Care Home: Hundens Park Care Home

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What the care home does well A good standard of care is provided for people living at the home. People said that they enjoyed living there, and staff were kind and helpful. There were written assessments and care plans in place for each person. This helps staff to make sure that each person gets the support and assistance that is needed for them to live safely and comfortably. Staff receive regular training and supervision so that they can continue to care for people in the correct way. The home is well managed and run by a suitably qualified and experienced manager. What has improved since the last inspection? There were no requirements or recommendations made in the previous report for the home. Improvements continue to be on-going to the environment, a programme of redecoration was taking place during the inspection. What the care home could do better: Each person living at the home should be given a contract setting at the key terms and conditions of residence. A better range of social activities should be provided to people living at the home and these should be based on people`s interests. Staff recruitment must include gaining appropriate references prior to staff commencing employment. All reports made under Regulation 26 should be held at the home. Key inspection report Care homes for older people Name: Address: Hundens Park Care Home Hunden`s Lane Darlington Co Durham DL1 1JF     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: Tanya Newton     Date: 3 0 0 6 2 0 0 9 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 22 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) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Hundens Park Care Home Hunden`s Lane Darlington Co Durham DL1 1JF 01325366000 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: hundens@barchester.com www.barchester.com Barchester Healthcare Homes Ltd care home 61 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 accommodated is: 61 The registered person may provide the following category of service only: Care Home with nursing - Code NTo 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, maximum number of places: 61 Physical Disability - Code PD, maximum number of places: 5 Date of last inspection Brief description of the care home Hundens Park is a care home providing both nursing and personal care to sixty one older people. The home is located In a residential area on the outskirts of Darlington. The home is on a regular bus route into the centre of Darlington. Accommodation is provided over two floors that are serviced by a lift with stair access as well. It is a purpose built home with spacious communal areas with all bedrooms having en suite facilities. Assisted bathrooms and showers are available on both floors. Care Homes for Older People Page 4 of 22 Over 65 61 0 0 5 1 6 1 2 2 0 0 8 Brief description of the care home The home is set in pleasant grounds and the first floor has a balcony area for people to use if they wish to sit outside. Barchester Health Care owns the home. Fees range from £394 to £520 per week. Care Homes for Older People Page 5 of 22 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: This unannounced inspection took place over 6 hours on the 30th June 2009. In line with current CQC policy on proportionality, the inspection focused upon a number of key standard outcomes for people living at the home. A tour of the building took place and the manager, staff, visitors and people living at the home were asked about their views of the home. Prior to the inspection the manager was asked to fill in a questionnaire, which provides CQC with statistical information about the service. A number of records were also looked at. Feedback from people has been included within the report. Care Homes for Older People Page 6 of 22 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 22 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 22 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 have their needs assessed prior to them being admitted to the home. Evidence: Not everyone living at Hundens Park has been given a contract which sets out the key terms and conditions of residence. A contract must be provided for all people living at the home. All people who move into the home are assessed prior to them being admitted. This ensures that the home is able to meet their needs. Assessments contained detailed information and in most cases also included a copy of the assessment from the placing authority. People living at the home said, my family visited the home first, I was made very welcome and I came here, as I heard that the home had a good reputation. Care Homes for Older People Page 9 of 22 Evidence: The home does not provide intermediate care. Care Homes for Older People Page 10 of 22 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. People were treated with dignity and respect and had their health and personal care needs met in a well planned way. Evidence: Care plans were looked at, care plans set out the way in which peoples health and personal care needs are to be met. The care plans viewed were in the main well written and contained detailed information, although some of the reviews were not up to date. Comments from people living at the home include, I am definitely well cared for here, I am well looked after, its 100 and we get well looked after, staff always knock on your door, speak to you politely and answer call bells quickly. The home had good systems in place for monitoring peoples health needs and advice is sought from other professionals where this is required. Staff were seen throughout the inspection to be treating people with dignity and respect and this was also reflected within peoples individual care plans. Care Homes for Older People Page 11 of 22 Evidence: Medication was stored, administered and recorded well. Policies and procedures were in place regarding medication and regular audits are carried out. Care Homes for Older People Page 12 of 22 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 home should provide additional social and leisure opportunities to people based on their individual interests. Evidence: Comments from people included, plenty going on, we choose what we want to do, I like the bingo, not much going on here, we just sit about, I like to be in my room with my TV, we have someone who does activities, but on Tuesday she helps the hairdresser, we play bingo a couple of afternoons, do armchair aerobics, dominos and sometimes people come in to sing, very little to do here, we sit outside when its sunny and there isnt much socially, some people are bored. The atmosphere in the home was friendly and welcoming, with visitors coming and going throughout the day. There are no restrictions on visiting. People were asked if they liked the food, comments included, lunch was nice today, food is usually good, you get a choice, some people complain about the food, I like the sausage and mash and I enjoy tea, you get a choice and get plenty of drinks throughout the day, I had spaghetti bolognaise for lunch followed by trifle, it was very nice, food is great, I like it. Care Homes for Older People Page 13 of 22 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 can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. Evidence: There are clear written policies in place to deal with complaints and people spoken to during the inspection, said that they felt confident in raising any concerns. A record of any complaint is maintained, which includes any action which has been taken in response. Comments from people living at the home included, any issues are resolved, I am quite happy to raise any concerns and I could tell the girls if I had any problems. Staff working at the home have received training in the protection of vulnerable adults (POVA). All staff spoken to were aware of whistle blowing (telling someone if they saw or heard anything inappropriate) and said that they would have no hesitation in doing so. Care Homes for Older People Page 14 of 22 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 safe, comfortable, well maintained and homely environment. Evidence: A programme of redecoration was taking place on the day of the inspection. This included communal hallways and individual bedrooms. Some of the carpets looked worn, the manager said that these would be getting replaced once the decoration of the home had been completed. Rooms were individually furnished to peoples individual taste and people are able to bring items of furniture as well as ornaments and pictures to personalise their rooms. The home is fresh, clean, comfortable and well maintained and there were plenty of communal areas for people to use. Care Homes for Older People Page 15 of 22 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 skill mix and numbers of staff on duty, ensure that staff are able to meet the assessed needs of people living at the home. Recruitment practices need to be more robust to ensure that people are fully protected. Evidence: Five staff files were viewed, all contained an application form and a CRB check (police check). Two of the five files viewed did not contain two references. These are required to ensure that any staff recruited are safe to work with vulnerable people. The home must ensure that two references are sought prior to people being employed at the home. Staff spoken to during the inspection confirmed that they received an in depth induction when they started work at the home. Training is ongoing and includes induction, fire awareness, moving and handling, food safety, health and safety, protection of vulnerable adults, first aid, palliative care and dementia. Information provided prior to the inspection shows that 19 of the 36 care staff have an NVQ at level 2 or above. Comments about the staff included, the staff are good, they treat us well , staff check on me regularly, they answer bells quickly, I am well looked after and the staff are great, sometimes they are short staffed. One of the staff members on duty Care Homes for Older People Page 16 of 22 Evidence: said, things are alright at the moment, there are always two nurses on duty, staff numbers at the moment are ok although sometimes they can be a struggle. Morale is good, we all get on well. A visitor said, the girls are lovely, really kind. Care Homes for Older People Page 17 of 22 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 living at Hundens Park care centre benefit from a well run home. The health, safety and well being of people living and working at the home is promoted and protected. Evidence: The home has a registered manager who is experienced in managing a care service. The majority of staff were positive about the management arrangements and said that they were well supported. The home carries out quality assurance surveys to gain feedback from those living at the home and their relatives. The results of the surveys are compiled into a report which includes an action plan to show how any improvements will be addressed. The manager carries out regular audits of the service. The provider visits the home on a monthly basis and provides a report of their findings. This information was not initially available in the home on the day of the inspection although it was faxed through at the inspectors request. Copies of reports under regulation 26 should be maintained in Care Homes for Older People Page 18 of 22 Evidence: the home. Health and Safety records were looked at. Records for accidents, fire, gas, electrical equipment and water temperatures confirmed that regular monitoring checks were being carried out. The home also carries out risk assessments to ensure that risks to people living and working at the home are minimised. Care Homes for Older People Page 19 of 22 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 20 of 22 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 2 5 Each person must be provided with a contract. Contracts set out the key terms and conditions of residence. 30/09/2009 2 29 19 Two references must always be sought, prior to people being employed at the home. To ensure that people are safeguarded. 30/09/2009 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 2 3 7 12 33 Care plans should be reviewed on a regular basis. Additional social activities should be provided based on peoples interests. Copies of all reports made under Regulation 26 should be maintained at the home. Care Homes for Older People Page 21 of 22 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. 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