Care Home: Berkeley Court

Similar services:

• Elmleigh Convent
• Willersley House
• Pennine Lodge
• Abbey Lea Care Home
• Hurlfield View
• Abbeydale
• Priceholme
• Rosecroft Care Home

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. People receive a robust assessment before moving into the home. They are also consistently offered the opportunity to visit and look around as well. 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. Good person centred care within the care planning documentation provides the staff with a good understanding of the care needs of each individual. Some positive comments about care were received from people spoken to, examples of these are, "Its a fantastic place" "Staff are very professional and really care" "All staff are very kind and look after all the people well" "They are competent, considerate and polite and my mum is very pleased with the care given" 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. People said, "Everyone is so happy here it is a very good home". 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. Staff get very good training, which helps them to support people in the right way. People told us that the staff support them very well. The home is new and has all the equipment that people need to make living at the home enjoyable. 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: Care plans should have more information for staff to understand the specialist dementia needs of some of the people living in the home. Death and dying should be recorded so that any advanced directive, family involvement, religious support and funeral arrangements can be implemented when a person is dying or has died. Key inspection report Care homes for older people Name: Address: Berkeley Court Berkeley Court Chatsworth Road Harehills Leeds LS8 3QJ     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 4 0 5 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 27 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 27 Information about the care home Name of care home: Address: Berkeley Court Berkeley Court Chatsworth Road Harehills Leeds LS8 3QJ Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Vivian Jean Mathieu Laurent Type of registration: Number of places registered: care home 78 Harehills Carehome 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 78 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 Berkeley Court is in a residential area off Harehills Lane. It is in close proximity to the city centre and St James Hospital and has excellent transport links to the neighbouring areas of Crossgates, Seacroft and Halton. All bedrooms are tastefully decorated with luxury fittings and furniture and have en Care Homes for Older People Page 4 of 27 Over 65 78 78 78 0 Brief description of the care home suite facilities which include a wet room shower. Further facilities include a flat screen TV, DVD player, mini fridge, access to Freeview, telephone and internet facilities. An aid call system is installed and lamps are touch operated. Should a married couple choose to live in the home they will be given the option of having one room as a bedroom and the other as a private sitting room. Some rooms have patio doors with direct access to the garden areas.There are lounge/dining areas, quiet rooms and family rooms. There are assisted bathrooms and assisted shower rooms. People can freely access enclosed sensory gardens and there are ample parking facilities for visitors. Care Homes for Older People Page 5 of 27 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 17:00 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 27 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 manager at the end of the visit. Care Homes for Older People Page 7 of 27 What the care home does 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. Care Homes for Older People Page 8 of 27 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 order line 0870 240 7535. Care Homes for Older People Page 9 of 27 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 27 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. Peoples needs are properly assessed before admission, making sure their needs can be met. Evidence: From the discussions with the manager and checks made of the six files it showed that pre admission assessments are made before people come to live at the home. Written information like the statement of purpose as well as discussions with staff and people living in the home showed that all people considering living at the home and their relatives are seen personally. A visit to the home is arranged with relatives and if possible the prospective person, so that they can see the room available and general facilities. Apart from the homes own assessment documentation, other information is gathered from any social worker or health care professionals that have been involved with the person. The home has also introduced a life history form as part of the assessment Care Homes for Older People Page 11 of 27 Evidence: process. This provides useful information about peoples lives, family, occupation, their preferred way of living including daily routines, hobbies and interests, personal care preferences, spiritual needs and food preferences. From all of the information collected, if the home believes it can meet the persons needs, a plan of care needed is written. Once living in the home, individuals progress is monitored to make sure that care needs are met. Care Homes for Older People Page 12 of 27 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. Staff provide sensitive and flexible personal support that promotes peoples privacy and independence. They work well with people to make sure that health needs are met. Evidence: During the site visit we looked at aids and adaptations, support plans and the medication system. We observed interaction between people and staff, and we had discussions with people and staff. 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. Care Homes for Older People Page 13 of 27 Evidence: The care plans on both floors focuses on individuality, personal preferences and what a person can do to maintain independence and encourage autonomy. A life history is included in the care profile to provide a full picture of a persons life so that the reader gets to know the individuality of the person. People were risk assessed in areas such as falls, continence care, manual handling. These documents were reviewed regularly and were up to date. People have their weight checked on admission to the home. After that people are weighed at least monthly and more frequently if required so that unplanned weight loss can be easily identified. This is recorded in the care profile on a monthly audit. When a person looses more than 2 kg in a month the manager implements a risk reduction plan that is reviewed by the manager and head of operations. Referrals are made to GPs and/or dietitians if there are concerns. The care plans also have details of any health professionals that people see. These include, GP, chiropodist, optician and the community health service. 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. Although policies and procedures are available on bereavement, care of the dying, expected death of a person and unexpected death of a person. There was no record in the files looked at of personal wishes in relation to end of life plans. Death and dying were not recorded so that any advanced directive, family involvement, religious support and funeral arrangements can be implemented when a person is dying or has died. 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 were accurately kept, all drugs were noted to be stored properly and safely. Boots the chemist supply medication to the home and provide training, support and auditing to ensure the safe medication processes. Staff receive training and are supervised before they administer medication to people. A check list of competencies is kept in the staff file. Care Homes for Older People Page 14 of 27 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 routines. People living at the home are provided with a varied and nutritious diet. Evidence: There is an activities programme that includes visiting musicians, crafts, poetry, reminiscence, gardening and various others, these are provided both by outside professionals as well as the homes own staff. 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. Religious/cultural beliefs are recored in the care profile. People are actively encouraged to participate in their religious/ cultural beliefs and support is provided to enable them to practice their chosen faith. Care Homes for Older People Page 15 of 27 Evidence: The people living in the home talked positively about the food provided. The menus showed preferred option for all of the people spoken. They said the meals are good, they have plenty and that they have a choice. When a person requires assistance to eat this is done sensitively and discreetly so as not to cause the person any embarrassment. 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. One person said, As you can see the food is very good and theres plenty of it. Fruit bowls are available in the lounge areas for people to help themselves when they choose. Care Homes for Older People Page 16 of 27 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 adult protection 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 and visitors that they feel that all the staff are very approachable. People said any requests were always listened to and they feel safe and well treated. Policies are in place aimed to set out how the home protects people using the service and prevents harm or abuse and this includes a whistle blowing policy. The manager was aware of the need to report any suspected or alleged abuse to the local authority and other relevant authorities. All staff receive Safeguarding Adults Training on induction which is updated annually so that if they suspect abuse is taking place that they know how to promptly act to keep people safe. All members of staff are issued with General Social Care Council Care Homes for Older People Page 17 of 27 Evidence: Code of conduct to follow. Care Homes for Older People Page 18 of 27 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: The home is purpose built with furniture and fittings of the highest specifications. Each bedroom has an en-suite wet room, LCD TV, DVD player, mini fridge, touch lamp, telephone point, free view and internet access fitted as standard. A tour of the building was made. All communal areas were seen. These are comfortable and well decorated. People are encouraged to personalise their rooms and to bring familiar pieces of furniture in with them. People commented on how happy they were with their rooms, one said she had been able to bring her own things in with her. All the people living in the home and their relatives spoken with said they were happy with the standards of cleanliness. Clinical waste is properly managed and staff wear protective clothing when attending to peoples personal care needs. 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 27 Evidence: The laundry is spacious and equipped with commercial appliances. A dirty in, clean out system of work is in place to reduce the risk of contemning clean laundry. Garden areas provide easy accessible space and raised beds that people can access easily. Care Homes for Older People Page 20 of 27 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 protected by the homes recruitment procedures and staff are, in the main, trained and skilled to meet the needs of people at the home. Evidence: 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 staff are eligible for work. The personal records for three staff members were looked at to make sure that the appropriate checks has 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 new staff follow the Medex care induction training programme. Staff are provided with a good variety of training in areas such as infection control, food hygiene, abuse and personal best. 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. Staff said they knew about training and how to access different courses. All staff in the home receive Dementia care training, accredited by the Alzheimers Society. Clear job descriptions are provide for all employees so that they know exactly what is Care Homes for Older People Page 21 of 27 Evidence: expected of them. An employee of the month programme is in place where people living in the home, visitors and staff are encouraged to recognise those who go out of their way to really make a difference to people. They receive a gift and are put forward for the Employee of the Quarter award. Care Homes for Older People Page 22 of 27 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 experienced and qualified with a sound knowledge in care of the elderly. The manager is supported by deputy managers who are on every shift days and nights to provide consistency and leadership in the home at all times. 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 kept for all transactions that are made and confidentiality is maintained at all times. Care Homes for Older People Page 23 of 27 Evidence: 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. The home completes an annual development plan in which people living in the home and staff participate and contribute. Objectives are set for the forthcoming year. Care Homes for Older People Page 24 of 27 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 25 of 27 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 Some peoples file should have more information about dementia, to help staff to understand how this type of dementia affected that person and how they could help that person. Death and dying should be recorded so that any advanced directive, family involvement, religious support and funeral arrangements can be implemented when a person is dying or has died. 2 11 Care Homes for Older People Page 26 of 27 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. © 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. Care Homes for Older People Page 27 of 27 - 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!