Care Home: Heighton House

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What the care home does well At the last key inspection in April 2009 we found the following: People are supported to take part in a variety of activities in the home and community, and to maintain contact with family and friends. Routines are flexible and people are involved in running the home. The people living at Heighton House enjoy their food and are offered a varied and balanced diet. Bedrooms are pleasant and personalised. The home is spacious and there is a large and accessible garden. Staff are skilled and caring, and have access to some appropriate training. Systems are in place which help to monitor and improve the quality of care. The people living in the home are enabled to have a voice, helping them to feel listened to. We have no reason to believe after this visit that this has changed. During this visit people said they were enjoying going out to college, to the pub and fishing. People went horse riding during our visit and were also planning to go to a local wildfowl trust in the afternoon. Surveys from people said, "I couldn`t live any where better", "my room is tidy and I`ve got a big bed", "I`ve got lamps that glow in the dark," and "my room is lush." Staff commented, "we support the individual with their needs, empathically acknowledging the pace and understanding the individual at all times." What the care home could do better: The electric light fitting in the first floor bathroom needs to be attended to urgently and either replaced or refitted. Extractor fans in this bathroom also need to be cleaned and kept free of dust or dirt. Random inspection report Care homes for adults (18-65 years) Name: Address: Heighton House 19 Barnwood Road Gloucester Glos GL2 0SD one star adequate 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: Lynne Bennett Date: 1 9 0 5 2 0 1 0 Information about the care home Name of care home: Address: Heighton House 19 Barnwood Road Gloucester Glos GL2 0SD 01452380014 01452380014 heighton.house@craegmoor.co.uk www.craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Annette Rosemarie Elizabeth Walker Type of registration: Number of places registered: Conditions of registration: Category(ies) : Cotswold Care Services Limited care home 8 Number of places (if applicable): Under 65 Over 65 1 learning disability Conditions of registration: Date of last inspection Brief description of the care home 7 Heighton House is a care home that provides accommodation for up to eight adults with learning disabilities. All of the people living in the home have single bedrooms, some with en suite facilities. There is a large communal lounge, smaller lounge, sensory room and dining room as well as a large conservatory. Outside there is a car park and a spacious lawn. Craegmoor Healthcare owns Heighton House. The home has a Statement of Purpose and Service User Guide which set out information about the philosophy of the home and the facilities provided. Copies of these are available upon request and are supplied to people who are considering moving in. The base fee for the home was 933 pounds per week. Care Homes for Adults (18-65 years) Page 2 of 8 What we found: This random inspection took place in May 2010 and included a visit to the home on 19th May. The registered manager was present throughout. She had completed an AQAA (Annual Quality Assurance Assessment) as part of the inspection, providing considerable information about the service and plans for further improvement. It also provided numerical information about the service (DataSet). We had received surveys from 4 people living in the home and 4 members of staff. This random inspection focused on the requirements issued at the last inspection, case tracking a new admission, medication, notification and accident records. We were also shown around the communal areas of the home by one of the people living there who also showed us their room. We requested verification from the home in February 2010 whether they had complied with the 8 requirements issued at the last inspection. They forwarded evidence to us confirming that these requirements had been met. We also inspected records in the home during our visit which verified this. This included making sure care plans were kept up to date, providing access to dental examinations, administering medication safely, protecting people from possible assault and ensuring the fire risk assessment was robust and complied with the Regulatory Reform (Fire Safety) Order 2005. The manager had also become registered with us since the last inspection. One person had been admitted to the home in the last twelve months. There were comprehensive assessments in place completed by the home and supplied by the placing authority. Nursing plans and minutes of Care Programme Approach meetings were in place. Transition records indicated the person had been invited for visits to the home. Copies of the Statement of Purpose, Service User Guide and residency agreement were on their personal file. These documents had been produced in accessible formats using personalised photographs, pictures and symbols. The person had signed some documents. An assessment had been completed in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards prior to admission. There were no restrictions in place. The person spoke to us about their experience of living in the home and said they had settled in well. They also said they were now being supported to look for accommodation where they could be more independent and they hoped this could be provided by Craegmoor. They had been appointed an advocate from a local advocacy group to help them through this process. We looked at this persons care plans with their permission. Assessments were in place addressing their physical, emotional, intellectual and social needs from which care plans and risk assessments had been developed. It was evident this person was being supported to gain confidence using local transport and gaining skills to live without full time staff support. Goals were in place which were being regularly evaluated with the person. We observed him discussing these with his key worker during our visit. He told us he had said that he wanted to go to a night club and had been supported to do this. His next wish was to go to a football or rugby match. New evaluation records had been put in place to make sure that a full description was provided each month on peoples progress or changes to need. This complemented the tick list already in place. Risk assessments enabled people to take risks as safely as possible, reducing any hazards identified in care Care Homes for Adults (18-65 years) Page 3 of 8 plans. We examined medication records for this person. A medication profile with photograph was in place and allergies were noted. Stock control records were maintained for all medication prescribed. A protocol was in place for the use of as necessary medication and staff were completing the rear of the medication administration record indicating when this medication was given and the reasons why. Medication was stored correctly and in line with current guidance. No controlled drugs were kept in the home. The house was being refurbished at the time of our visit. Kitchen fittings were being replaced, the conservatory was being refurbished so that it can be used all year around and sofas were being replaced. Since our last visit one room had been divided into three smaller rooms providing an additional lounge, a sensory room and a secure room for storage of documents and medication. The dining room had been resited next to the kitchen. A sun house had been installed in the garden where people had access to a swing and trampoline. One person said their room had been redecorated and they had new furniture. Inventories were in place for peoples personal fixtures and fittings. Systems are in place for day to day repairs to the house. We noted that floor boards in the first floor bathroom were damaged and the registered manager confirmed that repair work was in hand. An electric light fitting was hanging from the ceiling and the registered manager said this had been reported to Craegmoor in February and again in May. Extractor fans in this bathroom were dirty. Accident records indicated that two people had accidents over the past twelve months. These were not notifiable incidents under Regulation 37. The staff team at the home is stable and there have been no new staff employed at the home since our last key inspection. What the care home does well: What they could do better: Care Homes for Adults (18-65 years) Page 4 of 8 The electric light fitting in the first floor bathroom needs to be attended to urgently and either replaced or refitted. Extractor fans in this bathroom also need to be cleaned and kept free of dust or dirt. 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 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 Adults (18-65 years) 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 24 13 The registered person must make sure that all parts of the home are safe and free from hazards. This is in respect of the light fitting in the first floor bathroom. This is to safeguard people from possible harm due to fire or electric shock. 30/06/2010 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 1 24 The extractor fans in the first floor bathroom should be cleaned and kept free of dust and dirt. Care Homes for Adults (18-65 years) 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 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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