Care Home: Hyde Lea

What the care home does well The comments people made to us clearly show that the service is promoting the health and wellbeing of everyone living there, and doing so in a pleasant, homely environment. These are some of the comments we received: "I was really impressed with the home, the staff and the facilities when I looked round prior to my mum moving in." "Hyde Lea has looked after my mum exceptionally well. She has been very settled and content ever since she went into the home and is loved and well cared for. She always looks very content and relaxed and a doctor is always sent for if she has any problems. I couldn`t have got better care for her, all the care workers look after her really well" "excellent in all aspects of care". "I think the service excels in looking after each individual but also in getting groups of them to participate in activities. The meals seem to be very good and my mum seems to be eating again(after losing weight) and enjoying her food. Her wardrobe is always full of freshly laundered clothes." "My brother has come on no end. He is happy and they do more for him than I was able to do. I cannot thank them enough." "Hyde lea is always most welcoming to every visitor. We are always greeted and asked would we like a drink. The home is beautifully kept and clean. The residents always seem happy and relaxed. Often they are being stimulated with various games, etc. There is always a carer with residents and they are treated in a lovely manner. Very pleased and happy with the whole package." "Staff are excellent and very friendly and always helpful in meeting the needs of my uncle and greeting all his visitors with respect and will always answer any questions promptly and efficiently." Staff working at the home told us: "We are each aware of residents` social backgrounds, we understand each person`s needs and all staff and residents get along and enjoy being here." and "The manager is very understanding to service users, families and staff. She listens to the needs of everyone and takes everything on board that anybody needs. I enjoy my job very much here and families seem very happy with the care that we provide." What has improved since the last inspection? This was the first inspection for the service. What the care home could do better: The way in which checks are carried out when employing staff needed to be improved to make them thorough and robust. Key inspection report Care homes for older people Name: Address: Hyde Lea 49 Sharples Park Blackburn Road Bolton Lancashire BL1 6PG     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: Rukhsana Yates     Date: 0 4 0 1 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) 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 24 Information about the care home Name of care home: Address: Hyde Lea 49 Sharples Park Blackburn Road Bolton Lancashire BL1 6PG 07535340414 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Margaret Louise Lowe Name of registered manager (if applicable) Miss Jodie Dobson Type of registration: Number of places registered: care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following category: Dementia - Code DE. The maximum number of service users who can be accommodated is: 11 Date of last inspection Brief description of the care home Hyde Lea provides long term care for 11 people over the age of 55 who have care and support needs relating to dementia. Accomodation is provided in 11 single rooms, and a small number of day care places are offered. Set in a residential area close to shops and transport routes, the home has ample private car parking at the front, and a garden at the rear for residents use. There are two floors, with lift access. Facilities include two lounges, a separate dining room, and two adapted bathrooms with walk in showers. Care Homes for Older People Page 4 of 24 Over 65 0 11 Brief description of the care home The fees for the service are £410 per week. Further information is available in the homes statement of purpose, available on request. Care Homes for Older People Page 5 of 24 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 was the first inspection of Hyde Lea, and included an unannounced visit to the home. Before the visit took place the manager completed an annual quality assurance assessment (AQAA) which is designed to show what the service thinks it does well and where it can improve. This contained some brief information about the service. We sent surveys to people using the service, their relatives and staff to obtain their views, and the comments they made are included in this report. During the visit, we looked at how staff supported people, the training they had, and how people had their health and social care needs met. 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: The way in which checks are carried out when employing staff needed to be improved to make them thorough and robust. Care Homes for Older People Page 7 of 24 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 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 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. Evidence: The home has a statement of purpose that describes the facilities and services provided. This is made available to people living at the home and their relatives, and the manager ensures that she goes through the document with people so that they understand it. The service was recently registered and provides care and support to people with dementia care needs in a relatively small, homely environment. Before anyone is admitted to the home, the manager carries out an assessment to make sure the service is suitable and the persons needs can be met. Prospective residents and their relatives are welcome to visit the home before making a decision about admission. One relative told us I was really impressed with the home, the staff Care Homes for Older People Page 10 of 24 Evidence: and the facilities when I looked round prior to my mum moving in. Care Homes for Older People Page 11 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. People feel that they receive a high quality of care and support that meets their range of needs and expectations, and benefits their health and wellbeing. Evidence: It was evident that the manager and staff treat people in a way that promotes dignity and respect, from observations of practice and the comments people made to us. People were complimentary about how staff delivered care. Their comments included, Hyde Lea has looked after my mum exceptionally well. She has been very settled and content ever since she went into the home and is loved and well cared for. She always looks very content and relaxed and a doctor is always sent for if she has any problems. I couldnt have got better care for her, all the care workers look after her really well, and excellent in all aspects of care. The care plans we looked at showed that people have their needs and wishes recorded and reviewed regularly, with the involvement of the resident or their relative. It was clear that the manager and staff have worked closely with families to ensure that they understand the particular communication needs of people they support. Medication Care Homes for Older People Page 12 of 24 Evidence: was managed satisfactorily. The manager was advised to include more information in the reviews so that they informed staff about the best way to care for and respond to each individual from the knowledge gained over time. Care Homes for Older People Page 13 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 have choices that mean they are able to spend their time as they wish, have visitors when it suits them, and enjoy good, nutritional meals. Evidence: People had routines that were flexible and had choices as to where to spend their time, whether or not to take part in activities, what to wear, and times for rising and retiring. Staff were seen to treat residents in a dignified, respectful and courteous manner and assist in a friendly and caring way that put people at ease. One relative told us, I think the service excels in looking after each individual but also in getting groups of them to participate in activities. The meals seem to be very good and my mum seems to be eating again(after losing weight) and enjoying her food. Her wardrobe is always full of freshly laundered clothes. Another said My brother has come on no end. He is happy and they do more for him than I was able to do. I cannot thank them enough. A comment was also made that Hyde lea is always most welcoming to every visitor. We are always greeted and asked would we like a drink. The home is beautifully kept and clean. The residents always seem happy and relaxed. Often they are being stimulated with various games, etc. There is always a carer with residents and they are treated in a lovely manner. Very pleased and happy with the Care Homes for Older People Page 14 of 24 Evidence: whole package. Our observations during the midday meal showed that staff were attentive and sensitive, and people were enjoying their meals in a calm and relaxed atmosphere in pleasant surroundings. Staff and relatives felt that improvements could be made in terms of people going out on trips or taking part in activities outside of the home. The manager is taking steps to address this. Care Homes for Older People Page 15 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. Procedures and training arrangements in place ensure that people using the service feel listened to, safe and protected. Evidence: The surveys we received showed that people would feel comfortable about raising concerns and they would talk to the staff or the manager if they had any concerns. Staff said they would inform the manager if any problems were highlighted to them that they could not resolve. There were written procedures covering adult protection, whistle blowing and financial matters, and a copy of the Bolton inter agency safeguarding policy and procedure was available . Records showed that the staff had been given training in safeguarding procedures. Staff confirmed that they had received training and they were aware of the different sorts of abuse and they also understood what they should do if they suspected that someone was being mistreated. Care Homes for Older People Page 16 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 stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. Evidence: The home is bright and welcoming. Decoration, furnishing and lighting is of a very good standard and domestic in style. There is good accessibility around the building with assisted baths and other equipment provided. Aids and adaptations are provided in bedrooms, bathrooms and toilets as necessary. There is an attractive garden area at the rear of the home. The laundry is properly equipped and information regarding the control of infection is available. Standards of hygiene were seen to be high, with handwashing facilities in use throughout the building. The environment was clean and tidy throughout and was free from adverse odours, therefore providing a pleasant place to live. People spoken with were happy with the environment. 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. People are well cared for by sufficient numbers of staff who work positively together for the consistent benefit of those they support. Recruitment processes should be more robust to confirm the suitability of staff in their roles. Evidence: We looked at staff records which showed that all staff receive the training they need including Moving and Handling, food hygiene, safeguarding, fire safety, first aid, NVQ, challenging behaviour, medication, dementia, mental capacity and infection control. Staffing levels appeared to meet the personal and social care needs of people living at the home. The comments we received about the staff showed a high level of satisfaction. Examples included, Staff are excellent and very friendly and always helpful in meeting the needs of my uncle and greeting all his visitors with respect and will always answer any questions promptly and efficiently. Recruitment procedures were generally satisfactory, with staff appointed following receipt of relevant background checks and references. However, the manager was advised to revise the application form used so that experience, gaps in employment and referee details could be clearly recorded. The absence of these had resulted in a lack of evidence that gaps in employment and information in references had been fully explored. Care Homes for Older People Page 18 of 24 Evidence: 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 way the service is managed ensures that people receive a high quality of care and support at all times. Evidence: It was apparent from observations, discussions and comments made to us that the service is run well and in an open and inclusive way, with an emphasis on providing a good quality service and seeking further improvement. Comments reflected the view that the manager is fair-minded, approachable, competent and easy to get along with. She is suitably qualified and experienced, and conveyed enthusiasm for increasing her specialist knowledge in order to provide an increasingly responsive service. Staff comments included, We are each aware of residents social backgrounds, we understand each persons needs and all staff and residents get along and enjoy being here. and The manager is very understanding to service users, families and staff. She listens to the needs of everyone and takes everything on board that anybody needs. I enjoy my job very much here and families seem very happy with the care Care Homes for Older People Page 20 of 24 Evidence: that we provide. Information obtained from the AQAA and from random checking of service records showed that the homes equipment is properly maintained and regularly serviced. Records and discussions also showed that the necessary training had been provided so that staff could work safely. As it is a relatively new service the manager had not initiated formal, individual staff supervision meetings, but was in the process of arranging these. 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 29 19 Full background checks must 08/02/2010 be carried out and recorded when appointing staff. This will ensure that people living at the home are protected by robust recruitment procedures. 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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!