Care Home: Hartwell Residential Home

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What the care home does well People only move into the home when there needs have been assessed and the staff know they can meet people`s needs. each person has a care plan that details the things they want and need and they tell staff what they need to do to help people to live a fulfilled life and what they need to do to help people stay safe. People are seen regularly by health care professionals to make sure they are as healthy as they can be and are not in any unnecessary pain. The medication system was well managed and monitored to make sure staff remained competent and to make sure any mistakes are highlighted quickly. People told us they were treated with respect and dignity. people spoke positively about the staff, told us they are caring, conscientious and very helpfully. Activities did take place and people could choose whether or not to take part. Contact with family and friends was encouraged and the home made efforts to build links with the community. People were encouraged to make everyday choices with assistance from staff where this was necessary. People told us the meals were excellent. They were offered choice and there was variety in the menu. People told us they had someone to talk to if they were not happy. Complaints were taken seriously and appropriate records were kept. There are procedures in place for reporting any allegations of abuse and staff understood the action they needed to take and what others should take. This made sure that people were protected. The home is well maintained clean and hygienic. Staff are safely recruited checks are carried out including references and criminal records checks. There is enough staff on duty to meet people`s needs staff are qualified, trained and supervised to make sure they have the knowledge and skills to meet people`s needs. The home is well managed by a competent manager who is able to motivate and support staff. The home is run in the best interest of people using the service,they are asked to comment on the service and influence the way the service is run. There are procedures in place to make sure people`s financial interest is safeguarded and staff work in a way that protects and promotes people`s health, safety and welfare. What has improved since the last inspection? The previous requirements regarding repairs to the building have been complied with. In the AQAA the manager told us about some improvements since the last inspection that included developing more person centered care plans, promotion of activities, redecoration, replacement of carpets and curtains, improved staffing levels and improved quality assurance. What the care home could do better: There are no requirements made following this inspection. In the AQAA the manager has identified areas they plan to improve over the next 12 months. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Hartwell Residential Home 117 Jumble Lane Ecclesfield Sheffield South Yorkshire S35 9XJ     The quality rating for this care home is:   three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Shirley Samuels     Date: 2 5 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Hartwell Residential Home 117 Jumble Lane Ecclesfield Sheffield South Yorkshire S35 9XJ 01142468422 01142466417 HartwellRH@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Care Homes No 2 Ltd care home 34 Number of places (if applicable): Under 65 Over 65 34 old age, not falling within any other category Additional conditions: 0 One specific service user under the age of 65, named on variation dated 6th February 2007, may reside at the home. Staffing levels must meet the Residential Staffing Forum levels required for older people. Date of last inspection Brief description of the care home Hartwell is a residential care home for older people; it is registered to provide personal care and accommodation for 32 service users. Hartwell is situated in the North of Sheffield in the district of Ecclesfield. Set back in its own grounds, off a country road and transport is needed to reach this impressive looking country home. However, amenities such as shops, libraries, church and local services are based in the near by communities of Chapeltown and Ecclesfield. The home comprises of two levels with lift access to the upper level. The home is Care Homes for Older People Page 4 of 25 Brief description of the care home accessible for wheelchair users. There are a number of lounges and dining rooms and the homes gardens are extensive with views across the countryside and the home has a car park. A copy of the previous inspection report was displayed and available in the foyer of the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The manager confirmed that the range of fees from 373.00 pounds-538.00 pounds per week. Additional charges included hairdressing, newspapers and private chiropody. Further information about the services provided and the role of the CSCI can be obtained from the home. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection carried out by Shirley Samuels on the 26/06/09 from 10:am-3:PM. The previous inspection at this service took place on the 02/07/07. As part of the visit we sought the views of the people using the service, their relatives, professional visitors and staff. Some people completed questionnaires before the inspection, others were spoken to on the day of the visit. We checked a selection of documents regarding peoples care and support staff records and records that show evidence of compliance with regulations and standards. Before the inspection the manager completed an annual quality asurance assessment (AQAA). This information provided by the manager tells us how the service has Care Homes for Older People Page 6 of 25 developed since the last inspection and what is planned to further develop the service over the next 12 months. 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 the report as recommendations- but only when it is considered that people using the service or not being put at significant risk of harm. In future if requirement is repeated, it is likely that enforcement action will be taken. We would like to thank everyone for their help and co-operation. What the care home does well: What has improved since the last inspection? What they could do better: There are no requirements made following this inspection. In the AQAA the manager has identified areas they plan to improve over the next 12 months. Care Homes for Older People Page 8 of 25 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People do not move into the home without having their needs assessed. Evidence: Since the last inspection the statement of purpose and the service user guide has been updated to reflect changes in the organisation. People told us they had been given written information about the home. copies were also seen in each of the bedrooms and displayed for people to look at. In the AQAA the manager told us they receive a care management assessment, copy of social services care plan, before an individual is admitted to the home. On each of the files checked there were assessments in place. Assessments were carried out by social workers and by the home. Staff confirmed that they received information about people before they moved into the home. This made sure that staff Care Homes for Older People Page 11 of 25 Evidence: had the information they needed to make a judgment about whether or not they can meet peoples needs. Care Homes for Older People Page 12 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are detailed in a care plan, their health care needs are met, the medication system is safe and people are treated with respect and their rights upheld. Evidence: Each person had a plan of care that detailed their care needs and the action that staff needed to take. Staff were trying to develop a more person centered approach to care planning and parts of care plans were written in the first person. people using the service and relative spoken to told us they are consulted about what is written in care plans and that they understood that care plans are in place to make sure staff have the information they need to meet their needs. Care plans were reviewed regularly and detailed changes in peoples needs aims and preferences. The records show that peoples health care needs are identified, they have access to health care professionals such as GP, district nurse, chiropodist opticians and dentist. Care Homes for Older People Page 13 of 25 Evidence: Relatives told us peoples health care needs are met and added that the staff always keep them up to date with any changes. We spoke to the district nurse on the day of the visit, she told us that the staff communicated well, worked well with instructions given to them about peoples care and provided a good standard of care. The home has a medication policy. Staff responsible for administering medication have received training. Medication is recorded administered and disposed of in a safe way and there are procedures in place for monitoring the medication system including peoples competence to safely administer. The records showed that people had their medication reviewed regularly and efforts were made to keep stocks of medication to a minimum. Staff were observed administering medication people were appropriately approached and supervised. This means that people are protected by the homes policies and procedures for dealing with medicines. We made observations of staff approaching people in a dignified manner. People were offered choices and were encouraged to be independent. People were seen laughing and joking and being relaxed around staff. There was lots of communication and banter between people using the service, visiting relatives and staff. Staff were able to give us examples of how they promoted peoples rights to privacy, respect, dignity and choices on a daily basis. People told us staff spoke to them in a respectfully manner, called them by the name they preferred and allowed them to make choices. This shows that people feel they are treated with respect and that their right to privacy is upheld. Care Homes for Older People Page 14 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities are provided contact with family friends and the community is encouraged and people are provided with a balanced diet that is pleasing to them. Evidence: The home employs an activities co-coordinator. The records show that activities are provided and people have a choice about whether or not to take part. People told us they enjoyed playing bingo, doing crafts, going out with family and friends. One relative told us the activities were poor. On the notice board there was information about activities provided. There was a visit to the coast arranged and a BBQ arranged with entertainer for the coming weekend. People were heard talking about this they were clearly looking forward to it, some family and friends also said they would be coming. In the AQAA the manager told us, activities are arranged through discussion with people, finding out their preferences, likes and dislikes. People are encouraged to take part in activities as it allows them to mix with others and build new friendships. Care Homes for Older People Page 15 of 25 Evidence: In the AQAA the manager told us we provided birthday celebrations for people and anniversary celebrations for any married couples. There is regular involvement with the local Church group, who visit every month and provided a communion service for people who wish to attend. Relatives told us they are able to visit at any reasonable time. they are always made to feel welcome and can see their friends or relative in private if they wish. people told us they are able to make choices about the way they spent their day and who to spend it with. They told us they were able to make choices about when to get up, when to go to bed, what to wear and who cared for them. Staff were observed encouraging choice. For people who were less able to make choices staff told us they made choices for people based on the information they had about them from relatives, from their own observations and from any clues in peoples behavior. This shows that people using the service are helped to exercise control over their lives. People told us the food was excellent this was supported by relatives. The cook told us that she has a lot of contact with people as she goes round each day to offer the choices for the next day and serves meals this makes sure that she has direct contact and receives comments first hand. Menus are displayed, tables are pleasantly set, meals are excellently presented and people who need support are offered this In a dignified and sensitive manner. The mealtime is not rushed and people have a pleasing mealtime experience. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are taken seriously and people are protected from harm and abuse. Evidence: The home has a complaints procedure. Each person has a written copy. People told us they had someone to talk to if they were not happy. There is a system in place for recording complaints. Records of complaints detailed the the complaint, the outcome of any investigation and the response to the complainant. The records show, there have been three complaints in the last 12 months. Since the last inspection the manager confirmed that there have been three safeguarding referrals. One was not accepted by social services as safeguarding and the home managed this through its internal disciplinary procedures. For the other two the outcomes are still outstanding and being investigated by the Sheffield social services. All staff have received training in adult safeguarding and were able to tell us the action they would take in the event of an allegation being made. This shows that home does take appropriate action when allegations are made and people are protected from harm and abuse. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained, clean and hygienic. Evidence: The home is well maintained , decorated and furnished. The records show that routine maintenance is carried out both internally and externally. peoples bedrooms are personalised and reasonably furnished. people told us they are happy with their bedroom and they are able to make choices about the decor. Lounges are light, bright and airy and there is a choice of areas for people to sit in. The home was clean and hygienic, the domestic staff told us they had the equipment and cleaning materials they needed to do their job and told us they felt able to keep the home clean and smelling fresh. There were no offensive odors on the day of the visit. The grounds of the home are well maintained with beautiful gardens and various sitting area including a summerhouse in the garden which was well used. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff on duty, they are qualified and trained to do the job and the recruitment procedures protect people from harm. Evidence: People told us that in the main there are enough staff on duty. Staff told us that usually there are enough staff, when people are off sick efforts are always made to try and cover the rota. Staff added that they work well as a team and cover for each other when necessary. The rota shows that required staffing levels are being maintained and that peoples needs are being met. The home has a robust recruitment procedure. We checked the file of three staff. These show appropriate checks are carried out including, checking application forms, criminal records check, interviews and taking up references, wherever possible from the previous employer. This shows people are supported and protected by the homes recruitment procedures and practice. The records show that staff receive regular training. Staff told us they had received training on moving and handling, first aid, dementia care, fire prevention, report writing and person centered planning. In the AQAA the manager told us that more than half the staff had completed or commenced on National vocational qualification Care Homes for Older People Page 19 of 25 Evidence: level 2 in care. This made sure staff have the support and training they need to do their job. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, people are able to comment on how the service is run, Peoples financial interest is safeguarded and peoples health safety and welfare is promoted and protected. Evidence: There has been a new manager appointed since the last inspection. Staff and people using the service spoke positively about the manager. They said she was approachable, hands on when needed and led very much by example. People told us they were able to comment on the way the service is run. Records show that meetings are held with people using the service,relatives and staff. A representative of the organisation carries out monthly audit visits to the home . During these visits staff people using the service and if available relatives are spoken to and asked to comment on the quality of the service. Care Homes for Older People Page 21 of 25 Evidence: There are procedures in place for the safe keeping of peoples money. People told us they were satisfied with the arrangements in place. Records were kept of income and expenditure and receipts were kept. All staff had received health and safety training. We observed good practice regarding moving and handling. Staff were able to tell us how they promoted health and safety on a daily basis. The home had a fire risk assessment, the majority of the staff received fire instruction twice yearly, fire systems including fire fighting equipment was checked routinely. Since the inspection the manager has confirmed that the three staff have now receive the fire instruction that was out of date on the day of the visit. The records show that the gas, electrics, lift and manual handling equipment is serviced regularly. The staff told us, where hazards are noted they are reported and addressed quickly. This shows the health safety and welfare of staff and people using the service is promoted and protected. Care Homes for Older People Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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, Care Homes 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 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 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. 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!