Care Home: Heathy House

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What the care home does well The home is well maintained and furnished and fitted to a high standard. Everybody has their own bedroom which is well equipped and comfortable. The home is clean and fresh throughout and people said that this is always the case. There is a warm and welcoming atmosphere in the home. People said that they enjoyed living at Heathy House and one person said "it`s the best". People using the rehabilitation service receive a period of intensive therapy based on physiotherapy and occupational therapy assessments. This means that people can achieve maximum independence which makes it possible for them to return to their own homes as quickly as possible. There are a range of activities on offer for people to join in with if they choose to do so. People living at the home are encouraged to suggest ideas for entertainment which means that people can follow their own interests. There are sufficient staff employed at the home to meet people`s needs. Staff have time to sit and talk to people and spend time with them individually. The staff team are well trained and over half of the care staff hold the National Vocational Qualification (NVQ) in care. This means that they are qualified and competent to care for people. Everyone that we spoke to said that staff listen to them, and act on what they say and people said they like the meals and enjoy the activities. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the staff have the skills and experience they need to do this. The staff said that they enjoyed working at Heathy House and said that they work well together as a team. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home`s recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home. What has improved since the last inspection? The home has been redecorated throughout and is bright and cheerful and welcoming. What the care home could do better: The home continues to provided a good standard of care and attention to people who live there. No requirments or recommendations have been made as a result of this inspection. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Heathy House Heathy Lane Holmfield Halifax HX2 9UN     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Cheryl Stovin     Date: 1 6 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2010) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Heathy House Heathy Lane Holmfield Halifax HX2 9UN 01422245328 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : heather.rodgers@calderdale.gov.uk Calderdale MBC care home 32 Number of places (if applicable): Under 65 Over 65 17 0 old age, not falling within any other category physical disability Additional conditions: 0 15 The maximum number of service users who can be accommodated is: 32 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 anyother category - Code OP, Physical disability - Code PD Date of last inspection Brief description of the care home Heathy House is owned and managed by Calderdale MBC, Health and Social Care Directorate. It is registered to provide care and accommodation for up to thirty-two people over 65 years of age. Permanent, respite and rehabilitation care are offered. The unit provides 10 places for people who require long term residential care, 5 places for people requiring respite or short term care and 2 places for people who require residential services between transition from hospital to home. Fifteen places are available to people requiring a period of rehabilitation before being able to return to their own homes. Care Homes for Older People Page 4 of 27 Brief description of the care home All the bedrooms are for single occupancy and there are comfortable communal rooms. The establishment was purpose built and is situated in the residential area of Holmfield in Halifax. It is near a bus route and has easy access to the town centre as well as local facilities. Care Homes for Older People Page 5 of 27 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 report brings together evidence of the key inspection of Heathy House which included a visit to the service on 16th May 2009. During this visit a full tour of the building took place, we looked at records and talked to people living at the home, visitors and to management and staff. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Heathy House. The visit to the home was carried out over one day by one inspector. A total of 7 hours were spent at the home. In addition surveys were sent to people living and working at the home. Five were returned by staff and six by people living at the home. The results were positive and Care Homes for Older People Page 6 of 27 indicated that people are satisfied with the standard of care and facilities provided by the home. Individual comments made are included in the main body of this report. The home completed an Annual Quality Assurance Assessment (AQAA) which was returned promptly and gave useful information about the service provided and the people living and working at the home. The document was completed very well and gave plenty of details. The last inspection of Heathy House was on 8th May 2007, no additional visits have been made to the home. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees the home charges are six hundred pounds, (May 2009). People pay their own personal expenses, such as chiropody and hairdressing. 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 Care Homes for Older People Page 8 of 27 following this report, you can contact them using the details set out 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 9 of 27 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 10 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. Evidence: The home has produced a Statement of Purpose which clearly states the services and facilities provided. The document is displayed in peoples bedrooms and contains sufficient information so people know what to expect from the home. Six care records seen showed that people are assessed before moving into the home to make sure that their needs can be met. People are encouraged to visit the home before making a decision to move in, to meet the staff and other people living at the home. Care Homes for Older People Page 11 of 27 Evidence: There are 15 places in the home for people who require short term intensive rehabilitation services. The rehabilitation facilities are self-contained from the rest of the home, with a dedicated staff team. Detailed rehabilitation plans are in place with Physiotherapy and Occupational Therapy assessments. Rehabilitation Support Workers provide therapy, care and support to enable people to recover or establish daily living skills and regain independence in order to return home. At the time of the visit one person was getting ready to go home. They told us that the support and care they had received whilst staying at Heathy House had been excellent and they were looking forward to returning home and felt confident to do so. We spoke to ten people about their experiences of the rehabilitation service. All were very positive about their time spent at the unit. Some of their comments made included: Whoever trains the staff deserve a medal they are perfect and so kind. They are so polite and kind and help you a great deal. I have received a marvellous amount of help and everybody is so friendly. Care Homes for Older People Page 12 of 27 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. Peoples health needs are met and personal care is given in accordance with their preferences. Evidence: The care records of six people living at the home were seen. Records of people using the rehabilitation service, respite care and permanent residents were looked at. All contained detailed information and had been written in conjunction with the people using the service and their families where this was appropriate. A copy of the persons care plan is also held in their own room. The rehabilitation plans were particularly detailed with Physiotherapy and Occupational Therapy assessments at the core of the care plan. The plans clearly detail the goals and the actions to be taken to ensure that people regain maximum independence to enable them to return home. The people using the service are actively involved in setting their own goals to enable them to manage at home. Care Homes for Older People Page 13 of 27 Evidence: The care plans are reviewed regularly and clearly show how the care is to be given and the actions necessary to meet each assessed need. Detailed daily records are completed which show how the person has spent their time and who has visited them. This gives the rehabilitation staff important information as to how the person is progressing and also what their support networks are for when they return home. Healthcare visits and treatments are recorded in detail and everyone who commented said they always receive the healthcare they need. One person said I feel I can do so much more for myself now, its a lovely place, another person told us they treat us like royalty the place is one hundred percent. From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each persons needs and preferences. The staff make sure they provide the help people need in the way they prefer. People were seen to be treated with dignity and people told us that their privacy was respected. One person told us they use the do not disturb sign, which is provided, on their bedroom door. The home uses a Monitored Dose System (MDS) for the administration of medication. The stocks of medication are securely stored. The home has policies and procedures in place to ensure the safe administration of medication. All staff responsible for handling medication have been trained in medication administration. The Medication Administration Records (MAR) were accurately completed. Stocks of medication held reconciled with the records kept. The medication being held for people using the short stay facilities are held in the original containers as dispensed by the pharmacist. A pharmacy inspection had taken place the week before the visit and the only issue identified was that the fridge thermometer needed replacement. This was done immediately. Some people who use the rehabilitation service handle their own medication. A lockable cabinet is provided in all bedrooms to make sure the medication is held safely. Everybody who completed a survey said that they always receive the care and support they need. One person made the following comment: If I was not satisfied and happy I would be out of the door as soon as you could say Jack Robinson, cant fault anything. Care Homes for Older People Page 14 of 27 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 are supported to take part in a wide range of activities, and are offered a good choice of meals to make sure that their dietary needs and preferences are met. Evidence: There is a warm and welcoming atmosphere throughout the home and visiting relatives said that this was always the case. People told us that they can choose where to spend their time. Some people chose to spend time in their own rooms following their own interests, whilst others like the company of other people living at the home. One person using the rehabilitation service told us that they had made many friends during their stay at the home and would particularly miss the staff. They said they intended to visit the home regularly when they returned home. There is a range of activities provided for people to join in with if they choose to do so. The activities on offer are posted on the information board in the entrance hall. On the morning of the visit a residents meeting was held and ideas for social activities and days out were being discussed. Care Homes for Older People Page 15 of 27 Evidence: People told us that they liked living at the home and felt that they were listened to and that their views were fully taken into account as to how the home is run. Visitors were seen to be warmly welcomed into the home and told us that they were kept informed about any important issues affecting their relative or friend. One relative told us when their relative had their fall we thought they would be in a home for the rest of her life, but its wonderful that they is now sufficiently recovered to go home. If they had to live in a home, then Heathy House would be the one we would have chosen. Mealtimes were seen to be a relaxed and social occasion with tables attractively set. The main meal of the day is served at lunchtime and the meal being served on the day of the visit was: roast chicken, or tomato sausage, yorkshire pudding, broccoli and creamed potatoes, followed by rice pudding or jelly and ice cream. People told us that they enjoyed the meals served at the home, one person said the food is great and plenty of it. The cook attends residents meetings to check if people are happy with the choice of food available. The kitchen of the home has recently been inspected by officers from the environmental health department. Their assessment rated the facilities as four stars this means that food handling and hygiene practices are good. Care Homes for Older People Page 16 of 27 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 are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. Evidence: The home has a complaints procedure which is given to people who live at the home and their relatives. The home uses the Calderdale Social Services Compliments and Complaints procedure for the handling of any complaints received. The document clearly states the procedure to follow and the contact details of all the people to approach if they are unhappy about anything in the home. A complaints log is held which details any complaints received and the outcomes. All complaints are recorded and details are held of the investigation and the outcome. No complaints have been made directly to the Commission. People we spoke to said that they knew who to speak to if they were unhappy about anything in the home and confirmed that this had been discussed at residents meetings. Newly employed staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. All the Care Homes for Older People Page 17 of 27 Evidence: new staff take adult protection and whistle blowing training as part of their induction training. Discussions about theses subjects are included in the staffs one to one supervision meetings. The records showed that all members of staff have had adult protection training and they also have regular refresher training, to make sure they are kept up to date. All the appropriate policies and procedures are in place to guide staff. Care Homes for Older People Page 18 of 27 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. People live in a safe, clean and hygienic environment. Evidence: The home is situated in a residential area in the Holmfield district of Halifax. There are local shops, pubs and a post office nearby. The town centre of Halifax is easily accessible by public transport. The accommodation is arranged over three floors. Two passenger lifts provide access to all areas of the home. The home has recently been redecorated throughout and all areas of the home are bright and cheerful. The rehabilitation unit is situated in a separate wing of the home. It is well equipped with a rehabilitation kitchen equipped with both gas and electric cookers. This is to replicate the facilities the people have in their own homes. There is also a spacious lounge and separate dining area. All bedrooms are for single occupancy and the majority of the rooms contain peoples personal posessions which make them feel at home. People told us that they were Care Homes for Older People Page 19 of 27 Evidence: satisfied with their rooms and had everything that they need. One person said my room is cosy and comfortable and warm as toast. Communal areas are spacious and bright and welcoming, with sufficient space for social activities to take place. There are well maintained and accessible garden areas which are well used by people living at the home in the warmer weather. There is ample car parking facilities for staff and visitors. The bathrooms have been recently refurbished and new assisted bathing facilities installed. The bathrooms are warm and welcoming. The laundry facilities are well organised and peoples clothing looked well cared for. There are infection control measures in place and all staff are provided with the necessary equipment to prevent the risk of cross infection. A full tour of the building showed that all areas of the home are clean and tidy. People told me that this was always the case. Care Homes for Older People Page 20 of 27 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. Sufficient staff are employed to meet peoples needs, and people are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Evidence: People who live at the home said there was enough staff and they didnt have to wait long for staffs attention if they needed them. Staff were seen to be attending to peoples needs promptly and cheerfully. Information in the homes Annual Quality Assurance Assessment (AQAA) stated that no agency staff had been used during the last twelve months. This enhances peoples quality of life as they receive care from people they know and are used to. Staffs interactions with people who live at the home were very respectful, caring and gentle. They showed they had respect for peoples individual needs and dignity. They showed they had good communication skills. They were patient and gave people time to respond in whatever way they could. One person described the staff as they are very good and are very kind, patient and caring. Staff said they received good training and felt well prepared for their job. One said, with the training we receive we provide a good standard of care to service users and Care Homes for Older People Page 21 of 27 Evidence: their families. We have good staff support that makes the environment a happy place to be in for everybody, staff and service users. Two members of staff told us how the atmosphere in the home has improved recently and one of them said its now a pleasure to come into work. There is a programme of National Vocational Qualification (NVQ) in place and all of the care assistants are expected to complete the award. Over half of the care staff already hold the award. This makes sure that the care staff are qualified to meet peoples needs. The night staff are encouraged to undertake NVQ training and senior members of staff who are assessors regularly are available at the home during the night to facilitate this. The homes recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Care Homes for Older People Page 22 of 27 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. The home is generally safe and well managed, and run in the best interests of the people who live there. Evidence: Since the last inspection the Registered Manager of the home has resigned. The home is currently being run by the assistant manager who is qualified and competent to manager the home on a temporary basis. Recruitment for a manager is underway. The acting manager of the home is committed to ensuring that an open and positive atmosphere is prevalent in the home and actively seeks peoples opinions as to how to improve the service. The records and the staff confirmed that all staff have one to one supervision meetings with their line manager. Supervision meetings support staff to plan their personal and professional development and give them the opportunity to discuss any areas of Care Homes for Older People Page 23 of 27 Evidence: concern in a confidential setting. There are health and safety policies and procedures in place and all staff receive training in safe working practices. Health and safety records seen confirmed that all the required checks are carried out and that people are kept safe. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home, their relatives and visitors and regular meetings with the people who live at Heathy House. The manager is always available to talk to people. The information and comments that are received are used to improve the quality of the service for people living at the home. At present there are no people living at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. We received the homes annual self assessment. It contained information about the home and the services that are provided, the improvements they have made and their plans for the coming twelve months. This document was completed very well and gave plenty of detail. The home supports some people to manage their money and accurate records are kept of all transactions made on their behalf. The monies that are held for people are securely stored. Care Homes for Older People Page 24 of 27 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 25 of 27 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 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2010) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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