Care Home: The Heathers

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well The home finds out about peoples needs before they stay and has good care plans to tell staff about people’s needs, likes and dislikesPeople are supported to meet their goals and aspirations.People have a goods choice of activities.Staff have a good understanding of people’s needs and support them in the right way. What has improved since the last inspection? Staff have improved how they make sure people are safe.Staff help people to keep their money safe. What the care home could do better: The home needs to make sure that the hot water temperature is safe and comfortable and that the water system is in good repair. Key inspection report Care homes for adults (18-65 years) Name: Address: The Heathers 76 Rockingham Road Kettering Northants NN16 9AA 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: Catherine Perrins Date: 1 7 0 8 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) Page 2 of 30 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: The Heathers 76 Rockingham Road Kettering Northants NN16 9AA 01536483176 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) : Heathers@consensussupport.com www.concensusupport.com Consensus Support Services Limited care home 12 Number of places (if applicable): Under 65 Over 65 12 12 0 0 dementia learning disability Additional conditions: The maximum number of residents who can be accommodated is 12. The registered persons 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 are within the following category: Learning disability - code LD and code LD(E). Date of last inspection 0 1 0 7 2 0 0 9 Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home 10 people live at The Heathers. Each person has their own room. The home is quite big and there is plenty of space for everyone. Care Homes for Adults (18-65 years) Page 5 of 30 The home is near to the shops and buses in Kettering. Curent fees range from £525:00 and £1,200 per week Care Homes for Adults (18-65 years) Page 6 of 30 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 30 How we did our inspection: This is what the inspector did when they were at the care home We did not tell the home we were going to visit. We talked to some of the people who live at the home. We talked to some of the staff who work at the home. Care Homes for Adults (18-65 years) Page 8 of 30 We looked at people’s care plans. Care plans tell staff how to care and support people in the right way. What the care home does well The home finds out about peoples needs before they stay and has good care plans to tell staff about people’s needs, likes and dislikes Care Homes for Adults (18-65 years) Page 9 of 30 People are supported to meet their goals and aspirations. People have a goods choice of activities. Staff have a good understanding of people’s needs and support them in the right way. Care Homes for Adults (18-65 years) Page 10 of 30 What has got better from the last inspection Staff have improved how they make sure people are safe. Staff help people to keep their money safe. Care Homes for Adults (18-65 years) Page 11 of 30 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 12 of 30 If you want to speak to the inspector please contact: Cathy Perrins. Care Quality Commission. Citygate, Gallowgate, Newcastle upon Tyne. NE1 4PA Tel: 03000 616161 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 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 Adults (18-65 years) Page 13 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 14 of 30 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 given good information and their needs are assessed before they move to the Heathers to ensure that the home is right for them. Evidence: The home has a statement of purpose and service user guide which give people good information about the home and the services it offers. The service user guide has photographs and pictures to make it easier for people with learning disabilities to read. Records show that peoples needs are assessed before they move to the Heathers to make sure that the home can offer them the right care and support. People told us that they visited the home before they moved in to meet the other people who live there and to make sure that the home is right for them. A comment made by a relative in one persons file stated Very pleased to see that ... has settled in so well. Care Homes for Adults (18-65 years) Page 15 of 30 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent 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 individual needs will be met and their preferences and aspirations respected. Evidence: Each person who lives at the home has an individual plan of care. This contains their support plans and other information that staff need to care for people in the right way. Each person has a summary sheet of their support plans which outlines their personal goals. Support plans seen contained good information about peoples individual needs and preferences and had been signed by the person themselves to show that they agreed with what was in the plan. Each person also had an individual preferences checklist which outlined things such as their preference of key worker, preferred time to get up and go to bed. This checklist included comments made by the person themselves. Where people have specific needs in relation to dementia care records show that a dementia care plan is put together to make sure that staff have the right information to support and care for them. An assessment carried out by a clinical psychologist for one Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: person with dementia noted It appears that she has settled well into her new home and some of her previously lost skills are re emerging Records show that peoples communication needs have been assessed and communication profiles developed to make sure that staff support people to maximise their communication. People are supported to be safe without restricting their lifestyles by clearly documented assessments of the risks they face from the environment and the various activities that they do. These cover areas such as fire safety , moving and handling, nutrition, using bed rails, infection control, falls and road safety. Records show that peoples individual plans of care are reviewed on a regular basis and updated as their needs change. In the dining room the home has developed a wishing tree that shows some of the aspirations of the people living at the home and of some of the staff. One persons aspiration was to visit Skegness - she told us that she had recently been supported to do this. One staff member commented people genuinely care - staff are passionate about making sure peoples lives are as good as they can be. There was evidence that people are involved in the running of the home. One person was seen doing the food shopping during the inspection and a pictorial rota in the kitchen outlined the household chores that people needed to complete. Care Homes for Adults (18-65 years) Page 17 of 30 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 enjoy a good lifestyle in a relaxed home environment with a range of activities on offer. Evidence: Records show that people enjoy a range of different activities both at home and out in the community such as keep fit, over 60s and DVD nights. One person told us I like going shopping in town. On the day of inspection people had a coffee morning where they all sat down together to enjoy a coffee and a chat. Some people attend a local day centre several days a week. Staff told us that someone visits the home each week to offer massage therapy. The home has a vehicle to help people access activities of their choice outside the home. Records show that people are supported to attend their chosen place of worship if they wish to. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Lunch was observed during the inspection. Staff were seen assisting and encouraging people to enjoy their meal . People told us that the food was good. Staff explained that people have their main meal in the evening because they are often out at day centres or work placements during the day. Menus were viewed and showed that people have a choice of two dishes at each main meal. The main meal on the day of inspection was spaghetti carbonara and garlic bread or chicken kiev and salad with melon, raspberries and yoghurt to follow. Staff explained that on a Saturday the home has a cookery club where people take it in turns to cook a meal of their choice for everyone else in the home. Staff explained that some people were going on holiday to Norfolk a couple of weeks after the inspection. Care Homes for Adults (18-65 years) Page 19 of 30 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 can be confident that their health and personal care needs will be well met. Evidence: Records show that peoples health and personal care needs are well met with people having access to a range of health and social care professionals such as psychiatrists, general practitioners, community nurses, dentists, podiatrists and opticians. Where people have specific health needs, for example in relation to diabetes or epilepsy care plans have been developed to detail how staff should monitor their health and any interventions that may be necessary. Each person has a health action plan which outlines how they should be supported to be promote good health. Records show that where necessary people are have their weight, blood pressure and cholesterol checked. Records show that people had been assessed to find out if they are at risk of developing pressure sores. Where it was identified that there was a risk measures are put in place to reduce the risk such as provision of specialist equipment and advice for staff on how to Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: monitor and care for the person to try and prevent them from developing sores. Individual plans of care gave detailed information about how people wanted to be supported with their personal care, this included their choice of male or female carer. The administration of medication is well managed with all entries on the medication record being signed to show that people are receiving their medication as prescribed. Records show that staff are trained and assessed to ensure that they are competent to administer medication. Care Homes for Adults (18-65 years) Page 21 of 30 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 safeguarded by the homes policies, procedures and practices. Evidence: The home has a complaints procedure which outlines what people should do if they wish to raise a concern about the home and the response that they can expect. This is available in an easy read format with pictures and photographs to make it easier for people with learning disabilities to understand. Records show that the home has not received any complaints since the last inspection. Staff confirmed this to be the case and the Care Quality Commission has not received any complaints about the Heathers. There have not been any referrals made about the home to the Local Authority under the locally agreed safeguarding adults procedure. Staff spoken to had a good knowledge of how to safeguard adults and their responsibilities under the locally agreed procedures. Details of local advocacy schemes were on the notice board and people spoken to knew how to raise any concerns that they may have. Care Homes for Adults (18-65 years) Page 22 of 30 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 enjoy spacious and homely a living environment. Evidence: The Heathers consists of two semi detached properties which have been converted into one large house. Communal areas consist of two lounges, a dining room with small kitchen area for people to prepare drinks and a kitchen with dining area. The property is furnished and decorated to a good standard and communal areas are made homely with plants, pictures and ornaments. Bedrooms seen had been made personal with pictures, posters and personal effects. People told us that they had been able to chose the colour of the decor in their bedrooms. All bedrooms are single and have an en suite w.c. The linen cupboard on the first was observed not to have a lock. Staff explained that the lock must have been misplaced and arranged for a replacement to be purchased the same day. There are six ground floor bedrooms and the stairs to the first floor of the property have a stair lift fitted. The property has bathroom facilities on the ground and first floors with a bathroom and a Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: walk in shower available. The home employs a cleaner and all parts of the home were clean and hygienic. A leak was observed from the overflow outside the property. Staff told us that this had been reported to the company but that repairs could on occasions take a long time to be repaired. Care Homes for Adults (18-65 years) Page 24 of 30 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from being supported by a competent and dedicated staff team. Evidence: The recruitment of staff is well managed with all of the necessary pre recruitment checks being carried out to ensure that staff are suitable to work with people with learning disabilities. Staff told us that they had an induction when they first started working at the home which included working alongside an experienced colleague to make sure that they had all of the information that they need to do their job in the right way. Staff explained that they attend training courses such as food hygiene, safeguarding of adults, dementia care, infection control, fire safety, challenging behaiviour, palliative care, bereavement and moving and handling. One staff member told us that the home are very hot on training Staff were observed supporting people in kind, caring way and discussions with staff demonstrated that they have a good understanding of peoples needs and preferences. Staff told us that they work well as a team and that there are enough staff to meet peoples needs. One staff member described the Heathers as One of the best homes I Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: have ever worked in - relaxed and happy Staff explained that they very rarely use agency cover and have only covered one shift in the last eighteen months with an agency worker. A pictorial staff rota was on display in the dining room to show people which staff were working. Care Homes for Adults (18-65 years) Page 26 of 30 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of the people who live there. Evidence: Records show that the necessary safety checks such as fire checks, checks on the water system and portable appliance testing have all been carried out recently. Hoists and lifting equipment has been serviced as per manufacturers recommendations. The annual water check carried out on 3rd August, 2009 noted that the hot water temperatures and water pressure were low and that the loft tank required cleaning. Records show that the home carries out a satisfaction survey twice a year. The results were viewed and were positive. The company carries out an annual audit of the property against all of the national minimum standards. In the most recent audit the company gave the home a score of ninety-four per cent. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  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, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 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 Description 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 Description 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 42 The recommendations made in the annual water check should be acted upon to ensure that the hot water is dispensed at a safe and comfortable temperature and pressure and that the water system is safe. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 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. 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 Adults (18-65 years) Page 30 of 30 - 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!