Care Home: Ivy House Care Home

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What the care home does well This is a random inspection and therefore not all the standards were assessed. People are seen by external health care professionals so that that they receive specialist advice to meet their individual needs. The accommodation is spacious so people have a choice of areas where they can spend their time or see their visitors. People are encouraged to personalise their rooms with items that are familiar to them so that they live in an environment, which they prefer. Staff manage people`s medication so that individual`s receive their medication as prescribed helping to meet their health needs. Relatives said: "If I have concerns about the home I tell staff and they listen to them and do what is needed to put things right." "Staff are good." People told us: "The staff are good." "The food is good." "You won`t find any fault here!" "Staff take us out for walks in the garden." What the care home could do better: This is a random inspection and therefore not all the standards were assessed.Staff should have all the information they need to support individuals in the way they need and prefer. Staff should monitor people`s weight in the way they need to ensure individual`s well being. Records should be kept of all medication being stored in the home to ensure it is not misused. All bedrooms should be personalised and ensure that people who spend a lot of their time in bed can be in a stimulating environment. Random inspection report Care homes for older people Name: Address: Ivy House Care Home 50 Ivy House Road West Heath Birmingham West Midlands B38 8JZ 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: Sarah Bennett Date: 1 7 0 6 2 0 1 0 Information about the care home Name of care home: Address: Ivy House Care Home 50 Ivy House Road West Heath Birmingham West Midlands B38 8JZ 01214596260 01214596328 ivyhouse@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Homes (No 4) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Name of registered manager (if applicable) Mrs Catherine Campbell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is: 76 The minimum age on admission for the service user category of Dementia will be from 60 years. The registered person may provide the following category of service only: Care Home with Nursing (Code N) 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) 76, Dementia (DE) 36 Care Homes for Older People Page 2 of 10 care home 76 Over 65 0 76 36 0 Date of last inspection Brief description of the care home Ivy House is a purpose built home situated in a residential area of West Heath, South Birmingham. The home offers nursing and residential care for up to 76 people who may also have dementia care needs. All bedrooms are single with an en-suite toilet and hand basin. The home is divided into two floors. Two units upstairs are dedicated to nursing care and on the ground floor there is one residential and one nursing dementia care unit. Within each unit there is a lounge/dining area and assisted bathing and toileting facilities. Corridors are wide to enable people who need adaptations to move around the home. The home has a range of equipment to assist people to move around the home and pressure relieving equipment for those who are prone to developing sore skin. The enclosed, well laid out rear garden is accessible to people living at the home. There is off road parking to the front of the property, which is sufficient for the home. One of these spaces is for disabled people to park closer to the home in a larger space. The home is situated close to a number of bus links. There are a range of local shops and community facilities nearby. In the reception area there are leaflets of interest for anyone who wishes to read them. The last inspection reports and information about the home are available should people choose to read this. The reader should contact the home for information about the fees charged to live there. 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 of this service was on the 10th and 13th August 2009. This random visit was undertaken by one inspector over seven hours. There were seventy four people living there. The home did not know that we would be visiting that day. The reason for this visit was to check compliance with the requirements made at the last key inspection and to review the outcomes for the people living there. During this visit we looked at three care files, the medication records for three people and fire and gas safety records. We looked around some parts of the home. We spoke to some of the people living there, two relatives visiting, the manager and some of the staff on duty. These are our findings: Care plans included more information so that staff would know how to meet peoples individual needs in the way they prefer. Staff spoken to showed that they knew how to meet individuals needs, the things the person liked and how they wanted to be supported. Records of peoples daily progress showed that staff had followed what was written in the care plans. We observed that staff generally cared for people in the way stated in their care plan. However, for one person it stated that they liked listening to the radio. We visited the person in their bedroom where they spend most of their time due to their health needs. The radio was not on and the environment was not that stimulating with no pictures on the walls. The manager said they would ensure that this was done to make the persons bedroom a more pleasant environment for them to spend their time in. Two peoples records stated that they needed to wear pads to meet their continence needs. They did not state what size and type of pad the individual would wear. The manager said that the individuals pads would be in their bedroom but agreed that this information was needed in their care plan so that all staff would know this. One persons records showed they had a history of weight loss and were at risk of not getting the nutrition they needed. Their records stated that staff needed to monitor this by weighing them weekly. However a few weeks before we visited staff had written that the person became distressed when using the weighing hoist so they should only be weighed monthly. Records of their weight before this showed they continued to lose weight. We discussed this with the manager who agreed that an alternative way of monitoring the persons weight, such as measuring their arm was needed, so this could be monitored without causing the person to be distressed. Records sampled showed that where people had been admitted to the home with sore skin, referrals had been made to the Tissue Viability Nurses. Care of skin had improved and some peoples sores had healed. Staff spoken to were aware of how to position Care Homes for Older People Page 4 of 10 individuals to ensure the risk of their skin becoming sore is reduced. All medication was kept locked so that people would not be at risk of taking medication that was not prescribed for them. Some medication is stored in a locked fridge so it is at the right temperature to be effective. The temperatures of the fridge are monitored and records showed that these are within the correct limits to store the medication safely. Medication records sampled showed that medication was given as prescribed to help meet peoples health needs. Regular audits of the medication are done and where any errors are found these are investigated. Action is taken to ensure the risk of these errors happening again is reduced. One person was prescribed a medication as required when they became agitated. It was recorded on their medication administration record how many tablets were received into the home and how many were given and when. We saw two bottles of these tablets for the person and the total amount exceeded the amount stated on their record. Staff said they needed to keep a record of how many tablets were being held in the home so it was clear this medication was being used for the person it was prescribed for. Staff would need to check the amount held at the handover of each shift so this medication is not misused. The home has one full time and one part time activity staff. We saw activities going on during the day with individuals and groups. There was information about several special activities being arranged over the coming weeks to watch the World Cup, for Wimbledon, to celebrate Armed Forces Day and a garden party was being held. Several of the people living there and staff were wearing hats, as it was Ladies Day at Ascot. This helps to motivate people to be interested in different events and keep them in touch with what is happening outside of the home. Weekly activity plans showed that activities happen daily but activity staff recognised that they need more help due to the number of people living there. They plan to get volunteers involved to help with this. A relative said that people could do with more brain stimulation. The manager agreed and said hopefully this would be possible with the help of more volunteers. The home was well decorated and comfortable in most areas. Some areas of the home particularly in bedrooms showed some signs of wear and tear. The manager said there is a redecoration plan for all bedrooms so it is planned to do these over the next year. There are also plans to replace some bedroom carpets, so the bedrooms will be more homely and comfortable. In the next month it is planned that a treatment room will be provided on the first floor. At our last visit we noted an offensive odour in the entrance to Daffodil unit. Staff have tried different things to try to reduce this odour including an aroma unit being fitted. This emits different pleasant smells, which in addition to eliminating bad odours can also be stimulating for the people living there. This has reduced the odour but not eliminated it. The manager said that the organisation usually only fit carpets in entrance halls but it is planned that an alternative type of flooring will be fitted to this entrance to help eliminate this odour. Staff spoken to said they generally had the training they needed so they knew how to meet peoples needs. One staff said they would like more training in diabetes but they thought the manager would arrange this. The manager said this would be arranged so Care Homes for Older People Page 5 of 10 that staff had the knowledge and skills needed to meet peoples needs. The manager said that 50 of care staff now have a National Vocational Qualification (NVQ) in Care at level 2 or above. Ten staff have completed this since October 2009 and further staff are to be enrolled to do this training. This should ensure they have the skills and knowledge to meet the needs of the people living there. Since we last visited the manager has submitted an application to register with us. This shows her commitment to the home to ensure it is run in the best interests of the people living there. Staff said that the manager was supportive and worked with them to improve the home. The gas safety record showed that the gas equipment had been tested by an engineer each year, as required and was safe to use. Fire records showed that staff tested the fire equipment regularly to make sure it was working. During a test of fire doors it had been highlighted that the intumescent strips on the doors were not in contact with the door frame. These are strips around the door which when the door is closed will fit securely around the frame and prevent smoke escaping through the door. Records did not show that any action had been taken as a result of this. However, the estates manager was visiting at the time and action was being taken to remedy this. What the care home does well: What they could do better: This is a random inspection and therefore not all the standards were assessed. Care Homes for Older People Page 6 of 10 Staff should have all the information they need to support individuals in the way they need and prefer. Staff should monitor peoples weight in the way they need to ensure individuals well being. Records should be kept of all medication being stored in the home to ensure it is not misused. All bedrooms should be personalised and ensure that people who spend a lot of their time in bed can be in a stimulating environment. 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 2 3 4 1 7 8 9 Information about the home should be available for people. Not assessed at this inspection. Care plans should detail what support each person needs so they can be met appropriately. Peoples weight should be monitored in a way that meets their needs to ensure their well being. Staff should be aware of how much of each medication prescribed to the people living there is being kept in the home. This is to ensure that people get the medication they need and it is not misused. All bedrooms should be personalised to individual tastes and interests and be stimulating for people to spend time in to ensure their well being. Monthly reports about the quality of service provided by the home should be available in the home for people to see. Not assessed at this inspection. 5 24 6 33 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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