CARE HOMES FOR OLDER PEOPLE
Home From Home 5a Dragon Lane Newbold Verdon Leicestershire LE9 9NG Lead Inspector
Mrs Bhavna Keane-Rao Unannounced Inspection 3rd November 2005 9:45 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 From Home DS0000001749.V261346.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 From Home DS0000001749.V261346.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Home From Home Address 5a Dragon Lane Newbold Verdon Leicestershire LE9 9NG 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) 01455 828662 01455 823338 Home from Home Residential Care for the Elderly Limited Mr Daniel John Crowfoot Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Home From Home DS0000001749.V261346.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. To be able to admit the person of category SI identified in correspondence from the previous registration authority dated 28/10/1999. 01/07/05 Date of last inspection Brief Description of the Service: Home from Home is an extended, detached property, which is situated close to the centre of the village of Newbold Verdon. It stands in its own substantial grounds with off road parking to the front and a large enclosed garden to the rear. The home accommodates ten older people, all in single bedrooms, on two floors. The home has a stair lift. The home has a large through lounge with patio doors onto the garden and a similar through dining area, which can, if desired, be split into two rooms. The majority of the current service users are local people, either from Newbold Verdon or from surrounding villages. Most of the staff team are also local and it is common for residents and staff to know each other before the person moves in to the home. The home does not stand out from its neighbours and is commended for the very clean homely environment, which it creates for its residents. Home From Home DS0000001749.V261346.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place during Thursday morning. It took two and half-hours to complete. This home provides care for up to ten older people. Discussion was held with four residents. However other residents were observed in their daily routine. Two resident were spoken with in great detail. The primary method of inspection was speaking to the residents who use the service provided. All the required key standards were inspected during the last visit on 1st July 2005. Therefore only specific standards were inspected this time. All areas of concerns raised at the last inspection have been met. A tour of the premises was undertaken and opportunity was taken to view resident’s daily records, MAR sheets, menus of meals and staff rota. Both the managers were on duty during the whole of the inspection. The owner participated towards the end of the inspection. The managers spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well:
The registered managers and the staff at the home are very willing to learn and improve the service provided for the residents. One resident stated, “ We are made very comfortable here”. One resident stated, “I love being in this home as everyone is so kind”. One resident stated that his favourite food was cooked breakfast, which is available every morning. Another resident stated, “ I like having breakfast in bed, which is always provided”. This facility is available for all the residents. Residents who were spoken with stated that they feel they are consulted about the care that this provided at this home. The interactions observed between staff and residents were very positive. Home From Home DS0000001749.V261346.R01.S.doc Version 5.0 Page 6 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. Home From Home DS0000001749.V261346.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 From Home DS0000001749.V261346.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): None EVIDENCE: All the required standards were inspected at the last inspection. The admission procedures are in place and assessments of individuals are carried out by the registered manager, health and/or social care professionals, as part of the referral process. Home From Home DS0000001749.V261346.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): 9 The system for administration of medication is safe. EVIDENCE: All the required standards were inspected at the last inspection. Medication is stored in a locked metal cupboard in the office and administered by staff that are trained. Administration of medication and recording was seen and is considered to be safe. There is a system in place where all areas of concerns are highlighted and dealt with promptly. Home From Home DS0000001749.V261346.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): 15 Residents’ individual dietary needs are met. EVIDENCE: Four of the residents spoken with stated that they liked the meals provided. One resident stated that he liked having cooked breakfast, another person stated that he liked having porridge with honey every morning. Both of these choices are available everyday. There is always a choice of two meals and an alternative if so requested. All the residents spoken with stated that they were provided with plenty of hot and cold drinks. Home From Home DS0000001749.V261346.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): 18 Residents are safe and protected from abuse. EVIDENCE: All the required standards were inspected at the last inspection. Residents comment showed that people feel comfortable discussing concerns with the home’s owner and managers. The complaints procedure is available for residents and visitors. Residents spoken with felt they were safe and protected. The adult protection procedure has been given to all the staff. Home From Home DS0000001749.V261346.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): 24 A comfortable, well-maintained, pleasant, clean and safe standard of accommodation is provided for the residents. EVIDENCE: The home is well maintained and suited to residents needs. There is ample natural light throughout the home. It is decorated and furnished to a high standard that creates a comfortable homely atmosphere. There is a large lounge/dining room leading to the garden. Entry to the home and to the garden is wheelchair friendly. The garden area is a flat with climbing plants, pot plants, trees, seating area and a very large lawn. One residents who was spoke with stated that he enjoyed walking in the garden, which were considered to be “very nice”. Home From Home DS0000001749.V261346.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): None EVIDENCE: All the required standards were inspected at the last inspection. On the day of the unannounced inspection both the registered mangers were on duty to provide care for the residents. In addition to this Mrs Crowfoot, second provider came on duty half way through the inspection. Home From Home DS0000001749.V261346.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): None EVIDENCE: All the required standards were inspected at the last inspection. Residents who were spoken with were positive about the staff employed at the home. The fire records were found to be satisfactory. Discussion was held with both the registered managers to ensure that staffing levels are always reflective of the care needs of their residents ie if the care needs of a person changes so that they require more input then the staffing levels must be increased.
Home From Home DS0000001749.V261346.R01.S.doc Version 5.0 Page 15 The observed interaction between the staff and residents was relaxed and friendly. Home From Home DS0000001749.V261346.R01.S.doc Version 5.0 Page 16 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X 3 X X 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 X X X X Home From Home DS0000001749.V261346.R01.S.doc Version 5.0 Page 17 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. 1. Standard OP7 Regulation 13 Requirement It is required that care plans and risk assessments are reviewed and up dated as and when the care needs of residents changed. Timescale for action 29/07/05 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 Home From Home DS0000001749.V261346.R01.S.doc Version 5.0 Page 18 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
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