CARE HOMES FOR OLDER PEOPLE
Hopwood Court Birmingham Road Hopwood Alvechurch B48 7AQ Lead Inspector
Annie OMara Unannounced 15 April 2005 8:00 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. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 3 SERVICE INFORMATION
Name of service Hopwood Court Address Birmingham Road Hopwood Alvechurch B48 7AQ 0121 445 4743 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) Mr John William Roach Mrs Michelle Birchell CRH 23 Dementia - over 65 Old age Physical disability - over 65 23 23 23 Category(ies) of DE(E) registration, with number OP of places PD(E) Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 12 January 2005 Brief Description of the Service: Hopwood Court provides personal care for up to 23 older people who may have a physical disability and/or/ a dementia type illness. The home is situated in its own grounds off the main Birmingham Road and affords countryside views on all sides. The home is approxiamately a mile and a half from Alvechurch village. There is a local public house. The home is on two floors and access to the first floor is by stair lift. The home has hand rails throughout and adapted bathing and toilet facilities. Accommodation is provided in three double rooms and seventeen single rooms , seven of which are ensuite. There are two bathrooms with toilets on each floor and four separate toilets. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over four hours at the beginning of the morning shift. The inspection was carried out as part of the regular planned program of inspections. A brief tour of the premises took place. Staff records and care plans were examined. Some health and safety documents were also seen. All of the care staff on duty, two visitors and six residents were spoken to during the inspection. There have been no complaints made to the Commission for Social Care Inspection about this service. What the service does well: What has improved since the last inspection?
Records kept about residents personal and health care needs have continued to improve and provide staff with information as to how to help each person. A visiting district nurse said that she had no concerns about the care provided at the home. Residents who were spoken to said that they were “very contented”, and “well looked after”. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 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 Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 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) 1, 3, 4, 5 People are given clear information about the service to help them make a choice about living at the home. Residents’ needs are assessed well to make sure the home can provide for them and they are able to visit the home before moving in. EVIDENCE: Assessments seen during the inspection showed that residents’ needs were being thoroughly assessed before they moved into the home. A relative who was spoken to was able to confirm that their relative had visited prior to moving in. Residents who were spoken to said that they were well looked after and felt their needs were met. Observations made during the inspection also indicated that staff were aware of the care needs of each individual including their emotional well-being. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 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, 10. The care planning processes in the home have continued to improve and records show that residents personal and healthcare needs are being met. EVIDENCE: Three care plans were seen during the inspection and all contained detailed information about the residents personal, emotional and healthcare needs. Information given during the observed handover from the night shift to the day shift was very detailed and emphasis was placed on the emotional and healthcare needs of the residents. Records showed that the primary healthcare team was consulted regularly and a visiting district nurse said that she had no concerns regarding the care residents received. A risk assessment in place for a resident with mobility needs indicated that staff should encourage her to use her zimmer frame. This was observed being put into practice by a member of staff. Residents who were spoken to said that staff treated them with respect and encouraged them to be independent. Staff who were spoken to gave clear information about how the privacy and dignity of the residents was maintained. This included a system of working which ensured that residents received
Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 10 personal care consistently from one or two identified keyworkers only. The staff’s level of knowledge and understanding of the caring role was excellent. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 11 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, 15. The home provides a varied program of activities for the residents which they enjoy and look forward to. The meals provided offer choice and variety and specialist diets are catered for. EVIDENCE: Residents are able to exercise choice about how they spend their days. The activity program showed that people came into the home to provide different activities which included physical exercise. Arrangements were being made for a new resident to attend a day centre in the locality. All the residents in the lounge were observed to take part in the music activity going on during the inspection and the home was “buzzing” with conversation and life. Contact with families and friends was encouraged and a visiting relative confirmed that she was welcomed into the home. A resident said that she could see her visitors in private if she wished. Residents who were spoken to stated that they enjoyed the food and were able to have choice as to what they ate. One resident said that her diabetic diet was catered for by the cook. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 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) 18. Staff’s excellent knowledge and awareness of adult protection issues ensures a safe environment for the residents. EVIDENCE: Policies, procedures and other written material regarding adult abuse issues was available in the home. All staff who were spoken to had an excellent understanding of the issues involved and were aware of the policies and procedures and who they would report any concerns to. The open and straightforward relationships and communication between staff, managers and residents also helps to ensure that the environment is safe for residents. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 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, 20, 21, 23, 25, 26. The environment is maintained to a very high standard and provides a safe, warm and comfortable home for the residents. EVIDENCE: A tour of the building showed that all areas in the home were well maintained and decorated to a high standard. All residents who were spoken to said that the home was very comfortable. They all liked their bedrooms and were happy with the furniture provided by the home, although some had also brought in their own small items of furniture. Toilets and bathrooms were clean and equipped for the needs of the residents. Staff felt that they had the appropriate mobility equipment in place to look after the residents safely. Records in place showed that regular health and safety checks were carried out. Recent training in infection control has brought about a positive change in practice in providing personal care to residents. Residents and a relative
Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 14 stated that the home was always very clean. A member of domestic staff was observed cleaning a bathroom very thoroughly. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 15 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, 28, 29, 30. The commitment and enthusiasm of the care staff ensures that they work positively with residents and improve the quality of their lives at the home. Recruitment practices are professional and thorough which provides further protection for residents. Regular staff training in both health and safety issues and specialist care needs ensures that residents are in safe hands at all times. EVIDENCE: Staffing levels are such that staff are able to provide care at the residents’ pace. Care staff stated that an important part of their work was to spend time with the residents. Residents confirmed that they were not rushed and that staff did spend time with them. Communication between staff was observed during a handover, information regarding residents’ needs was very thorough ensuring that individual concerns were picked up and dealt with. The recruitment file for a newly appointed member of staff was inspected. All the required checks were in place and she had attended an induction training course before staring work. This again ensures the safety of residents. Training records indicated that staff received up dated training and seven staff were undertaking NVQ training. Discussions with the staff on duty indicated a high level of knowledge of their roles and responsibilities. Observations made also indicated their ability to put it into practice ensuring residents were well cared for. All of the residents spoken to expressed their satisfaction of the care they received, and all spoke highly of the staff. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 16 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 38. The home is very well managed by a competent and progressive manager who is constantly improving the service for the residents. Health and safety issues are understood and managed well to provide a safe environment for residents. EVIDENCE: The competency of the manager is evidenced through the consistent and continual improvements made in line with the National Minimum Standards since her appointment. This includes record keeping, care planning, assessment procedures and health and safety matters. The improvement of these ensures that residents’ care needs are monitored and reviewed regularly. Residents also benefit from a well trained staff group. A formal quality assurance system has yet to be put in place although there was evidence that quality monitoring procedures were being carried out. There was a questionnaire for residents to fill out asking for their views about the home and they are asked for their preferences for mealtimes.
Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 17 Records inspected indicated that regular health and safety checks are carried out including fire safety tests. There are systems in place for risk assessments to ensure that safety of residents and staff at all times. Staff were aware of health and safety issues in the home and the purpose of risk assessments. Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 1 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3
COMPLAINTS AND PROTECTION 3 3 3 x 3 x 3 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 Standard No 16 17 18 Score x x 3 2 3 2 x x x x 3 Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 19 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 33 Regulation 24 Requirement A formal quality assurance system must be put in place. Timescale for action 31st August 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 Good Practice Recommendations Hopwood Court E52 S18508 Hopwood Court V220230 150405.doc Version 1.20 Page 20 Commission for Social Care Inspection The Coach House John Comyn Drive Droitwich Road Worcester WR3 7NW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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