Care Home: Housman Court

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What the care home does well Because the focus of this random inspection was on key areas of high risk, we may not have identified some areas of good practice. The next key inspection will give us an opportunity to look at how the home meets people`s needs in all areas. We saw staff interacting with people in a respectful way. There was an open visiting policy and people were welcomed, so people living at the home are able to maintain important friendships and relationships.The communal lounges are comfortable. The rear garden is well maintained and provides a pleasant place for people to enjoy the outdoors when the weather permits. A wide range of interests, activities and opportunities are made available in which people can participate if they choose. Support can be provided so that people are able to continue their committments to their different faiths and cultures. What the care home could do better: The home need to develop care plans in a more person centred way to provide clear guidance for staff especially around nutrition, weight monitoring and food supplements. The care plans should clearly show that the individuals personal preferences have been taken into consideration when delivering the care. To assist people with short term memory problems to find their way around the home, the environment should be reviewed with signs and colour themes. Random inspection report Care homes for older people Name: Address: Housman Court School Drive Bromsgrove Worcestershire B60 1AZ three star excellent 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: Christine Potter Date: 2 5 0 6 2 0 1 0 Information about the care home Name of care home: Address: Housman Court School Drive Bromsgrove Worcestershire B60 1AZ 01527575440 01527577439 carol.onley@somersetredstonetrust.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Dorothy Mutsvanemoto Type of registration: Number of places registered: Conditions of registration: Category(ies) : Somerset Redstone Trust care home 30 Number of places (if applicable): Under 65 Over 65 0 30 0 dementia old age, not falling within any other category physical disability Conditions of registration: 30 0 30 The maximum number of service users who can be accommodated is: 30 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 (OP) 30 Dementia (DE) 30 Physical Disability (PD) 30 Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Housman Court is an established care home for older people, purpose built in 1988. It is situated in the centre of Bromsgrove within easy reach of shops, post office, library and swimming pool. There are thirty single rooms with en-suite facilities, communal lounges and dining areas. There are also assisted bathrooms for those who need help and communal toilets. A shaft lift enables easy movement between floors. In addition a stairlift and handrails are fitted where they will be useful. Housman Court provides accommodation and care for up to thirty older people some of whom may have a physical disability or dementia type illness. The home is in the centre of a sheltered housing complex with landscaped gardens. Somerset Redstone Trust runs both Housman Court and the sheltered housing complex of five separate units. A range of activities are provided for people living at the home and assist people in maintaining links with the community. Information regarding the home can be obtained from the Statement of Purpose and Service Users Guide, which are available direct from the home. A copy of the inspection report can also be viewed at the home. For up to date information about the charges please contact the home direct as fees are based on individual needs and assessments. Additional charges are made for hairdressing, daily newspapers and chiropody. Care Homes for Older People Page 3 of 10 What we found: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection for the service was on the 8th August 2007 when the service was given as excellent 3 star quality rating. The service was due a statutory inspection from CQC. The Random visit was undertaken by one inspector. At the time of the inspection there were 26 people living in the home. At the time of the visit we spoke to the manager, senior care staff, carers, activities organiser and people living in the home. We focused on the care provision for people living in the home and these were the findings of our inspection. Choice of Home (standards 1 - 5) We looked at the care records for two people who had recently moved into the home. These showed that a pre admission assessment had been completed prior to them moving into the home. The assessment provided sufficient information for a basic care plan to be developed to provide guidance for the staff delivering the care. We spoke to the residents who appeared content with their choice of home and confirmed that they were settled in the home. Care staff told us that they were informed about new people moving into the home, and provided with enough information to meet their needs. No other standards from this section were reviewed at this inspection. Health and Personal Care (standards 7 - 11) We looked at the care records for two people who had recently moved into the home. Care plans are records which give staff information about what people are able to do independently. They also say when they need to support people to meet their individual needs and how they should do this. We found care plans to be lacking in a person centred approach to meeting peoples individual needs in ways that suit them best. Person centred care is about involving individuals in the process, listening and talking with them about what care and support they want. We are aware that people who live in the home have dementia and are not always able to fully engage in conversation. So this may require their representatives to speak on their behalf. It was recommended that the care plans need to be developed to provide clear guidance for staff especially around nutrition, weight monitoring and food supplements. All staff spoken to were fully aware of the residents needs. However, there were inconsistencies in the written records. For example one person with a low weight had not had a nutritional risk assessment completed, and the records failed to include if they were on pressure relieving equipment. Care Homes for Older People Page 4 of 10 We looked at the managerment of medication and found that the management of medication was well organised. Daily Life and Activities (12 - 15) We met the activities organiser at the inspection who works with residents individually and in group activities. On the day of the inspection people were going over to the community centre to have their hair done, which was quite a social activity for people. No other standards from this section were reviewed at this inspection. Complaints and Protection (standards 16 - 18) We have received no complaints about Housman Court since the last inspection. We looked at the complaints records for the home and these showed that the service had been following their complaints procedure showing clear outcomes from the investigation. The manager told us about staff retainment issues following discussion and reviewing the information the manager made a safeguarding referral to the multi agency team for guidance. The manager confirmed that she would keep CQC updated with the progress of this incident. We looked at the accident / incident records and found that these were being completed correctly and followed up in the individuals care plan. The service was also informing the relevant people, and this was recorded. Environment (standards 19 - 26) A part tour of the home was undertaken. Since the last inspection the home have fitted stairlifts on the stairs for the residents to use. The bedrooms seen had been personalised by the individual with their belongings, which make the room more familiar for them. A snoozelam room has been developed for the residents, which the manager told us is benefitting the residents. It is recommended that the environment is reviewed to assist people with short term memory problems to find their way around the home. The home has an attractive garden for residents to use, and some of the residents enjoy helping in looking after the flowers and vegetables. No other standards from this section were reviewed at this inspection. Staffing (standards 27 - 30 ) We looked at the staff file for one member of staff who had recently commenced working at Housman Court. This showed that the home had followed their recruitment procedure and completed all the safety checks prior to the person commencing work. It was recommended in the employment history that the home ensures that the applicant Care Homes for Older People Page 5 of 10 records the month as well as the year to evidence any gaps in employment more easily. We looked at the training records and discussed training with the staff on duty. Records showed that staff had induction training prior to commencing employment. One member of staff confirmed that she had been given appropriate training prior to commencing and told us that this assisted her in meeting the needs of the people living in the home. We looked at the duty rotas for the home. For the number of residents, the numbers are proportionate. The majority of staff told us that the staffing levels were sufficient to enable them to look after the people living in the home. Some staff told us that they could do with an additional member of staff on days. This was discussed with the manager who told us that at the moment they are having dificulties with staff retainment. The reasons for this being investigated by the manager and area manager. It was recommended that the dependancy levels for the people in the home are completed to evidence that staffing levels are being constantly reviewed. No other standards from this section were reviewed at this inspection. Management and Administration (standards 31 - 38) The registered manager for the home started in June 2009. She is a Registered Nurse and completed the recognised managers qualification. She is currently studying for a level 5 qualification in law and management. The statutory monthly audits are completed by the operations manager for the owners. These reports provide valuable information about how the service is performing in key areas. They include reviews of personnel files, daily register, agency staff being used and their induction program to the home, Accidents and incident reports for the home and Care plan auditing and maintenance. It was reassuring to see that from the homes quality audit that they actioned any negative comments, which means they are listening to the people who use their service. We observed a window on the first floor which was fully open. The manager confirmed that they had a system in place where the maintenance person checks the window restrainers, but confirmed that this would be addressed. All other records and registers requested were available and up to date at this visit. No other standards from this section were reviewed at this inspection. What the care home does well: Because the focus of this random inspection was on key areas of high risk, we may not have identified some areas of good practice. The next key inspection will give us an opportunity to look at how the home meets peoples needs in all areas. We saw staff interacting with people in a respectful way. There was an open visiting policy and people were welcomed, so people living at the home are able to maintain important friendships and relationships. Care Homes for Older People Page 6 of 10 The communal lounges are comfortable. The rear garden is well maintained and provides a pleasant place for people to enjoy the outdoors when the weather permits. A wide range of interests, activities and opportunities are made available in which people can participate if they choose. Support can be provided so that people are able to continue their committments to their different faiths and cultures. 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 7 of 10 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 8 of 10 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 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 should be developed in a more person centred way to provide clear guidance for staff especially around nutrition, weight monitoring and food supplements. To review the environment to assist people with short term memory problems to find their way around the home. To ensure that the applicants employment history includes the month as well as the year to assist in auditing for any gaps in employment. 2 3 16 29 Care Homes for Older People Page 9 of 10 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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