CARE HOMES FOR OLDER PEOPLE
Homelea Homelea 68 Worple Road Epsom Surrey KT18 7AG Lead Inspector
Mavis Clahar Unannounced Inspection 12th April 2007 09:15a 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 Homelea DS0000013678.V333200.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. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Homelea Address Homelea 68 Worple Road Epsom Surrey KT18 7AG 01372 740730 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) Kaltan Limited Mrs Mary Josephine Teresa Oozeerally Care Home 19 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (15) of places Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Of the 19 (nineteen) accommodated 15 (fifteen) will fall within the category (OP), and up to 4 (four) within the category DE(E). 12th December 2005 Date of last inspection Brief Description of the Service: Homelea is a large detached property located in a quiet residential area of Epsom Surrey, affording easy access to the town centre with all the amenities offered in the town such as shops, restaurants and leisure facilities. The home caters for nineteen Older service users of both sexes. Situated on the ground floor are two homely living rooms, a dining room that overlooks the patio and garden. A range of single and shared bedrooms is situated on the ground floor and first floors, with access to the second floor by stair lift and stairs. Care and support to service users is provided by the Owner/Manager supported by a team of experienced care staff. Fees at this home are in the range of £370 t0 £475 per week. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the first key inspection to be undertaken by the Commission for Social Care Inspection, (CSCI) was undertaken by Mrs Mavis Clahar on the 12th April 2007 and lasted for five hours and fifteen minutes; commencing at 09:15 hours and concluding at 14:30 hours. The first part of the visit was spent updating the manager about the improvements and changes to the inspection processes under inspecting for better lives. This was followed by discussions around training needs of the care workers and how these needs were being identified and met, and employment of new care staff were discussed. A review of residents’ files and care workers records was undertaken and all found to be in good order. . The second part of the visit was spent reviewing residents care notes, which were up to date and sampling selected policies and procedures. The information contained in this report is gathered from residents’ notes and records kept by the home, from discussions with residents, from direct observation by the inspector, along with discussions with care workers present on the day of the visit. The third part of the inspection was spent visiting and discussing with residents and observing lunchtime activities. Residents were enthusiastic about their home and the service they receive. Residents spoken to said they enjoyed their lunch, which was prepared freshly in the home’s kitchen. Time was spent observing the presentation of the meal, care workers and residents’ interactions and to obtain feedback on the meal, its suitability, taste, texture and amount. The inspector observed that portions were varied to suit the appetite of the residents and that they all ate their meal in a very social gathering, all sitting at tables which were laid for four, with a small vase of flowers and condiments. Residents commented positively on their meal, and the food served at the home in general. A tour of the home was undertaken and it was observed that residents’ bedrooms were kept in very good condition, both decorative and clean and tidy. The bedrooms are attractively presented. Generally, the home presents as clean and tidy. No requirement or recommendations for good practice was made on this visit. The inspector would like to thank all the residents and care staff that made the visit so productive and pleasant on the day. The final part of the visit was spent giving feedback to the manager about the findings of the visit. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection?
All requirements issued on the last inspection have been actioned within the given timescales The home continues to be proactive in meeting the training needs of the care workers in order that seamless care can be offered to the residents. All members of staff have undertaken the Equality and diversity course. The home continues to refurbish bedrooms and replace worn carpets as per their annual refurbishment plan. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 7 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. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 8 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 Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 9 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. Prospective service users and their relatives have the information needed to choose a home, which will meet their needs. EVIDENCE: A selection of service users files were reviewed and it was noted that residents received a needs assessment prior to moving into the home. Furthermore, the first four weeks is used as a trial period for both new resident and the older residents, to ensure the new resident is comfortable on all counts in the home. It was also noted that all residents are given a contract of residency, and this contract is signed either by the resident or their representative. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 10 The manager gave examples of times she has visited prospective residents in their home to get to know them and their families before the resident is moved into the home. This was verified by the documentation reviewed of the newest admission to the home and in discussion with the resident. The manager told us that a more comprehensive assessment as reviewed in resident’s file is obtained, once the service user has settled in the home. The manager or the deputy who are both trained in the art of assessing residents care needs usually carries out this assessment. Standard 6 does not apply to this home. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 11 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 good This judgement has been made using available evidence including a visit to this service. The home has a good and clear care plan in place for residents, which also includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the service users and demonstrated that health and personal care needs were met. Care staff receives training to meet the assessed care needs of the residents ensuring that competent staff supports residents and their health and care needs are met. The home’s medication policy on receiving, storing and administering and return of medication was in place and being adhered to thereby ensuring the safety and protection of the residents. Residents are treated with respect and are encouraged to maintain their dignity and privacy when delivering personal care. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 12 EVIDENCE: The randomly selected care plans were clear and easy to read, identifying potential and actual risks to residents with risk assessments completed as required. The daily work sheet along with discussion with residents demonstrated that residents’ care needs are fully met. Care Plans reviewed demonstrated that residents care needs are identified and are being met.. Residents spoken to, rated the personal care they receive at the home as very good; they said they were contented, they had enough to eat and can do as they like. Some residents said they are able to walk into town and do some shopping, stopping for a cup of tea at the teashop before returning home. Another resident told us their family takes them in the wheelchair into town, or for walks when the weather is good. No resident at the time of inspection was responsible for his or her medication, but the manager was knowledgeable about what to do should this situation arise. Good clear records are kept of medication receipts, storage, administration and returns. There is a list of staff trained and assessed as competent to administer medication. In discussion with care workers assessed as competent to administer medication it was evident they were working within the home’s policy and procedure on administration of medicines, which include using the Medication Administration Record (MAR) Sheet. Residents said the staff treated them very well. One resident said, “the staff are so kind. They will come to you at the drop of a hat. And this is particularly so specially on night duty”. Care workers were observed interacting with residents in a friendly but respectful manner. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 13 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. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: The home does not employ an activity coordinator. Care assistants are encouraged to engage residents in their choice of activities. In the good weather residents will go out walking with the careers and in the winter months they stay mostly indoors and participate in card games, beauty therapy, puzzles, and draft. Residents told us that the Easter party held last week end was a great success and many of them had their relatives there. One resident told the inspector “I am able dress myself with help from my carer, after she helps me with my bathing”. “Staff are kind. I can’t knock the
Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 14 staff”. Another resident said, “the food is good really good and I get enough to eat. The staff are so very good. I walk in the garden when the day or weather is ok”. In discussion with the care worker she said she has been with the home for a long time and she has completed her induction and the National Vocational Qualification (NVQ) Level 2 (L2) course, and has attended all the mandatory courses and have had yearly updates to enable her to care for the residents. Residents told us their friends and families are always welcome to visit at any time, and over the Easter period she had many of her relatives come to visit. The inspector did not observe any visitors to the home during the visit. One resident told us visiting is open to relatives and there is a Holy Communion service on every third Thursday in the month. On the day of inspection residents were observed enjoying their food. The menu is four weeks rotating. All residents are registered with a General Practitioner (GP). Further health care provision is obtained from the District nurse, Community Psychiatric Nurse, Occupational Therapist Dentist Audiologists Physiotherapist and Chiropodist as requested by the GP. Records of visits are kept and are available for inspection. The inspector observed that residents were dressed appropriately for the warm weather. In discussion with the residents the inspector complemented one service user on how well groomed she looked. She told the inspector she has always tried to look her best at all times. Catering facilities are managed and carried out by the home’s cook, who has a good knowledge of the dietary needs of the service users. The inspector did not sample the meals, but the residents spoken to all said the food is good, the texture just right and the amount was what they ordered. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 15 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 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy and procedure and training in place that evidenced that residents and relatives concerns are listened to and acted upon. Robust Safeguarding adults’ policies are in place to protect the service users from abuse EVIDENCE: There are a number of thank you notes and letters of appreciation from grateful relatives to the whole staff team praising their work with their relatives. All staff as evidenced in the training record and substantiated in discussion with care staff, have completed the Safeguarding Adults Course which is based on the local authority (Surrey multi-agency Policy) The Policy is up to date, dated 2005. CSCI received no complaints about the home. No complaints were logged at the home, and the manager told us she is in touch with residents on a daily basis and issues raised are dealt with immediately; this prevents any need for residents to complain. Residents spoken to said they have no need to complain, as they are able to discuss everything with the manager/owner.
Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 16 The home has a complaints procedure and policy, and the care workers spoken to were aware of the homes’ policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing procedure the manager/ Owner of the company would support them. A random sample of care workers training record demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 17 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. The physical design and layout of the home enables service users to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The manager told us that the management and staff encourage residents to see the home as their own home. It presents as a comfortable, attractive homely home, which has all the specialist adaptations, needed to meet the service users needs. It was observed that care workers were interacting with the residents both in the lounge and dining area, so that residents’ needs are quickly attended to. The home has attractive gardens, which are well maintained and there is good access to the gardens from various parts of the home. Some residents told us that they try to go out daily weather permitting
Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 18 to enjoy the gardens and watch the various birds visiting the garden. We noted that adverse weather would not stop residents enjoying the garden, as the windows are low enough to allow them to view the gardens from their armchairs, whilst sitting in the lounge diner. It was observed that some resident’s bedrooms were personalised with small items of furniture, paintings on the wall and many family photographs, whilst some bedrooms were bare. In discussion with the manager we were told that all relatives are invited to bring in some personal items of the residents to make their bedroom more personal and some relatives have declined. Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offensive odours. Random review of care workers training record demonstrated they have had training in infection control and this was evident in the storage of waste. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 19 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. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of the service users. EVIDENCE: The staff rota demonstrated the number and grade of staff on duty to provide care and attention to service users for any twenty-four period was adequate to meet the assessed care needs of the service users. The home has a programme of planned training in place and all members of staff have an individual training record. Over 50 of care workers have attained the National Vocation Qualification at Level 2 (NVQ L2). Care workers are encouraged and enabled to undertake developmental training as well as the mandatory training. . All newly appointed staff undertakes an induction programme. The home ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the manager and care workers and from review of care workers training records. It was noted that staff turnover at the home is relatively low. All care workers are Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA)
Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 20 checked prior to commencing employment, and they are in receipt of terms and conditions of employment as evidenced in their randomly selected files. The manager informed the inspector that supervision record were up to date and this was verified during random sampling of care workers files. The manager had shown the inspector her planned programme of improvements and supervision of staff was high on her agenda. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 21 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. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home and the views of service users and their relatives are actively sought. Service users financial interests are safeguarded and the health, safety and welfare of service users and staff are protected and promoted by the homes’ policies and procedures EVIDENCE: Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 22 The manager has demonstrated that she has kept herself updated on issues relating to care of the service users and staff in her charge. She has attained the Registered Managers Award and also the National Vocational Qualification Level 4 in care. She has also only just completed the falls assessment course, which she says she will share with the care workers. In discussion with the manager it was evident she was knowledgeable about the care needs of the service users and the training needs of the care workers to meet these identified needs. There are clear lines of accountability within the home, each member of staff spoken to on the day of inspection aware of their role and responsibilities. The residents of the home are treated as part of a large family. The manager told us that group meetings are not held as they were shown to be less productive than one to one meeting which she has with the residents to explore each residents care need on an individual basis.. Every one is then able to contribute to the running of the home, whether it is to plan the week’s menu or to replace major items in the home. The manager explained that this approach is preferable by all concerned parties as any occurrence in the home affects us all. The home does not become involved in service user’s finance. The relatives/court manages all their finance. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. Records indicated that fire drills, fire alarm, water temperature fridge and freezer recordings were regularly checked. Random sample of care workers’ training files demonstrated that up to date and relevant training were carried out by care workers to protect residents’’ health, welfare and safety. In discussion with care workers they discussed their understanding and implementation of appropriate procedures to safeguard service users. Furthermore they spoke about their understanding of promoting safe working practices based on their health and safety training. Throughout the service there is a highly evolved understanding of the equality and diversity needs of the individual service users. The manager told us that all members of staff have attended training on equality and diversity, and certificates seen in care workers files and in discussion with care workers supported this. Care workers are confident in delivering high quality outcomes for service users in the areas of age, sexuality, gender, disability and belief. Although the care workers are knowledgeable about issues relating to race and equality and diversity, they are not able at the moment to put this knowledge into practice, as the current residents are all Caucasians. Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 23 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 x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 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 3 X 3 X X 3 Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 24 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. 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. Refer to Standard Good Practice Recommendations Homelea DS0000013678.V333200.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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
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