Inspection on 26/04/05 for Homelands

This inspection was carried out on 26th April 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 14/12/05

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 ANNOUNCED 26 APRIL 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. HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service HOMELANDS Address 101 LENNARD ROAD, BECKENHAM, KENT BR3 1QS 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) 0208-659-3633 0208-778-6379 MRS SHERINE JAWAHEER CRH- CARE HOME 12 Category(ies) of DE -DEMENTIA BOTH GENDERS 12, MD registration, with number MENTAL DISORDER BOTH GENDERS 12. of places HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home can admit people who fall into the above service user cateories aged 60 years and over. One service user whose name and circumstances are known by NCSC can be under the age of 60 years. 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 G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over six hours in the presence of the registered manager. There are currently 10 residents residing at the home. This was the first inspection for the 2005/2006. The inspector spoke with two residents who were able to converse appropriately about their life at the home. The inspector met with the staff available on duty to gain insight into staff understanding of the care needs of service users. What the service does well: What has improved since the last inspection? What they could do better: HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 Page 6 Regulation 26 visits needs to be carried out monthly and copies of reports must be sent to the commission. 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 G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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 HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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) 1, 2, 3, 4, 5, . Residents admitted to the home know that their needs will be met. EVIDENCE: A Statement of Purpose and a Service User’s Guide is available to Service Users and Care Managers. Service Users are issued with a contract and terms and conditions of the Home. All service users are assessed prior to moving into the home. All service users have a month’s trail, before their placement is confirmed. HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9,10, 11 Systems are in place to ensure the personal and healthcare needs of residents are met. There is a policy in place for the administration of medication. EVIDENCE: All residents have a care plan. Residents were generally well presented. Residents spoken to were very complimentary about the care at the home. Questionnaires returned were very positive. There was evidence to show that staff members are aware of the importance of ensuring the service users privacy and dignity. The home has a policy and guidelines on the care of the dying and what to do in the event of a death of a service user. HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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 standard(s) 12,13, 14, 15 Staff support service users to access local services and keep in contact with family. Meals were balanced and varied. EVIDENCE: Some service users were able to provide feedback on their lifestyle. All the comments received were positive. Looking at records and talking to staff and relatives was an indication on how the home ensured service users lead satisfactory lifestyles. Friends and relatives can visit the home at any reasonable time. Some service users attend day centres. One service user goes out walking everyday; some others attend the day centre. The menus seen and food stock showed a varied and nutritious diet is provided. HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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 standard(s) 16, 17, 18 The home has a complaints policy that is simple and accessible. EVIDENCE: The home has a complaints policy in place but there were no recorded complaints since the last inspection. Service users have access to an advocacy service if needed. The home has seven care staff and there is evidence that 4 care staff is currently undertaking Level 2 NVQ and 1 member of staff have completed this training. This training includes units on adult protection issues. The home has a policy on adult protection and whistle blowing. HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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 standard(s) 19,21,22, 23, 24 26 The standard of the environment within this home is good and provides service users with a homely place to live. The home is furnished to a good standard that meets the needs of service users. Service users are allowed to bring some personal items to the home. EVIDENCE: The home is generally well maintained, clean and free from odours. Carpets were secure and no hazards were observed during the tour of the building. Rooms were personalised and screens are provided in shared rooms to ensure privacy and dignity. There are sufficient lavatories and washing facilities to meet the needs of the service users. HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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 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, 28, 29, 30 Staff with appropriate qualities is recruited to the home and training is provided to ensure that they have that appropriate skills to do the job. EVIDENCE: Three files were looked at and all had evidence of identity and result of enhanced CRB checks. In my discussion with the staff they appeared to be supportive of each other, and keen to ensure service users needs are met. Staff confirmed that supervision and training are ongoing. Records were up to date and maintained on file. HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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 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, 33, 38 The manager manages the home with the interest and safety of the residents as a priority. EVIDENCE: The manager of the home is still pursuing the Registered Manager’s Award. Staff described the Manager as supportive and open to suggestions. Regulation 37 reports are made appropriately. Fire drill records how that fire test are carried out regularly. Risk assessments for residents were seen. The home carries out a quality assurance audit that seeks out the views of service users, however the report of this audit should be sent to the commission. This is subject to a requirement. Requirement 1 HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 x 3 x x x x 3 HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 Page 16 NO 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 OP33 Regulation 24 Requirement Timescale for action 31.07.05 2. OP33 24 The registered person shall establish and maintain a system for reviewing at appropriate intervals the quality of care provided. The registered person shall 31.07.05 supply to the Commission a report in respect to any review conducted by her for the purpose of reviewin quality of care. 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 HOMELANDS G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection SIDCUP AREA OFFICE RIVER HOUSE 1 MAIDSTONE ROAD,SIDCUP KENT 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 G51s6954HOMELANDSV217101 26-04-05 Stage 4.doc Version 1.30 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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