CARE HOMES FOR OLDER PEOPLE
Hopwood Court Birmingham Road Hopwood Alvechurch Worcestershire B48 7AQ Lead Inspector
Roy Buckland Unannounced Inspection 18th December 2005 10:00 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 Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 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. Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Hopwood Court Address Birmingham Road Hopwood Alvechurch Worcestershire B48 7AQ 0121 445 4743 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) Mr John William Roach Mrs Carole Roach Michelle Birchill Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23), of places Physical disability over 65 years of age (23) Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th April 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 DS0000018508.V273021.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over the three and a half hours up to lunch time. The inspection was carried out as part of the regular planned program of inspections. A brief tour of the premises took place. Staff training records and three care plans were examined. Some health and safety documents were also seen. The administration of medications was observed. The manager and two staff on duty, three 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:
Hopwood Court is a comfortable and well maintained home. It is kept very clean and hygienic. The home provides clear written information for anyone who wishes to live there. The manager will visit people who wish to live at the home before they move in to make sure that the home and staff can provide the care they need. Three visitors said that they were welcomed at the home when they visited. The staff have a very good understanding of the importance of respecting people’s privacy and dignity and helping them to remain independent. Staff receive a very good standard of training and are enthusiastic about the work they do. All the residents spoken to said that staff treated them with respect. Residents spoken to described the meals as very good and that they had a choice. They also enjoyed the activities provided at the home. Residents described staff as “very good” and they took notice of residents’ wishes. Correct procedures were followed in relation to the storage and administration of medications. Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 6 The manager and her deputy manage the home very well. The health and safety of residents is seen as being very important and the manager and staff team work hard to make sure that residents are safe in the home. 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. Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 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 Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 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 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 in the residents’ records that were inspected 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.
Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 9 Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 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 the following standard(s): 7,9,10 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. Records showed that the primary healthcare team was consulted regularly. With the support of a pharmacy new arrangements for the control and administration of medications have been introduced with consequent improvements in efficiency. The inspector examined the storage arrangements and observed the lunchtime administration of medications, no deficiencies were identified. Residents who were spoken to said that staff treated them with respect and encouraged them to be independent.
Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 11 Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14, 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: During the inspection one resident went out to attend a service at a nearby church. The residents the inspector spoke to told him about how they were able to exercise choice about how they spent their days. The activity program showed that people came into the home to provide different activities which included physical exercise. Contact with families and friends was encouraged and three visiting relative s confirmed that they were welcomed into the home. A small lounge was available for those residents who wished could see their visitors in private. Residents who were spoken to stated that they enjoyed the food and were able to have choice as to what they ate. The cook told the inspector how she went
Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 13 about catering for residents’ differing preferences. The inspector observed lunch being taken in pleasant surroundings. Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 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 the following standard(s): 16 Complaints are welcomed and taken seriously. EVIDENCE: There was a complaints procedure on display in a communal area that encouraged the making of comments about the service provided and clearly stated how this could be done, including contacting the CSCI. Although no complaints had been received since the previous inspection those residents and visitors to whom the inspector spoke felt confident that any comments they made would be taken seriously. Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Apart from one exception to standard 24 the environment was maintained to a very high standard and provided 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, some had also brought in their own small items of furniture. Although the residents’ bedroom doors were fitted with locks it was necessary to use a key to lock them from the inside. This could be difficult for residents who were not sufficiently dextrous and if a key was left in a locked door it
Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 16 would prevent staff gaining access in an emergency. Fortunately only one resident had requested a key to his bedroom and a risk assessment could be carried out to establish whether he would leave the key in the lock. Toilets and bathrooms were clean and equipped for the needs of the residents. There was appropriate mobility equipment in place to look after the residents safely. Records in place showed that regular health and safety checks were carried out. Residents and a relative stated that the home was always very clean. Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 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 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, 30 Sufficient staff are employed to ensure that there are always sufficient on duty. Regular staff training in both health and safety issues and specialist care needs ensures that residents are in safe hands at all times. EVIDENCE: There were no staff vacancies at the time of the inspection. Staff turnover is low. Sufficient staff are employed to cover absences caused by leave or sickness. Staffing levels are such that staff are able to provide care at the residents’ pace. Residents confirmed that they were not rushed and that staff did spend time with them. All of the residents spoken to expressed their satisfaction of the care they received, and all spoke highly of the staff. Training records indicated that staff received up dated training. Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 18 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 A competent and progressive manager who is constantly improving the service for the residents very well manages the home. 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.
Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 19 A formal quality assurance system was being put in place. 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. The inspector examined financial records relating to the personal monies of three residents, no discrepancies were found. The information provided by both the manager and staff concerning supervision was consistent with good practice. The manager has purchased a commercially produced package of care home documentation. This will assist her in reviewing and updating the documentation currently in place. 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. Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 20 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 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 3 3 3 Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 21 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. 2 Standard OP33 OP24 Regulation 24 23 Requirement A formal quality assurance system must be put in place. A means by which they can lock their bedroom doors must be provided to those residents who request it. Where a resident may choose to lock their bedroom door a risk assessment must be carried out to ensure that staff can gain access in an emergency. Timescale for action 31/03/06 31/03/06 3 OP24 13 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hopwood Court DS0000018508.V273021.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, 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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