to start creating their care plans with them. We found that everyone living there had their individual health, personal and social care needs clearly identified in their individual plans of care. From these plans, observing and talking with people and assessing the recorded information, we could see that people were having their personal and health care needs attended to as they needed and wanted. There were clear records of visits by health and medical professionals and what had been done. We could see that people had been included in developing and reviewing their care plans and that they were being supported to keep their independence as much as possible. We carried out a pharmacy inspection to assess medication handling and management. We did a spot check of the medicines, we looked at storage, handling and records and how these were being monitored and managed. A mobile lockable drugs trolley was used on medication rounds and all medicines were stored securely. We found these to be of a good standard and subject to audit to make sure the homes procedures and best practice were being followed by staff. There was evidence of good practice with regards to checking prescriptions with doctors and hospitals on admission, double checking any changes to medication being prescribed and recorded on charts and clear instructions on giving as required medicines. Any variations in medication doses were recorded and the reasons why any medicine had not been given was clearly stated and what was done. We spoke with the activity co-coordinator and saw them at work with people living there. They continue to provide activities during the week, and we saw the flexible programme advertising these. We found that consideration and emphasis was being given to individuals personal aspirations and expectations. Detailed life stories and social assessments were in place and reflected what people said and records indicated was the case. We could see that people were being consulted on their social lives. When we talked to people they told us what they enjoyed and had been doing. What the care home does well: The service continues to provide care and support for people in a warm, comfortable and homely environment. People living there are able to bring in their own things to make their rooms more personal and those bedrooms we saw had peoples own possessions and items of significance to them. The home is well maintained, with a clear maintenance programme and safety testing to keep people safe. The grounds are tidy and accessible to people living there. The communal areas are warm and welcoming and furnished with Care Homes for Older People Page 5 of 9 suitable chairs for different needs and arranged in informal groups, we saw these areas are well used for group and individual activities. We observed and commented upon the calm atmosphere within the home and that there appeared to be a happy atmosphere and a good rapport between the staff and people living there. The nursing, care and activities staff try to make sure that there are plenty of opportunities for people to be involved in a wide range of activities in the home and there is a full activities programme. Individual recreational preferences are addressed with people to help them achieve or gain access to things they enjoy doing or that are important to them. The service has good systems in place for recruitment and training and this helps make sure that people are supported by the right staff who understand their needs. The management team have good systems for monitoring the homes performance with regular quality audits and through consultation with the people living there and the staff working there. This helps to make sure they are meeting peoples expectations and helps show if they need to improve any aspects of the service to make it better or safer for people. There are effective complaints and safeguarding systems for the people living there and for staff to help sure that concerns and complaints will be taken seriously, investigated and action taken. The home has a competent management team that display a clear focus on maintaining high standards of care in the home and on supporting staff in professional development to improve the care they give. The home also maintains good working relationships with local doctors and specialist and district nursing services. The manager keeps CQC informed of any changes or incidents in the home and responds positively to the inspection process and any advice given. There is a good standard of catering in the home and menus show choice and availability of nutritious meals. The home is clean and tidy and systems are in place to minimise any cleaning issues such as odours. What they could do better: 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 6 of 9 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 7 of 9 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 Care Homes for Older People Page 8 of 9 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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