Care Home: College House Residential Home

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What the care home does well This home has an admissions procedure that is designed to ensure that an individual`s needs can be met. The staff in the home identify the needs and preferences of all of the people who live there. People who live in the home were very complimentary about the staff. They comments like they are "They`re a good bunch" and "Staff do their best to please". They were aware of the care needs of the people they look after and spent time talking with them and keeping them occupied. People told us that the home provides and environment that is pleasant for them to be. We saw how the staff are properly screened before being allowed to start work in the home and receive training when they do. The manager provides positive guidance to the staff team on how to meet the needs of the people living in the home. What has improved since the last inspection? No requirements had been made as a result of the last inspectio. What the care home could do better: No requirements or recommendations have been made as a result of this inspection. Key inspection report Care homes for older people Name: Address: College House Residential Home Berrington Road Tenbury Wells Worcestershire WR15 8EJ     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: Michael Moloney     Date: 2 7 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 25 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 25 Information about the care home Name of care home: Address: College House Residential Home Berrington Road Tenbury Wells Worcestershire WR15 8EJ 01584810270 01584811822 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Oaktree Care Ltd Name of registered manager (if applicable) Laura Mary Greenwood Type of registration: Number of places registered: care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Additional conditions: The maximum number of service users who can be accommodated is: 13. The registered person may provide personal care and accommodation for service users of both sexes whose primary care nedds on admission to the home are within the following categories:old age, not falling within any other category (OP) 13; physical disability over the age of 65 years (PD(E)) 13; mental disorder over the age of 65 years (MD(E)) 13; dementia over the age of 65 years (DE(E))13;sensory impairment over 65 years old (SI(E)) 13. Date of last inspection Care Homes for Older People Page 4 of 25 Over 65 13 13 13 13 13 0 0 0 0 0 Brief description of the care home College House Residential Home provides accommodation with personal care for up to thirteen older people. People using the service must require care due to age related frailty and they may also have care needs due to dementia, physical disabilities, a mental health disorder andor sensory impairment. The home provides a small amount of day care, and occasional short stays when they have vacancies, as well as warden type support to some people who live in adjacent bungalows. Day care and the bungalows are not regulated by the commission because they are not covered by the Care Standards Act 2000. College House is situated amongst mainly traditional houses and cottages in the town of Tenbury Wells. The original house dates back to 1698 and has been updated and extended over the years without losing the feel of an old country town house. The house has a nice garden and is within walking distance of the shops and amenities of Tenbury town. The home is part of the community and as it is small in comparison with many care homes it still looks and feels like someones house, which helps to give it a homely atmosphere. Information about the service is provided in a statement of purpose and a service users guide. The guide is also produced in large print and is available from the home as well as a copy of the homes latest inspection report. The weekly fee charged by College House and any additional charges should be requested from the home and be specified in individual residents contracts. Care Homes for Older People Page 5 of 25 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: We, the Commission, used a range of evidence to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete and notifications that have been received by the Care Quality Commission from the home about incidents, bereavements and other incidents that affect the welfare of the people who live in the home. The visit was unannounced with the purpose of carrying out a Key Inspection which is where the homes performance is measured against a set of standards identified by the Department of Health. One visit had been made by Care Quality Commission staff since the last Key Inspection to check that the requirement made at the last key inspection had been complied with. This inspection was undertaken by one inspector, Mike Moloney and lasted five hours. Care Homes for Older People Page 6 of 25 During that time we Case Tracked a number of the people who live in this home. This means that we talked to them and/or their relatives, where this was practical, to find out their views of the care that was being provided to them. This also enabled us to see if the records that identified peoples needs such as the care plans that are provided for the staff to follow were accurate and covered each individuals personal issues. We also talked to members of the staff team and the manager to check that they were aware of the identified needs of the people who live in this home were and whether or not they had the approach and training required to meet them. The standards set out by the Department of Health are in seven different groups. Each group can be judged as being either poor, adequate, good or excellent. The inspectors reach their judgement by following the guidelines laid down in the document known as the Key Lines Of Regulatory Assessment (KLORA) which is available on the Care Quality Commission web-site: www.cqc.org.uk Care Homes for Older People Page 7 of 25 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 order line 0870 240 7535. Care Homes for Older People Page 8 of 25 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 9 of 25 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 looking to live in the home and their representatives have the information needed to choose a home which will meet their needs They have their needs fully assessed before the home decides that they can meet their needs. Evidence: We looked at the records of someone who had been admitted to the home since the last inspection and these showed that their needs had been assessed before admission so that a plan for their care can be produced. The assessment covered such things as a persons ability to look after their own personal hygiene, how steady they were on their feet, what help they would need when moving around, how good their speech was and what medical conditions they had. We also saw documents that are available to people who are considering living in the home and these contained that information that they would need when making their Care Homes for Older People Page 10 of 25 Evidence: decision. Care Homes for Older People Page 11 of 25 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 health and personal care that a person living in this home receives is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: Current care records show that peoples needs are assessed on admission and a plan of care is produced which is reviewed and amended as their needs change. Peoples health care needs are kept under review and relevant professionals, such as Doctors or Community Nurses, are consulted and involved as and when necessary. We spoke to residents and relatives who were very positive about the care that is provided and one person particularly said about the staff that theyre a good bunch. Assessments of the risks posed by peoples disabilities and the guidance to the staff on how to support them, such as assisting them to move around the home, are in place. We looked at how medication is managed and the records kept to show that people Care Homes for Older People Page 12 of 25 Evidence: have received the medication that is prescribed for them. This is largely through a monitored dosage system which means that tablets are provided to the home in ready prepared blister packs for them to use to administer drugs to people. There is additional medication - liquids, creams and short course medication - which has to be kept in more traditional bottles and containers. The system to ensure people get the correct medication appeared to be working well and no problems were found. Care Homes for Older People Page 13 of 25 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 who live in this home are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet their expectations. They receive a healthy, varied diet according to their assessed requirement and choice. Evidence: We looked at the records of two of the people who live in this home. We saw that each persons interests and hobbies had been identified. One ladys record showed that she enjoyed singing and the staff confirmed that this was true. During the latter part of the inspection we heard her start an impromptu sing-song with some of the other residents. We heard the staff on duty encourage her as well as singing along. Everybody appeared to enjoy this. Throughout the inspection we heard light-hearted exchanges between the staff and the people who live in the home. If people asked for a drink or a snack we saw that the staff got them for them straight away and the people that we spoke to told us that this was normal. Care Homes for Older People Page 14 of 25 Evidence: We talked with the staff who told us that they are regularly able to take people out into the town shops, a local garden centre or a pub. We were also told by a visiting social worker that the person that they had just visited had said that she enjoyed the level and type of activity that she was offered. We looked at the records of the meals that had been served to the people who live in this home and these showed that such things as liver and bacon and other traditional foods were available. All of the people spoken to said that they liked the food that was offered to them. The meal served on the day of the visit was seen to be well presented and the menus seen for the previous month was well balance and nutritious. We talked to the staff and established that they could cater for people who required special diets because of such things as diabetes. Care Homes for Older People Page 15 of 25 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. The people who live in this home have access to a robust and effective complaints procedure, are protected from abuse and have their legal rights protected. Evidence: We looked at the homes complaints policy and this was seen to contain information on how and with whom issues of concern could be raised. We spoke to a number of the people who live in this home who all said that they knew how to raise any issue and that they were confident that they would be dealt with. No referrals had been made into the local procedures that deal with allegations of abuse of vulnerable people. We saw that staff had received training in the identification of abuse and the procedures that they must follow if they see such an instance. We talked to a number of the staff and they told us who they would contact should they have concerns about how any person living in the home was being treated. Care Homes for Older People Page 16 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home gives anyone living there a safe, wellmaintained and comfortable environment which encourages independence. Evidence: We looked around the home and we saw that it is an older building that has been modified for its current purpose with the addition of building extensions that contain extra bedrooms and administration space. It is on two floors with bedrooms being available on both levels. Some rooms are shared and some have en suite facilities. We saw that there are both stairs and a shaft lift between the two levels. We also saw that there are two communal areas. These are the main lounge and the dining room with the latter being next to the kitchen. Throughout the inspection people were seen using both rooms and chatting resting in either as the mood took them. We looked at the well maintained garden to the front of the building for the people who live to use during the better weather. Car parking is limited but there was plenty of on street parking in the roads behind the home. Care Homes for Older People Page 17 of 25 Evidence: We saw that the home was clean and odour free with the decor being in good repair. We saw that the home has the laundry facilities that are needed to keep peoples clothes and linen clean and hygienic. Care Homes for Older People Page 18 of 25 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. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of people who live in this home. Evidence: We watched and listened to the staff as they went about their duties. We saw that they were polite, friendly and professional with the people who live in this home. We heard them chatting to the people who they were helping or as they passed them. We saw them taking time to sit and talk to individuals between carrying out their duties. We talked to a number of people who live in the home and they were all complimentary about the attitude of the staff. People said such things as, theyre a good bunch. We looked at the staffing rota and this showed that there were enough staff on duty to meet the needs of the people who live in the home. We talked to the staff and they said that the rota was an accurate record of who had been on duty. We talked to a number of the people who live in the home and they told us that they received help from the staff promptly when the asked for or needed it. We also saw this happening. Care Homes for Older People Page 19 of 25 Evidence: We looked at the training that the staff had received. We saw training records that showed that the home has an ongoing programme of training in such things as manual handling, food hygiene and infection control all of which means that they are more aware of ways of meeting the safety and hygiene needs of the people who live in the home. We spoke to the staff on duty at the time of the inspection and they confirmed that they had undertaken this training. We looked at the recruitment records of two new staff. We saw that these contained evidence that the home had carried out the background checks that are necessary to ensure that people who wish to work with vulnerable people are fit to do so. We looked at the records provided by the home before the inspection and these showed that a number of the staff had achieved a National Vocational Qualification that was relevant to their meeting the needs of the people who live in this home. Care Homes for Older People Page 20 of 25 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 management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Evidence: We talked to the manager and she told us that she had completed the Leadership in Management course which is a qualification that is considered to be appropriate for someone who runs an organisation such as this. During the inspection she was told that she had passed the course. We found that the proprietor had carried out some of the quality assurance inspections and saw the records of the result of these. We also saw that a satisfaction survey had been carried out by the home during the previous month. This had asked the people who live in the home how well they thought that the home was meeting their needs in some clearly identified areas. The manager told of how the home was aware of the local procedures that are Care Homes for Older People Page 21 of 25 Evidence: designed to protect the human rights of people who lack the capacity to do so for themselves. She told us that nobody in the home had any restrictions placed upon them as a result of these. We found that the home stores small amounts of cash on behalf of some of the people who live there. We saw that these sums are kept and recorded in a clear and easily checked way. We asked for and were shown the records of the regular testing of such things as hot water temperatures, fridge/freezer and fire alarm systems. We saw that these records were clearly and regularly maintained showing that the safety of the people who live in this home is monitored on a regular basis. We looked for records of staff training. We saw that records contained comprehensive records of what training staff had received. Care Homes for Older People Page 22 of 25 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 23 of 25 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 24 of 25 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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