Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 16/05/05 for The Hope Residential And Nursing Care Home

Also see our care home review for The Hope Residential And Nursing Care Home for more information

This inspection was carried out on 16th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The employment of a full time activities co-ordinator is an asset to the home. She provides a programme of activities, which is changed to suit the needs of residents or when external entertainers have been arranged. Several residents said they were keen on the exercise classes. Residents were pleased with the overall care provided by nurses and carers.

What has improved since the last inspection?

The files for staff now contain all the necessary information. The manager said that references are not accepted from a relative of a job applicant. This was a recommendation from the last inspection. The home now has a form that is signed by the resident or their family where the use of bedrails is important for the safety of that resident. This was a recommendation from the last inspection.

CARE HOMES FOR OLDER PEOPLE The Hope Residential and Nursing Care Home Brooklands Avenue Cambridge Cambridgeshire CB2 2BQ Lead Inspector Alison Hilton Announced 16 May 2005 @ 08:50 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. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Hope Residential and Nursing care Home Address Brooklands Avenue, Cambridge, Cambridgeshire, CB2 2BQ 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) 01223 359087 01223 350035 Holy Family Sisters of Bordeaux Elizabeth Angela Cowper Hill Care Home with Nursing 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21/01/2005 Brief Description of the Service: The Hope is a large detached property near the centre of the city of Cambridge. It is owned by the Holy Family Sisters of Bordeaux registered as the Hospital Management Trust. The home is set in attractive well kept gardens and is within walking distance of local amenities. Cambridge railway station is close by allowing easy access for visitors. There is adequate parking available in the grounds with some spaces clearly marked for anyone with a disability. Entrance to the home is through automatic doors. The Hope has a large reception area, which contains seating and has information about the home including the last inspection report, menus and statement of purpose and service user guide. Residents accommodation is arranged on three floors, which can all be accessed by lift or stairs. Each floor contains bedrooms, sitting rooms, dining areas and office space for staff. On the top floor is a large chapel which is used for weekly religious services for the residents. It can also be used (on request) for funeral services. The home caters for up to 57 older people over the age of 65 years. Up to 44 beds can be used for service users requiring nursing care. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection starting at 08:50 and ending at 16:40 on Monday 16th May 2005. The inspector toured the building; spoke to 8 residents, 4 staff and the manager. Various records and 3 residents files and two staff files were also seen. There were 55 residents in the home and none in hospital. What the service does well: What has improved since the last inspection? What they could do better: Although one of the care plans seen during the inspection was completed to a good standard, two others needed more information to make sure the care and social needs of the resident are met. The home needs to have a consistent standard both in plans of care as well as other paperwork where signatures, dates and basic information had not been completed. Some residents felt they were not treated with respect or provided with assistance when they needed it. See Health and Personal Care in the main text. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 6 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. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 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 The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 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) 2,3,4,5,6 The home usually gathers enough information to ensure it can provide an appropriate placement for residents, in spite of the quality of information provided by other agencies sometimes being inadequate. EVIDENCE: Most residents spoken to said that they had not visited the home prior to admission as they had not lived in the area, or were in hospital, but a relative or friend had always visited and told them what the home was like. Individual records are kept for each of the residents and three resident files were seen during the inspection. They did not all contain enough information to show resident’s needs had been properly assessed and planned for. The quality of the information provided by Social Services Departments, hospitals and other homes before a resident is admitted varied and The Hope needs to ensure it has enough information to make a decision about the suitability of the prospective resident to the home. A senior member of staff completes a Hope Assessment form, which is used in conjunction with the above information to make any decision, but again the quality of these varied. In conversation with the manager it was discussed that information provided by The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 9 another home or hospital over the telephone should be documented as such. This was in relation to the wording of a type of behaviour in the file of one resident. The Hope does not offer intermediate care. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 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 standard(s) 7,8,10 and11 In talking to residents and staff it was evident that the health and personal care needs of residents are being met, providing a safe and caring environment that is appreciated by them, but plans of care are not detailed enough to evidence that care. Staff should ensure that comments made to residents are appropriate and acceptable to ensure residents feel they are respected. EVIDENCE: Most residents spoken to during the inspection were unsure if they had been involved in their plan of care. Most thought it would be their relative who “handled those things”. On the three files seen it was evident that two plans had been reviewed with relatives. The manager said that the third file would have been reviewed with a Sister (religious not medical) within the home who took part in reviews relating to Sisters residing there, although there was no evidence on file. Information in two of the plans was not adequate to ensure staff knew what care needs a resident had or how to deal with specific issues especially around behaviour. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 11 Risk assessments are completed and were detailed on file. Daily notes made for every resident were clear and concise. There were separate notes relating to GP visits ensuring up to date information was readily available. Residents spoken to said that the GP is called when necessary or if they ask for a visit. Accidents/significant events are recorded and signed by the manager to make sure she has an overview of any issues about care or protection of residents. Generally residents praised the care provided by staff at The Hope. Comments such as “the staff are very nice”, “ the staff are fine and long suffering”, “ the staff are kind”, and “the girls are quite amiable” were some of the positive views shared. However one resident commented that they were kept waiting for the help required to attend to personal needs when staff were on their breaks. There were some negative comments about some of the night staff and this was discussed with the registered manager and she will be looking into these comments. The manager later reported that when she checked, the comments about night staff had benn dealt with prior to the inspection. The home has a comprehensive form to cover the wishes of a resident at the time of their death. On the day of inspection the chapel was being used for the funeral service of a resident who had died and it was evident that the home and its staff were sensitive to the needs of the family, friends and other residents as well. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 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 standard(s) 12,13,14 and 15 The activities co-ordinator continues to provide a varied and interesting programme of activities in an effort to meet social, religious and recreational needs within the home. EVIDENCE: The Hope is owned by the Holy Family Sisters of Bordeaux and has a large chapel used for religious services during the week. The home has an activities co-ordinator who was present on the day of inspection. There were details of a weekly programme of activities on each floor. Details of activities attended by each resident are kept on their individual files. The information contained in the files was excellent. Residents said they had the opportunity to paint, take part in cookery sessions, religious ceremonies and music and movement (exercise) classes. Two residents said they have the talking books as they have a visual impairment. Others use the mobile library. The residents said that they would like to get out of the home more and have other activities but were unable to think what they could be. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 13 Residents spoken to said that they see their families and friends when they like and they are made welcome and provided with tea/coffee and biscuits. Some said they went out with their relatives. Several residents have private ‘phones in their bedrooms. The manager said that the home has not had a resident meeting since 2004 but are in the process of having a tea party for each floor so that relatives and friends can be invited and have an informal chat with the manager and staff. The Hope is having its annual Garden Party in July and there will be a residents meeting in June to check what the residents want to include in it. Residents spoken to during the inspection said they could generally get up and go to bed when they wanted. One resident did comment, “staff want you up before midday”. A folder in the foyer of the home has details of the menu selection provided. Residents said they enjoyed most of meals, although two said the food was “institutional”. They said there was always a choice and if they did not like any of the choices then staff would find something that they did want to eat. Residents said they were encouraged to eat in the dining rooms but could choose to eat in their rooms if they wished. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 14 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) 16,17 and 18 The home has suitable policies and procedures in relation to complaints, which ensure they are listened to and dealt with efficiently. Staff are informed during their induction and in the homes Protection of Vulnerable Adults policy that investigations into allegations of abuse can lead to them being placed on the POVA list (even if they leave during the process), ensuring the future protection of other residents. EVIDENCE: The home has a comprehensive complaints procedure and the complaints file was seen. There have been two complaints since January 2005. Documentation showed that they had been dealt with appropriately. Residents said they would talk to the manager if they were unhappy with aspects of their care. Residents said that their families held Enduring Power of Attorney. The administrator confirmed that copies of the documents are kept in a separate file in the home. The manager said that the homes policies in relation to the Protection of Vulnerable Adults had been changed to include the details required at the last inspection. Staff also received the information during their induction. The manager said that lots of residents went to the local polling station on 5th May to vote, although the premises used were not wheelchair friendly. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 15 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) 19,20,21,22,23,24,25 and 26 A continuing programme of decoration both internally and externally at the home is improving the environment for those who live there. EVIDENCE: The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 16 The exterior of The Hope was being redecorated on the day of inspection. The manager said there was an ongoing internal decorating programme. The corridors had been decorated this year. All this created a pleasant environment. The home has three floors and each has bedrooms, bathing/shower facilities, dining rooms and lounges available. The manager and staff said that the home currently had three types of hoist at the moment to ensure residents can be moved safely. The dining rooms and sitting rooms are spacious and provide enough room for wheelchair users. The sitting rooms had TV’s, cd players, bookcases and other typical furniture. The dining rooms had tables set for lunch and the rooms were bright and airy. Corridors were clear of obstacles. It was evident in the bedrooms that residents bring personal possessions such as small pieces of furniture, photo’s and pictures into the home. Most residents said they spent a lot of time in their rooms, often just going to the dining room for meals. The manager provided evidence that the home checks water temperatures regularly to prevent Legionella. The home was clean and had no offensive smells. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 17 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) 27,29 and 30 The procedures for recruitment of staff are comprehensive and provide the safeguards to offer protection to residents in the home. EVIDENCE: The manager stated that the home employs 40 care staff, 17 nurses, 3 receptionists and 12 ancillary workers. Although numbers of staff appear to have decreased since the last inspection the manager said that this was because there were now more full time staff employed which had improved the system of care at the home so the number of care hours has not changed. Two carers who have NVQ Level 2 and one is training. Eighteen carers have NVQ Level 3 and 7 are training. The home has a video to train staff about the prevention of abuse to vulnerable adults. This is followed by discussion and completion of learning outcomes. All but 5 staff have completed this. The files for two staff were seen and there was evidence that the necessary recruitment checks had been completed. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 18 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) 31,35,36,37 and 38 The home has guidance and direction to ensure residents receive consistent care. EVIDENCE: The manager has been at the home many years and is registered with the Commission. Residents spoken to in their rooms had the call bell within reach. The manager is open to ideas and spoke about a suggestion from a member of staff that there could be a suggestion/comment box put in the home for a few days each month so that staff and residents could make a contribution to the home through their comments but remain anonymous. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 19 The home has group supervision for staff as well as individual. The manager said that the supervisor and supervisee now sign the expanded records. Each floor has separate group supervision and trained staff also receive supervision. Heads of department and trained staff meet six weekly. Health and safety meetings are held every six weeks. The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 20 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 3 2 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 x x x 3 3 3 3 The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 21 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 3 Regulation 14 Requirement The registered person shall not provide accommodation to a service user at the care home unless the needs of the service user have been assessed. The registered person must ensure that a written plan as to how the service users needs in respect of his health and welfare are to be met. The registered person and manager shall encourage and assist staff to maintain good personal and professional relationships with service users. Timescale for action 31st May 2005 2. 7 15 30th september 2005 30th June 2005 3. 10 12 (5) 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 Good Practice Recommendations The Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 22 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Hope Residential and Nursing Care Home I53 I03 S24310 THE HOPE V227201 160505 STAGE 4.doc Version 1.30 Page 23 - 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!