Latest Inspection
This is the latest available inspection report for this service, carried out on 25th October 2007. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Heath Lodge.
What the care home does well See comments below. What has improved since the last inspection? The Management and staff of Heath Lodge have clearly worked very hard since the last inspection. The home is now transformed into a home that meets the needs of the service users. All aspects of care and life within the home has improved since the last inspection. All but one of the requirements were met, and work had started to meet the remaining one. The home is relaxed allowing the service users to dictate the pace of life. Staff were seen to be kind and caring to service users. Staff were observed to be very patient with service users particularly during lunch where several choices were offered to tempt the small appetites of some of the service users. The Churchill Unit where the very frail service users live has been re-furbished and is now homely and very comfortable. There is now access through to the rest of the home. Service users have free access to snacks and drinks. Care plans reflect the service users needs and wishes. All those inspected contained a life history and were person centred. The moving and handling, where observed, was good and staff took time to reassure a very nervous service user. By the end of the manoeuvre the service user was laughing and happy. The re-decoration of the top floor is almost complete, it is bright and airy. The staffing levels were sufficient to meet the needs of the service users. What the care home could do better: This was a very positive inspection. CARE HOMES FOR OLDER PEOPLE
Heath Lodge Danesbury Park Road Welwyn Hertfordshire AL6 9SN Lead Inspector
Marian Byrne Key Unannounced Inspection 25th October 2007 10:00 X10015.doc Version 1.40 Page 1 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 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Heath Lodge Address Danesbury Park Road Welwyn Hertfordshire AL6 9SN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01438 716180 01438 715181 heathlodge@goldcarehomes.com www.goldcarehomes.com GCH (Heath Lodge) Limited Mrs Marie Shouler Care Home 50 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (50), Old age, not falling within any other of places category (50) Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The home may accommodate one named service user who is currently under the age of 65. The above condition applies only to this named service user and ceases to be in force when the service user leaves the home for any reason. 1st May 2007 Date of last inspection Brief Description of the Service: Heath Lodge provides residential care for up to 50 older people. This includes a separate dementia unit accommodating up to 13 service users. The residential accommodation is arranged on three floors. The dementia unit is on split-levels and is therefore not suitable for wheelchair users. The majority of rooms have en-suite facilities The third floor has been converted to provide additional accommodation, which has not yet been registered for use as part of the home. Heath Lodge is set in extensive grounds, which while accessible by car, are not close to public transport or local amenities such as shops. Detailed information about the services offered including the latest report by the Commission for Social Care Inspection can be obtained from the home on request. Fees are based on an assessment of individual needs and start at £500. Additional charges are made for newspapers, hairdressing and chiropody. (This information was correct on 20.4.06). Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Two inspectors carried out this inspection over the morning and afternoon. The inspector observed lunch being served and staff assisting service users. What the service does well: What has improved since the last inspection?
The Management and staff of Heath Lodge have clearly worked very hard since the last inspection. The home is now transformed into a home that meets the needs of the service users. All aspects of care and life within the home has improved since the last inspection. All but one of the requirements were met, and work had started to meet the remaining one. The home is relaxed allowing the service users to dictate the pace of life. Staff were seen to be kind and caring to service users. Staff were observed to be very patient with service users particularly during lunch where several choices were offered to tempt the small appetites of some of the service users. The Churchill Unit where the very frail service users live has been re-furbished and is now homely and very comfortable. There is now access through to the rest of the home. Service users have free access to snacks and drinks. Care plans reflect the service users needs and wishes. All those inspected contained a life history and were person centred. The moving and handling, where observed, was good and staff took time to reassure a very nervous service user. By the end of the manoeuvre the service user was laughing and happy. The re-decoration of the top floor is almost complete, it is bright and airy. The staffing levels were sufficient to meet the needs of the service users. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply to Heath Lodge. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have an assessment prior to moving into the home so can be assured that their needs can be met. EVIDENCE: All service users have an assessment prior to moving into the home. On the day of the inspection it was clear that the service users were having their needs met. The staff were aware of the service users habits, wishes and needs and were able to offer very good care to them. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are person centred to ensure that care is provided in a way that meets the persons identified needs. Medication was administered appropriately to ensure residents are kept safe. Service users were treated with respect and dignity. EVIDENCE: Four care plans were inspected and contained good information on the service users. There was a life history and good detail of the personality of the service users. Outcomes for the service users in the delivery of care showed that the staff had taken time to get to know details of the service users. Health care needs were being met. The home had recently identified a service user who they could no longer care for and assisted her to find a nursing placement where her needs could be met. Medication was administered appropriately.
Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 10 Service users were treated with respect and dignity. Service users were offered choices, the inspector witnessed service users being treated with respect and dignity. Moving and handling was carried out in a manner that was very respectful. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and social activities meets the needs of all the service users. EVIDENCE: On the day of the inspection 15-service users, their families and staff went out to a local pub for lunch. Those who went declared that they had a wonderful time and a good lunch. The service users in the Churchill unit are stimulated and offered one to one time (these people have severe dementia). Visitors are welcomed at all reasonable times. On the day of the inspection there was a constant stream of visitors. The food was of good appearance and there were snacks and drinks available at all times. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 12 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that complaints are listened to and investigated. Staff are aware of the policies to protect service users from abuse. EVIDENCE: There was evidence that complaints are taken seriously and are investigated and responded to within the complaints procedures guidelines. The home had a considerable number of compliments regarding the care of service users. Service users are protected from abuse. All staff spoken with were aware of the Safeguarding Adults procedures and would follow it. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment is well maintained. The home was clean, pleasant and hygienic. The service users do not currently have free safe access to the gardens. EVIDENCE: The judgement in this outcome group would have been good if the work on the gardens had been completed. The home is currently undergoing major refurbishment. The areas that have been re-decorated are bright and fresh. The Churchill unit has had a kitchen built to enable snacks and hot drinks to me made. That area in now domestic in décor and is very welcoming and relaxing. On the day of the inspection the home was clean, fresh and odour free.
Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 14 Plans have been drawn up to facilitate free safe access to the gardens. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 15 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient trained, competent staff on duty to meet the needs of the service users. Service users are protected by a robust recruitment procedure, which ensures staff are recruited appropriately. EVIDENCE: On the day of the inspection there were sufficient trained, competent staff on duty. The delivery of care to service users was skilled and kind, and the moving and handling of service users was done with skill. The inspector observed staff hoist a service user who was frightened. The staff explained in detail what they were going to do and made the exercise fun for the service user. Staff spoken with were aware of adult protection procedures. Staff were recruited appropriately. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 16 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the service users. Senior management currently run the home at the moment. The health and safety of the service users is protected at all times. EVIDENCE: The results of this inspection indicate that the home is well managed. The home is run in the best interests of service users, this was evident throughout the inspection. The home has a relaxed atmosphere and staff ensure that all interactions are done at the pace of the service users. Service users were
Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 17 offered choices at all times. The home has policies and procedures in place to ensure that the protection of all service users. Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTE3CTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 19. Standard OP19 Regulation 23(2)(o) Requirement The Registered Provider must ensure all service users have safe access to the grounds of the home. Timescale for action 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Heath Lodge DS0000063065.V353803.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: 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
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