Care Home: Heather House Nursing Home

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What the care home does well The manager stated that the home held a waiting list of prospective clients from all over the country, and described the assessment process, which included an initial assessment by a suitably qualified person, and opportunities to visit the home, before deciding if it was the right place for them. Samples of service user files contained full assessments of care and nursing needs. The AQAA recorded that there had been no new admissions over the previous twelve months. The phosophy of the registered charity `SeeAbility`, which is the provider of the service, as recorded in the Handbook for People who live at Heather House, is to ensure every person, who is blind or partially sighted with additional disabilities, has the same human valueas anyone else, equal access to services and the right to be included in the community and family life. The handbook was available in braille to enable access by the people who use the service and prospective clients. Care plans sampled confirmed that young people`s wishes continued to be central to the service delivery. Observations of staff, providing support to young people on the day of the site visit, was that they did so with empathy and respect. The AQAA recorded, `individuals are encouraged to retain their skills in decision-making, and they are supported through the grieving process, around the loss of skills and communication difficulties, as a result of degenerative disease process`. Over the previous twelve months extensive training had been accessed around Personalisation, using tools to enable the young people using the service, families and staff to identify and understand each individual`s goals, wishes and needs. At the previous site visit, excellent outcomes were recorded for individuals with respect to their lifestyles. The AQAA recorded that people were supported to develop and maintain their independent lifeskills for as long as possible through task analysis by the multidisciplinary team of Learning Disability nurses, physiotherapists and the rehabilitation team. The service continued to provide a comprehensive programme of activities undertaken in the Penney Activity and Resource Centre adjoining Heather House.Excellent facilites included a sensory suite, Jacuzzi baths and other specialist activity rooms.The home also provides a guest suite for visiting families to promote family relationships and maintain family links. Staff induction was in line with the Skills for Care Common Induction Standards, which provide an introduction to the caring role, and promote the rights of those receiving care to be treated with dignity and respect, and to have their equality and diversity needs met. Personalised support diaries, which are with the young people who live at the home at all times, clearly outline the individual`s complex health needs, and inform the staff of the support they require to meet those needs. Records confirmed that the young people had regular weekly access to their General Practitioner, and received support from other healthcare professionals including their consultant psychiatrist, physiotherapists, and rehabilitation practitioner. All medication is administered by registered nurses and no young person had been assessed as able to self-medicate. Plans over the next twelve months, as recorded in the AQQA, included working with families to enable individuals` end of life plans to be tailored specifically using the underlying principles of the Liverpool Care Pathways and the NHS Gold Standard Framework. The AQAA recorded that seven complaints had been received over the previous twelve months and that they had been responded to and resolved within set timescales. Three of the six young people, who completed surveys with support, knew who to speak to if they were not happy, and the surveys recorded that the other three young people had parents who would speak on their behalf if necessary. The ten staff, who completed surveys, all knew what to do if someone has concerns about the home. There had been no safeguarding referrals over the previous twelve months and the manager confirmed that all the staff had received training in the protection of vulnerable adults. The purpose-built environment, which had received an excellent rating at the previous site visit, continued to provide excellent outcomes for the young people living there. Designed specifically for people with complex, multiple disabilities, degenerative conditions and visual impairment, the accommodation is spacious and homely. Heather House consists of two adjoining residential units, each providing individual ensuite bedrooms for eight young people. Bedrooms sampled had been fitted with the specialist equipment required by individuals such as adjustable beds and hoists, and they had been personalised with the young people`s own possessions. Good quality domestic furniture was provided, and the manager stated that colours and decor had been chosen by the young people, and that they were encouraged to make the space their own by bringing their own belongings. One young person had model cars displayed and a collection of rock music compact discs. Another young person had chosen pink for their bedroom and had a collection of soft toys. Each bedroom had doors, which opened onto the garden. Both of the units had a communal lounge and a kitchen/diner area, where food could be prepared. Since the previous site visit, the garden had been developed, and it provided a restful, attractive, and sensory place for the young people to enjoy. A garden retreat room and a greenhouse had been added. The manager stated that fresh fruit had been picked from the orchard and beans, marrows and rhubarb had been grown for use in the kitchen. A programme of refurbishment and renewal was in place to maintain the high standard of the accommodation. Two staff recruitment files sampled, confirmed that robust procedures continued to ensure that only suitable people would be considered for employment with the vulnerable young people living at the home. The ten staff, who completed surveys, recorded thatchecks such as Criminal Record Bureau and references had been carried out before they started work. They also confirmed that they are being given training that is relevant to their role, helps them understand and meet the individual needs of the people living at the home, and keeps them up with new ways of working. Over the previous twelve months, the AQAA recorded, Learning and Development t What the care home could do better: No issues or cause for concern were identifed as a result of this random inspection. Random inspection report Care homes for adults (18-65 years) Name: Address: Heather House Nursing Home Heather Drive Tadley Basingstoke Hampshire RG26 4QR three star excellent 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: Christine Bowman Date: 1 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Heather House Nursing Home Heather Drive Tadley Basingstoke Hampshire RG26 4QR 01189817772 01189817757 s.kenrick@seeability.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Sarah Jane Kenrick Type of registration: Number of places registered: Conditions of registration: Category(ies) : SeeAbility care home 16 Number of places (if applicable): Under 65 Over 65 0 sensory impairment Conditions of registration: 16 The maximum number of service users to be accommodated is 16. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Sensory impairment (SI). Date of last inspection Brief description of the care home Heather House is one of the services provided by SeeAbility, a registered charity. The home provides residential and nursing care for 16 young adults aged from 16 years upwards who have a visual impairment and additional physical disabilities. This is a Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home purpose built nursing home on ground level, set in a wooded site on the outskirts of Tadley. The building is spacious and of a very high decorative standard. The varied facilities within the home provide the young people with the opportunities to develop their level of independence and enhance their quality of life. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We undertook an unannounced visit to the home on 14th June 2010, which was the first visit since the Key Inspection, carrried out on 3rd April 2007, when the home had been allocated an excellent rating. We looked at the two Annual Service Reviews completed since that time, which confirmed that the service continued to provide excellent outcomes for the people who use the service. The manager completed an Annual Quality Assurance Assessment (AQQA), which gave us up to date factual evidence about the home and informed us of what the home does well, of the improvements made over the previous twelve months, and the plans in place for further improvement over the next twelve months. The registered manager, Sarah Kenrick was interviewed and provided records to be sampled at the site visit. Three other staff were spoken with and surveys were completed, bv six people who use the service (with support), and ten staff members. Some comments from the people who use the service included, I like the people, I like the swimming, I like it here, I enjoy the food at mealtimes, and the nurses look after me well, and I love my bedroom, and enjoyed having it re-decorated. A relative commented, the quality of care given is high and my relatives health and well-being is being maintained to a high standard. What the care home does well: The manager stated that the home held a waiting list of prospective clients from all over the country, and described the assessment process, which included an initial assessment by a suitably qualified person, and opportunities to visit the home, before deciding if it was the right place for them. Samples of service user files contained full assessments of care and nursing needs. The AQAA recorded that there had been no new admissions over the previous twelve months. The phosophy of the registered charity SeeAbility, which is the provider of the service, as recorded in the Handbook for People who live at Heather House, is to ensure every person, who is blind or partially sighted with additional disabilities, has the same human valueas anyone else, equal access to services and the right to be included in the community and family life. The handbook was available in braille to enable access by the people who use the service and prospective clients. Care plans sampled confirmed that young peoples wishes continued to be central to the service delivery. Observations of staff, providing support to young people on the day of the site visit, was that they did so with empathy and respect. The AQAA recorded, individuals are encouraged to retain their skills in decision-making, and they are supported through the grieving process, around the loss of skills and communication difficulties, as a result of degenerative disease process. Over the previous twelve months extensive training had been accessed around Personalisation, using tools to enable the young people using the service, families and staff to identify and understand each individuals goals, wishes and needs. At the previous site visit, excellent outcomes were recorded for individuals with respect to their lifestyles. The AQAA recorded that people were supported to develop and maintain their independent lifeskills for as long as possible through task analysis by the multidisciplinary team of Learning Disability nurses, physiotherapists and the rehabilitation team. The service continued to provide a comprehensive programme of activities undertaken in the Penney Activity and Resource Centre adjoining Heather House. Care Homes for Adults (18-65 years) Page 4 of 9 Excellent facilites included a sensory suite, Jacuzzi baths and other specialist activity rooms.The home also provides a guest suite for visiting families to promote family relationships and maintain family links. Staff induction was in line with the Skills for Care Common Induction Standards, which provide an introduction to the caring role, and promote the rights of those receiving care to be treated with dignity and respect, and to have their equality and diversity needs met. Personalised support diaries, which are with the young people who live at the home at all times, clearly outline the individuals complex health needs, and inform the staff of the support they require to meet those needs. Records confirmed that the young people had regular weekly access to their General Practitioner, and received support from other healthcare professionals including their consultant psychiatrist, physiotherapists, and rehabilitation practitioner. All medication is administered by registered nurses and no young person had been assessed as able to self-medicate. Plans over the next twelve months, as recorded in the AQQA, included working with families to enable individuals end of life plans to be tailored specifically using the underlying principles of the Liverpool Care Pathways and the NHS Gold Standard Framework. The AQAA recorded that seven complaints had been received over the previous twelve months and that they had been responded to and resolved within set timescales. Three of the six young people, who completed surveys with support, knew who to speak to if they were not happy, and the surveys recorded that the other three young people had parents who would speak on their behalf if necessary. The ten staff, who completed surveys, all knew what to do if someone has concerns about the home. There had been no safeguarding referrals over the previous twelve months and the manager confirmed that all the staff had received training in the protection of vulnerable adults. The purpose-built environment, which had received an excellent rating at the previous site visit, continued to provide excellent outcomes for the young people living there. Designed specifically for people with complex, multiple disabilities, degenerative conditions and visual impairment, the accommodation is spacious and homely. Heather House consists of two adjoining residential units, each providing individual ensuite bedrooms for eight young people. Bedrooms sampled had been fitted with the specialist equipment required by individuals such as adjustable beds and hoists, and they had been personalised with the young peoples own possessions. Good quality domestic furniture was provided, and the manager stated that colours and decor had been chosen by the young people, and that they were encouraged to make the space their own by bringing their own belongings. One young person had model cars displayed and a collection of rock music compact discs. Another young person had chosen pink for their bedroom and had a collection of soft toys. Each bedroom had doors, which opened onto the garden. Both of the units had a communal lounge and a kitchen/diner area, where food could be prepared. Since the previous site visit, the garden had been developed, and it provided a restful, attractive, and sensory place for the young people to enjoy. A garden retreat room and a greenhouse had been added. The manager stated that fresh fruit had been picked from the orchard and beans, marrows and rhubarb had been grown for use in the kitchen. A programme of refurbishment and renewal was in place to maintain the high standard of the accommodation. Two staff recruitment files sampled, confirmed that robust procedures continued to ensure that only suitable people would be considered for employment with the vulnerable young people living at the home. The ten staff, who completed surveys, recorded that Care Homes for Adults (18-65 years) Page 5 of 9 checks such as Criminal Record Bureau and references had been carried out before they started work. They also confirmed that they are being given training that is relevant to their role, helps them understand and meet the individual needs of the people living at the home, and keeps them up with new ways of working. Over the previous twelve months, the AQAA recorded, Learning and Development teams had been established for the whole organisation, and the Learning and Development Officer for the Hampshire is based in the Penney Centre adjoining the home. Plans for the next twelve months included reviewing the Cerebral Palsey training, which had been provided over the last two years, and making Palliative Care and Bereavement Training available on-line, in addition to Key working, Personalisation and Juvenille Battens Disease training. The home continued to ensure that a high percentage of the staff had either completed, or were in the process of completing National Vocational Qualifications (NVQ) at level 2 or above in care or health and social care. All new staff had been trained in moving and handling techniques, for the use of equipment such as hoists, by a physiotherapist employed at the centre. Registered nurses undertake relevant units of the NVQ at level 4 to enhance their skills in the daily management and running of the home. The well-qualified and experienced manager, who has managed the home since it was opened eleven years ago, continued to co-ordinate the nationwide professional interest group for Juvenile Battons Disease, that she had implemented in conjunction with a Paediatric Neurologist. She is a Registered Learning Disability Nurse, who holds a Registered Managers Award and an A1 Assessors Award for the National Vocational Awards. The AQQA recorded that Quality Assurance questionairesare distributed annually for the young people using the service, their families and carers. This information is collated and used to inform the Annual Development Plan, for the improvement of the service. The home continues to provide good or excellent outcomes for the young people living there in all outcome areas. The AQQA recorded planned improvements in line with the homes development plan, drawn up from the collated results of the annual quality assurance questionaires. 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 6 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 7 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 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 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. 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