Inspection on 12/01/09 for Neville House Residential Care Home

This inspection was carried out on 12th January 2009.

CSCI found this care home to be providing an Good service.

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

Neville House Residential Care... 16/01/08

Neville House Residential Care... 08/08/07

Neville House Residential Care... 08/03/07

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Neville House Residential Care Home 12 Montreal Avenue Chapel Allerton Leeds West Yorkshire LS7 4LF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Frederick Rawlins     Date: 1 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Neville House Residential Care Home 12 Montreal Avenue Chapel Allerton Leeds West Yorkshire LS7 4LF 01132629764 01132623609 melanie@skcarehomes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : SK Care Homes Ltd care home 22 Number of places (if applicable): Under 65 Over 65 22 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Neville House is a small care home for older people, owned by SK Care Homes Ltd. The home is ideally situated in Chapel Allerton, North Leeds and provides ample car parking and is near local shops. The post office, doctors surgery and dental surgeries are all within a very short walk. Churches of most denominations are also close by. There is a choice of single and twin-bedded rooms, which are all pleasantly decorated and carpeted. People who live at the home may bring items of their own furniture if they wish. All meals are prepared and cooked on the premises. A flexible menu is planned and served each day and the cook is able to cater for any individual specialised meals or dietary requirements. Neville House aims to provide a family atmosphere where people can join in with the activities and events as much or as little as they wish. Care Homes for Older People Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two star (2*). This means that people that use the service experience good quality outcomes. A visit was made on 12th January 2008 from 08:45 to 15:45. The home did not know that this was going to happen. The inspection was conducted in the company of the manager. Feedback was given to her at the end of the visit. The purpose of the visit was to assess what progress the home had made and the impact of any changes in the quality of life experienced by people living at the home. Before visiting the home we asked for information from the manager (the Annual Care Homes for Older People Page 5 of 25 Quality Assurance Assessment - AQAA) which asks about what policies and procedures are in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. The methods used during the inspection included talking to people who live in the home, staff, manager and relatives visiting at the time. Care records were looked at and a tour of the home was carried out. At the time of writing this report, the fees charged for care provided were 420 pounds 64 pence to 543 pounds per week. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: Some care plans would benefit from additional information about individuals needs, abilities and preferences. The care records should clearly show the weight of people who uses the service so dietary needs can be addressed better. Care plans should be fully reviewed at the agreed time and any changes recorded and actioned. Care Homes for Older People Page 7 of 25 The medication administration record (MAR) sheets should always be signed when medication is given. If not this could lead to people been given medication twice. Medication prescribed by the GP should be dated so that people would know when medications are out of date. Formal one-to-one staff supervision should always take place, this gives staff the opportunity to discuss their training and personal development needs. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can make an informed choice about the home through visits and the information they are given. Evidence: The information about the service is good and gives people the opportunity to decide whether or not the home can meet their needs. An information pack and brochure outlining the facilities are sent or given to the enquirer. People are given the opportunity to visit and assess the quality of care and environment before moving in. This is either pre-arranged or an open door approach encouraged. They are invited to lunch, meet other people and join in any activities on the day. Records show that peoples needs are assessed before they move into Neville House Care Homes for Older People Page 10 of 25 Evidence: either in their own home or temporary place of residence. We spoke to a visitor whose relative had been living at the home for a few months. They chose the home after looking round a few. They said that they had been given all the information they needed to make an informed decision. From the surveys returned people said We had a very helpful visit first, I was brought here by the social worker to look round first, The information was exceptional and When I contacted Neville House and visited I was given lots of information. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health care needs are met but the lack of person centered care plans provides the opportunity for some needs to be overlooked. Evidence: All the people living at the home have a care plan providing some information about care needs. The level of detail was variable with some good detail seen about care preferences. Some of the plans would benefit from additional information about the individuals needs, abilities and preferences. For example:The care plans for people with dementia did not say how it affected them and how staff could help them. On examination of records there was no evidence that people had been weighed when admitted. The care records must clearly show the weight of people and what action Care Homes for Older People Page 12 of 25 Evidence: has been taken by staff to ensure dietary needs are addressed to prevent serious consequences to their health. It was not clear that care plans were fully reviewed and any change found actioned. Social Services had carried out a review of some people. They had identified that one persons care needs had changed, however the reviews done by the home stated no change had taken place. Medication records and stocks were looked at. The medication administration record (MAR) showed that the sheets were not always signed when medication is given. This could lead to people been given medication twice. One persons medication prescribed by the GP was not dated so there was no way knowing if the medication was out of date. It was clear from observation that staff treat people with respect and preserve their dignity. Discussions with staff and people at the home made it evident that staff know them well and know how to meet care needs. In the surveys returned people said My aunt says she does not require support- but has been given everything she requires in Leeds. All are very caring and supportive. I am not receiving the medication that Im needing. I have a lot of physical and mental needs. The same person said A doctors advice is always sought if and when I am taken ill, which is often. Relatives said they were kept up to date about changes in the persons condition such as illnesses or accidents. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home responds to individual needs and choices and encourages people to exercise control over their daily lives. Evidence: Relatives and visitors said that they could come at any time and they were always made to feel welcome. The atmosphere in the home was warm and friendly. It was clear that there were good relationships between people living in the home, their visitors and staff. People said that they could choose how to spend their time, when to get up, when to go to bed and where to eat their meals. However there was no evidence of these choices. There is a regular programme of activities through the week. It includes motivation exerise, indoor bowls, reminiscence sessions, sing-a-longs, quizzes and bingo. Everybody is encouraged to join in but people can choose whether or not they want to. People said Its my choice to join in, something happens each day. Joins in simple Care Homes for Older People Page 14 of 25 Evidence: craft I enjoy the chair exercises sessions. The lunchtime meal was observed. The tables were nicely set and people were given the time they required to eat their meal in comfort without being hurried. The cook is well aware of peoples preferences and this is taken into account when menu planning. People also have input into menu planning through group meetings. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable systems in place to make sure that complaints are dealt with appropriately and people are protected from abuse. Evidence: There is a complaints procedure in place and made available to everybody. People said details were enclosed with admission details. People also said that they knew what to do and who to speak to if they had any concerns. Feedback from staff indicates that they are aware of the homes policy on whistle blowing and knew what to do if they suspected that people were being abused or working practices at the home were not in the best interest of the people living there. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home continues to provide people with a pleasant, safe and comfortable environment in which to live. Evidence: The home was clean and tidy. People were happy with their rooms and said that they were kept clean and fresh. The rooms seen were nicely decorated and furnished. It was clear that people can bring their own belongings, and furniture where possible, to personalise their rooms. There is a range of communal space where people can meet with their families and friends. Feedback from people living at the home and their relatives shows that they are very pleased with the standard of accommodation. Comments included Im a regular visitor everything is always up to standard. There is a lot of people living here and its still kept clean. People said they were satisfied with the laundry services. Clothes and linens seen were clean, well laundered and ironed. Care Homes for Older People Page 17 of 25 Evidence: The home has achieved a rating of 3 stars out of a possible 5 from the Environmental Health following a new improved cleaning and recording system in the kitchen. The manager said they are aiming to reach 5 stars in the next kitchen hygiene inspection. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff employed to make sure peoples needs are met and staff are supported in developing the skills and knowledge they need to care for people properly. Evidence: The home has a thorough staff recruitment and selection procedure, which includes obtaining at least two written references and a Criminal Record Bureau (CRB) check before new staff start work. This makes sure only people suitable to work in the caring profession are employed. All staff are provided with written job descriptions, which outlines their roles and responsibilities. The staff rota showed that sufficient staff are employed on day and night duty to meet peoples needs and the home has a stable staff team and a low staff turnover, which helps to make sure people receive continuity of care. The manager said training has improved with staff motivated to take on new challenges and visitors to the home commented on the friendly, willing, hardworking staff. Staff volunteer to cover shifts in the event of holidays or sickness. Care Homes for Older People Page 19 of 25 Evidence: The manager confirmed that all new staff receive induction training to give them the skills and knowledge they need to care for people. Following induction there is an expectation that staff will study for a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. Currently 80 of the care staff have achieved a NVQ at level two. The manager said in-house training has increased to accommodate those without transport and those with child care. Feedback from staff indicates that they are generally pleased with the level and standard of training provided and are encouraged to take up training opportunities. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in a manner that promotes good service delivery in the best interest of people using the service. Evidence: The manager has several years experience of caring for older people. She has a positive attitude to the inspection process and has shown a willingness to work with us to maintain and improve standards at the home. The manager confirmed that she is well supported by the providers and there are clear lines of accountability, which makes sure the home is managed effectively and in the best interest of the people living there. To make sure that there are clear lines of communication within the home regular staff meeting are held and the manager operates an open door policy so that people are able to approach her any time if they have a problem or concern. Formal one-to-one staff supervision also takes place, which gives staff the opportunity to discuss their Care Homes for Older People Page 21 of 25 Evidence: training and personal development needs. However this has lapsed a little, it was agreed this would be addressed. The home holds money in safekeeping for a number of people. Only senior staff deal with peoples personal finances and receipts are obtained for any items purchased on their behalf. Policies and procedures are in place to ensure the health and safety of people living at the home, visitors and staff, which are audited on a regular basis to make sure that they comply with changes in legislation and good practice guideline. Information provided in the self assessment form shows that all equipment in use at the home is serviced in line with the manufacturers guideline, which means that people can be sure they are in good working order. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 7 9 Care plans should be fully reviewed at the agreed time and any changes recorded and actioned. The medication administration record (MAR) sheets should always be signed when medication is given. If not this could lead to people been given medication twice. Formal one-to-one staff supervision should always takes place, this gives staff the opportunity to discuss their training and personal development needs. 3 36 Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!