Latest Inspection
This is the latest available inspection report for this service, carried out on 2nd August 2010. CQC found this care home to be providing an Poor service.
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 Heathfield Care Home.
What the care home does well Care plans were seen to have information on support staff should give to meet all identified needs. There were instructions and plans of care for staff regarding pain relief, wound care and how to support individuals mental well being. There is information for staff on when and how to offer homely remedies and when and how to record what they have done. Staff recruitment is carried out safely with all checks in place to protect individuals that use the service. We found that the service has taken action to meet the requirements. These changes must now be embedded into the practice of service delivery. What the care home could do better: The manager and staff must be aware of the procedures regarding safeguarding and when to make a referral. Random inspection report
Care homes for older people
Name: Address: Heathfield Care Home Main Road West Wittering Nr Chichester West Sussex PO20 8QA zero star poor service 11/05/2010 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: Val Sevier Date: 0 2 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Heathfield Care Home Main Road West Wittering Nr Chichester West Sussex PO20 8QA 01243511040 Telephone number: Fax number: Email address: Provider web address: heathfield@tesco.net Name of registered provider(s): Name of registered manager (if applicable) Intercare Orthopaedic Services Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 21 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Heathfield Care Home is a privately owned establishment registered with the Care Quality Commission to accommodate up to twenty one service users in the category of
Care Homes for Older People Page 2 of 8 1 1 0 5 2 0 1 0 Brief description of the care home old age (OP). There is also a variation for one named person in the category of Physical Disablement (PD). The establishment is a detached property set in its own attractive grounds. Situated six miles from Chichester and two miles from West Wittering village. The registered provider is Intercare Orthopaedic Services Ltd. There is a new manager in post. The responsible person on behalf of the company is Dr Mayank Gupta. Fees at the time of the inspection are £550.00 - £650.00 a week. A Statement of Purpose and Service Users Guide is available to reference. Care Homes for Older People Page 3 of 8 What we found:
The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations and what action has been taken to meet the requirements made following the visit to the home on 11th May 2010. The visit was carried out on the 2nd August 2010 between the hours of 10:00 am and 11:30 am. Prior to the visit to the home we reviewed information received from the home since it was last visited in May 2010. We met with manager and deputy who explained what work they had carried out to fulfil the requirements and how those changes were becoming embedded in the practice of the home. We also spoke with two people that use the service. The previous requirements had been about care planing regarding medication and pain relief, plans of care regarding mental well being, what support staff should give to compliment treatment and care given by other health professionals such as district nurses and dressings for wound care, the administration of homely remedies and recruitment practices. We looked at two care plans and saw that either the individual or the persons representative had signed the plans of care. They had been reviewed monthly. We saw that there were plans of care for all identified needs for both individuals. There were instructions for staff regarding pain relief, when and how to manage the application of Butrans patches and when and how additional pain relief could be given. We saw that there were instructions for staff on what action they were to take to support peoples mental well being, how and when to record concerns and liaison with other professionals as needed. We saw information for staff on what action they should take regarding wound and pressure area care. This included action they could take whilst waiting for a district nurse to attend and how and when to contact support from the nursing team The manager explained the new procedure regarding homely remedies, we saw that the GP had signed a list of items for the home to use, when to use them, side effects and contraindications. The homely remedies are kept in a locked box on the wall in the managers office with a stock sheet which staff must sign to say what is being put in and taken out. There is also a list of staff who can administer these medications. We asked the manager who this was and he said the senior staff only. The manager told us that the home is changing medication supplier which he believes will prove safe and efficient. Whilst talking with the manager about staffing the manager mentioned that he was looking into an allegation about a member of staff. We asked when the safeguarding referral had been made and were told that he had not finished the investigation yet. We discussed the safeguarding process with the manager and asked that he make a referral and contact us about the incident formally.
Care Homes for Older People Page 4 of 8 Since the visit we have received confirmation that the manager has made a referral to the safeguarding team. A requirement had been made following the last visit regarding employment checks for staff. The manager showed us two files for staff that had commenced employment since our last visit. We saw that the employment checks for staff were in place. What the care home does well: 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 Older People Page 5 of 8 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 6 of 8 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 1 18 12 12 (1) 31/08/2010 The registered provider must ensure that all staff are aware and understand the procedures of safeguarding. To ensure that people who use the service and staff are protected. 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 7 of 8 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. Care Homes for Older People Page 8 of 8 - 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!
