Care Home: Havenfield Lodge

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood Hall
• Muston Road (70)

What the care home does well The home provides a pleasant atmosphere where staff know how to meet needs of people with learning and physical disabilities. Staff have an excellent rapport with people using the service and this creates an open and positive environment. People can participate in a wide range of activities both inside and outside the home. One person said "I am going on my holidays today, I can`t wait." Comments include: "I`m happy here I don`t want to leave. The staff are excellent." "The service gets top marks from all our family." "Staff treat each resident as an individual." What has improved since the last inspection? The recruitment procedure is more robust with employment gaps been reviewed to ensure people are suitable to work in the home. Care plans have been reviewed, more activities are offered and certain parts of the home have been redecorated. What the care home could do better: The dining area could be improved. This includes the tables, chairs and paintwork. The medication room could be more secure and only used for the purposes of storing, recording and disposing of medication. This would prevent errors occurring. Risk assessments could be reviewed on a more regular basis. This would help identify any changes. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Havenfield Lodge Highfield Road Darfield Barnsley South Yorkshire S73 9AY     The quality rating for this care home is:   two star good 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: Jo Bell     Date: 2 9 0 9 2 0 0 8 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. the things that people have said are important to them: They reflect 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 Adults (18-65 years) 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 Adults (18-65 years) 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 © (2008) 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Havenfield Lodge Highfield Road Darfield Barnsley South Yorkshire S73 9AY 01226753111 01226757483 donna.holmes@sunhealthcare.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Donna Yvonne Holmes Type of registration: Number of places registered: Sun Healthcare Limited care home 46 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home Havenfield Lodge provides nursing and personal care and accommodation for adults with physical or learning disabilities. The home is located in the Darfield area of Barnsley, close to the countryside and within easy access to local shops, a church and public house. The building has two levels with lift access to the first floor; there are ramps and handrails situated around the home and easy access to the gardens. There is an enclosed well-maintained garden at the centre of the building; this has been designed for people with sensory needs. All bedrooms are single, two with en-suite facilities. Two bedrooms have kitchen facilities. Communal rooms are spacious and suitable to accommodate wheelchair users. Prospective residents and their families can get information about Havenfield Lodge by contacting the manager. The home will Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 0 43 46 Brief description of the care home also provide a copy of the statement of purpose and the latest inspection report. Information can also be found on the homes website. Care Homes for Adults (18-65 years) 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. 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 this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. We went to the home without telling them that we were going to visit. This report follows the visit that took place on the Monday 29th September 2008. The visit lasted Care Homes for Adults (18-65 years) Page 6 of 25 for 5.5 hours from 9.30 until 15.30. The purpose of the visit was to make sure that the home was operating and being managed in the best interests of people living there. Information has been used from different sources for this report. These sources include- Reviewing information that has been received about the home since the last inspection. Information provided by the manager on an Annual Quality Assurance Assessment questionnaire. Surveys returned from fourteen people who live at the home, eight relatives and three health professionals who visit the home. Information from the Annual Service review During the visit time was spent talking to people who live at the home, care staff and the deputy and assistant manager. We observed staff caring for people in communal areas, looked at various records relating to care, staff, and maintenance, and looked at some parts of the building. The manager was available for the site visit and the findings were discussed with her at the end of the inspection. The weekly fees are variable depending on the assessed needs of people. They currently range from 700-1200. Extra charges are made for chiropody, hairdressing and newspapers. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Peoples needs are properly assessed before their admission so both the person and the service could feel confident that the placement is suitable Evidence: The admission process involves the manager visiting people in their own environment beforehand to carry out an assessment of the persons needs. This forms the basis of the persons care plan. Information is obtained from other sources such as placing authorities to support the home in their decision-making about whether they have the skills and resources to meet the persons needs. People who are thinking about moving into the home and their relatives are invited for a visit before any decision is made about whether they move into the home on a permanent basis. Three plans were inspected and these all contained detailed information relating to social, health, medical and financial needs. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. Peoples care is well planned with involvement from people using the service, clearly recorded and effectively delivered. Evidence: Each person has a care plan that describes their individual needs and how these are to be met. The care plans focus on various aspects of daily living and detail how the person wishes to be supported with their needs where this is possible. Three care plans were inspected and these explain such things as how best to communicate with person, their food likes and dislikes, activity preferences and how people wish for any inappropriate behaviour to be managed. Individual risk assessments were in place to identify any risks to people in their daily lives. This included information such as moving and handling, prevention of pressure sores and risks relating to falls. The plans showed how decisions have been made where people could be restricted in what they can do. The risk assessments were detailed but some had not been reviewed since May 2008. Staff need to have up to date information on every person regarding risks. Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: Throughout the day of the visit staff were seen to involve people in decision-making where possible. One comment was Im happy here I dont want to leave. Another person said I can do what I want, when I want to. The home is able to look after peoples personal money as needed. Records are kept when any money comes in and goes out. It was evident that on one occasion a small amount of money was signed out before it was given to the person. The home also have a system in place where a bank account is used to keep personal monies, the administrator had a robust system in place to ensure this was well recorded and maintained. This helps prevent financial abuse occurring. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. Peoples rights and responsibilities are recognised, individuals are part of the community and strong links with family and friends are encouraged. People enjoy the food and drink they are served and good interactions take place. Evidence: People using the service participate in a range of activities. One person said I go to college and learn cooking, another person said I am learning to use the computer. People take part in drama, art and music workshops. One person was getting a bus to the college and staff were aware of the potential risks involved. Some people complete numeracy courses, others can participate in relaxation classes at the home, gardening or going out to the pub. The home was very busy with a group of people getting ready to go on holiday to Skegness. People discussed having visitors and staff spoken with were aware of the need for people to maintain family links. Staff also discussed Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: equality and diversity issues and how they manage different types of relationships, different religions and cultures. The lunchtime meal was observed, people were enjoying the food and drink provided in a pleasant environment, though some tables and chairs need replacing (see Standard 24). A choice of food is offered and staff discuss the menu with people and find out peoples likes and dislikes. People were observed been given assistance in a dignified manner, staff wear protective clothing and tables are laid with flowers on the table and tablecloths. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the support they need regarding health and personal care. Though the medication system needs to be more secure so people are not put at risk. Evidence: People have their personal and health needs clearly documented in individual care plans and these are well met. People looked clean and well cared for, staff understand how to care for people with physical and mental health needs. One person in a wheelchair said I am well looked after, four other people spoken with all confirmed how much they like living in the home and how staff treat them with dignity and respect. People are well supported with daily routines. Everyone spoken to confirmed that they have their own routine where they can get up and go to bed when they want. Staff very clearly are guided by the people using the service as to what happens each day. The medication system was inspected, the medication charts were completed with dates and times of when medication was administered. Some people self medicate and staff know which these people are. Staff have undertaken training in this area and Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: were aware of how to store medication. It was evident that more stock balances are needed. Two different tablets were checked against the amount in the box and the amount on the medication chart administered. These did not add up and it was unclear when the errors had occurred. The medication room was large and whilst it should be used for the purpose of storing medication it was evident that the room was used for storing other items. For example food and drink, suntan lotion, handbags, cigarettes and money. People using the service were observed coming in and out of this room at frequent intervals asking for a range of items. During this time a registered nurse was in the room at all times but as the room was so busy it would be difficult to watch the medication at all times. This was further evident by the storage of medication on open shelves. Some items had expired, and dressings stored in boxes did not consistently have a persons name on. These issues need to be addressed. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. Peoples concerns are listened to and acted on and systems are in place to safeguard people from abuse. Evidence: People are aware of how to complain. Throughout the visit staff were observed interacting well with people using the service. Staff were checking if people were happy and how they were. A complaints procedure is in place and the manager is aware of her responsibilities regarding he action to take if a concern or complaint is raised. In the last twelve months there has been one safeguarding issue and one complaint raised regarding care practices. These were not substantiated and were dealt with effectively. Staff spoken to had undertaken abuse awareness training and were knowledgeable about the different types of abuse and who they would report any incidents to. People said they felt safe in the home and would be happy to talk to staff if they had any issues. Care Homes for Adults (18-65 years) 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 clean, and comfortable though aspects of the environment need improving. Evidence: People enjoyed living in the home, it was warm and pleasant smelling with communal areas suitable for people with physical disabilities to effectively manage their wheelchairs. One area had recently been refurbished, this had wood effect flooring, light coloured walls and suitable lighting. People with challenging behaviour resided in these rooms. One person with learning disabilities said I love my room, another person said its great living here. The home have a rolling programme of redecoration, however one of the large dining areas had very worn tables and chairs, and the paintwork needed updating. The manager confirmed there are plans to redesign this area with the help of local students. It was unclear what the timescale for this was. Once this area is improved it will enhance the dining experience for people. Staff confirmed they have completed infection control training and throughout the visit staff were seen washing their hands and wearing protective clothing. Individual bedrooms are personalized and the home has a welcoming and pleasant atmosphere. Care Homes for Adults (18-65 years) Page 18 of 25 Care Homes for Adults (18-65 years) Page 19 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 receive good support from staff who are competent, well trained and safely recruited. Evidence: People are cared for by enough staff who know how to meet individual needs. New staff are only confirmed in post following satisfactory police checks. Three staff files that were looked at contained evidence that application forms had been completed and references obtained as part of the recruitment process. Employment gaps are reviewed and checks to ensure people are safe to work with adults are routinely in place. The majority of staff have either completed or are doing the National Vocational Qualification (NVQ). This helps to ensure that people are receiving care from staff with the right skills and knowledge. Staff said that they receive good training to support them in providing care to people. This includes people with learning disabilities and physical disabilities. Staff have received dementia awareness training as some people have challenging behaviour. As seen at the time of the site visit, new staff have a full induction before they are expected to carry out any tasks they are unsure of. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 run and there are systems in place to improve the service and keep people safe. Evidence: The manager is extremely competent, knowledgeable and approachable. People are happy to discuss the home with the manager and how improvements can be made. The manager is aware of the changing needs of this client group and understand that routines are flexible and vary each day. A quality assurance system is in place where views and opinions are sought from people. Meetings take place between people using the service and staff and discussions regarding activities, food, and the environment. People are asked how they would like their room decorated or the colour of the paint and carpet they would prefer. This helps people feel part of the home. Audits are in place relating to health and safety, care plans, accidents and risk assessments. The home is a safe and staff attend fire safety training, moving and handling, infection control and food hygiene. The fire alarm was activated during the site visit and staff Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: were aware of the action needed (this was a false alarm). Water temperatures are taken and the electrical wiring and gas safety certificates were checked to ensure the home was safe. Staff were observed moving and handling people using different equipment, this was done in a dignified and safe manner. Policies and procedures are reviewed on a regular basis and the manager is well supported within the organization. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 1 24 23 A plan of refurbishment 29/11/2008 must be forwarded to The Commission. This specifically relates to the dining areas. People must live in a pleasant environment with a good standard of furniture provided. 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 9 People should have their risk assessments reviewed on a more regular basis. This will identify any changes to care practices that are needed. Medication needs to be stored as securely as possible and any risk from storing other items and having different people using this room should be reduced. 2 20 Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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 Adults (18-65 years) 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!