Care Home: George Hythe House

What the care home does well George Hythe House has identified areas for improvement which they are working towards. The Registered Person for the home is keeping the Care Quality Commission up to date with important issues, which are bringing about change and improvements to the service. What the care home could do better: Care plans and supporting documentation need to be regularly reviewed, dated and signed, and where practicable include the comments and the signature of the persons whose care plan it is. The quality of care that people receive could be enhanced by care plans containing greater detail with regards to individuals preferred daily routines, and information as to their preferences and choices, including activities. Random inspection report Care homes for older people Name: Address: George Hythe House 1 Croft Road Beaumont Leys Leicester LE4 1HA one star adequate service 02/09/2009 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Linda Clarke Date: 0 1 0 2 2 0 1 0 Information about the care home Name of care home: Address: George Hythe House 1 Croft Road Beaumont Leys Leicester LE4 1HA 01162350944 01162366560 georgehythehouse@lqha.co.uk www.leicesterquakerhousing.com 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) : Leicester Quaker Housing Association care home 41 Number of places (if applicable): Under 65 Over 65 31 31 41 41 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 0 No person to be admitted in categories MD(E) or DE(E) when 31 persons in total of these categories/combined categories are already accommodated. Date of last inspection Brief description of the care home George Hythe House provides accommodation and care for up to 41 older people, some of whom may have additional care needs which include a mental disorder, physical disability or dementia. The home was purpose built and is owned and managed by the Leicester Quaker Housing Association. The home is located within a Care Homes for Older People Page 2 of 9 0 2 0 9 2 0 0 9 Brief description of the care home residential area. George Hythe House offers accommodation on the ground and first floor, each floor comprises of two wings, one wing provides secure accommodation for people with dementia. Each wing has its own kitchen/dining area, where meals are taken. The ground floor provides the main lounge in the home, with a smaller lounge being available on the first floor. The wing which supports people with dementia and is secure has a small seperate lounge. All bedrooms in the home are single and have ensuite facilities, in addition each wing has a bathroom which provides bathing or shower facilities. There is a car park to the front of the home, and a surrounding garden, which provides seating. Information is located on site detailing the range of services offered, which includes an information pack. George Hythe House has copies of recent inspection reports carried out by the Care Quality Commission and its predcessor the Commission for Social Care Inspection. Information regarding fees was provided on the day. People funded by Leicester City Council range from £345.00 to £399.00 per week. People funded by Leicestershire County Council range from £341.00 to £404.00 per week. People funded by Leicester City Council who receive care in the wing which provides secure accommodation for people with dementia range from £420.00 - £474.00 People who fund their own care range between £478.00 to £532.00 per week. People who fund their own care who receive care in the wing that provides secure accommodation for people with dementia range from £553.00 to £607.00 per week. Care Homes for Older People Page 3 of 9 What we found: The reasons for this Random Inspection was to follow up on requirements made at the previous Key Inspection which took place on the 2nd September 2009 and the outcome is as follows. We looked at the care plans, risk assessments and daily records of four people. We found that care plans and risk assessments had not been reviewed, in some instances for periods in excess of six months. We did find that monthly reviews are carried out whereby any issues affecting the individual within this period are recorded. Whilst this is good practice, we found no direct link to changes in care plans or the updating or reviewing of risk assessments. Care plans and other supporting documentation including risk assessments need to be regularly reviewed, signed and dated. Where practicable the views of the individual should also be included within the care plan. We spoke with care staff and asked them about the care and support required of those individuals whose records we had viewed. All care staff had a good understanding of their needs, and confirmed information contained within care plans. Staffing levels within the home have been reviewed since we last visited on the 2nd September 2009, staff we spoke with told us that this has meant that staff now have more time to spend with people living at the home, which includes spending time talking with them. We were told that night staffing levels had also been reviewed, and that the number of staff on duty during the night will increase in the near future, once those appointed commence work. Training for staff has taken place in some topics which we had identified at the previous Key Inspection, which have included the Mental Capacity Act and Deprivation of Liberty Safeguards. The Team Leader advised that all staff have received updated training in moving and handling people safely, and some staff have received training in the administration of Insulin. We noticed that staff along with the Activities Organiser supported people to visit the day care centre, which is located next door to the home. Music was playing in communal areas of the home, and was reflective of music enjoyed by those living at the home. We observed staff interacting with people living at the home, and noticed that staff were polite and courteous and participated in conversation, which those living at the home enjoyed. What the care home does well: George Hythe House has identified areas for improvement which they are working towards. The Registered Person for the home is keeping the Care Quality Commission up to date with important issues, which are bringing about change and improvements to the service. Care Homes for Older People Page 4 of 9 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 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 7 15 The registered person to 02/12/2009 ensure that each person has a care plan, and that the care plan is kept under review, and is developed in consultation with the service user or their representative. To ensure that the care and support an individual requires is comprehensively documented. 2 30 18 The registered person to ensure that staff receive training and guidance as to the principles of person centred care. To support peoples individual lifestyle choices and preferences. 02/12/2009 Care Homes for Older People Page 6 of 9 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, 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 7 15 The registered person to 31/03/2010 ensure that each person has a care plan, and that the care plan is kept under review, and is developed in consultation with the service user or their representative. To ensure that the care and support an individual requires is comprehensively documented, up to date and accurate. 2 38 13 The registered person shall 31/03/2010 ensure any activities in which service users participate are so far as reasonable practicable free from avoidable risks; and unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Risk assessments to be carried out, which are regularly viewed, dated and signed. To promote the safety and welfare of those in receipt of Care Homes for Older People Page 7 of 9 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 care. 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 Care plans be further developed reflective of person centred care, which include the aspirations and wishes of those in receipt of care. Care plans be devised specific to the needs of those with Dementia, which reflect known triggers which cause anxiety or stress and include guidance for staff to promote well-being. 2 7 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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