Inspection on 03/02/06 for Howard Court Care Home Ltd

This inspection was carried out on 3rd 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 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

Howard Court Care Home Ltd 31/07/06

Howard Court Care Home Ltd 30/08/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Howard Court Care Home Ltd Howard Arms Lane Brampton Cumbria CA8 1NH Lead Inspector Mrs Margaret Drury Unannounced Inspection 3rd February 2006 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 Howard Court Care Home Ltd DS0000062516.V281185.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. Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Howard Court Care Home Ltd Address Howard Arms Lane Brampton Cumbria CA8 1NH 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) 016977 2870 Howard Court Care Home Ltd Mr Michael Dresser Ms Jean Beattie Care Home 28 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number disorder, excluding learning disability or of places dementia (1), Old age, not falling within any other category (13) Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 28 service users to include: Up to 14 service users in the category of DE(E) (Dementia over 65 years of age). 1 service user in the category MD (Mental disorder under 65 years). Up to 13 service users in the category OP (Older person over 65 years of age not falling within any other category). 30th August 2005 Date of last inspection Brief Description of the Service: Howard Court is registered to provide social and personal care for up to 28 older people, 14 of whom may have varying forms of dementia. The home is owned by Howard Court Care Home Ltd and managed on a day to day basis by Mrs Jean Beattie. It is situated in the centre of Brampton, a market town approximately eight miles from Carlisle, and close to all amenities and public transport. Residents accommodation is on two floors, the upper being served by a passenger lift and a stair lift. On the ground floor there are bedrooms, a large lounge/diner, a quiet lounge, toilets and a bathroom. On the first floor there are two small lounge/diners, bedrooms bathrooms and toilets. There is also a ground floor conservatory providing further communal space for the residents. There is a small courtyard to the front of the building and limited parking space. Howard Court Care Home Ltd DS0000062516.V281185.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 of the home and the second one of the yearly cycle. The visit took place over one morning. During the inspection, time was spent talking with the manager, care staff on duty and the cook. The inspector discussed the care plans, other documentation and records to do with the day-to-day running of the home and the care of residents. Time was spent talking with some of the residents in the lounge and in their own rooms. Those standards that were not inspected on this occasion were assessed and met during the previous inspection that took place in August last year. What the service does well: What has improved since the last inspection? Internal decoration has meant that some rooms have been completely refurbished whilst others have been redecorated. Howard Court Care Home Ltd DS0000062516.V281185.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. Howard Court Care Home Ltd DS0000062516.V281185.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 Howard Court Care Home Ltd DS0000062516.V281185.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&4 Prospective residents are given a statement of purpose and contract and terms and conditions that provide sufficient information to enable an informed choice to be made about moving into the home. EVIDENCE: The home has a comprehensive statement of purpose that is made available to all prospective residents and/or their families. The information contained in the document is sufficient for the resident to make an informed choice about whether or not to move into the home. All residents are also given a contract and terms and conditions outlining the facilities on offer at the home. All prospective residents and their families are invited and encouraged to visit the home to look around, meet the staff and others living in Howard Court. Howard Court Care Home Ltd DS0000062516.V281185.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): 11 Residents benefit from a policy that ensures their wishes after death are met with dignity and respect. EVIDENCE: Although the care plans were not inspected in detail during this visit the manager did advise the inspector that the recommended work on upgrading the plans had not started. She does, however hope to look at the format in the near future in order that a more in-depth plan of care can be provided for each resident. The home has a policy to deal with the death of a resident that is easy to understand, with the wishes of the resident documented on the care plan wherever possible. The residents were confident that their wishes would be met. Howard Court Care Home Ltd DS0000062516.V281185.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): 14 Residents benefit from being able to express their wishes about how to spend their time and are given the choice about whether or not to join in any organised activities. EVIDENCE: Discussions with the manager evidenced that the residents were not really interested in attending residents’ meetings and that they preferred “ to go with the flow.” The residents confirmed this when speaking with the inspector. It has been found that the best way to get residents’ opinions is through questionnaires and one to one discussions with the activities co-ordinator. Recent discussions with the residents have produced a new menu with a greater choice of meals. Howard Court Care Home Ltd DS0000062516.V281185.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): 17 Service users benefit from the availability of an advocacy service should this ever be required and the opportunity to take part in local and general elections. EVIDENCE: The home has a policy outlining the rights of those living at Howard Court and what is expected of the staff working there. This policy includes information about the use of advocates and when this service should be used. Details are on display about an organisation called “Care Aware” a professional organisation available for help and advice. Those residents who wish to vote in any of the elections are given the opportunity via the postal vote system. Howard Court Care Home Ltd DS0000062516.V281185.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): 23 & 25 Residents benefit from a warm and friendly environment in which to live. EVIDENCE: The inspector was able to inspect a sample number of bedrooms and found them to be pleasant and suitable for their stated purpose. They were all nicely decorated and personalised with pictures and photographs from the residents’ own homes. Some have been completely refurbished or redecorated since the last inspection. Domestic arrangements meant that the home was clean and pleasant on the day of the inspection. Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 13 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): 28 Staffing arrangements are appropriate, ensuring the needs of the residents are met. EVIDENCE: There is a full complement of staff, some of whom are trained to NVQ level 2 or 3. There were five members of care staff on duty on the day of the inspection, plus the manager. These staff, plus the cook and domestic staff were able to attend to peoples needs, keep the home clean and provide meals and snacks during the day. Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 14 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): 32, 36 & 37 There is clear leadership, guidance and direction to staff to ensure residents receive consistent good quality care. Residents benefit from a relaxed style of management and approach. EVIDENCE: Discussions with the manager and care staff during the inspection evidenced that they work together as a team to ensure the residents receive a consistently good standard of care. The residents said the home was “a nice place to live in “ and that everyone “did their best to look after them”. One of the newer residents has been able to bring their dog and this is proving very popular with the other residents. Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 15 There was a warm and sociable atmosphere in the home and the inspector was able to speak with the activities co-ordinator who works with the residents during the afternoon. Staff supervision takes place every 2 months with records available for inspection. The home has a full set of policies and procedures that are made available for the staff to read any time they want to. Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 16 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 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 x X X X X 3 X 3 x STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X X X 3 X Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 17 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 OP7 OP7 Good Practice Recommendations It is recommended that the format of the care plans be upgraded to improve the level of information recorded. It is recommended that the monthly care plan reviews be kept up to date. Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Howard Court Care Home Ltd DS0000062516.V281185.R01.S.doc Version 5.1 Page 19 - 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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