Inspection on 13/11/06 for The Yews

This inspection was carried out on 13th November 2006.

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 Yews 23/02/06

The Yews 13/01/05

The Yews 28/10/04

The Yews 04/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Yews 73 Kettering Road Burton Latimer Northants NN15 5LP Lead Inspector Irene Miller Unannounced Inspection 13th November 2006 09:30 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 Yews DS0000012960.V318297.R01.S.doc Version 5.2 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 Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Yews Address 73 Kettering Road Burton Latimer Northants NN15 5LP 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) 01536 722561 01536 505483 Mr George Peng Khye Khaw Miss Elizabeth F David Mr George Peng Khye Khaw Care Home 13 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (13) of places The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home will limit its services to the following service user categories: No person falling within the category Older Persons (OP) can be admitted where there are already 13 persons of category OP already in the home. No person falling within the category DE (E) can be admitted where there are 6 persons in the category DE (E) already in the home. The total number of service users in the Home must not exceed 13. 2. 3. Date of last inspection 23rd February 2006 Brief Description of the Service: The Yews is a privately owned care home providing personal care only for older people. The Yews is registered to admit up to 13 residents within the category of old age. Within this total up to 6 persons within the category of dementia (DE (E)) can be admitted. All persons admitted to the home are over the age of 65 years. One of the jointly registered owners, Mr Khaw, is also the registered manager and is responsible for the day to day running of the home. Bedrooms are situated on 2 floors. A stair lift provides access to the first floor. Communal areas include a dining room and 2 lounges. All communal areas are located on the ground floor. There is a large garden to the rear of the home for the enjoyment and pleasure of the residents. The managers office is located in a small building sited in the rear garden. Both the registered persons live within the grounds of the home, this is called The Cottage. The current fees range from £348.55 to £395.00 per week. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for older people. The inspection included a thematic enquiry as part of a national pilot scheme. This consisted of asking a number of standardised questions to a sample of the residents. The registered person was informed and the agreement of residents was sought before asking a set of questions about the care they received. Prior to the inspection taking place the Commission for Social Care Inspection sent out to the home a pre-inspection questionnaire for completion by the Registered Manager. A sample of residents where selected to receive comment cards for completion, and the home was sent a sufficient number of comment cards for distribution to visitors/relatives and general practitioners who have contact with the home. The completed pre-inspection questionnaire was returned to the Commission for Social Care Inspection, together with residents and visitors feedback cards The feedback provided information on the management systems within the home and outlined the general satisfaction of residents living at the home and the satisfaction of those that visit the home. The primary method of inspection used was ‘case tracking’ that involved selecting two residents and reviewing the care that they received and viewing written information such as the care plans (a care plan sets out how the home aims to meet individual residents personal, healthcare, social and spiritual needs). Discussion took place with residents, staff, visitors and the homes management and general observations of care practices were made. Policies, procedures and records in relation to staff recruitment, complaints, medication and general maintenance and upkeep of the home were viewed. The registered manager George Peng Khye Khaw was available at the home throughout the inspection. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 6 The inspector spent two hours planning the areas to focus on at this inspection, based upon information gained from reviewing the homes service history, the last two inspection reports and information from the pre inspection data collection systems. The inspection took place over a period of approximately six hours. What the service does well: What has improved since the last inspection? The home continues to provide a good quality service. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 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 Yews DS0000012960.V318297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3,4 & 5 Quality in this outcome area is good. There are thorough admission procedures in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: When speaking with residents they said that they had been provided with written information on the range of services provided at the home, one resident referred to having seen a brochure. Staff said that prospective residents are encouraged to visit and spend time, to sample the lifestyle within the home, often staying for a meal giving the opportunity to meet the residents and staff, this was confirmed by the residents spoken with who said that they had been made very welcome and felt that all the information they required about the home had been provided. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 10 In general residents said that their families had liaised with the home prior to moving into the home and had supported them in the move, when asked about financial and contractual arrangements, many said that this had been an area where they had received support from their families, and where very satisfied with the outcomes and the care they received at the home. One resident had recently moved into the home after visiting their spouse who had lived at the home for several years. The resident said that they knew that the time was right for them to move into a residential home and be with their spouse. They confirmed that they had been well supported by the registered manager and staff both home pre and post the move, when asked about their knowledge of having a pre admission assessment carried out by the home to identify their care needs they confirmed that this had been carried out and that they had attended a review meeting with the registered manager and were awaiting their contract of care. The care plans viewed included pre assessment documentation that had identified the level of care required by the resident and how their needs were to be met. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10 & 11 Quality in this outcome area is excellent. The home meets the physical and emotional needs and expectations of the residents This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans contained detailed information on the range of physical and emotional needs of residents, the plans had been regularly reviewed and where any changes in the resident’s health care needs had taken place the plans had been updated. Staff spoken with were fully aware of the holistic care needs of the residents, and where additional support was required from the district nurse in caring for frail residents at risk of developing pressure sores there was treatment plans and pressure relieving equipment in place. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 12 The registered manager had been successful in retaining the support of the Macmillan nurse team for one resident who was frail and bed bound, the Macmillan nurse visiting and spending time with the resident three nights per week The medication storage and administration records were sample checked and seen to be in good order, one new member of staff was observed during their induction training to receive instruction on the storage and administration of medication, the member of staff confirmed that they had read the homes medication policy and procedures, of which a copy was available within the medication records file. Staff were observed to care for the residents with patience, compassion and respect, residents said that the staff did everything they could to help them and that the home was very nice and they felt well cared for. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 Quality in this outcome area is good. The home aims to meet resident’s individual social, cultural, recreational interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was no restriction to visiting times, visitors spoken with during the inspection said that the management and staff always made them welcome into the home, one visitor had continued to visit the home following the death of their mother, saying that friendships had been forged over the years with the residents living at the home and liked to keep in touch with everybody. For residents who wished to attend religious services at the local churches there was practical assistance available such as transport from members of the congregation. For residents that were unable to visit church there were arrangements in place for representatives from the local churches to visit providing spiritual support and Holy Communion was available should residents wish to receive the service. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 14 There was a variety of books and games for residents to access, and in addition to the main communal lounge there was also a quiet area where residents could spend time away from their bedrooms to sit and read or just have some quiet time. The main lounge had a widescreen TV, music system and a keyboard available, one resident said that they looked forward to the visits from a musician that visited the home every 2 two weeks to play the keyboard Pets were welcomed into the home there was as small Whippet that lived at the home, residents were observed to enjoy its company, stroking and petting it, in general taking an interest in its care and welfare. A Cockatiel lived at the home, which belonged to one of the residents, the resident had been encouraged to bring their pet to live with them, and the bird was well cared for and stayed within the resident’s bedroom. The menus were viewed and contained a variety of meals, on the day of inspection the lunch was liver and onions, mashed potatoes and mixed vegetables and fruit sponge and custard for sweet. One resident disliked liver and the home had provided a salmon steak as an alternative. One resident said that they needed practical help when eating their meals and that special cutlery had been provided to assist them to retain as much independence as possible when eating and drinking, and that the staff provided practical support when needed. The inspector spent time with residents in the dining room whilst the lunchtime meal was served. Staff were observed to offer practical support and assistance where residents required additional support, this was carried out in a relaxed manner. The food was attractively presented and the portions sizes were good. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. Residents can be assured that any complaints or concerns that they may have will be listened to, taken seriously and acted upon and that they will be protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is made available to all new residents and their representatives, and there is a copy of the procedure on display within the lounge of the home A record was kept of all concerns and complaints made, and there was records of the actions taken by the registered manager to address and resolve them, the records ensured that residents confidentiality was maintained From the comment cards received one comment in relation to the complaints procedure was made such as “any complaints are dealt with quickly and are rectified in short order, I have found the staff to be always friendly and helpful’. The Commission for Social Care Inspection (CSCI) was satisfied that the home deals with any concerns or complaints raised in accordance with the homes The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 16 complaints procedure and no complaints about the home had been brought to the attention of (CSCI) since the last inspection visit. The home has a policy on the protection of vulnerable adults and training is provided for all staff on recognising what is abuse and how to report any suspected or actual abuse. Staff spoken with demonstrated that they were aware of what constitutes abuse and what was expected of them should there be any incidents of abuse reported, there was a copy of the Northamptonshire Adult Protection Policies and Procedures available to follow to ensure that the correct procedure was followed and that the residents safety was protected at all times. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is good. Resident live in a home that is clean, comfortable and well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A limited tour of the building was conducted and bedrooms viewed were personalised, residents are encouraged to bring small items from there home that are important to them such as small items of furniture, photos, plants and ornaments. The home was pleasantly furnished clean and free from unpleasant odours, the kitchen was clean and tidy, and safety systems were in place to prevent cross The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 18 contamination, in general there was a high standard of cleanliness throughout the home. Records were available of regular maintenance checks to the water, heating, gas and lighting systems The external of the property appeared well maintained and the garden looked pleasant and well kept. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 & 30 Quality in this outcome area is good. The staff team are trained and skilled in caring for the residents, however the practice of care staff carrying out domestic and catering duties could result in them not being available to discharge their caring duties to the full. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of inspection there were several frail residents being cared for in bed, and it was noted that one resident that had sat out of bed for their lunch, had requested to return back to their bed, during which time the staff were observed to be occupied carrying out housekeeping duties. The inspector was left unsure as to which staff were deployed to care for the resident’s personal needs at this time. The staff were required to be multi tasked and there was some ambiguity to the staff roles, as each member of staff undertook care, cleaning and domestic duties. Whilst this is a praiseworthy quality of staff, great consideration needs to be given on how best the needs of the residents can be met, through the effective deployment of skilled care staff particularly at peak times of the day. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 20 The annual staff training programme was viewed and identified where staff training had been provided on mandatory training requirements such as fire safety, moving and handling, health and safety, first aid, food hygiene, adult protection, medication and infection control. Dementia Care training had been provided by a local Community Psychiatric Nurse the training had taken place over a six-week period covering the emotional, physical and healthcare needs of people living with dementia. Staff were encouraged and supported in achieving a National Vocational Qualification in care levels 2 and 3. Staff recruitment files viewed evidenced that residents were protected through robust staff recruitment procedures being followed that included Criminal Records Bureau Checks and written references being obtained. Staff spoken with said that they enjoyed working at the home, that the manager supported them and that the training was sufficient to enable them to carry out their duties. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 & 38 Quality in this outcome area is good. Resident’s benefit from living in a home that promotes their health safety and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered provider is also the registered manager, having gained his Registered Managers Award, the registered manager was observed to have a good rapport with residents, visitors and staff who all confirmed that the manager had a style of management that was is very open and approachable, it was observed that residents with limited verbal communication, initiated contact with the registered manager smiling in response to his voice. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 22 Comments received from relatives /visitors comment cards were very positive comments such as ‘the quality of care is to an exceptional high standard. The management and staff are friendly, helpful, caring and considerate. The home provides a healthy, happy, and safe environment for the residents. Annual quality assurance feedback systems were in place based upon seeking the views of service users and their representatives. Resident’s finances were not managed by the home, residents and their representatives were advised to appoint an advocate/appointee, all records relating to residents and staff of a confidential nature was stored securely. The manager demonstrates that they are fully aware of the needs of residents and supports staff to ensure that they deliver a good standard of care. The manager is open to new ideas and continues to develop their skills. The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 23 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 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 4 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 X 18 3 3 X X X X X 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 X 3 X 3 X X 3 The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 24 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. 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. Refer to Standard Good Practice Recommendations The Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 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 © 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 Yews DS0000012960.V318297.R01.S.doc Version 5.2 Page 26 - 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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