Care Home: Heath Bank Nursing Home

Similar services:

• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well People live in a pleasant environment and are supported by a team of kind and friendly staff. Staff are trained to make sure they have the skills they need to support people living at the home in meeting their needs. What has improved since the last inspection? There have been a number of improvements. These include: Care plans have been developed which are personal to the individual and provide staff with the information the need to support people in the way they prefer to make sure their needs are met. Staff are interacting well with the people who live at the home and are spending time engaging people in meaningful activity. Systems for managing medication are safe. Staff know how to safeguard people from abuse and neglect. Quality of care and service is being monitored. What the care home could do better: A consistent management approach needs to be in place at the home and a manager needs to be registered with the Care Quality Commission. Systems for safe moving and handling need to be followed by staff to make sure that people are safe. Key inspection report Care homes for older people Name: Address: Heath Bank Nursing Home Linden Road Halifax West Yorkshire HX3 0BS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Gillian Walsh     Date: 1 6 0 6 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Heath Bank Nursing Home Linden Road Halifax West Yorkshire HX3 0BS 01422352299 01422365557 heathbankoffice@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Philip Bennett (Heath Bank New Co) Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 57 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 57 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 47 Dementia - Code DE, maximum number of places: 10 Date of last inspection Brief description of the care home Heath Bank Care Home offers 24 hour nursing care to 47 people. This includes a general nursing unit and a small unit for people who are living with dementia. The home is in a quiet residential area of Halifax,approximately 10 to 15 minutes Care Homes for Older People Page 4 of 24 Over 65 0 47 10 0 1 7 1 2 2 0 0 9 Brief description of the care home walking distance from the town centre. The home offers single and shared bedrooms, a number of rooms have en suite toilets, some rooms also have en suite showers The home was extended at the end of 2005 when 18 new bedrooms,additional bathrooms and toilets and a large lounge were added. The Care Quality Commission were informed in December 2009 that fees for living at the home are between £565 and £600 per week. Care Homes for Older People Page 5 of 24 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: This is the report of a key inspection carried out at Heath Bank Nursing Home on 16 June 2010 by two inspectors from the Care Quality Commission. The inspection lasted approximately seven hours. We spent time speaking to people who live and work at the home, observing care practices, checking documentation and looking around the home. We also spoke with a person visiting their relative who lives at the home. Care Homes for Older People Page 6 of 24 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 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 7 of 24 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 8 of 24 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Documentation is in place to use to assess peoples needs before they are offered a place at the home. Evidence: Since the last key inspection there have not been any new people admitted to the home. The responsible individual told us that they do not intend to admit any new people to the dementia care unit until the current building work on the new extension has been completed. We saw that staff had used the information in pre admission forms to inform the newly developed care plans. The home does not provide intermediate care. Care Homes for Older People Page 9 of 24 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. People are receiving the support they need to make sure their health and personal care needs are met. Systems for managing medications are safe. Evidence: We looked at care plans for four of the people who live at the home, two from the general nursing unit and two from the dementia care unit. We saw that staff have developed new personal care plans for each person which are much more individualised than the previous care plans. The care plans gave good and clear information about the support people need to meet their needs. They also included details about the individuals preferences relating to their care and support and their lifestyles. We saw from daily records and other documentation that staff make sure that people who live at the home are referred to health care services as the need arises. This includes GP, district nursing, dental and opthalmic services. Care Homes for Older People Page 10 of 24 Evidence: We saw a GP visiting people whilst we were in the home. We saw that most people saw the GP in their own room but noticed that the GP was taken to see one person in the main lounge. To maintain peoples privacy and dignity, staff should, wherever possible, make arrangements for people to speak with any visiting healthcare professional in private. We saw that all of the care plans included risk assessments and care plans relating to moving and handling. Prior to the visit the home had informed us of an incident relating to staff not following the individuals moving and handling plan correctly. During the visit we noticed that some of the manoeuvres and actions taken by staff when moving and handling people caused the person being moved some discomfort and concern for their safety. Staff should make sure that they follow correct procedures at all times and that these are clearly documented in the care plans. We looked at the arrangements for the management of medication on both units of the home. Whilst systems have been improved and are now safe, we noted some minor issues which may have been identified and resolved if a the home had a system in place to make sure that a weekly audit of medications took place. The nurse in charge told us that monthly audits are completed. We saw that generally people appeared as though they had been well supported in meeting their personal hygiene needs and appeared clean and smart. Care Homes for Older People Page 11 of 24 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 have choices within their lives and have opportunity for social and leisure activity. Evidence: We saw that the new personalised care plans included details of peoples preferences and choices within their daily lives. We saw people following their own routines and engaging in activities of their choice such as reading the newspaper, listening to the radio or watching the television. We also saw that the activities organiser and care staff were engaging people in activities such as word searches, manicures, singing and dancing or looking at books and magazines. We also saw that staff were spending time with people just chatting and passing the time of day. Some people from both units were enjoying the weather and either sitting or walking outside in the garden areas. This level of engagement was much improved from our observations on our last visit to the home. Care Homes for Older People Page 12 of 24 Evidence: We saw that visitors were welcomed and encouraged to spend time with their relative or friend either in private or in the communal areas of the home. One visitor showed us the life history of their relative which they had been asked to complete. These are very valuable for staff to look at with the individual, particularly when the person has dementia, as they act as a reminder of their lives and families and friends. Peoples religious needs are included in the care plans. However, one of the plans we saw for a person whose faith is very important to them, was very scant and impersonal just saying to include the person when the priest visited the home. Staff should make sure that people have their spiritual needs included in their care plan with specific details about what needs to be done to make sure their needs are met. We saw that a separate dining room has now been developed on the dementia care unit. We observed the lunchtime meal on this unit and saw that people people were offered choices and support with their meal as they needed. The responsible individual told us that they have now ordered heated trolleys to serve food from on this unit rather than the meals being plated up by catering staff. We saw that the menu for the day offered people a good range of choices but noticed that the lunchtime menu of pate with toast, soup and sandwiches, did include any fresh fruit or vegetables. The home should make sure that these food groups are included in all meals. We also noticed that whilst drinks of juice were offered with the meal on the dementia care unit, people were not offered a hot drink. Care Homes for Older People Page 13 of 24 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 can be sure that their complaints will be dealt with appropriately. Systems are in place to make sure that people are safe. Evidence: We saw from documentation that a recent complaint made to the home had been properly managed and resolved in accordance with their own procedures. The Care Quality Commission has received one complaint about the home since the last inspection. Issues from this complaint were looked into as part of this inspection. Since the last inspection the home has been making appropriate referrals under local safeguarding policies and procedures. They also informed Care Quality Commission of safeguarding issues. Care Homes for Older People Page 14 of 24 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 provides a clean and comfortable environment for people to live in. Evidence: During the visit we had a look around all of the communal areas of the home and some bedrooms. We saw that the home was generally clean and tidy and did not come across any unpleasant odours. We saw that some of the easy chairs in the lounge on the dementia care unit were stained and generally in a poor state of repair. These chairs were removed during the visit and replaced with new ones. We saw that a new hairdressing room has been developed on the general nursing unit and that a previously unused room on the dementia care unit has been developed into a pleasant dining room. We saw that some of the bedroom furniture, particularly on the dementia care unit was in a poor state of repair and in need of replacing. The responsible individual told us that this was being planned. Care Homes for Older People Page 15 of 24 Evidence: We found that the water temperature in one of the baths on the general nursing unit was only 39 degrees C. This is not warm enough to have a comfortable bath and we asked the responsible individual to make sure that a check was made on water temperatures throughout the home. Care Homes for Older People Page 16 of 24 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 are supported by staff who are appropriately trained and available in sufficient numbers to meet their needs. Evidence: During the visit there appeared to be enough staff on duty to meet the needs of the people living at the home. Staff were much more visible than on previous visits and were seen to be interacting well with the people who live at the home. Care and nursing staff were supported by a team of ancillary staff and an activities organiser was also available in the home. The acting manager was not available on the day of the visit but the assistant operations manager and the responsible individual were both at the home. We saw that training and updates for staff are organised to make sure that staff have the skills they need to provide the care and support needed by the people who live at the home. We looked at two personnel files to check that new staff are recruited safely. We saw that appropriate checks and clearances are obtained, but noticed that one of the files did not contain an application form and that there were some anomalies between the Care Homes for Older People Page 17 of 24 Evidence: information supplied by the applicant and the references provided. Issues such as this should be explored and resolved at the interview stage. Care Homes for Older People Page 18 of 24 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. Management systems are in place to make sure that the home is run in the interests of the people who live there. Evidence: The responsible individual explained that the acting manager was not planning to apply to the Care Quality Commission for registration. The acting manager was not available on the day of the inspection. The responsible individual introduced a person who is currently working with the senior management team who, it is planned, will work within the home on a permanent basis. To look at improving standards,the owner of the home has employed the services of external consultants to work with staff at the home looking at care and quality issues. We saw that generally people who work at the home make sure that safety policies Care Homes for Older People Page 19 of 24 Evidence: and procedures are followed. As mentioned previously in this report, we had some concerns about moving and handling practices within the home which should be addressed through staff training. Care Homes for Older People Page 20 of 24 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 21 of 24 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 1 9 More regular auditing of medication systems should take place to make sure that any issues are highlighted and resolved quickly. Staff need to make sure that they support people in making sure their privacy and dignity needs are met. Peoples individual spiritual and religious needs should be detailed in the care plan and arrangements made and actions taken to make sure these needs are met. All meals should include the choice of fresh fruit and vegetables. Water temperatures throughout the home should be checked to make sure that water is not running too hot or too cool for the comfort of people living there. Application forms should be completed by all people applying for employment home and information in references should be checked against information supplied by the applicant. An application should be made to the Care Quality Commission for registration as manager of the home. Page 22 of 24 2 3 10 12 4 5 15 19 6 29 7 31 Care Homes for Older People 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 8 38 Staff should receive further training and support to make sure that safe moving and handling practices are followed at all times. Care Homes for Older People Page 23 of 24 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 non-commercial 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 Older People Page 24 of 24 - 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!