Inspection on 28/09/05 for James Hirons Home

This inspection was carried out on 28th September 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

James Hirons Home 02/11/06

James Hirons Home 20/01/06

James Hirons Home 22/02/05

James Hirons Home 18/05/04

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 James Hirons Home 53 Lillington Road Leamington Spa Warwickshire CV32 6LD Lead Inspector Patricia Flanaghan Unannounced Inspection 28th September 2005 15:50 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 James Hirons Home DS0000004250.V255533.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. James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service James Hirons Home Address 53 Lillington Road Leamington Spa Warwickshire CV32 6LD 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) 01926 422425 01926 883332 The Trustees of the James Hirons Home Ms Anthea Mary Phillips Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2005 Brief Description of the Service: James Hirons is a care home providing personal care and accommodation for 24 older people aged 65 and over. It does not offer any specialist services. The home is located in Leamington Spa and is close to shops, pubs, the post office and other amenities. The home consists of a two-storey building with a newer ground floor extension and conservatory. All of the home’s bedrooms are single, and twenty of the bedrooms have ensuite facilities. There are two passenger lifts as well as a chair lift. The home has extensive gardens that are well maintained and easily accessible. James Hirons Home DS0000004250.V255533.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 over one day between the hours of 3.50pm and 7.00pm. This was the first visit for this inspection year. Staff co operated fully with the inspection. The senior carer on duty or the deputy manager was present throughout the inspection. The inspection process involved a tour of the home, talking with the deputy manager and senior carer, examining records and care plans, observation of care practices along with discussions with residents and staff. What the service does well: 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. James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 6 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 James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 7 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): 3 and 5 Residents are assessed before moving into the home. They are provided with the opportunity to visit the home to assess the quality, facilities and suitability of the home before they move in. EVIDENCE: The files of three residents were reviewed during this inspection. The admissions procedure included an assessment by the home completed before admission and provided the opportunity for the prospective residents and/ or their relatives to visit the home. Records showed that assessments had been completed and this provided the necessary information for the home to be able to provide the care needed. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within one resident’s care plans. A discussion with one of the most recently admitted residents evidenced that they had visited the home before making a decision to move in permanently. Other residents advised that either they or their relatives had visited the home to look round before they moved into the home. James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 8 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, 8 and 10 All residents have individual plans of care, which sets out their health, personal and social care needs in detail and enable staff to ensure that these needs are met. Personal support is offered in such a way as to maintain residents’ privacy and dignity. EVIDENCE: Three residents plans of care were seen at the inspection. These were clear and comprehensive and included risk assessments. Care plans and risk assessments are regularly reviewed and updated. Residents received dental, chiropody care and saw the optician. The home supported residents to attend outpatient appointments. All residents are registered with local General Practitioners (GP). Residents spoken with felt that their health care needs were being met advising that they saw the dentist, chiropodist, optician and GP or District Nurse when necessary. James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 9 The home promoted the privacy, dignity and independence of the residents. Staff were observed responding to residents in a sensitive manner. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. All residents spoken with told the inspector that they were treated with respect, and that the staff were very kind and helpful. James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 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): 13 and 14 Contact has been maintained with relatives and friends of residents. Opportunities to access the local community has been made available. EVIDENCE: Those residents spoken with advised that they have good contact with their relatives and some go out with their family on a regular basis. Residents advised that their family and friends are welcomed at the home and are invited to attend parties and other celebrations. Some residents are able to leave the home on their own and continue with their day-to-day life in the community. Residents were seen to be relaxed and happy to be living in the home. The majority of residents were spoken with during the inspection and comments made include, ‘it’s lovely being here, I’m well looked after’ and ‘the staff are very good to us, they can’t do enough for us.’ Although the provision of recreational activities was not inspected on this visit residents spoken with were generally happy with the activities provided, but one resident said that when she was ‘sometimes bored as there wasn’t enough going on to keep her busy.’ James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 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): These standards were not assessed as part of this inspection. EVIDENCE: James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 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): 19, 23 and 24 The standard of the environment within this home is good providing residents with an attractive and homely place to live. EVIDENCE: The home presents as comfortable and homely for residents. The communal areas and some bedrooms were seen during the inspection. There are three lounges and two conservatories available to residents. A split level dining room is also provided. Communal areas are in good order and the home was warm and comfortable. Observations of bedrooms visited indicate that residents are encouraged to bring in personal items to individualise their own space and that bedrooms are furnished based on their individual needs. A resident spoken with said she was very pleased with her room and ‘couldn’t ask for better.’ The home was observed to be clean and free from offensive odours. James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 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): 27 Service users are being supported by a skilled and knowledgeable staff team who understand their needs and wishes. EVIDENCE: The inspector observed the duty rotas for the period of a month. These demonstrated that although care staffing numbers were being maintained this was sometimes achieved by agency staff to cover shifts. The senior carer advised that if possible the same staff are requested in order to ensure consistency of care/service by suitably skilled staff to residents. A discussion demonstrated that correct procedures were being followed by the home when using agency carers, thereby ensuring the residents are protected by the home’s employment policies at all times. On the day of the inspection visit there were 3 care assistants on duty. James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 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): These standards were not assessed as part of this inspection. EVIDENCE: James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 15 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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X 3 3 X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 17 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 OP12 Good Practice Recommendations It is recommended that activities are organised to suit the individual needs of residents. James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 James Hirons Home DS0000004250.V255533.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!