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Archived: Harpers Villas Care Centre

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Inspection report

Date of Inspection: 22 December 2011
Date of Publication: 17 February 2012
Inspection Report published 17 February 2012 PDF | 46.96 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 22/12/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff, reviewed information from stakeholders and talked to people who use services.

Our judgement

The home may not always be run in the best interests of the people who live there.

User experience

The acting manager has been in post for approximately 12 months. On the day of the visit we discussed her application to become registered with us and we assured her that the application could be made with the qualifications she already holds. This will ensure a commitment to the running of the home.

People made positive comments about the staff and said “The staff are very commendable”, “They are wonderful and down to earth”, “The girls work hard and they are honest” and “They are all nice”.

One person told us that their relative liked to lie on the bed to watch TV but the room was too cold. They told us they had raised this with staff “a couple of times” and staff had said it was due to the weather. We looked at the complaints records and there was no evidence of the concerns around the temperatures being recorded. The manager told us that this was not a formal complaint. This may mean that people's concerns are not acted upon. Low level concerns should be recorded as this could assist in identifying themes and trends so that action can be taken before the concerns are escalated. We saw that one complaint had been investigated and there were detailed records of the investigation and the outcome.

We checked the temperatures in a sample of rooms and found that most of the rooms were cool. We had noted that the conservatory was cold earlier in the day, despite the radiator being set on its highest setting, it was cool to touch. Staff brought in a portable heater to warm the room for the people who had chosen to sit in there. We spoke to the maintenance person who told us that the temperatures were controlled by the main boiler and not in individual rooms. Systems should be in place to ensure that people are provided with a warm environment. Following the visit the Area Manager confirmed that individual room temperatures could be controlled as there were controls on every radiator. She told us that there had been an ongoing problem with the heating prior to our visit but this was now resolved and the home was warm.

People who live at the home and their relatives are invited to attend meetings at the home, so that they can discuss the home and any concerns they have. We saw that at the last meeting, people had said they would like reminiscence packs and the manager told us that she was hoping to arrange for these from the Alzheimer’s society. Staff meetings are also held and feedback forms are sent out after each meeting so that they can be improved in the future.

The home was pleasantly decorated for the Christmas period, during the morning old time music was playing and in the afternoon, Christmas Carols were being played. We looked at some people’s bedrooms and saw that all rooms had linoleum flooring. This does not make a homely environment and does not demonstrate that individual choices are taken into account. The manager told us that the home could “do with a lick of paint” but did not know when this would be done.

The home had had a recent infection control audit by the Primary Care Trust and was given a ‘green’ rating. Two care staff are the nominated infection control leads for the home. We found that the home was clean and people we spoke to confirmed that the home was always clean. One person said “It’s always clean and never smells”. The Environmental Health Officer had visited the home in June 2011 and the home had been awarded five stars.

We saw that a number of audits are completed at the home including mattress checks, fire, building, care plans and the kitchen. We saw that weekly medication audits were done by the deputy manager until recently when the person doing these had changed their role. We saw a number of ‘Thank you cards’ at the home which indicate people’s satisfaction with the service. Surveys are available in reception for people to complete if they choose to. The manager told us that every six months surveys were sent to GP's, chiropodists, optician, dentist and district nurse

Other evidence

We do not have any other information.