Inspection on 30/11/05 for Ivydene Care Home

This inspection was carried out on 30th November 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 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

Ivydene Care Home 11/11/08

Ivydene Care Home 14/12/06

Ivydene Care Home 31/08/05

Ivydene Care Home 02/02/05

Ivydene Care Home 27/07/04

Ivydene Care Home 17/03/04

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

CARE HOMES FOR OLDER PEOPLE Ivydene Care Home Ivydene Close Earl Shilton Leicester Leicestershire LE9 7NR Lead Inspector Chris Wroe Unannounced Inspection 30th November 2005 10:05 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 Ivydene Care Home DS0000032007.V268271.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. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ivydene Care Home Address Ivydene Close Earl Shilton Leicester Leicestershire LE9 7NR 01455 843001 01455 843001 chrisquarmby@hotmail.com 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) Ivydene Care Home Ltd Mrs Susan Victoria Beardmore Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (23) Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. NO ADDITIONAL CONDITIONS OF REGISTRATION APPLY Date of last inspection 31\08\05 Brief Description of the Service: Ivydene is registered to provide care for twenty-three older people with dementia and/or mental disorder. The home is situated in a quiet and secluded cul-de-sac, close to the centre of Earl Shilton. A range of facilities are located nearby. Residents’ bedrooms are situated on the ground and first floors. Access to the first floor is available via a passenger lift, although some of the bedrooms are only accessible via the stairs. There are eleven single and six double bedrooms. In addition to their rooms, residents have access to two lounges, a dining room and a large garden. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on a weekday, 30th November 2005, starting at 10.05am and lasting for four and a half hours. Seven residents were spoken with during the inspection, all of whom gave positive views about the home. Comments made include: ‘They treat us very well’. ‘I’m happy with everything’. In addition, the inspector spoke with one relative who was visiting the home. They told the inspector they were happy about the care in the home. The main method of inspection used was ‘case tracking’, which involved selecting three service users and tracking the care they receive through checking records, talking with the service users, looking round the home and observing care practices. At the last inspection, almost all of the key standards were checked. At this inspection, the inspector checked the remaining key standards, to make sure good care was continuing, and followed up requirements and recommendations made at the last inspection. What the service does well: The information given below is based only on the aspects checked at this inspection: Staff are aware of the importance of maintaining privacy and dignity for residents, and of the particular needs of people with dementia. Residents are enabled to have control and choice over parts of their daily lives, with limitations appropriately where people do not have capacity to understand or make informed choice. All parts of the home viewed were found to be clean and hygienic. Arrangements for carrying out laundry are sufficient for purpose. The views of residents, relatives and other parties are sought, for feedback as to how the home is run. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 6 Accounts and receipts are kept, which show that monies held for residents are spent appropriately. What has improved since the last inspection? What they could do better: Formal risk assessments must be carried out for all residents for whom there is an identified risk of falling, with an aim to preventing falls. It is recommended that links are made with the local health authority to develop a falls prevention programme for residents, utilising local health facilities. Toothbrushes, hair combs and other personal care items must be separately labelled and stored and only used for each individual resident to whom they belong. It is recommended that the manager seeks clinical guidance about the frequency of changing latex gloves to ensure prevention of crosscontamination of infection. Please contact the provider for advice of actions taken in response to this Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 8 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 Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 9 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): All applicable key standards under this section were checked at the last inspection. EVIDENCE: Ivydene Care Home DS0000032007.V268271.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): 8, 10 Residents’ health and personal care needs are mostly well met. EVIDENCE: Staff showed good understanding of the care needs of residents, and residents said they felt well looked after. Daily records and accident records showed that some residents experienced falls, and were at particular risk of falling. However, there are no risk assessments in place to show what the particular areas of concern are for each individual resident, nor how staff are attempting to minimise falls. There are currently no links with the health authority to develop falls prevention. The home must make improvements in this area. The inspector noted one incident regarding the death of a resident, which had not been reported to the Commission for Social Care Inspection as required. The manager must ensure reporting regulations are followed. Residents are treated with dignity and respect. Staff showed that they considered the privacy of residents who share bedrooms. Consideration of Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 11 privacy and dignity is also given to residents who have dementia, who are not always able to state their needs. Ivydene Care Home DS0000032007.V268271.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): 14 Residents benefit from being enabled to have control and choice in their daily lives. EVIDENCE: Residents are able to make some choices in their daily lives – limitations are put in place only where residents do not have capacity and need to be safeguarded. They are able to have visitors when they choose to. Information about advocacy is available for residents. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 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 Residents benefit from staff’s awareness of the need for protection from abuse. EVIDENCE: Staff showed a good understanding of the need to protect vulnerable residents, and action that should be taken if abuse is suspected. Staff were aware of particular issues relating the vulnerability of residents who have dementia. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 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): 26 Residents benefit from an environment which is clean and hygienic. EVIDENCE: All areas of the home, which were seen were found to be clean. There were no offensive odours in the home. Laundry facilities were appropriate for requirements. Staff described processes and procedures for prevention of cross-contamination of infection, such as wearing gloves and aprons. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 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 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): All key standards under this section were checked at the last inspection. EVIDENCE: Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 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 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): 33, 35, 38 Residents mostly benefit from the management arrangements in the home. EVIDENCE: The owner and manager regularly seek the views of residents, relatives and others involved with the home to give feedback about how the home is run. Some monies are held for residents in the home, to spend on things they wish, for example, hairdressing. Written accounts and receipts are kept. The inspector noted that there were two baskets, which one member of staff said were taken to each resident’s room, to help residents get ready for bed, which contained a number of different items, including unlabelled used toothbrushes and combs, and an unlabelled set of dentures. Having items Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 17 belonging to residents mixed together creates a potential risk of crosscontamination of infection. Staff must make improvements in this area. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 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. 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 2 9 X 10 3 11 X 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 X 18 3 X X X X X X X 2 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 2 Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No 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 OP8 Regulation 13 Requirement It is required that formal risk assessments are carried out for all residents for whom there is an identified risk of falling, with an aim to preventing falls. All serious incidents regarding residents, including emergency admission to hospital and death, must be reported to the Commission for Social Care Inspection. It is required that toothbrushes, hair combs and other personal care items are separately labelled and stored and only used for each individual resident to whom they belong. Timescale for action 31/12/05 2 OP8 37 16/12/05 3 OP38 13 16/12/05 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 Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 20 1 2 OP8 OP26 It is recommended that links are made with the local health authority to develop a falls prevention programme for residents, utilising local health facilities. It is recommended that the manager seeks clinical guidance about the frequency of changing latex gloves to ensure prevention of cross-contamination of infection. Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Ivydene Care Home DS0000032007.V268271.R01.S.doc Version 5.0 Page 22 - 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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