Inspection on 15/02/06 for Yew Tree Rest Home

This inspection was carried out on 15th February 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 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 10/01/07

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 Unannounced Inspection 15th February 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 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.V283708.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Yew Tree Rest Home Address 356 Boldmere Road Boldmere Sutton Coldfield West Midlands B73 5EY 0121 605 9719 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.V283708.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th September 2005 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.V283708.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this unannounced inspection during the morning of a day in February 2006. This was the second of the two statutory visits for 2005/6. In order to get an overview of the standards assessed this report should be read in conjunction with the report of the inspection of 15th September 2005. During the inspection the inspector spoke with one of the two residents in the home and the manager, sampled some records and toured the building. What the service does well: What has improved since the last inspection? 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. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 6 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.V283708.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: There had been no new admissions to the home since the last inspection. At the last inspection it had been determined that residents had a contract and had received information about the home. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 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 care plans remained much the same as at the last inspection. There was information available regarding the needs of the residents. Risk assessments had been further improved to ensure the reasons for the kitchen being locked were in place as required at the last inspection. The residents’ medical needs were being met by attending appropriate appointments with the GP and the local hospital where required. The medicines were managed by the manager for both of the residents. The medication was generally well managed however it was noted that some medicines left over from previous monthly supplies had not been returned to the chemist, two paracetemol were unaccounted for and where one of the residents was refusing medicines the appropriate code was not being used. It was advised that the GP should be asked to amend the administration instructions if the medicine is not required three times a day. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents were able to live according to their wishes and contact with relatives was encouraged. Their dietary needs were being met. EVIDENCE: At the time of the inspector’s arrival at the home one resident was still in bed and the other was watching the television in the lounge dining room. The other resident got up at mid-day. He stated that he did not want to go out and did not want to go on any holidays. The other resident went out shopping on a regular basis with the proprietor. The resident who was watching the television went for a wash and shave and told the inspector he was very satisfied with his life at the home. He could go and live somewhere else but he was happy where he was. The manager had assisted him in re-establishing contact with his family and assisted him to write letters to them on his behalf. Residents were assisted by the manager to make decisions about their daily lives, seeking medical advice and managing their finances. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 10 The residents were provided with a good healthy diet. One of the residents was on a low fat diet and did not eat chicken. The resident spoken to by the inspector said “they received good food at the home that was well cooked”. Caribbean foods were also provided. As observed at previous inspections, there was plenty of fresh fruit available in the home. The records of food eaten by the residents were not comprehensive and it needed to show what had been eaten by each of the residents so that it could be determined whether the nutritional requirements of each of them were being met. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The residents were protected from abuse. EVIDENCE: There were adult protection policies in the home but these were not assessed on this occasion. The resident spoken with was very vocal about what he would do if he were upset by anything. He had a close relationship with the manager and her husband and kept in regular contact with his family. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 The accommodation met the needs of the residents. EVIDENCE: Yew Tree Rest Home is an ordinary domestic property with few environmental adaptations. It was suitable for residents who had full mobility. Although there was a chair lift in place to assist the residents up to the first floor there were a couple of steps on the first floor that had to be managed without the chair lift. There was a ground floor bedroom that was suitable for someone with restricted mobility; however, the steps into the home could be difficult to negotiate. There was sitting space available in the lounge-diner and was sufficient for two residents. There was an additional family lounge at the front of the house. The bathing facilities were suitable for people who did not have any mobility difficulties, as they were not assisted facilities. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 13 The two bedrooms occupied by the current residents were small but the residents were happy with them. One of the residents stated that he did not want to move to the larger bedroom. 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. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 All care was provided by Mr and Mrs Clarke who knew the needs of the residents well. No other staff were employed at the home. EVIDENCE: Mr & Mrs Clarke provided 24 hour care for the residents and did not employ any staff. They had been caring for the residents for many years and have undertaken some basic training. Mrs Clarke has undertaken the Registered Managers Award and was a trained nurse. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35, 38 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. 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 needed to be asked to sign for receipt of the monies. The Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 16 residents were aware of the monies being kept on their behalf and were satisfied with the process. There was evidence that the equipment in the home had been serviced including; the stair lift, portable electrical appliances, gas equipment, fire alarms, fire extinguishers and emergency lighting. Regular tests were undertaken on the fire alarm and emergency lighting. Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 17 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 X 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 X 17 X 18 3 2 X X X X 3 X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 2 X X 3 Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 18 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 All unused medicines must be returned to the chemist at the end of the month. The MAR charts must be signed as medicines are given out. Where residents have refused medicines the appropriate codes must be used on the MAR charts. The GP must be requested to adjust the administration instructions where medicines are now required at a reduced level. The food records must show the 01/03/06 actual food eaten by both residents. (Previous timescale of 21/10/05 not met.) Where monies are returned to 01/03/06 the residents they must be asked to sign to show that they have received it. Timescale for action 01/03/06 2. OP15 17(2) Sch4(13) 3. OP35 17(2) Sch4 (9)(a) Yew Tree Rest Home DS0000017056.V283708.R01.S.doc Version 5.1 Page 19 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.V283708.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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. 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