Inspection on 26/07/06 for Homelands

This inspection was carried out on 26th July 2006.

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 14/12/05

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 26th July 2006 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.V296357.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. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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.V296357.R01.S.doc Version 5.2 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. 1 place registered for named service user under the age of 60. 2. Date of last inspection 14th December 2005 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.V296357.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over six hours on the 26th July in the presence of the Assistant manager and Senior Care Worker. The inspection was completed on 24th August with a further visit to the home over three hours to meet with the manager. On the day of the inspection the proprietor/manager was away on leave. The pre-inspection questionnaire had been completed prior to the visit and commend cards were sent out to residents, relatives and visitors to the home. Six cards were returned. 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.V296357.R01.S.doc Version 5.2 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.V296357.R01.S.doc Version 5.2 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, 2, 3, 4, 5, 6 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Service users have useful information and are encouraged wherever possible to visit the home before accepting a placement. EVIDENCE: The home has a Statement of Purpose and Service User’s Guide. Files examined had contracts and a statement of terms and conditions. Files seen had assessment that was done prior to moving into the home. However there was nothing in writing to the service user to say that the home can meet their needs. The home must confirm in writing its ability to meet the service user needs. (Req.1) Relatives and or service users can visit the home prior to moving in. No service users are admitted primarily for intermediate care. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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, 11 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Care plans need to be improved. There are systems in place to manage medication safely. EVIDENCE: Three files were case tracked and both contained care plans; however there was no indication on how often plans are reviewed. The registered manager must ensure that care plans, risk assessment and all supporting documentation is completed on all care plans have comprehensive interventions on how to address the problems identified and these care plans should be reviewed monthly. (Req. 2) There are no service users that are responsible for their own medication. Service users privacy is maintained and where there are shared rooms there are the appropriate screens in place to maintain service users privacy. The home has a policy on death and dying and service users wishes are recorded on file on admission to the home. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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 Quality in this outcome area is good. The judgement was made using available evidence including a visit to the service. Residents have choices in their day and are encouraged to take part in the activities in the home. Where needed service users are assisted with feeding in an unrushed manner. EVIDENCE: Friends and relatives are encouraged to visit and there is an open visiting policy where visitors are allowed in the home at any reasonable times during the day and evening. The inspector observed lunch being served and the tables were served and service users said that they enjoyed their meal. There were some in-house activities but these were limited. The inspector observed staff interaction with service users and this was positive and friendly. The menus seen provided evidence of a wholesome well balanced diet provided by the home. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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, 17, 18 Quality in this outcome area is good. The judgement was made using available evidence including a visit to this service. There is an appropriate complaints procedure. Service users have access to this a part of the service use’s guide. EVIDENCE: The inspector saw the Complaints folder. There were no recorded complaints. There is a copy of Bromley’s Adult protection procedure in the home and the staff spoken to was able to identify areas of practice that would be seen as adult abuse. Staff have received training in the protection of vulnerable adults and Staff were conversant in how to respond in such cases. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. The judgement was made using available evidence including a visit to this service. The home is well maintained and there are sufficient suitable toilets and washing facilities for the service users. Bedrooms were personalised to meet the service users needs. EVIDENCE: The home is well maintained clean and free from unpleasant odours. Structural work that was in progress at the last inspection is now completed. Communal areas were well maintained. Bedrooms were personalised, they had photographs, ornaments and personal items. Window restrictors were in place ensuring the safety of service users. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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 Quality in this outcome area is good. The judgement was made using available evidence including a visit to this service. Staff is provided in sufficient numbers to meet the needs of the residents. EVIDENCE: Staff interviewed was clear about their roles and responsibilities. Staff have a good understanding of the needs of the service users. This is evident from the positive relationships that have been formed between staff and service users. In speaking to the staff they appeared very supportive of each other and keen to ensure the service users needs are met to a high standard. The files of three staff were inspected and all contained appropriate information. Staff interviewed confirmed that they have been receiving regular supervision in line with the requirements for this standard. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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, 32, 33, 34, 35, 36, 38 Quality in this outcome area is adequate. The judgement was made using available evidence including a visit to this service. The home provides opportunities for staff and residents to inform the owners and manager of their views regarding the home. Staff is supervised in line with the National Minimum Standards. EVIDENCE: The provider/manager is a qualified nurse and is currently undertaking the Registered Manager’s Award. The inspector observed staff engaging positively with service users. The home has a quality assurance questionnaire that has been filled in by service users and their families. The results of this questionnaire need to be collated in the form of a report. The inspector recommends that the home send a copy of the Quality audit to service users and to the Commission. (Recommendation 1) Homelands DS0000006954.V296357.R01.S.doc Version 5.2 Page 14 At the time of the inspection the inspector was unable to see a copy of the home’s financial statement. The inspector recommends that the manager supply the Commission of the home’s financial statement. (Recommendation 2) The inspector looked at a sample of safety systems and these were found to be adequate. Fire drills are carried out every three months and these are recorded. The home should also carry out fire drills when a new service user is admitted to the home. The home has appropriate Employers Liability Insurance. Fire safety equipment has been serviced and tested as required. Staff evidenced being provided with regular fire safety training. Staff said that they receive regular supervision. Servicing records relating to lifts and hoists, portable appliance testing has been appropriately maintained. Hazardous substances had been stored securely and accidents had been recorded and reported as required. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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 3 2 3 3 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 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 3 2 2 3 3 X 3 Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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. 1 Standard OP3 Regulation 14 Requirement The Registered Manager must ensure that all residents are appropriately assessed prior to admission and must confirm in writing that the home’s ability to meet the service user’s needs. The registered manager must ensure that care plans, risk assessment and all supporting documentation is completed on all residents with comprehensive interventions on how to address the problems identified. Timescale for action 30/09/06 2 OP7 15 30/09/06 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 OP33 OP34 Good Practice Recommendations The inspector recommends that the home send a copy of the Quality audit to service users and to the Commission. The inspector recommends that the manager supply the Commission of the home’s financial statement. Homelands DS0000006954.V296357.R01.S.doc Version 5.2 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.V296357.R01.S.doc Version 5.2 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. 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