CARE HOMES FOR OLDER PEOPLE
Leafield Rest Home 32a Springfield Drive Abingdon Oxfordshire OX14 1JF Lead Inspector
Philippa MacMahon Unannounced 18th April 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. Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Leafield Rest Home Address 32a Springfield Drive, Abingdon, Oxfordhire, OX14 1JF 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) 01235 530423 Mr Prashant Brahmbatt Mrs Ruth Boswell Care Home 24 Category(ies) of Dementia -over 65 years of age (24), old age, registration, with number not falling within any other category (24) of places Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 10th January 2005 Brief Description of the Service: Leafield Care Home is situated to the north of Abingdon town centre, within a residential housing estate. The accommodation is provided on two floors and there is an automatic passenger lift for access. There are 21 single rooms, 5 of which are en-suite, and 1 double room with ensuite facilities. Plans to provide a further 5 en-suite facilities are being progressed at the present time. There are 4 bathrooms, 2 of which are on the 1st floor. The communal areas of the home are spacious and provide a choice of places to sit, or entertain visitors. The grounds are accessible to the residents and offer a pleasant area to wander in safety, or to sit and enjoy the fresh air. The home provides care for older people who are frail and may be mentaly infirm. Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first visit the inspector had made to the home and much of the time was spent in talking with the residents, staff, and relatives. A tour of the building was made, and a sample of care plans was examined. At the time of this inspection the home was busy as lunch was about to be served and staff were assisting the residents to take their places in the dining room. The staff were all very approachable and helpful to the inspector, and behaved in a very professional manner. What the service does well:
The registered manager and her staff provide a high standard of care to the residents, who are very much considered by the staff to be individual, and “a lovely group of people”. Leafield feels very much a home. The activities programme is very much appreciated by the residents, and they are enthusiastic to do more! Relatives and visitors are made to feel very welcome, and they are appreciative of the standard of care given. The standard of cleanliness throughout the home was very high, and the domestic staff are to be congratulated on this achievement. Involving the residents in the future developments of the home. Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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. Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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 Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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) This section was not inspected on this occasion. EVIDENCE: Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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) 7,10,11. All residents have a written care plan in which their care and social needs are identified, and the action required to meet those needs. All the staff working at Leafield have a good understanding of the need for residents’ to be treated with dignity and respect at all times. The staff consider terminal care to be an important part of their work and they will make every effort to provide the best possible care at all times. EVIDENCE: A sample of 2 care plans were examined by the inspector and showed that the social and care needs were identified, and the action required to meet those needs are recorded. The staff were observed by the inspector to assist the residents in a respectful and appropriate manner. The staff on each occasion observed, knocked on bedroom and bathroom doors before entering, and addressed the residents by their preferred name.
Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 Page 10 There is one shared room and there is a mobile screen in the room to enable the staff to carry out any personal care in private, and to maintain the residents dignity. The registered manager confirmed to the inspector that wherever possible details about the residents’ wishes concerning terminal care and arrangements after death are discussed as soon as possible following admission to the home. This is documented in the individual care plan. Relatives and significant others are involved in caring for the individual (if the resident wishes this). There is good support from the local GP practice and the District Nursing Service. Two visitors said that the staff were very kind and thoughtful, and treated the resident’s as individuals. Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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. Each of the residents is given the opportunity and encouragement to pursue their interest and to be involved in the social activities provided. The registered manager provides a stimulating and interesting programme of activities suitable to the residents needs. Community links are good and enhance the daily life of the residents. A varied, wholesome and appealing diet is provided for the service users. EVIDENCE: On admission to the home a “life story” is drawn up with the help of family and significant friends, and this forms part of the care plan. Each of the residents has a written report of the activities they have taken part in and how it was received. A member of staff has been appointed to provide a programme of activities suitable for the group of people living at Leafield. The programme has been drawn up with the assistance of the residents and provides a varied and stimulating programme. The programme is displayed in the dining room, and there was evidence of the result of the activities such as origami and attractive
Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 Page 12 paper flowers displayed still being enjoyed by the residents who proudly explained to the inspector how they made them. The Inspector had the opportunity to speak to a relative and a friend who regularly visit the home, and are always made to feel very welcome by the staff. The local church provides a service at the home once a month and informal visits to individual residents on other occasions. One resident has been able to maintain membership of a local day centre, since coming to live at Leafield. Visits from local groups who provide entertainment are very much a part of the activities programme and much appreciated by all. Lunch was served at the time of this inspection in the attractive dining room, and the quiet room. The meal served looked most appealing and wholesome and was much enjoyed by the residents. The regular cook was off sick and other members of staff who have the appropriate training and experience were able to provide an excellent meal at short notice. A sample of the menus was examined by the inspector and showed that a varied diet is offered to the residents that allows for various tastes. The registered manager told the inspector that the menus are changed seasonally and the residents are involved in making the changes. Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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 standard(s) This section was not inspected on this occasion. EVIDENCE: Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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 standard(s) This section was not inspected on this occasion. EVIDENCE: Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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 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) This section was not inspected on this occasion. EVIDENCE: Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 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 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) This section was not inspected on this occasion. EVIDENCE: Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 Page 17 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 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3
COMPLAINTS AND PROTECTION x x x x x x x x 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 Standard No 16 17 18 Score x x x x x x x x x x x Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 Page 18 no 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 38 Regulation 26 Requirement That the Registered Provider must provide a written report of monthly visits made to the home and supply a copy to CSCI Timescale for action 31.05.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 19 Good Practice Recommendations It is recommended that the general appearance of the home should be made to look more homely, with the addition of soft furnishing touches. Leafield Rest Home H57-H08 S13103 Leafield V222055 180405 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Burgner House 4630 Kingsgate Oxford Business Park (South) Cowley, Oxford, OX4 2SU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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