Care Home: Leahyrst Care Home

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What the care home does well Leahyrst was clean and fresh smelling. Staff were knowledgeable about individual people`s needs and personalities. We saw good interaction between staff and people living at the home. Staff were seen to take each opportunity to maintain people`s independence and enable them to exercise choice. People were helped to make use of local amenities. Staff were encouraged to train and extend their knowledge and skills. What has improved since the last inspection? People said they were happy with areas of the home that had been redecorated and refurbished. What the care home could do better: Continue to update and refurbish people`s bedrooms and communal areas. Key inspection report Care homes for older people Name: Address: Leahyrst Care Home 20 Upperthorpe Sheffield South Yorkshire S6 3NA     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: Ian Hall     Date: 0 5 0 5 2 0 1 0 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 24 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Leahyrst Care Home 20 Upperthorpe Sheffield South Yorkshire S6 3NA 01142722984 01142730441 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): None Silver Healthcare Limited Name of registered manager (if applicable) Ms Janice Maw Type of registration: Number of places registered: care home 41 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 Additional conditions: 30 of the DE beds are for people 65 years and over. All 32 of the DE beds can be MD instead. Date of last inspection Brief description of the care home Leahyrst is situated in the Upperthorpe area of Sheffield close to local shops, other amenities and the tram and bus routes. The building is purpose built and has three floors accommodating service users who require dementia and general personal care. The home is registered for 41 places. A variety of communal seating and dining areas are provided. The home has a sufficient number of baths, toilets and showers. A Care Homes for Older People Page 4 of 24 Over 65 30 0 9 2 32 0 Brief description of the care home commercial type laundry serves the home and kitchen; 35 bedrooms are single, and 3 bedrooms are double. Six of the single rooms have en-suite toilets. The home is accessible to service users, ramps and a lift are available, and aids and adaptations are in place. The home has a pleasant enclosed garden. Car parking is available. The individual persons owning Leahyrst remained unchanged, however, a limited company took over the ownership of the home in October 2006. We were told that the current fees range from £341.00 to £419.00. Additional charges included hairdressing, newspapers and private chiropody. Care Homes for Older People Page 5 of 24 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 quality rating for this service is 2 stars. This means that people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The unannounced site visit undertaken as part of the inspection started at 09:30 and concluded at 15:30 on the 5th May 2010. The inspection was conducted by the lead inspector Mr I Hall. The site visit included a tour of the building, reading records, discussions with staff and Care Homes for Older People Page 6 of 24 people who use the service and observation of meals provided. We also met with the manager and other members of staff. In addition the inspection took account of information received about the service since the last key inspection 10th November 2008. This included records of telephone conversations with staff, events notified to CQC, and records of management visits to the home. Prior to the site visit the home carried out a self assessment of the service. This is called the annual quality assurance assessment (AQAA). At the end of the site visit verbal feedback was given to the homes manager. Care Homes for Older People Page 7 of 24 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 24 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 24 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 did not move into the home without having their needs assessed, so they could be confident the home could support them. Evidence: We checked 2 peoples care files. Each contained a detailed needs assessment; this included such things as daily living, personal care, health care, social interests and areas of risk when appropriate. Whenever the need for specialist caring equipment had been identified this had been obtained before the person moved into Leahyrst. The assessment formed the basis of the care plan. Staff said whenever possible people were encouraged to visit and spend time at the home so they could meet members of staff and other people living at the home. This was confirmed by written entries in the case records. Care Homes for Older People Page 10 of 24 Evidence: Copies of contracts, social work referrals and assessments were available and kept in the case file. Care Homes for Older People Page 11 of 24 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. Peoples needs had been assessed; care plans informed staff how to meet their needs. Evidence: Two peoples care records were sampled. Peoples care needs had been assessed. A range of recognised assessment documents had been used to measure peoples needs. These included mobility, mental ability, state of nutrition, and areas of risk such as falls. These provided a baseline for staff to measure peoples progress or increasing level of need. This enables staff to plan the help and support people need. There were care plans to tell staff how to meet these needs. These had been reviewed regularly. Some of the people we spoke to knew about their care plan. Staff said they involved relatives in care planning whenever possible. Care plans detailed peoples religious and cultural needs and the gender of staff they wanted to help them with their personal care. Pen portraits of the person, their lives and interests provided staff with a personal history to improve the care and services provided. Daily entries were made of the care provided. This enabled staff to review peoples health and wellbeing and Care Homes for Older People Page 12 of 24 Evidence: amend plans of care as needed. There were records of visits by the GP, community nurse, dentist, opticians and chiropodist. All people were registered with a family doctor. A visiting GP confirmed that there were good relationships with the home. There were wheelchairs, aids and equipment provided to meet peoples moving and handling needs. These enabled people to maintain their independence and move safely. People said that staff promoted their privacy and dignity. We saw staff knocking upon bedroom doors and waiting to be invited to enter. We observed interactions between staff and people living at the home. These were warm relationships with each person showing respect for the other. We observed the homes storage and handling arrangements for medicines. We also observed people being given their medicines. Pots were used to hand medication to the person and water was offered to help with the taking of medicines. Time was spent with each person and encouragement give to help them to take their medication. Records of medicines administration sampled were seen to be complete. Information detailing peoples allergies was clearly displayed. This information is required to maintain peoples safety. We were told that no one currently administers their own medication. Staff dispensing medicines had been provided with training, their practice had been assessed to maintain peoples safety. People living at the home said Staff were caring and helpful and that Nothing was too much trouble. Care Homes for Older People Page 13 of 24 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. Activities were provided, contact with family and friends was encouraged. This meant that peoples daily life and social activity needs were met. Evidence: Two case files and care plans were sampled. These showed that people were involved in a range of social activities. We saw people reading, listening to music and watching television. We were told that no one currently leaves the home unless accompanied by members of their family or staff. The meals provided were appealing and smelled appetising. People said they enjoyed their meals. They can choose other meals if they dont like the one provided. Staff were seen to help people with their meals and drinks in a dignified manner. People who were reluctant to eat were gently and appropriately encouraged. Peoples dietary likes and dislikes were documented and known to staff. Special diets were available as needed. Staff said they sought the dietitians advice when necessary. People said I like the food here, theres always plenty to eat, I can have something Care Homes for Older People Page 14 of 24 Evidence: else if I dont like what they give me and I can go to bed and get up whenever I want to . Care Homes for Older People Page 15 of 24 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 had access to the homes complaints procedure and were protected by the homes safeguarding processes. Evidence: Some of the people we spoke with were able to say how they would raise their concerns with staff. The complaints procedure was available for people living at the home, their relatives and staff. The home kept details of complaints received, their investigation, outcome and any changes made as a consequence. One safeguarding concern had been raised and is currently being investigated by the safeguarding adults team. We were told that people who have no advocate or next of kin would be provided with access to advocacy services provided by Age Concern. Staff had been provided with training in adult safeguarding procedures to ensure people were safe, and to inform staff what to do if an allegation were made. Our discussions with staff confirmed that they felt confident and able to respond to peoples concerns or complaints effectively Care Homes for Older People Page 16 of 24 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. People live in a clean. homely and well maintained environment. Evidence: We saw that the home was clean and smelled fresh. Soft furnishings, pictures and ornaments were used to provide a homely domestic setting. Many bedrooms had been provided with matching curtains, bedding and soft furnishings. A number of families had assisted with personalization of bedrooms with favourite items and memorabilia. Bedrooms were lockable with keys available for those people who wished to lock their own door. A number of bedrooms and bathrooms had been redecorated and refurbished since the last inspection, this work was ongoing. There was level access throughout the home with handrails provided to assist people to maintain their independence and mobility. The sluice and laundry areas were tidy and secure to protect people from risk of injury or infection. The enclosed gardens were easily accessed from the ground floor; seating had been Care Homes for Older People Page 17 of 24 Evidence: provided for people to relax and enjoy the garden. Staff confirmed they were provided with protective clothing when they needed it and equipment was in working order. Care Homes for Older People Page 18 of 24 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 who lived at the home were protected by the homes recruitment and selection procedures. Evidence: We met with seven members of staff during the course of the inspection. Staff rotas were examined and there was sufficient staff to meet the needs of people who use the service. Two staff recruitment files were examined; they contained written references, POVA 1st check and Criminal Records Bureau (CRB) checks. This means the recruitment procedures were sufficiently robust to protect people who use the service. The staff training and development plan was examined and seen to identify staff training needs, courses completed and courses being undertaken. Staff spoken with confirmed they had undertaken statutory updates e.g. moving and handling, fire prevention. They were involved in National Vocational Qualification (NVQ) training and dementia care training. The numbers of staff trained to level 2 NVQ in care exceeded the minimum required by the National care Standards Act 2000. . Care Homes for Older People Page 19 of 24 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 were protected by the management structure and the systems in place. Evidence: We saw there was always a senior member of staff on duty at the home with advice and support readily available Responsibilities for day to day operations at Leahyrst were shared between senior members of the team. Examination of the rotas confirmed the manager was supernumerary and was able to complete her management duties. Staff had received management supervision at regular intervals; this is needed to develop staff and monitor care practice. A senior company manager visits the home to monitor care and standards at the home. A written report of their findings was available at the home. Management use a quality assurance system to measure standards of care and service Care Homes for Older People Page 20 of 24 Evidence: provided. Questionnaires were used annually to seek the views of people and relatives. Regular meetings were held for staff and people who live at the home. These give people living at the home a chance to say how the home should be run. People said staff listened to their views and opinions. The manager handles money on behalf of some people, account sheets with receipts were kept. A second person witnessed each transaction. Accident reports were analyzed by the manager to ensure risk assessments were developed where required; and to protect the people who use the service. Records were mainly up to date and well ordered in the best interests of people. No fire exits were obstructed and hazardous substances were securely stored. Statutory servicing and checks of equipment were complete. The manager had the required heath and safety policies and procedures and displayed the relevant notices. Care Homes for Older People Page 21 of 24 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 22 of 24 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 Care Homes for Older People Page 23 of 24 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 non-commercial 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 24 of 24 - 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. 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