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Inspection on 13/05/05 for Holmewood Residential Care Home

Also see our care home review for Holmewood Residential Care Home for more information

This inspection was carried out on 13th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

Since the last inspection some communal areas of the home have been decorated, and new carpet was due to be fitted on the stairs and corridors. The home was in the process of providing a web cam facility for service users to keep in touch with their relatives who live overseas, and a number of people were looking forward to using this. The home had also arranged a reminiscence group, which met weekly and was enjoyed by those people who participated.

What the care home could do better:

Residents meeting were discussed with people during the inspection, and some people thought this would be a good idea, so the manager should move forward with this idea as another way of seeking peoples views about the running of the home. Although there are a range of activities that people can participate in, staff could develop how to spend time with people who prefer not to do group activities, but enjoy one to one time.

CARE HOMES FOR OLDER PEOPLE Holmewood Lamplugh Road Cockermouth Cumbria CA13 0DP Lead Inspector Elaine Brayton Unannounced 13 May 2005, 10.15am 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 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. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Holmewood Address Lamplugh Road Cockermouth Cumbria CA13 0DP 01900 828664 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Lakeland Care Services Ltd Josephine Hayton Care Home 26 Category(ies) of Old Age, not falling within any other category. registration, with number of places Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 2. The home is registered for a maximum of 26 service users in the category of OP (old age, not falling within any other category). 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults.. Date of last inspection 10 January 2005 Brief Description of the Service: Holmewood offers accommodation and care for up to 26 older adults. The Home is decorated and furnished to a good standard and is pleasant and comfortable. All of the bedrooms are for single occupancy, but one can be used for two people sharing if requested, they are spacious and individually decorated and furnished. All of the bedrooms have an en-suite toilet and bath or shower. The Home has two large and two small lounges and a dining room. There is a passenger lift, a platform lift to assist with three stairs, handrails, grab rails and a range of equipment to assist people in their day to day lives. The Home is set in large well maintained gardens, including a vegetable garden and have seating and easy access. There is a large car park Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and took place over one day. During the inspection 16 residents were spoken with either individually or in small groups. Staff on duty were spoken to, both care staff and ancillary staff. All parts of the home were looked at, and records relating to the care of residents and the day-to-day running of the home were examined. What the service does well: What has improved since the last inspection? What they could do better: Residents meeting were discussed with people during the inspection, and some people thought this would be a good idea, so the manager should move forward with this idea as another way of seeking peoples views about the running of the home. Although there are a range of activities that people can participate in, staff could develop how to spend time with people who prefer not to do group activities, but enjoy one to one time. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 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. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 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 standard(s) 3,4 & 5 The admission procedure to the home was thorough, and ensured residents needs would be met. EVIDENCE: An assessment of need is carried out before a person is admitted to the home, and a selection of these were looked at. They contain important information about the care needs of the person, and enabled the manager to be sure the staff have the skills to provide the care the person needs. Residents said that they visited the home to look around before making a decision to move in, or a family member visited on their behalf. A number of letters were read from relatives, thanking the manager and staff for making them and the prospective resident so welcome when they visited to look around. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 9 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 standard(s) 7,8,9,10 & 11 Resident’s personal and health care needs are attended to in a way that promoted their privacy and dignity, and there was evidence that care staff are familiar with everyone’s plan of care. EVIDENCE: All of the care plans were up to date, regularly reviewed and very detailed providing care staff with the information they need to meet the care needs of residents, and included moving and handling risk assessments. Health care needs are monitored very well, and records kept of appointments, consultations and treatments. The medication administration and storage systems were well ordered, with residents receiving their medication as prescribed. Residents said that they are treated with respect and their privacy upheld. The care staff gave details of how they cared for people in a way that respected their privacy and dignity. The management and staff are very skilled in providing care and support to residents and their relatives during their final days in the home and following their death. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 10 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 standard(s) 12,13 & 14 The home provides residents with a range of options to fulfil and satisfy their social and recreational interests and needs. EVIDENCE: There were various activities available for residents to participate in if they wished to, and details were recorded in the activities book. Residents said that they had recently been for trips out locally, and were pleased the home had a mini bus for this purpose. Residents said that their family and friends could visit at any time, were always welcomed into the home and offered refreshments. There are plans to set up a web cam facility for residents with relatives overseas so that they can keep in touch. People could spend time with their visitors in one of the communal areas or in their private room, as they preferred. There was information available in the entrance hall about advocacy services, and people could take a leaflet if they wished to. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 11 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 standard(s) 16 & 18 The home has a satisfactory complaints procedure that residents are aware of, and care staff understand adult protection issues, which protects service users from abuse. EVIDENCE: Residents and their relatives had been provided with a copy of the complaints procedure so that they know what their options are should they be unhappy about anything. A record is kept of consultations with residents about concerns, complaints and compliments, and this showed that no complaints had been made in recent months. The care staff are familiar with the procedure to follow in the event of an adult protection issue, so the correct procedures are followed to give maximum protection to residents. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 12 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 standard(s) 19, 20, 23,24, & 26 The furnishings and décor in all areas of the home are of a very good standard and provide attractive, comfortable accommodation for residents. EVIDENCE: The home is very well maintained, comfortable and homely. There are very pleasant gardens which are easily accessed from the home, and have seating areas. There are two large lounges and a dining room and a further small room that is often used by residents when they have visitors and would like some privacy. Residents bedrooms all have en-suite toilet facilities, are spacious and furnished according to the wishes of the occupant. Many people had brought their own furniture, pictures, photos and other belongings to make their room more homely, and people said this was important to them to be able to do this. The home is very clean and hygienic, and the cleaning staff work to a schedule to ensure all areas are kept clean at all times. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 Resident’s needs are met by a skilled and competent staff group, who undertake regular training to update their skills and knowledge enabling them to provide good quality care to people. EVIDENCE: On the day of the inspection there were three members of care staff on duty, one who was designated supervisor; two housekeepers; a cook; kitchen assistant and handyman. The staff group attended to residents care needs, prepared the meals, drinks and snacks and kept the home clean and hygienic in a friendly and efficient manner. Residents said that if they needed the assistance of staff it was provided promptly. The Manager, Deputy Manager and General Manager were also on duty during the day. A new member of staff was spoken with, and she had completed an induction programme and had received training in key areas, which prepared her for the role she carries out. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36, 37 & 38 There are satisfactory systems in place to ensure the home operates in a way that protects the health and safety residents, staff and visitors. EVIDENCE: Care staff spoken to say that they received regular one to one supervision with their manager, and records were kept of these sessions. All of the records in the home that were looked at during the inspection were in order and efficiently kept. Tests and checks of equipment used in the home were being carried out regularly, and details recorded and staff received training in areas which ensures the home is a safe place in which to live and work. Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 x x 3 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 Standard No 16 17 18 Score 3 x 3 x x x x x 3 3 3 Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 16 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. Refer to Standard Good Practice Recommendations Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA1 9BP 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 Holmewood F58 F10 s61658 holmewood v220768 130505 ui stage 4.doc Version 1.30 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!