Care Home: The Hurstway

What the care home does well The focus of the inspection was to check if previous requirements had been met. Therefore, we did not look at all aspects of the service. People have access to a range of health care professionals and this ensures that the appropriate advice is sought to meet their health needs. People benefit from being cared for by a staff team that are supported in their job roles. Meetings are held with people who live at the home to seek their views so they have a say in how the home is run. What the care home could do better: The focus of the inspection was to check if previous requirements had been met. Therefore, we did not look at all aspects of the service. Staff should have all the information they need to support individuals in the way they need and prefer. The home needs to make sure that all staff have a good awareness of the home`s safeguarding procedures so that people can be confident they will be protected from harm. Random inspection report Care homes for older people Name: Address: The Hurstway 142 The Hurstway Erdington Birmingham West Midlands B23 5XN one star adequate service 13/07/2009 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Kerry Coulter Date: 2 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: The Hurstway 142 The Hurstway Erdington Birmingham West Midlands B23 5XN 01213500191 01213864225 Telephone number: Fax number: Email address: Provider web address: www.heartofenglandcare.org.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Marie Ann Swadkins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Heart Of England Care care home 59 Number of places (if applicable): Under 65 Over 65 0 0 dementia physical disability Conditions of registration: 59 59 Age: Dementia (DE) age 60 years and above. Physical disability (PD) age 60 years and above. The maximum number of service users who can be accommodated is: 59 The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 59 Physical disability (PD) 59 Date of last inspection 1 3 0 7 2 0 0 9 Care Homes for Older People Page 2 of 10 Brief description of the care home The Hurstway is a purpose built home located in a residential area of Birmingham, owned by The Heart of England Care charity. The home is registered to provide nursing care for up to 59 older adults and can accommodate people who may have dementia or a physical disability. At the front of the building is a car park for visitors, which includes disabled parking spaces. At the rear is a conservatory with an enclosed garden, which provides a safe area for people to frequent during clement weather, and this is accessible via a ramp, which is suitable for wheelchair users. The accommodation is laid out over 2 floors, in 4 separate units, known as Primrose, Bluebell, Lavender and Jasmine. Each unit has a lounge/dining room for people to use. Bedrooms are for single occupancy with shared bathroom and toilet facilities. The home has three bedrooms, which have en suite facilities consisting of toilet, sink and shower. Downstairs there is a reception area with chairs and settees, which people can use and this includes a cinema area. There is a range of aids and adaptations designed to assist people with limited mobility, including a passenger lift between floors, a call system, grab rails and assisted bathing and toilet facilities. There are a variety of notice boards throughout the home, which provide information about the home which may be of interest to people. Copies of previous inspection reports are available on each unit and in reception. The current scale of charges for the home is detailed in the service user guide. Up to date information regarding fees should be obtained from the home. Care Homes for Older People Page 3 of 10 What we found: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection of this service was on the 13th July 2009. This random visit was undertaken by one inspector over six hours. The home did not know that we would be visiting that day. The reason for this visit was to check compliance with the requirements made at the last key inspection and to review the outcomes for the people living there. During this visit we looked at two care files, safeguarding records and procedures and staff supervision records. We spoke to some of the people living there, two relatives, the acting manager and some of the staff on duty. Following our visit we also spoke with a health professional who has regular contact with the home. These are our findings: When we visited the registered manager was on maternity leave and so there was an acting manager in place. This was one of the nurses who was previously the deputy manager so they knew the home well. Care plans had improved since our last visit and were in place for all areas of peoples needs. They included most of the information that staff need to make sure they know how to meet peoples needs in the way they prefer. Staff spoken to showed that they knew how to meet individuals needs. We observed that staff generally cared for people in the way stated in their care plan. However, a number of care plans also required further development in order to ensure staff can meet peoples needs. For example, one person was at risk of depression. Their plan did not include the signs that staff needed to observe for that would indicate the person was depressed. Care plans also need to be improved regarding peoples personal preferences. For example to record if they prefer a bath or shower and if they prefer this in the morning or evening. Discussion with the acting manager and observation of an action plan completed by the home indicate that action is being taken to improve care planning systems. This includes the introduction of a new care plan format and additional training for staff. Audits of peoples care plans are also being completed to highlight where improvements are needed. Records sampled showed that where people had been admitted to the home with sore skin, referrals had been made to the Tissue Viability Nurses for advice. Staff spoken to were aware of how to position individuals to ensure the risk of their skin becoming sore is reduced. We spoke with a health professional following our visit to the home regarding one persons pressure care. They told us that staff follow their advice and have provided appropriate care. Care Homes for Older People Page 4 of 10 At the last key inspection we found that the homes policy on safeguarding people from abuse needed to be clear so that staff know what to do to protect people from harm. The policy has now been updated and is clear about the action staff need to take to protect people. Previously we identified that staff needed training in the Mental Capacity Act and Deprivation of Liberty Safeguards legislation, so that they know how to safeguard people and act in their best interests. The home has now purchased a training package and we were told that senior staff had completed this. Training for nursing staff was due to take place a few days after our visit. We were told by the acting manager that once the nurses had completed this is would be cascaded to the rest of the staff team. Since our last visit to the home there have been eight incidents of a safeguarding nature. These included allegations about staff, concerns about the behaviour of two people living at the home and incidents where people had been admitted to the home from hospital with pressure sores. The local authority took the lead in these incidents and most are now closed. One safeguarding incident took place whilst the acting manager was on annual leave and there was a delay in the home notifying us about this. We spoke with the manager about what had been done to make sure the correct procedures were followed, so that people can be sure they are protected from abuse. The acting manager told us that the incident had been discussed with the staff concerned and that the homes safeguarding procedures had been re-inforced. This was confirmed by staff spoken with. Discussion with the acting manager indicated that a written record had not been made of this and it is recommended that this is done so there is a formal record of the action taken. The acting manager said that more in depth training on safeguarding procedures was to be arranged for staff. We were also told that should a safeguarding incident occur in the future the manager intended to work alongside nursing staff in following safeguarding procedures to make sure they were correctly followed. In addition to the acting manager, we spoke with four staff to establish their knowledge about safeguarding procedures. Three indicated they would follow the correct procedures however one staff needed to improve their knowledge to make sure people are safeguarded from abuse. Systems for supervising staff had improved, this helps to make sure staff have the support they need to do their jobs well. The acting manager told us that recently the system for booking staff supervision had been changed and that the new system was working well. Records showed that in recent months staff had received regular supervision. This was confirmed by staff spoken with. Staff told us: I get alot of support, we all work as a team. We have staff meetings every couple of months, its a good home, I like it here. I get supervision and find them beneficial. Support has been very good, was supernumerary when I started, shadowed staff for three to four weeks, had supervision and working through induction. Care Homes for Older People Page 5 of 10 Records showed that meetings are held with people who live at the home to seek their views. Minutes of a recent meeting were on display for people to read. It was good that where people had suggested areas for improvement there was a response from the home about what they had done in response to peoples suggestions. People who live in the home told us: They look after you here. Staff come if I use the buzzer. A good home, Im happy here. Get good care here, staff are nice, they look after you, the only thing I would improve is the meals. Food is alright, staff are very good, they come when you need them, can have baths and showers when you want, they are very good on that score. Relatives spoken with during our visit told us: Very pleased with the home, its the finest one in the Midlands. Im pleased with the care here, staff are all lovely. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 6 of 10 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 10 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 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 12 Care plans should be improved so that they contain all the information that staff need to be able to meet peoples needs in the way they prefer. Assessment of staff knowledge regarding the homes safeguarding procedures should be undertaken and where identified as needed, further training arranged. Discussions with individual staff regarding the delay in reporting a safeguarding incident should be recorded. So that people can be confident appropriate action has been taken to reduce the risk of future occurancies. 2 18 3 18 Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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