Care Home: Hinderton Mount

What the care home does well Staff were seen to be polite and helpful. They were observed to chat freely with the residents and visitors. Residents spoken with said, "The carers are very nice and friendly." "I love it here." A relative spoken with commented: "Absolutely amazing care. The carers are caring not just carers." Residents were observed to be clean, tidy and well presented. A relative spoken with said, "My Mum is always beautifully dressed and clean." Staff were observed to deal with emergencies and respond to the health care needs of residents in a professional caring manner. A relative spoken with commented: "I am happy with the care and the action taken by staff today." A visiting GP spoken with said, "I have been visiting this home for the past five years and to my knowledge have always found staff have acted responsibly. They appear to be caring and approachable." What the care home could do better: Information on the home`s smoking policy should be included in the statement of purpose to enable prospective residents to make an informed choice about where to live. The policy is contained in the terms and conditions of residency and displayed in the entrance hall for all to view. Assessments of need should contain a more detailed personal profile on individual care needs, preferences and social history to ensure the home can meet those needs. These assessments should be signed and dated by the assessor. For people referred to the home via care management arrangements the home should obtain a summary of the care management assessment and a copy of the care plan prior to admission to ensure needs can be met. Residents` preferred choice of bathing, such as, bath or shower should be recorded. Residents` who wish to bathe more often than once a week should inform staff of their wishes and these should be respected and recorded. Records should clearly show when residents are offered bathing and refuse. Care plans should be agreed and signed by the resident and/or representative where possible to show they have agreed to their plan of care. The activity programme should be clear and accessible for the residents to read and understand. Daily activities should be displayed showing the activity, which is to take place on that day. The activity record should show those residents who have been asked to take part and do not wish to and those residents who wished to join in. This would demonstrate that the residents` have been given a choice. The home would benefit from an activity organiser who is designated to providing regular activities. At present the care staff undertake this role as part of their duties. Staff commented that "Caring comes first and activities are cancelled as the care of the residents takes priority." The home should conduct a residents` survey to enable them to have their say on the activities provided and those they wish to be provided. This would enable the residents to take part in stimulating activities of their choice. To ensure the safety of the residents the entrance to the home should be secure at all times. This was discussed with the management at the time of the visit as the main entrance was left open for access and staff are not always available to respond to visitors to let themselves in. The door was made secure at the time of the visit by the manager. All visitors are now requested to ring for access to ensure residents are safe from unnauthorised callers. A key pad system is in place to exit the building. All fund raising monies obtained for the use of the residents are recorded and receipts obtained of all items purchased. Balances of accounts should be countersigned to ensure an audit trail is available for inspection. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Hinderton Mount Chester High Road Neston South Wirral Cheshire CH64 7TA two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Elaine Stoddart Date: 1 2 0 2 2 0 0 9 Information about the care home Name of care home: Address: Hinderton Mount Chester High Road Neston South Wirral Cheshire CH64 7TA 01513361019 01513531619 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) : Weatherstones House Care Ltd care home 26 Number of places (if applicable): Under 65 Over 65 26 old age, not falling within any other category Conditions of registration: 0 This home is registered for a maximum of 26 service users to include: * Up to 26 service users in the category of OP (old age not falling within any other category) may be accommodated * Within the maximum of 26, one named service user in the category of LD (learning disability) may be accommodated Date of last inspection Brief description of the care home Hinderton Mount has been operating as a care home since 1985. Weatherstones House Care Limited has owned and run it since 1998. The Registered Manager is Bernie Couch who is responsible for the day to day running of the home. The home is a converted large house, providing 26 places for older people. It is situated on Chester High Road, a mile-and-a-half from Neston town centre and close to a pub and service station with a shop. The twenty-two single and two double bedrooms all have ensuite toilets and washbasins. There are two lounges, one with a large conservatory Care Homes for Older People Page 2 of 10 Brief description of the care home extension and a separate dining room. The home has very pleasant and wellmaintained gardens/grounds to the front and side, as well as adequate car parking. The fees range from 367.64 to 484.00 per week. Additional charges are made for hairdressing, chiropody, visiting entertainers and outings. The last inspection took place on 14th November 2007 and the report is available from the manager on request. Care Homes for Older People Page 3 of 10 What we found: An unannounced random inspection was conducted as a result of a number of concerns raised by members of the Residents Forum. The Forum consists of a group of people who have relatives accommodated at the home. The concerns raised were in relation to the information provided to the residents, the needs assessment process, health and personal care, daily life and activities, complaints and protection, the environment, staffing and the management and administration. The unannounced random inspection was carried out by one inspector for a duration of approximately nine hours. The manager, deputy manager and owner of the home were present. We met with residents, relatives, staff members and a visiting GP. We also looked at residents care files and other records relevant to the service. A number of National Minimum Standards were looked at during this inspection. The administration of medication was not assessed at this inspection as this was undertaken by a pharmacy inspector, during a random inspection and the requirements made are included within this report. Following the unannounced inspection we can confirm the quality rating for this service remains at two star. This means that the people who use the service experience good quality outcomes. What the care home does well: What they could do better: Information on the homes smoking policy should be included in the statement of purpose to enable prospective residents to make an informed choice about where to live. The policy is contained in the terms and conditions of residency and displayed in the entrance hall for all to view. Assessments of need should contain a more detailed personal profile on individual care needs, preferences and social history to ensure the home can meet those needs. These assessments should be signed and dated by the assessor. For people referred to the Care Homes for Older People Page 4 of 10 home via care management arrangements the home should obtain a summary of the care management assessment and a copy of the care plan prior to admission to ensure needs can be met. Residents preferred choice of bathing, such as, bath or shower should be recorded. Residents who wish to bathe more often than once a week should inform staff of their wishes and these should be respected and recorded. Records should clearly show when residents are offered bathing and refuse. Care plans should be agreed and signed by the resident and/or representative where possible to show they have agreed to their plan of care. The activity programme should be clear and accessible for the residents to read and understand. Daily activities should be displayed showing the activity, which is to take place on that day. The activity record should show those residents who have been asked to take part and do not wish to and those residents who wished to join in. This would demonstrate that the residents have been given a choice. The home would benefit from an activity organiser who is designated to providing regular activities. At present the care staff undertake this role as part of their duties. Staff commented that Caring comes first and activities are cancelled as the care of the residents takes priority. The home should conduct a residents survey to enable them to have their say on the activities provided and those they wish to be provided. This would enable the residents to take part in stimulating activities of their choice. To ensure the safety of the residents the entrance to the home should be secure at all times. This was discussed with the management at the time of the visit as the main entrance was left open for access and staff are not always available to respond to visitors to let themselves in. The door was made secure at the time of the visit by the manager. All visitors are now requested to ring for access to ensure residents are safe from unnauthorised callers. A key pad system is in place to exit the building. All fund raising monies obtained for the use of the residents are recorded and receipts obtained of all items purchased. Balances of accounts should be countersigned to ensure an audit trail is available for inspection. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 9 13 All medicines must be stored 23/01/2009 safely and securely and that controlled drugs are stored in a cabinet with meets current legislation. This is to help ensure that medicines are not mishandled or misused. 2 9 13 Staff must be trained to 23/01/2009 administer medication safely and be assessed as competent to do so. This will ensure that residents are given their medicines properly and their health and wellbeing is not put at risk. 3 9 18 You must ensure there are 23/01/2009 suitably trained and qualified staff on duty at all times specifically staff that are trained in medication handling. To ensure the health and wellbeing of people who live in the home is protected. 4 9 13 A formal auditing and 23/01/2009 checking system must be put in place. This will ensure that Care Homes for Older People Page 6 of 10 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action medicnes are handled safely and that staff have the necessary skills to do so safely. 5 9 13 Records about medicines must be accurate. This will help show that medicnes are administered properly and that medicines can be accounted for. 6 9 13 Records of administration must be signed by the person administering the medicines at the time they are given. To make sure the records accurately show who gave medication to the resident. 7 9 13 You must cease secondary dispensing. To ensure that residents health is not placed at risk from harm 8 9 13 Medicines must be given to residents as prescribed. When medicines are not given at the right time, in the right dose or at all residents health could be seriously affected. 9 9 13 Medicines must be in date 23/01/2009 when they are administered. To prevent residents health being put at risk of harm 23/01/2009 23/01/2009 23/01/2009 23/01/2009 Care Homes for Older People Page 7 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 1 Information on the homes smoking policy should be included in the statement of purpose to enable prospective residents to make an informed choice about where to live. Assessments of need should contain a more detailed personal profile on individual care needs, preferences and social history to ensure the home can meet those needs. These assessments should be signed and dated by the assessor. For people referred to the home via care management arrangements the home should obtain a summary of the care management assessment and a copy of the care plan prior to admission to ensure needs can be met. Care plans should be agreed and signed by the resident and/or representative where possible to show they have agreed to their plan of care. Residents preferred choice of bathing, such as, bath or shower should be recorded. Residents who wish to bathe more often than once a week should inform staff of their wishes and these should be respected and recorded. Records should clearly show when residents are offered Page 8 of 10 2 3 3 7 4 8 Care Homes for Older People 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 bathing and refuse. 5 12 The activity programme should be provided to the residents in a clear format. Daily activities should be displayed showing the activity, which is to take place on that day. The activity programme should be clear and accessible for the residents to read and understand. The activity record should show those residents who have been asked to take part and do not wish to and those residents who took part. This would demonstrate that the residents have been given a choice. The home would benefit from an activity organiser who is designated to providing regular activities. The home should conduct a residents survey to enable them to have their say on the activities provided and those they wish to be provided. This would enable the residents to take part in stimulating activities of their choice. To ensure the safety of the residents the entrance to the home should be secure at all times. Balances of accounts for residents fundraising monies should be countersigned to ensure an audit trail is available for inspection. 6 7 19 34 Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 or Textphone: or 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. 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