Care Home: Yew Tree Rest 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 The home continues to provide care in a family setting to the two people who live there. The people are consulted about how they want to be supported to live their lives and their views are respected. People told us that they like living in this home. One said, `It suits me well. They look after me well`. People are encouraged to maintain contact with people who are significant to them. People are supported to maintain contact with relevant professionals so that they maintain their health. People are provided with meals of their choice. What has improved since the last inspection? The home has continued to change the way care is delivered so that it continues to meet people`s needs. There is a new stair lift so that people can access the first floor more easily. What the care home could do better: Since there are only two people providing care, consideration should be given to employing another member of staff, in the event that another person is admitted. Key inspection report Care homes for older people Name: Address: Yew Tree Rest Home 356 Boldmere Road Boldmere Sutton Coldfield West Midlands B73 5EY     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: Christine Lancashire     Date: 1 7 0 3 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 21 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 21 Information about the care home Name of care home: Address: Yew Tree Rest Home 356 Boldmere Road Boldmere Sutton Coldfield West Midlands B73 5EY 01213500631 F/P01216930399 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Oswald Clarke Name of registered manager (if applicable) Mrs M Clarke Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 3 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: Old age, not falling within any other category (OP) 3 Date of last inspection Brief description of the care home Yew Tree Rest Home is a privately owned care home registered to provide personal care and accommodation for up to 3 older people. It is owned by Mr & Mrs Clarke. The home is located in Sutton Coldfield in the West Midlands and is close to a group of shops and other amenities. This is small family home, staffed by the owners who live on the premises. On the ground floor there is a combined lounge and dining Care Homes for Older People Page 4 of 21 Over 65 3 0 Brief description of the care home room, a separate lounge and a kitchen. There are three bedrooms available for people who live there, one on the ground floor and the other two on the first floor. There is a stair lift. There are no en-suite facilities but there is a toilet on the ground floor and a combined toilet and bathroom on the first floor. There is a garden to the rear of the home. The fees are available on application to the home. Care Homes for Older People Page 5 of 21 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: We visited this home on a weekday without telling anyone that we would be arriving. The purpose of the visit was to see how the home is meeting key National Minimum Standards. Before the visit we sent an Annual Quality Assurance Assessment form (AQAA) to the manager for her to complete. This asks for details about the running of the home and the plans for future development. This information arrived when we asked for it. At the inspection we spoke to the manager and her husband and the two people who live in the home. We looked round communal areas of the building. We looked at the records for the people who live in the home. We looked at other records which the home is required to keep, including records about peoples needs and preferences, safety and medication. We used this information to write this report. Care Homes for Older People Page 6 of 21 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 7 of 21 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 8 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into this home are provided with information so that they can make an informed choice. Assessments and visits to the home ensure that people know, before they move in, that their needs can be met by the home. Evidence: The people who live at this home have been there for many years. Previous inspection reports have confirmed that their needs were assessed appropriately prior to admission. The manager told us that when people are referred to the home, she considers their needs to find out whether or not the home would be suitable. She provided information in the AQAA about the areas she would cover in the assessment and the process of admission. For example, there are steps to the front door, so the home would not be suitable for people with significant mobility difficulties. Care Homes for Older People Page 9 of 21 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 health, personal and social needs are set out in a care plan so that they can be met by staff. People are treated with respect and their privacy and dignity are maintained. They are protected by the homes practices in relation to the storage and administration of medication. Evidence: We looked at the plans for each person in the home. These contain basic details of the support they need. The manager told us that as both people have been in the home for many years, she knows their needs and preferences. The people confirmed that the staff know their needs and they are able to explain how they want to be supported. The files contain details of peoples health and the support needed from staff in this area. They also show contact details and records of visits to and from a range of health professionals. The manager explained how people are supported to maintain good health, for example, by having annual influenza injections. The plans contain Care Homes for Older People Page 10 of 21 Evidence: details of the medication which each person needs to take. We looked at the medication in the home and saw that the records of doses given was up to date and appropriately maintained. We observed that people are treated with respect. People told us that they are supported with their personal care so that they are able to maintain a dignified appearance. They said that their privacy is respected and they choose their own routines and where they spend their time. Care Homes for Older People Page 11 of 21 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. Peoples lifestyles in the home match their preferences. People are encouraged to maintain significant relationships with people in the community and they receive a choice of meals which meet their needs and take account of their preferences. Evidence: The people at this home have lived as part of the family for many years and there are no institutional routines. Each person has their own preference in terms of how they spend their day and this is respected. On the day of the inspection, one person was downstairs watching television when we arrived and the other was upstairs. They both confirmed that they spend their time exactly as they wish. The manager told us that special days such as birthdays and Christmas are celebrated. The day of the visit was St Patricks Day and one of the people showed me the cards received from friends and relatives. These were displayed in the room. The manager and people in the home confirmed that there are no restrictions on visitors and said that they are always made welcome. Where relatives live a distance away, people are encouraged to maintain contact by telephone. We saw nutritional assessments on peoples files and records are kept of what people Care Homes for Older People Page 12 of 21 Evidence: have eaten. Both people ate their breakfast whilst we were in the home and these were different and served at different times. The people told us that they have their own preferences in terms of food and their needs are catered for. They said that they have enough variety. One person told us that he prefers not to have a wide variety of food and likes to eat porridge for breakfast each day. The manager told us that peoples preferences and needs are known and respected. She provided an example of the specific dietary needs of one person and how these are met. Care Homes for Older People Page 13 of 21 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. There are good arrangements to ensure that people are protected, including the arrangements for handling complaints. Evidence: The people in the home are both well able to express their opinions. They confirmed that they are encouraged to speak up if there is anything about their care or routines which they wish to change. They both confirmed that they are pleased with the care they receive and enjoy living at this home. The manager told us that there are policies and procedures in relation to complaints and safeguarding the people in the home. There is information for the people who live in the home and for their relatives and visitors, which explains how to make a complaint and who to contact outside the home should they be dissatisfied with the homes response. Contact details for inspectors are displayed in the home. The records show that the people in this home are not isolated. They receive visits from relatives, friends and professionals. These arrangements mean that people living in this home are well protected. Care Homes for Older People Page 14 of 21 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 adequate 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 homely, clean and safe environment which meets their needs, but the home would not be suitable for new admissions of people with restricted mobility. Evidence: This is a family home with a variety of furniture, ornaments, plants and pictures. It has no institutional features. We looked round the communal areas of the building and found that all areas looked clean and were free from unpleasant odours. There are steps to the front door of the property so this home would not be suitable for people who could not negotiate these. There are some aids and adaptations in the building, such as a stair lift and handrails in the hallway, to assist the people who live there. The people who live in the home told us that they like the home and they can choose to use one of two rooms to sit in as well as their bedrooms. We saw information about good practice in terms of infection control and saw a supply of disposable gloves for use by staff. These measures mean that there are good arrangements to make sure that people are protected from infection. Care Homes for Older People Page 15 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are met by sufficient numbers of staff who are suitably trained and experienced. However, additional staff would be needed should there be another admission, in order to make sure that the needs of all the people in the home could be met. Evidence: This home is run as a family and the only members of the staff team are the manager and her husband. They have undertaken various training courses relevant to their role and the manager explained that she keeps up to date with current practice through reading and discussion with other professionals. The people who live in the home confirmed that the manager and her husband are able to meet their needs. The manager is aware that more staff would be needed should another person be admitted, but this is unlikely. Care Homes for Older People Page 16 of 21 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 live in a home which is managed as a family home. Their health, safety and welfare is promoted. Evidence: The home is managed by Mrs. Clarke who is a trained nurse and has the NVQ level 4 in care. It is run as a family home, with the two people who live there being treated as members of the family. There are basic, but effective records of peoples needs and these are reviewed regularly. However, the main source of information which affects decisions about how the people are supported is the people themselves, both of whom are able to make their views and wishes known. The manager told us that she seeks out the views of social and professional visitors to the home. Discussions with the manager showed how she makes plans for the future. The manager provided us with information about the servicing and maintenance of equipment. We checked a sample of these dates and found that they were accurate. Care Homes for Older People Page 17 of 21 Evidence: These measures mean that there are good arrangements to make sure that people who use the building are kept safe. Care Homes for Older People Page 18 of 21 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 19 of 21 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 27 Consideration should be given to the employment of another member of staff, should another resident be admitted. This is to make sure that there are sufficient staff to meet the needs of all the people in the home. Care Homes for Older People Page 20 of 21 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 21 of 21 - 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!