Inspection on 30/08/05 for Howard Court Care Home Ltd

This inspection was carried out on 30th August 2005.

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.

Other inspections for this house

Howard Court Care Home Ltd 31/07/06

Howard Court Care Home Ltd 03/02/06

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 Margaret Drury Unannounced 17 & 30 August 2005 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. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Howard Court Care Homes Ltd Address Howard Arms Lane Brampton Cumbria CA8 1NH 016977 2870 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) Howard Court Care Homes Ltd Jean Waugh Care Home 28 Category(ies) of 13 OP - Old Age registration, with number 14 DE(E) - Dementia, over 65 of places 1 MD - Mental Disorder Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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 sevice users in the category OP (Older person over 65 years of age not falling within any other category). Date of last inspection 19/10/04 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 Waugh. 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 accomodation 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 F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over two half days as the manager was on leave on the first day of the inspection. During the visits, time was spent talking with the proprietor, manager, care manager and staff on duty. Records to do with the day-to-day running of the home and the care of residents were examined and time was spent with of the residents individually and in a group. During the inspection, most parts of the home were looked at. What the service does well: What has improved since the last inspection? There have been no major changes since the last inspection and the home continues to provide a good level of personal care and support. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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 F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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 Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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) 2, 3 & 5 Residents benefit from an admission procedure that ensures all the assessed needs can be met. They also benefit from the provision of a written contract/terms and conditions that give them added security. EVIDENCE: The home has a clear admission procedure, which includes an assessment of needs, to ensure these can be met. Details of the assessment are held on the care plan. Residents and/or their families are given a written contract/terms and conditions outlining the conditions of residency and facilities on offer in the home. All prospective residents and their families are encouraged to visit the home prior to admission. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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, 9 & 10 The home has a care planning system, which ensures residents health, and social care needs are met in a way that promotes their privacy and dignity. The medication at the home is well managed promoting good health. EVIDENCE: Each of the residents has a plan of care that is generated from the initial assessment. The care plans contain some information for the staff to deliver the level of care needed to meet the assessed needs. The inspector did, however, recommend that the format be revised in order to provide even more information recorded in such a way that is easy to follow. The care manager confirmed that the home has a good working relationship with the local doctors and the district nursing service visits the home on a regular basis. The residents who spoke with the inspector confirmed that they only had to ask for a doctor’s appointment and one was made as soon as possible. The arrangements for storing and administering medication in the home are safe and well organised, and residents received their medication as prescribed. All controlled drugs are recorded with the records signed by two members of staff. The care staff speak to residents in a courteous and polite manner, knock Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 Page 10 before entering bedrooms, and close bedroom doors when assisting people with personal care tasks, ensuring dignity and privacy are maintained. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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 Social activities provide residents with a range of choices and opportunities to stimulate them. Dietary needs of residents are catered for with a balanced and varied selection of food available and offer a choice at the evening meal and an alternative, if required, at the midday meal. EVIDENCE: The home has an activities organiser who works Monday to Friday afternoons and sometimes on a Saturday. She ensures that there are activities arranged on each day. Visiting entertainers are always popular as are the games of bingo because there are prizes given. Local clergy visit the home to give Communion to those who wish to partake. There is an open door visiting policy and visitors are always made welcome. There is a four-weekly menu with a set main meal and a choice at teatime. There is, however, an alternative available if the main meal is unsuitable. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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) 16 & 18 Residents benefit from a complaints procedure and the knowledge that if they had an issue to raise it would be dealt with. Staff understand adult protection issues which protects residents from abuse. EVIDENCE: Residents are given information about how to complain when moving into the home, and said that if they raised any issue it would be dealt with promptly. Information about making a complaint is displayed in the entrance area of the home. The care manager and staff on duty during the inspection showed an awareness of adult protection issues and this subject is covered during NVQ. External training in challenging behaviour is scheduled for August and September of this year. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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, 22, 24 & 26 Residents benefit from a warm, comfortable and safe environment with rooms and communal space that are suitable to meet their needs. EVIDENCE: Internal decoration at the home is of a good standard with the bedrooms being re-decorated as and when they become vacant. There is communal space on both floors and a conservatory on the ground floor providing extra space for activities and/or visits. There are sufficient bathrooms and toilets to meet the current needs, all providing facilities suitable for people with a disability. Bedrooms are furnished according to the wishes of the individual with many personal items brought from home. Domestic arrangements are provided by a contract cleaning service and the home was clean and pleasant on the day of the inspection. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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 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, 29 30 Residents benefit from a stable workforce that is experienced and qualified and has a good understanding of residents support needs. EVIDENCE: There is a low staff turnover with a several care staff having worked at the home for a number of years. Two of them are already qualified to NVQ level 2 or 3 with another five working towards the award. Staff training is in place with the owner and manager accessing as much as possible, particularly dementia care and challenging behaviour. The home has a full recruitment and selection policy with no member of staff starting work until all the required legal checks are complete. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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 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, 33, 34, 35 & 38 The manager is supported by the senior staff in providing leadership throughout the home with the staff showing an awareness of their roles and responsibilities to the residents. EVIDENCE: The manager has recently completed the NVQ level 4 in care and is now working towards the Registered Manager Award and NVQ assessor qualification. She works with the staff to ensure that a good standard of care is provided and the assessed needs are met. Residents’ finance records are up to date with receipts held on file. Professional accountants work with the owners to ensure the viability of the home. Health and safety policies are in place with the manager being the health and safety officer and another member of staff acting as fire officer. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 3 3 x x 3 Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 Page 17 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 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 7 7 Good Practice Recommendations It is recommended that the format of the care plans be upgraded to improve the level of infornation recorded. It is recommended that the monthly care plan reviews be kept up to date. Howard Court Care Home Ltd F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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 F58 F10 s62516 howard court v236918 170805 ui stage 4.doc Version 1.40 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. 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