Random inspection report
Care homes for older people
Name: Address: Nethercrest Nursing Home Brewster Street Netherton Dudley West Midlands DY2 0PH 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: Gerard Hammond Date: 2 0 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Nethercrest Nursing Home Brewster Street Netherton Dudley West Midlands DY2 0PH 01384212785 01384251615 nethercrestnursing@mimosahealthcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Janice Williams Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mimosa Healthcare Group Limited care home 41 Number of places (if applicable): Under 65 Over 65 0 41 0 dementia old age, not falling within any other category physical disability Conditions of registration: 41 0 41 The maximum number of service users who can be accommodated is: 41 The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 41 Physical disabiliy (PD) 41 Old age, not falling within any other category (OP) 41 Date of last inspection
Care Homes for Older People Page 2 of 8 Brief description of the care home Nethercrest Care Home is privately owned by Mimosa Healthcare Group Ltd, it provides nursing care and accommodation, on a shared site with its sister home Nethercrest Residential Home. First registered in 1991 up to forty-one older persons can be accommodated, six of which may require dementia care and up to twenty receiving intermediate care (for patients discharged from hospital but not sufficiently recovered to go home). The home is situated on the outskirts of Netherton within the local community and is near to local shops and amenities. It is on an accessible public transport route to local areas and there are adequate car parking facilities available. The premises consist of a two-storey purpose built building with access to the first floor by a passenger lift. The accommodation consists of 33 en-suite single bedrooms and 4 double rooms. Currently the 2 double rooms are furnished as single rooms, making the homes capacity 39. A large lounge-dining room with a conservatory and a further linked small sitting area with a second conservatory provide communal space. The communal areas are serviced with a 4 suite assisted toilet room. Three bathrooms and two shower rooms are located within the Home. Inspection reports are available to read in the reception area, along with the homes service user guide and statement of purpose. The home should be contacted directly for current information about fees and charges. Care Homes for Older People Page 3 of 8 What we found:
The last key inspection of this service was completed on 16 July 2008, when the quality rating for the home was 2 stars / good. After a number of concerns were raised about the management of peoples care and support at the home, the service produced an action plan to address these. This random inspection was carried out to follow up on progress made. We saw evidence that the Manager has updated the arrangements for pre-admission assessments to the home, particularly for step down (intermediate care) residents. She told us that this had been in consultation with other interested parties, with a view to ensuring information gathered is comprehensive, and the process more user friendly. She also showed us a new information pack that the service is seeking to make widely available in the hospital settings where most of the step down residents are admitted from. The admissions procedure for step down residents was reviewed and updated in December 2009. The Manager told us that peoples key workers (trained nurse staff) are responsible for keeping assessment and care plan information up to date: these are said to be evaluated at least monthly, or as required. The home has a designated person (Step-down Coordinator) with specific responsibility for liaising with members of the wider multidisciplinary team. These include lead personnel from the Primary Care Trust, Doctors, Nurses, Social Workers, Physiotherapists, Occupational Therapists and other professionals. The Manager told us that weekly multi-disciplinary meetings now take place, and that there is a named social worker that attends to represent the hospital social work team. She said that she felt that these all represented positive improvements to the way people are now being supported. The Manager told us that the medication policy for step down residents has now been clarified. Action has been taken to address earlier concerns about record keeping. The company has a tool for auditing care plans. Care plan audits are now being done to ensure that records are completed accurately and kept up to date. Any identified shortfalls have been addressed through supervision, with disciplinary action taken if this is necessary. We looked at the homes complaints record. This showed that complaints received have been logged and that action has been taken to address them in accordance with the companys complaints policy and procedure. The Manager told us that action plans have been put in place so that knowledge gained can be used to prevent re-occurrence and improve the service. The record showed what action had been taken following receipt of complaints, investigations undertaken and whether or not complaints had been upheld. The Senior Nurse showed us around the home, though we did not complete a full assessment against these standards on this occasion. We saw that some improvements have been made to the training kitchen, to make it more domestic. This is to provide a more realistic environment for assessing and practicing skills prior to discharge. The Manager told us that staff roles within the home are under review. A designated senior nurse has been given a specific role to act as mentor to the qualified nurse staff at Nethercrest. Since the end of November 2009 she has been supernumerary in this role, focusing in particular on improving basic clinical practice, care planning and auditing of
Care Homes for Older People Page 4 of 8 care records. Additional training for nurse staff and senior care staff was provided by Birmingham Primary Care Trust to further improve practice in records and document management. The Manager told us that disciplinary action was taken against a number of staff to demonstrate the companys commitment to improving this area of work. Also that staff competency assessments have been reviewed and updated as required. Feedback from staff told us that training provided was relevant to peoples roles, and gave them enough knowledge about healthcare and medication. Also, that training helped to keep staff up to date with new ways of working and to understand and meet peoples needs. The Manager has many years experience in the fields of nursing and care: the Annual Quality Assurance Assessment shows that she has 17 years experience as a registered home manager and is appropriately qualified. We saw that visits and reports required under Regulation 26 (Care Homes Regulations 2001) have been completed regularly. The Manager told us that quality assurance questionnaires are being completed on a three-monthly basis, and that the home seeks to address any issues raised as they arise. A specific questionnaire has now been devised for step down residents. What the care home does well: 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 8 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 8 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 Care Homes for Older People Page 7 of 8 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. Care Homes for Older People Page 8 of 8 - 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!
