Care Home: Harwich House

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What the care home does well The service continues to provide excellent opportunities for residents to have a good quality of life and encourages them to participate in any activities and attend college to maximise their independence and make the most of their abilities. Residents are encouraged to make choices and enabled to take risks within the auspices of risk assessment and are enabled to participate in any reviews and planning of their care which takes place. What the care home could do better: The service should ensure that all policies and procedures are updated and reviewed on a regular basis. Some polices notably those relating to emergencies and crisis and dealing with aggression have not been reviewed since 2008. The manager should ensure that regular auditing of medication continues to take place and that medication practices are scrutinised to minimise opportunity for error. Random inspection report Care homes for adults (18-65 years) Name: Address: Harwich House 8 Granville Road Littlehampton West Sussex BN17 5JU three star excellent 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: Elizabeth Dudley Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Harwich House 8 Granville Road Littlehampton West Sussex BN17 5JU 01903726224 Telephone number: Fax number: Email address: Provider web address: helen.askew@achuk.com www.achuk.com Name of registered provider(s): Name of registered manager (if applicable) Miss Helen Maria Askew Type of registration: Number of places registered: Conditions of registration: Category(ies) : Aitch Care Homes (London) Ltd care home 9 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 9 The maximum number of service users to be accommodated is 9. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Harwich House is owned by Aitch Care Homes (London) Limited that own and manage several other similar establishments in the Southeast of England. It is a care home registered for up to nine service users in the category LD (Learning Disabilities 18-65 years). The establishment is a spacious converted premises situated close to Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home Littlehampton town centre. Public transport services are easily accessible. Accommodation is provided over two floors and all rooms are single occupancy with en-suite facilities. The service is owned by AHC Homes. Mr Peter Flood is the Responsible Individual on behalf of the organisation. Ms Helen Askew is the Registered Manager in charge of the day-to-day running of the home. People interested in living in the home are referred through the adults services departments of local authorities and are provided with information about the establishment as part of the process of initial contact about living in the home that is usually made with the head office of the company that owns the home. The company has a web site that includes details about Harwich House. People likely to be moving into the home and their representatives are sent detailed and illustrated information about it and are invited to visit and spend some time there meeting people already accommodated. Details of fees charged can be obtained by application to the Registered Manager. The basic fee includes a minimum of 3 hours one-to-one staff support each day for every individual living in the home. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: This unannounced random inspection took place on the 8th April 2010 from 13:00 to 16:00 and was facilitated by the registered manager and members of staff on duty that day. During the inspection we looked at admission procedures including one preadmission assessment, care planning and risk assessments, accident records, menus, medication procedures, personnel files and recruitment systems and looked at all areas of the home including residents personal accommodation. Five residents and three members of staff were involved in the inspection. Residents were very positive about their experiences in the home, they described their relationship with staff as very good The staff are very nice to us and they care about us and said that they liked living at Harwich House. One recently admitted resident described the admission process saying that they had chosen the home and had been introduced to their key worker and other residents before they moved in. They had been made very welcome and all staff had ensured that they were aware of any routines in the home and made sure that they were comfortable and happy. Care plans and other documentation relating to residents care showed that residents are enabled to make choices and decisions and supported in this decision making process by staff and the risk assessment process. Residents said that if there was a reason that they could not do something, staff would talk to them about it and they would reach an agreement. There was evidence of the involvement of health care professionals as required and residents were able to attend appointments at the local hospital and supported with this. There have been some medication errors over the past twelve months, these have been reported to Care Quality Commission and there was evidence that the manager has ensured that staff involved have ongoing training and that there are regular audits taking place. All residents spoken with said that they enjoyed the food provided and had input into the menus provided. There was evidence of special dietary needs catered for and whilst residents have access to the kitchen facilities this is supported by full risk assessments and health and safety procedures taking place. Opportunities are provided for residents to take holidays accompanied by care staff and to participate in local activities within the town, some residents attend the local college and they are given every opportunity to develop social and personal skills. There was evidence that all staff were aware of each residents specific needs and preferences and that there was a good rapport between staff and residents. Staff said that they had sufficient training opportunities and confirmed that prior to Care Homes for Adults (18-65 years) Page 4 of 8 commencing at the home, full employment checks were undertaken and on commencing employment they undertook a full induction course. One member of staff who had been working for a number of weeks had not completed induction but the manager said this would be addressed. Over 50 of the staff have the National Vocational Qualification in Care at level 2 or 3. Personnel files showed that recruitment procedures were robust and safeguarded the residents. Residents said that if they had a complaint they would go to a member of staff and were comfortable with doing this and appeared confident that this would be addressed in an open and transparent manner. There has been one complaint which was unsubstantiated and one adult safeguarding. Confirmation over the outcomes of the adult safeguarding issue are awaited by The Care Quality Commission. All staff have received training in the safeguarding of those in their care and the manager has received training on Deprivation of Liberty safeguarding. There was evidence of appropriate fire safety equipment in the home and regular training of staff on procedures in the event of fire. The home continues to provide excellent outcomes for residents as identified at the last Key unannounced inspection of the 20th August 2007. What the care home does well: 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 Adults (18-65 years) Page 5 of 8 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 Adults (18-65 years) Page 6 of 8 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 Adults (18-65 years) Page 7 of 8 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 Adults (18-65 years) 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 Adults (18-65 years) Page 8 of 8 - 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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