Latest Inspection
This is the latest available inspection report for this service, carried out on 17th May 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Thistle Hill Hall.
What the care home does well People are assured their needs will be met at the home through a clear admissionsprocess. Social and health care is well planned and reviewed regularly. All risks are assessed, with appropriate action taken and medication is well managed. There is evidence of close liaison with other agencies and a range of professionals. An activity coordinator plans activities and all staff are involved in providing relevant activities and supporting people to take part. There are facilities on site for art, pottery, gardening and a range of fitness machines are provided in a gymnasium. People told us of regular day trips and they were taking part in a meeting to plan a holiday during our visit. Comments from people living there included: "I like to use the gym in the evenings", "We go out in the minibus every Thursday and Saturday", "We had a good time in London" and "I like all the activities and I want more". Meals are well liked with plenty of choice of food to suit individual needs and preferences. People said: "lovely meals", "Good food and menu options" and "meals are good, I can have what I want". Clear records show that any concerns are managed well, with all appropriate action taken to keep people safe. The premises are generally kept clean and are well furnished. The pantry floor was recently replaced and various areas have been redecorated with people being involved in choosing colour schemes. We observed staff treating people with respect and talking to them sensitively. Some people spoke with us and said the staff were very helpful and gave them the support they needed. People told us in our survey: "Staff are polite and pleasant", "Staff are understanding", "Good Staff" and "the staff are very friendly". There were staffing records to show that staff are competent and given appropriate ongoing training in order to meet people`s needs. Staff told us that they get pleasure and job satisfaction in their work at Thistle Hill Hall. One of the staff said, "If I want any additional information to gain more knowledge then I know I will get the help and support I need from the senior staff and management at all times." Another of the staff told us, "Training and other relevant support are always given." The new manager is supported by the general manager, who is also based on the premises, and an administrator. The management team ensures the home is run in the best interests of people living there. What the care home could do better: The general manager is continually improving systems for managing the service and supervising staff. We did not need to make any requirements, but we saw an area ofmildew on the ceiling in the gymnasium due to damp penetrating the roof and recommended that this receive attention as soon as possible to ensure the health and comfort of people using the room. The general manager has informed us that the recommended work was completed immediately after our visit. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Thistle Hill Hall Debdale Specialist Care Limited Debdale Lane Mansfield Woodhouse Nottinghamshire NG19 7EZ three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full 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: Meryl Bailey Date: 1 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Thistle Hill Hall Debdale Specialist Care Limited Debdale Lane Mansfield Woodhouse Nottinghamshire NG19 7EZ 01623655100 Telephone number: Fax number: Email address: Provider web address: skhulpateea@aol.com www.debdalecare.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Joanne Bailey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Debdale Specialist Care Ltd care home 18 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 18 One named Service User to be admitted above the age of 65. Service User shall be in Category MD. Date of last inspection Brief description of the care home Thistle Hill Hall is a Grade II listed building, which provides residential care for adults who have enduring mental health problems. The accommodation is situated on two floors with the upper floor being accessed via stairs or a passenger lift. The accommodation is spacious with high quality fixtures and fittings, and is tastefully decorated throughout, while still incorporating many of the original features. Outside
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home there are ample grounds much laid to lawn, although an abundance of shrubs and trees add to the privacy of the house. To the front of the building is a small car park for staff and visitors. All bedrooms have en-suite facilities, and there are two training kitchenettes as well as a central kitchen and dining room. On site, there is a gymnasium, as well as a hobbies/games room, with table tennis, pool and a variety of tabletop games and activities. Thistle Hill Hall has two lounges, a visitors room, and ample bathrooms and toilets in addition to the en-suite facilities. These bathrooms are spacious, and a person with mobility difficulties could be accommodated. The fees at the home start at £1,400 per week with additional payments for specialist care needs. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The inspection process focuses on outcomes for people and their views on the service that is provided. We consider the providers capacity to meet regulatory requirements and minimum standards of practice and focus on aspects of service provision that need further development. We carried out this unannounced random inspection under the Care Standards Act 2000 and Fees and Frequency Regulations 2007, which state that services shall receive an inspection visit within a three year period. The quality rating was determined at the last key inspection, which took place on 24 May 2007. We reviewed all of the information we have received about the home since the last key inspection to consider if the quality of the service had changed. We gathered information from people through our survey forms and through observations and discussions during the inspection visit. We also considered information contained in a recent annual quality assurance assessment (AQAA) that was sent to us by the manager. The general manager had informed the Commission of various incidents and these were well managed, with appropriate procedures being followed and immediate action to safeguard people. Overall, we found that the quality of the service has remained at the same excellent level. Since the last review of this service, a new manager has been assessed as fit and registered with the Commission. She is supported by the general manager who had comprehensively completed the AQAA to give all the information we needed. He told us: Thistle Hill Hall has adopted a number of ways to ensure we are listening and responding to our clients. A bi-weekly community meeting is held which clients and staff are encouraged to attend to discuss issues, concerns and plan future activities. We also involve clients in the writing of care plans, as well as maintaining open dialogues with clients through informal communications and designated 1-1 sessions. Through listening to people they had already made the following changes: We have revamped and improved our Sports & Recreational programme in response to the views of clients obtained through an annual Activity Survey conducted in November/December 2009. Through requests made in community meetings, and Meal Comments Book, menus have been changed in the kitchen to accommodate the changing tastes of our client group. Our staff are now provided a meal to eat at the same time as the clients to encourage greater unity and integration. This was as a result of client comments about how they wanted meal times to be conducted. We have employed a Clinical Psychologist to join the MDT and offer greater support to our clients, either through 1-1 sessions or through advice and support offered to staff with regards to client care/support plans. What the care home does well:
People are assured their needs will be met at the home through a clear admissions
Care Homes for Adults (18-65 years) Page 4 of 9 process. Social and health care is well planned and reviewed regularly. All risks are assessed, with appropriate action taken and medication is well managed. There is evidence of close liaison with other agencies and a range of professionals. An activity coordinator plans activities and all staff are involved in providing relevant activities and supporting people to take part. There are facilities on site for art, pottery, gardening and a range of fitness machines are provided in a gymnasium. People told us of regular day trips and they were taking part in a meeting to plan a holiday during our visit. Comments from people living there included: I like to use the gym in the evenings, We go out in the minibus every Thursday and Saturday, We had a good time in London and I like all the activities and I want more. Meals are well liked with plenty of choice of food to suit individual needs and preferences. People said: lovely meals, Good food and menu options and meals are good, I can have what I want. Clear records show that any concerns are managed well, with all appropriate action taken to keep people safe. The premises are generally kept clean and are well furnished. The pantry floor was recently replaced and various areas have been redecorated with people being involved in choosing colour schemes. We observed staff treating people with respect and talking to them sensitively. Some people spoke with us and said the staff were very helpful and gave them the support they needed. People told us in our survey: Staff are polite and pleasant, Staff are understanding, Good Staff and the staff are very friendly. There were staffing records to show that staff are competent and given appropriate ongoing training in order to meet peoples needs. Staff told us that they get pleasure and job satisfaction in their work at Thistle Hill Hall. One of the staff said, If I want any additional information to gain more knowledge then I know I will get the help and support I need from the senior staff and management at all times. Another of the staff told us, Training and other relevant support are always given. The new manager is supported by the general manager, who is also based on the premises, and an administrator. The management team ensures the home is run in the best interests of people living there. What they could do better:
The general manager is continually improving systems for managing the service and supervising staff. We did not need to make any requirements, but we saw an area of
Care Homes for Adults (18-65 years) Page 5 of 9 mildew on the ceiling in the gymnasium due to damp penetrating the roof and recommended that this receive attention as soon as possible to ensure the health and comfort of people using the room. The general manager has informed us that the recommended work was completed immediately after our visit. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 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 Adults (18-65 years) Page 7 of 9 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 Care Homes for Adults (18-65 years) Page 8 of 9 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 Adults (18-65 years) 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
