Care Home: Hazelgarth Lodge Residential Care Home

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What the care home does well This home provides a good service in comfortable and homely surroundings. The needs of people coming to live at the home are well assessed and the manager makes sure that the care offered meets changing needs. The home assists people to carry on with their interests and hobbies, visitors are always welcome and the meals are very good. One visitor said: `They ask me if I want to stay for lunch and when I do it is always lovely food.` The manager is effective and approachable, he responds well to complaints and puts things right quickly. The home is well staffed and staff have up to date training for their role, to make sure people get the care they need. The home has good health and safety procedures to keep people safe. What has improved since the last inspection? The home improves the decor on a rolling programme. Activities on offer have improved, with entertainment being brought into the home regularly. The manager has developed policies and procedures and the way in which care plans address the detail of people`s needs has improved. Staff have received training in the awareness of abuse and all were more aware of what might constitute abuse and how to recognise it. The manager has completed his Registered Manager`s Award since the last inspection. What the care home could do better: The way in which supervision is conducted could be improved to include an interview with each member of staff about best practice and career development needs. Medication details should be written onto care plans to reinforce medication needs with staff offering care. Where verbal references are received these must be written down. Each member of staff must have two written references. The manager identifies required improvements through the quality assurance system and creates a plan to address these. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Hazelgarth Lodge Residential Care Home 62 Stonegate Hunmanby Filey North Yorkshire YO14 0PP     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: Karen Ritson     Date: 2 7 0 1 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 22 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 22 Information about the care home Name of care home: Address: Hazelgarth Lodge Residential Care Home 62 Stonegate Hunmanby Filey North Yorkshire YO14 0PP 01723890945 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) : James Anthony Harrison care home 11 Number of places (if applicable): Under 65 Over 65 11 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 11 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 primaray care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP Date of last inspection Brief description of the care home Hazelgarth Lodge is a home located in the centre of the village of Hunmanby, conveniently placed for shops, doctors surgery and transport routes. The home is all on one level, with en suite rooms leading off a corridor. Most rooms have patio doors which look over pleasant gardens. There is an electrical assisted bath, two lounges and a dining room for the use of residents. The home caters for older people who require assistance with personal care. It is managed and owned by Mr James Harrison. The home has a statement of purpose and service user guide which give details of the range and capacity of the service on offer. People are welcome to look around prior to making a decision about admission. The latest CSCI report is available at the home on Care Homes for Older People Page 4 of 22 Brief description of the care home request. Fees charged are between £350 and £500 depending on care required. Hairdressing and newsapers are charged for separately. Care Homes for Older People Page 5 of 22 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 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: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection for this service took twelve hours. This includes time spent gathering information, examining documentation before and after a site visit. It also includes the time taken to write the report. The site visit took place on 27th January 2009 between 9:30 and 15:30. Information for this inspection was gathered from the following: 1. A visit to the home. 2. Speaking with people living at the home. 3. Speaking with staff. 4. Speaking with relatives, and others. 5. Speaking with Adult and Community care staff. 6. Case tracking three people on the day of the site visit. 7. Reading survey forms from people living at the home and staff. 8. Looking at information provided by Care Homes for Older People Page 6 of 22 the manager prior to the site visit. 9. Notifications sent to the commission from the home since the last inspection. 10. Examining policies, procedures and records kept at the home. 11. Examining information regarding the home on the file kept by CSCI. All key standards were looked at during this inspection. The owner was available throughout the day of the site visit. 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. 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.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 8 of 22 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 9 of 22 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 have their needs assessed prior to admission and their care needs can be met. Evidence: The manager conducts a pre admission assessment of care needs, which covers all required areas of care with risk taken into account where necessary. This ensures that the home is able to meet care needs before offering a place. People living at the home said they had been offered the opportunity to visit the home and that the manager had been very welcoming and clear about what the home could offer. This ensures people have the correct information needed to make a decision about admission. Care Homes for Older People Page 10 of 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in decisions about their lives and they have their care needs met. They are treated with respect and dignity. Evidence: Each person has a personal history on file, so that the manager and staff have information about the persons life and what interests they may have. Each has a care plan where risks in relation to areas such as falls, pressure, continence and specialist areas are recorded when needed. Weight records are kept when this needs to be monitored. All health care and other appointments are recorded so that it is easy to see the health care offered to each person. Notes are written three times a day and contain useful and relevant observations. Each care plan would benefit from containing the medication prescribed for each individual, to ensure that staff know what each person should be taking, to minimise errors. Care plans are regularly reviewed and kept up to date with changing needs. GP and other specialists are consulted when needed. Medication is well handled and recorded. This ensures people remain safe from errors of administration. People said the staff were particularly courteous and Care Homes for Older People Page 11 of 22 Evidence: kind and were very respectful regarding privacy. Care Homes for Older People Page 12 of 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices about their life style. Social, cultural and recreational activities meet individual expectations. Evidence: The manager records the interests of people coming to live at the home, and makes efforts to ensure that people can continue to enjoy hobbies and activities they wish to. The home employs outside entertainment who carry out chair exercises and sing alongs for people. The staff play reminiscence games and several of the people living at the home are reasonably independent and can follow their own interests. One person enjoys knitting, another regularly visited the local pub until recent ill health called a temporary stop. Most of the rooms look out over gardens and some residents enjoy watching birds coming to feeders and have tubs and plants to tend on their individual patios. People have televisions in their rooms and many have newspapers delivered. A hairdresser visits the home regularly and people said they enjoyed chatting with her. On the day of the site visit, the atmosphere was relaxed and friendly with people chatting between themselves and the staff, planning outings and generally enjoying a friendly and inviting home. Visitors are welcome at any reasonable hour Care Homes for Older People Page 13 of 22 Evidence: and several called during the day. One said that the manager and staff were always very welcoming and that she was offered refreshments and meals which were a very good standard. There is a set menu for the main meal of the day, with alternatives available. All people said they enjoyed the traditional choices and they could talk to the manager about varying what was offered. The cook , who has food hygiene training, produces meals from fresh produce and has minimal use of convenience food. None of the current people need a specialist diet though the home has dealt with specialist needs before and could do so again. Care Homes for Older People Page 14 of 22 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. People have their complaints dealt with and resolved. They are protected from abuse. Evidence: The home has a complaint policy and procedure. The manager carries out regular surveys and visits people in their rooms every day to give them the opportunity to say if there are any problems. A visitor said he was very understanding and if there was ever a problem he would put it right straight away. She also said she could speak with any of the staff, as they were all good at listening and sorting out niggles. The home has an abuse policy and procedure and all staff have had abuse awareness training. The manager said he had a policy of changing the routine of which member of staff attends each person to give the best chance that any injuries could be detected early and that people had a choice of who to speak to if there was a concern. This ensures peoples welfare is protected. Care Homes for Older People Page 15 of 22 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. People live in a clean, well -maintained home they find pleasant to live in. They have a good laundry service. Evidence: The home is arranged on one level. It is well decorated, with most rooms looking out over gardens. All rooms are en suite and an assisted bath is available. People said they liked the home and that it was small enough to feel homely. There is a dining room and a main lounge with a small quiet lounge at the back of the house. There is also a conservatory where people can enjoy the garden without sitting in the cold. The laundry is situated separately and is sufficient for the needs of those living at the home. Care Homes for Older People Page 16 of 22 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. People benefit from well trained and recruited staff in sufficient numbers to offer the care needed. Evidence: The home is well staffed for the number of people living there. Staff are generally well recruited though there were not two reference on file for one member of staff, this is important as it helps to protect people from staff who are not suitable to work with vulnerable adults. Staff are well trained. Many have NVQ level 2 in care, they all have induction and foundation training which is kept up to date. This ensures that people benefit from knowledgeable staff. Care Homes for Older People Page 17 of 22 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. People benefit from good management of the home, their views underpin practice, and they are protected by good health and safety procedures. Evidence: The manager has the Registered Managers Award. Staff said he was approachable and often around so they could speak with him if they needed to. He carries out an annual quality assurance system, where surveys are distributed , the results are collated and fed back at staff meetings. Staff meet every month and minutes are taken regarding any changes or improvements that are required as a result of feedback received. The home does not become involved in handling peoples money. Supervision should cover aspects of practice, philosophy of care and career development needs to help support staff to work effectively. Supervisions at present do not cover all these areas. The health and welfare of those living at the home is protected through robust health and safety policies and procedures. A sample of maintenance certificates were seen. Care Homes for Older People Page 18 of 22 Evidence: All were in date and satisfactory. This ensures the safety and welfare of those living at the home. Care Homes for Older People Page 19 of 22 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 20 of 22 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 29 19 All staff must have two written references on file. To protect people from staff who are unsuitable to work with vulnerable people. 12/03/2009 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 2 9 36 It is recommended that medication is recorded onto care plans to ensure staff are reminded of this when giving care. Supervision should cover the aspects of practice, philosophy of care and career development needs to support staff to work effectively. Care Homes for Older People Page 21 of 22 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). 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