Inspection on 28/07/05 for Homelea

This inspection was carried out on 28th July 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

Homelea 12/04/07

Homelea 12/12/05

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 68 Worple Road Epsom Surrey KT18 7AG Lead Inspector Mavis Clahar Announced 28 July 2005 @ 9:00am 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. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Homelea Address 68 Worple Road Epsom Surrey KT18 7AG 01372 740730 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) Kaltan Limited Mrs Mary Josephine Teresa Oozeerally CRH - Care Home 19 Category(ies) of DE(E) - Dementia over 65 (4) registration, with number OP - Old Age (15) of places Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - Of the 19 accommodated 15 will fall within the category (OP) Old Age and up to 4 within the category DE(E) Dementia over 65. Date of last inspection 6 December 2004 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 and all the local amenities offered by the town, shops, restaurants and leisure services.On the ground floor of the home, are two homely sitting rooms and a dining room overlooking the patio and garden. A range of individual and shared bedrooms is situated on the ground and first floors. The first floor of the home is accessible by a stair lift and the stairs. The home is registered to accommodate 19 Older People, and the Owner/Manager and a team of experienced care staff provide care and support. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. This announced inspection took place on the 28th July 2005. The home received an announced inspection on 6th December 2004. The first part of the inspection was spent explaining the new inspection format to the proprietor and manager, followed by brief discussion with service users who were about to start their morning activities. The second part of the inspection was spent reviewing service users files, speaking with care workers, touring the home and spending time talking to service users. The final part was spent giving feedback on the findings of the inspection. Following discussions with the manager and care workers it was agreed that the care plans do not fully reflect the care needs of the service users and how these needs are being met. It was agreed that a new care plan would be devised which would show the identified need, how they were being met and the review/evaluation of care. What the service does well: Service users spoken to all said the home provided them with the care they need and that the home was very homely. One service user said “I was in hospital for a fortnight and I was glad to get back home. This is my home and I am happy here”. 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. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 6 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 H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 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 Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 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) 3 The home was found to be working well in respect of the standard inspected. EVIDENCE: A random sample of service users files were reviewed and were found to contain assessment of needs of the service users prior to being admitted into the home. This was followed by a full health and social needs and risk assessment from which the care plans are developed. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 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 The health and personal care needs of service users are met with evidence of care planning and documented delivery of care. EVIDENCE: Review of random service users files demonstrated that a comprehensive plan of care was drawn up. However, it was noted that the documentation of care carried out and the review/evaluation of care was not always clear. Discussion with care workers and the manager resulted in the manager agreeing to revise the care plans so that they are more user-friendly and easier to read. A requirement was issued on this standard. It was also noted by the inspector that the service users were fully risk assessed. From discussions with service users, care workers and from information retrieved from service users files it became apparent that service users health care needs and social needs are fully met. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 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 15 Links with family and friends and the community are good, and support and enrich service users social and spiritual needs. Meals are presented in an appealing way to stimulate service users appetite. EVIDENCE: Service users are encouraged to pursue and maintain their personal and social relationships. The home is quite close to the town centre, and able service users are encouraged and enabled to go out as much as they like. One service user told the inspector “my brother comes at least twice per week and take me out in the town centre”. Visiting is open and visitors can have a meal with the service user if they wish. Some of the service users attend church, but for those unable to attend the C/E Vicar and the Roman Catholic Priest visits on a regular basis to offer Holy Communion. A wife and husband own the home, and the husband is the cook. On the day of inspection it was noted that an appetising lunch was being prepared and served. Service users asked said, “the food here is very good and plentiful”. The inspector sampled the lunch and supports the service users in that the texture was suitable for the service users; the food was presented attractively, with each service user receiving their desired amount. Consequently wastage is minimal. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 11 Meal times are set for lunch and supper, but breakfast is a leisurely affair spread over an hour. All meals except breakfast and snacks are served in the dining room, which overlooks the patio and garden. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 12 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 Staffs are able to recognise and report all incidents of suspected or actual abuse to service users. EVIDENCE: Service users spoken to are confident they would complain if there was a need to do so, and they felt sure they would be listened to and that their complaint would be dealt with in an understanding way. The home’s training records demonstrated that care workers had training in recognition and reporting of abuse to service users. Care workers spoken to were aware of the home’s policy on abuse and whistle blowing. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 13 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 The home presents as a comfortable and homely environment for service users. EVIDENCE: Service users live in a clean well maintained home. Three bedrooms have recently been redecorated and the dining room is awaiting the new carpets, which are on order. Their bedrooms are personalised to create a more homely feeling. The grounds are well kept, laid mostly to lawn with flower borders. There are a number of flowerpots to the front and back of the home, which are cared for by the service users. There are two separate lounges one where service users can sit and relax to watch TV or a more quiet room for those wanting to read or just being on their own. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 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 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 29 The assessed health needs of the service users are met with evidence of good documentation of actions taken by care workers. Staff turn over at this home is very low. EVIDENCE: From observations made during the inspection and in discussion with service users and care workers, there seemed to be sufficient care workers on duty to meet the assessed needs of the service users. On the day of inspection the inspector was informed that six care workers are currently completing their NVQL2 and the home has reserved two places for care workers to start their NVQ L2 in September 2005. The inspector was informed that the home had a low staff turn over, and in discussions with service users and care workers this claim was substantiated. The home complies with its recruitment and retention policies, which are based on their equal opportunities policy. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 15 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) 33 Evidence gathered on the day of inspection confirms that the standard assessed has been met. EVIDENCE: The inspector was informed by the manager and supported by care workers and service users that, the home has ceased holding the monthly group meetings, as service users were not participating. Instead they have now started holding individual meetings with service users, which has proved more successful. Service users are now more involved in the running of their home. The home involves the relatives, and visiting professionals in the running of the home by use of quality assurance questionnaires. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 16 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x x Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 17 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 7 Regulation 15 Requirement Revisethe care plan to show clearly the identified needs, how they are to be implemented and the outcome of the review/evaluation. Timescale for action 28.10.05 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 8 Good Practice Recommendations To document reminiscence therapy out come to aid care workers understanding of the service users they care for. Homelea H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 H58 H09 S13678 Homelea V229108 280705 Stage 4.doc Version 1.40 Page 19 - 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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