Care Home: Hemsworth Park Care Centre

What the care home does well The staff rotas show there are enough staff planned to be on duty to meet the nighttime needs of people using the service. The registered Manger confirmed that there are usually nine staff on night duty and this includes a qualified nurse. The policies displayed around the home show there are steps to be taken by night staff to make sure there are enough staff available to meet peoples care and support needs. This involves contacting senior managers to arrange staff cover for those who do not turn up for duty because of sickness.The staff rota for one day in October confirmed that two people were on sick leave. Discussion with the manager and one senior manager found that the staff on duty had not done everything they could to make sure there was enough staff available to meet the needs of people in the home. One unit manager said they did not receive a telephone call from the staff in home. However, once they had been contacted they attended the home and made sure staff were enough staff available. People are protected by the way medicines are dealt with as peoples medicine records show they are properly administered and recorded. Staff training records confirmed that people giving medicines are trained to do so correctly and safely. Discussion with people living in the home found they are happy with the staff and the services provided. One visitor to the home says "the staff are wonderful and caring". Another says "they are always made to feel welcome", and their relatives "quality of life as improved tremendously since coming to live in the home" What the care home could do better: The policies and procedures and rotas show there is a system in place for making sure there are enough staff on duty to meet peoples nighttime needs. However, there was evidence to show that on one day in October 2008 night staff did not fully follow the policy and procedure to make sure there was enough staff available to cover for staff sickness. The registered manager confirmed this and said they did not know the reason why the policy was not followed. The medicine administration records for one day in October 2008 shows that some peoples medicines were given earlier that they should have at 20:00 instead of the recommended 22:00. The manager said the intentions of the Unit Manager giving the medicines was good as they thought they were helping the night staff as they thought they may be short staffed due to sickness. Some peoples records including daily and medical records and the accident book and Regulation 37 reports indicate that there were no incidents on the evening of the 11 October 2008. The manager said there is no evidence to suggest that anyone suffered as a result of receiving their medicines earlier than they should. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Hemsworth Park Care Centre Wakefield Road Kinsley Wakefield West Yorks WF9 5EA two star good 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Tony Railton Date: 1 0 1 1 2 0 0 8 Information about the care home Name of care home: Address: Hemsworth Park Care Centre Wakefield Road Kinsley Wakefield West Yorks WF9 5EA 01977617374 01977610847 hemsworthpark@schealthcare.co.uk 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) : Exceler Healthcare Services Limited care home 93 Number of places (if applicable): Under 65 Over 65 30 39 0 3 dementia old age, not falling within any other category physical disability terminally ill Conditions of registration: 5 0 54 3 Can provide accommodation and care for service users with Dementia over 65 years within the total of 39 places for older people. Can provide accommodation and care for service users with Dementia within the total of 54 places for service users with a physical disability. The 19 bedrooms registered for young physically disabled, specifically are bedrooms 1 to 9 and bedrooms 12 to 21, will be occupied by ambulant and not wheelchair dependent service users. Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home The Hemsworth Park Care Centre continues to provide accommodation, personal and nursing care to 54 younger adults who have a physical disability and 39 older people who may also suffer with Dementia, and 3 within this total who may have a diagnosis of terminal illness. Respite care is also offered. All accommodation provided is single and there is a passenger lift and assisted bathing provided. Prospective service users are invited into the home to test drive the services provided. Some residents attend community based day care services and in house activities are arranged for those who wish to participate. The home is divided into distinctive units with each having there own lounges and dining rooms. There is a cafe provided for the use of service users and visitors There are two small kitchenettes provided for more independent service users. Some take advantage of the local shops, post office and public houses nearby. The home is close to Hemsworth Water Park and some residents enjoy views of lake and surrounding countryside from their bedrooms. On the 1st November 2007 the manager said that the fees for living in the home ranged from #380.00 to #450.00 per week with extra charges for Chiropody (#10) and hairdressing (starting at #4.10). Information regarding the services provided and the role of the CSCI can be obtained from the home. The home is situated in Kinsley, is on a main bus route and close to the M1/A1 link roads. All services and amenities are only a few minutes journey away at Hemsworth. For those service users who require transport the care centre has two mini busses one of which has a tail lift for wheelchair users. Care Homes for Older People Page 3 of 8 What we found: This visit to the home commenced at 09:30 and ended at 14:30. This visit was to look at the staffing levels in the home on nights and to look at the management systems in place to make sure there are enough staff available to meet the nighttime needs of people living in the home. We also looked at the way medicines are dealt with and in particular at night. Wee discussed these issues with the Registered Manager, Unit Managers, care staff and Nurses. We spoke to people living in the home and two visiting relatives. Wee looked at the Staff rotas, sickness records, and time sheets. We also looked at the accident book and Regulation 37 reportable incident reports. We also looked at a sample of peoples records including assessments, care plans, daily and medical records. The medicine administration records were also seen on one unit and this included the record of Controlled Medicines. The inspector would like to take the opportunity to thanks the Manager and there staff team for their hospitality and cooperation throughout this visit. What the care home does well: What they could do better: The policies and procedures and rotas show there is a system in place for making sure there are enough staff on duty to meet peoples nighttime needs. However, there was evidence to show that on one day in October 2008 night staff did not fully follow the policy and procedure to make sure there was enough staff available to cover for staff sickness. The registered manager confirmed this and said they did not know the reason why the policy was not followed. The medicine administration records for one day in October 2008 shows that some peoples medicines were given earlier that they should have at 20:00 instead of the recommended 22:00. The manager said the intentions of the Unit Manager giving the medicines was good as they thought they were helping the night staff as they thought they may be short staffed due to sickness. Care Homes for Older People Page 4 of 8 Some peoples records including daily and medical records and the accident book and Regulation 37 reports indicate that there were no incidents on the evening of the 11 October 2008. The manager said there is no evidence to suggest that anyone suffered as a result of receiving their medicines earlier than they should. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. 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, 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 1 27 Night staff should be aware of the policy and procedure and practices regarding what they need to do to make sure staff cover is provided for sickness to make sure peoples nighttime needs are met. Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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. 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