Care Home: Ideal Home

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Ashcroft Hollow Nursing Home

What the care home does well Individual care plans are clear and detail how a person prefers their care needs to be met. All of the people consulted during the inspection were happy with the care they receive. People told us staff are caring and helpful. Peoples` health needs are monitored and we saw evidence of the home engaging the support of health care professionals where necessary. People who live at Ideal Home are cared for and supported by trained and competent staff team who understand their care needs. The home supports and encourages staff to obtain National Vocational Qualifications. Robust recruitment procedures ensure people are adequately protected. There is a relaxed and homely atmosphere. What has improved since the last inspection? The home met the requirement made at the last key inspection and medication recording has improved. The care planning process is more much detailed and provide good information to help staff support people who live at the home and promote their independence. Refurbishment and decoration is ongoing. What the care home could do better: The home should demonstrate that it involves people who use the service or their representatives in the care planning and review process. Key inspection report Care homes for older people Name: Address: Ideal Home Knowsley Drive Gains Park Shrewsbury Shropshire SY3 5DH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Karen Powell     Date: 1 8 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 25 Information about the care home Name of care home: Address: Ideal Home Knowsley Drive Gains Park Shrewsbury Shropshire SY3 5DH 08706092432 08706092435 debbie.byrne@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Minster Care Management Limited care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 50 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: Dementia (DE) 12, Mental disorder, excluding learning disability or dementia (MD) 26, Old age, not falling within any other category (OP) 6, Physical disability (PD) 6 Date of last inspection Brief description of the care home Ideal Home is situated in the village of Gains Park approximately 5 miles from the centre of Shrewsbury. It is located in a residential area, within walking distance of a Care Homes for Older People Page 4 of 25 Over 65 0 0 6 0 12 26 0 6 1 9 1 1 2 0 0 8 Brief description of the care home local post office, shops and pub, with its own car parking and gardens. It is a private care home registered to provide care and accommodation for up to 50 people, including people with a mental disorder, both under and over 65 years old, older people and a small number of people with a physical disability. The home is owned by Minster Care Management Limited. Ms Pamela Johnson is the registered manager and is responsible for day-to-day running, staffing and the development of effective policies and procedures within the home. The accommodation has 3 fairly distinct areas, the main house and converted coach house, which provide accommodation on ground and first floors and a purpose built extension to the rear of the property, which is all on one level. Inspection reports about this service can be obtained direct from the provider or are available on our website at www.cqc.org.uk Care Homes for Older People Page 5 of 25 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 inspection of the service was unannounced and was carried out by one inspector for approximately six hours. A range of evidence was used to make judgements about this service to include discussions with people using the service, the manager and staff. We also examined a number of records to include care records of people living at the home, staff training, staff recruitment and health and safety records. We looked at what the home has told us about what has happened since our last visit. These are called notifications and are a legal requirement. Three people who live in the home were case tracked this involves establishing individuals experience of living in the care home by observing them, meeting them where this is appropriate, discussing their care with staff, looking at care files and focusing on outcomes. Tracking peoples care helps us understand the experiences of Care Homes for Older People Page 6 of 25 people who use the service. An Annual Quality Assurance Assessment (AQAA) document was posted to Ideal Home for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. The manager completed this, and some of the information is included in the report. The purpose of the inspection was to assess all 22 Key National Minimum Standards for Care Homes for older people and any further standards necessary. Information to produce this report was gathered from the findings on the day and also by review of information received by CQC prior to the inspection date. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. The weekly fee range is £375.00 to £425.00. Readers wishing to know more about this information should contact the service directly. Care Homes for Older People Page 7 of 25 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 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 25 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 9 of 25 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 are provided with information about the home and are encouraged to visit Ideal Home before they move in. Evidence: It was stated on the completed AQAA that information is sent to prospective service users and families enabling choice of home, assessments carried out to ensure their needs can be met. Promotes independence to younger service users and we encourage all prospective service uses to view our home. The home has a statement of purpose and service user guide which is given to people who are thinking about moving into Ideal Home. This contains information about the service and what people can expect when they move in. We looked at the care records of someone who has recently moved into the home. Care Homes for Older People Page 10 of 25 Evidence: They moved from another home which provided the manager at Ideal Home with a comprehensive assessment of the persons needs. An assessment was carried out by the manager which we saw on the persons file. The home does not provide intermediate care. Care Homes for Older People Page 11 of 25 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. The care planning process has improved and outcomes for people living at the home are positive. Evidence: The home told us in their completed AQAA that the use of a new car plan format have been implemented and are more informative with detailed information ensuring all service users needs are fully met. We looked at three peoples care records, care plans were detailed and gave good information to staff about the persons needs and how they should be met. Risk assessments appropriate to the persons assessment were also in place for staff to follow safe working practices to protect both the individual and themselves. We made a recommendation at our last inspection that the home ask people or their representative if they are unable to, to sign their care plans. This shows that the home has discussed their plan with them and they are happy with it, we did not see this on care plans we viewed. The manager acknowledged that this is something they need to consider implementing. Care Homes for Older People Page 12 of 25 Evidence: Care plans are reviewed regularly and updated where required. We saw evidence in peoples records that healthcare professionals are accessed when required. This included visits from the community psychiatric nurse, GPs and chiropodists. We also saw that one person had been taken to the dentist where ongoing dental treatment continues. The home has one person for whom restrictive practice is considered to take place. This has lead to the service applying for a deprivation of liberty authorisation to make sure that person is safe in their treatment and care. The authorisation was given on 11/11/09 and states what must be entered into the persons care plan, on the day of our visit 18/11/09 this information had not been entered into the care plan. The manager agreed she would attend to this the next day. Throughout our visit we saw staff interacting professionally with people who live at the home. We saw the manager delivering mail unopened to people. We saw a visiting professional attend to someone in the privacy of their own room. These are all good indications that people who live at the home are being treated with dignity and respect. Care Homes for Older People Page 13 of 25 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 are able to choose their lifestyle, social activity and keep in contact with family and friends. People who use the service receive a healthy, varied diet according to their assessed requirement and choice. Evidence: The manager tries, when completing the pre admission assessment information to get an idea of an individuals social history and what sorts of things they enjoy doing. The home employs an activities coordinator who was on duty on the day of the inspection. She told us of the activities that take place in the home which were very varied. These included trips out, a summer fete a gardening group, general knowledge quiz, music session including singing and dancing. Some people are currently participating in a needlecraft tapestry, we spoke to one lady who was taking part in this during our inspection. We saw people watching television and some people were going to visit local shops with the activities coordinator during our visit. An activities plan is made available for people to know forthcoming activities in the home. We saw this on the notice board. Staff spoken to said opportunities for activities has increased since the appointment of the co-ordinator which gives care staff more time to concentrate on delivering care and support to people who live in the home. Care Homes for Older People Page 14 of 25 Evidence: The home offers people a good choice and range of meals that takes into consideration peoples likes and dislikes and any dietary requirements. We observed the lunch time meal which staff assisted people who required help in a sensitive way. Choices were offered and we saw that people were given the opportunity to decide for themselves what they wanted to eat. Care Homes for Older People Page 15 of 25 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 have access to a complaints procedure, but few are made as any minor problems are sorted out quickly. People who use the service are protected from abuse through staff awareness and training. Evidence: The home has a complaints procedure and everyone who lives at the home or their representative is given a copy. Those people, who were able to say, knew who they could make any concerns known to. The Care Quality Commission has not received any complaints over the last 12 months and nor has the home direct. The registered manager makes herself available and deals with any issues as and when they arise before they escalate into a complaint. There have been three safeguarding of adult referrals which the home have cooperated fully with the local safeguarding team. The outcome of the referrals was that there was not sufficient evidence to substantiate the allegations and all referrals were closed. The home has policies and procedures in place to protect vulnerable people and staff have training in the protection of vulnerable adults. We saw evidence of this on staff training files. The manager and deputy have attended safeguarding of vulnerable adults training. Care Homes for Older People Page 16 of 25 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 generally well maintained and the environment meets the needs of people living there. Evidence: During this inspection all of the communal areas were looked at and some of the individual bedrooms. The home employs a dedicated house keeping team who keep the home clean and fresh smelling. People living at the home are encouraged to personalise their own bedrooms. One person was happy to show us their room. They told us how they had chosen the colour scheme for their room. The room was individual and contained lots of the persons own belongings. Since the last inspection the home continues to redecorate and improve areas of the home. The quiet visitor room has been redecorated and makes a pleasant room for those wishing to see their friends or relatives in private away from their rooms. Recommendations made at the last infection control audit carried out in August 2009 included replacing the bathroom flooring which is about to be completed. The auditor noted many good practices in use and high standards in the homes written policies and procedures. The manager reported the new floor covering has been purchased and just awaits fitting. Care Homes for Older People Page 17 of 25 Evidence: All staff files checked including new and long serving employees have all undertaken infection control training, evidence of which was seen on staff training files. Care Homes for Older People Page 18 of 25 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 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. Evidence: The staffing levels are sufficient to ensure that the needs of the people who live at the home are met. In addition to carers the home employs ancillary staff to provide meals, do laundry and keep the home clean. The manager is supernumery to these numbers. We looked at the files of two staff employed since our last inspection to make sure that pre employment checks are undertaken so that staff are checked as being suitable to work with vulnerable adults. Files were well organised and contained all the checks required under regulation. All people consulted as part of the inspection told us that the staff treat them well and that they are happy with the care and support they receive. We observed staff supporting people throughout the day, they did this with respect and were professional at all times. Staff told us that they are given regular updates about Care Homes for Older People Page 19 of 25 Evidence: people living at the home during handover on each shift, and supported through updated care plans. Training records show that staff have training in all key areas of health and safety, as well as some specialist areas such as working with people with Dementia, managing actual and potential aggression the Mental Capacity Act and deprivation of liberty training. Staff spoken to said that they were offered regular training updates, including opportunities to complete NVQ (National Vocational Qualifications) in care. The completed AQAA told us that more than 50 of staff have or are working towards an NVQ award. A number of staff are booked to do refresher moving and handling training. Care Homes for Older People Page 20 of 25 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. 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. Evidence: The registered manager is suitably qualified to manage the care home and has a number of years experience in the care sector. People living at the home and their relatives/representatives are consulted in what they think about the service and any improvements that could be made. We saw completed surveys returned by relatives who had taken part in the latest quality assurance survey carried out in June 2009. Generally the comments were positive and where issues had been raised the manager had taken action to address requests made. These were only minor issues that were resolved promptly. Feedback given in Care Homes for Older People Page 21 of 25 Evidence: completed questionnaires included Thank you for taking good care of my Mum. We would like to express our sincere thanks for all the care and kindness shown to X during his time especially for the special care shown to him during the last few days and for the support extended to the family during this difficult time. People who are unable to manage their finances are supported through the home. Policies and procedures are in place which, give clear guidance on managing peoples money, valuables and financial affairs. All checks required such as of the fire safety systems, lifting equipment and electricity are in place. Information provided by the home in the completed AQAA prior to the inspection shows that they have up to date policies and procedures in place for all safe working practices, staff have training in these areas to ensure both they and the people they support are safe. Care Homes for Older People Page 22 of 25 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 23 of 25 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 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 The home should demonstrate that it involves people who use the service or their representatives in the care planning and review process. Care Homes for Older People Page 24 of 25 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!