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Archived: Harpers Villas Care Centre

Reports


Inspection carried out on 25 June 2013

During a routine inspection

We spent a majority of our visit in the lounge area observing how people spent their day. Staff were kind and attentive and acted quickly when needed. The atmosphere was relaxed and people were able to spend time where they wished. We saw that two people liked to go into the manager's office and chat with her. We saw that some people enjoyed walking in the garden. Staff treated people with respect and maintained their dignity.

We looked at the care files of two people who lived at the home. Records seen demonstrated that these people received sufficient nutrition and hydration. We observed people eating the lunchtime meal. Everyone appeared to enjoy their food. We saw that new menus had been developed and were told by the manager that people's likes and dislikes had been taken into consideration when developing these.

On the day of our visit the home was clean and tidy. A member of domestic staff was busy completing her duties throughout the morning. We looked in the bedrooms of six people who lived at the home. We saw that bedrooms were large and had en-suite facilities. We saw that the home was well maintained and some areas were in the process of being re-decorated.

We saw that the home had a system for handling complaints. The person that we spoke with said that they would speak with the manager if they had any concerns. Complaints procedures were on display throughout the home.

The records that we reviewed at this inspection were up to date and in good order.

Inspection carried out on 31 October 2012

During a routine inspection

We spoke with three visitors to the service and were introduced to people who lived at the home. We saw that people were offered a choice of meal and drink. People appeared to be at ease in their surroundings and some people wandered freely around the home.

Staff spoken with were knowledgeable about people's care needs although records were not always up to date.

The home had addressed the issues identified at the last inspection relating to the temperature of the medication fridge and medication storage room. We saw that medication was securely stored. However, two nutritional supplements had been left in the medication trolley after the medication round and had not been returned to the fridge as required.

Some staff at the home appeared to have a good relationship with those under their care, other staff were busy and appeared to be task orientated in their approach to care. Staff did not always appear to have time to chat to people or spend one to one time with them.

We saw that the home had quality assurance systems in place to monitor the quality of the service provided. This included obtaining the views of relatives and visiting professionals.

Records seen were not all up to date and care plans did not reflect the current needs of the person receiving care. We saw that turn charts were not always completed in accordance with the requirements recorded in individual care plans.

Inspection carried out on 22 December 2011

During an inspection to make sure that the improvements required had been made

We carried out this review to check on the care and welfare of people using this service. There were 23 people living at the home on the day of the visit and no one knew we would be visiting. We spoke to two people who live at the home, three relatives, two visiting professionals and three staff.

People told us that they were happy living at the home, and relatives told us they were happy with the care. One relative told us “They let me know if mom is unwell”.

Records showed that people saw external healthcare professionals including the GP, district nurse, optician, dentist and chiropodist, so that they received specialist advice about their health.

People received support at mealtimes, but were not always provided with choices. People told us “The food is very good, I never go hungry” and “The food is okay but tea time is poor, the sandwiches are skimpy”.

We saw that people looked well presented and were wearing clothing that reflected their individual choices and preferences.

People can have small amounts of money held at the home, which is kept safe and secure.

Staff receive on going training and staff spoken to were able to give a verbal account of the actions they would take to keep people safe if they witnessed or were told about any allegations of abuse.

On the ground floor, people's bedrooms were locked which means that some people may not be able to go to their rooms independently.

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”.

Relatives told us about rooms being cold and that they had raised this with staff, but these concerns had not been recorded in the complaints book to ensure that concerns were listened to and acted upon.

Reports under our old system of regulation (including those from before CQC was created)