Care Home: The Island Home

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What the care home does well We spoke to a number of service users in both units. All service users spoken with told us they were happy at the home, felt supported by staff, and enjoyed being with other service users. We spoke to a number of service users in both units. All service users spoken with told us they were happy at the home, felt supported by staff, and enjoyed being with other service users. One service user said `the food is good, the people are good and I like my room`. Another service user told us `the staff are great. They understand me. This is the best home I have lived in`. We asked some service users if they knew how to make a complaint. All the service users spoken with told us they would speak to the manager or the owner, and they indicated they felt confident their complaint would be listened to. Discussion with service users and staff, and inspection of records evidenced that service users are consulted and supported to make decisions about their lives. We looked at minutes of residents meetings. These minutes indicated that meetings are not only used as a discussion forum about the home and activities, but it is also a time where service users are kept up to date about any events or changes in the home, and discussions are held about how to raise complaints or concerns. The activities folder evidenced further consultation with service users, and contained records of individual interests and preferred activities, and a record of all activities undertaken, offered or declined by service users. Staff told us that shopping and pub lunch trips were popular, and these trips occurred twice a week. All service users at the home benefit from free membership of a local gym and swimming pool. The staff training matrix evidence that staff receive regular training. There are some gaps, and training in infection control has been identified for most of the staff team as a training need. This is being addressed and booked. The home uses a distance learning tool for much of its staff training. Part of this training relies on staff undertaking learning and recording their learning in booklets. Staff are expected to do this mainly outside ofwork hours. We discussed with the management team how some staff might find this difficult, and they are looking at ways to ensure staff are trained in work time. What the care home could do better: We looked at the records of two service users from the under 65 physical disability unit, and the records of one service user from the older persons unit. We looked at pre admission assessments for all three service users. We found all pre admission assessments inadequate. Many areas on the pre admission assessment were not filled in, and where a need had been identified on the form, no details regarding type of level of support were recorded. Similarly, when risks had been identified at pre assessment, we found that there was no support plan in place to reduce or minimise the risk. We saw one assessment which identified the service user had physical health and mental health needs, but the home had not put any care plans or risk assessments in place to address or support these needs. Although the management team described to us good examples of support given to this service user, none of this had been recorded. The home needs to develop better recording systems when assessing prospective service users, and when developing care plans and risk assessments. This will ensure that the care plans and risk assessments which are generated from information gathered at pre assessment are robust, identify the support needs of individuals and provide clear guidance for staff with regard to meeting those needs. We also found that the home needs to improve how they communicate with outside professionals. Discussion with the management team and assessment of records evidenced that poor communication with the district nurse team had led to uncertainty about the health care needs of a service user. The home informed us they will ensure all visits from health care professionals are recorded, include outcomes and actions, and ensure these are immediately used to update care plans or risk assessments when required. We found many areas of the environment required attention. The shower room and bathrooms throughout the home require window coverings to ensure the privacy and dignity of service users. Rusted and broken equipment in the shower room and bathrooms require replacing, as these are hazardous to service users. Consideration needs to be given to flooring in the downstairs bathroom and shower room due to chipped ceramic tiles and rust in some areas of the floor. The lock to the laundry room is broken, and a cupboard containing hazardous materials was open. One of the bedrooms we assessed had a chair which requires replacing as the arms were ripped and stuffing was coming out. The bedding appeared dirty and stained. The lounges in both units were comfortable, and had a range of equipment for use by service users. This included a pool table, televisions, games and music. Random inspection report Care homes for older people Name: Address: The Island Home Main Road Leysdown On Sea Sheerness Kent ME12 4LH two star good 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 Montgomery Date: 1 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: The Island Home Main Road Leysdown On Sea Sheerness Kent ME12 4LH 01795510271 01795511747 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Dr Jagjit Singh Pawar,Mrs Kuldish Kaur Pawar Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 44 Number of places (if applicable): Under 65 Over 65 44 0 old age, not falling within any other category physical disability Conditions of registration: 0 44 The maximum number of service users to be accommodated is 44. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Physical disability (PD). Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home The Island Home provides care for up to 44 people who are either over 65 years old, or who are under 65 years and have a physical disability. The home is divided into two, separate units with their own staff teams and communal areas. The ground floor is open-plan in design for wheelchair access and is home to up to 20 people with a physical disability. There is a passenger lift to the first floor. The first floor is home to up to 24 older people. All residents have the use of a garden at the side of the property. This is home to birds and chickens. There is also a patio garden on the first floor. The home is located in the village of Leysdown and is in walking distance of local facilities. There is a bus service to Sheerness. There is a car park at the home and additional off road parking. Please contact the home manager for up to date information regarding fees. Care Homes for Older People Page 3 of 9 What we found: The Island Home was last inspected in September 2007, and achieved a quality rating of two star good. At this inspection, we gathered information by speaking with the owner, members of the management team, care staff and service users. Several records including care plans, pre admission assessments, risk assessments, staff training and service user activity records were assessed. We also looked at all communal areas in the home, and were invited into a number of bedrooms. We found the home to be friendly and welcoming. Service users spoken with told us they were happy and felt looked after and cared for. Staff presented as knowledgeable, motivated and professional, and good interactions were observed between staff and service users. In assessing the documentation, we found areas of good practice and areas where improvements were needed. This will be discussed in the sections below (what the service does well and what the service could do better). What the care home does well: We spoke to a number of service users in both units. All service users spoken with told us they were happy at the home, felt supported by staff, and enjoyed being with other service users. We spoke to a number of service users in both units. All service users spoken with told us they were happy at the home, felt supported by staff, and enjoyed being with other service users. One service user said the food is good, the people are good and I like my room. Another service user told us the staff are great. They understand me. This is the best home I have lived in. We asked some service users if they knew how to make a complaint. All the service users spoken with told us they would speak to the manager or the owner, and they indicated they felt confident their complaint would be listened to. Discussion with service users and staff, and inspection of records evidenced that service users are consulted and supported to make decisions about their lives. We looked at minutes of residents meetings. These minutes indicated that meetings are not only used as a discussion forum about the home and activities, but it is also a time where service users are kept up to date about any events or changes in the home, and discussions are held about how to raise complaints or concerns. The activities folder evidenced further consultation with service users, and contained records of individual interests and preferred activities, and a record of all activities undertaken, offered or declined by service users. Staff told us that shopping and pub lunch trips were popular, and these trips occurred twice a week. All service users at the home benefit from free membership of a local gym and swimming pool. The staff training matrix evidence that staff receive regular training. There are some gaps, and training in infection control has been identified for most of the staff team as a training need. This is being addressed and booked. The home uses a distance learning tool for much of its staff training. Part of this training relies on staff undertaking learning and recording their learning in booklets. Staff are expected to do this mainly outside of Care Homes for Older People Page 4 of 9 work hours. We discussed with the management team how some staff might find this difficult, and they are looking at ways to ensure staff are trained in work time. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 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 6 of 9 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 1 3 14 In order to meet individuals 30/11/2010 particular support needs, the registered person must ensure that prospective service users are competently and thoroughly assessed prior to admission to the home. This includes demonstrating appropriate consultation with the service user and their representative has taken place. Prospective service users are currently not competently assessed prior to being offered a place at the home; therefore support needs are not being met. The registered person must develop comprehensive care plans which detail support needs of individuals. The home must demonstrate they have consulted with service users, and have taken into account their wishes and feeling. Current care plans are inadequate and do not 30/11/2010 2 6 12 Care Homes for Older People Page 7 of 9 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 contain support needs of individuals. 3 7 13 The registered person must develop robust risk assessments that support people to have a safe but fulfilling life. The registered person must develop robust risk assessments that support people to have a safe but fulfilling life. 30/11/2010 4 24 23 The registered person must 30/11/2010 ensure that service users live in an environment which is safe, free from hazards, and meets their needs. . 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 8 of 9 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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