Inspection on 08/09/06 for Homeleigh

This inspection was carried out on 8th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 06/12/05

Homeleigh 15/06/05

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 P021 2QF Lead Inspector Mrs D Peel Unannounced Inspection 8th September 2006 09:55 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 Homeleigh DS0000024156.V302778.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. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homeleigh Address 24-28 Stocker Road Bognor Regis West Sussex P021 2QF 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) 01243 863373 01243 863056 Homebeech Limited Mrs Roma Wood Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 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 accommodation consists of 38 single bedrooms and 1 double bedroom. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Diane Peel on the 8th September 2006. The intended outcomes for 34 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed information provided by the manager in a pre inspection questionnaire completed at the request of the inspector some weeks prior to the visit and other communication received from the provider since the last visit to the home on the 6th December 2005. A case tracking exercise for five residents was undertaken to look at how the assessed needs of this group of residents with high levels of nursing needs were being met. Where possible residents were spoken with to gain some information about what it is like to live at the home and all comments made were positive. The inspector visited all communal areas during the visit and saw the majority of resident’s bedrooms. Staff were observed assisting and interacting with residents during the visit and the inspector discussed individual residents care needs with staff as part of the case tracking process. The records of four staff were inspected and staff were spoken with informally during the visit to find out what it is like to work at the home. Samples of records and policies required to be kept by the home were viewed during the visit to ensure that the provider is meeting their obligations with regard to the administration of the home. The current scale of fees being charged at the home is from £325.00 to £650.00 per week. What the service does well: Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 6 Resident’s needs are fully assessed by registered nurses before they move into the home and a trail period is in place to ensure that the home can meet each individual residents medical and social and emotional needs. Staff encourage residents to take part in a variety of activities and maintain contact with their relatives and friends. Meals are varied, there is plenty of choice available and those residents able to express an opinion say that meals are of a good standard. The home is clean and well maintained, providing a comfortable homely atmosphere for residents to enjoy. Management systems within the home are good and the residents are confident that the home is run in the best interests of residents. What has improved since the last inspection? What they could do better: Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 7 NVQ percentage targets have not yet been met by the home. Further staff should be encouraged to undertake an NVQ qualification. A separate sink should be considered for the laundry room because on the day of the visit the sink was being used to soak clothes which had stubborn stains. 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 DS0000024156.V302778.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 Homeleigh DS0000024156.V302778.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Prospective residents and their families are provided with the information they need to make an informed choice about the home and are encouraged to visit the home before deciding if they want to live at the home. Residents are assessed prior to moving into the home to make sure that the home can meet their needs. Outcomes for residents are good. EVIDENCE: Homeleigh has a Statement of Purpose and Service User Guide. The most recent copy was provided to the inspector some weeks prior to this visit. It was observed to provide informative information, which would assist prospective residents and relatives to make a choice about the suitability of the home. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 10 The home has an admissions procedure, which ensures that all prospective residents are assessed by the manager or the deputy manager to make sure that the home can meet the needs of individual residents. The contract which outlines the terms and conditions of residency at the home states that “service users are admitted on a 4 weeks trail period, unless otherwise agreed On admission to the home the staff have admissions procedure to follow so that all residents and their representatives have sufficient information about the home. On the day of this visit a new resident was moving into the home. The assessment of need had taken place. The prospective residents family had visited the home and then prior to the admission had been to the home to bring the residents belongings and put out on display some of their pictures, ornaments and photographs. Later in the day the resident arrived at the home to be greeted by their relatives and the staff who were prepared for the residents arrival. Homeleigh Nursing Home does not provide intermediate care although periods of respite care can be offered. Homeleigh DS0000024156.V302778.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Care planning systems are regularly updated and they give clear information to assist with all aspects of health, personal and social care needs. The home can demonstrated satisfactory medication handling. Residents are treated with dignity and their right to privacy is respected. Outcomes for residents are good. EVIDENCE: All residents have a plan of care, which is written in a clear language, which could be used by anyone not familiar with the content. At this visit to the home five care plans/records were examined and a case tracking exercise was undertaken to find out if the needs of residents had been developed into a care plan which staff were following to meet individual residents needs. Copies of care plans are kept in resident’s rooms so that staff have the plans at hand to record daily care notes and residents can have access. These plans Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 12 were found to be regularly reviewed and recorded monthly weight, pulse and blood pressure. The majority of plans included a life story and not only covered the physical aspects of nursing care but social needs, nutritional needs and how to maintain a safe environment for each resident. The home has a medication policy, which includes procedures for self administration of medicines and the administration of covert medication. These were provided to the inspector prior to the visit to the home. The inspector observed the secure storage of medication during the visit to the home and two registered nurses explained the process of administration of medication to residents. Medication storage included two lockable medicines trolleys the content of one of which was viewed at this visit and seen to be well organised. Medication records viewed at this visit were observed to be clear and up to date. A contract for disposal of medicines is now in place and the home has a contract with a local pharmacy to provide medication and advice. At this visit to the home there was no evidence to suggest that the privacy and dignity of residents is not being respected. Staff were observed to knock on bedroom doors before they entered. A resident was assisted to their bedroom for examination by a Doctor and a member of staff was heard to inform a resident that they had some post and that if they wanted help in opening the envelope they could ask someone to help them. All bedrooms at the home are now being used for single occupancy so as not to compromise privacy and dignity when personal is being given. Homeleigh DS0000024156.V302778.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The home provides a lifestyle that respects privacy, dignity and choice, matching resident’s expectations and individual preferences. A variety of activities are offered and staff try to motivate residents into taking part. Home cooked food is provided to a good standard with choices of alternatives available. Outcomes for residents are good. EVIDENCE: Residents spoken with confirmed that activities take place regularly and these include: visiting musical entertainers, keep fit/exercise, crafts and parties movie afternoons, playing cards, dominoes and skittles. Residents are also offered the opportunity to go to local shops, and attend shows and concerts. In addition records of activities undertaken are kept by the manager, which confirm that in addition there are seasonal activities such as garden parties and strawberry and champagne day. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 14 The visitors book records that there are regular visitors to the home and residents say that their visitors are always made to feel welcome. The contract states that there are “no restrictions on visiting hours” but visitors are requested to sign in and out using the register provided by the front door. Residents have the flexibility of meal arrangements, being able to eat in their rooms if they wish or in the homely dining room. Special diets are catered for. Food is considered to be of a good standard by residents who are able to express their opinion to the inspector and menus provided to the inspector prior to the visit showed that there is plenty of variety and choice. The choices of meals on the day of the visit were displayed on a board in the dining room. At lunch time the inspector noted that residents in the lounge were asked what they wanted, either fish and chips or liver and bacon. One resident chose a salad and a ham salad was sampled by the inspector and found to be tasty and fresh. Staff asked for meals of different proportions as requested by individual residents and a liquidised meal of fish and chips with vegetables was seen to be displayed with care, separating out each portion of food to make it look appetising. Homeleigh DS0000024156.V302778.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. Arrangements are in place to ensure that staff know how to recognise when residents could be at risk from harm or abuse. Outcomes for residents are good. EVIDENCE: The complaints procedure is included in the Service User Guide and the most recent updated version was seen to be displayed on the notice board in the lounge. It is clear and gives an assurance that “all complaints will be dealt with within 28 days”. The complaints records were examined at this visit and it was noted that there had been no complaints made directly to the home since the last visit by CSCI. There have been no complaints made directly to CSCI. Homeleigh has its own policy and procedures to protect vulnerable adults from abuse, which are used alongside the West Sussex Multi Agency guideline for reporting abuse. The home has a training programme which includes Abuse awareness which all staff are expected to attend. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 The home is clean and residents have a comfortable, homely environment to live in. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them. The home is well maintained and provides a reasonably safe environment for residents to freely move around in. Outcomes for residents are good. EVIDENCE: At this visit to the home the inspected all private and communal areas used by residents. It was observed to be clean and the décor was of a good standard with many homely touches to make residents feel comfortable. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 17 Since the last visit to the home in December 2005 one of the double rooms has been converted into two separate bedrooms with an extension built on the outside wall to increase the floor space to meet the National Minimum Standard for individual accommodation. The kitchen has now been extended and refurbished. There is now a separate washing up area, with a new dishwasher and the whole area has a new flooring. The manager confirmed that the flooring in the sluice is now washable to promote better infection control. A new call bell has been has been installed which can be monitored to look at response times. This is also connected to the front door bell. Bedrooms are comfortable and as they are redecorated furniture is being replaced. Most residents have their own possessions on display and some have brought small items of furniture to the home. Not all bedrooms have locks on doors but residents can request a lock. The inspector observed that there was no separate hand washing facilities in the laundry room. The only sink available was being used to soak laundry. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Staffing levels at the home are meeting the needs of the residents living at the home. Recruitment procedures safeguard and protect residents at the home. The staff-training programme provides staff with the majority of skills, which they need to do their job, and enables them to provide a reasonably safe environment for residents. Outcomes for residents are good. EVIDENCE: Rotas show that there are qualified nurses on duty at the home 24 hours a day they are supported by care assistants and ancillary staff. There were sufficient staff on duty on the day of this visit and the inspector noted that staff deployment was well organised. The records of four staff were examined during the visit to see if recruitment policies of the home were being followed and to ensure that employed had Criminal Record Bureau Clearance and Protection of Vulnerable Adult Clearance. Records seen were well organised and had all information required. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 19 NVQ percentage targets have not yet been met by the home. Information provided prior to the visit reported that 22 of care staff have an N.V.Q level 2 or above. Staff records and information provided before the visit to the home showed that there is an ongoing training programme which the provider has for all the homes within the company. Discussion with staff confirmed that there are plenty of training opportunities and that staff are encouraged by the manager to improve their skills by sharing good practice and supervision. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 36 37,38 The home is well managed providing leadership and guidance for staff. Quality assurance systems are in place to ensure that the views of residents, their families and friends are sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Records required are constructed and maintained so that up to date information is available about residents to safeguard their best interests. Procedures are in place to ensure that the home is a reasonably safe environment to live in. Outcomes for residents are good. EVIDENCE: Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 21 The manager has the relevant qualifications and experience to run the home and together with the deputy manager and senior staff provide strong leadership for the team. A member of staff told the inspector that “ the manager is a good manager and encourages us develop our skills”. The responsible individual on behalf of Homeleigh Nursing Home has confirmed that Quality Assurance Questionnaires were sent out to family/friends and residents recently. Senior staff spoken with described the process of supervision at the home, which promotes the sharing of good practice. No monies are held at the home for distribution to residents. The company has a designated person who is responsible for invoicing relatives or residents representatives. An external accountant is monitoring the system being used to deal with service users monies. This system works for the Homeleigh. Records observed during the visit were detailed and up to date. No health and safety matters came to the attention of the inspector at this visit other than one window restrictor, which was being mended on the day of the visit. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 4 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 3 3 Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 23 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. 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. 1 2 Refer to Standard OP28 OP26 Good Practice Recommendations A minimum ratio of 50 trained members of care staff should be achieved. A separate sink should be considered for the laundry room because on the day of the visit the sink was being used to soak clothes, which had stubborn stains. Homeleigh DS0000024156.V302778.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, 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 DS0000024156.V302778.R01.S.doc Version 5.2 Page 25 - 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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