Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: The Sycamores Norton Road Wakefield WF1 3PB 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: Tony Railton
Date: 2 0 0 2 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 23 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home
Name of care home: Address: The Sycamores Norton Road Wakefield WF1 3PB 01924379994 Telephone number: Fax number: Email address: Provider web address: sycamores@tri-care.co.uk Name of registered provider(s): Type of registration: Number of places registered: Tri-Care Ltd care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 40 The registered person may provide the following category of service only: Care Home only - Code PC, To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places 40 Date of last inspection Brief description of the care home The Sycamores provides personal care and accommodation for up to 40 older people. The home is built on two levels with single en-suite accommodation and provides shared lounges and dining rooms. There is a passenger lift and assisted bathing for those who require them. The grounds and gardens to the home are well presented and accessible. There is a large garden to the front with trees and flowering shrubs and garden furniture for the use of people using the service. There is car parking to the front of the building and the home is easily accessible to local shops, church and public Care Homes for Older People
Page 4 of 23 Over 65 40 0 Brief description of the care home houses. On the 23rd January 2008 the manager said that the fees ranged from #380.35 to #525.00 per week. Further information about the services provided can be obtained and the role of the CSCI can be obtained by contacting the home or emailing sycamores@tri-care.co.uk Care Homes for Older People Page 5 of 23 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: Following this visit to the service it has been given a Two Star rating which means people living in the home experience good quality outcomes. This visit started at 08:30 and ended at 13:00. During this visit there was the opportunity to speak to people living in the home, the Manager, Deputy Manager care staff, domestic and kitchen staff. There was also the opportunity to speak to a visiting District Nurse. Some peoples records were seen and included assessments, care plans, reviews, daily and medical records. Some staff records were also seen and included references, interview notes, police and PO VA (Protection of Vulnerable Adults List) checks. Staff training records, supervision notes and the minutes of staff meetings were also seen. A tour of the premises was undertaken and peoples daily routines were observed. Some quality assurance surveys were seen along with maintenance and fire safety records. The monthly providers audit reports were considered and some peoples medicines and monies were checked. The inspector would like to thank the people living in the home,
Care Homes for Older People Page 6 of 23 the manager and the staff team for their hospitality and cooperation throughout the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People
Page 8 of 23 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 23 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 10 of 23 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. To make sure peoples personal and health care needs can be met by the service these are assessed before coming to live in the home. The home does not provide a specialist service or designated accommodation for intermediate care. Evidence: To make sure peoples personal and health care needs can be met by the service these are assessed before coming to live in the home. The acting manager confirmed this and the pre-admission assessments in peoples records. Records also show people can visit the home and have a look around before deciding to move in. On the day of the visit people were observed visiting and discussing the services provided. Care Homes for Older People Page 11 of 23 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. Peoples individual care needs are set out in their plan of care, they are treated with dignity and have their wishes respected and they are protected by the way medicines are dealt with. Evidence: On entering the home people appeared to be happy and comfortable. People were relaxing in the lounges, dining rooms and in seating areas around the home. Everyone appeared to be well cared for, attention to detail showed as peoples clothes were color coordinated, hair groomed and fingernails manicured, and spectacles were clean. Enough staff were observed to be available to meet peoples care needs in a relaxed and unhurried manner. To make sure peoples care needs are met records show there are care plans to guide staff. The reviews show these are looked at regularly and changed to reflect peoples care needs. Peoples care needs are assessed as records show their nutritional, pressure care, mobility,and medical needs are assessed and care planned accordingly. Discussion with care staff found they have a good understanding of the care needs of older people. Discussion with a visiting District Nurse found they were pleased with the service and had no issues with quality of care
Care Homes for Older People Page 12 of 23 Evidence: provided. They also say staff are always very helpful and residents always appear to be well cared for and happy. One person living in the home said its like living in a five star hotel. Another says the staff are wonderful and very caring. Another said they have everything they need and the care is marvelous. People were observed throughout the visit being treated with respect and having their wishes respected. People are protected by the way medicines are dealt with as a sample of medicines were checked and found to be safely administered. To further protect people staff training records show they have training in how to give medicines safely. The acting manager says they check the medicines weekly and the Regulation 26 Providers Report shows medicines are audited monthly. The quality assurance surveys show people , their relatives and others are happy with the quality of the services provided. Care Homes for Older People Page 13 of 23 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. Peoples lifestyle matches their expectations and they enjoy a varied and balanced diet of their choosing. Evidence: People living in the home say the enjoy and like the meals provided. One says the meals are excellent, another says the food is very good indeed, another says they have plenty to eat and they have a choice of menu. People were observed having their breakfast and lunch in relaxed and quiet surroundings. People were observed being asked what they would like to eat. People were observed being treated with dignity and having their wishes respected. Discussion with the cook found they have everything they need to ensure they provide a varied and balanced diet. The menu is displayed in the home to show people what meals are to be offered. The returned quality assurance surveys show people and their relatives are happy with the service and the meals provided. The activities pro gramme dis payed on the notice board show people what activities are organized in the home. The daily records show when people have participated in activities. However they do not contain descriptive words to reflect and show peoples choices and preferences or any decisions they make about how they live their daily lives. Records show some people are assisted to go shopping to the local shops and city center. Records also show people from a local Sheltered
Care Homes for Older People Page 14 of 23 Evidence: Housing Scheme come into the home to participate in organized events and to socialize with people living in the home. Care Homes for Older People Page 15 of 23 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. Peoples concerns are taken seriously and acted upon and people are protected from any kind of abuse. Evidence: The record of complaints show that what people and their relatives say is taken seriously and is acted upon. People living in the home say they know how to make a complaint if they needed to. One visiting District Nurse says they know how to make a complaint but have never felt the need as staff are always friendly and helpful. People have access to the complaints policy as it forms part of the Service User Guide given to people and their relatives and is also displayed in the home. People are protected from any kind of abuse as staff training records show everyone has Safeguarding training. The returned quality assurance surveys show people and their relatives know how to make a complaint , however, are happy with the services provided. Care Homes for Older People Page 16 of 23 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. People live in a well decorated and well maintained environment that is homely, comfortable, clean and safe. Evidence: A tour of the home found it to be well decorated and well maintained. People were observed relaxing in the dining rooms and lounges that are comfortable and clean. One person says its like living in a five star hotel. Another says they are very happy and have everything they need. To make sure people are safe the records show health and safety checks are completed regularly and include checks on the passenger lift, hoists and the fire safety systems. The certificate displayed in the entrance shows the homes kitchen has recently been awarded Fire Stars by the Environmental Health Department for Hygiene and food preparation. The kitchen staff are to be commended for their efforts in maintaining such high standards. A tour of the premises also found it to be clean and free from any unpleasant odors discussion with domestic staff found they work hard to maintain standards throughout the home. The domestics are to be commended for their efforts in maintaining a high standard of cleanliness throughout the home. The returned quality assurance surveys show people and their relatives are happy with the accommodation and services provided. Care Homes for Older People Page 17 of 23 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. Peoples care and support needs are met by trained and qualified staff and they are protected by the way staff are recruited and selected. Evidence: People are protected by the way staff are recruited and selected as records show they have references, police and POVA (Protection of Vulnerable Adults List) checks taken up before they are employed. People are cared for by trained staff as records show they have induction training that includes Safeguarding and Moving and Handling. Staff training records also show peoples health and safety is promoted and protected as staff receive Moving and Handling, First Aid, Food Hygiene, Infection Control and Health and Safety training. Records also show people are cared for by staff that have National Vocational Qualifications. To make sure peoples support needs are fully met records show staff have Dementia Awareness and Equality and Diversity training. Throughout the visit people were observed being treated with dignity and having their wishes respected. Positive relationships were observed being fostered between those living in the home and those caring for them. One person living in the home says staff are wonderful and very caring. Another says the staff are great. One visiting District Nurse says the staff are always very helpful and professional. The returned quality assurance surveys show people nd their relatives are very happy with the staff and the quality of services provided. Care Homes for Older People Page 18 of 23 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. People live in a well managed and well run home that is run in their best interests and where they and their relatives have a say in the running of the home and the quality of services provided. Evidence: A tour of the premises and the maintenance records show people live in a well managed home where they are safe. The Quality Assurance surveys show people and their relatives have the opportunity to comment on the running of the home and the services provided. However, what they say about the home is collated regionally and the home does not provide its own report showing and reflecting what people say about the services provided. The minutes of the staff meetings and supervision notes show they also have the opportunity to comment on the running of the home. Peoples health and safety is promoted and protected as staff training records show they have Health and Safety Training. Peoples financial interests are also protected as a sample of peoples monies were checked and found to be correct and properly administered. The Regulation 26 Providers monthly reports show the way peoples health and safety,
Care Homes for Older People Page 19 of 23 Evidence: medicines, and and monies are administered and kept are audited regularly. Care Homes for Older People Page 20 of 23 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 21 of 23 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 14 The daily records would benefit from the use of descriptive words to reflect and show peoples choices , preferences and any decisions they make about how they live their daily lives. The managers pending application to be Registered should be actively pursued. As a matter of good practice the providers should consider providing the home with its own quality assurance report reflecting the views and comments of people living in the home, their relatives and other stakeholders. 2 3 31 33 Care Homes for Older People Page 22 of 23 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 23 of 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!
