Inspection on 07/12/05 for Home Close

This inspection was carried out on 7th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Home Close 20/05/08

Home Close 25/05/07

Home Close 05/06/06

Home Close 17/05/05

Home Close 22/11/04

Home Close 25/05/04

Home Close 08/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Home Close Home Close Cow Lane Fulbourn Cambridgeshire CB1 5HB Lead Inspector Mrs Jenny Cangy Unannounced Inspection 6th December 2005 01:30 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 Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Home Close Address Home Close Cow Lane Fulbourn Cambridgeshire CB1 5HB 01223 880233 01223 881728 homeclose@abbothealth.com 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) Home Close Ltd Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of services users to be accommodated at any time who require nursing care must not exceed 20 17th May 2005 Date of last inspection Brief Description of the Service: Home Close is a purpose built home situated in attractive grounds in a quiet lane close to the centre of the village of Fulbourn. The accommodation is arranged in flats. Each flat has a kitchenette and a lounge area. There is a large communal lounge/dining room on the ground floor. The service user accommodation is on two floors with the upper floor being accessed by a passenger lift. The home provides care for older people with both social and nursing care needs. There is a day centre on site and the home has ambulance bus transport available for outings. Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection commenced at 1.30 pm and the inspector was welcomed by the house keeper. The acting manager was busy in a management meeting so the inspector commenced the inspection with a tour of the building meeting staff and service users. During the tour of the home it was noted that all areas were clean and free from offensive odours. Lists of activities for the Christmas period were displayed around the home and staff were sorting Christmas decorations in readiness for decorating the home. A group of service users returned to the home following a trip to a garden centre during the inspection. The home has student nurses on placement from Homerton College and the inspector met two of them. The inspector spent time with the acting manager reviewing the minimum standards. Not all standards were inspected. Those not inspected were met at the last inspection. It should be noted that the manager has left employment at the home and an acting manager is in place. A new manager is due to commence employment in the week following the inspection and has not yet applied to be registered with the CSCI. It should also be noted that The parent company Abbott Healthcare was acquired in August 2005 by Healthcare Homes Group Limited. The new Responsible Individual representing the parent company was present at the home and met the inspector. What the service does well: What has improved since the last inspection? What they could do better: Some areas of the home are in need of redecoration with scuff marks on doors and woodwork in need of attention. It was noted that spray bottles of cleaning chemicals were in each of the unlocked sluices. Risk assessments of individual Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 6 bedrooms could be improved as staff find some rooms cluttered and difficult to work in. Quality assurance auditing is not in place. 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. Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2,& 5 Service users have all the information they need to make an informed judgement when selecting the home. Some paper work needs updating with regards to terms and conditions of residence. EVIDENCE: The statement of purpose and service user guide has been updated with all the information pertaining to the new proprietors and current management arrangements. The terms and conditions of residence are in place for each service user and have not changed since the company changed ownership. However the name of Abbott Healthcare is still on the documents and needs to be changed. Service users and their families are encouraged to visit prior to accepting a place and have a trial period before deciding to stay permanently. Home Close DS0000015159.V260333.R01.S.doc Version 5.0 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 the following standard(s): 7 & 10 All service users have an individual care plan but these need to have more detail and be reviewed more frequently. Service users are treated with respect and dignity but some service users dignity is infringed. EVIDENCE: Care plans are in place for all aspects of the service users needs. However more detail is needed in some areas. For example moving and handling only states that a hoist is needed and does not specify how many staff are needed and what size sling is required. Formal monthly reviews of all care plans should take place and be recorded as done in the plans. It was noted that personal information about continence needs was displayed on bedroom walls in view of any non-care staff and visitors thus infringing the privacy and dignity of the service users concerned. Home Close DS0000015159.V260333.R01.S.doc Version 5.0 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 the following standard(s): 12 & 15 The service users have a wide range of activities to give them purposeful lives. Meal times are not adequately spaced EVIDENCE: The home has an activity co-ordinator and there is a full and imaginative programme of activities available. A programme of activities for the Christmas period was displayed around the home in addition to the regular ones. On the day of inspection a group of service users were out visiting a garden centre, returning while the inspection was in progress, animated and pleased with their outing. The home has its own transport. During the inspection it was noted that the evening meal was being served at 16.20. For service users who were asleep before the supper drink round the gap between the last meal and breakfast is excessive. Home Close DS0000015159.V260333.R01.S.doc Version 5.0 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 the following standard(s): 0 These standards were met at the last inspection. EVIDENCE: The complaint procedure has been updated since the company changed ownership to include current contacts in case of a complaint Home Close DS0000015159.V260333.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 25 &26 The home is clean and fresh and the ground well maintained. There were some safety issues around the storage of chemicals causing risk to service users. EVIDENCE: Chemical cleaning fluid in spray bottles was found in each of the unlocked sluices. Chemicals must not be left in an unlocked area. Otherwise the home was clean and fresh with no unpleasant odours. The home is well furnished with a variety of suitable armchairs in the lounges. Some parts of the home are in need of redecoration and the new owners of the company are auditing the decorating and refurbishment needs. Home Close DS0000015159.V260333.R01.S.doc Version 5.0 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 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): 0 All these standards were inspected and met at the last inspection EVIDENCE: Staffing levels have not changed since the last inspection. It was noted that each flat was staffed and the numbers of staff appeared adequate. Home Close DS0000015159.V260333.R01.S.doc Version 5.0 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 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, 32, 33, 35 & 38 The home is well managed by the acting manager but a manager needs to be registered with the CSCI. The best interests of the service users and their well being and safety are met by the management of the home. EVIDENCE: The home has an acting manager. However a new manager has been appointed who is a Registered Nurse and working toward her NVQ level4 Registered Managers Award. An application to register a manager has not yet been submitted to the CSCI. Service users are consulted about any changes in the running of the home and the acting manager is open and approachable. Appropriate records are kept of any money held by the home for the service users. All records are maintained as required and all checks with regard to health and safety are maintained and up to date. An independent consultant conducts monthly visits to the home as required under Care Home Regulation 26 and these were carried out in October and November and the reports submitted to the CSCI Home Close DS0000015159.V260333.R01.S.doc Version 5.0 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 3 2 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 3 X X X X 3 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 2 3 3 X 3 X X 3 Home Close DS0000015159.V260333.R01.S.doc Version 5.0 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 OP7 Regulation 12(4(a)) Requirement The registered person must ensure that care plans contain sufficient detail to enable carers to meet the individuals needs and these should be reviewed and updated at least monthly The registered person must ensure that all practices in the home do not infringe the privacy and dignity of the service users. The registered person must ensure that all chemicals are not left in an unlocked area that can be accessed by service users The registered person must notify the CSCI of the appointment of a manager and an application to register a manager should be submitted to the CSCI Timescale for action 30/01/06 2 OP10 12(4(a)) 30/12/05 3 OP19 13(4(a)) 30/12/05 4 OP31 8&9 30/01/06 Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 17 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 Refer to Standard OP2 OP15 Good Practice Recommendations The statement of terms and conditions of residence should be reviewed and the current proprietor details included. The registered person should review the length of time between the last meal of the day and breakfast and ensure the gap is no longer than 12 hours Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Home Close DS0000015159.V260333.R01.S.doc Version 5.0 Page 19 - 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. 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