Inspection on 02/09/05 for Home Lea House

This inspection was carried out on 2nd September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Home Lea House 19/02/07

Home Lea House 20/12/05

Home Lea House 05/01/05

Home Lea House 14/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Home Lea House 137 Wood Lane Rothwell Leeds LS26 OPH Lead Inspector Valerie Francis Unannounced 2 September 2005 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. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Home Lea House Address 137 Wood Lane Rothwell LS26 OPH 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) 0113 2823218 Leeds City Council Department of Social Sevices Care home 28 Category(ies) of Old age (28) registration, with number of places Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5.01.05 Brief Description of the Service: Home Lea House is a detached property located in Rothwell on the outskirts of Leeds. The home is in extensive grounds all of which have wheelchair access. There are parking facilities available at the front of the property. There is a bus service along the main road. The home is owned and managed by Leeds City Council Social Services. Residents have access to experienced and trained care staff 24 hours a day. The accommodation is on two floors; there is a passenger lift for access to the all floors.The building consists of 29 single rooms, 24 of which have en suite facilities. There are two communal sitting areas and a conservatory. There is a large communal dining room and a central kitchen. There are eight communal bathrooms/ showers wc’s which are located strategically throughout the building. There is also relative sleepover room. Residents can meet with their visitors in private in the visitor’s lounge, where they can make drinks and snacks. Residents are encouraged to personalise their rooms with furniture’s and fitments of their choice. There is a quadrangle garden area, which can be used by residents to sit out in private or undertake gardening in ease by using the raised garden beds. There is an enclosed area to the rear of the building which is accessible to service users from the conservatory that has iron fencing. There is a boundary wall around the building separating the home from the nearby bungalows. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, regulated care homes have a minimum of two inspections a year. These may be announced or unannounced visits. The last inspection was announced and took place on the 2nd of September 2005. This inspection started at 9.30am and ended at 5.30pm. There have been no further visits until this unannounced inspection. The people who live in the home use the term resident, therefore this is the term that will be used throughout this report. During the inspection records were examined, some areas of the home were seen, such as lounge and dining room and care staff were observed carrying out their work. Since the last inspection a new manager has been appointed Ms Jenny Minton, who, although was not on duty came in and facilitated in the process. The manager and the Principal Unit Manager (PUM) who is the line manager for the home joined the inspection later in the afternoon. What the service does well: What has improved since the last inspection? A new manager has been appointed since the last inspection, which give the home clear leadership. Written information has improved despite the omission of care plan with action plans. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 6 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 Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 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 Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 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 A full up to date written assessment is not always available for prospective residents before they move into the home. EVIDENCE: The care records of three residents were examined, one of which had recently taken up residency in the home. Although there was a social work assessment in most of the files it was evident that the home do not always get an up dated assessment, and home would only carry out their own assessment once the person had moved into the home. One resident had an easy care (multidisciplinary assessment), which was out of date before they moved into the home and they did not have any real information about the person. The manager said introductory visits to the home was two fold; one for the person to look around and the other for staff to do an assessment if the home felt they could meet the individuals needs. It was understood that this was not Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 9 always possible because prospective residents do not always visit, only their representatives. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 10 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. Staff members do not have access to up to date or enough information to put together a comprehensive care plan. EVIDENCE: Three residents’ life style plan (care plans) were inspected all of which had information on daily living. Most of the information was taken from core assessments and there was no evidence that an assessment had been carried out by the home, which may result in needs of residents being missed. There were formats seen to record risk assessments, however, the format does not allow staff to record what action to be taken to minimise the risk. There was no evidence to show that moving and handling risk assessments had been carried out. Each person had a nutritional risk assessment that was completed if a risk had been identified, however, the risk could only be identified if the assessment was carried out. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 11 There was information on the files seen that resident’s monthly weight was checked, however, this was not always up to date. There was evidence in the files seen that regular reviews took place, however details, such as the date of the review, who attended, any follow up information and a date of the next review was not in evidence. Fall Prevention Management forms were seen, however, there was no care plan seen that detailed how falls would be minimised and prevented and the record seen only detailed the fall the person had sustained. Staff members have had training on Safe Handling of Medication and were practicing in accordance to the Royal Pharmaceutical Guidelines for residential homes. From comments made by residents, visitors and from the inspectors observation it was evident that staff worked closely with residents to make sure that their wishes were respected. Residents had a key worker who was known to them and they understood their role. Not all residents’ files contained information on their last wishes, for example, if they wished to be buried or cremated, if the family or nominated person was responsible for arranging their funeral. The inspector advised that more information must be obtained so that a care plan could be implemented. Staff training on death and dying had been arranged for September 2005. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 12 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 &15. Residents have the opportunity to take part in meaningful activities in and out of the home. Residents are consulted about the meals served. EVIDENCE: Each resident’s life style plan (care plan) included information on their past history and social activities. One member of staff had been designated activity coordinator. There was a list of forthcoming activities and regular residents meetings were held. In these meetings, residents were consulted about matters relating to the home and about activities and hobbies that they enjoyed. During the inspection, residents were sitting talking to each other, some were sitting out in the garden area. There was also a constant flow of visitors to the home. Some of the visitors collected residents to take them out for the day and other visitors made contact with staff and were updated on matters relating to their relative. Residents were consulted about the food served and the meals were prepared from a four week rotating menu, which resident likes and dislike were taken into consideration. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 13 Drinks and snacks were served at different times of the day. During meal times residents had a choice of meal if the food served was something they did not like. Mealtime was seen as relaxed and residents were able to eat in a relaxed atmosphere and were not rushed to finish their meal. Residents were assisted in a discreet manner and second helpings were offered at mealtimes. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 14 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. Residents and their visitors are confident that their complaints would be taken seriously. Systems are in place to make sure residents are protected from abuse. EVIDENCE: During discussions with residents and their visitors it was clear that they were aware about the complaints procedure and felt any complaint they made would be taken seriously. People said if they had any complaint they would go to the person in charge and the manager and they felt confident that the matter would be given due attention. It was evident from discussion with staff members that they were fully aware of the procedure to follow if it was brought to their attention that an alleged abuse had taken place. Some staff members had had training on adult protection and others were due to attend this course on the 8th September 2005. Staff members had access to the multidisciplinary adult protection procedure and other information relating to adult protection. All staff had an up to date Criminal Records Bureau (CRB) check and the manager said that all new staff now have a CRB check before they take up employment. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 15 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 & 26. Resident live in a safe and well maintained environment, which is kept clean and to a good standard. EVIDENCE: The location of the home allows residents access to shops in the community. The home provides residents with single bedrooms, most with en suite facilities and a variety of sitting rooms, and enclosed garden areas. At the time of the refurbishment all areas of the home had been decorated and furnished to a high standard. Residents had taken the opportunity to furnish their bedrooms according to their taste. The rear of the premises is fenced in with iron fencing and there is security lighting around the perimeter of the building for extra security. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 16 The home recently entered into the Leeds council garden competition and was successful by winning an award. The laundry area was clean and tidy there was no offensive odours. Residents and their visitors made no complaints about the laundry service at the home. Staff members have made efforts to prevent the risk of infection, for example, the sluice cycle washing machine and the laundry room functions within the guidelines of infection control and most staff had received training in Infection Control. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 17 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. Staffing levels are not always appropriate to meet the needs of the residents. All new staff members are provided with training to ensure that they are competent to carry out their duties and deliver a good standard of care. EVIDENCE: There were enough staff members on duty on the day of the inspection, however, this was not always the case and residents did not always have access to staff in numbers that would meet their needs. At the time of the inspection there were staff shortages, which was due to long-term sickness and a vacant position. Staff members doing extra shifts or being flexible by changing their duties around filled these gaps. There is now the full complement of homes management team. However consideration should be given to reassessing the staffing levels at the home especially at night where there are two waking night staff in a building which is divided into two wings and resident on the ground floor. There was a training plan for the home and individual staff members, the manager said they had identified areas of training that was needed for specialist care and had made arrangement for staff members to have the appropriate training that would enable them to deliver a good standard of care. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 18 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) 31 & 32 There is clear leadership in the home, which is well managed. EVIDENCE: Since the last inspection a new manager has been appointed and is now waiting to become the registered manager of the home. They have commenced the MCI course and National Vocational Qualification (NVQ) Level 4 in Care. It was evident from discussion with residents and from several visitors spoken to that there is clear leadership in the home. The manager was described as approachable and has an open door policy. Staff were encouraged and supported to fulfil their roles and their specialist skills were encouraged so that residents had access to staff that were able to meet their needs. Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 19 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 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 2 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 2 4 x x x x x x Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 20 yes 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 3 Regulation 14 Requirement The Registered Provider must make sure that all prospective resident have an up to date assessment of care needs. All residents must have a Care Plan which clearly identifies all their care needs with an action plan detailing how these needs will be met. The Registered Provider must make sure that residents have access to an appropriate number of staff taking into consideration the size and layout of the building. Timescale for action 12 November 2005 12th November 2005 30th November 2. 7 15 3. 27 18 4. 5. 6. 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 Home Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP 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 Lea House 20050902 J52 S33272 Home Lea House V238292 Stage 4.doc Version 1.40 Page 22 - 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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