Inspection on 09/11/05 for The Homestead Residential Home

This inspection was carried out on 9th 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

The Homestead Residential Home 29/05/09

The Homestead Residential Home 22/05/07

The Homestead Residential Home 20/02/07

The Homestead Residential Home 16/06/05

The Homestead Residential Home 08/03/05

The Homestead Residential Home 20/07/04

The Homestead Residential Home 10/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Homestead Residential Home Wolverhampton Road Prestwood Near Stourbridge West Midlands DY7 5AN Lead Inspector Mrs Kathryn Marks Unannounced Inspection 9th November 2005 10:00 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 The Homestead Residential Home DS0000042500.V264960.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. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Homestead Residential Home Address Wolverhampton Road Prestwood Near Stourbridge West Midlands DY7 5AN 01902 335749 01384 873642 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) Knoll House Nursing Home Limited Ms Pamela Lynne Watkins Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability over 65 years of age (1) of places The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th June 2005 Brief Description of the Service: The Homestead is a thirty- bedded care home for independent elderly persons of pension able age requiring minimal help with personal care and daily living tasks. The Homestead promotes independent living and offers a wide variety of activities and menus to suit all personally assessed needs. The Homestead is not registered for nursing care but will endeavour to care for residents as long as possible within its category of registration. The frontage of the home provides the main outside sitting area for residents, as this can become a suntrap during the summer months. As part of the extension work taking place the frontage is being improved, there are gardens with lawns, fruit trees, and flowered borders to the rear of the building. Set in a semi rural location yet within easy reach of neighbouring Kinver, Stourbridge, and Kingswinford. Accommodation at the home is of a high standard and offers both shared and single bedrooms with the majority having en/suite facility. There are assisted bathrooms and a hairdressing salon. A passenger shaft lift is located off the main hall, there are two lounges, both have a television and the dining room is located at the rear of the lounge. The home operates a no smoking policy. As at previous inspection work is currently taking place on an extension to the home enabling the proprietors to reduce double bedroom and provide nine single bedrooms with en/suite shower and an office. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over half a day on the 9th November 2005. During the course of the inspection the inspector spoke to relatives visiting the home to see their family member or to take them out for appointments all made comments of a positive nature about the care observed in the home. Residents when spoken to confirmed to the inspector that they are cared for appropriately and content with life at The Homestead. One resident when talking about food said, “it was so nice that they had seconds and now felt stuffed” a number of individuals commented on today’s lunch and how nice it was. During the course of this inspection written information was provided by the Care Manager and via information displayed with regard to staffing, staff training, and dietary provision. On arrival at The Homestead a church service was taking place following this residents were conversational and moving freely around the home others were reading the daily newspapers or chatting. Resident’s accommodation is located on the ground and first floor and personalised as individuals wish. Observations of the inspector were that areas of the home visited were clean and maintained to a good standard. The Homestead has in place a Statement of Purpose and Service Users Guide to inform residents and their relatives of the services and facilities provided. Both documents will be updated on completion of the new extension. All service users have a full assessment of their needs carried out prior to admission to the home. Arrangements are in place for meeting the health and personal care needs of residents and details are recorded in care records. Regular social opportunities are available for individuals who wish to be involved. Events organised for the month are displayed on the notice board. Observations of menu were that residents are provided with a choice of wellbalanced and nutritious food, the cook consulting with residents on a daily basis. The home has a complaints procedure in place that residents were aware of and is given and explained to the resident and their relatives on admission to The Homestead. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 6 The complaints procedure is displayed in the hallway along with details of how to contact the Commission for Social Care Inspection. Staff at the home are experienced and competent to care for older people and were familiar with the diseases associated with old age. Appropriate recruitment procedures are in place and all staff prior to employment has Criminal Records Bureau and Pova checks carried out. What the service does well: What has improved since the last inspection? What they could do better: Complete the extension. Risk assessments to be reviewed and brought up to date. The stair carpet that is threadbare to be replaced. Please contact the provider for advice of actions taken in response to this The Homestead Residential Home DS0000042500.V264960.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. The Homestead Residential Home DS0000042500.V264960.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 The Homestead Residential Home DS0000042500.V264960.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): 1,2,3,4,5. The homes statement of purpose and service users guide provides prospective residents with details of the services the home has to offer enabling an informed choice about admission to be made. The Statement of Purpose and Service Users Guide will both be updated on completion of the new extension as identified in the previous report. EVIDENCE: The homes Statement of Purpose and Service Users Guide is given to residents and relatives clearly describing the services and facilities the home is able to offer. All residents have contracts of terms and conditions of residence at the home a copy of which is on resident’s files. A full assessment of individual needs is carried out prior to admission to The Homestead to ensure that the needs of residents can be met. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 10 The prospective resident or their relative would visit the home where possible could stay for the day have a meal what ever they wanted to do. Staff would visit the individual in their own home or current surroundings to gather initial information to commence the assessment process. The outcome of the assessment is confirmed to individuals in writing. Standard 6 is not applicable to this home. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 11 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): 7,8,9,10,11. The health, personal and social care needs of residents is well met. The systems for the administration of medication were observed by the inspector to be good with clear arrangements being in place to ensure residents medication needs are met. EVIDENCE: Residents care plans are now kept in individual bedrooms with the daily plan being located in the care station. Risk assessments are carried out as necessary and form part of the care records risk assessments sampled required reviewing and updating. Any contacts regarding health and personal care are recorded in care records, and identified that good professional working practices take place. At the time of this visit there was one resident self-medicating a lockable facility is provided in resident’s bedroom. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 12 Detailed records were in place for the administration of medication and medication is securely stored in a locked metal trolley that is secured to the wall. Policies/procedures are in place with regard to death and the dying if a resident’s relative wanted to stay with them at this time then this would be accommodated. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 13 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): 12,13,14,15. The Homestead provided a relaxed and friendly atmosphere with residents moving freely in and around the home. The systems for consultation with residents are good with evidence that resident’s views are listened to and acted upon. The meals offered in the home were traditional and wholesome new menu in place that provides residents with choices at all mealtimes. EVIDENCE: The inspector talked to residents who said that they liked living at The Homestead and that they were content with the lifestyle they experience at the home. There is a varied activities programme in place that offers residents social opportunities as they wish to be involved, months activities are displayed on the notice board. A church service and communion was taking place when the inspector arrived at the home. Specific hobbies identified are encouraged and community/relative involvement is good. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 14 Observations were made of individuals being encouraged to make choices about their daily lives residents confirmed this in conversations with them. Food provided for residents was nicely presented to them and portions were generous residents said they enjoyed their food and that choices were available inspector observed choices at all meals on the menu. Fresh vegetables and fresh meat are delivered to the home twice weekly and baking is home made. Four care staff on duty in the afternoon one care staff comes on duty at 2 pm and goes into the kitchen until after tea is finished she then goes onto care duties. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 15 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): 16,17,18. The home has a satisfactory complaints system with some evidence that service users views are listened to or acted upon. EVIDENCE: As at the previous inspection the home has in place a complaints procedure that is explained to residents is displayed in the hallway and contained in the Statement of Purpose and Service Users Guide. Residents the inspector spoke to were aware of the complaints procedure and said they would talk to relatives or staff if they had any concerns. A record is kept of complaints and grumbles and how they are dealt with. All residents have family support and are assisted by families/solicitors/power of attorney to maintain their legal rights. Observations were made of the Care Manager obtaining the views of residents with regard to postal voting. Residents are protected from abuse via involvement of families, staff training, and policies/procedures in place at the home. A review of policies and procedures is currently taking place and these will be updated where necessary. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 16 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): 19,20,22,23,24,26. The standard of the environment generally within the home is good providing residents with a comfortable homely place to live. Refurbishment work and a new extension that is being built have caused some difficulties within the home but this is now coming to an end and will provide extra lounge area and bathing/toilet facilities. EVIDENCE: The home generally is well maintained and suitable for its stated purpose. Programmes of routine maintenance are in place and work identified is being carried out. Resident’s bedrooms are personalised as individuals wish with favourite items they have brought to the home with them. The stair carpet that is becoming threadbare the proprietor told the inspector is being replaced within the next two weeks. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 17 Externally there are attractive grounds with level walkways and seating for residents. A new nine-bedded extension is being built to the side of the main building and on completion will provide nine shower en/suite bedrooms, extra toilet/bathing, and office facility. The communal area at the front of the home is currently under construction and will provide a new terrace area with seating and flowerbeds and a new ramp giving access to the terrace and car park. The Homestead was clean comfortable and free from offensive odour. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 18 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): 27,28,29,30. At the time of this unannounced inspection staff on duty were competent and satisfactory in number to meet the needs of individuals in their care. There are robust procedures in place for the recruitment of staff. EVIDENCE: At the time of this visit to The Homestead observations of staff identified that staff on duty were as the rota and were sufficient in number to meet the observed needs of individuals in their care. Robust recruitment procedures are in place to employ staff Criminal Records Bureau checks are carried out along with POVA checks prior to permanent employment being offered. CRB documentation is on staff files. Two new care staff has completed Topps Induction at Training Centre in Stourbridge. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 19 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): 31,32,34,35,37,38. The manager is well supported by the proprietors and the area manager in providing leadership throughout the home with staff on duty demonstrating an awareness of their roles and responsibilities. EVIDENCE: As at the previous inspection the registered manager ensures so far as is reasonably practicable the health safety and welfare of service users and staff. Safe working practices are in place and staff had received training in moving and handling, fire safety, first aid, food hygiene, and infection control. Hazardous substances are securely stored and certificates for servicing are in place. Service users said that they felt comfortable in approaching management if they wanted to discuss any issues. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 20 The Registered Manager is qualified and competent to run the home and meet its stated purpose, she has A1 & A2 assessors award and is a moving and handling trainer. The Manager is NVQ Level 4; she was Care Link Manager at a nursing home prior to moving to The Homestead and has completed the Registered Managers Award. As Care Manager she is responsible for The Homestead only. The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 21 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 3 3 3 4 4 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X 3 3 3 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 3 x 3 3 x 3 3 The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 22 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 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. 2 Refer to Standard OP19 OP7 Good Practice Recommendations Work on extension be completed. Risk assessments be reviewed and updated The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 The Homestead Residential Home DS0000042500.V264960.R01.S.doc Version 5.0 Page 24 - 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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