Inspection on 30/01/06 for George Hythe House

This inspection was carried out on 30th January 2006.

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

George Hythe House 02/09/09

George Hythe House 06/09/07

George Hythe House 03/05/06

George Hythe House 13/12/05

George Hythe House 19/04/05

George Hythe House 06/10/04

George Hythe House 22/04/04

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

CARE HOMES FOR OLDER PEOPLE George Hythe House 1 Croft Road Beaumont Leys Leicester Leicestershire LE4 1HA Lead Inspector Ruth Wood Unannounced Inspection 23rd January 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 George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 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. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service George Hythe House Address 1 Croft Road Beaumont Leys Leicester Leicestershire LE4 1HA 0116 2350944 0116 2366560 lqhaltd@talk21.com www.leicesterquakerhousing.com Leicester Quaker Housing Association 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 Jeannette Evelyn Ewens Care Home 41 Category(ies) of Dementia - over 65 years of age (31), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (31), Old age, not falling within any other category (41), Physical disability over 65 years of age (41) George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person to be admitted in categories MD(E) or DE(E) when 31 persons in total of these categories/combined categories are already accommodated. 13th December 2005 Date of last inspection Brief Description of the Service: George Hythe House provides a service for 41 older people, some of whom have mental health needs and/or physical disabilities. The home was purpose built in 1993 and is owned and managed by the Leicester Quaker Housing Association. The home has 41 single rooms, all of which have en-suite facilities. The accommodation is on two floors, serviced by a shaft lift. There is a large communal lounge on the ground floor and a smaller lounge with attached dining and kitchen facilities on the first floor. The latter is used primarily as the focus for activity sessions. The Home is divided into four wings, each having its own dining room and kitchen. Outside there is a garden with seating areas. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a relatively brief inspection held on a Monday morning between 9.30am and 11.45am. It focussed on two Standards not covered at previous Inspections, the management of health and safety and of residents’ finances. The progress on meeting the Requirements made at the previous Inspection was also assessed. To gain an overview of the service’s performance the previous two Inspection Reports should also be consulted. Documentation was examined and discussion was held with the Registered Manager and the Housing Association’s Finance Assistant. Water temperatures were taken in all four wings of the home. All Requirements made at the previous Inspection have been met and no new Requirements or Recommendations were made. What the service does well: 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. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 6 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 George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 7 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 Residents’ needs are comprehensively assessed before moving into the home. EVIDENCE: This Standard was fully assessed at the previous Inspection. A Requirement was made to include medication needs as part of the assessment. Documentation submitted to CSCI shows that this has now been met. The home does not provide intermediate care therefore Standard 6 is not applicable. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 8 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 Improvements have been made in care planning documentation and in managing the prevention of falls. EVIDENCE: Residents’ care plans were fully assessed at the previous Inspection when four Requirements were made in relation to aspects of their management and documentation. Documentation showed that daily records are now stored sequentially making information easier to find and understand and contain appropriate information rather than the phrase ‘all care given’. Two Requirements made in relation to a specific care plan are no longer relevant. Documentation submitted to CSCI together with discussion with the Registered Manager demonstrated that strategies were now in place to improve practice in relation to falls prevention. Use of pressure pads to alert staff when a resident is mobile are being piloted and the home is in contact with health authority staff about ongoing management of residents identified as being at risk. Health care needs were fully assessed at the previous Inspection. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 9 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): EVIDENCE: These Standards were inspected during the home’s two previous Inspections at which no Requirements were made. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 10 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): EVIDENCE: Discussion with the Registered Manager indicated that staff had been made aware of their responsibilities under the home’s whistle blowing policy and the role of the CSCI. This area will be fully assessed at the next Inspection. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 11 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): 19,26 Residents live in a clean, safe and well-maintained environment. EVIDENCE: At the previous two Inspections water temperatures were found to be excessive (up to 65°C in one bedroom). An Immediate Requirement was made for safety valves to be serviced and water temperatures reduced to a safe level. Staff were to be made aware of the dangers of excessive water temperatures and temperatures regularly monitored. Records of testing and other documentation demonstrated that this Requirement had been met in full. Water temperature was tested in two separate rooms in all four wings. The range of temperatures recorded was 40 – 44.9°C. The home appeared clean, tidy and fresh smelling. The carpet identified at the previous Inspection had been replaced. Good systems of hygiene and infection control practice were in place including the use of aprons and gloves and frequent hand washing. Staff are to receive additional training from the health authority infection control nurse next week. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: These Standards were assessed during the previous two Inspections. There were no outstanding Requirements. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 13 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): 35,38 Residents’ health, safety and welfare is promoted and their financial interests are safeguarded. EVIDENCE: The Housing Association’s Financial Assistant outlined the systems in place for the management of resident’s finances. Some residents hold money in an account held centrally by the Housing Association. Some residents choose to receive their personal allowance in cash on a weekly basis. Full records are kept of all transactions and these are subject to internal and external audit on a quarterly basis. The City Council Health and Safety Officer undertook a full health and safety on 16 January 2006 making one recommendation, that staff should be offered a course on bereavement. All documentation relating to health and safety was examined. Fire, COSH (control of substances hazardous to health) and servicing records were all up to date and demonstrated good practice. There was documentary evidence George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 14 that staff receive regular and updated training in moving and handling and the majority of staff have or are to receive basic first aid training. George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 15 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 16 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 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 George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 17 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. Extracts may not be used or reproduced without the express permission of CSCI George Hythe House DS0000006386.V279289.R01.S.doc Version 5.1 Page 18 - 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!