Care Home: High Lee Barn

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What the care home does well Anyone thinking of moving into High Lee can go and look around to see for themselves if they think the home is suitable for them. They can also take away written information about the home and the service it offers to refer to. The home has a friendly atmosphere and there are activities on offer to keep people stimulated. People look well cared for. All the people we talked to spoke well of staff and said that they were kind, caring and nothing was too much trouble for them. People can follow their own routines and relatives and friends are welcome to visit. People living at the home said the meals are good. If people living at the home and/or relatives are not happy about the service they are getting there is a complaints procedure. People were aware of the procedure and said that they would be able to raise any concerns and that they felt any problems would be resolved. The home is clean, tidy, comfortable and well maintained. People living at the home all said that the home was kept fresh and clean. The staff are friendly and well trained. Staff enjoy working at the home and feel they work well as a team. People living in the home are consulted about the way the home is run and can have their say about what they want. What has improved since the last inspection? People are being assessed before they move into the home to make sure that staff can meet their needs. Care plans are more detailed and inform staff about what people`s needs are and what action they need to take to meet those needs. New staff are being properly checked to make sure they are suitable and safe to work with older people. What the care home could do better: When risk assessments are completed and a risk is identified a care plan must be put in place to show what action staff need to take. This will make sure that staff take appropriate action to reduce or eliminate any possible risks to individuals. Key inspection report Care homes for older people Name: Address: High Lee Barn Sowerby Lane Luddendenfoot Halifax West Yorkshire HX2 6LB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Paula McCloy     Date: 1 1 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: High Lee Barn Sowerby Lane Luddendenfoot Halifax West Yorkshire HX2 6LB 01422882437 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.highleecarehome.com Mrs Patricia Beaumont Name of registered manager (if applicable) Simeon James Beaumont Type of registration: Number of places registered: care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home High Lee Barn is a care home for up to seventeen older people. It is situated in a rural hill top location with panoramic views across the surrounding countryside. The property, a converted barn, is well maintained throughout and furnished and fitted to a high standard. The accommodation is arranged on two floors and provides fourteen single bedrooms and one shared room, all with the benefit of en-suite facilities. Although the home is registered for seventeen people there are only sixteen places available at the current time. The gardens are well maintained and there is lots of seating for people to use in nice weather. There is also a car park for visitors. Care Homes for Older People Page 4 of 24 Over 65 17 0 2 4 0 6 2 0 0 9 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: At the time of this inspection on 11 May 2010 the charges at High Lee ranged from £368 - £520 per week. Additional charges are made for hairdressing and chiropody. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection process included looking at the information we have received about the home since the last key inspection as well as an unannounced visit to the home, which lasted approximately 4 hours. During the visit we spoke to 6 people living in the home, 3 members of staff and the manager. We also observed staff delivering care, looked at various records and looked around the home. Care Homes for Older People Page 5 of 24 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 the service 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. Care Homes for Older People Page 6 of 24 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 following this report, you can contact them using the details on page 4. Care Homes for Older People Page 7 of 24 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 8 of 24 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 9 of 24 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 can go and look around the home to see for themselves if they think it is suitable. Staff assess people before they move in so they are sure they can meet peoples needs. Evidence: Anyone thinking of moving into High Lee can go and have a look round to see for themselves if they think it will be suitable. They can also have a copy of the homes Service User Guide to take away with them. This document gives people information about the home and the service it provides. A member of staff from High Lee will go and assess anyone thinking of moving into the home. This means that peoples needs are identified and that staff are sure they can meet those needs before people move in. Care Homes for Older People Page 10 of 24 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 and personal care needs are being met. Evidence: We looked at three care plans because we wanted to see what individual needs had been identified and what action staff have to take to meet these needs. We found that generally the care plans contained some good information about peoples individual care and support needs. Staff do, however, need to make sure that when a risk to an individual has been identified that they produce a plan to show what action they have taken to minimise or eliminate that risk. We spoke to five people who all told us that they get the care and support they need. They also told us that staff listen to them and that staff are kind and patient. Peoples health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are being involved as necessary. Details of any visits by health care professionals are documented in the individual care plan and show the Care Homes for Older People Page 11 of 24 Evidence: advice that has been given. People generally looked well cared for and we saw that men had been shaved, peoples hair brushed or combed, spectacles were clean and peoples personal hygiene was well maintained. The medication system is well managed. The records show that people are receiving their medication as precribed by their doctor. Care Homes for Older People Page 12 of 24 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 can follow their own routines and there are activities on offer to keep people stimulated. Meals are the home are good offering choice and variety. Evidence: People are able to follow their own routines and interests. The care staff have time to sit with people in small groups or individually to provide activities to keep people stimulated. The home have purchased a Wii gaming console, which people can use if they wish. The manager has two Chihuahua dogs that spend a lot of time in the home. People living there like the dogs and two people enjoy taking them out for a walk in the nice weather. The manager told us he will be arranging some trips out as soon as the weather improves. People are asked what activities they want at residents meetings. The manager is getting a greenhouse so people can be involved in growing tomatoes and other things for use in the home. Staff at the home are very welcoming and there is a nice atmosphere. Visitors are Care Homes for Older People Page 13 of 24 Evidence: made to feel welcome and can sit in one of the lounges, dining room or peoples bedrooms if they want more privacy. Visitors are also able to stay for a meal if they so wish. Meals at the home are good offering choice and variety. All of the people we spoke to and staff told us that the meals were good. We observed the lunchtime meal. People received their nicely presented meals in a timely fashion and staff were available to assist people as necessary. The meal was a very social occasion with people talking to each other across the table. Care Homes for Older People Page 14 of 24 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 know how to complain and safeguarding issues are being dealt with properly. This means that staff are listening to people and keeping them safe. Evidence: The home has a complaints procedure that is detailed in the Service User Guide. There is a copy of the Service User Guide in every bedroom so people can refer to it if they need to. The manager knows that he needs to write down the details of any complaint that is received together with the action taken and outcome. This will make sure complaints are dealt with properly. Staff receive training about safeguarding, this means that they are aware of the different types of abuse, reporting procedures and understand how to keep people safe. Care Homes for Older People Page 15 of 24 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 comfortable, clean and well maintained home. Evidence: High Lee is situated in a rural hill top location in Luddendenfoot, near Halifax with panoramic views across the surrounding countryside. The property which is a converted barn is well maintained throughout and furnished and fitted to a high standard. The accommodation is arranged on two floors and provides fourteen single bedrooms and one shared room, all with the benefit of en-suite facilities. Although the home is registered for 17 people there are only 16 places at the current time. The bedrooms are all different shapes and sizes and are homely and have been personalised by each individual. There are two lounges and a dining room, which again are comfortable and homely. Well maintained garden areas are provided for the use of the people living there and car parking facilities for visitors. At the last inspection by environmental health the kitchen was awarded 3* for hygiene. This means that the standards of cleanliness are good. Care Homes for Older People Page 16 of 24 Evidence: Staff have completed training so that they are aware of infection control issues and what they have to do to stop the spread of infection. People living in the home told us that their clothing is well looked after and that the laundry service is good. Care Homes for Older People Page 17 of 24 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. The recruitment procedures are robust staff are suitable, safe and well trained to care for older people. Evidence: At the time of our visit there were 16 people living at the home. During the morning there are three care staff on duty and during the afternoon, evening and night there are two. The care staff also undertake the cooking, cleaning and laundry. We talked to the manager about this he told us that he has tried to recruit a housekeeper, but has not been successful. He needs to continue to advertise so that care staff can be relieved of the cleaning duties. We looked at the record relating to recently recruited staff member to see if staff are appropriately checked before they start work at the home. we found that the recruitment procedures are good, with all of the necessary checks being completed to make sure that new staff are suitable and safe to work with older people. There are eleven care staff working in the home and eight have completed their NVQ (National Vocational Training) level 2 or 3. This means that staff are trained and have been assessed as competent to do their job. We spoke to two members of staff they told us that they enjoy working in the home Care Homes for Older People Page 18 of 24 Evidence: and that they have the opportunity to keep their training up to date. Care Homes for Older People Page 19 of 24 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 well managed and is run in the best interests of the people living there. Evidence: The manager has completed his registered managers award, this means he has been assessed as competent to manage a care home. The manager talks to people living in the home, relatives and staff to get their views about the service. He has also sent out surveys as another way to get peoples views about what they think of the home. When these are returned he needs to produce a report that can be given to people telling them about the results and what action is going to be taken to address any issues that have been raised. Residents meetings are also held on a regular basis. People are asked for their views about the meals, staff, trips out, activities and anything else they may like. For example at the last meeting people requested a greenhouse and a garden swinging Care Homes for Older People Page 20 of 24 Evidence: seat. The manager is in the process of acquiring these items. This means that people living in the home can influence the service and can have what they want. The manager does not hold any money for people living there. People or their representative are invoiced separately for any extra charges like chiropody and hairdressing. There is a written Health and Safety policy. Staff receive moving and handling, health and safety, food hygiene, fire safety, first aid and infection control training. The manager told us that all of the servicing of equipment and necessary tests are all up to Care Homes for Older People Page 21 of 24 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 22 of 24 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 1 8 13 Staff must make sure that after they complete a risk assessment they document the action they have taken to reduce or eliminate the risk. This will make sure the risk management plan is kept under review. 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 Care Homes for Older People Page 23 of 24 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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