Inspection on 14/12/05 for Homelands

This inspection was carried out on 14th December 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.

Other inspections for this house

Homelands 30/08/07

Homelands 26/07/06

Homelands 26/04/05

Homelands 09/12/04

Homelands 11/05/04

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

CARE HOMES FOR OLDER PEOPLE Homelands 101 Lennard Road Beckenham Kent BR3 1QS Lead Inspector Cheryl Carter Unannounced Inspection 14th December 2005 09:30 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 Homelands DS0000006954.V273229.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. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Homelands Address 101 Lennard Road Beckenham Kent BR3 1QS 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 8659 3633 020 8778 6379 Mr Rohit Jawaheer Mrs Sherine Jawaheer Mrs Sherine Jawaheer Care Home 12 Category(ies) of Dementia (12), Mental disorder, excluding registration, with number learning disability or dementia (12) of places Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can admit people who fall into the above Service User categories aged 60 years and above. One Service User whose name and circumstances are known by the NCSC can be under the age of 60 years. 26th April 2005 Date of last inspection Brief Description of the Service: Homelands is a detached house situated in a residential area of Beckenham. The home is registered for 12 service users. One has been reserved for a service user under the age of sixty. There are five double bedrooms. There is no lift which means that only service users that are mobile is deemed suitable for this home. Support for the home is offered via the local community health 0provisions. Specialist services are accessed via the GP including the district nursing services and community psychiatric services.. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over a period of five hours. The building was inspected and a number of records and policies were inspected. Nine of the twenty-four residents and five staff were spoken to. What the service does well: 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. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 6 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 Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 7 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, 3, 5, and 6 Service Users are well informed about the home’s statement of purpose. Satisfactory arrangements are in place to assess prospective residents to make sure the home is able to meet the service user’s needs. Flexible arrangements are in place for prospective service users or their families to visit the home. This helps the service user to make an informed decision about the facilities and services available. EVIDENCE: Prior to admission the home provides information to residents and their families about the facilities on offer so that they can make an informed choice about where to live. Residents undergo a thorough assessment of need prior to admission, which provides evidence that the home works in partnership with the service users, their families and health professionals to obtain full information about the lives of the service users. These assessments form the basis of the care plan. Service Users and their relatives can visit the home before the commencement of the placement. The home does not provide intermediate care. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 8 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, 8, 9, 10 The care planning arrangements are satisfactory and plans are regularly reviewed. This makes sure that up to date information about the services and facilities required are provided. Reliable arrangements are in place to meet the health needs of service users and to administer prescribed medicines. EVIDENCE: All residents have a care plan that satisfactorily states the care and support required by the service users. Service Users who were able to communicate said the they were happy with the care provided and describe the staff as being ‘very good and kind’ to them. Care plans are regularly reviewed with service users or their representatives to make sure that information is up to date and that the home is continuing to meet their needs. Staff commented that they are consulted about the needs of the service users and their views are taken into account as part of the review process. The arrangements for meeting the health needs of service users are satisfactory. Health services are accessed promptly when required. The records in the home evidence this occurs. There is reliable arrangement for the storage and administration of medication and the staff responsible for this task has completed suitable training. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 9 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, 13, 14, 15 There are some opportunities to take part in activities. The visiting arrangements are positive and service users decide where they meet with their visitors. The meals at the home provide a varied and nutritionally balanced diet that reflects the service users preferences and choices. EVIDENCE: The home offers some activities but this needs to be varied and structured. (Recommendation 1) Service users feel that their visitors are warmly welcomed and the arrangements for visiting service users are flexible. The service users are satisfied with the standard of food and meals provided. A varied menu is in place and residents are provided with a choice each mealtime. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 10 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): 16, 18 Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: The home or the Commission has received no complaints since the last inspection. There are satisfactory arrangements in place to deal with any concerns or complaints that are outlined in the homes policy and procedure. Staff interviewed felt that there were no difficulties in raising concerns or issues with management or other staff at the home. Satisfactory arrangements are also in place to protect service users from abuse and ally allegations will be dealt with formally. A satisfactory policy and procedure is in place and staff has also received training in the Protection of Vulnerable Adults and whistle blowing. This gives staff the opportunity to raise any concerns about abuse and provides further protection measure for service users. The home also keeps a compliments file where there are many votes of thanks from relatives of service users. One comment from the husband of a service user who was moved to a nursing home said, “I can now fully appreciate the care and attention my wife received at the home.” Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 11 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, 24, 26 Service Users live in a safe and homely environment, which is well maintained. EVIDENCE: The home is clean, well presented and homely. A planned programme of maintenance is in place and work is ongoing to further improve the standards in the home. Residents live in safe comfortable bedrooms with their own possessions around them. Shared rooms have the necessary screen to maintain privacy. Water temperatures are monitored on a regular basis and are kept at an appropriate level by pre-set valves on service users hand basins. Policies for the control of infection are in place and followed in practice. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 12 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): 27, 28, 29 30 Satisfactory arrangements are in place to recruit, select and vet new staff and offers protection to the people living at the home. The numbers of staff on duty are sufficient to meet the needs of residents. EVIDENCE: Sufficient numbers of staff are on duty each day and night to meet the needs of service users. The home has recently recruited a cook who now has sole responsibility for the preparation of meals which means that there is additional staff to ensure that care is provided at the time service users require. Extra staff will also be on duty if this is required to meet the needs of residents. The home has a relatively stable staff group who are experienced and a positive skill mix. Two more staff will undertake the Level 2 NVQ that means that the entire staff group would have obtained the minimum qualification. The recruitment, selection and vetting arrangements for new staff have improved since the last inspection and are now satisfactory. Appropriate records are maintained by the home which evidence satisfactory recruitment and selection arrangements are in place. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 13 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 and 38 The home is well managed in an open manner to make sure that service users needs and choices are met. Satisfactory arrangements are in place to maintain a safe environment for residents and staff. EVIDENCE: The registered person shall supply to the Commission a report in respect to any review conducted by her for the purpose of reviewing quality of care. (Recommendation 2) It is evident that the manager of the home is approachable and committed to meeting the needs, preferences and choices of the people placed in the home. The registered manager is a qualified nurse and has considerable experience of care provision. The manager is currently undertaking her Level 4 NVQ and the Registered Manager’s award. Satisfactory arrangements are in place to provide a safe environment for service users and staff. Satisfactory arrangements are in place to minimise any potential risks to the service users Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 14 and staff health and welfare throughout the home. The assessment and management of risks individual service users experience need to be improved further. Homelands DS0000006954.V273229.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 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x 2 Homelands DS0000006954.V273229.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. 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 2 Refer to Standard OP12 OP38 Good Practice Recommendations Activities should be varied and a programme of activities should be displayed for the service users. The risk assessments and management arrangements for service users should record the assessment undertaken and any action required by staff. Homelands DS0000006954.V273229.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Homelands DS0000006954.V273229.R01.S.doc Version 5.0 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. 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