Care Home: Hartshead Manor Nursing Home

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What the care home does well When people were asked, "What do you feel the home does well?" Comments include: "Make visitors welcome." "Really happy with the care my.... is receiving. The staff are allvery nice." "People are taken on outings." People said that they knew who to speak to if they had any concerns and that they were confident that any issues would be addressed. One visitor said they are "More than happy with the care and support provided." One person cared for in their own room said they "Have everything they needed" and the staff are "wonderful." Another said the "Meals are very good" and they have a "Choice." What the care home could do better: To make sure people receive the care and support they need and require staff should remember to check the care plans and risk assessments on a regular basis, and amend them if needed to reflect and show peoples changing care needs. The service providers should consider involving carers in the care planning and reviewing processes to give a more holistic view of people living in the home. This may help in showing peoples social needs and reflect people`s choices and preferences as well as their medical needs. The daily records would benefit from an increase in the use of descriptive words to reflect and show people`s choices , preferences and any decisions they make about how they live their daily lives. The Managers were aware of the areas that needed to improve and had already taken steps to address the issues identified. They agreed to send an action plan regarding the areas for improvement to show the steps taken to ensure that people`s needs are met and they are safeguarded from abuse. Random inspection report Care homes for older people Name: Address: Hartshead Manor Nursing Home 817 Halifax Road Hartshead Moor Cleckheaton West Yorkshire BD19 6LP 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: Karen Summers Date: 1 7 0 6 2 0 1 0 Information about the care home Name of care home: Address: Hartshead Manor Nursing Home 817 Halifax Road Hartshead Moor Cleckheaton West Yorkshire BD19 6LP 01274869807 01274852426 hartsheadmanor@rochehealthcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Hoodless Type of registration: Number of places registered: Conditions of registration: Category(ies) : Roche Healthcare Limited care home 55 Number of places (if applicable): Under 65 Over 65 55 0 0 old age, not falling within any other category physical disability terminally ill Conditions of registration: 0 5 5 Can provide accommodation and care for two named service users under 65 years From time to time the home is able to admit service users between the ages of 60 and 65 years, to a maximum of five in the home at any one time. Date of last inspection Brief description of the care home Hartshead Manor provides care and nursing for up to 55 elderly people of either gender. It was converted into a nursing home in 1989. It has many of the original Care Homes for Older People Page 2 of 10 Brief description of the care home features and it was formerly the manor house to Hartshead Moor, the original building dating back to Georgian times. There are gardens with open lawns that provide a level area of some 3 acres, easily accessible by foot or by wheelchair. The orchard and walled area have been preserved to provide shade in the summer from the sun and a sitting area when weather permits. The home is near to the major cities and towns of Leeds, Bradford, Halifax and Huddersfield, however it is set in a rural village offering all essential amenities. There are adequate parking facilities within the grounds and public transport is accessible, with bus stops located within five minutes walking distance from the home. The CQC were informed on the 17th June 2010 that the weekly fees range from £400.11 to £695. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Care Homes for Older People Page 3 of 10 What we found: This report refers to a random inspection visit by two compliance inspectors, to Hartshead Manor Care Home, on the 17th June 2010. As part of the inspection in order to provide information to help us form judgments about the quality of the service, the manager was asked to complete an annual quality assessment (AQAA). This document provided the Care Quality Commission (CQC) with a lot of information about the way the home is run, and what they hope to achieve in the future. During the visit we spoke with members of staff including the Manager and two Area Managers, people who use the service and a relative to obtain their views of how the service is run and the quality of care and support they receive. Samples of records were looked at including some care plans, and other records, including duty rotas, safeguarding procedure and staff training files. This is what we found: Health and Personal Care: Throughout the visit there was the opportunity to meet and speak with people living in the home. Some people were sitting in the lounges and others in their own rooms, and one person was sat outside enjoying the sunshine. Everyone without exception appeared to be well cared for, clean and appropriately dressed, having their hair groomed, and nails manicured. Carers had obviously taken time to ensure peoples clothing was colour co-ordinated and their clothing was observed to be clean and soft to the touch. Some people nursed in their own beds because they are very ill were observed to be comfortable and well cared for, and had clean sheets and appropriately placed pillows. A sample of peoples records including, assessments, care plans, risk assessments, reviews, medical and daily records show their care needs are set out in a plan of care. The care plans show staff what they should do to meet peoples personal care and support needs. To make sure peoples care needs are met the care plans are looked at regularly and amended if need be to reflect and show peoples changing needs. However, a number of gaps were noticed in some peoples reviews indicating that their care plans had not been looked at in May 2010 to see if peoples care needs had been met. They did show however, that they have been recently reviewed in June this year. A sample of peoples records show there is lots and lots of information contained in their files and this could be confusing. The Manager and visiting Area Managers said they are looking at ways of making peoples records simpler and easier to follow. Care Homes for Older People Page 4 of 10 It was also noted that peoples records are very medically orientated and less attention is placed on social aspects and peoples choices and preferences. The Manager said that currently only the nurses complete and review care plans and write daily records. The Area Managers said they are currently looking at ways of involving senior carers in the care planning and reviewing processes. Complaints: The complaints procedure is displayed in the entrance area to the home, and they was also information relating to local advocacy services should people who use the service or their relatives wish to use it. People who were spoken with on the day were aware of the procedure and said that the manager had spoken with them and they were confident that any issues they may have would be addressed. Adult Protection: The home has a copy of the Local Authorities Adult protection policy and the Area Manager said that the company were in the process of reviewing their procedure. There have been several incidents over the last few months that have been referred to the Kirklees Safeguarding (adult protection) team which have yet to be concluded. However, discussion with the Manager and Area Managers, show that the home has been working alongside health care professionals to prevent further similar incidents from occurring. There was evidence in the training records to show that staff has safeguarding (adult protection) training that provides information on how to protect people from abuse. The managers also provided information including dates to show when all the staff last attended safeguarding training and when the next annual update would be. Environment: As part of this inspection a tour of the home took place, which included the communal areas and a number of bedrooms. The home continues with the redecoration programme and this was evident on the day of our visit. However the main corridor carpets were showing signs of wear and the ground floor corridor carpet was heavily stained. The carpets in these areas were discussed with the managers and recommended that they be replaced. Staffing: There were forty four people living at the home on the day of our visit. (Nineteen people receiving residential care and twenty five receiving nursing care.) The duty rotas were looked at and show that there is sufficient staff to meet the needs of people living in the home and the Manager confirmed this. Care Homes for Older People Page 5 of 10 On the day of the visit there was enough staff observed to be available to meet peoples care and support needs in a relaxed and unhurried manner. However, there had been several days in May and June when the staffing numbers had dropped due to sickness and the home were not able to maintain staffing levels. When looking at the numbers of people who were in residence on those days it became apparent that the home still had the number of core staff that was needed to care for people on the majority of the dates. The rotas were discussed and the Managers said that they have recently recruited five more carers to ensure that staffing levels were maintained at all times to ensure that peoples needs were met. The Area Managers said that staffing/skill mix of staff was being reviewed and they were in the process of employing a Deputy Manager to assist the Registered Manager in the day to day running of the home. The Registered Manager is full time and supernumerary, and the Deputy will also have eight hours supernumerary each week to undertake audits, care planning processes etc. The Managers also said that they would be recruiting a senior Residential Care Manager who will be responsible for overseeing the care of the residential clients, with the Registered Manager having overall responsibility for the home. Call System: During the visit the call bell rang for long periods of time. We observed staff responding to the bell and it became evident that a number of people were using the call bell at the same time. However, one of the staff said that one of the bells has to be reset from the en-suite of a particular room and until she was made aware of this the alarm would not cancel when she answered it. This was discussed with the manager and the need to ensure that all staff knows how to reset the particular call bell and that should there be a problem with the equipment then it should be properly repaired to ensure that it is in working order. Management and Administration: Training records show that staff who give medication to people have had training in how to do this safely and have also been booked to attend further update training. This is to ensure that staff are kept up to date and people are protected by promoting good practice. In addition, the information, including training records, showed that staff attend annual movement and handling training to ensure the correct procedures are followed and to make sure people living in the home and those caring for them remain safe. What the care home does well: When people were asked, What do you feel the home does well? Comments include: Make visitors welcome. Really happy with the care my.... is receiving. The staff are all Care Homes for Older People Page 6 of 10 very nice. People are taken on outings. People said that they knew who to speak to if they had any concerns and that they were confident that any issues would be addressed. One visitor said they are More than happy with the care and support provided. One person cared for in their own room said they Have everything they needed and the staff are wonderful. Another said the Meals are very good and they have a Choice. 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 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 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. 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 10 of 10 - 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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