Inspection on 10/01/07 for Yew Tree Rest Home

This inspection was carried out on 10th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Yew Tree Rest Home 18/01/08

Yew Tree Rest Home 15/02/06

Yew Tree Rest Home 15/09/05

Yew Tree Rest Home 26/07/04

Yew Tree Rest Home 17/02/04

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 Yew Tree Rest Home 356 Boldmere Road Boldmere Sutton Coldfield West Midlands B73 5EY Lead Inspector Kulwant Ghuman Key Unannounced Inspection 10th January 2007 11:45 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 Yew Tree Rest Home DS0000017056.V326847.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. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Yew Tree Rest Home Address 356 Boldmere Road Boldmere Sutton Coldfield West Midlands B73 5EY 0121 356 0631 0121 356 0399 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) Mr Oswald Clarke Mrs M Clarke Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Yew Tree Rest Home is a privately owned care home registered to provide personal care and accommodation for up to 3 older people. It is owned by Mr & Mrs Clarke. The home is located in Sutton Coldfield in the West Midlands and is close to a group of shops and other amenities. This is the home of Mr and Mrs Clarke and the service users. There are three bedrooms available for service users. One is located on the ground floor and the other two are on the first floor. The bedroom on the ground floor is of a good size and meets the spatial requirements of the National Minimum Standards. The other two bedrooms are small and do not meet the standards. On the ground floor there is a combined lounge and dining room, a separate lounge and a kitchen. There is a stair lift going most of the way up to the first floor but there are a few steps to negotiate for which there is no stair lift. The current service users are able to climb these stairs to access their bedrooms. There are no en-suite facilities but there is a toilet on the ground floor and a combined toilet and bathroom on the first floor. There is a garden to the rear of the home. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this key unannounced inspector over part of a day during January 2007. As part of the inspection the inspector was able to speak to two residents, the manager of the home, tour the building and sample a number of care and health and safety documents. Prior to the inspection the inspector received a completed pre-inspection questionnaire as well as two complete service user surveys. No complaints had been lodged with the CSCI regarding the service. What the service does well: What has improved since the last inspection? What they could do better: The manager must ensure that the residents’ financial records are kept up to date. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 6 The medication records must be signed when the medicines have been administered and any medicines remaining from the previous medication period must be transferred onto the new MAR chart. 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. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed. EVIDENCE: No new admissions had been made to the home. The manager was aware that should any new admissions be made to the home there needed to be an assessment of need and consideration of employment of a member of staff to assist in their care. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 9 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): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The personal care and health care needs of the residents were being met. The management of medicines was generally good with some minor issues raised. EVIDENCE: The manager and her husband were the sole carers for the two residents in the home. The two residents had been resident in the home for a number of years. There were care plans in place and these were updated occasionally however, both the carers were well aware of the day-to-day needs of the residents. Both residents said they were happy at the home and it was clear that they had very individualised care that suited their needs. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 10 There was evidence that the residents’ health care needs were met as issues arose. The residents’ health was reviewed by the doctor and both had had the flu injection. One of the residents was very clear that the day was very structured with a set time for everything. The other resident was very much more flexible and tended to get up late and spend a lot of time in his bedroom. The residents were on a small amount of medication and these were administered by the home. One of the medications had not been signed as having been given for the past three days and the carry over of the tablets from the previous month had not been recorded on the medicines administration chart. The manager stated she had forgotten to sign the charts and signed them at the time of the inspection. There was nothing to indicate that the residents respect and dignity were not being upheld. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 11 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): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were able to live according to their wishes and contact with relatives was encouraged. Their dietary needs were being met. EVIDENCE: The residents lived very different and individualised lives. One resident preferred to have his days the same and was quite rigid about the times he ate, went to bed and got up. He preferred to watch the television and did not want to go out. He told the inspector that he was very happy, his needs were being met and he ate what he wanted. He was able to tell the manager what he wanted to eat. The other resident tended to spend the majority of his time in his bedroom. At the time of the inspection he was just getting up and was seen to be shaving in his bedroom. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 12 Examination of the food records showed that the residents were receiving a very individualised diet. One was eating a reduced fat diet and was having African Caribbean foods as required. There were no restrictions on families visiting. One of the residents told the inspector about his family visiting him and having regular telephone contact. It was obvious that the residents had choice and control in their daily lives. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 13 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents felt able to raise any concerns they had with the owners of the home. EVIDENCE: There had been no complaints raised at the home and none had been lodged with the CSCI. There were adult protection procedures and a complaints procedure in the home. One of the residents was clear he would have no issues raising any concerns with the manager and her husband. There was opportunity for the residents to speak to relatives if they had any concerns. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 14 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): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The accommodation meets the needs of the residents and provides a homely environment. EVIDENCE: Yew Tree Rest Home is an ordinary domestic property and the residents live as part of the family. The premises are suitable for people with good mobility. Since the last inspection the stair lift had been replaced with a new one but there were a couple of steps on the first floor that had to be managed without assistance. The ground floor bedroom was empty but neither of the residents wanted to move into it. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 15 The two bedrooms on the first floor were small but met the current residents needs. There was adequate sitting space for the residents in the lounge/dining room and an additional family lounge at the front of the house. The lounge/dining room had been repainted since the last inspection giving it a brighter appearance. The bathroom was not assisted but the current residents needs were being met. There was an ongoing agreement with the manager that when the smallest bedroom became vacant it would not be re-occupied due to its small size and that it did not have a wash hand basin installed. The home was clean and odour free. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 16 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): 27 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The needs of the residents are met by Mr and Mrs Clarke who know their needs. EVIDENCE: No additional staff are employed at the home and Mr and Mrs Clarke carry out the care of the residents. They had been caring for the residents for many years and had undertaken some basic training. Mrs Clarke had undertaken the Registered Managers Award and had been a trained nurse. It was recommended that if another resident is admitted another member of staff was employed to enable Mr and Mrs Clarke to take some time off. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 17 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): 31,33,35 and 38 Quality in this outcome area is adequate . This judgement has been made using available evidence including a visit to this service. The home was well managed in a manner that provided an individualistic lifestyle for the residents. Issues of health and safety in the home were managed well. EVIDENCE: Both Mr and Mrs Clarke had many years experience of managing this home and were very familiar with the needs of the residents. Mrs Clarke had undertaken her NVQ 4 management and was planning to continue with some further training. Both Mr and Mrs Clarke had undertaken basic training in first aid. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 18 The home was run on the basis of a family home and as such the service users were included as members of the family. The home looked after some finances for the residents. There were records in place with receipts available for purchases. Where monies were handed over to the resident they were asked to sign for receipt of the monies, however, this had not happened since October 2006. The residents were aware of the monies being kept on their behalf and were satisfied with the process. There was no formalised quality assurance system in the home but there was daily contact with the residents and their satisfaction was constantly monitored. There was evidence that the equipment in the home had been serviced. The only issues that could not be verified during the inspection were that the emergency lighting, fire alarm and portable electrical appliances had been checked. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 19 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X 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 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 2 Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13(2) Requirement The MAR charts must be signed as medicines are given out. (Previous timescale of 01/03/06 not met.) Amounts of medicines carried over from one medication period to the next must be recorded on the new MAR chart. 2. OP35 17(2)Sch4 The records of the monies held (9)(a) on behalf of residents must be kept up to date at all times. 23(2)(c) Evidence that the emergency lighting and fire alarm have been serviced must be forwarded to the CSCI. Evidence that the portable electrical appliances have been tested must be forwarded to the CSCI. 01/02/07 Timescale for action 01/02/07 3. OP38 14/02/07 Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 21 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 OP27 Good Practice Recommendations Consideration should be given to the employment of a member of staff if another resident is admitted. Yew Tree Rest Home DS0000017056.V326847.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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. 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