Inspection on 24/10/05 for Acorn Care Home

This inspection was carried out on 24th October 2005.

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

Acorn Care Home 28/02/07

Acorn Care Home 14/04/05

Acorn Care Home 15/11/04

Acorn Care Home 22/06/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Acorn Care Home 83 Blythswood Road Seven Kings Ilford Essex IG3 8SJ Lead Inspector Helen Fontaine Unannounced Inspection 24 October 2005 10:00 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 Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 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. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Acorn Care Home Address 83 Blythswood Road Seven Kings Ilford Essex IG3 8SJ 020 8597 1793 020 8597 1793 bsso@globalnet.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) Mrs Sarbjit Soor Mrs Sarbjit Soor Care Home 3 Category(ies) of Dementia – over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th April 2005 Brief Description of the Service: Acorn Care Home cares for three older people. The home is a corner house, in a residential area of Ilford, close to a busy main road and within easy reach of local facilities and transport links. All the bedrooms are located on the first floor and a stair lift is available for easy access. There is a separate lounge and dining area downstairs, with a small well-maintained garden to the back of the house, which is accessed via the dining room as well as the kitchen. There is a communal bathroom and toilet upstairs as well as a shower facility and toilet downstairs. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours and was carried out as part of the homes yearly inspection programme. The previous inspection was an Announced inspection and was carried out in April of this year. That made 1 requirement, which has now been met. A tour of the home was undertaken and a number of documents looked at with the Residents participating fully in the process. The Manager was present during the inspection and their participation was very much appreciated. A member of staff came in towards the end of the inspection, to cook the lunch. What the service does well: What has improved since the last inspection? What they could do better: There were no Requirements or Recommendations from this inspection, the manager is very keen to continue to improve and maintain a high standard of care. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 6 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. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 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 Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Each Service Users has a written contract, statement of terms and conditions and each prospective Resident receives a comprehensive assessment. EVIDENCE: During the inspection the homes Service User Guide and a Statement of Terms and Conditions was looked at. The Terms and Conditions had a space for the Service Users name to be added and it documented that Residents will be initially placed for four weeks on a trail basis. The Conditions covers the areas of care, service including the fees, who is paying the fee, the rights and obligations of the Service User and conditions of occupancy. As an example the Conditions say, “Fees include all care, accommodation, costs, food and drink, heating and lighting and laundry done on the premises. It then goes on to say that “Fees do not cover newspapers, toiletries, hairdressing and other things like chiropodist.” The assessment of any prospective Service User is carried out by the Manager and involved the Service User, family/advocate and information from the placing authority. An assessment of a possible Resident for the vacant room Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 9 was looked at and covered areas of social care, general health, medication, continence and mental state. The assessment commenced with personal details and the general health area covered past history, as an example this Service User had a history of thyroid problems and had had a number of falls at home resulting in a broken hip. The assessment looked at mobility needs as a result of the falls at home and documented that they walked with a Zimmer frame and they needed assistance to rise from the sitting position. This assessment allowed the home and the Service User and family to be confident that the home could meet this person’s needs. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 and 10 Service Users each have an individual care plan and their health care needs are fully met. Service Users’ privacy and dignity are respected at all times by a dedicated workforce. EVIDENCE: The home policies and procedures for the Service Users care plans and one of the Service User’s care plans was looked at. The plan started with a description of the Resident and background information with their initial assessment. There was a medical section with their medical card, GP details and previous medical history. The section headed routine was documented; the Service Users just likes to sit and watch television and enjoys deep breathing and simple exercises. Other areas covered were next of kin, funeral arrangements, communicating, eating and drinking, mobility and personal care. Further areas covered were continence, sleeping and social history. The area around personal care, documented that the Service User was very fastidious in their personal care needs and needed to be allowed time to be independent. The Service Users file also covered areas of health care and documented visits from Dentist and the arrangements for the hygienist to come to the home. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 11 During the inspection the interaction between the Manager, the member of staff and the Service Users was observed. The Service Users, staff and the Manager have all known each other and worked together for many years, resulting in a much more intimate and personalized interaction. Service Users were able to access all areas of the home and were observed to be enjoying the interaction with the staff. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 15 The home encourages and facilitates the Service Users contact with family and friends. The Service Users receive a balanced and healthy diet that they enjoy which is served in convenient and pleasant surroundings. EVIDENCE: The Service Users’ care plans documented the contact with family and friends. The Service Users have lived in the same home with the same staff since the home opened. It was documented on the care plan that a family member visited each week and the Manager said that the family of the Service User who is 99 are arranging for them to receive a telegram from the Queen on their 100th birthday. The Manager arranged for a member of staff to come in during the inspection, so that the Service Users would not have to wait for their lunch. The meal was seen as balanced and healthy, one of the Service Users had been involved in making a trifle. The member of staff not only was cooking the lunch but was also interacting with the Service Users and made them a cake for their tea. As the home’s office was being decorated, the dining room was used for looking at documentation and one Service User participated. Once the inspection was over, the lunch was then served to the Residents in the dining room. The dining room was next to the kitchen and there was a serving hatch, which allowed the Service Users to see into the kitchen. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Service Users’ complaints are listened to and taken seriously and they are protected from abuse by the training of staff and the homes policies and procedures. EVIDENCE: The manager said that the home has virtually no complaints, but have a policy and procedures and the policy is made available for the Service Users and visitors. There is a complaints book, however there were no complaints documented in the book. As the home is so small and the Service Users have such a good relationship with the Manager and the staff, any concerns are dealt with immediately. All staff have completed their NVQ 2 and have had training on Adult Abuse, the Service Users are very well protected from any possible abuse. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20, 24 and 26 The home provides safe and comfortable indoor and outdoor facilities; each Service User has their own bedroom with their own possessions. The home is clean, pleasant and hygienic. EVIDENCE: During the inspection a tour of the home was undertaken and with the permission of the two Service User, each of their rooms were looked at. Each of the bedrooms was reached via a stair lift and was nicely decorated and personalised. The home had a comfortable lounge with easy access to the dining room, kitchen and toilet facilities. The home’s office was being decorated and the utility room had recently been decorated. The home is now monitoring areas in the home that need the routine maintenance and renewal of fabric. The home is kept very clean and hygienic and there is a very homely atmosphere, were the Service Users feel comfortable. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 The home has good ratios of staff to Service Users and all staff have received training and are competent to do their jobs. EVIDENCE: The home has a stable team of staff, with only a small turnover. The staff files for two members of staff; one being the newest member of staff, were looked at during the inspection. The files showed that the home has undertaken all the necessary recruitment checks to ensure the protection of the Residents. CRB checks have been undertaken for all members of staff and references are available on all the staff files. Staff receive supervision and there is an in-depth induction booklet completed by the member of staff and the Manager. Staff files had certificates for Occupational health and safety, adult abuse and protection, oral care, death and dying and NVQ 2. The Manager is part of the staff team but does not work weekends unless it is needed and all the other four staff members work part time. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35, 36 and 37 The home’s record keeping, policies and procedures safeguard Service Users, rights including financial interests. All staff receive regular supervision and support from the Manager. EVIDENCE: During the inspection the homes policies and procedures were looked at and seen to safeguard the Service Users. There are policies and procedures on complaints and Adult Abuse as well as medication and the Service Users financial interests. The Service Users financial record book were looked at, where their incoming and outgoing money is recorded with receipts. Records are kept in the office normally, but were temporally stored in the dining room cupboard whilst the office was being decorated. The Manager supervises staff and is present in the home most days of the week and gives the staff support and documented supervision. The staff team Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 17 have worked with the Service Users for a long time and have an in-depth knowledge of their needs. Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 18 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 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 3 X Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? NO 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 There are no requirements arising from this inspection. 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 Acorn Care Home DS0000025881.V260848.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: 0845 015 0120 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. 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