Inspection on 12/07/06 for Amberwood Care Home Limited

This inspection was carried out on 12th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Amberwood Care Home Limited 16/06/08

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Amberwood Care Home Limited 218 Aylestone Lane Wigston Leicester Leicestershire LE18 1BD Lead Inspector Lesley Allison-White Unannounced Inspection 12th July 2006 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 Amberwood Care Home Limited DS0000066184.V303183.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. Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amberwood Care Home Limited Address 218 Aylestone Lane Wigston Leicester Leicestershire LE18 1BD 0116 2813474 0116 2811639 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) Amberwood Care Home Limited Mr John Ford Mrs Margaret Ford Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31), Physical disability over 65 years of age (6) of places Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within category PD(E) may be admitted to the home when there are six older people with a physical disability currently residing at the home. That the total number of residents residing at the home does not exceed 31. 3rd October 2005 2. Date of last inspection Brief Description of the Service: Amberwood is residential home providing care for up to 31 older people. It is situated on the out skirts of Wigston in Leicestershire. The home is a detached property set in it’s own grounds.The home offers accommodation on the ground and first floor. The first floor can be accessed via the stairs or the lift. There are 31 single rooms. All the bedrooms have ensuite facilities. All areas of the home, including the bedrooms, are decorated to a high standard. The home has two lounge areas, three quiet rooms, there are sitting areas around the home in communal space and two conservatory areas, which are all used by the residents All bedrooms have television and telephone extension points. Current fees are £430.00-£450.00 per weeek. Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care inspection is on outcomes for residents and their views of the service provided. The inspection took place during Wednesday morning. It took four and halfhours to complete. This home provides care for up to thirty-one residents, there were twenty nine in the home on the day of inspection, of whome up to six residents may have a physical disability. Discussion was held with three residents. However other residents were observed in their daily routine. Three residents were spoken with in great detail. No resident’s relatives were spoken with. The primary method of inspection used was “case tracking”. This involved speaking to the residents who use the service provided, looking at three residents care plans, making observations, talking to them, observing care practices. All the required key standards were inspected during this visit. There were no areas of concern raised in the last inspection report. The assistant manager was on duty during the inspection. The assistant manager spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well: The three care notes examined showed that there were well documented individual plans of care which included health, past histories and hobbies which continued to be followed whilst living at the home. One person told the inspector that they always went on holiday camping as a family and that they were preparing to go away very soon. Health care needs were clearly identified. All residents spoke of the homes help when attending the various outside appointments such as the hospital, dentist or doctors. Some spoke of the homes help in assisting them to visit the GP at the surgery. All spoke positively of the help they received from the staff at the home. “The staff are great.” Two staff were spoken to and they were well informed about the residents rights, their responsibility to the residents and the need for Criminal Records Bureau (CRB) checks (police checks on all staff involved in care) and references. They spoke of the closeness of the team of carers at the home but Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 6 said they understood the reasons behind whistle blowing on colleagues and felt able to do so. New friends and relationships are encouraged. There is also a wide range of social activities on offer and religious needs are met on a regular basis. One of the residents told the inspector “people come to the home to play music, or there is a hand bag demonstrator or the Gospel choir visits which I enjoy.” On the day of inspection a residents’ relative rang to request a meal at the home. It was school holidays and the young grandson arrived and ate lunch with his grandparent. In this way the resident is able to maintain regular contact with family members and benefits from the homes flexibility. The home informed the inspector that this was a regular occurrence and they welcomed being able to do so. There are a number of quiet areas for residents to relax and enjoy using for themselves or to entertain their visitors. Quality Assurance is carried out by the home here are some of the comments from April 2006 questionnaires seen by the inspectors:“Overall I am extremely happy with the standard of care my mother receives, thank you”. What has improved since the last inspection? What they could do better: The home has good recruitment procedures. The staff were able to explain that they had had them and understood the reason for having to have them done. In this way the outcome for residents is positive. The home did have recorded supervisions on file they were done three times a year. The acting Manager explained that she was aware of the need to increase this and was introducing a new system. Staff at the home had all had training although it was noted to be in need of updating. The acting manger was aware of this and explained that this would be done. Please contact the provider for advice of actions taken in response to this Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 8 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 Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 9 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is well managed and residents entering the home know that their care needs will be met. EVIDENCE: The admission procedures are in place and assessments of individuals are carried out by health and/or social care professionals, as part of the referral process. Detailed discussions were held with all three case tracked residents one of whom was a recent admission to the home. All three residents were happy with the home two expressed the difficulty that they had found making the adjustment to life in a care home but were satisfied that their needs would be met here and with the provision of care provided. Amberwood Care Home Limited DS0000066184.V303183.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, 10 and 11 Quality in this outcome area was excellent. Thus judgement has been made using available evidence including a visit to the service. The home is successful in delivering appropriate care to individual residents. EVIDENCE: The residents spoken to told the inspectors that they were able to move around the home safely and easily. Some used equipment to aid their balance and were seen moving around in the outside patio area of the home. One resident spoken to explained that the General Practitioner (GP) visits whenever needed, they visited their own dentist when they needed to and the Chiropodist visited every 6 weeks. One that day of the inspection the hairdresser was visiting. The inspector was able to talk to the hairdresser and when asked about giving residents a receipt for their hair payments she explained that some of the residents paid with their “bingo tickets” and the office changed this into money for her. It was a good system she explained and the residents liked it. The three care notes examined showed that there were well documented individual plans of care which included health, past histories and hobbies which continued to be followed whilst living at the home. One person told the Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 11 inspector that they always went on holiday camping as a family and that they were preparing to go away very soon. On checking this residents’ finances it was found to be true as the residents account demonstrated that a large amount of money was ready for the resident to access for their holiday. Health care needs were clearly identified. All residents spoke of the homes help when attending the various outside appointments such as the hospital, dentist or doctors. Some spoke of the homes help in assisting them to visit the GP at the surgery. All spoke positively of the help they received from the staff at the home. “The staff are great.” The system of administering medicines was checked. “Blister packs” are used. This is a system that seals the tablet in foil so that it is clean and easy to push out of the container when needed. Risk Assessments for self -administering residents were in place and up to date. Specialist training for the administration of medicines with special instructions were given to the staff as to taking of the residents pulse before giving a particular medicine and that only staff who had had first aid training would be deemed competent to administer this medicine. Medication for the three residents case tracked were checked and fine. Observations of care practices indicated that the staff treat residents with respect and sensitivity. Amberwood Care Home Limited DS0000066184.V303183.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this out come area is excellent. This judgement has been made including a visit to this service. The home succeeds in meeting the identified daily and social needs and the out come is positive for residents. EVIDENCE: Care plans for individual residents showed that staff are guided to focus on daily routines and individual activities for people living at the home. New friends and relationships are encouraged. There is also a wide range of social activities on offer and religious needs are met on a regular basis. There are also opportunities for specific therapy sessions during each month. One of the residents told the inspector “people come to the home to play music, or there is a hand bag demonstrator or the Gospel choir visits which I enjoy.” Residents who spoke to the inspector’s spoke of a recent trip out which they enjoyed. Food and drink was served like a picnic on the mini bus. One resident also explained that they would have loved to go out of the bus to enjoy the fresh air but due to the limited mobility of the other residents this was not possible. This was discussed with the homes acting manager and she said that the home would consider having two types of outings one for people who have Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 13 a greater range of mobility so that they can go out from the vehicle and one for those with more restricted mobility. All of the residents told the inspector about the choices they made. They rose from bed when they wanted to, go to bed when they decided, said there was a good choice of menu’s, and a regular hair dresser. One resident spoke of the special friendships they had made and how the staff were helpful, very caring and supportive. “They are very good when someone goes to hospital or dies”. This resident spoke of their religious needs being met as a Vicar visits the home to offer communion. This resident also went out to the local church and took part in the special services. On the day of inspection one person was seen enjoying the fine warm weather relaxing whilst reading under the shade of a large outside umbrella. There were a number of sun lounges and quiet areas. Within one of the sun lounges of the home another resident was reading from one of the homes library books, the print was large and she told the inspector that she did not need to wear her spectacles to read the book which pleased the resident. The residents told the inspector that they had regular contact with members of their family who were welcomed at the home. On the day of inspection a residents’ relative rang to request a meal at the home. It was school holidays and the young grandson arrived and ate lunch with his grandparent. In this way the resident is able to maintain regular contact with family members and benefits from the homes flexibility. The home informed the inspector that this was a regular occurrence and they welcomed being able to do so. Residents spoken to were able to tell the inspector that they found the meals enjoyable and were able to choose their meals from the choices provided each day. Residents were seen at lunchtime enjoying their meal. One resident said that the vegetables here are frozen. The cook confirmed this and explained that she will try and vary this. Fresh fruit is always provided to ensure improvements in nutritional value. The inspector looked at the records of meal planning. As part of the homes quality assurance questionnaires were sent out and given to residents, relatives and staff. Questionnaires from the home (this was done in April 2006) were seen they included comments from residents and relatives who indicated that a resident’s relative had requested curry for her mother. When it was served other residents had also enjoyed the curry. This was now served by the cook on various occasions. Further evidence of this was found in the menus, by the residents themselves, and the acting manager. Discussions took place as to how to improve the quality assurance feedback to everyone. It was suggested that results of the questionnaires be posted on the residents notice board issues raised against the outcomes this would include positive and negative comments alike and could be further discussed at resident meetings. The environmental health inspector had visited recently records from the inspection were seen by the inspector and were satisfactory. Amberwood Care Home Limited DS0000066184.V303183.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,and 18 Quality in this out come area is good. This judgement has been made using available evidence including a visit to the service. The home has robust procedures for dealing with complaints and protection both staff and residents demonstrated their ability to get appropriate help when needed. EVIDENCE: Residents who spoke to the inspectors knew who to go to for help with a problem or concern. Two staff were spoken to and they were well informed about the residents rights, their responsibility to the residents and the need for Criminal Records Bureau (CRB) checks (police checks on all staff involved in care) and references. They spoke of the closeness of the team of carers at the home but said they understood the reasons behind whistle blowing on colleagues and felt able to do so. They were both taking their National Vocational Qualification at level 2 in care (a care training qualification) one member of staff was near completion. The staff files were inspected. CRB’s are completed on all new staff the acting manager was asked to keep a list of all the CRB staff numbers for inspection purposes in the future. Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 15 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): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a safe, hygienic and comfortable environment. EVIDENCE: The home provides a comfortable and homely environment. There are a number of quiet areas for residents to relax and enjoy using for themselves or to entertain their visitors. Bedrooms are also accessible to residents whenever they want to go to them. A lift is provided for resident’s bedrooms on the first floor. The lounges and communal areas are well maintained and decorated. A resident spoke of bathing chairs, which the staff used. The resident felt confident in the ability of the carers when using the equipment in the bathrooms. A bedroom was inspected and looked homely and comfortable. All the residents spoken to liked their rooms. Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 16 Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 17 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, 28, 29 and 30 Quality in this out come area is good. This judgement has been made including a visit to this service. The home has good recruitment procedures. EVIDENCE: The home did have recorded supervisions on file, they were done three times a year. The acting Manager explained that she was introducing a new system. Formal inductions were done and a newer induction process was shown to the inspectors for each new staff member. The staff spoken to were well informed and were undertaking their NVQ’s. The acting manager explained that she was considering doing the NVQ level 4 in care. Three staff files were seen including a member of the night staff. Staff at the home had all had training although it was noted to be in need of updating. The acting manger was aware of this and explained that this would be done. Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 18 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of residents. EVIDENCE: Observations of practice and information supplied by residents living at the home show that the home offers opportunities to people with different interests and actively promotes diversity. Religious needs are met for individuals. Residents are able to manage their own monies or share this responsibility with their families. They make choices about when they go on holiday with their families and generally feel that the home meets their expectations and needs. The staff are welcoming and friendly. Health and safety record involving residents are up to date and well managed. Records Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 19 inspected included fire records and drills. Service contracts on Electrics, the lift and hoisting equipment used, water temperatures, fridge temperatures and cooked meat temperatures. Accident records were checked and found to be satisfactory other notifications were discussed. Quality Assurance is carried out by the home here are some of the comments from April 2006 questionnaires seen by the inspectors: “Overall I am extremely happy with the standard of care my mother receives, thank you”. “My mother enjoys a curry from time to time” –this was done by the home and now a regular part of menu planning. “The teabag’s here are too strong for my father” now supplied with teabags in his room for his personal use. “Vegetables here are over cooked” steamed vegetables now offered on occasions. “Mum disappointed with the curtains in her room, otherwise excellent.” “Qualities of the activities are very good.” Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 20 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? None 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 Amberwood Care Home Limited DS0000066184.V303183.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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