Care Home: Avery Mews

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What the care home does well Avery Mews has a relaxed and warm and welcoming atmosphere, people living at the home and visiting relatives and friends confirmed this is always the case. The home has been purpose built and is furnished and fitted to a high standard. The accommodation is spacious and all areas are accessible to all. There is a wide range of activities available for the people using the service to join in if they choose to do so. It is clear that staff work as a team to meet the physical, personal and emotional needs of people who live at the home. People said that the staff are kind and attend to their needs promptly. The meals provided are of a very high standard. People said that the food is "very very very good". The home is well managed and run in the best interests of the people who live there. People say that the manager is very approachable and listens to and acts on what people say. There are sufficient staff employed to meet the needs of the people living at the home. The staff are well trained and provide a high standard of care and attention to people. People living at the home and visiting relatives described the staff as "marvellous". There is a programme of National Vocational Qualification (NVQ) in care provided in the home. The majority of the care staff hold the award. This makes sure that the staff are qualified to care for the people living at the home. People`s care records are accurately completed and the care plans clearly show how people`s care needs are to be met. This makes sure that people received care in a consistent manner and in accordance with their preferences. What has improved since the last inspection? This is the first inspection of the home. What the care home could do better: This was a very positive first key inspection and no requirements or recommendations have been made as a result of this inspection. Key inspection report Care homes for older people Name: Address: Avery Mews Avery Mews Railway Street West Yorkshire WF16 0ND     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: Cheryl Stovin     Date: 0 3 0 8 2 0 0 9 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) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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: Avery Mews Avery Mews Railway Street West Yorkshire WF16 0ND 01924403001 01924407561 averycare@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Avery Homes Heckmondwike Limited Name of registered manager (if applicable) Mrs Amanda Jane Woolford Type of registration: Number of places registered: care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: 1. Thegistered 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, not falling within any other category - Code OP (45), Dementia - Code DE (45) 2. The maximim number of service users who can be accommodated is: 45 Date of last inspection Brief description of the care home Avery Mews is situated in a residential area of Heckmondwike with local shops and facilities within easy walking distance. The home is registered to provide accommodation and care for up to forty five older people. The home accommodates people needing personal care and also for people Care Homes for Older People Page 4 of 26 Over 65 0 45 45 0 Brief description of the care home who have dementia care needs. The home can also offer short term respite care. The home is purpose built and furnished and fitted to a good standard. All bedrooms are for single occupancy and all are equipped with en-suite shower rooms. 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: This report brings together evidence gathered during the first Key Inspection of Avery Mews This included a visit made to the home on 3rd August 2009. The visit was undertaken by one person and a total of six hours were spent on the visit. During this visit we looked round the building looked at records and talked to people living at the home and to management and staff. This was the first inspection of Avery Mew since the home opened in March 2009. The purpose of the inspection is to make sure that people receive the care and support they need and that they and their families are satisfied with the service. The home completed their Annual Quality Assurance Assessment which was returned promptly. This gave useful information about the facilities provided by the home and about the people who live and work there. Care Homes for Older People Page 6 of 26 We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees made by the home range from four hundred and seventeen pounds to five hundred and five pounds, depending on the level of care people require. 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. 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 Care Homes for Older People Page 8 of 26 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 assessed before they are admitted to the home, to make sure their needs can be met. Evidence: The care records of eight people living at the home confirmed that the manager or team leader complete the pre-admission assessments for people before they move into the home. The assessments are thorough and very detailed information is gathered about peoples care and support needs. They said they go out to peoples homes or visit people in hospital to do this. Staff said they find the pre-admission assessments to have good detail on peoples needs and this makes sure people can receive the care they need when they move into the home. Care Homes for Older People Page 11 of 26 Evidence: People are encouraged to visit the home before making a decision to move in. This gives people the opportunity to meet the staff and other people living at the home, and to sample the daily routine. Three people we spoke to and their relatives said they had chosen this home after looking at a number of others in the area. One person said this home Was the best I saw, couldnt fault it. Other comments made included: As soon as we walked through the door we knew it was the place. Very welcoming and kind and caring staff. Very, very good and warm and clean. People are given written information about the home and the services and facilities provided. This makes sure that people know what to expect when they move into Avery Mews. 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. Peoples health care needs are met and personal care is given in accordance with their preferences. Evidence: The care records of eight people living at the home were looked at. The records contained assessments of peoples needs and abilities and they were reviewed and updated on a regular basis. Everybody living in the home has a care plan which shows what support people need and how the support and care is to be given. There are risk assessments in place to make sure that people are kept safe and that any potential risks to health are minimised. People look well cared for clean, tidy and well groomed. Attention had been paid to detail. People had their hair styled, wore jewellery and make up if they wished. Staff were patient, gentle and kind when interacting with people. They were respectful of peoples dignity when attending to any personal care needs. Care Homes for Older People Page 13 of 26 Evidence: The care plans contained plenty of information about peoples past lives, interests and people that are important to them. This information is useful to help the staff understand the person as a whole, and to help people to continue to follow their interests and hobbies. The home is working with Sterling University to make sure that they are applying good practice and working in accordance with current trends in caring for people with dementia. Staff said they have been trained to meet the specific health needs of people who use the service. They said they had recently completed training in dementia awareness. They were able to say how this had affected their practice and could describe how they work with people as individuals and how important good communication is. Four people said that they are treated with dignity and that they receive the personal and health care support that they need. People said that the staff attend to their needs in a prompt and sensitive manner. One visiting relative said that the home is very good and the staff are wonderful and do everything they can for the residents. Five staff were spoken to and they demonstrated a good understanding of peoples needs and how the care and support required is to be delivered. Any medication held in the home is securely stored. All staff responsible for administering medication have received training which makes sure that drugs are handled safely. Medication Administration Records were accurately completed and stocks held reconciled with records kept. 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. People are supported to access a range of activities inside and outside of the home, and to maintain contact with family and friends. Evidence: There is a relaxed and welcoming atmosphere in the home which people said was always the case. There are a wide range of activities for people to join in with if they choose to do so. The daily activities available are displayed so people know what is taking place. The weekly activities on offer during the week of the visit included: board games, bingo, skittles, a visiting entertainer, arts and craft, a sing-a-long and a tea dance. In addition to the group activities provided the activity co-ordinator spends time individually with people. During the visit they were seen to be reading and letter writing with people. Visiting relatives said that they are made to feel welcome when they visit the home and that they are kept informed of important matters affecting their relative or friend. One visitor said It is a pleasure to visit Dad here and the staff always let me know if he has seen the doctor or not been very well. Another visitor spoken to said its Care Homes for Older People Page 15 of 26 Evidence: fabulous, they treat my Mum brilliantly. People said that they enjoy the meals served at the home. One person said the food is very very very good. The main meal of the day is served at lunchtime and on the day of the visit was: roast ham or steak and mushroom pie served with swede, peas and new potatoes, followed by pear crumble and custard. An alternative is always available if anybody does not want what is on the menu. The mealtime was seen to be a relaxed and social occasion with the tables attractively set. The home has recently been inspected by officers from the environmental health department and the food handling and hygiene practices have been assessed as four stars. This means that the kitchen hygiene standard are good. People were seen to have choice in where and with whom to spend their time, and from observations and discussions with people living at the home friendships have developed between people. People told us that they enjoy living at the home one person said its a wonderful place and the staff do everything they can to help us. Regular residents meetings are held which help to influence the way the home is run. Relatives and friends are encouraged to attend these meetings to have their say. Minutes of these meeting are taken and displayed on the notice board to keep everybody up to date with what was discussed and what suggestions were made. 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. Procedures are in place to make sure that people are protected from abuse and and that their welfare is safeguarded. Evidence: The home has a complaints procedure and people spoken to during the visit knew who to speak to if they were unhappy about anything in the home. One relative said I would talk to the manager. A record is kept of any complaints received. There has been one complaint received by the home which was fully investigated and the issue resolved. No complaints have been sent directly to the Commission. The staff have all received adult protection training and are aware of what to do if they suspect that an incident of abuse or poor practice has occurred. The homes policies and procedures are up to date and the staff are aware of the procedures and guidance they contain. The home is very good at notifying the Commission and the local authority about any incidents that take place between people living in the dementia unit. The majority of these are handled in accordance with the local authority safeguarding procedure. This makes sure that people are protected. 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. People live in a clean, safe and comfortable environment. Evidence: The home is situated in a residential area in the centre of Heckmondwike. The shops and facilities of the town are within easy walking distance and public transport gives regular access to the town centre of Dewsbury. The home is purpose built and is furnished and fitted to a very high standard. All of the spacious single bedrooms are equipped with en-suite shower facilities. In addition there are specialist bathing facilities provided. The communal areas of the home are spacious and comfortable with sufficient space for social activities to take place. A passenger lift allows access to all areas of the home. The home consists of two units one for people requiring personal care and the upstairs unit caters for people with dementia care needs. People told us that they were satisfied with their own personal accommodation and one person said its very posh I never expected to have my own shower. People are encouraged to bring personal possessions with them when they move in, this makes Care Homes for Older People Page 18 of 26 Evidence: people feel at home. There are infection control systems in place and all staff are provided with protective clothing to prevent any possible cross infection. The laundry facilities are well equipped and peoples clothing looked well cared for. People are encouraged to maintain their independence and equipment such as hand and grab rails and raised toilet seats are provided to make sure that people maintain their mobility. A full tour of the home showed that all areas were clean and hygienic throughout. There are well maintained garden areas for people to sit out in in the warmer weather. 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. People are cared for by a well trained and motivated staff team, and rigorous recruitment practices make sure that only suitable people are employed at the home. Evidence: There are sufficient staff employed to make sure that peoples health and personal care needs are met. The duty rota confirmed that during the day one senior care assistant and two carers are on duty on both units. A floating member of staff is on duty to work in both units at peak times. During the night there are four waking night staff. In addition to the care staff sufficient domestic, laundry, administration, activities, catering and maintenance staff are employed. Staff were seen to have enough time to sit and talk to people, and one person living at the home said they always have time for you, they just sit and chat. There is a programme of National Vocational Qualification (NVQ) training and the majority of the care staff have achieved the level 2 award and some are working towards the level 3 qualification. This makes sure that care is given in a safe and consistent manner and that the staff are qualified to care for the people living at the home. Care Homes for Older People Page 20 of 26 Evidence: In addition to the NVQ training a wide range of other training opportunities are available to make sure that the staff are well trained to meet the needs of the people living at the home. Staff told us that they value the training provided and welcome any training courses provided. One member of staff said Ive worked in other homes and the training here has been the best. People said that the staff were kind and attended to their needs promptly. Staff were seen to be treating people with dignity and meeting their needs in a sensitive manner. One person said they are brilliant and so kind, another person said they really do care for you and are kind. The recruitment files of six members of staff were seen. They all contained evidence that proof of identity had been confirmed and that Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures had been obtain prior to starting work at the home. Two written references had also been obtained. This makes sure that people are protected and only suitable people are employed at the home. 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 run in the best interests of the people living there. Evidence: The Registered manager of the home is qualified and competent to run the home. There is a strong and effective management team in place and together they ensure that an open and positive atmosphere is prevalent in the home. Staff told us that the manager is approachable and listens to what they say with ideas and suggestions taken on board. One visiting relative told us that it was the caliber of the manager that made us chose this home. There is a formal quality assurance system in place in the home, and peoples views on how the home is run are actively sought. This involves people who live at the home, their family and friends and health and social care professionals. As the home has only recently opened the results of these surveys have not yet been collated and published. Care Homes for Older People Page 22 of 26 Evidence: There are financial procedures in place which makes sure that peoples money is handled safely. A random check on cash held was made and both cash and records held reconciled. Staff records seen showed that staff have regular supervision meetings with their line manager. This makes sure that all staff have the opportunity to raise any issues affecting their work in a safe and confidential manner. All staff have an appraisal of their practice every six months. Peoples health and well being is protected by all staff receiving regular training on safe working practices. Health and safety records seen showed that all the required checks have taken place and certificates seen showed compliance with relevant regulations. The home completed their Annual Quality Assurance Assessment (AQAA). This document contained useful information about the home and the people living and working there. At present there are no people living at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. 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 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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