Inspection on 04/01/06 for Inglewood Residential Rest Home

This inspection was carried out on 4th January 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.

Other inspections for this house

Inglewood Residential Rest Home 03/03/08

Inglewood Residential Rest Home 25/10/06

Inglewood Residential Rest Home 23/06/05

Inglewood Residential Rest Home 23/02/05

Inglewood Residential Rest Home 15/10/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Inglewood Residential Rest Home 330 Chester Road Streetly Sutton Coldfield West Midlands B74 3LD Lead Inspector Maggie Bennett Announced Inspection 4th January 2006 08:30 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 Inglewood Residential Rest Home DS0000020855.V267914.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. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Inglewood Residential Rest Home Address 330 Chester Road Streetly Sutton Coldfield West Midlands B74 3LD 0121 352 1113 0121 353 9005 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) Mrs Janet Beecroft Mr Craig Chance Mrs Janet Beecroft Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd June 2005 Brief Description of the Service: Inglewood is a detached extended two storey mock-Tudor house, which provides accommodation for twelve residents for reason of old age. Next door to the building are three flats providing accommodation for eight residents two on the ground floor and four on the first floor. Each flat comprises two single bedrooms, a lounge/dining area, a kitchen and a bathroom. Residents are able to join the residents in the large home for the main meal of the day and also join in the social activities. The buildings are situated on the main Chester Road and are within walking distance of local amenities such as shops, places of worship and public transport, enabling easy access to Birmingham and Sutton Coldfield. There is adequate parking to the rear of the property with a south facing patio and gardens, which are well maintained. Planning permission has been granted for the home to be extended to provide care for 31 people. Building work is in progress and it is hoped that completion will be in May 2006. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on a weekday between 8.30 a.m. and 5.00 p.m. During the course of the day, 9 residents (both from the main home and the maisonettes) were spoken to, in addition to 2 visiting relatives. Prior to the inspection a Questionnaire was completed by the home and anonymous comment cards were forwarded to the Commission by a number of residents and their representatives. Key standards not met or not inspected at the unannounced inspection in June 2005 were assessed on this occasion. A number of staff files were seen in order to assess recruitment procedures and staff training. Various documents were seen in order to check compliance with Health and Safety legislation. A tour took place of several areas of the main building and of the maisonettes. Progress on the new extension was also monitored. At the last inspection, in June 2005, a total of 8 statutory requirements were made. It was found on this occasion that these requirements had been met or were in the process of being met. No further statutory requirements were made following this visit. What the service does well: Despite the building work, Inglewood continues to offer warm, comfortable and homely accommodation. Although not inspected on this occasion, the last visit showed that care planning is of high quality at the home. Residents said that they were given choices at the home. One person said: “Oh yes, you can go to bed and get up when you like. You can go to your room when you like.” Contact with relatives and friends is very positively encouraged and relatives seen at the inspection said that they were always made to feel welcome and given cups of tea. Although the quality of food was not inspected on this occasion, residents were anxious to point out that this was of a very high quality. The home is well managed and administered by an experienced manager and her deputy. Staff were observed to be cheerful, confident and enthusiastic. There are excellent systems in place for obtaining the views of residents, their representatives and visiting social and healthcare professionals. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 6 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. Inglewood Residential Rest Home DS0000020855.V267914.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 Inglewood Residential Rest Home DS0000020855.V267914.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): None. None of these standards were assessed on this occasion. Standard 3 was exceeded at the last inspection and Standard 6 is not applicable. EVIDENCE: As above. Inglewood Residential Rest Home DS0000020855.V267914.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): 9 and 10. The systems for the administration of medication are good, with clear and comprehensive arrangements being in place to ensure residents’ medication needs are met. These will improve still further when the new medical room and medicines’ trolley are available. Residents confirm that they are treated with respect and that their right to privacy is upheld. EVIDENCE: There is a policy in place for the receipt, recording, storage, handling, administration and disposal of medicines. None of the present service users wish to take charge of their own medication. Clear records are kept of all medicines received, administered and leaving the home. A sample of the medication cassettes and administration sheets were seen at the inspection and there were no discrepancies. Controlled drugs are stored in a metal cupboard and administered and recorded correctly. The home is advised that when the new medical room is available the cupboard should meet the requirements of the Misuse of Drugs (Safe Custody) Regulation 1973 as amended. This specifies the quality, construction, method of fixing and lock and key for the cupboard. It is understood that a medication trolley is to be Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 10 purchased when the extension is completed. All staff who administer medication have successfully completed the accredited Safe Handling of Medicines training. The administration of risperidone and olanzapine have been reviewed by the residents’ Doctors and the Doctors have been requested by the home to provide written confirmation of this. The majority of rooms at the home are single, privacy is provided in double rooms by a screen. All personal care giving takes place in private. Some of the service users have their own mobile phones. The home has a portable phone, which residents can use in their rooms if they wish. Residents spoken to during the inspection confirmed that they were treated with respect by all the staff. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 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 the following standard(s): 12, 13 and 14. Residents are able to exercise choice within the home and a number of appropriate social activities are offered. Contact with friends and relatives is positively encouraged and residents benefit from the open and friendly atmosphere at Inglewood. EVIDENCE: Residents confirmed that they are able to choose whether or not to join in social activities. A number of in house activities are offered, including bingo, dominoes and “singalongs”. The home has a “Happy Hour” each Thursday evening, when drinks and snacks are offered, along with music and sometimes a Karaoke session. Many of the residents like to have a “one to one” session with a member of staff and several of the ladies enjoy a manicure. Birthdays and Festivals are celebrated with parties, when relatives and friends are invited. Over the Christmas period a number of entertainers visited the home, including students from a local dancing school, carol singers and 2 accordian players. Although trips out have been arranged in the past, these have apparently not proved popular. Social activities are regularly discussed with the residents and forthcoming events are advertised on a blackboard. During the inspection a record was seen of the activities provided. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 12 As the majority of residents have single rooms, they are able to see their visitors in private if they wish. The new extension will provide a quiet area for visits, plus an additional lounge. There are no restrictions on visits and relatives and friends are encouraged to maintain involvement once the resident has moved to the home. Representatives from a local Church visit regularly. Residents are assisted to take charge of their own finances for as long as possible and one does at present. Information is available on local Advocacy services, should this be needed. All residents have been informed in writing of their right of access to their records. The standard on meals was not inspected on this occasion. It was exceeded at the last inspection. The residents were anxious, however, to point out that the quality of the food at the home was excellent. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 13 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): 18 There are robust policies and procedures in place to protect residents from abuse. EVIDENCE: The home’s policy and procedure with regard to Adult Protection was seen at the inspection and is now fully in line with the local Social Services Procedure and the Department of Health guidance “No Secrets”. The procedure is robust and includes the home’s policy on “Whistleblowing”. The manager and several members of staff have taken part in Adult Protection Training. The manager is well aware of her responsibilities with regard to the Protection of Vulnerable Adults Scheme. There is a policy in place with regard to any physical or verbal aggression by service users. There are also policies in place with regard to residents’ personal finances, insurance and the preclusion of staff involvement in assisting in the making of or benefiting from residents’ wills. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 14 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 and 26. The home is warm, comfortable and well maintained. There are inconveniences at present, caused by the building work, but residents spoken to feel these will all be worthwhile when the work is completed. There are good standards of hygiene in the home. EVIDENCE: Inglewood is situated on the Chester Road in Streetly, within easy access to Walsall, Sutton Coldfield and Brownhills. The main home is registered for 12 people, with 6 people being accommodated in the maisonettes next door. 5 of the residents from the maisonettes spend their day in the main home. Currently the home is being extended and will be incorporating the maisonettes to provide one large home for 31 people. It is hoped that the work will be completed in the Spring of 2006. This will be of great benefit to all the residents and several said how much they were looking forward to the work being completed. The home is warm and comfortable. Furnishings are generally of good quality and new furniture has been ordered for throughout the home when the work is completed. Currently there is only one assisted Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 15 bathroom in the main home, but the new building will provide additional bathing and toilet facilities. All the bedrooms in the new building will have an en suite toilet. A separate sluice facility with a sluicing disinfector is to be provided. Water temperatures at outlets accessible to residents are checked on a regular basis. New commodes have been provided since the last inspection. The present laundry is small and a much improved laundry is to be provided. There are appropriate policies and procedures in place with regard to the safe handling and disposal of clinical waste, dealing with spillages, protective clothing and hand washing. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 16 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 and 30. Current care staff ratios are operating at the minimum at present. Additional staff are, however, brought on duty if required and residents spoken to felt that their needs were being fully met. When residents from the maisonettes have moved to the main home it will be much easier to provide satisfactory staffing levels. There are robust recruitment procedures in place to protect residents. There are good opportunities for appropriate training and the staff team continue to be enthusiastic, having an excellent rapport with the residents. EVIDENCE: Staff rotas show that there are usually 3 staff on duty in the mornings, although one of these people cooks the breakfast. The two remaining staff are therefore covering both the main building and the maisonettes. The Registered Manager states that several residents are self-caring and that the 2 members of night staff assist the residents who wish to get up early, until they go off duty at 8.00 a.m. A number of residents were asked what time they liked to get up in the mornings and several confirmed that it was their wish to get up early, one saying he liked to get up at 6.00 a.m. During day-time hours both the Manager and Deputy Manager undertake some care duties. One of the staff appearing on the rota is under 18. The Manager states that this person is supernumerary and does not undertake any care duties. At the time of the inspection one resident was requiring assistance from 2 carers. The Manager states that if someone is ill and needs additional help, extra staff are brought in. These staffing levels, particularly in the mornings at getting up Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 17 and breakfast times, are at the very minimum and will be inspected again at a subsequent visit in order to ensure that the needs of the residents are being met. A cook is employed from 11.00 a.m. to prepare the lunchtime meal. As with breakfast, tea is prepared by a member of care staff. Currently the daytime shift finishes at 9.00 p.m. The home is recommended to reconsider this and for day-time care staff to remain on duty until 10.00 p.m. Residents spoken to were full of praise for the staff. One said: “they look after me like the Queen”. Other comments were as follows: “If you need any help, you just press the buzzer and they come”; “They’re all so helpful and they don’t mind doing it”. Staff spoken to felt that they provided a good standard of care and felt that staffing levels were sufficient. They confirmed that several of the residents are able to take charge of their own care in the mornings and that if additional help is needed, this is organised by the management of the home. The Registered Manager is aware that when the size of the home increases to 31, additional care, kitchen and domiciliary staff will need to be employed in order to meet the needs of the residents. The home estimates that at present 37 ½ of its staff are trained to NVQ2 or equivalent. The target of 50 will, however, soon be met as several staff are currently undertaking this training. The Age Concern trainee employed at the home is registered on a Skills for Care training programme. Recruitment procedures are much improved from the last inspection. A number of staff files were seen and all contained the required documentation, including evidence of Criminal Records Bureau and POVA checks. The home has a Training and Development programme in place, which was seen at the inspection. There was evidence from their files, that all new staff have completed appropriate induction training. All staff receive a minimum of 3 paid days training a year. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 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, 33, 35, 36 and 38. The Registered Manager and Deputy Manager are experienced and competent. There are good systems in place for obtaining the views of residents, their relatives and visiting professionals. These views are acted upon by the home. Residents’ finances are safeguarded by the home’s policies and procedures. Staff receive regular and detailed supervision, which assists them in their understanding of the residents’ needs and their future development. The health and safety of residents and staff is protected by the home’s policies and procedures. EVIDENCE: The Registered Manager/Individual has been in charge of the home for four years and holds the Registered Managers’ Award. She has almost completed the NVQ4 Award in Care. In addition the Manager undertakes periodic training in order to update her skills. The home is fortunate to also have an Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 19 experienced and competent Deputy Manager. Staff spoken to said that they were very well supported by the management of the home. The home carries out six monthly Quality Assessment Audits in order to seek the views of its residents, relatives and visiting social and healthcare professionals. This has been particularly relevant during the extension work, with residents and relatives being kept fully up to date with events. Among the areas covered in the audit are choice of meals, social activities, Staff welcome, cleanliness and medication. The home have received very positive responses to this audit. Six monthly reviews are held for all residents, during which their views and the views of their relatives are sought. The home’s policies and procedures are regularly reviewed and the home has always made every effort to progress any action required by the CSCI within agreed timescales. The home takes charge of some personal allowance money on behalf of residents. Clear records are kept. A sample of the monies and accompanying records were seen at the inspection and there were no discrepancies. All monies are kept securely. Staff records show that all staff receive regular supervision sessions and also have a 3 monthly appraisal. This was also confirmed by the staff themselves. Regular training is provided in moving and handling, fire safety, first aid, food hygiene and infection control. No fire doors were found to be wedged open on this occasion and residents who were requesting this at the time of the last inspection have now agreed for their doors to be closed. As at the last inspection, there was evidence of regular fire safety checks, and the servicing of equipment. The Accident Book was correctly completed and the CSCI are notified of any incidents, accidents or illnesses under Regulation 37. The home have carried out a detailed risk assessment with regard to the current building work and are in contact with the Fire Officer regarding any temporary moves to be made pending completion. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X 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 X 3 4 X 3 Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 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. 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 Refer to Standard OP27 Good Practice Recommendations It is recommended that day-time care staff stay on duty until 10.00 p.m. Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Inglewood Residential Rest Home DS0000020855.V267914.R01.S.doc Version 5.1 Page 23 - 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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