Care Home: Olivia Residential Care Home (2)

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What the care home does well Residents spoken to were very complimentary about the service and the good standards of care provided. Individuals commented that they enjoy the meals in the home and find the staff to be helpful and attentive. One person said, " I am pleased with the care and looked after. You get the things you need." The manager and the small staff team have developed good relationships with those who live at the home and understand their needs, wishes and aspirations to enable them to live a fulfilling life. As at previous inspections, the premises were once again in very good decorative order and clean and tidy. Olivia provides a pleasant and homely environment for its residents, who are supported by an experienced manager and skilled staff team. CHOICE OF HOME We looked at care records for three residents which included one person who had very recently moved to the home.Pre-admission assessments are completed to ensure that residents are appropriately placed and can therefore receive the care that meets their needs.The manager had carried out a needs assessment for the newest resident. Areas covered include hobbies, social/ cultural needs, nutrition, medical history and personal care. Mobility needs are assessed with risk plans completed for the prevention of falls. Discussion with residents,two of their relatives and care records showed that the service was meeting their current assessed needs. We checked some of the contracts for people using the service and generally,they gave people clear information about the obligations of the provider and the person`s responsibilities whenstaying at Olivia. HEALTH AND PERSONAL CARE We looked at three people`s care plans which had been reviewed on a monthly basis to ensure that any changing needs were addressed and met. Information was well written so that staff have clear guidelines on how to meet assessed needs in a way that the person prefers. Reviews showed that people using the service, their relatives and other relevant professionals are involved in the care planning process. This means that they are consulted about how they want their care and support to be provided.The review record includes the person`s views. One example said, "very happy, everyone is nice and they care for me very well." Personal care and routine health monitoring charts are completed for each resident. Details of all appointments and checks were clearly recorded. This ensures that health care needs are monitored closely and residents can access other support services they may require. One example concerned prescribed eye drops for a resident following a visit from the optician. Individuals are encouraged to maximise their mobility through walking and other gentle exercises. Falls are minimised through the use of risk assessments and individual guidelines. We saw that risk plans had been reviewed regularly or where needs had changed. Discussions with individuals told us that they can choose how to spend their time and that support from staff is always available. Staff interacted with residents in a respectful and courteous manner; for example with personal care support and the serving of lunch.We looked at how the home manages medication, its administration, storage and disposal. Medication is managed well and the service gets regular support and advice from a local pharmacist. We saw that items of medication are stored securely and given to people at the right time. Prescriptions and records confirmed that medication is reviewed at regular intervals and according to any changed needs. DAILY LIFE AND SOCIAL ACTIVITIES Due to their older age, most people tend to prefer to stay in their home surroundings and this was reflected in each individual`s care plan. Recreational activities include television, radio, gentle exercise sessions, newspapers/ magazines, knitting and gardening. In the summer months, the manager arranges trips to local parks or places of interest. Events such as Christmas and birthdays are celebrated with residents, their families and friends. Staff ask residents each day for their meal choices and record their requests in the daily notes. Level of appetite and food choice is recorded for each person at every mealtime. We observed staff supporting residents to eat their lunch at a time and pace that suited them. There were two main choices of meal and residents we spoke to told us that the food was "very good". The manager ensures that dietician support is arranged where a person`s needs may require it. For example, one person requires a gluten-free diet and a list of suitable foods as well as dietary guidelines was available. People can eat their meals in their rooms or the dining area depending on personal preference. Following a recent Food Hygiene Inspection by the Environmental Health Department the home was awarded a five star rating which is commendable. COMPLAINTS & PROTECTION We have received no complaints or safeguarding concerns about Olivia since our last inspection in May 2007. We met with two relatives who confirmed that the manager and staff are very approachable and they would feel confident to discuss any problems with them. The manager and staff had recently updated their training on abuse awareness and safeguarding as organised by the Royal Borough of Kingston. We saw that the correct pre employment checks are completed on all staff to ensure that they are suitable to work with vulnerable adults.ENVIRONMENT Olivia is comfortably decorated, well maintained and provides a welcoming and homely atmosphere. The manager discussed some home improvements since we last visited. Two of the first floor bedrooms have been redecorated, new armchairs purchased and a stair-lift has been installed. The AQAA also said, "we have opened up the front aspect of the house for better view of the road by heavy pruning of the hedge in the front and completely removing the side hedge. Those occupying the front rooms of the house can enjoy a better view of the road. Better lock was fitted to the porch door, one room was repainted, water saving devices fitted to kitchen and garden taps." There is a rear garden, which is accessible to all the residents and is much enjoyed in the summer months. One resident showed us around the garden and said they often liked to spend time outside. We met with residents in their bedrooms, two of whom share. Each room was very clean, comfortably furnished and personalised to accommodate their needs. Mobility aids and adaptations were What the care home could do better: As at our previous inspection, we have judged Olivia to maintain high standards and provide an excellent service to the people who live there. We have made one good practice recommendation for the provider to consider. It would be better if contracts were reviewed each year so that people have accurate information about the fees and services they can expect to receive. This relates to a change of fees that had occurred for one resident. Random inspection report Care homes for older people Name: Address: Olivia Residential Care Home (2) 7 Beechcroft Avenue New Malden Surrey KT3 3EG 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: Claire Taylor Date: 0 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Olivia Residential Care Home (2) 7 Beechcroft Avenue New Malden Surrey KT3 3EG 02089491701 F/P02089491701 maggie@ktbart.fre-online.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lucja Bart Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Lucja Bart care home 6 Number of places (if applicable): Under 65 Over 65 0 6 6 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 6 0 0 The home is situated in a quiet residential area, that is close to both local amenities and town centre facilities. Accommodation includes four single rooms and one double bedroom, dining area, kitchen and accessible bathrooms on both floors. A stair lift provides access to the first floor. There is also a large garden with patio area, shrubs and flower beds. The Statement of Purpose describes the service provided as follows, Care Homes for Older People Page 2 of 10 Brief description of the care home Olivia home provides permanent residential care for older people (male & female 65 yrs ) suffering from short-term memory loss, disabled people and older people requiring 24 hour care.Emergency respite care for older people, whose principle carers are temporarily unable to look after them, due to illness, hospital admission etc. Nursing care is not provided. The current proprietor, Mrs Bart, both owns and manages the home and is very involved in the day to day running of the service. She is supported by a small but stable staff team that includes her husband and two daughters. The owners private accommodation adjoins the care home which enables them to maintain close links with both the residents and staff. Fees ranged from £432.02 to £550.00 and were correct at the time of this inspection. The service does not offer intermediate care. Copies of the Statement of Purpose can be obtained directly from the home manager. Care Homes for Older People Page 3 of 10 What we found: We as it appears throughout this inspection report refers to the Care Quality Commission. At the last key inspection in May 2007 we rated this service as excellent and the reason for this inspection was to confirm that people using it continue to experience excellent outcomes. Before making our visit we reviewed all the information we have about the service and looked at information that the manager was asked to send to us on an Annual Quality Assurance Assessment (AQAA). This is a self-assessment that is used to tell us about the services provided, how well outcomes are being met for people using the service and any planned developments.The required information was completed by the home manager who is also the proprietor. We have included some of this information in each of the outcome groups. The people who live at the home prefer to be known as residents, so that is the term that has been used in this report. This was an unannounced inspection that lasted four hours. We spent time meeting with all six residents to discuss what it is like to live at Olivia. We also met with two visiting relatives, the manager and one staff member. We observed daily life in the home and case tracked records of care for three people. Case tracking means we looked in detail at the care people receive. We also looked at various records in relation to the staff and the way the home was being run. All this information helps us to develop a picture of how the home is managed and understand what it is like to receive support and care at Olivia. All those who contributed to this inspection are thanked for their time and for sharing their views. The reader should also note that a new system of registration and assessment for social care will come into force during 2010. Providers of adult social care and independent health care must be registered with us under the new system from 1 October 2010 (registration under the Care Standards Act 2000 will continue until then). Further details can be found at our website www.cqc.org.uk. What the care home does well: Residents spoken to were very complimentary about the service and the good standards of care provided. Individuals commented that they enjoy the meals in the home and find the staff to be helpful and attentive. One person said, I am pleased with the care and looked after. You get the things you need. The manager and the small staff team have developed good relationships with those who live at the home and understand their needs, wishes and aspirations to enable them to live a fulfilling life. As at previous inspections, the premises were once again in very good decorative order and clean and tidy. Olivia provides a pleasant and homely environment for its residents, who are supported by an experienced manager and skilled staff team. CHOICE OF HOME We looked at care records for three residents which included one person who had very recently moved to the home.Pre-admission assessments are completed to ensure that residents are appropriately placed and can therefore receive the care that meets their needs.The manager had carried out a needs assessment for the newest resident. Areas covered include hobbies, social/ cultural needs, nutrition, medical history and personal care. Mobility needs are assessed with risk plans completed for the prevention of falls. Discussion with residents,two of their relatives and care records showed that the service was meeting their current assessed needs. We checked some of the contracts for people using the service and generally,they gave people clear information about the obligations of the provider and the persons responsibilities when Care Homes for Older People Page 4 of 10 staying at Olivia. HEALTH AND PERSONAL CARE We looked at three peoples care plans which had been reviewed on a monthly basis to ensure that any changing needs were addressed and met. Information was well written so that staff have clear guidelines on how to meet assessed needs in a way that the person prefers. Reviews showed that people using the service, their relatives and other relevant professionals are involved in the care planning process. This means that they are consulted about how they want their care and support to be provided.The review record includes the persons views. One example said, very happy, everyone is nice and they care for me very well. Personal care and routine health monitoring charts are completed for each resident. Details of all appointments and checks were clearly recorded. This ensures that health care needs are monitored closely and residents can access other support services they may require. One example concerned prescribed eye drops for a resident following a visit from the optician. Individuals are encouraged to maximise their mobility through walking and other gentle exercises. Falls are minimised through the use of risk assessments and individual guidelines. We saw that risk plans had been reviewed regularly or where needs had changed. Discussions with individuals told us that they can choose how to spend their time and that support from staff is always available. Staff interacted with residents in a respectful and courteous manner; for example with personal care support and the serving of lunch.We looked at how the home manages medication, its administration, storage and disposal. Medication is managed well and the service gets regular support and advice from a local pharmacist. We saw that items of medication are stored securely and given to people at the right time. Prescriptions and records confirmed that medication is reviewed at regular intervals and according to any changed needs. DAILY LIFE AND SOCIAL ACTIVITIES Due to their older age, most people tend to prefer to stay in their home surroundings and this was reflected in each individuals care plan. Recreational activities include television, radio, gentle exercise sessions, newspapers/ magazines, knitting and gardening. In the summer months, the manager arranges trips to local parks or places of interest. Events such as Christmas and birthdays are celebrated with residents, their families and friends. Staff ask residents each day for their meal choices and record their requests in the daily notes. Level of appetite and food choice is recorded for each person at every mealtime. We observed staff supporting residents to eat their lunch at a time and pace that suited them. There were two main choices of meal and residents we spoke to told us that the food was very good. The manager ensures that dietician support is arranged where a persons needs may require it. For example, one person requires a gluten-free diet and a list of suitable foods as well as dietary guidelines was available. People can eat their meals in their rooms or the dining area depending on personal preference. Following a recent Food Hygiene Inspection by the Environmental Health Department the home was awarded a five star rating which is commendable. COMPLAINTS & PROTECTION We have received no complaints or safeguarding concerns about Olivia since our last inspection in May 2007. We met with two relatives who confirmed that the manager and staff are very approachable and they would feel confident to discuss any problems with them. The manager and staff had recently updated their training on abuse awareness and safeguarding as organised by the Royal Borough of Kingston. We saw that the correct pre employment checks are completed on all staff to ensure that they are suitable to work with vulnerable adults. Care Homes for Older People Page 5 of 10 ENVIRONMENT Olivia is comfortably decorated, well maintained and provides a welcoming and homely atmosphere. The manager discussed some home improvements since we last visited. Two of the first floor bedrooms have been redecorated, new armchairs purchased and a stair-lift has been installed. The AQAA also said, we have opened up the front aspect of the house for better view of the road by heavy pruning of the hedge in the front and completely removing the side hedge. Those occupying the front rooms of the house can enjoy a better view of the road. Better lock was fitted to the porch door, one room was repainted, water saving devices fitted to kitchen and garden taps. There is a rear garden, which is accessible to all the residents and is much enjoyed in the summer months. One resident showed us around the garden and said they often liked to spend time outside. We met with residents in their bedrooms, two of whom share. Each room was very clean, comfortably furnished and personalised to accommodate their needs. Mobility aids and adaptations were readily accessible and each person had their own hand held bell to call for assistance when needed. A stair lift has been installed since our last inspection. STAFFING There has been little change within the staff team and the service is run as a family business. Mrs Bart, the manager/owner is supported by a member of staff who lives in, two part time carers and one of her daughters who is a qualified Occupational Therapist. Mrs Barts husband and second daughter also work at the home when required. This stability means that people residing in Olivia benefit from consistent care and their individual needs and preferences are understood. Relatives we spoke to said that the manager and staff were always very welcoming when they visited and that they were kept well informed about important issues. We looked at three staff files which included the most recent employee. Recruitment procedures are thorough and designed to ensure that staff are vetted correctly and people using the service are safeguarded. Records confirmed that staff had undergone appropriate checks such as a CRB disclosure and check against the Protection of Vulnerable Adults register. Staff files contained all the required checks to evidence their fitness to work as well as individual training certificates. Training courses covered key health and safety issues as well as training on the needs of older people such as dementia awareness. Mrs Bart is fully involved with the day-to-day running of the home and staff therefore benefit from ongoing guidance and support. MANAGEMENT AND ADMINISTRATION Observation, discussion with residents and their families told us that Olivia remains well run by an experienced manager who puts the residents best interests first. People we spoke to thought highly of the manager and the services provided. The returned AQAA was informative and well supported by appropriate evidence from this inspection. Within the last month, satisfaction questionnaires were offered to the residents and their families. We read some of the completed surveys which were all complimentary about the services provided. Comments included,the staff are extremely kind and my X is happy. A care professional wrote, Residents are always happy and well cared for. A pleasure to visit. The completed AQAA stated that all relevant safety checks were up-to-date. We confirmed this when we checked the servicing and maintenance records including gas and electrical safety. Records showed that fire equipment had been regularly tested to make sure it was safe to use. Full records are maintained for all accidents and incidents that affect peoples welfare. Health and safety practices were well managed which ensures that the well being of both those living and working at Olivia is promoted and protected. What they could do better: Care Homes for Older People Page 6 of 10 As at our previous inspection, we have judged Olivia to maintain high standards and provide an excellent service to the people who live there. We have made one good practice recommendation for the provider to consider. It would be better if contracts were reviewed each year so that people have accurate information about the fees and services they can expect to receive. This relates to a change of fees that had occurred for one resident. 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 That contracts for people using the service are updated at least annually. This is to ensure that both they and their representatives have the most current information about the costs and services they can expect to receive. 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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