Care Home: Cornerways Residential Home

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What the care home does well The service provides good information to help people decide if this service is right for them. People are supported by a consistent team who respect their dignity and care for them sensitively. The service has a good team of staff who support people well. Staff are well trained and supported. Assessments and care plans are good and give comprehensive information about the people and they way on which they want to be supported. People`s health is well supported by the staff who keep regular checks on their health care needs. They have good health care facilities in their local community. People are encouraged to enjoy a range of activities at the home and supported to continue with their own hobbies and interests. The cleanliness and decoration within the home is good the manager and staff have worked hard to make the home comfortable for everyone. What has improved since the last inspection? The manager and staff have continued to work hard to complete assessments and care plans. The home has a programme of redecoration which is on schedule. The activities are containing to be a success and enjoyed by people living at the home. What the care home could do better: The staff must make sure that the accident procedure is followed and that individuals have the right support to make sure they are safe. All new staff must have a full induction, which meets the skills for care training standard. The garden should be better maintained and furniture disposed of promptly to make sure people have a good quality of environment at all times. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cornerways Residential Home 15 Leadhall Crescent Harrogate North Yorkshire HG2 9NG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Linda Trenouth     Date: 2 0 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 27 Information about the care home Name of care home: Address: Cornerways Residential Home 15 Leadhall Crescent Harrogate North Yorkshire HG2 9NG 01423871017 F/P01423871017 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Amocura Limited care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Cornerways is run by Amocura Limited and is registered to provide care for 24 older people aged 65 years and above who have no specialist care needs. The home is a converted and extended two-storey building set in its own grounds. It is in a quiet residential area on the outskirts of Harrogate within walking distance of local shops and public transport links. The upper floor is accessible via passenger lift. The Service User Guide, which contains information about the home, is given to prospective service users. The Commission for Social Care Inspection report is given out with the guide. At the time of this visit weekly fees ranged from The fees for the service range from 375.55 to 509.25. Items not included in the charges include hairdressing, chiropody, toiletries, newspapers, magazines and taxis. Care Homes for Older People Page 4 of 27 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 Care Quality Commission inspects care homes to make sure the home is operating for the benefit and well being of the people who live there. More information about the inspection process can be found on our website www.cqc.org.uk. 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 commendations, 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 last key inspection was carried out in May 2007. Before this unannounced visit we Care Homes for Older People Page 6 of 27 reviewed the information we had about the home, which included an annual quality assurance assessment (AQAA) that the manager completed. We used this information to help us decide what we should do during our inspection visit. One inspector was at the home over one day. During the visit we looked around the home and talked to people who live at the home and staff. We observed how staff interacted with individuals and looked at care plans, the risk assessments, daily records and staff records. Feedback was given to the manager at the end of the visit. 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 set out 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 27 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. People have a full assessment before they move into the home to make sure the home is right for them and can meet all their needs. Evidence: People tell us that they have had good information about the service, which helped them decide if the home was right for them. Assessments have been undertaken prior to peoples admission to the home this is important to make sure the home can meet their needs. People are encouraged to visit the home and stay for a meal. Short term stays were facilitated where possible to make sure that everyone had an opportunity to decide if the home was right for them. One person said, I came here on respite and my family helped me move in. Care Homes for Older People Page 11 of 27 Evidence: People also have a contract that clearly explains their rights when living in the home and what they can expect to be charged for in addition to their fees. 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. Peoples personal and health care needs are met. Evidence: People have good support with their personal care. People say that they are well supported by the staff and that the staff are sensitive when assisting with their personal care. The staff are very kind and dont rush me. Peoples care plans are updated monthly and each person has a dedicated key worker who makes sure that their day-to-day needs are met. People are supported with their health needs. Staff say that everyone has regular health checks and their medication reviewed. Local District Nurses and GPs supported people in the home and any Care Homes for Older People Page 13 of 27 Evidence: recommendations they make were included in the care plans. Medication storage was reviewed and seen to be held responsibly. The home used a monitored dosage system. The medication records were completed and storage and disposal of any unused medication was safe. 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. People have a good choice of activities and are supported to make their own decisions. Evidence: People say that they are happy with the routines and activities at the home. There is an activities plan on display and a dedicated activities organiser who works at the home three afternoons per week. During the visit a popular quiz was being enjoyed. People tell us that the activities are good and that they particularly like the quizzes but also enjoy other activities such as, reminiscence sessions, discussions, bingo and board games. People also are well supported with their individual interests and hobbies and the home organises other group activities. People say, I enjoy reading and spending time in my room, but I also like to join in on the quizzes or just have a chat with other people Other people gave examples of the types of choices they made and activities they Care Homes for Older People Page 15 of 27 Evidence: enjoyed, such as visiting the local shops, coffee out with friends and spending time in their rooms. One individual had just celebrated his birthday and had been out for lunch with the manager. A Holy Communion service was held in the home during the afternoon and people said that they can also attend their place of worship in the local area. The inspector stayed with people for lunch and discussed their experiences of the food in the home. People say, The food is generally very good There is always a good range of choice. During the meal time people enjoyed the food and tell us that there is always a choice of food at mealtimes. People also discussed food choices and the planning of the menus at their residents meetings. Their ideas are then added to the menu. The cook explained that staff talk to each individual daily and ask what they want to eat during the day. The tables were set properly with tablecloths condiments and cutlery. Discreet support was provided to individuals who needed extra help with their meals and specialist cutlery and crockery was available. 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. People feel safe and are protected from harm. Evidence: The home has a complaints procedure. The complaints procedure is displayed in the home next to the visitors signing in book. It is also available in the service user guide. This details how someone can make a complaint and the actions that will follow on from this. There have been no complaints received by the CQC (Care Quality Commission) about this service, the home however has recorded two complaints made to the home, these complaints were dealt with promptly by the manager of the home. Discussions confirmed that people were comfortable talking to the manager and staff if they were unhappy or had any concerns. One person said, I just talk to the manager if I am not happy We talked to staff who confirmed that they felt able to talk to the manager and raise any concerns that they may have. Staff have completed training in adult protection and understand the importance of Care Homes for Older People Page 17 of 27 Evidence: taking the views of individuals seriously and responding to any issues raised. Proper financial arrangements are in place where personal money is held on behalf of individuals. Staff record all transactions and keep receipts. Two staff sign to verify the transaction and people are encouraged to sign their financial records. 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 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 decorated clean and comfortable to live in. Evidence: The home was welcoming and well maintained. Some redecoration has been completed since the last inspection and the manager makes sure that areas are well maintained. Cornerways is easily accessible and homely. There is a car park and large patio area, which is easily accessible by everyone. The home provides comfortable communal lounges and dining areas, with good quality furniture and pictures, ornaments and photographs enhance the look of the building. There is a call system is in operation in every room and all bedroom doors are fitted with locks and individuals are issued with keys to their rooms. Bedrooms were individually decorated and held many personal possessions and items reflecting their individuality and personalities. The home was clean and hygienic and kept free from odour. Staff say that infection Care Homes for Older People Page 19 of 27 Evidence: control measures are in place, to prevent the spread of cross infection. The Home has a policy on the control of infection and provides the correct protective equipment. The gardens however could have been better maintained, and old furniture was stored in the garden in sight of peoples bedrooms. This needed prompt attention. 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 cared for by a well supported and trained staff team. Evidence: From the review of staff records it was confirmed that staff had been safely recruited with all the necessary checks completed before people began working at the home. There is an induction programme that ensures new staff members are given the right information to be able to do their jobs well. One new member of staff had not undertaken the induction training. The manager said this had been an oversight, they had however had manual handling training. All new staff must undertake induction training. Staff spoken to said that the training at the home was good, providing them with the confidence and skills to care for people safely. The training programme includes all the mandatory training needed to meet basic needs such as first aid, lifting and handling, food hygiene, and health and safety. Specialist training provided includes dementia care, schizophrenia, safe medication, nutrition and infection control. Care Homes for Older People Page 21 of 27 Evidence: On the day of the inspection the Manager, three Care Staff, a Chef, Ancillary and Activities Worker were on duty. The duty rotas show that there are at least three staff members on duty at all times through the day and two work through the night. Staff confirmed that they felt well supported at the home and have regular staff meetings and supervision. 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. Evidence: The manger is qualified and experienced. She is accountable to a senior manger within the company. The managing director visits the home monthly to make sure that the business is being conducted in a proper manner and that people are happy with the service. Residents meetings are held regularly and relatives have been invited to form a relatives group. People expressed their confidence in the manager saying she is approachable and easy to talk to. The manager is available throughout the week and spends time with people daily and regularly joins everyone for the lunch time meal. Care Homes for Older People Page 23 of 27 Evidence: There is a quality assurance scheme and regular quality monitoring systems in place. People living at the home and relatives are surveyed annually, the findings are analysed and this informs the development plan for the home. Staff confirmed that staff supervision and appraisals are held and that they attend staff meetings at the home. Staff spoken to felt that the manager gave them good support. Accidents were recorded and audited by the manager. One incident involving a recent fall in the home was not managed in line with the homes accident procedure. The manager said that this was an oversight. When an accident occurs the procedure must be followed correctly. The home works to a clear health and safety policy and regular safety checks are carried out. Areas reviewed at the inspection included Gas and Electrical safety, these were found to be safe and well monitored. 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 1 37 13 The manager must make 23/07/2009 sure that staff follow the procedure in the event of an accident. This is to make sure that peoples safety is promoted and supported. 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 19 The garden and grounds should be kept tidy at all times to maintain the quality of the Environment for people living at the home. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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!