Care Home: Hawthorne House

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What the care home does well People living at the home were happy to sit and talk with us. Comments received included " I like all the staff here, the food is good". And " They look after me well. People said they could choose how they wanted to spend their time, some people had gone into town shopping. Staff were looking at how they could help people develop their life skills and were finding out what people wanted to achieve, so that they could help them to develop the skills they needed to reach their goals. New activities were being introduced, staff were going with some of the residents to Wembly to watch the football at the weekend, this was very exciting for those who were taking part.We inspected on person`s care records, their care plans and risk assessments were clear and detailed. They were relevant to the person`s particular needs and lifestyle, this documentation was reviewed monthly and updated. This gives staff information about the care and support the individual requires, as well as the signs and symptoms the person may develop if they are becoming unwell, and what action staff must undertake if this were to occur. This helps to protect all parties. Requests from health care professionals for blood tests and for people to attend appointments are being acted upon to help maintain people`s health. Management are looking at how they can improve the service they offer, by recruiting more staff and they are wanting to appoint a deputy manager. They have clear ideas about what they need to do to improve the environment, and work has started on a redecoration and maintenance programme to make sure the home remains a pleasant place for people to live in. What the care home could do better: On one person`s care records the assessment of Mental Capacity Act Deprivation of Liberty Safeguards was out of date and there were inconsistencies in the paperwork on their file that made it unclear as to whether the person was under any Section of the Mental Health Act or Guardianship, and what this might mean for them and the staff. People`s Mental Capacity Act Deprivation of Liberty Assessments should be updated and it should be made clear whether people are subject to any restriction, such as the Mental Health Act, and what this means for the person and the staff looking after them so that all parties are fully informed. Some staff training records were inspected. In the staff surveys that we received a member of staff said " The company must provide more training about adults with learning disabilities". Some staff had not received moving and handling training or fire training within the last year which was the companies policy. Speaking with staff and considering the people who live in the home and their health, staff must receive training about the specialist needs of the people using the service, such as, learning disability, Down`s Syndrome, Autism and any other mental illness which a person living in the home may have. This will help to make sure that all parties feel supported. One new member of staff had commenced work at the home without two references being received. Two references must be gained for all new staff who wish to start work at the home and the information must be verified. The references must be available in the home for inspection to make sure that new staff are suitable to work in the care industry. Random inspection report Care homes for adults (18-65 years) Name: Address: Hawthorne House 133 The Village Strensall York North Yorkshire YO32 5XD 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: Denise Rouse Date: 1 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Hawthorne House 133 The Village Strensall York North Yorkshire YO32 5XD 01904499123 Telephone number: Fax number: Email address: Provider web address: kath.allan@milewood.co.uk Name of registered provider(s): Name of registered manager (if applicable) Milewood Healthcare Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : 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 who can be accommodated is: 9 The registered person may provide the following category of service only: Care home only - Code 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 - Code LD Date of last inspection Brief description of the care home Hawthorne House is a semi- detached property with gardens in Strensall, near York. The house is located within walking distance of local shops, and is close to transport links into York. Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home The home is registered to accommodate up to 9 adults who have a learning disability. Information about the services the home provides are made available to prospective clients and/or their representatives and to placing authorities though the provision of a written statement of purpose, service users guide and through inspection reports. Information about the current range of fees being charged can be gained by contacting the manager of this service. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The last key inspection of Hawthorne House took place on 7 September 2007. This is the report for a random unannounced inspection which was undertaken by two inspectors on 14 May 2010 between 10:40 and 13:05 hours. For this inspection we used the following evidence: Information received about the home since the last inspection from other organisations or persons, relating to concerns we had been told about and how they have been addressed. Previous reviews completed by the commission. Completed surveys returned by seven people living at the home and from eight staff who work there. The Annual Quality Assurance Assessment AQAA. This is a self assessment completed by the manager which give us some information about how they think outcomes are being met for the people who live there. During our visit to the home we looked around some of the environment including one persons bedroom and the kitchen and lounge area. We were shown the garden by people living at the home, we spent time sitting and talking with them and watched the general activity to get a feel about what it was like to live there. We asked people living in the home for their views they talked freely with us and some comments included I am happy here and The staff look after me. We also spoke with two members of staff who were on duty to find out their views. At the end of our visit we told the support worker in charge and the operations director what we had found. Overall the inspection showed that people were happy with the way they were helped and supported to live their lives. However we felt that there were some areas that could be improved upon to make sure staff received training, and to make sure that references for new staff were received and verified, to help protect people. Two areas of the AQAA had not been completed, one about infection control and the other about how the home deals with household chemicals. We asked the staff what measures they would take to maintain infection control and they were clear about how to protect peoples wellbeing. Household chemicals were locked securely away and people were supervised when using these products, to make sure their wellbeing was protected when cleaning. What the care home does well: People living at the home were happy to sit and talk with us. Comments received included I like all the staff here, the food is good. And They look after me well. People said they could choose how they wanted to spend their time, some people had gone into town shopping. Staff were looking at how they could help people develop their life skills and were finding out what people wanted to achieve, so that they could help them to develop the skills they needed to reach their goals. New activities were being introduced, staff were going with some of the residents to Wembly to watch the football at the weekend, this was very exciting for those who were taking part. Care Homes for Adults (18-65 years) Page 4 of 9 We inspected on persons care records, their care plans and risk assessments were clear and detailed. They were relevant to the persons particular needs and lifestyle, this documentation was reviewed monthly and updated. This gives staff information about the care and support the individual requires, as well as the signs and symptoms the person may develop if they are becoming unwell, and what action staff must undertake if this were to occur. This helps to protect all parties. Requests from health care professionals for blood tests and for people to attend appointments are being acted upon to help maintain peoples health. Management are looking at how they can improve the service they offer, by recruiting more staff and they are wanting to appoint a deputy manager. They have clear ideas about what they need to do to improve the environment, and work has started on a redecoration and maintenance programme to make sure the home remains a pleasant place for people to live in. 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 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 34 19 The proprietor must make 30/06/2010 sure that for all new staff two written references are received. The references must be verified before the person starts work. The references must be available within the home for inspection. To make sure that new staff are suitable to work in the care industry. 2 35 18 All staff must receive training 30/07/2010 in moving and handling and fire safety. They must also receive training about learning disabilities, Downs Syndrome, Autism and different kinds of mental illness. To make sure that all parties feel supported. Care Homes for Adults (18-65 years) Page 7 of 9 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 23 Peoples Mental Capacity Act Deprivation of Liberty Assessments should be updated and it should be made clear whether people are subject to any restriction, such as the Mental Health Act, and what this means for the person and the staff looking after them so that all parties are fully informed. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for 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 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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