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Archived: Haddon Court Nursing Home Requires improvement

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Inspection report

Date of Inspection: 8 August 2011
Date of Publication: 24 August 2011
Inspection Report published 24 August 2011 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

Our judgement

Staff had received training in caring for people with dementia, however some practices we observed demonstrated that some people were not being supported appropriately to meet their complex needs.

User experience

One person said:

"I've been here for many years and everyones been alright with me".

Other evidence

Following our last review at the service on 12/05/2011, we had the following concern:

"The concept of privacy, dignity and human rights were not fully understood by all staff, resulting in a variation in the care and support provided to people".

This was because we observed that staff were very busy carrying out ‘tasks’. This meant that little or no time was spent with individual’s actively listening and involving people in making decisions. People were heard asking staff things, but the staff were so preoccupied with completing tasks they didn’t respond, so people were ignored.

We also observed that not all staff were skilful in engaging with people effectively.

Following the last inspection the provider sent us an action plan detailing the action taken in response to the inspection report. The provider told us:

"The manager has combined good practice meetings with staff meetings where she has discussed privacy dignity and human rights. Evidenced in minutes which are available at the home.

The manager tried to contact Birmingham College to arrange training however this was unsuccessful therefore; training has been arranged through Local Care Force training covering privacy dignity and human rights and is to take place on 9th August 2011.

Also arranged through the same provider is training on DOL’s and Mental Capacity.

The training provider will evaluate the staff’s level of understanding of the training by providing a short quiz at the end of the session.

Equality and Diversity training was provided by the local authority on 11th March 2011.

As part of our Provider Visit and in line with Outcome 1 the auditor observes how staff interact with service users, how they conduct themselves and how they support and discuss treatment with service users. Staff are also observed how they respect privacy, dignity, choice and independence when assisting service users. E.g Knocking on doors, ensuring doors are closed when delivering personal care, staff interactions at mealtimes. The provider visit report is discussed with the manager and an action plan devised to ensure any non compliance is rectified. A copy of the report is left in the home and is checked at the next visit to ensure that the recommendations have been actioned".

At this visit we spent a period of time sitting with a group of people in the main lounge areas. We were able to observe people’s experiences of living in the home and their interactions with each other and the staff.

The atmosphere in the home was generally relaxed, the TV was on in both lounges but the volume was at an acceptable level.

During our observation period there appeared to be sufficient numbers of staff to meet the needs of people. There was one or more staff within the lounges for the majority of the morning. Much of the interaction we observed between staff and people was more ‘practical’ rather than warm and focused. We saw that 'quieter' people received less attention than others. People that slept between morning tea and lunch appeared to have a general lack of engagement with staff. One person occasionally opened their eyes and began talking to herself though this was not acknowledged by carers.

No activities occurred during our period of observation although staff did talk to people about having a sing-song later in the day.

We saw occasions where staff interactions with people could have been handled more appropriately.

One person wanted to get out of the chair and move around. They were told and assisted to sit back down. This made the person unhappy and they hit out at the staff member who then loudly said "look at my war wounds".

Another person was repeatedly going to staff and asking for his watch. One staff member was completing records and when the person went up to them and asked for his watch the member of staff totally ignored him, didn't look up and carried on writing records. Another member of staff said "I've only got one