Care Home: Hinckley Park Nursing Home

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What the care home does well People who use the service and their relatives are generally happy with the care provided. People stated that staff members treat them with dignity & respect and that they are mindful of people`s privacy when completing personal care tasks. People stated that they enjoy the meals that are provided. The mealtimes we observed were relaxed, with people being able to eat at their own pace and staff generally providing assistance where required. People who use the service live in a clean, safe and well-maintained environment. What has improved since the last inspection? Nursing staff have completed advanced medication training. Medication records are checked by nursing staff and the relief manager to ensure no omissions or errors have been made. Action is taken to address any issues that are identified. A risk assessment has been completed for a person who continues to self medicate. The home has been without a registered manager for over two years. A new manager was appointed on the day of our visit. The relief manager stated that an application for registration would be submitted at the earliest opportunity. What the care home could do better: Staff did not remove a plate during the course of the midday meal with the result that a person identified at the time of the visit continued to use cutlery from her main course to eat her pudding. We felt that the person concerned would have benefitted from more assistance at mealtimes. The assistance provided at mealtimes must be reviewed to ensure that people receive the care they require. This is to ensure people`s individual needs are met. Medication administration records should be reorganised to ensure relevant information is readily accessible. Whilst some people stated that staffing levels are sufficient, other people reported that the home sometimes seems short-staffed with the result that they or their relatives have to wait for assistance. The home is in the process of recruiting more staff, which will enable staffing levels to be increased throughout the day. This issue needs to be kept under review. Key inspection report Care homes for older people Name: Address: Hinckley Park Nursing Home 67 London Road Hinckley Leicestershire LE10 1HH     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: Martin Hefferman     Date: 2 3 0 2 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 21 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 21 Information about the care home Name of care home: Address: Hinckley Park Nursing Home 67 London Road Hinckley Leicestershire LE10 1HH 01455615252 01455612956 hinckleypark@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Centres Limited care home 40 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) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accomodated is: 40 The registered provider may provide the following categories of service only: Care Home with Nursing - Code N 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 any other category - Code OP Physical Disability - Code PD Date of last inspection Brief description of the care home Hinckley Park Nursing Home is a care home with nursing facilities providing personal care and accommodation for up to forty older persons. Southern Cross Healthcare Ltd owns the home. Hinckley Park is a purpose built, three-storey property with level entry access. Accommodation for people who use the service is located on two floors. Access to both floors is by use of a passenger lift or stairs. There is a third floor, which accommodates the kitchen, laundry and staff room. There are thirty single bedrooms, seven with en suite facilities, five double bedrooms, all with en suite facilities, and Care Homes for Older People Page 4 of 21 Over 65 40 0 0 40 Brief description of the care home additional bathrooms with assisted bathing facilities. There are two communal areas with a television, two dining rooms, a conservatory and a garden to the rear of the building. The home is located close to the town centre of Hinckley where people who use the service have access to shops, the library, the post office and other local amenities. It is easily accessible by private or public transport and there is parking in the grounds. Information about the services provided is available in a statement of purpose and service user guide. Fees for people who receive funding from the Local Authorities are arranged and assessed individually. They will also be asked for a top up fee, which varies between £10 and £50 according to their ability to pay. Privately funded residents are assessed according to their needs and the type of room that they occupy. The assessed nursing allowance is paid in addition to the fees. Care Homes for Older People Page 5 of 21 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: A key inspection was conducted on 10th November 2009, which rated the home as a two star good service. Since that date, we have received information which raised concerns about the quality of the care provided to people who use the service. This unannounced visit focused on the areas identified as concerns. We reviewed the records relating to two people who use the service. We spoke to people who use the service, their relatives, members of staff & the relief manager. We also observed care practices within the home. Please note that we did not look at all of the key standards on this occasion and so this report should be read in conjunction with the report of the inspection of 10th November 2009. Care Homes for Older People Page 6 of 21 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. 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 7 of 21 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 8 of 21 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 who may be considering living at Hinckley Park can access the information they require to enable them to make an informed choice about whether the home is the right one for them. Evidence: A key inspection conducted on 10th November 2009 rated the outcome for this group of standards as good. We have not received any additional information relating to this outcome group since that date. Care Homes for Older People Page 9 of 21 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. Care plans are satisfactory and reflect the health and personal care needs of people who live at Hinckley Park. Evidence: A key inspection conducted on 10th November 2009 rated the outcome for this group of standards as good. We have received information since that date, which raises concerns about the quality of the care provided to people who use the service and the safety of medication practices. We wanted to check that people who use the service are treated with dignity & respect and their rights are protected; that staff respond to requests for assistance quickly; and that medication has been administered correctly and charts have been filled out properly. We also wanted to check that people who self medicate have been assessed as being safe and competent to do so. This requirement was made at the time of the last inspection. People who use the service and their relatives are generally happy with the care provided. The people we spoke to stated that staff members treat them with dignity & respect and reported that they always knock & wait for a response before entering Care Homes for Older People Page 10 of 21 Evidence: their rooms. They stated that staff are mindful of their privacy when completing personal care tasks. Some of the people we spoke to stated that there are enough staff. One person reported that staff come quickly both during the day & at night if he calls for assistance. Call bells were answered in good time on the day of our visit. Several people stated that the home sometimes seems short-staffed with the result that they or their relatives have to wait for assistance (see Staffing). Nursing staff have completed advanced medication training since the date of the last inspection. Records indicate that they check medication administration records every day to ensure no omissions or errors have been made. The relief manager has also completed a medication audit. Records indicate that action is being taken to address the issues that were identified. The medication records we looked at had been completed to a satisfactory standard. Some of them would however benefit from being reorganised as individual medicines had been recorded on separate sheets and old forms had been filed with new. A risk assessment had been completed for a person who continues to self medicate. The assessment has been signed by the person concerned to indicate that he is in agreement. Records indicate that this situation is kept under review. Care Homes for Older People Page 11 of 21 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. The daily routine and appropriate activities at Hinckley Park mean that people are given the opportunity to enjoy leisure and recreational activities that meet their assessed mental, physical and social care needs. Evidence: A key inspection conducted on 10th November 2009 rated the outcome for this group of standards as good. We have received information since that date, which raises concerns about the quality of the care provided to people who use the service, particularly at mealtimes. We observed two meals and talked to people who use the service about the meals & mealtimes. The people we spoke to stated that they enjoyed the meals provided. One person stated that he has a cooked breakfast every day. The mealtimes we observed were relaxed, with people being able to eat at their own pace and staff generally providing assistance where required. We did however note that staff failed to remove a plate from one table with the result that the person concerned used the spoon from her pudding to eat the remains of her main course. Staff members then gave her a clean spoon but again failed to remove the plate and used cutlery with the result that she used the original spoon to eat her pudding. We felt that the person concerned would Care Homes for Older People Page 12 of 21 Evidence: have benefitted from more assistance with her meal. Care Homes for Older People Page 13 of 21 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 living at Hinckley Park (and their relatives) are able to express their concerns and have access to the homes complaints procedure. Evidence: A key inspection conducted on 10th November 2009 rated the outcome for this group of standards as good. We have received information since that date, which raises concerns about the quality of the care provided to people who use the service and the safety of medication practices. Our findings are set out under Health & Personal Care. Records indicate that the home has received one complaint since the relief manager took over during December 2009. He has undertaken an investigation into the concerns and a letter has been sent to the complainant outlining his findings. Care Homes for Older People Page 14 of 21 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. Hinckley Park provides a clean, safe and well-maintained environment. Evidence: A key inspection conducted on 10th November 2009 rated the outcome for this group of standards as good. No issues were identified during the course of this visit. Care Homes for Older People Page 15 of 21 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. Staff at the home receive training and are generally sufficient in number to meet the nursing and care needs of the people who currently live at Hinckley Park. Evidence: A key inspection conducted on 10th November 2009 rated the outcome for this group of standards as good. We wanted to check that staffing levels are sufficient to meet peoples individual needs. Some of the people we spoke to stated that there are enough staff. One person reported that staff come quickly both during the day & at night if he calls for assistance. Call bells were answered in good time on the day of our visit. Several people reported that the home sometimes seems short-staffed with the result that they or their relatives have to wait for assistance. The relief manager stated that four new members of staff have recently started enabling staffing levels to be increased in the morning. He reported that he was in the process of recruiting further staff which would enable staffing levels to be increased in the afternoon and reduce the homes dependence on bank staff. This issue needs to be kept under review. Care Homes for Older People Page 16 of 21 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. People who use the service and staff would benefit from the stability provided by the appointment of a registered manager. Evidence: A key inspection conducted on 10th November 2009 rated the outcome for this group of standards as good. The report states that the home had been without a registered manager for approximately two years. The manager at the time of that inspection had been in post since June 2009 but has since left. We wanted to check the registered providers intentions regarding the appointment of a registered manager. The relief manager stated that they had interviewed for a new manager on the day prior to our visit. She had been offered the post on the understanding that she would apply for registration at the earliest opportunity. The relief manager reported that he would stay at the home for at least four weeks to complete her induction. The relief manager has completed an action plan addressing areas of concern. The Care Homes for Older People Page 17 of 21 Evidence: plan sets out the progress that has been made to date. Staff members commented on the frequent changes of manager & the impact this has on their ways of working but reported that they were generally happy with the way in which the home was run at the time of our visit. Care Homes for Older People Page 18 of 21 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 19 of 21 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 15 12 The assistance provided at 31/03/2010 mealtimes must be reviewed to ensure that people receive the care they require. This is to ensure peoples individual needs are met. 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 9 Medication administration records should be reorganised to ensure relevant information is readily accessible. Care Homes for Older People Page 20 of 21 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 21 of 21 - 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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