Care Home: Hesketh House

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What the care home does well The home is well managed and staffed by people who show a true commitment to quality person centred care. Staff, work together as a team and create an atmosphere of calm and comfort for the people living in the home. Comments received from staff via discussions and completed questionnaires included: -"We work well together in a nice environment" "We have good staffing levels and work well together creating a pleasant atmosphere for the residents" "We all respect the residents and do our best to make them happy and content in their lives". "We create a homely atmosphere for the people living here so that they can feel safe and secure" Detailed pre admission assessments are in place to ensure people wishing to live at Hesketh House will have all their needs met if offered a placement. Care planning documentation is clear and identifies that people living in the home are fully supported to make choices about their daily life. Residents changing needs and goals are reflected in the care plans and support their right to make decisions about their lives and take risks. Diversity is respected through staff acting ion the resident`s opinions and preferences. Arrangements are made for people to follow their chosen religion and each person`s independence is supported through good risk management Bedrooms are personalised and cosy. Activities are person centred and appropriate to age and interests. All dietary needs are catered for and menus show that people living in the home are provided with a choice of healthy balanced selection of food each day. Staff training and support is an ongoing process of the home. Storage and management of information is good and the administration systems most effective.Hesketh HouseDS0000025110.V365167.R01.S.docVersion 5.2Page 7 What has improved since the last inspection? Activities have become more person centred with more focus on integration into the community. Staff have commenced incorporating the mental capacity Act 2005 into all decision-making. Person centred planning and use of a key worker system has enabled the home to ensure all aspects of equality and diversity are addressed for each person living in the home. Information sharing has improved with more time being allowed for staff handovers. Care plans and risk assessments have been updated and care reviews have been increased from six monthly to three monthly or sooner if required. Staff training has increased. Tracking has been provided in bedrooms and bathrooms and carpets and flooring has been replaced in many areas of the home. Team meetings have increased and nursing staff gives information about illness or conditions that affect the residents, to increase staff awareness. Systems in respect of the financial management of resident`s moneys have improved with individuals having easy access to their accounts. CARE HOME ADULTS 18-65 Hesketh House Old Mill Lane Liverpool Merseyside L15 8LN Lead Inspector Mrs Lynn Paterson Key Unannounced Inspection 11th August 2008 09:30 Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hesketh House Address Old Mill Lane Liverpool Merseyside L15 8LN 0151 737 1680 F/P 0151 737 1680 heskethhouse@c-i-c.co.uk www.c-i-c.co.uk Community Integrated Care Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Manager post vacant Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 14 service users to include: *Up to 14 services users in the category of LD (Learning disability) 16th August 2007 Date of last inspection Brief Description of the Service: Hesketh House is a single storey building originally built as part of the inpatients service at Olive Mount Hospital. It was converted into a care home in 1991 providing nursing care for fourteen younger adults with learning disabilities. Managed by Community Integrated Care Ltd the home is located in the Wavertree district of Liverpool and is close to local shops and amenities. Bedroom accommodation comprises 14 single rooms, all with hand washing facilities. The home has a dining room, lounge and multi-sensory room and benefits from a large parking area and gardens to the side and rear of the main building. Fees are currently charged at £980.00 per week. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means that people who use the service receive good quality outcomes. The inspection of Hesketh house was unannounced and covered the core standards the home is expected to achieve. During the inspection a number of documents were examined including care files, staff files, maintenance logs and medication records . Discussions were held with the management Team and staff members and a tour of the premises was undertaken. A number of care plans were tracked to make sure the people living in the home receive the support they need and that they are involved in decision making in all aspects of their daily life. The manager completed the Annual Quality Assurance Assessment (AQAA). This is a self-assessment document which gives information about the home, how it has improved in the last twelve months, plans for ongoing development of the service and barriers to improvement. Comments cards were sent to the home and given out to staff and residents representatives to gain their views about the services provided within Hesketh House. All information received has been incorporated within this report. What the service does well: The home is well managed and staffed by people who show a true commitment to quality person centred care. Staff, work together as a team and create an atmosphere of calm and comfort for the people living in the home. Comments received from staff via discussions and completed questionnaires included: - Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 6 “We work well together in a nice environment” “We have good staffing levels and work well together creating a pleasant atmosphere for the residents” “We all respect the residents and do our best to make them happy and content in their lives”. “We create a homely atmosphere for the people living here so that they can feel safe and secure” Detailed pre admission assessments are in place to ensure people wishing to live at Hesketh House will have all their needs met if offered a placement. Care planning documentation is clear and identifies that people living in the home are fully supported to make choices about their daily life. Residents changing needs and goals are reflected in the care plans and support their right to make decisions about their lives and take risks. Diversity is respected through staff acting ion the resident’s opinions and preferences. Arrangements are made for people to follow their chosen religion and each person’s independence is supported through good risk management Bedrooms are personalised and cosy. Activities are person centred and appropriate to age and interests. All dietary needs are catered for and menus show that people living in the home are provided with a choice of healthy balanced selection of food each day. Staff training and support is an ongoing process of the home. Storage and management of information is good and the administration systems most effective. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: The inspection was most positive and no shortfalls were identified during the visit. However it would be recommended that staff write up daily records in more detail to make sure that it is a true reflection of all the activities of daily life. Verbal handovers to exchange information about medication management take place and this is seen to be good practice. It would be recommended that this verbal exchange be extended to a written recording to keep on file in case it needs to be referred to in the future. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 8 It was noted that the hall carpet presented as being dirty and marked and would benefit from a professional clean. Bathrooms whilst functional are very institutionalised in appearance and they would be enhanced by some redecoration and modernisation to enhance services for the people living in the home. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2.4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre admission assessments are carried out and people are offered a trial placement to ensure that the home can meet their needs and they will be happy with their placement. EVIDENCE: The home has a detailed pre admission assessment document that includes mental health, cognitive abilities and compatibility with existing residents. All prospective residents are invited to a number of introductory visits to include an overnight stay. Family members are also invited to visit the home to find out what services it provides and the philosophy of care. Staff advised that the pre admission assessment is carried out by a number of people who have diverse skills to include nursing staff who have various qualifications in the field of mental health and learning disability and they feel it is a valuable asset in forming needs led assessments. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 11 Care files viewed show that thorough pre admission assessments are carried out with all information being recorded on file and used as the basis of the care plan. Staff said they work hard to ensure that individual choices, preferences and capabilities are fully noted to ensure that needs and aspirations of the person being admitted to the home can be addressed and met. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6.7.8.9. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People living in the home are fully supported to make decisions about their daily life and to maximise their potential. EVIDENCE: Care plans viewed identified that the needs, choices and preferences of the people living in the home are reflected in the plan. Records show that staff fully supports residents to make decisions about the activities of daily life and how care routines will be managed. Three care plans were examined in detail and identified that a comprehensive plan of care was in place together with a risk assessment to maximise potential and minimise risk. Care files also held personal communication booklets that had been complied with assistance form a Speech and language Specialist. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 13 Staff advised that this booklet is an effective tool that aids communication and helps new members of staff to quickly establish rapport with the residents. Plans held details of three monthly reviews taking place to review care and risk management and all pans held signatures of staff to identify they had read and understood the care planning processes. One care plan viewed held information to show that the mental -capacity Act 2005 had been utilised to ensure a resident had been assisted to take decisions about his life. Staff advised that they have incorporated this act into the decision making process. Support Staff said they operate a key-worker system in which they work closely with individual residents and nursing staff in the implementation of care plans. This enables them to utilise a person centred approach in all aspects of daily life. There was evidence that people who live at Hesketh house are consulted and involved with planning their lifestyle and support and that risk assessments are carried out in connection with their lifestyles. Examples of this include road safety and money management. Residents care plans revealed that shopping trips, attendance at football matches and pub lunches were amongst their general activities. When residents leave the building it was noted that the staff member escorting them signs them out in the signing in and out book for their personal safety and to meet the fire regulations in the home. Bedrooms, clothing, decoration of wheelchairs etc. show that residents are able to personalise their rooms and possessions to reflect their interests and hobbies. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.15.16.17. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are supported to enjoy social activity both inside and outside of the home. EVIDENCE: There were eleven people living at Hesketh House at the time of the visit and their preferred lifestyles and abilities vary considerably. Care plans detail the interest, capabilities and preferences of residents and record ways in which these can be addressed. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 15 One care plan revealed the residents interest in sport, especially a certain football team and the care plan detailed the mechanisms in place to ensure this interest was pursued. Another resident had a special interest in trains and staff were able to ensure train trips were part of the activities of daily life. Records show that People who live in the home undertake activities that are person centred and appropriate to their age and interests. Information on file revealed this has enabled them to integrate into the community and develop their own relationships with members of the community. Staff reveal that Hesketh House is a very hospitable home and family members and friends are encouraged to visit and made welcome upon their arrival. The activities co-ordinator plans a weekly activity programme to ensure that all people living in the home access the community at least once each week. Records show that activities include cinema, pub lunches, shopping, swimming and trips to the theatre. In- house activities include cooking aromatherapy and pampering sessions. To ensure staff, have a person to contact about any aspect of a residents life, next of kin and family contact numbers are stated in the care files records. Staff advised that they keep in regular contact with resident’s family or representatives and invite them to care reviews and other meetings to make sure they are kept up to date with need to know information. Observations of meal times show that meals are served appropriately in separate portions to maximise different flavours and textures. Staff said they feel this is particularly important with liquidised meals. Menus viewed show that varied foods are provided with choices available at each meal. Discussions with the cook identified that she knows the dietary needs and likes and dislikes of the people living in the home and provides the food accordingly. Staff were observed providing sensitive discreet assistance to residents during mealtimes. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18.19.20. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff, provide personal support to meet individual needs and preferences. EVIDENCE: Three care plans were looked at in detail to ensure staff have the guidance they need to support people and meet their needs and preferences. The care plans identified that all assessed needs are clearly identified and support plans recorded on how to meet each need. Resident’s diversity is respected through consultation with other people involved with their care, observations and taking account of their opinions when planning care. Each person’s culture and beliefs are recorded to ensure they can be supported to follow their religion if required. Dependency is assessed and recorded to enable each resident to maximise their potential in respect of their daily life. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 17 Records show that residents care plans are individualised to their preferences and requirements and attention to each persons personal grooming is to a high standard which promotes the persons dignity and self worth. Care files viewed show that risk assessments are in place for example a person who experiences seizures and plans detail action to be taken to ensure that staff know how to provide safe support. Care files contain healthy eating plans and detail dietary needs, eating capacity and weight monitoring. Aids and adaptations are in place to assist with mobility and risk assessments identified how the person’s mobility will be assisted or managed. The staff work on a key-worker system and staff spoken with were very knowledgeable about the needs and preferences of the people living in the home. Staff say they have staff handover meetings at the end of each shift where they exchange information about any changes that may have occurred, however subtle. Whilst daily records are clear there was some inconsistency in the amount of detail recorded. It would be recommended that all staff receive refresher training in recording of information to enable all daily records to hold consistent detail about all aspects of daily life for each person living in the home. The AQAA reveals that Hesketh house has developed positive relationships with external agencies ensuring that appropriate health care services are easily accessible. For example Liverpool Learning Disability Directorate, which houses speech and language therapists, community, nurses, occupational therapist and Psychologists. Observations and discussion with staff identified that fully qualified staff administer and handle medications and records show this is managed well. Records show that none of the residents self medicate. Medication policies and procedures are clear to include controlled medication and medication that can be used as domestic remedies. It was noted that verbal handovers take place at the end of each shift to advise on any changes of medication or the reasons why medication has not been given. This sharing of information is seen to be good practice and it would be recommended that a written record of this information also be provided for file records. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22.23. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected through the complaints and training procedures in place at Hesketh House. EVIDENCE: Hesketh House has a complaints procedure, which is given to new residents on admission and is posted on the notice board in the home. Discussions with staff and information provided via surveys confirmed staff understand the complaints policy and procedures in the home to include whistle blowing and staff files show they have read and signed for the policies. Staff reveal the home has an excellent ethic that ensures all residents are protected form abuse, neglect or self-harm and they say if any residents had a concern or complaint they would assist them to follow the complaint procedure or enable them to use an advocate. Staff record show that all staff have received Adult protection training and it is an ongoing process in the home. The AQAA reveals that the home has an Adult protection Policy an procedure for responding to the suspicion or evidence of any form of abuse an din addition has a copy of the local inter-training guidelines on adult protection. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 19 The home has received two complaints since the last inspection. Record show they were fully investigated as per the homes policy and were not upheld. No complaints about the home have been received by CSCI. There are sound financial procedures in place to guide staff on making purchases on behalf of residents. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24.26.30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home presents as clean and safe. However bathrooms, whilst functional. present as institutional and would benefit from some modernisation. EVIDENCE: The general impression of the home is of well-maintained clean, hygienic premises, which provides an atmosphere of calm and comfort. The accommodation is provided on a ground floor location and has 2 large communal lounges and a sensory room. The lounges are comfortably furnished and well used by the residents. Well-maintained grounds to include a rear patio area surround the premises. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 21 Whilst the home provides a safe well-maintained environment the communal areas would benefit from some refurbishment to the flooring in the main entrance hall. The home has adequate toilet, washing and bathing facilities that are spacious and clean and include appropriate lifting and mobility equipment. However they present as institutional in appearance and would benefit form some modernisation to ensure the comfort and independence of the residents is maintained. Six residents bedrooms were viewed and they presented as being clean, comfortable and highly personalised. Staff rotas show that domestic staff, are employed in Hesketh house and staff and all areas of the home were clean and free from any unpleasant smells. There are procedures in place for the control of substances hazardous to health and infection control and staff receive training specific to the health and safety in these areas. The AQAA records that improvements have been made to the home with tracking being provided to assist moving and handling and flooring has been replaced in some bedrooms Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32.34.35.36. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Staff who work at Hesketh House have the skills training and commitment to provide excellent care and support to the people living in the home. EVIDENCE: The AQAA identified that the home employ six nurses who have a professional qualification in either a general or learning disability background. Personal Identification numbers confirming registration are held in staff files. Staffing records also reveal that arrangements for support staff include NVQ qualifications, induction training for new staff, supervisions and appraisals for all staff and provision of staff handbook for access to information. A sample of staff files was examined to ensure they followed the recruitment policies and procedures of the home. The files fully evidenced that all process had been carried out to include the provision of references, Criminal Records Bureaux (CRB) checks and employment records. To ensure confidentiality files are kept in a locked filing cabinet in the manager’s office Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 23 Training and supervision records confirmed that staff receives ongoing mandatory training and specific training is also provided. Supervision notes (one to ones) show that supervision is structured and timely and includes training and development issues. Examples of training provided were safeguarding, health and safety, working with people who hear voices and eating with dignity workshop. Observations of staff practices and general discussions with staff highlighted that staff work together sharing their individual knowledge and skills to ensure the best outcomes for the people living in the home. Staff were seen to provide a homely environment and work enthusiastically and positively to improve the whole quality of life for the residents. Staff working hours are well managed which enables them to provide consistency of care and support. The management team arrange regular team meetings which staff say are conducted democratically and everyone has an opportunity to raise any issues. Staff files show staff, have clear job descriptions and staff said they are fully aware of their specific roles. Support staff said the manager and qualified nurses share information with them about illness and conditions to ensure they understand the symptoms and effects this may have on the residents. Staff spoken with and comments received via surveys confirmed that staff feel supported and valued. Comments included:“We are part of a team who work well together and respect each other” “We are well trained and supported and are all motivated to do the best we can for the residents” “I have received lots of training since I have been here and I get lots of encouragement to get more qualifications. I love working here the staff are professional and will share their knowledge with you. “ “It’s a pleasure coming to work”. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37.38.39.41.42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Hesketh House is managed to make sure the interest of the people who live there are protected. EVIDENCE: The home employ a manager and deputy who enjoy a good working relationship, based on honesty enthusiasm and a shared philosophy of care towards the people who live in the home. They are professionally qualified in the care of people who experience learning difficulties. The manager has recently been appointed to his role in Hesketh House having previously been the registered manager of another home within the Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 25 organisational group. He has vast management experience and had gained his Registered managers Award. He is currently awaiting registration with CSCI in respect of becoming registered manager of Hesketh House. Then management structure of the home is clear with shift leaders and support staff on rota. Additional staff are employed for cooking, domestic duties and maintenance. In the wider organisation there are senior managers, human resources and training departments, which the management team can access as required. Staff said they feel valued and supported and the management team are very approachable. They say that regular team meetings further enhance the transparency of the running of the home. The home employs an administrator whose responsibility includes record management. All records requested were quickly provided and maintained to a high standard. Record storage system’s identified that confidentially is respected. The home has a quality assurance system, which is based on seeking the views of residents/representatives opinions of the service. Visiting professional are also asked to give their opinions about the services provided by the home. Safety checks on fire equipment are carried out o make sure the home is suitable and safe for staff and people living in the home. Information on the AQAA revealed that all aspects of health and safety are taken seriously and assessments are made regularly to ensure the\home maintains a safe secure environment. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 3 3 X 4 3 X Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 27 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 1. 2 3 4 YA19 YA20 YA24 YA27 Staff should be consistent in their daily recordings to ensure all necessary details are in place. It is recommended the good practice handover exchange of information in respect medication be further enhanced by keeping a written record on file. The home would benefit from refurbishing the main entrance hall carpet with either deep cleaning or replacement. Bathrooms would benefit from modernisation to assist the comfort of the residents. Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hesketh House DS0000025110.V365167.R01.S.doc Version 5.2 Page 29 - 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. 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