Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd June 2010. CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Homeleigh.
What the care home does well The home has made sustained progress since the last inspection in meeting outstanding requirements. The benefits of a consistent management team is reflected in the care given. What the care home could do better: Although requirements 4 and 5 of the previous report have been met, a new requirement is made in this report to ensure that the exit from the first floor to the garden which has wrought iron railings along both sides of its perimeter should be risk assessed on health and safety grounds. The railings appear to be low and overlook a concrete area below. There is a possible risk of a resident falling over the balustrade and a requirement is made in this report to assess it, the manager was made aware of this concern at the time of this inspection. Random inspection report
Care homes for older people
Name: Address: Homeleigh Avenue Road Erith Kent DA8 3AU one star adequate service 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: David Halliwell Date: 2 3 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Homeleigh Avenue Road Erith Kent DA8 3AU 01322339691 01322350291 susan.ilott@kcht.org.uk www.kcht.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Susan Jacqueline Ilott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Avante Partnership Limited care home 48 Number of places (if applicable): Under 65 Over 65 16 32 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 48 The registered person may provide the following category of service only: Care Home Only (CRH - 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 (maximum number of places: 32) Dementia - Code DE(E) (of the following age range: over 65 years) (maximum number of places: 16) Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Homeleigh is a large detached building situated in a pleasant residential area of Erith. It is near to local shops and facilities, and has bus routes and train stations within easy travelling distance. It is owned and managed by Kent Community Housing Trust KCHT, which is a charitable not for profit Trust, and who have other care homes for older people within the region. The home is set into a hillside, and has four floors, of which three form the care home. There are bedrooms, bathrooms and toilets on each floor. There are a number of lounges, a dinning room and activity room on the ground floor. All levels can be reached via a passenger lift. As the home is on a hillside, the gardens are accessed from the first floor at the rear of the building, and there is a spacious patio area, walkways, a lawn and mature shrubs. The home provides day care for up to five people each day. This service is not inspected by CSCI, however the impact on other people living in the home is taken into consideration. Care Homes for Older People Page 3 of 8 What we found:
What we found: The reason for this inspection was to establish what progress had been made towards meeting the statutory requirements made in our report on 21 September 2009. The requirements will be dealt with sequentially from that report: 1. Assessment - A slight amendment to the assessment of need form would indicate the history of the document and date of placement confirming suitability or otherwise could be kept in current care plan folders to assist with understanding residents longer term needs. The case file of the most recent residents confirmed that full assessment information had been obtained and that sufficient information existed to prepare a care plan. 2. Reviewing Care Plans - Homeleighs manager has ensured that a new developed company care plan format is now in place for all residents. The care plans provide a holistic and more personalised picture of the resident as a person indicating the family relationships and a social perspective together with a comprehensive understanding of the residents needs. This was put in place from March this year. Care plans are reviewed monthly by the team leader and the key worker together and updated daily and monthly. A monthly review is summarised on a monthly events sheet and the company has adopted this for all their homes and training continues to be given on an ongoing basis by a private training provider. 3. Daily Lives and Social Activities - There is a full plan of activities evidenced for the summer indicating that there are a range of activities available both within the home and visits made outside the home e.g. to the coast etc. However, daily activities would benefit from being recorded in a central place e.g. perhaps on a matrix to indicate those people who have been involved and what they have been involved in which would make it easier to audit and plan from a management perspective. This requirement could be seen to be partly met but it is recommended that the management team and the activities coordinator look again at the comments made within the key inspection report 21 September 2009. It was recommended that an activities planning tool be introduced. 4. Environment - A tour of the home was undertaken by the inspector with the manager, Mrs Ilott. Communal areas on the ground floor indicated new carpets and curtains in lounges and the general standard on this floor and the first and second floors has clearly improved. Toilets, bathrooms and bedrooms were clean and bedrooms were personalised. The first floor had been recarpeted. There seemed to be a more proactive approach to renewal and refurbishment. There had been a problem with faulty tiling in some of the bathrooms and this is currently being addressed. There is now a regular six monthly review of environmental needs undertaken by the providers property department to identify areas of replacement and renewal. What the care home does well:
The home has made sustained progress since the last inspection in meeting outstanding requirements. The benefits of a consistent management team is reflected in the care given.
Care Homes for Older People Page 4 of 8 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 8 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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 19 23 A new requirement is made to ensure that the exit from the first floor to the garden which has wrought iron railings along both sides of its perimeter should be risk assessed on health and safety grounds. There is a risk of a resident falling over the balustrade. In order to meet the NMS. 01/08/2010 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 7 of 8 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. 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 noncommercial 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 8 of 8 - 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!
