Care Home: Heathercliffe Residential Home

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What the care home does well The home is very well maintained so that it provides safe and comfortable surroundings for people to live in. People`s needs are monitored so they get the support they need from staff and any equipment to help maintain their safety can be provided. There are good relationships with other health professionals visiting the home so that everyone is working in the best interests of the people living in the home. Relationships between people living in the home, their relatives and staff appeared relaxed, unhurried and friendly which created a warm, pleasant atmosphere. The complaints procedure and the procedures for safeguarding adults are robust so that people living in the home and their relatives know their concerns and complaints will be taken seriously and they will be protected from abuse. What the care home could do better: We consider that Heathercliffe continues to provide excellent outcomes for the people living there and would expect the home to continue to review its service to make surethat the high standards we have found at our visits there are maintained and, where possible, improved. Random inspection report Care homes for older people Name: Address: Heathercliffe Residential Home Old Chester Road Helsby Via Warrington Cheshire WA6 9NP 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: Julie Porter Date: 2 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: Heathercliffe Residential Home Old Chester Road Helsby Via Warrington Cheshire WA6 9NP 01928723639 01928724128 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sarah Jane Turner Type of registration: Number of places registered: Conditions of registration: Category(ies) : Pinestone Limited care home 22 Number of places (if applicable): Under 65 Over 65 0 22 dementia old age, not falling within any other category Conditions of registration: 22 0 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. Dementia - Code DE. The maximum number of service users who can be accommodated is: 22. Date of last inspection Brief description of the care home Heathercliffe is an older style property that has been adapted to provide comfortable, homely accommodation for older people. All 21 bedrooms have en-suite facilities and Care Homes for Older People Page 2 of 9 Brief description of the care home bedrooms are fitted with a call system. The majority of bedrooms have television and telephone points and a payphone is available in the foyer. A five-person passenger lift provides access to the upstairs bedrooms. There are two bathrooms. There is one large and one walk-in bath. Heathercliffe is situated in a quiet residential location. It has pleasant gardens and is within close proximity to Helsby and Frodsham. The current scale of charges are available from the manager Care Homes for Older People Page 3 of 9 What we found: One inspector visited Heathercliffe on 29 April 2010 to check that the home continues to maintain standards in relation to Health and Personal Care and Complaints and Protection. We looked at three care plans and either spoke with the individuals and/or their relatives to find out more about the care they received. We found that two plans had recently been reviewed to ensure the person was getting the right support. The third plan was that of a person who had recently moved into the home. The care plans we looked at contained a medical and social history of the person, which gave the staff a better understanding of the persons life and interests before they moved to the home. In each case people had been assessed in respect of their mobility, falls, continence, nutrition and mental and physical health so that they got the right kind of support. During our visit we saw that equipment was available for people such as rails, hoists, and assisted technology in that pressure mats were seen in a number of rooms for those people prone to wandering at night. This showed us that action was taken at the home to make sure people living are kept as safe as possible. The manager told us that the home has two hospital style beds for people who may need the use of bedrails to keep them safe. We could also see from the care records that a number of different health care professionals are involved with the care and support of people living at Heathercliffe. These include district nurses, continence advisors, opticians and chiropodists so that peoples changing needs can be supported. On the day of our visit we saw all of the people living in the home all were well dressed and groomed. Many of the ladies had manicured hands and were wearing makeup. We saw that a number of people were encouraged and supported to freshen up after lunch. The gentlemen in the home were smartly dressed and also well groomed, which we consider encourages people to have a sense of well being. We received seven completed surveys from people/and or their relatives living in the home and all were positive. Some of the comments made were; looks after my needs and treat me well, provide a warm comfortable environment, my experience of Heathercliffe is that it is a well run home, first class care staff and care, always warm clean and tidy and excellent food. We spoke with a number of people living in the home who told us that they had everything they wanted. One person told us they were never lonely. We spent some time with a relative discussing their relatives care. She told us that since moving to Heathercliffe from another care home her mothers health had improved greatly. She said that the staff at the home were wonderful and for the first time in years she felt able to sleep at night. The persons care records showed us that her health had improved since moving to Heathercliffe. The records showed that the person had settled well and her night medication has been reduced by the GP. We joined the residents for lunch, which was nicely presented, we saw that people were offered choice and portions appropriate to the size of their appetite. We saw that the people needing support with eating were encouraged and supported sensitively. The meal was unhurried and a pleasant, sociable occasion. Care Homes for Older People Page 4 of 9 We checked the medication records and saw on one record sheet out of twenty had a recording error. The manager was aware of this and told us that the signatures had been omitted for medicines administered the previous day. We observed a medication count for this person and could see that medication had been given but this had not been signed for and an explanation was then recorded on the sheet. We could see that the home had procedures in place to effectively monitor the safety of people living in the home in respect of medication, to help make sure that people receive their medicines as prescribed by their doctors. The home has a formal process for people wanting to make complaints and the manager told us that no complaints have been received since our last visit to Heathercliffe. We spoke about the process of when people living in the home or their family members raise issues with staff at the home. We could see that a record was maintained of the issue/concern on the handover sheet and also recorded in the persons daily notes. Evidence was also available of the outcome of any investigation or action taken to deal with concerns and complaints. For example, one persons purse had gone missing and we could see that the issue had been recorded. The records showed that staff had searched the premises and the purse was located down the toilet. We discussed with the manager about including this information in the quality assurance process and in the statistics provided to the commission to demonstrate how they listen to residents/families and to provide evidence how seriously they take complaints. We saw that staff had attended either awareness of abuse training or protection of vulnerable adults training and further training had been arranged to include any new staff. This showed us that the staff team had the relevant training to identify any signs of abuse and the knew what to do to make sure that people living at Heathercliffe were protected from harm. What the care home does well: What they could do better: We consider that Heathercliffe continues to provide excellent outcomes for the people living there and would expect the home to continue to review its service to make sure Care Homes for Older People Page 5 of 9 that the high standards we have found at our visits there are maintained and, where possible, improved. 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 Older People 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 Older People 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 Older People 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 Older People 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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