Inspection on 02/08/07 for Homefield Court

This inspection was carried out on 2nd August 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

Homefield Court 18/11/08

Homefield Court 07/02/06

Homefield Court 25/02/05

Homefield Court 11/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Homefield Court 1 Central Way Barretts Green Road London NW10 7AP Lead Inspector Wynne Price-Rees Key Unannounced Inspection 2nd August 2007 10:30 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 Homefield Court DS0000017433.V347103.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. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homefield Court Address 1 Central Way Barretts Green Road London NW10 7AP 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) 020 8963 1618 020 8961 3857 Mr Hrant Gregorian Brindanand Camadoo Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. As agreed on the 26th July 2006, one named service user under the age of 65 years, requiring personal care, can be accommodated. The CSCI must be informed when this service user no longer resides at the home. 14th December 2006 Date of last inspection Brief Description of the Service: Homefield Court is registered to provide accommodation, care and support for up to 21 residents of either gender. The home is located in Park Royal, Northwest London and surrounded by a variety of small commercial and industrial businesses. It is within 10 minutes walk to the Central Middlesex Hospital and local ambulance station. There is a large hypermarket store about 15 minutes walk from the home, a local post office and additional shopping is a short drive to Harlesden town centre. In addition, the home is close to two local bus routes and the Harlesden underground metro station is about 15 minutes walk. The homes manager has been in post since April 2005 and is supported by a complement of experienced care staff, some of whom have been working at the home for several years. A key worker system is operated. Admission is made through spot purchase but the home also accepts referrals from both the private and public sectors. The home currently has full occupancy. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over five and a half hours, on one day. During the course of the inspection, three residents and their records were case tracked. Any residents’ or staff, who wished to talk to the Inspector were given the opportunity to and a premises tour took place. Records were checked and care practices observed. The home had previously provided information requested and this was incorporated within the inspection process. What the service does well: What has improved since the last inspection? There were six requirements and one recommendation made at the last key inspection. They pertained to the staff induction programme, review of aids and stimulation provided for residents’ with cognitive or other disabilities, general building maintenance and works programme, fitting water temperature control valves, providing a rear garden sitting area and updating health and safety risk assessments. The recommendation was to obtain a copy of the placing authorities’ POVA policies. All the requirements and the recommendation were met at this key inspection. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 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 Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is currently full with a waiting list and no new admissions have taken place since the last key inspection. There is a written policy and procedure that the care Manager talked through explaining each stage. A sample of the assessment information on file showed that the procedure was followed and met the requirements of the key standards. The home does not provide intermediate care. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents care plans sampled were case tracked and found to contain up to date information. They had been put together by residents, relatives and identified key workers had identified goals and were initially based on assessment information provided. The care plan goals were numbered and underpinned by risk assessments that were regularly reviewed and updated as and when required. The goals were also updated as achieved or when needs changed. Monthly evaluations are carried out by the Deputy Care Manager based on the daily notes recorded that are accumulated weekly. The daily notes were prescriptive of a resident’s day and it would make the system more affective if the entries also contained a number that corresponded to a care plan goal. The residents’ health care needs were identified and incorporated within the care plans as part of the goals. The residents’ are all registered with GPs, are Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 10 offered annual health checks and have access to community based health care services. A district nurse visited on the day of the inspection. Two residents also went for blood checks. There were up to date and regularly reviewed risk assessments for all residents’ individually as well as general health and safety risk assessments for the home. The individual assessments identified risks inside and outside the home. The residents’ spoken with said their rights to privacy and dignity were observed by staff and this was confirmed by care practices observed. There is a policy and procedure regarding privacy, dignity and this is also part of core induction training. There is a medication administration policy and procedure that staff who administer medication are trained and inducted in. The medication administration sheets were checked for all residents and gaps were found on some sheets with no explanation. No controlled drugs are kept at the home. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 11 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 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents spoken with said they enjoyed the activities provided and felt they were the right type for them. Activities are decided on a daily basis depending on residents’ preference with the exception of trips out. During the inspection a light exercise session took place that many residents’ joined in. Residents said they enjoyed going to the local café and one sometimes fed the ducks down at the canal towpath. They also visit a local park with packed lunches and make good use of local shops and other available services. Local places of worship meet religious needs either by visiting the home to give services or residents can attend the places of worship if they wish. Three residents recently went out to dinner at a restaurant in Ealing and were currently planning their next trip. Two weeks ago fifteen residents’ took a boat trip to Windsor with lunch out. Brent Community Transport provided transport to the boat. Currently trips are being arranged to Kew Gardens and Brighton or Southend. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 12 Residents’ were observed coming and going as they pleased. They said that they received regular visits from family and friends who were always made welcome and sometimes stayed for meals. The home provides a menu with choice of alternatives. If residents do not want what is on offer the cook puts something else on. Fresh meat is delivered to the home three times per week. The meal observed was well presented, hot, nutritious and residents asked said they enjoyed it. They added that all the meals provided were very good. The menu is discussed at four monthly resident meetings. Regular bingo sessions take place with prizes and an exercise trainer visits on Mondays, from Brent Council. The residents have access to a DVD library and pedicures and manicures are available. The home also has an activities coordinator. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 13 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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a written complaints policy and procedure that was displayed near the building entrance. The home keeps a complaints book and no complaints have been recorded since that last key inspection. Residents’ asked said if they had a complaint or problem they would generally discuss it with a member of staff or the Care Manager although they were aware of the procedure. All staff have been CRB cleared and received adult protection training. The Care Manager and deputy have also undertaken POVA training and there have currently been no referrals. There is a thorough recruitment procedure that meets the requirements of the standard. Staff have not received training in how to handle residents’ challenging behaviour. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 14 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 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The building was suited to its stated purpose, safe, comfortable and homely. Residents said they were happy with their bedrooms and the communal areas. A premises tour found it was clean, tidy, well maintained and odour free. Residents have a single rooms that are spacious and toilets are easily accessible. There is also a garden to the back where they can sit outside as well as to the front of the building. Two bedrooms were recently re-decorated to the residents’ choices. Although the bedrooms are fitted with self closure mechanisms two residents had their doors wedged open during the inspection. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 15 Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 16 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are currently no staff vacancies and there has been low staff turnover since the previous key inspection. The staff rota showed that there are adequate numbers of staff on duty at all times to meet residents’ needs. Holidays or illness are covered internally and the home has not used agency staff for three years. Staff receive an induction based on caring for older people that includes statutory training including health and safety, food hygiene, fire and first aid. They spend six weeks shadowing to understand their role and a review takes place after four weeks with one to one with the Care Manager or Deputy. Twelve of the fifteen care staff have achieved NVQ level 2 or above. There is a thorough written recruitment policy and procedure that records demonstrated the home follows. The procedure meets the requirements of the standard. Staff have access to care consortium training as well as that provided by the local authority. Training needs are identified as part of supervision. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 17 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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Care Manager is experienced, knowledgeable regarding the client group a service is provided for and understands want constitutes good care practice. He has completed NVQ level 4 in care and management and is awaiting confirmation. All residents and staff spoken with said he was efficient, approachable and supportive. The home has an affective quality assurance system with identifiable triggers that are based on information collated from resident and family questionnaires, monthly, unannounced proprietor’s visits, annual local authority reviews and Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 18 daily resident contact. A proprietor’s visit took place on the day of the inspection. This was taking place when the inspector arrived. The home is not appointee for any of the residents. The placing local authorities are appointees apart from one resident whose finances are looked after by the family. Any money held on behalf of a resident is fully recorded including, deposit, withdrawal and receipt. A sample of three residents’ records showed them to balance with the money held. There were up to date health and safety risk assessments in place. Fridge, freezer and hot water temperatures are checked and recorded daily. Legionella, PAT and fire fighting equipment checks and services are carried out annually. The call alarm system is checked monthly. The fire alarm is tested weekly, appliances checked in April 2007 and fire drill take place monthly with two at night per year. The stair lift is serviced twice per year. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 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 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 20 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 OP9 Regulation 13 (2) Requirement Timescale for action 02/08/07 2. 3. OP19 OP30 23 (4) (a) 18 (1), c (i) The medication administration recording sheets must be accurately filled in with explanation of any gaps recorded on the back of the sheets. The home must fit self-closing 01/09/07 door mechanisms on the doors residents’ prop open. Staff must attend how to deal 01/11/07 with resident challenging behaviour training. 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 OP7 Good Practice Recommendations The daily entries should contain a number that corresponds to a care plan goal. Homefield Court DS0000017433.V347103.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 - 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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