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Inspection on 08/02/06 for Honey Lane Care Home

Also see our care home review for Honey Lane Care Home for more information

This inspection was carried out on 8th February 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The physical care of the residents is good and the care plans show an attention to individual needs.

What has improved since the last inspection?

Care plans show residents` instructions with regard to end of life and funeral arrangements.

What the care home could do better:

The activities could be improved both in the range of activities offered and the recording of who was involved. The activity on the morning of inspection had been called off due to not having transport, nothing was put in it`s place. In two lounges nothing was provided or offered all day. One service user said there were trips out but "I watch telly mostly." Bathrooms need to be kept tidy, cloths and shoes should not left there and individuals` toiletries need to be returned to their rooms. Bathing and weight charts need to be consistently filled in. The supervision schedules need to be put into action.

CARE HOMES FOR OLDER PEOPLE Honey Lane Care Home Honey Lane Waltham Abbey Essex EN9 3BA Lead Inspector Clare Walker Unannounced Inspection 8th February 2006 10:30 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 Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Honey Lane Care Home Address Honey Lane Waltham Abbey Essex EN9 3BA 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) 01992 718558 01992 653463 Towertrend Limited Mrs Jennifer Jane Fuller Care Home 41 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (41), Old age, not falling within any other of places category (8) Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 8 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 41 persons) One person, under the age of 65 years, who requires care by reason of dementia The total number of service users accommodated must not exceed 41 persons 7th July 2005 Date of last inspection Brief Description of the Service: Honey Lane Care Home is a 2-storey purpose built home providing care for persons, of both sexes, over the age of 65. The service users rooms and communal areas are entirely situated on the ground floor with offices on the 1st floor. The home is divided in to four separate wings. There are 41 beds: 32 beds for service users who have dementia; one service user with dementia who is under 65 years of age; 8 for service users who need residential care only. (There had been no further decrease in the number of residential care beds since the last inspection.) This home does not offer nursing care. The home is located about 2 miles from the centre and main shopping area of Waltham Abbey, which is an Essex market town. It is on a main bus route and there is good access by road as the home is in close proximity to the M25. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over 6 hours on the 8th of February 2006.Overall the standard of care offered by this home is good. There was a welcoming atmosphere and staff and service users were open to speaking with the inspector. During the inspection a tour of the building was undertaken, care files were reviewed, practice observed, records were audited. The inspector spoke with 5 service users, the home manager and deputy, the chef and the regional manager who was visiting from Carebase the company who owns the home. Since the previous inspection there has been a change of unit manager. The current manager began her job in December. The previous manager had been in post for less than a year. All service users were complimentary about the care at the home “They are very kind here”, “It’s very clean” “They look after your clothes” “cooking is nice ..it suits me.” What the service does well: What has improved since the last inspection? Care plans show residents’ instructions with regard to end of life and funeral arrangements. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 Page 6 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. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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 Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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): 1,3,4,5 The information supplied to prospective residents and their families/advocates is clear and enables a choice in relation to needs to be made. EVIDENCE: The statement of purpose and service users guide are clear and give a good picture of life in the home and the services offered. The manager undertakes assessments prior to a person moving into the home. Visits can be made to the home and occasionally prospective residents and their families go for lunch prior to taking up a place there. All people are admitted on the basis of a trial one-month stay. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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): 7,9,11 Care plans showed that all aspects of a person’s health , social and personal care needs are assessed and planned for, however some plans are notcarried through. EVIDENCE: Care plans are comprehensive and in the 5 care plans reviewed most aspects of a person’s care are monitored and reviewed on a regular basis. Weight and bathing charts were inconsistently completed, even where the care plan stated that weight needed to be monitored. Medication is only given out by trained senior carers and on the day of inspection was up to date and the practice observed met the policy and procedure. Files reviewed showed that individuals’ preferences in relation to the end of their lives had been recorded with their funeral wishes. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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): 12,13,14,15 Activities are planned however social and recreational needs are not consistently met. Service users are encouraged to maintain family links. Wholesome food is provided with a choice of items. EVIDENCE: The programme of activities on the wall on the inspector arrival was out of date. The programme for the day a trip by 4 residents to a local coffee morning had been cancelled as the weather was cold and no transport was available. In two lounges nothing was available except the TV. The write up’s of activities on the files reviewed did not give a picture of what a person had been engaged in. Residents are encouraged and helped to maintain contact with their families and the local community. There are good links with local churches. Residents said that they had choice when to get up and go to bed. Choice of food was observed to be offered. The menus show that a varied and balanced diet is offered. Residents said that the food served was good. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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): 16,17 The procedures for dealing with complaints are clear. Complaints would be taken seriously. Residents’ legal rights are protected. EVIDENCE: There is a complaints procedure. The complaints record shows that formal complaints have been dealt with in line with the procedure and within the set time limits. There are no outstanding complaints. All residents have their names on the electoral role. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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): 19,20,21,24,26 Overall the home is well maintained safe, accessible and clean. EVIDENCE: On the tour of inspection the environment overall wasfound to be well maintained. There is a rolling programme of refurbishment and the communal corridors are due to be refurbished this year along with the bathrooms. The wear and tear in the bathrooms will therefore be dealt with. However the bathrooms were not kept tidy, the inspector observed items of clothing and shoes left in one bathroom, personal toiletries in another. This made the bathrooms seem a bit like storage areas. The residents’ rooms that were seen were well cared for and showed that individual residents had brought some possessions with them to make their rooms more personal. Double rooms had curtain room dividers for privacy. The general environment is well cared for. The garden and inner courtyard looked well cared for even though the inspection took place in winter. A coded keypad entry door secures the building. There are internal keypad doors between units. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 Page 13 Infection control systems are in place and were observed being used. There were some odours noticed during the tour of inspection but these had gone once the carpet cleaner had been used. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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): 27,28,29,30 Residents’ needs are met by the numbers and skills of the staff deployed. Recruitment practices ensure that residents are protected from abuse. EVIDENCE: The rota shows that in the mornings there are 5 carers and a senior on duty with 2 domestic staff. In the afternoon 1 senior, 4 carers with 1 domestic staff and at night 1 senior and 2 carers. The manager is currently recruiting bank staff. 2 new staff recruitment files were reviewed and it was found that all the necessary checks had been undertaken prior to the staff beginning work. The recruitment was carried out in line with policies and procedures. The home has a training schedule and all staff have mandatory training for example food handling. POVA training is planned and staff have had dementia care training and dying and bereavement training is planned for later in February 2006. All staff dealing with medication have training and the seniors have had recently had supervision training to enable them to supervise care staff. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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 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): 31,33,34,35,37,38 The management and administration in the home protects residents’ rghts and ensures good care. EVIDENCE: The new manager has been in post since December 2005 and is in the process of applying for registration with the Commission for Social Care Inspection. The manager appeared to be open and approachable and was observed to have good rapport with residents and staff. The home’s financial procedures are clear and the home is part of a larger organisation that is responsible for the overall financial management systems. The administrator has a clear and transparent system for dealing each resident’s personal money left in the home’s care. This money is used for hairdressing, outings and personal sundries. Care staff do have informal supervision but there is not a system for delivering formal supervision in line with the standard of at least 6 session of supervision Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 Page 16 per care staff member per year. Senior carers have now been trained to deliver formal supervision and this will begin this month. There is a comprehensive policy and procedures manual which was available and up to date. All insurance and certificates checked were valid. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 2 3 3 Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 12(2) Requirement The registered managers must ensure that the weight and bathing charts are consistently maintained. The registered manager must ensure that 1) residents are provided with a programme of activities that include the majority of residents being offered activities each day. 2) activity recording is up to date and detailed. The registered manager must ensure that bathrooms are kept tidy and not used for inappropriate storage purposes. The registered manager must ensure that all care staff have appropriate supervision. Timescale for action 01/05/06 2 OP12 16(2)(m) 01/05/06 3 OP21 23(2) 01/05/06 4 OP36 18(2) 01/05/06 Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 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 OP37 Good Practice Recommendations All certificates required by regulation should be filed together. Honey Lane Care Home DS0000037535.V283073.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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