Latest Inspection
This is the latest available inspection report for this service, carried out on 25th November 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Homefield Court.
Annual service review
Name of Service: Homefield Court The quality rating for this care home is: The rating was made on: two star good service 1 8 1 1 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Judith Brindle Date of this annual service review: 2 1 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: 1 Central Way Barretts Green Road London NW10 7AP 02089631618 02089613857 homefieldcourt@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mr Hrant Gregorian Number of places (if applicable): Under 65 Over 65 0 23 The maximum number of service users who can be accommodated is: 23 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, not falling within any other category - Code OP Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Homefield Court is a registered care home for 23 older people. The home is located in Park Royal, Northwest London and surrounded by a variety of small commercial and industrial businesses. It is within 10 minutes walk to the Central Middlesex Hospital and local ambulance station. There is a large hypermarket store about 15 minutes walk from the home, a local post office and additional shopping is a short drive to Harlesden town centre. In addition, the home is close to two local bus routes and the Harlesden underground station is about 15 minutes walk. The homes manager has been in post
Annual Service Review Page 2 of 8 1 8 1 1 2 0 0 8 since April 2005 and is supported by a complement of experienced care staff, some of whom have been working at the home for several years. A key worker system is operated. Admission is made through spot purchase but the home also accepts referrals from both the private and public sectors. Information about the service and the fees is available from the home. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection that took place on the 18th November 2008. This included; looking at the annual quality assurance assessment (AQAA) that was supplied to us by the service prior to this annual service review. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also looked at seven feedback surveys completed by people using the service, and one from a health care professional. Other information that we looked at included how the service has managed any complaints, and what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We also spoke with the registered manager, and visited the care home to collect feedback surveys (due to concerns with regard to the postal services and possible postal strikes). Whilst there we spoke with some people using the service and a relative of a resident. We also briefly spoke with a health care professional. The previous key inspection report and relevant information from other organisations were also considered. There were two requirements from the previous inspection, which the registered manager told us had been met. We thank all those who provided us with feedback about the service during this annual service review of Homefield Court. What has this told us about the service? The AQAA (Annual Quality Assurance Assessment) document had been completed by the registered manager and gave us all the essential information about the service that was asked for. The AQAA included examples to demonstrate how positive outcomes are supported and enabled for the people using the service. Key points within the AQAA included reference to listening too, and supporting people using the service to make decisions about their lives. AQAA told us that at Homefield Court relatives and residents meetings take place, which gives people the opportunity to communicate their views and to receive information about the home. We were told of developments that had been made to the service as a result of listening to people using the service. These include; people using the service being more involved in outside activities, and their care plans, and residents having the choice of re decorating their rooms. We were told that the home has an Equal Opportunity and dignity at work policy and all staff has a responsibility to comply with the policy and that staff are aware that all people are to be treated equally. We were also told that the staff induction programme now includes questions on Equality and Diversity. AQAA informed us that residents have more opportunity to go out into the community. We were also told from the manager that the home receives positive feedback from people using the service and from their friends and relatives. An extract from the AQAA told us that residents families are always complimenting the home. A health care professional told us that residents privacy and dignity needs are met by the home. We were also told from previous inspection, and the AQAA that the home has a referral, and assessment policy which tells us that prospective residents receive an Annual Service Review Page 4 of 8 initial assessment of their needs (with their full involvement from other agencies) before they move into the home, and are supported and encouraged to visit the care home before moving in. It was evident from the AQAA that the home has looked at ways of improving and developing the referral process to ensure that it is flexible, and not daunting for the prospective resident. We were informed that residents are encouraged to bring items of personal furniture to the home when they move in. AQAA and previous inspection told us that residents each have a comprehensive care plan, which reflects the care needs for each resident. We were told that the home actively promotes personal Centred Care (when the persons care plan is led by the resident, and central to the care and support that they receive from the service). We were told that the home reviews each care plan monthly according to the resident needs. Extracts from the AQAA informed us that the health needs of people using the service are met, and they have access to care and treatment from a variety of health care services. We were told that the home recognises the importance of having a good relationship with health care professionals, and that a physiotherapist visits the home every week, and GPs also visit the home and review the medical needs of people using the service. A comment from a survey from a health care professional told us that the the home is good, and looks after residents. We were told from previous inspection that people using the service are supported to take part in the activities, and leisure pursuits of their choice, and that they are fully involved in making decisions with regard to these. Activities that we were told about include; a physiotherapist offering weekly exercise class activities, outings to the shops, floor activities, and board games, board games, and once a month church service takes place and Holy Communion are given weekly too those who wish. We were told about outings to Windsor and Kew Gardens that have recently taken place. AQAA told us that the home has a new activities co-ordinator, and that the home promotes the fun aspect of activities, as well as stimulation and competition. We were told that Homefield Court understands, and respects residents views in having the right to refuse activities. A person using the service told us that the home could organise more games. We were informed from previous inspection that a variety of nutritious meals, including regular snacks and drinks of residents choice are provided to people using the service. An extract of the AQAA told us that meals are freshly cooked, and residents have a choice of what and were to eat, and alternate arrangement can be made if a resident changes their mind. Feedback from people using the service told us that they like the meals in the home. A resident who spoke with us told us that the meals are good, and he can choose what to eat. Feedback from surveys that we received from people using the service told us that they were asked if they wanted to move into the home, and they received enough information about the home before they moved in. Residents told us that the home is fresh and clean, they can do what they want to do during the day, and they know who to speak to if they are unhappy, staff treat them well,and listen to what they say. Previous inspection and the AQAA told us that the home has a complaints procedure. We were informed by the AQAA that the home has an open door policy with regard to people communicating complaints, and that they are listened to, and are protected. We were told that staff have received safeguarding adults training, and that appropriate
Annual Service Review Page 5 of 8 risk assessments are in place, and policies and procedures are actively in use to protect service users. The registered manager told us that most staff had received training from the Local Authority, with regard to the Mental Capacity Act 2005/Deprivation of Liberty safeguards, and that they understood its significance with regard to people living and working in the care home. AQAA and previous inspection told us that the home is clean. We were told of a number improvements (and saw some during the brief visit to the home) that have been made to the home, which includes; CCTV being installed outside the home, several bedrooms having been redecorated and new carpet has been laid as per the choice of the service users, new kitchen, wall tiles and floor tiles have been replaced, and all outside windows have been painted and the wood replaced, and the garden is well maintained. AQAA told us that the home provides relevant training for our staff, and staff are supervised and stay in their jobs. We were told from an extract of the AQAA that the majority of the staff have been in their post over a long period of time. A comment from a person using the service told us that staff are very kind and considerate, and a relative of a resident told us that good care is provided to their family member, and they were very happy with the care the person using the service receives. A resident told us that staff provided good care and support. Feedback from a relative of a resident told us that the staff always have a smile, and are approachable. In answer to the question in the feedback survey what does the home do well? a resident commented everything. Written feedback from a resident told us that staff usually listen to what they say, but are always available when they need them. Other comments from people using the service included staff look after them, and I am reasonably happy with the home. We were told that most staff have or are completing NVQ (National Vocational Qualifications) level 2 or 3 in health and social care. AQAA and previous inspection told us that the home has systems in place to ensure that safety checks are carried out in the home, policies and procedures are up to date, and appropriate monitoring of the service takes place. We discussed with the registered manager, the need to ensure that all staff were aware of up to date advice and procedures with regard to swine flu. The manager is registered with us and qualified and competent to run Homefield Court, and has many years experience working in social care with older people. He has achieved the Registered Managers Award qualification. The manager told us that the requirements from the key inspection in 2008 had been met. These included ensuring that care plans included assessment of peoples cultural and religious needs and installing door closure safety devices on all doors. It is evident from the AQAA and from talking to the manager that he is aware of the importance of continuing to develop and make improvements to the service provided to people using the service. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 It is evident from the information received about the care home since the key unannounced inspection (18/11/08) that our judgement is that the home is still providing a good service to people using the service. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 7 of 8 Reader Information
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