Inspection on 15/06/05 for Homeleigh

This inspection was carried out on 15th June 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

Homeleigh 23/01/09

Homeleigh 08/09/06

Homeleigh 06/12/05

Homeleigh 16/09/04

Homeleigh 19/04/04

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 Homeleigh 24-28 Stocker Road Bognor Regis West Sussex PO21 2QF Lead Inspector Diane Peel Announced Wednesday, 15 June 2005, 09.00am, V224018 th 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. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Homeleigh Address 24-28 Stocker Road, Bognor Regis, West Sussex, PO21 2QF 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) 01243 863373 Homebeech Limited 19/21 Stocker Road,Bognor Regis West Sussex, PO21 3HQ Mrs Roma Wood CRH 40 Category(ies) of OP-40 registration, with number of places Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16/09/05 Brief Description of the Service: Homeleigh is a care home able to provide personal care and nursing care for up to 40 older people. The home is situated close to the sea on the outskirts of Bognor Regis and it is easily accessible by public transport. Shops and other local facilities are close by. Communal space consists of a two lounges at the front of the home, a conservatory, a dining room and additional sitting areas by the main entrance to the home. Private accomadation consists of 36 single bedrooms and 2 double bedrooms. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 7 hours on the 15th June 2005. The inspector arrived at 9.15am and was welcomed by the manger of Homeleigh. A full tour of the home took place and the majority of residents were met. Six residents were spoken with in depth to find out if they felt that their needs were being met. During the visit the inspector met with two visitors, who confirmed that they were regular visitors to Homeleigh. The care records of seven residents were inspected during the visit along with other records, which showed how care needs are to be met. The records of four staff were also inspected and two staff were spoken with informally. Ten service user comment cards were returned prior to the visit to Homeleigh all indicating that residents were satisfied with the facilities at the home and the standard of care provided. What the service does well: The home has high standards and provides a homely environment for residents to enjoy. Staff are caring and residents say that they are well looked after. Staff treat residents as individuals and speak to residents in a respectful manner. Care plans are clear and provide staff with the information, which they need to meet the needs of the residents. Residents have a copy of their plans of care in their rooms enabling those residents able, to take ownership of the care plan. Residents and staff spoken with had confidence in the new managers approach to running the home. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 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. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,4,and 5 Residents are assessed prior to moving into the home to make sure that the home can provide a care plan which residents or their families know will meet their needs. Prospective residents, their relatives and friends have an opportunity to visit the home to look at the facilities available and assess its suitability before moving in. EVIDENCE: Four residents spoken with explained how they had come to live at Homeleigh. All four residents confirmed that they had been unable to visit the home themselves as they were either in hospital or had been too ill to visit; relatives had visited on their behalf. One resident was already living in a care home but relatives had visited Homeleigh and made arrangements to move them to the home. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 9 Another resident who had recently moved into the home commented that although they had been unable to visit Homeleigh themselves they had every confidence that their relative would choose a home which they knew would be able to meet their needs. Care records viewed showed that assessments are carried out to make sure that residents needs can be met. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,and 10 Care planning systems give clear information to assist with all aspects of health, personal and social care needs. Records are in place to monitor the health care needs of residents to make sure that any signs of residents being unwell are recognised. The medication at Homeleigh is well managed, promoting good health. Residents are treated with dignity but staff do not always respect their right to privacy. EVIDENCE: Seven care plans were examined at this visit to the home. They were observed to be clear and gave staff the information, which they need to meet the needs of the residents in all aspects of health, personal and social care. They had been reviewed regularly to show the changing needs of the residents. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 11 Residents have a copy of their care plan in their rooms, which enables staff to have instant access to them to refer to and keep updated. One resident discussed their plan of care and was of the opinion that the staff followed the plan for his personal care needs and he had observed them signing in the daily records after carrying out such care. Care records showed that the physical health of residents is regularly monitored, including weight and dietary needs. During a tour of the home it was observed that staff keep regular checks of those residents ill in bed. Accident records are well managed and showed what preventative action had been taken to avoid similar accidents happening again. Medication records, viewed by the inspector at this visit, were clear and fully completed. Medicines were observed to be stored in a safe lockable trolley. During the visit it was observed that a carer entered the room of a resident twice without knocking. The resident commented that a few of the carers sometimes forget. All ten residents returning comment cards prior to the visit reported that they felt that their privacy was respected. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 The home provides a flexible lifestyle for residents which allows them to exercise choice and some control over their lives. Activities provided are varied to suit resident’s preferences and abilities. Residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. Meals are well managed and offer choice. EVIDENCE: When the inspector arrived at Homeleigh at 9.15 am some residents were finishing their breakfasts in the dining room. Others were sat in the lounge or being assisted to get washed and dressed in their rooms after breakfast. Residents spoken with during the visit were of the opinion that the home is reasonably flexible and that they are encouraged to make some choices about their lifestyle. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 13 Resident’s interests are recorded in the care records and residents confirmed that there is a regular programme of activities, which they can choose to take part in. Nine out of ten comment cards returned from residents prior to the visit to the home reported that the home provides suitable activities. One comment card said that the home sometimes provides suitable activities. Residents spoken with felt that their relatives and friends are made welcome at the home and most said that they could see their visitors in the privacy of their own rooms. Visitors spoken with during the visit felt that they were made welcome and could visit at any reasonable time. One visitor commented, “the nursing care is very good” During the visit many residents had positive comments to make about the staff working at the home, one resident said “the staff are very kind and know my visitors and make them welcome” and another resident said “the home is excellent, I couldn’t ask for anything better”. Residents who are able are encouraged to make choices. One resident explained the circumstances around moving rooms from the ground floor to a bedroom on an upper floor. The manager had asked them if they would consider a move to free a room on the ground floor. They had been up to look at the room and taken time to discuss the room with a relative before making the decision to move. Another resident spoke about how they like to stay in their room to be quiet, but sometimes goes downstairs to have dinner in the dining room. They liked the fact that they were not pressured into socialising. The inspector joined a group of residents for the main meal of the day in the dining room. There was a choice of roast chicken, potatoes, mixed vegetable and cabbage or sweet and sour pork and rice or a ham salad. Dessert was apple crumble with fresh cream. The meal was enjoyable and taken in a relaxed friendly manner. Some residents needed assistance with eating their meals. It was observed that these residents were supported by care staff in the main lounge area. Staff were observed to sit down with each resident and assist with eating the meal, explaining what the meal was and checking that it was not too hot and how much of the meal the resident wanted to eat. All residents spoken with during the visit and all comments cards returned prior to the visit reported that residents they liked the food at Homeleigh. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 14 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 and 18 There is a clear complaints procedure, which enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. The manager and providers take any allegation of abuse seriously and act promptly to protect residents from abuse. EVIDENCE: The home has a complaints procedure included in the Service User Guide and on display on the notice board in the main lounge. There have been four complaints made since the last inspection, which have all been investigated through the homes own complaints procedure. There have been no complaints made directly to the Commission for Social care Inspection (CSCI) since the last inspection. There has been one Adult Protection matter investigated through the West Sussex Adult Protection procedures since the last inspection. The manager and providers dealt with this matter promptly. It was found necessary to make a referral to the Protection of Vulnerable Adult Register after the investigation had been completed. Information provided prior to the visit to the home confirmed that Homeleigh has its own policies and procedures for responding to suspicion or evidence of abuse or neglect in addition to the West Sussex Multi-Agency Policy for protecting vulnerable adults from abuse. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 15 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) 19,20,21 22,23,24,25 and 26 Homeleigh is well maintained and provides a safe environment for residents to move around in. It is clean and residents have a comfortable, homely environment to live in. Comfortable bedrooms are provided which residents have personalised to make homely. EVIDENCE: The inspector visited all communal and private accommodation during the visit with the exception of bedrooms where residents were being assisted with personal care. The home was observed to be clean and well maintained. It has many homely touches to make residents feel more comfortable. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 16 The main lounge area is no longer the main entrance from the front door, which enables residents to have a more homely room to relax in. It also offers more security because visitors cannot enter directly into the lounge. Residents spoken with in their bedrooms all commented that they liked their rooms and some talked about the personal items which they had displayed. The bathrooms and toilets seen by the inspectors were clean and had grab rails to assist in the use of toilets. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 17 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 and 30 The staffing numbers are set at level, which allows residents assessed needs to be met. Recruitment procedures do not fully safeguard and protect residents at the home. Staff are provided with the training to do their jobs to make sure that residents assessed needs can be met. EVIDENCE: The management team have worked hard to establish a reliable staff team who are able to meet the needs of residents. Qualified nursing staff are on duty at all times of the day and night. They are supported by a team of care assistants and ancillary staff. The staff files of four members of staff were fully inspected during the visit and other records were viewed to make sure that Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) clearance is sought for all staff. Records showed that two staff did not have the results of checks on file. There was evidence that the documents for one of these two staff had been sent to the Criminal Records Bureau in September 2004 but there had been no response. There was no record of an application for the other members of staff available. The provider has agreed to take action to rectify this matter. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 18 Records for a third member of staff did not include sufficient details to verify the person’s identity. Staff spoken with and information provided prior to the visit confirmed that Homeleigh continues to provide a comprehensive training programme. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,37 and 38 The home is well managed providing leadership and guidance for staff. Homeleigh provides an environment, which promotes the health, safety and welfare of residents and staff. The homes recruitment practice does not fully safe guard and protect residents. EVIDENCE: All residents and staff spoken with during the visit to the home spoke highly of the manager. One member of staff said that there had been a lot of improvements and that the manager is very well organised and has the residents care at the forefront of everything, which she does. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 20 Another member of staff commented that they thought that this manager listens to people and takes suggestions seriously. All records seen during this inspection with the exception of staff records were informative and up to date. Staff records do not all include evidence of Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) clearance and sufficient evidence of identity, to protect the safety of residents. The home was observed to be a reasonably safe place for residents to live. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 21 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 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 3 3 x x x 1 2 Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 22 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 29,37 Regulation 19 Requirement A criminal record bureau and protection of vulnerable adult clearence must be requested for all new staff before they start work at the home. Timescale for action 15th June 2005 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 10 Good Practice Recommendations All staff should be reminded that residents rights to privacy must be maintained at all times. Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Homeleigh H60-H11 S24156 Homeleigh V224018 150605 Stage 4.doc Version 1.30 Page 24 - 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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