Inspection on 12/12/05 for Homelea

This inspection was carried out on 12th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Homelea 12/04/07

Homelea 28/07/05

Homelea 06/12/04

Homelea 06/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Homelea Homelea 68 Worple Road Epsom Surrey KT18 7AG Lead Inspector Mavis Clahar Unannounced Inspection 09:45 12 December 2005 th 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.V249351.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. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 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.V249351.R01.S.doc Version 5.0 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). 28/07/05 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. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. The home received an announced inspection on 28th July 2005. In order to get a full understanding of the way the home meets the National Minimum Standards for Older People it is necessary to read both reports for the year. This unannounced inspection took place on the 12th December 2005. This means that no one at the home knew of the inspection. The first part of the inspection was spent talking with service users as the senior care worker was busy and the Manager was on annual leave. The second part of the inspection was spent touring the home and speaking with service users and care staff as they went about their duties. It was noted by the inspector that the home was cold. All windows were opened. Two service users said they were cold and they felt cold when the inspector touched their arms. The radiators were barely warm. And immediate requirement was issued to close all windows and turn up the central heating boiler so that the home could be heated. The third part of the inspection was spent reviewing the requirements issued at the last inspection, reviewing newly admitted service users file, and reviewing randomly selected care plans and medication records. These were found to be in good order. Care workers said the new care plans were more useful, but the space to write information in was limited. After discussion with the senior care worker it was decided that more space would be made available on the new care plans. Service users said their lunch was good. The food looked appetising, well presented and portions were of a good amount. The last part of the inspection was spent giving feedback to the senior care worker about the findings of the inspection. What the service does well: Service users spoken to on the day of inspection all said they felt cared for and that the home provided them with the care they need. One newly admitted service user said “I am in here to try it out, but I will not be leaving I am very happy here, the staff could not do enough for me”. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 6 The home has a very low staff turn over which is reassuring for the service users and their relatives. Care workers spoken to say they feel supported and part of the team, which cares for the service users. 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. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 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 Homelea DS0000013678.V249351.R01.S.doc Version 5.0 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 the following standard(s): 3 Standard 3 was assessed at the last inspection. Standard 6 does not apply. EVIDENCE: For information on Standard 3 please refer to the inspection report of 27/08/05. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 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 the following standard(s): 9 10 The administration of medicine is safe. No service user is risked assessed as capable to self-medicate. Service users say they are treated well at this home. EVIDENCE: None of the service users at this home self medicates. Care workers trained to administer medication administer all medication. Random sample of service users medication record sheet showed that medication is administered at the appropriate time, dated and signed accordingly. All service users spoken to say they are well treated, they are happy and the care workers are very kind. One newly admitted service user say he is at the home for a trial period but he was not returning home, and he has informed his family. He further stated “I am very happy here; the nurses can’t do enough for me they are so kind”. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 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 the following standard(s): 13 14 Links with family and friends and the community are good. Service users are enabled to make choices and exercise some control over all aspects of daily living. EVIDENCE: One service user told the inspector he does not go out on his own any more, but his daughter comes weekly and takes him out to the town centre. He said he really looks forward to these outings as they keep in touch with the outside world. Not long after the inspector arrived one service user came in to say good-bye and to wish the inspector a happy Christmas, as she was on her way out to visit her relative. The inspector formed the opinion that the service users were enabled to make contact with their relatives and the wider community. Service users say that choice is promoted in the home, and they have control over their lives, although they are aware that there are some restrictions placed on them to ensure their safety. Care workers spoken to said they are encouraged to evaluate their work with the service users by answering the question after assisting each service user.” Would I be happy to leave my Mother/Father like this?” Homelea DS0000013678.V249351.R01.S.doc Version 5.0 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 the following standard(s): 18 No complaints were logged in the complaints book since the last inspection. Service users said they knew how to complain if it became necessary to do so. Staffs are aware of the homes whistle blowing policy and procedure in protecting service users. EVIDENCE: Review of the homes training log, and random review of care workers file and in discussion with care workers it was demonstrated that care workers have completed the Adult Abuse course based on the distance-learning programme from NESCOT. Care workers were knowledgeable about the procedure to follow should they suspect or witness an incident of abuse to service users. The inspector was informed that the Manager operates the home in such a way that any issue raised by service user or their relatives is dealt with immediately before it becomes a complaint. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 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 the following standard(s): 19 25 26 On the day of inspection the home was cold, but clean and tidy with no evidence of unpleasant smells. Areas of the home are in need of redecoration. EVIDENCE: The bathroom next to the office is in need of redecoration. Cold water is coming from the hot tap of the wash hand basin in this bathroom. Requirements have been issued on this standard. During the tour of the home it was noted that the home was very cold. Several service users when asked said they were cold, and they were cold to the touch when the inspector felt their arms. The radiators were on with minimum heat being emitted. On investigation it was found that the central heating flame control was turned down to number one on the gauge. An immediate requirement was issued to turn the control up to number three. It was also noted that all bedroom windows were opened. A further requirement was issued to close all bedroom windows to conserve the heat. The home was clean and tidy and free of any offensive odours. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 13 Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 14 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): 28 30 Inappropriate uses of care workers leave service users vulnerable at certain times during the day. Mandatory training for care workers was completed with dates fixed for updating. EVIDENCE: On the day of inspection there were 17 service users at the home. Their dependency needs were assessed as 6 service users with medium dependency, 4 service users with low dependency and 7 service users with high dependency needs. There were 3 care staff on duty; the senior carer acting as the manager since the 18th November 2005 when the manager went on annual leave for four weeks. One carer acted as Chef, covering the duties of the Chef/Owner since the 18th November when the Chef/Owner went on annual leave for four weeks. And one carer caring for the service users, and one domestic staff on duty. The staff rota was reviewed and it was found to contain both the Manager and the Chef roistered on the duty on alternative days for the four weeks they were on annual leave. The senior carer could not give an explanation for this. When asked if they actually came into the home, the senior carer replied, “no they are out of the country”. It was also noted they were both roistered for being on duty on the day of inspection. A requirement was issued on this standard. The homes training record, along with the care workers personal files and in discussion with care workers revealed that care workers are trained to do the work they are asked to do. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 15 Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 16 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): 35 38 The senior carer was unable to answer questions regarding the service users finance. The health and safety of service users are not adequately protected. EVIDENCE: Standard 35 was not assessed, as the senior carer on duty was not able to offer any information on this standard. The staffing arrangement made by the manager and owner prior to going on annual leave for four weeks was flawed, based on the Care Hours for Older People Residential Forum. Using a carer to act as Chef during the day detracted from the total care hours the service users needed for good care based on the requirements of the national Minimum Standards for Older People. A requirement was issued on this standard. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X X X 2 3 STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 18 Yes 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 OP25 Regulation 23 Requirement Turn up the central heating gas flame from one to three so that the home can be heated to a comfortable temperature for the service users. Close all bedroom windows to conserve the heat. Decorate the toilet beside the office. Ensure hot water of the right temperature is available in hot taps for hand washing throughout the twenty-four hour period. Ensure that suitable numbers of staff are employed at the home so as not to put service users at risk. Cease the practice of using care staff in dual role of care staff and chef. The Registered Manager shall make proper provision for the health and welfare of service users by employing suitable numbers and qualified staff to run the home in her absence. Timescale for action 12/12/05 2 3 4 OP25 OP19 OP25 23 23 23 12/12/05 12/03/06 12/12/05 5 OP28 18 17/01/06 6 OP38 12 12/03/06 Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 19 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 OP27 Good Practice Recommendations The duty rota must be a true reflection of staff on duty at all times. Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Homelea DS0000013678.V249351.R01.S.doc Version 5.0 Page 21 - 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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