Care Home: Aire View Care Home

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What the care home does well The home is well managed and people that live and work at the home feel valued and enjoy a friendly and relaxed atmosphere. The home has an open door policy and encourage people to tell them what they think about the service. Quality assurance survey questionnaires audits reflect the very positive view that people and families have of the home. The home has established close working relationships with other health care professionals to make sure people`s health care needs are met and they have access to the full range of NHS services. There is a warm and welcoming atmosphere in the home. Staff and people living in the home have good relationships; lots of positive interactions were noted and time was spent sitting and chatting. One person said, "Everyone is so happy here it is a very good home". A relative said, "Staff are very friendly and cheerful and obviously love the work they do". Other positive comments about care were received from people spoken to, examples of these are, "All the staff are very kind and look after all of us very well". "I am happy that my mum is here. The staff look after her well". People who use the service said they were happy with their lifestyle at the home. They said they enjoy their independence and are able to please themselves in what they do. Staff were thoughtful, discreet and respectful of people`s dignity when attending to any needs. It was clear that people who live at the home and the members of staff get on well. What has improved since the last inspection? This is the first inspection since the home registration. The manager said in the returned Annual Quality Assurance Assessment that the home will continue to monitor and improve through feedback from people. What the care home could do better: The home should ensure that people have regular checks by a dentist as part of their health checks. The home should ensure people are weighted, have blood and sugar checked monthly. Care plans should have more information for staff to understand the specialist dementia needs of some of the people living in the home. Key inspection report Care homes for older people Name: Address: Aire View Care Home Broad Lane Kirkstall Leeds LS5 3EB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Frederick Rawlins     Date: 2 6 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Aire View Care Home Broad Lane Kirkstall Leeds LS5 3EB Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Paula Pearson Type of registration: Number of places registered: care home 84 Avery Homes Kirkstall Ltd Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 84 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age note falling within any other category - Code OP Service users with Dementia - Code DE Date of last inspection Brief description of the care home Aire View Care Home is located in the heart of a busy local community and overlooks the River Aire. Its location very much endorses its status as a true community home. It is convenient for local shops that includes a Morrisons supermarket close by. The home consists of a 84 bed facility with an emphasis on independent living. All rooms have en-suite shower facilities and range in size and are furnished to the highest of Care Homes for Older People Page 4 of 26 Over 65 0 84 84 0 Brief description of the care home specifications. There are several lounges, dining and quiet areas. All floors are connected by a passenger lift. There are specialist bathing facilities to accommodate the needs of people whatever the nature of their disability. Information is available about the home in the form of a brochure. It reflect the services and facilities at the home. The fees are reviewed annually in April of each year. The service should be contacted directly for up to date information about charges. Additional charges are made for chiropody, hairdressing and newspapers. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection process included looking at information we have received about the service, as well as this unannounced visit to the home, which was carried out between 10:00 and 16:30 hrs. The purpose of the visit was to assess what progress the home had made and the impact of any changes in the quality of life experienced by people using the service. Before the inspection evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the visit. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visit to provide additional information. During the visit a number of documents were looked at and areas of the home were visited. A good proportion of time was spent talking with people who live at the home as well as their relatives and visitors.The managers and staff were also spoken with. Care Homes for Older People Page 6 of 26 We have reviewed our practice when making requirements, to improve national consistency. If a requirement is repeated, it is likely that enforcement action will be taken. Feedback was given to the managers at the end of the visit. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Older People Page 8 of 26 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with good information that assists them when making their choice about taking a place in the home. The staff ensure people are properly assessed before they are admitted. Evidence: People said they were able to come and look around the home before they made a choice about taking a place. They said they were provided with enough information by the home to assist them with making their choice. Some comments made were, We visited on two occasions to look around and the staff were quite helpful. My daughter was invited to come and look around, I was as well but was not up to it. The care files showed evidence that people are assessed by staff at the home before they can be admitted. The assessment documents make up part of the care plan documentation that belongs to each person. Each pre-assessment document looked at showed that the dates of these assessments were carried out before each individual Care Homes for Older People Page 11 of 26 Evidence: was admitted. This is good practice as it helps the person preforming the assessment to identify whether the staff working in the home have the ability to meet each persons needs. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people at the home are treated with respect and dignity. Staff are working to make sure that health needs are met. Evidence: We looked at the care files of seven people living in the home. Each file contained up to date information on each individual. Avery have implemented a care planning system that covers all the care needs and risk assessments needed to provide each persons care package. Each person had their care needs assessed and care plans were written to assist staff with ensuring this care is given. However there were some areas where improvements could be made in relation to health care needs. In some peoples file it said they suffer from dementia, it did not go into any detail to help staff to understand how this type of dementia affected that person and how they could help that person. The care plans on both floors provided good person centred care. They contained a Map of Life care plan which has good information about the previous life history of Care Homes for Older People Page 13 of 26 Evidence: each individual. Evidence was also seen that showed families have also been asked to contribute to these documents. People were risk assessed in areas such as falls, continence care, manual handling. The majority of these documents were reviewed regularly and were up to date. People have their weight checked on admission to the home. The records looked at stated that one person would be weighed, have blood sugar checked monthly. However this was not always carried out as agreed. The care plans also have details of any health professionals that people see. These include, GP, chiropodist, optician and the community health service. However there was no record of people seeing a dentist. This was pointed out to the manager who agree to address this. Records are kept of any health appointments and their outcome. A relative visiting the home said They always respond well to medical needs and always keep you informed. During the focused observation, staff were seen helping people move safely. They were good at talking to people and helping them to feel safe. All of the people spoken with and their relatives said that they were happy with the care provided and relatives are kept informed and up to date with important issues. The medication records for some people were checked and on the whole were accurately kept, all drugs were noted to be stored properly and safely. The manager was asked to remind staff that medication record sheets must always be accurately completed otherwise people could be put at risk of being given medication more than once. It was clear from what people said that the staff are attentive and they live their lives in a dignified way according to their personal preferences. Observations during the day also showed that this was the case. Staff were good at picking up non verbal cues and made sure all of the people got attention, support and assistance when they needed it. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social expectations and personal preferences are met and they are able to exercise choice in their daily routine. People living at the home are provided with a varied and nutritious diet. Evidence: There is an activities programme that is offered to all the people. This is delivered by the leisure and recreation organiser and staff. These includes crafts, reminiscence, visiting library service, pat dogs the home, gardening and various others. Where possible people go out for walks to the local shops and a good number go out with relatives on a regular basis. In the conversations people clearly expressed that they follow their preferred ways of living. Such as getting up times, going to bed, whether to spend time alone or with others, what activities to join in and what to wear. People looked well cared for and were happy with the arrangements for hair care and foot care. The people living in the home talked positively about the food provided. The menus offer traditional English food and although they are asked regularly this is the Care Homes for Older People Page 15 of 26 Evidence: preferred option for all of the people spoken with. They said the meals are good, they have plenty and that they have a choice. The lunchtime meal was well presented and people said it was good. There was some quiet conversation between people and staff were good at encouraging and assisting people to eat. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are safeguarding procedures which staff have awareness of and understand and people can be assured that they can feel safe at the home. Evidence: The home has a clear complaints procedure that is explained in detail to people and their representatives upon admission to the home. A relative spoken with confirmed she had received a copy of the complaints procedure. All those spoken with said they knew how to complain. They were aware of the procedure and who to complain to. Many of them wanted to stress that they had no complaints though. It was clear from the conversations with people living in the home that they feel that all the staff are very approachable. People said that any requests were always listened to and they feel safe and well treated. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained clean and comfortable, so that people using the service have an environment that can safely meet their needs. Evidence: Aire View is a purpose built home consisting of 84 en suite bedrooms. The accommodation is well equipped and furnished and fitted to a high standard to meet the needs and preferences of the people using the service. In addition to peoples private accommodation there are spacious communal facilities for people to meet together and enjoy social and recreational activities. Each floor have ample dining and lounge facilities for people and their relatives to use when they wish. People said this was an attraction for them when they looked around the service for the first time. There is an ongoing maintenance/refurbishment programme for the home which ensures the environment is improved continually. The home have pictures in place that can assist people with reminiscence therapy. These included old pictures old films and stars. Memory boxes are also in place outside peoples bedrooms that include pictures of themselves and family members and events. This is good practice. People using the service told us it is always clean and it was clean when we visited. They said that they were pleased with their rooms and were glad to have many of their own personal belongings with them. Each bedroom is furnished with its own Care Homes for Older People Page 18 of 26 Evidence: television, DVD player, mini fridge and calming decor. There are call bells in every area of the home where people gain access. Clinical waste is properly managed and staff wear protective clothing when attending to peoples personal care needs. Staff have received training in infection control. People spoke highly of the laundry service at the home. One person said, They do a real good job, my things are nicely done. No obvious health and safety hazards were noted and the home was clean, tidy and free from unpleasant odours. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff to meet peoples needs and people are protected because all the required checks are done before new staff start work. Staff are supported in developing the skills and knowledge they need to meet peoples needs. Evidence: People told us that staff treat them well and take notice of what they say. People said staff are usually available when they need them. Relatives said that staff were usually busy but were always available when needed. In the surveys staff said that there were sufficient numbers of staff employed to meet all the needs of people at the home. The staff we spoke to said there were enough staff on duty to meet peoples needs. We saw that staff were available to attend to peoples needs when needed. Recruitment is properly managed by the home; interviews are held, references and CRB (Criminal Record Bureau) checks are obtained before staff start work and checks are made to ensure people are eligible for work. The personnel records for four staff members were looked at to make sure that the appropriate checks had been made and the other documentation that must be sought before someone starts work was completed. This proved to be the case. The home makes sure that all staff have a comprehensive induction programme. Care Homes for Older People Page 20 of 26 Evidence: There was evidence of this in the staff records and also evidence of ongoing training to keep staff up to date with safe working practices. Many of the staff have previous experience in the field of elderly care and have attained NVQ (National Vocational Qualification) in care to level 2 and 3. There are also plans to further develop training opportunities in line with the Connect Strategy for dementia care. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the interest and health and safety of people at the home are, in the main, promoted and protected. Evidence: The home manager is a qualified nurse with many years experience in care of the elderly. she has gained the NVQ (National Vocational Qualification) level 4 in care and the Registered Managers Award. The manager is supported by a full time administrator and a full time receptionist. The home manager operates an open door policy and is always available to support and advise both people who use the service and staff. The home is managed in an open and transparent way and the manager is committed to providing positive leadership within a relaxed atmosphere. The home looks after some personal monies for some people living there. Receipts are Care Homes for Older People Page 22 of 26 Evidence: kept for all transactions that are made and confidentiality is maintained at all times. The Annual Quality Assurance Assessment clearly indicated that the home has robust systems in place for regularly monitoring and maintaining the health and safety of people and the environment. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 More detail is needed to help staff to understand how dementia effects the person and how staff could help that person. Seeing a dentist should be part of the regular health checks carried out for people living in the home. The records looked at stated one person would be weighed and have blood sugar checked monthly. This should be carried out as agreed in their care plan. The manager remind staff that medication record sheets must always be accurately completed otherwise people could be put at risk of been given medication more than once. 2 3 7 7 4 9 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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