Latest Inspection
This is the latest available inspection report for this service, carried out on 25th May 2010. CQC 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.
For extracts, read the latest CQC inspection for Harrison House.
What the care home does well We carried out case tracking for two people living in Harrison House. One person has lived in the home for a number of years. The other person was receiving a respite service in the home, which means they are living there on a temporary basis with a view to returning home. Respite provides a valuable rehabilitation service to people needing short term support in time of illness or crisis. We found that there are systems in place in the home, to assess and monitor the individual needs and choices of each person who lives there. Care records we looked at showed us that people`s care plans are reviewed and every month or more often if there is a change in the person`s condition. This means that a suitable service will be provided based on the individual`s current personal needs and preferences. There are systems for identifying and managing risks to people`s safety to help ensure their safety while living in Harrison House. We looked at records about health care support for individuals and found that promotion of health is taken seriously. Each person who lives permanently in Harrison House is registered with a local doctor of their choice. For people receiving a respite service, locum arrangements are made if their usual doctor is not based in the locality. There was good evidence that people have access to specialist health services and paramedical support as they need it. There is a system for managing people`s prescribed medication and the records and stocks we checked for two people were in order. The medication system is regularly audited by management to help ensure it is satisfactory and that medication will be given properly and safely. The medication procedure, (which gives guidance on medication for staff), was being reviewed at the time of the visit. It is best practice to review such procedures regularly to ensure they are up to date. Records showed us that staff have the skills and training they need to support the people who live in Harrison House. Most of the care staff have National Vocational Qualifications and electronic training records flag up dates when mandatory training needs updating for each staff member. Courses on areas, such as dementia and protection are provided to ensure staff skills will be developed in a way which protects the welfare of people who live in the home. We found that people`s privacy and dignity are respected in Harrison House. Staff have procedural guidance on confidentiality, rights and equality. People are accommodated in single bedrooms, which are highly personalised. People are able to choose where to spend their time as the home has a number of communal areas, including a large conservatory with beautiful views and access to the gardens. People appeared relaxed in their home and staff had enough time to spend with them discussing items in the daily newspapers. One person was entertaining visitors in the conservatory. People told us that they are satisfied with the service and that staff are friendly and helpful. They told us the food is good and they are offered choices and alternatives. There was good evidence in records that people`s spiritual needs are recorded so they can be given the opportunity and any help they need to continue to follow their faith if they wish. People are given a copy of the home`s complaints procedure when they move in. This means that they will know about their right to complain and that their complaints will be taken seriously. There is a system in the home for keeping records of complaints, the outcomes and any resulting remedial action taken. This is to ensure the service will be improved in line with the experiences of people who live in the home and their representatives. We found that the home has procedures and provides training in safeguarding and whistle blowing to protect people from harm or abuse. Staff spoken with had a good understanding of the procedures and of how suspected abuse should be reported for investigation. There was good recognition of people`s rights while living in a care home and staff have received training in deprivation of liberty to give them awareness of how people`s rights should be promoted in their home. There are good systems in the organization for reviewing the service regularly and auditing records for monies held on behalf of people living in the home. This is to help ensure that aspects of service such as medication, care practice, health & safety and finance management will be robust and in keeping with current best practice. Ten surveys on the quality of service in Harrison House were returned to us from people who live there. Most of the comments were positive and people told us they are well looked after and that staff are "Very good." "Very good at listening when I am not well." "I cannot think of what they could do better." "Everything is ok." "They look after us well." "I am quite happy. ". "The staff, from manager to domestics, look after us very well. I am (age) but my brain is still active so I can notice what is going on around me." Three people asked for more activities. "More entertainment." "More bingo." "Not enogh to do round here." What the care home could do better: During the visit we found evidence of a number of in house activities being available for people who live in Harrison House. However, in light of comments received in surveys we recommend that the range of leisure events on offer be reviewed to ensure the activities available suit service users` expectations, preferences and capacities. There is good evidence that the service is being regularly monitored by management, to ensure that it will develop and improve in line with current best practice guidance. Random inspection report
Care homes for older people
Name: Address: Harrison House Liverpool Road South Maghull Liverpool Merseyside L31 8BS two star good 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: Patricia Thomas Date: 2 5 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Harrison House Liverpool Road South Maghull Liverpool Merseyside L31 8BS 01515260564 Telephone number: Fax number: Email address: Provider web address: hhmanager@parkhaven.org.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Claire Louise Burgess Type of registration: Number of places registered: Conditions of registration: Category(ies) : Parkhaven Trust care home 24 Number of places (if applicable): Under 65 Over 65 24 old age, not falling within any other category Conditions of registration: Service users to include up to 24 OP. 0 The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home Harrison House is a care home for twenty four older people owned by Parkhaven Trust. The home is surrounded by extensive and well-maintained gardens. The service provides respite care and a permanent home, depending on the needs of the people who live there. Harrison House is situated in a residential area, close to bus routes and
Care Homes for Older People Page 2 of 9 Brief description of the care home with shops and restaurants in the general area. There are three ground floor bedrooms with a passenger lift to upper floors where the remainder of bedrooms are situated. Care Homes for Older People Page 3 of 9 What we found:
We (the commission) carried out a random inspection at Harrison House as part of our regulatory activities. This visit was just one part of the inspection. Some weeks before our planned visit, the manager was asked to fill in a questionnaire called an Annual Quality Assurance Assessment (AQAA). This document gives us information about how the home is meeting the needs of the people who use the service and includes plans for improvement and further development. We felt the form had been filled in with honesty and that a lot of effort had been taken to provide us with relevant and up to date information. We sent out surveys to people who live in Harrison House. Some of the responses we received in ten of the surveys returned to us, are included in the report. During our visit, which focused on standards relating to personal care and protection, we looked at records and walked around the home. We spoke with a number of people who live at Harrison House and staff who work there. They gave us their views about Harrison House and these are included in the report. We used a system called case tracking. This is a way of inspecting that helps us to look at services from the point of view of some of the people who use them. We track peoples care to see whether the service meets their individual needs. What the care home does well:
We carried out case tracking for two people living in Harrison House. One person has lived in the home for a number of years. The other person was receiving a respite service in the home, which means they are living there on a temporary basis with a view to returning home. Respite provides a valuable rehabilitation service to people needing short term support in time of illness or crisis. We found that there are systems in place in the home, to assess and monitor the individual needs and choices of each person who lives there. Care records we looked at showed us that peoples care plans are reviewed and every month or more often if there is a change in the persons condition. This means that a suitable service will be provided based on the individuals current personal needs and preferences. There are systems for identifying and managing risks to peoples safety to help ensure their safety while living in Harrison House. We looked at records about health care support for individuals and found that promotion of health is taken seriously. Each person who lives permanently in Harrison House is registered with a local doctor of their choice. For people receiving a respite service, locum arrangements are made if their usual doctor is not based in the locality. There was good evidence that people have access to specialist health services and paramedical support as they need it. There is a system for managing peoples prescribed medication and the records and stocks we checked for two people were in order. The medication system is regularly audited by management to help ensure it is satisfactory and that medication will be given properly and safely. The medication procedure, (which gives guidance on medication for staff), was being reviewed at the time of the visit. It is best practice to
Care Homes for Older People Page 4 of 9 review such procedures regularly to ensure they are up to date. Records showed us that staff have the skills and training they need to support the people who live in Harrison House. Most of the care staff have National Vocational Qualifications and electronic training records flag up dates when mandatory training needs updating for each staff member. Courses on areas, such as dementia and protection are provided to ensure staff skills will be developed in a way which protects the welfare of people who live in the home. We found that peoples privacy and dignity are respected in Harrison House. Staff have procedural guidance on confidentiality, rights and equality. People are accommodated in single bedrooms, which are highly personalised. People are able to choose where to spend their time as the home has a number of communal areas, including a large conservatory with beautiful views and access to the gardens. People appeared relaxed in their home and staff had enough time to spend with them discussing items in the daily newspapers. One person was entertaining visitors in the conservatory. People told us that they are satisfied with the service and that staff are friendly and helpful. They told us the food is good and they are offered choices and alternatives. There was good evidence in records that peoples spiritual needs are recorded so they can be given the opportunity and any help they need to continue to follow their faith if they wish. People are given a copy of the homes complaints procedure when they move in. This means that they will know about their right to complain and that their complaints will be taken seriously. There is a system in the home for keeping records of complaints, the outcomes and any resulting remedial action taken. This is to ensure the service will be improved in line with the experiences of people who live in the home and their representatives. We found that the home has procedures and provides training in safeguarding and whistle blowing to protect people from harm or abuse. Staff spoken with had a good understanding of the procedures and of how suspected abuse should be reported for investigation. There was good recognition of peoples rights while living in a care home and staff have received training in deprivation of liberty to give them awareness of how peoples rights should be promoted in their home. There are good systems in the organization for reviewing the service regularly and auditing records for monies held on behalf of people living in the home. This is to help ensure that aspects of service such as medication, care practice, health & safety and finance management will be robust and in keeping with current best practice. Ten surveys on the quality of service in Harrison House were returned to us from people who live there. Most of the comments were positive and people told us they are well looked after and that staff are Very good. Very good at listening when I am not well. I cannot think of what they could do better. Everything is ok. They look after us well. I am quite happy. . The staff, from manager to domestics, look after us very well. I am (age) but my brain is still active so I can notice what is going on around me. Three people asked for more activities. More entertainment. More bingo. Not enogh to do round here. What they could do better:
During the visit we found evidence of a number of in house activities being available for
Care Homes for Older People Page 5 of 9 people who live in Harrison House. However, in light of comments received in surveys we recommend that the range of leisure events on offer be reviewed to ensure the activities available suit service users expectations, preferences and capacities. There is good evidence that the service is being regularly monitored by management, to ensure that it will develop and improve in line with current best practice guidance. 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 1 12 The range of leisure events on offer should be reviewed to ensure the activities available suit service users expectations, preferences and capacities. 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. Care Homes for Older People Page 9 of 9 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
