Inspection on 29/02/08 for Andrew Cohen House

This is the latest available inspection report for this service, carried out on 29th February 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Andrew Cohen House 22/02/06

Andrew Cohen House 19/07/05

Andrew Cohen House 25/01/05

Andrew Cohen House 20/09/04

Andrew Cohen House 27/01/04

Andrew Cohen House 15/09/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Andrew Cohen House 1 Riverbrook Drive Stirchley Birmingham West Midlands B30 2SH Lead Inspector Ashley Fawthrop Key Unannounced Inspection 29th February 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Andrew Cohen House Address 1 Riverbrook Drive Stirchley Birmingham West Midlands B30 2SH 0121 458 5000 0121 458 4999 sgold@bhamjcc.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Birmingham Jewish Community Care Mrs Sheila Gold Care Home 59 Category(ies) of Dementia - over 65 years of age (59), Old age, registration, with number not falling within any other category (59), of places Terminally ill over 65 years of age (59) Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to accommodate 50 service users over 65 yrs of age who are in need of nursing care (including 4 continuing care service users) for reasons of old age, dementia or terminal illness. 9 service users over 65 years of age in need of residential care for reasons of old age. 19th March 2007 2. Date of last inspection Brief Description of the Service: Andrew Cohen is a purpose built two-storey home set in its own grounds that was commissioned in 1993 by the Birmingham Jewish Community. The home provides both residential and nursing care for 59 residents for reason of old age, dementia and terminal illness. Accommodation is provided in large single rooms and the majority have en-suite facilities. There are a number of communal rooms, a library, synagogue and snoozlem room for use by residents in the home. The home is well maintained both internally and externally. There is a pleasant garden to the rear with parking to the front of the building. The home has strong links with the local Jewish Community who provide support and there are a number of volunteers involved with social activities in the home. The fees for the service are Residential care £650 per week and Nursing care £745 per week. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out without prior notification and was conducted by one inspector over the course of four hours. The inspector would like to thank everyone who took the time to talk to them and express their views. Before the visit, accumulated information about the home was reviewed. This included looking at the number of reported accidents and incidents, adult protection issues, reports from other agencies, i.e., the Environmental Health Officer, and correspondence following the last inspection. This information was used to plan this field visit. The inspector case tracked four people’s care plans. Case tracking is the method used to assess whether people who use the service receive good quality care that meets their individual needs. Where appropriate, issues relating to the cultural and diverse needs of residents and staff were considered. Using this method, the inspectors assessed all twenty-one key standards from the Care Homes for Older People National Minimum Standards, plus other standards relevant to the visit. The inspectors spoke with identified people who live at the home and relevant members of the staff team who provide support to them. Documentation relating to these people was also looked at. What the service does well: The home continues to provide a real sense of community life, as people living at the home and their families are encouraged to make many of their own decisions including an opportunity to continue their Jewish faith and lifestyle. There is a lot of support from the senior managers and directors, nurses, care staff, ancillary staff and also from a social worker and occupational therapist. The healthcare needs of people are well planned and effectively met, when there have been concerns in respect of health or protection the staff have always made timely decisions about who needs to be involved. The senior managers and the directors are positive about complaints and how it is an important tool for residents and their representatives to raise their concerns and a vehicle to improve the services. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 6 The décor and furnishings are maintained to a good standard. The home presents clean and tidy and many people’s rooms have had many personal touches. Giving them a feel of ownership and individuality. Staff recruitment, training and the supervision is conducted in the best interests of the residents. Training is flexible and the manager is aware of the needs of the residents and considers this as part of the training programme. The manager has led, directed and developed the team over a period of years. There are excellent channels of communications and the manager spends a great deal of time with the residents. The Director has supported her decisions and has a good insight into the needs of people and how good care is to be delivered. The home continues to have a quality manager who has successfully introduced a system of monitoring and reporting, which involves residents and their representatives. Many outcomes from the quality reviews are being used to continuously improve the service. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has demonstrated that it has the ability to make sure that people are only offered a service if they are positive they can meet their needs and aspirations. People are assessed before moving into the home making sure staff can start to give the most appropriate care. EVIDENCE: People are given information about the home and the services it provides before moving into the home. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 9 People who are interested in using the service or their relatives were invited to visit before moving in, so they can meet staff and see if the home meets their needs. The Jewish community provides their own social worker who is based at the home care plans show that the social worker had assessed many of the needs and risks of people before they move in to the home. The home does not provide an intermediate care service. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has demonstrated that it does have the ability to effectively meet the health and personal care needs of people. People are treated with respect and their rights and privacy are upheld. EVIDENCE: Peoples care plans recorded good evidence that where personal care or health care was required that a care plan or risk assessment was written to guide and instruct staff. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 11 There was evidence that the care plans were based upon good assessments including nutrition, moving and handling, tissue viability (skin care) and falls. These assessments continue to be reviewed on a regular basis. Care plans had been written for treatment such as infections, pressure ulcer care (after consultation with a tissue viability nurse) and other immediate health needs. There was evidence that people have access to health care professionals such as GP’s, hospitals, chiropody, physiotherapy and occupational therapist. The home employs an occupational therapist who is involved in socialisation and activities this makes sure that the holistic care needs of people are met. Since the last inspection the management team have updated the care plans to include more information on personal choices of dress; toilet, sexuality and culture. There was also some discussion about having two types of care plans, those more clinical and those about the individual resident and their choices and preferences in life. The management of medication was found to be well managed and reflective of good practices and legal requirements. Records were well maintained and included information about when medicines are received and administered to people. All medicines were safely stored. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has fully demonstrated that it has the ability to meet the daily life and social activity needs of the residents. There are many good outcomes for residents that improves their well being yet more information is needed in care plans to ensure all staff are aware of how to meet these needs and ensure continuity. EVIDENCE: Each person has had their skills and abilities assessed by an occupational therapist, who writes a report as part of the care plan. Assessments refer to the daily life choices of people, their history and biography. Their religious needs, culture, family and interests continue to be considered and is included in the care plans. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 13 There continues to be a programme of activities and a dedicated staff team who plan, organise and oversee activities. Each week has a dedicated activity programme. These include film afternoon on the large screen, hand therapy, music and social skills therapy, progressive mobility, flower arranging, table activities, cooking, quizzes, shopping trips including City Centre, Jewish history and reminiscence with the Rabbi in the Synagogue and cabaret acts (external entertainers). There was an activity on going at the time of the visit. There was some good evidence in people’s records that they do go and take part in many of these activities, most entries describe if it was enjoyable or not. The activity workers continue to maintain their own records and this includes discussion with people for future planning of activities. On touring the food preparation areas the standards of food continue to be extremely good in terms of taste, quality and presentation, with everything being freshly prepared rather than brought in pre-prepared. Meals are prepared externally contracted catering staff. The menu detailed choices at all sittings and appeared to have a good nutritional value. Where appropriate specific care plans about their diet, such as a softer options or diabetic meal and for some people what they were eating and drinking was being closely monitored and recorded by staff. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has demonstrated that it does have the ability to make sure that the serious concerns of people and issues relating to their protection are managed quickly and effectively to make resolution and promote the safety. EVIDENCE: The home has a complaints procedure that is easy to understand and is made available to people who live in the home and visitors. Complaints are recorded in a complaints book with documentation of investigations and follow up with a reply to the complainant at the end of the investigation. Writing to complaints following an investigation of a complaint is good practice as this gives the complainant a record that their concerns were taken seriously. There was one complaint recorded for 2008, this was investigated to a satisfactory outcome by the home. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 15 Staff continue to undertake training in adult protection and there are policies and procedures available to staff relating to the prevention of abuse. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 and 26 People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has demonstrated that it has the ability to make sure that the environment is always maintained safely, It has the resources to provide a high standard environment. EVIDENCE: The inspector had a walk around the home, including communal lounges / dining areas, communal washing facilities and people’s rooms. There are external doors from some people’s bedrooms these were locked at the time of the visit. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 17 The damaged light switch recorded at the last inspection has been repaired. Many of the bedrooms have en suite bathroom facilities and balconies. There are some rooms that are allocated for high dependency and have a glass viewing facility, the viewing windows these have a curtain to maintain the privacy of people using the room. All areas of the home were found to be clean and well equipped including the five bathrooms; six toilets and sluice areas and all had good hand washing facilities. People’s bedrooms rooms seen and had many personal additions such as photographs and pictures, televisions and radios; some residents had their own telephone. This gives the rooms a feel of individuality and ownership. The bedding, curtains and carpets were fresh and in very good condition. There is ample communal area, including lounges, dining areas and quiet rooms. There were some concerns that one lounge which is used by many residents involved some degree of risk when supporting residents who may need equipment such as hoists and wheelchairs to mobilise. There is a Synagogue that is used regularly by some of the people in the home as they wish, if they do not wish then this is respected. All communal areas are decorated and dressed to a high standard; they are clean, bright and homely. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has demonstrated that it does have the ability to provide the people who live in the home with staff who are available in good numbers, well trained and who have been safely recruited. This may mean that the needs of people are effectively met and their vulnerability safeguarded. EVIDENCE: There are appropriate numbers of staff on duty each day there is evidence of this in the rotas of all staff. It was evident that staff including nurses, care assistants and ancillary staff continue to undertake mandatory training according to their role such as fire evacuation, COSHH, manual handling, food hygiene and infection control. There continues to be good evidence that there is specific training for staff to meet the specific needs of people good examples of this include dementia care, basic kosher and tissue viability. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 19 There was also within the programme more training on the specific needs of residents such as understanding diabetes, communications and care planning and yesterday, today and tomorrow. It was a little disappointing that there is no longer planned training for staff this year about the Jewish faith and culture and basic kosher. The Rabbi continues to see staff before all major Jewish festivals where explanations are given and discussion take place. Staff continue to undertake National Vocational training.. The recruitment practices of the home were assessed, it was evident that all required background checks including CRB disclosures and written references are taken up, application forms completed and interviews staged before appointments are made. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People using the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home continues to demonstrate that the management and administration has its full weight behind providing an excellent care service, it is evident that it is well managed including leadership and direction communications are very good. It is inclusive and transparent and health and safety is taken seriously. This all goes to provide people with a home that reflects on how it meets their needs and how it can continue to improve. EVIDENCE: Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 21 The manager was not at the home on the day of the visit, however, there continues to be evidence she has excellent systems in place to make sure there is good communication in the home. At the time of the inspection she had returned after some time off duty yet she was fully aware of the current and changing needs of the residents. The home continues to have a Quality Assurance (QA) manager who has worked exceptionally well to develop and implement the system whilst at the same time commence the required auditing. The system is externally verified and the recent verification report indicated that the home performs very well when assessed against the standards. The QA manager is keen to work closely with the people who live in the home managers, staff and others to make sure the systems are structured and inclusive and will drive up standards of care. There is good evidence that people who live at the home and the relatives are involved in the auditing and the verification report, which includes areas of improvement, is available for all interested people. It is evident due to regular communication with the Commission that the Responsible Individual (Director) frequently visits the home, as yet the Commission have not been furnished with monthly Regulation 26 reports. The home does provide a safekeeping service for people to deposit small amounts of money and to temporarily store valuables. Records of staff supervision were seen, it was evident that the supervision meetings are conducted frequently and staff performance is being appropriately monitored. Staff continue to be able to develop an action plan with their supervisor covering such areas as performance, roles and responsibilities, ideas for improvements, training needs and other issues. The records about health and safety including maintenance were seen. It was evident that the utilities used in the home being gas, electric and water are regularly tested and serviced. Equipment including fire alarms, emergency lights and equipment is regular tested and serviced. The staff regularly attend fire drills and the fire officer visited the home in April 2006 and left a report with only minor areas of improvements; these have been addressed. The home has a fire risk assessment. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 22 Other equipment used in the home such as profile beds, hoists, kitchen and laundry equipment and the passenger lift are also tested and regularly serviced. Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Andrew Cohen House DS0000024818.V362806.R01.S.doc Version 5.2 Page 26 - 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!