CARE HOMES FOR OLDER PEOPLE
Yolanta House Care Home 1/3/5 Herbert Road Sherwood Rise Nottingham NG5 1BS Lead Inspector
Chrisandra Harris Unannounced Inspection 12th October 2005 11:30 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 Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 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. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Yolanta House Care Home Address 1/3/5 Herbert Road Sherwood Rise Nottingham NG5 1BS 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) 0115 962 6316 0115 969 3122 Mr Jozef Sekowski Mrs Jolanta Sekowski Care Home 19 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (19) of places Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: Yolanta House is a care home for 19 older people and older people with dementia. A majority of the residents and a large number of the staff are of Polish origin, although there are residents from a range of ethnic backgrounds. The home is owned and run by Mr and Mrs Sekowski, and their adult son also works in the home as a senior care assistant. Mrs Sekowski is the manager. The home is located within a residential area of Nottingham close to shops, health centres and other amenities. The local Polish community centre and Catholic church are within walking distance. The home is converted from three large houses and the residents accommodation is on two floors. On the ground floor there are 2 shared lounges and 2 dining rooms, 1 bathroom, 1 shower room and 2 toilets. There are 7 single rooms on this floor, one of which is ensuite, and 2 double rooms. The remaining bedrooms are on the first floor, all these are single rooms. Also on the first floor are a further 3 bathrooms and 3 toilets. There is no passenger or stair lift installed. There is ramped access to the home and garden. Yolanta House is well decorated and furnished with a homely atmosphere. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out by one inspector and took place over 3 and half hours. The inspector looked around the communal areas on the ground floor of the home and several bedrooms and looked at a number of records. The inspector also spoke with a relative who was visiting the home and to ten residents who lived at the home. In addition care practices were observed and a senior care assistant interviewed. Mr and Mrs Sekowski assisted with the inspection. What the service does well:
The home provides good personalised care for older people from a range of ethnic backgrounds particularly Polish. The majority of the staff speak both English and Polish, and Polish newspapers and TV are available. This is clearly helpful for some of the residents seen who are not able or prefer to speak in Polish. In addition many signs and documents in the home are available in both languages. There are links with local community centres, clubs and churches and residents are assisted to attend if they wish. As the home is fairly small and the staff are very familiar with each residents plan of care, care is provided in a personal and individual manner. Residents receive one to one social interaction with staff as well as individual care. This together with the relatively small size of communal rooms leads to a homely, relaxed and friendly atmosphere. The relative spoken with commented upon the homely atmosphere and how staff are ‘gentle’ and friendly with residents. The inspector was told by one person that they ‘would be hard pressed to find anywhere as good’ as Yolanta House. Although meals were not observed on this inspection, those spoken with made positive comments about the food and stated that special requests are catered for. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 6 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. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 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 Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10. Individual’s health and personal care needs are recorded and advice and assistance from relevant health professionals sought in order to ensure that appropriate care is provided. Residents are treated respectfully and their right to privacy is upheld. EVIDENCE: Three individual care plans were viewed. These were all detailed and there was evidence of them being reviewed each month. The plans contained risk assessments and plans as to how to reduce risks. In addition the care plans contained detailed information regarding health needs and the advice of health professionals was seen to be recorded and followed. Visits by health professionals are recorded on files. There was evidence of the monitoring of medical conditions and weight charts are kept. A Polish-speaking physiotherapist provides a valuable service for which those residents that use it pay a small additional fee. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 10 From discussions with residents, relatives and staff and from observing care practice it was clear that residents are treated with respect. Personal care is provided in private in resident’s bedrooms or in the bathrooms. One resident uses the phone on a regular basis to make personal calls overseas and is enabled to do this in private. Residents are addressed in the manner they prefer and wear their own clothes. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14. The home offers a variety of activities and staff help residents to maintain links with friends, relatives and the local community. Residents are treated as individuals and their right for autonomy and choice respected. EVIDENCE: The home offers a varied programme of activities that includes assistance to visit local community centres, clubs and churches as well as activities within the home. An activity called ‘Chat and Chew’ has been introduced which is very popular with residents. This is a time when individuals have one to one time with a member of staff and have special cakes. Relatives are welcomed to the home at all times, and residents see them in their rooms or in communal areas as they prefer. Telephone contact with friends and relatives is facilitated. There was evidence that residents are able to exercise choice in a variety of ways as care is provided on an individual basis according to need. Residents have their own possessions in their rooms, their clothing and hairstyles are of their choice, activities are arranged on a personalised basis and special food requests are met. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 12 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): 16 and 18. A complaints procedure is in place and any complaints are dealt with in an appropriate manner. Measures are in place to help to protect residents from abuse. EVIDENCE: The home has a complaints procedure in place and copies are available within the service users guide and were seen in individual’s bedrooms. Relatives and residents spoken with were clear as to how to make a complaint if they wanted to. The complaints book seen documented clearly any complaints made and the action taken to resolve them. The home have a copy of the local policy on the protection of vulnerable adults. Staff are made aware of the policy and the action that they need to take if they have any concerns when they start work at the home. In addition staff receive training in this area. When potential issues appear preventative action is taken in order to ensure that residents are protected. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 13 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, 20, 23, 26. The home provides a safe, hygienic and homely environment with a choice of communal areas for service users. EVIDENCE: The home has good level access arrangements. As it is converted residential building, rooms are not standardised and there are a number of corridors. However signs in English and Polish help to guide residents and the informal layout helps to create a homely atmosphere. The home has stairs but no lift to the upper floor. There are two shared lounges and two dining rooms. In all rooms the furnishings were seen to be of good quality with a range of seating to meet individuals needs. The individual accommodation seen at the home was personalised with residents own belongings. The home was observed to be clean and free from offensive odours. The laundry area was appropriately situated and neat and tidy. The sluice is sited in the laundry room and was clean and hygienic. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 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): 28 and 30. Induction and training practices at the home are satisfactory and ensure that staff are competent to do their jobs. EVIDENCE: New staff at the home have an induction process that involves them becoming familiar with the policies and procedures of the home as well as shadowing more experienced members of staff. As many staff members are Polish a number of the policies and procedures have been translated into Polish. As a result of working in two languages the induction process can take longer than usual. As a result of language difficulties specific training courses with translators are often arranged for blocks of staff. One member of staff is currently taking their NVQ 2 and another NVQ 3. As well as the normal training expected of home staff, a number of staff members have undertaken training in dementia care and challenging behaviour. Individual records are kept of staff training but a centralised list is recommended in order to assist in identifying any training gaps. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 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): 33, 35, 37 and 38. Feedback regarding the care and services offered by the home, is sought from residents and visiting professionals. Money belonging to residents is handled appropriately. Staff at the home have not been notifying the Commission for Social Care Inspection of significant events at the home as they are required to do so. Evidence seen indicated that the manager attempts to ensure the health, safety and welfare of residents and staff. EVIDENCE: Several completed comprehensive and straightforward quality assurance questionnaires were seen. Residents are reportedly formally consulted twice a year. However questionnaires are not currently dated so it was difficult to be
Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 16 clear when they were completed. Evidence was seen of feedback from professional visitors. The manager/owner does not act as an appointee for any resident. A few residents receive regular lump sums from their solicitors for personal spending. This money is kept in a separate account and cash withdraws made as the resident needs the money. Clear records and receipts were seen in relation to this. Records kept at the home were seen to be up to date and accurate. However it was noted that their had been an accident a the home which the Commission for Social Care Inspection had not been notified of. Records are kept securely and in accordance with the Data Protection Act. Records examined showed that equipment is regularly maintained and serviced. The manager demonstrated an awareness of safe working practices and risk assessments had been completed for relevant areas. Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X 2 3 Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No 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 OP37 Regulation 37 Requirement Inform the Commission for Social Care Inspection of any incidents listed under Regulation 37. Timescale for action 01/11/05 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 2 Refer to Standard OP30 OP33 Good Practice Recommendations Keep a centralised record of staff training. Include a date section on the quality assurance questionnaire Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Yolanta House Care Home DS0000002226.V260150.R01.S.doc Version 5.0 Page 20 - 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!
