Inspection on 25/06/07 for Hannah Levy House Trust

This inspection was carried out on 25th June 2007.

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

Hannah Levy House Trust 04/09/08

Hannah Levy House Trust 24/11/06

Hannah Levy House Trust 24/02/06

Hannah Levy House Trust 02/11/05

Hannah Levy House Trust 09/03/05

Hannah Levy House Trust 31/08/04

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

CARE HOMES FOR OLDER PEOPLE Hannah Levy House Trust 15 Poole Road Bournemouth Dorset BH2 5QR Lead Inspector Marjorie Richards Key Unannounced Inspection 25th June 2007 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 DS0000003944.V342596.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. DS0000003944.V342596.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hannah Levy House Trust Address 15 Poole Road Bournemouth Dorset BH2 5QR 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) 01202 765361 01202 751007 hlhtrust@onetel.net.uk Hannah Levy House Trust Mrs Janice Rose (Not yet registered) Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places DS0000003944.V342596.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2006 Brief Description of the Service: Hannah Levy House Trust has charitable status and has been set up to provide care, including personal care, to those members of the Jewish Faith who need such assistance. The home has a Board of Trustees that has regular contact with the home. The Responsible Individual is Mrs Jessica Blooman OBE, one of the trustees, who has regular contact with the home. A newly appointed manager, Mrs Janice Rose, is currently in post and in the process of seeking registration with the Commission. Hannah Levy House Trust is situated half a mile from the centre of Westbourne, with its local shops, library and other amenities. The home is on a bus route providing easy access to Bournemouth town centre and the Travel Interchange. There is plenty of on site parking as well as parking on the roads surrounding the home. Hannah Levy House Trust is registered to accommodate a maximum of 35 older people and provides both permanent and respite care as well as day care. All rooms are for single occupancy although some are large enough to be used as doubles should this be requested by residents. Bedrooms are situated on the ground, first and second floors. There is a dining room, large lounge and also a large conservatory all of which are well furnished and equipped. Aids and equipment are available for residents who may have disabilities, to help promote independence. There are passenger and stair lifts to aid access to all floors of the home as well as assisted baths, hoists etc. The home has a small synagogue where services are held on Shabbat and Holy Days. All festivals are also celebrated within the home. The home has good links with the local congregation and has its own minibus to enable residents to make trips out to either local synagogues, or to visit members of the Jewish community, clubs etc. The home is centrally heated throughout and twenty-four of the thirty-five bedrooms are provided with ensuite facilities. There is an attractive and accessible rear garden with garden furniture and a patio area for residents to enjoy. Hannah Levy House Trust provides twenty-four hour personal care, all meals, DS0000003944.V342596.R01.S.doc Version 5.2 Page 5 laundry and domestic services. Residents are encouraged to participate in a wide range of activities, including outings to local places of interest. The home’s brochure states that its aims and objectives are as follows: “The aim of the management of Hannah Levy House is to enable Jewish residents of Bristol and Bournemouth and their environs, to enjoy the optimum possible quality of life having regard to the individual’s age and state of health. The objectives through which this aim may be achieved are: To provide a strictly kosher environment in which facilities are available to meet the emotional, religious, spiritual and cultural needs of all residents. To assess the care needs of each individual resident and to provide a high standard of care and support to meet those needs through the employment of well trained staff. To create a safe, secure and pleasant home for residents and a good atmosphere in which to work for staff. To involve relatives and friends, where possible, in all aspects of the residents care, keeping them informed and encouraging them to maintain family life. To facilitate the interaction between residents and the local Jewish community by participation in communal activities and maintaining an open visiting policy. The fees for the home, as confirmed to the Commission for Social Care Inspection (CSCI) at the time of inspection, are set at £490 per week and include chiropody. Additional charges are made for hairdressing, dry cleaning, toiletries and newspapers. The Office of Fair Trading has published a report highlighting important issues for many older people when choosing a care home, e.g., contracts and information about fees and services. The CSCI has responded to this report and further information can be obtained from the following website: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choosing a care home .aspx A copy of the home’s inspection report will be made available to anyone wishing to read it, upon request to the manager’s office. DS0000003944.V342596.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 10 hours on the 25th June 2007. The main purpose of this unannounced inspection was to review all of the key National Minimum Standards, check that the residents living in the home were safe and properly cared for and to look at progress in meeting the requirements and recommendations made following the previous inspection. On the day of inspection, thirty-three residents were accommodated. A tour of the premises took place and records and related documentation were examined, including the care records for four residents. Time was spent observing the daily routine during the inspection, as well as talking with residents and the staff on duty. Discussion also took place with Mrs Rose, the manager and also the deputy manager. Mrs Blooman made herself available for much of the inspection on behalf of the Trustees and this was appreciated. In addition, the Commission received nine completed comment cards from residents, six from relatives and three from General Practitioners. All expressed general satisfaction with the care provided. For the purposes of this report, people who live at Hannah Levy House Trust are referred to as residents as this is the term generally used within the care home. The Inspector was made to feel welcome in the home throughout the inspection. What the service does well: Hannah Levy House Trust provides a clean and well-maintained home where the personal, health and social care needs of residents are met. The residents describe the home as a very relaxed and friendly place in which to live, where the staff are helpful and supportive. The staff treat residents with respect and provide encouragement for them to pursue their own lifestyles, wherever possible, and to make choices about their daily lives. Residents commented, “The staff are wonderful, I have no concerns about the care.” Most of the staff are very good. They are polite and respectful, which is as it should be. A relative commented, I have been very satisfied with the way that my relative has been treated by Hannah Levy House. Her dignity has been maintained and she has received all necessary care and attention. She is very happy there. DS0000003944.V342596.R01.S.doc Version 5.2 Page 7 Activities are available for those residents who wish to participate. Residents are supported to maintain contact with family, friends and the wider Jewish community, enabling those living in the home to continue to enjoy relationships that are meaningful to them. Residents say that their visitors are made to feel welcome. Hannah Levy House Trust is clean and free from unpleasant odours. Residents commented, They keep everything very clean here and it always seems fresh, with no nasty smells. The laundry service is very good and the home is always kept clean. Residents and staff agree that Hannah Levy House Trust is a good place in which to live and work. Residents say, I came to look round and decided to stay. Ive never regretted that decision. I know I have a bit of a moan sometimes, but I am very settled here and would not want to go anywhere else. Staff commented, Im very happy here, and I really enjoy my work. Comment cards from relatives state: - In my experience, this is one of the best care homes in our town. The home caters for my relative’s dietary needs and religious welfare in an exemplary manner. It is comforting for me to know that my relative is so well cared for. What has improved since the last inspection? Environmental improvements include: • Creation of a new Reminiscence Room for residents. • Provision of a new storage/workroom outside. • A new television with 44-inch screen in the lounge. • Portable loop system to assist residents with hearing difficulties. • The provision of overhead hoists in three bedrooms. • Redecoration of corridors. • Replacement of some bedspreads. Improvements have also been made to care planning and staff supervision. A robust recruitment procedure has been fully implemented and a training programme supports staff. The eight requirements made at the last inspection have been met. Of the two recommendations one has been implemented and the other has been almost achieved. DS0000003944.V342596.R01.S.doc Version 5.2 Page 8 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. DS0000003944.V342596.R01.S.doc Version 5.2 Page 9 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 DS0000003944.V342596.R01.S.doc Version 5.2 Page 10 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): 3 Standard 6 is not applicable at Hannah Levy House Trust. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to Hannah Levy House Trust. A thorough admissions procedure ensures that only those prospective residents whose needs can be met are offered places at Hannah Levy House Trust. EVIDENCE: Care records demonstrate that, prior to moving to the home, the care needs of prospective residents have been assessed by the homes manager. The preadmission assessments are detailed and signed by both the assessor and the prospective resident (or their relative or representative wherever possible.) The outcome of pre-admission assessments is then confirmed in writing, so prospective residents are fully assured that their care needs will be met. DS0000003944.V342596.R01.S.doc Version 5.2 Page 11 Prospective residents and their relatives or representatives are always invited to visit the home prior to admission to meet with staff and residents, ask any questions and discuss their care needs. During the inspection, residents confirmed that they or a relative had been given the opportunity to visit the home before making the decision to move there. Discussion with staff confirms that they are made aware of the resident’s needs at the time of their admission. DS0000003944.V342596.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to Hannah Levy House Trust. Residents are treated with respect and their personal care needs are met, with the home also ensuring that residents have access to a range of healthcare services to meet all assessed needs. EVIDENCE: Mrs Rose is currently introducing a new care-planning system. All residents now have the new format care plan in place, but not all of the forms have been completed in full, e.g., the social history. It is hoped to achieve full completion in the next few weeks. Care records for four residents were examined and each contained detailed care plans identifying each resident’s needs and the actions required by staff to meet these needs. Discussion with staff and residents confirmed that care plans reflect the actual care provided. Staff are able to demonstrate a good knowledge of residents’ individual care needs. DS0000003944.V342596.R01.S.doc Version 5.2 Page 13 Mrs Rose says that, wherever possible, initial care plans and any significant changes will be agreed by the resident themselves, or, if this is not possible, by a relative or representative. A new system is being introduced to ensure that regular reviews are taking place and care plans are updated as necessary to reflect any changing needs. Staff are currently receiving training from the manager in implementing this system. Good daily records are written by both day and night staff to evidence the care being provided. These show that residents have access to General Practitioners, district nurses, dentists, chiropodists, opticians etc and attend appointments as necessary. This was later confirmed in discussion with residents and staff. Completion of the new ‘family tree/activities/hobbies’ form will help to ensure that social care is always person centred, meeting the individual needs, preferences and expectations of residents. A comment card from a relative says, “The care provided is completely appropriate for my relative’s needs. She has an assigned personal carer (Key Worker) with whom she relates very well.” The home has systems in place for managing medicines. Only senior staff deal with medication and they first have to undertake a course of related training. Medicines are stored securely. A Monitored Dosage System is in use. Observation of the staff administering and recording medication indicates that medicines are given as prescribed, to ensure the protection of residents. Staff induction training includes information about respecting the privacy and dignity of residents. This was confirmed when speaking with staff. Staff were seen to knock at bedroom doors and to offer personal care discreetly. They interact with residents in a friendly, relaxed yet respectful manner. Residents spoken with say they are always addressed in the way they have requested and that staff are always polite. It was clear from observation and the time spent with residents that they feel comfortable and at ease with staff. Staff were seen throughout the inspection to be treating service users with courtesy and kindness. Residents commented, “The staff are wonderful, I have no concerns about the care.” Most of the staff are very good. They are polite and respectful, which is as it should be. A relative commented, I have been very satisfied with the way that my relative has been treated by Hannah Levy House. Her dignity has been maintained and she has received all necessary care and attention. She is very happy there. DS0000003944.V342596.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to Hannah Levy House Trust. The home is flexible in its approach to the provision of activities and meals, enabling residents to retain control over their lives wherever possible. EVIDENCE: Hannah Levy House has a range of leisure, social and cultural activities available to residents. These include armchair exercises to music, art class, reminiscence and music therapy. Regular entertainment is arranged. A large notice board details events, activities etc taking place in the home. On the day of inspection, residents were able to participate in an armchair exercise class and a reminiscence group. Occasional trips to local shows are arranged. A computer is provided in the conservatory for residents to use whenever they wish. A number of residents like to participate in the outings in the homes minibus to local places of interest. Some disappointment was expressed that such outings have not been arranged on a weekly basis as they used to be. Nine residents completed comment cards. One question asks, ‘Are there activities arranged by the home that you can take part in?’ In response, two DS0000003944.V342596.R01.S.doc Version 5.2 Page 15 residents said Always and two residents said Usually. However, three residents said only Sometimes and two said Never. Since the last inspection a Reminiscence Room has been created, which is proving to be a very valuable resource for residents. The Inspector was privileged to participate briefly in one are the reminiscence group meetings and to hear a resident reciting a lengthy poem she remembered from childhood. Residents commented: There is usually something to do here. We have a big new television now. It gets a bit boring sometimes. Can we have more outings please? I enjoy the exercise class, its a bit of fun. I used to enjoy the outings but they havent been doing them lately. I miss being able to get out and about. A relative commented: Boredom is a problem for some residents. More activities, such as outings and discussion groups, would be much appreciated. Religious services are held on Shabbat and on Holy Days. Rabbis from both local synagogues visit the home. Residents are able to maintain contact with the local Jewish community, as well as with family and friends. Hannah Levy House Trust has links with children from the religious classes of both synagogues and a Jewish youth group. Members of the local Jewish community organise monthly birthday teas for residents throughout the year, celebrating all birthdays that fall within a given month with a special tea and presents. A few residents also like to participate in activities outside of the home, which are organised by the local synagogues. Relatives and friends are encouraged to visit as often as possible and no restrictions are placed upon them. This was confirmed in discussion with residents and staff and by viewing the Visitors Book. Residents are encouraged to choose their own lifestyle within the home and make choices wherever possible. These include choosing when to get up or go to bed, what to wear, what to eat or drink and to come and go as they please. They are able to bring their own possessions into the home to personalise their bedrooms. Residents confirm that their individual preferences and routines are respected. Meetings are held where residents can express their views and opinions and influence the running of the home. Hannah Levy House Trust provides a kosher diet under strict supervision. Prospective residents are made aware of this prior to admission. The chef has considerable experience in kosher catering. Lunch on the day of inspection was vegetable soup, followed by beef burger, with new potatoes, green beans DS0000003944.V342596.R01.S.doc Version 5.2 Page 16 and sweet corn. For the sweet course, residents could choose from apricot crumble and cream, ice cream, fresh or tinned fruit. Alternatives, such as jacket potatoes, chicken and fish, are always available to suit individual taste and preference. All meals are usually taken in the dining room (in two sittings) or in the residents own bedroom. The lunchtime meal in the dining room took place in a relaxed, unhurried atmosphere with discreet staff assistance provided wherever necessary. Mealtimes can be flexible to fit in with care needs, appointments etc. The menu shows that residents enjoy a healthy, well-balanced diet, but some residents expressed concerns, particularly about the quality of the kosher bread provided. Residents commented, The food is good; we have a very good chef. If you dont want what is on the menu, he will provide something else. I think the food is good most of the time, although perhaps not as much variety is we used to have. I dont enjoy the bread any more. I dont know what has happened to it, but it is tasteless and the texture is all wrong. The food is alright, I enjoy most of it but the bread is awful. It is not like eating bread at all. The food sometimes lacks imagination if you have special needs and the choice can be somewhat limited. The food is not bad, I enjoy most of it. We have sufficient food and I enjoy most of it, except the bread. I like the soup very much and we have very good fish. Nine residents completed comment cards. One question asks, ‘Do you like the meals in the home?’ In response, three residents said Always and three residents said Usually. However, two residents said only Sometimes and one said Never. DS0000003944.V342596.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to Hannah Levy House Trust. The systems in place provide residents with the confidence that their complaints will be listened to and acted upon and they are protected from possible abuse. EVIDENCE: The home has a complaints policy that is included in the information provided to residents or their representatives and is also displayed on the notice board in the dining room. Three complaints have been received by the home since the last inspection. These were investigated and any necessary action taken. Residents confirm that they are aware of the procedure and what to do if they have a complaint and expressed confidence that they would be listened to and appropriate action taken. The home has an Adult Protection policy in place to protect residents from possible abuse. This makes reference to the Department of Health No Secrets guidance, which is also available to staff. All care staff have received Adult Protection training, to ensure a proper response to any suspicion or allegation of abuse. Mrs Rose is currently arranging for the remaining staff to receive Adult Protection training. DS0000003944.V342596.R01.S.doc Version 5.2 Page 18 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, 24 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to Hannah Levy House Trust. Continuous investment in the upkeep of the home results in a well-maintained, comfortable and safe environment for residents, where standards are constantly improving. EVIDENCE: The home is always seeking to make improvements for the benefit of residents. There is an annual development plan with an ongoing programme of internal redecoration and replacement of furnishings and fittings, as and when required. Recent work includes: • Creation of a new Reminiscence Room for residents. • Provision of a new storage/workroom outside. • A new television with 44-inch screen in the lounge. • Portable loop system to assist residents with hearing difficulties. • The provision of overhead hoists in three bedrooms. • Redecoration of corridors. DS0000003944.V342596.R01.S.doc Version 5.2 Page 19 • Work • • • • Replacement of some bedspreads. currently being planned includes: The provision of a new assisted bathroom. A new wet room with shower. New dining room chairs. New floor covering in the conservatory. A full-time maintenance person is employed to deal with minor repairs. Records confirm that equipment, such as hoists, the passenger lift and portable electrical appliances etc are regularly serviced to ensure resident safety. An electrical certificate is in place. (NB due for renewal in November 2007.) The communal rooms at Hannah Levy House are all located on the ground floor. These comprise a dining room, lounge, conservatory, hairdressing/chiropody/therapy room and an enclosed garden. The home also has a small synagogue where services are held on Shabbat and Holy Days. The lounge is comfortably furnished with chairs of differing heights to suit the needs of residents. The conservatory is accessible from both the dining room and the lounge and also provides access to the garden. A computer is provided for residents to use whenever they wish. The garden is well maintained, with a large number of tubs providing a very colourful floral display. There is a large patio area and a range of garden furniture is available to residents. A resident commented, I think the gardens look lovely. Its a shame the weather is so bad we cant sit out yet. The facilities are very good here, much better than many places I have seen. A tour of the building confirms that residents bedrooms are comfortably furnished and personalised to varying degrees. A resident commented, I think we have everything we need. My room is very comfortable. There is always plenty of hot water for washing or having a shower. Bedrooms have suitable locks fitted, which can be opened from the outside in case of emergency. A lockable facility is provided within each bedroom for personal items etc. A Housekeeper and dedicated laundry and domestic staff are employed at Hannah Levy House Trust. The home is clean and there are no unpleasant odours, making life within the home more pleasurable. The well-equipped laundry is sited on the ground floor. Residents commented, The laundry lady is excellent, she does such a good job. They keep everything very clean here and it always seems fresh, with no nasty smells. The laundry service is very good and the home is always kept clean. DS0000003944.V342596.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to Hannah Levy House Trust. Hannah Levy House Trust has systems in place to ensure that staff are only recruited after a rigorous screening process and then receive suitable training to make sure they are able to meet the needs of the residents. EVIDENCE: Talking with residents, staff and viewing staff rotas confirms that the number of care staff on duty meets the needs of the present residents in the home. A key worker system is in operation, where each member of care staff has particular responsibility for several residents. This gives them an opportunity to really get to know residents and ensure all their needs are met. The home also employs chefs and kitchen staff, a housekeeper, a maintenance person, and domestic and laundry staff. Residents spoke very positively about the staff. The staff are excellent. They work very hard to look after us all. The staff are very good on the whole, they always come if I need them. I am reasonably happy here. There are lots of good points and a few not so good, but overall they do a reasonable job of looking after us. The staff are very good. I get on with all of them. The comments received from relatives include: Hannah Levy home is just that, a home caring for each resident. The Hannah Levy home is excellent. It’s staff care for my relative very well indeed and are pleasant and caring people. Generally, I am very impressed with the DS0000003944.V342596.R01.S.doc Version 5.2 Page 21 Hannah Levy House Trust. Standards of physical care/hygiene/diet are high and staff are helpful and involved. They are a pleasure to deal with. The home places great emphasis on the importance of training in ensuring the safety and wellbeing of residents. Two care staff have now achieved National Vocational Qualifications (NVQ) at level 2, six have NVQ level 3 and one has NVQ level 4. Five more staff are about to commence NVQ level 2 training and four will commence NVQ level 3. A total of twenty-one care staff is employed, so the home has almost achieved the target of having 50 NVQ trained staff, to help ensure that residents are in safe hands. Considerable improvements in the recruitment procedure have taken place since the last inspection. The staff files are now well organised and those viewed included an application form with details of qualifications and an employment history, proof of identity, two written references, a job description and a contract. A satisfactory enhanced Criminal Records Bureau check and Protection of Vulnerable Adults (POVA) check had been received prior to the member of staff commencing employment. The home provides a training programme for staff as a means of improving the standard of care and ensuring residents safety. Training records and discussions with staff confirm that training courses have included Adult Protection, moving and handling, first aid, basic food hygiene, dementia awareness and health and safety. Mrs Rose is currently working to set up individual training assessments and profiles to ensure that all staff have completed mandatory training and have access to any other training they need to carry out their work satisfactorily. All new staff receive induction training. This includes a short introduction to the home followed by a six-week induction, which Mrs Rose is now basing on the Skills for Care Common Induction Standards. DS0000003944.V342596.R01.S.doc Version 5.2 Page 22 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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to Hannah Levy House Trust. The management arrangements at Hannah Levy House Trust and the quality assurance system now in place, ensures that the residents live in a home that is well managed and the service provided meets their needs. EVIDENCE: A new manager, Mrs Janice Rose, has been appointed at Hannah Levy House Trust and is currently seeking registration with the Commission. (Since the inspection, Mrs Rose has completed the registration process and her application has been approved.) Mrs Rose has the support of a deputy in her day-to-day work in the home. The trustees of Hannah Levy House Trust take an active interest in the management of the home and provide support to the management team. DS0000003944.V342596.R01.S.doc Version 5.2 Page 23 Residents and staff agree that Hannah Levy House Trust is a relaxed and friendly place in which to live and work. Residents commented, I came to look round and decided to stay. Ive never regretted that decision. I know I have a bit of a moan sometimes, but I am very settled here and would not want to go anywhere else. Staff commented, Im very happy here, and I really enjoy my work. Comment cards from relatives state: - In my experience, this is one of the best care homes in our town. The home caters for my relative’s dietary needs and religious welfare in an exemplary manner. It is comforting for me to know that my relative is so well cared for. I have been very satisfied with the way that my relative has been treated by Hannah Levy House. The comment cards from three General Practitioners all express satisfaction with the overall care provided to residents, with one stating that Hannah Levy House Trust is, A very good care home. The views of residents, relatives and visitors to the home are obtained by using annual survey forms. The results are then analysed and action taken to address any issues identified. Resident meetings are held every two months and are minuted. Staff meetings are held on a quarterly basis, with senior staff meeting every month. The manager also attends trustee meetings, which are held on a monthly basis. In order to protect residents the home prefers wherever possible to have no involvement in personal finances. Therefore, those residents who are unable or have no wish to handle their own affairs have a relative or other representative to deal with their finances. The home does look after small amounts of money for some residents. An account book is maintained showing all transactions and receipts retained, as necessary. All monies and related records are held securely. Mrs Rose is now in ensuring that care staff are receiving formal supervision at least six times a year, as a means of ensuring good practice, emphasising the philosophy of care within the home and looking at individual career development needs etc. Examination of staff records shows that supervision is now taking place on a regular basis. From touring the premises, looking at records and discussions with staff and residents, it is evident that measures are in place to promote the health and safety of residents. Records confirm that equipment, such as hoists, passenger lift and portable electrical appliances etc are regularly serviced to ensure resident safety. A water test has been carried out to ensure there is no risk from Legionella. Radiator surfaces are guarded in bedrooms and communal areas to prevent direct contact with very hot surfaces. All DS0000003944.V342596.R01.S.doc Version 5.2 Page 24 substances that could be potentially hazardous to health are handled and stored safely. Staff demonstrate an awareness of health and safety issues. Examination of the fire records shows that appropriate procedures are in place to ensure the safety of residents and staff. Regular maintenance of the fire warning system, emergency lighting and fire fighting equipment is arranged. A number of fire extinguishers have recently been replaced. Routine checks are carried out at appropriate intervals and staff confirm this. Staff fire training, including induction training for new staff, is taking place and fire drills are arranged so that staff are fully aware of the action to take in the event of a fire. DS0000003944.V342596.R01.S.doc Version 5.2 Page 25 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 4 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 X X X 3 X 4 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 DS0000003944.V342596.R01.S.doc Version 5.2 Page 26 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. 1 2 3 Refer to Standard OP12 OP15 OP28 Good Practice Recommendations It is recommended that residents are consulted about their interests and a suitable programme of activities and outings is then provided, in line with the residents’ wishes. It is recommended that the provision of kosher bread within the home be reviewed, to ensure residents’ satisfaction. It is recommended that a minimum ratio of 50 per cent trained members of care staff at NVQ level 2, or equivalent be achieved. DS0000003944.V342596.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000003944.V342596.R01.S.doc Version 5.2 Page 28 - 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. 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