Inspection on 09/07/09 for Sowerby Care Home

This is the latest available inspection report for this service, carried out on 9th July 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sowerby Care Home 10/08/06

Sowerby Care Home 09/03/06

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report Care homes for older people Name: Address: Sowerby Care Home Front Street Sowerby Thirsk North Yorkshire YO7 1JP     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: Bridgit Stockton     Date: 0 9 0 7 2 0 0 9 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 22 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) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Sowerby Care Home Front Street Sowerby Thirsk North Yorkshire YO7 1JP 01845525986 01845526479 sowerbyhouse@ashbournesl.co.uk www.southerncrosshealthcare.co.uk Ashbourne Boss Limited care home 51 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: 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: 51 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 category: Old Age, not falling within any other category: Code OP Date of last inspection Brief description of the care home Sowerby Care Home provides nursing care and personal care only for up to 51 people aged 60 and over. The home has a mixture of single and twin bedded rooms. The premises comprise of a large, Victorian two-storey house with a passenger lift to the first floor. The home is in the village of Sowerby, close to local shops. Sowerby is located within 10 minutes walking distance of the market town of Thirsk, which benefits from larger shops and facilities. The home is in pleasant grounds, which are wheelchair accessible. At the rear of the Care Homes for Older People Page 4 of 22 Over 65 51 0 Brief description of the care home property is a conservatory and well-maintained garden. There is a seating area which allows residents to greet their visitors in private. People are provided with a newsletter, copy of the menu, activities sheet and brochure before they are admitted so that they know what the home provides. A copy of the inspection report is also available. Care Homes for Older People Page 5 of 22 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 purpose of this inspection was to assess the quality of the care and support received by the people who live at the home. The methods I used to gather information included a visit to the home, conversations with the people who live there, their relatives, healthcare professionals and the staff. The home had also returned to the Commission an annual quality assessment audit. This gives a lot of information about the home including what changes and improvements have been made since the last inspection and what is planned for the home in the forthcoming year. 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. Care Homes for Older People Page 6 of 22 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. Care Homes for Older People Page 7 of 22 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 22 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 22 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 are properly assessed to ensure their needs could be fully met, prior to being offered a permanent placement at the home. Evidence: The care plans I looked at showed that comprehensive pre-admission assessments had been carried out before offering someone a place. This is to make sure that the home can meet the persons needs. A senior member of staff, usually the manager visits the person at home, or in hospital to discuss their care needs. Social Services assessments are also used to determine this as well; these were also available to look at. In the AQAA the manager said All prospective service users and their families are encouraged to visit the home prior to admission. A senior staff member discusses with service users and visitors what the home provides and what the prospective service user requires. A comprehensive service user guide and statement of purpose are Care Homes for Older People Page 10 of 22 Evidence: provided to prospective service users, these are also available in audio and CD-ROM formats. The home does not provide intermediate care. Care Homes for Older People Page 11 of 22 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. Whilst people have a plan of care further detail and review is required to ensure identified care needs are being met. Evidence: I looked at three care plans of people who live at the home. On the whole the documentation was satisfactory, however the plans need to be monitored more carefully to make sure that all the entries are up to date with the actual care the person is receiving. For example one persons daily evaluation record listed dressings that were being applied to a wound. These dressings were different to those listed on the care plan for tissue viability. It is important that the plans are kept under review and changed to reflect the care that the person requires.. The medication belonging to two people was looked at. The stock balances were correct and the medication administration records were completed properly. However during the inspection it was observed that one person was given some prescribed medication belonging to another person. Both people were prescribed the same medication and it appeared that one person had run out of stock and staff were using the other persons. This is bad practice as medicine belongs to the person for whom it Care Homes for Older People Page 12 of 22 Evidence: has been prescribed for. Staff were seen to be treating people with respect and dignity, they knocked on bedroom doors and were respectful and sensitive towards people when they were carrying out care duties. Care Homes for Older People Page 13 of 22 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. The recreational and social needs of people are well catered for which enables them to make daily choices and promotes independence. Evidence: During my visit the atmosphere in the home was friendly and welcoming. Some people were enjoying chatting with some collage students who were visiting the home, and others were joining in completing a crossword whilst others were helping finish a jigsaw. An activities program was on display. The program was varied and included church services, bingo, craft sessions, board games and sing-a-longs. A trip out in the mini bus had been organised for the afternoon and people were looking forward to this. One person said they could have a sleep in when ever they liked and another person said the staff have been tremendous. People told me that the food was lovely another person said the food is superb, great choice. The lunch time meal looked really nice. staff were available to assist people discreetly over the lunchtime period. Care Homes for Older People Page 14 of 22 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 can be confidant that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse Evidence: There are adequate written policies and procedures in place to deal with complaints and the care staff spoken to confirm they were aware of these. Staff knowledge of these help ensure that they were able to address any issues or anxieties of the residents, relatives and visitors to the home. People who live at the home told me they would speak to any of the staff if they had any concerns or complaints. The complaints record was inspected. Complaints had been dealt with properly and to the satisfaction of the complainants. Staff told me that training has taken place in the protection of vulnerable adults in abuse. I looked at four personnel files and found that staff recruitment procedures were adequate and staff were employed and deployed following appropriate checks. The manager and staff team were clear and confident in the protection of vulnerable adult procedures. Care Homes for Older People Page 15 of 22 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. Whist the home is clean and comfortable further work is required in order that people access all parts of the home independently and safely. Evidence: The home was clean and tidy and peoples bedrooms all contained there personal belongs and some of the bedrooms had small items of their own furniture. One person said I like my room, it gets cleaned daily. The lounge furniture was comfortable and people had available plenty of communal space to use. The conservatory area was very hot, the staff had provided jugs of fresh juice and all of the doors and windows were open to allow cooler air into the room. One person was moved into the dining area because they were very hot, but said they really enjoyed sitting in the conservatory and would spender longer in there if it was cooler. The provider should maybe consider installing blinds for the windows or air conditioning unit in the conservatory so people would be able to use this area more comfortably. People told us in the surveys that they were not happy with the toilet arrangements on the ground floor. They said they were unhappy and that they would prefer a separate ladies and gents toilet. In addition they said that there was not a lock on the cubical door. Upon inspection the locks were missing off both cubicle doors. I spoke to staff who said that the toilets were really hard for people to access independently. I observed a person trying to close the cubicle door whilst using a zimmer frame. Due Care Homes for Older People Page 16 of 22 Evidence: to the space they were unable to turn around in the toilet to close the door while using the frame. On a more positive note redecoration and refurbishment of the come has continued with bedrooms and communal areas looking fresh and nicely decorated. The garden area is very well maintained and outside seating is provided for people to use in the finer weather. Care Homes for Older People Page 17 of 22 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 can be confident that staff are trained and on duty in sufficient numbers to meet their assessed needs Evidence: The rotas and staff numbers suggest that there are enough staff on duty at all times to meet the needs of the people who live at the home. The manager makes sure that staff have the necessary training to help them do their work as well as possible. There is a wide range of courses available and the records confirmed that the staff are allowed the time to attend. Records demonstrated that staff had been recruited properly and appropriate checks had taken place before they were accepted to work at the home. Staff said they enjoyed the training and found it very helpful when dealing with older people. They said that if they expressed an interest in a certain area the manager would identify courses or training sessions to develop their interest and knowledge. Care Homes for Older People Page 18 of 22 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. The home is safe and well managed and people who live and work at the home can contribute to the decision making processes. Evidence: Currently the home does not have a registered manager. The acting manager undertakes monthly audits on the home and the area manager visits monthly to check the progress of the home. People have the opportunity to give the views on the home, residents and relatives meetings are held and surveys are also given out. The acting manager said that where ever possible when issues are raised during these meeting she always tries to resolve the matter. The home looks after some peoples personal allowances.The associated documentation was checked and found to be correct. A selection of health and safety certificates were looked at and were valid. This makes sure that peoples live and work in a safe place and that their health, safety and welfare is protected. Care Homes for Older People Page 19 of 22 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 20 of 22 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 1 7 13 Care plans must be reviewed 11/10/2009 and updated regularly so that staff have guidance on how to meet peoples assessed care needs properly. In order that peoples care needs are met 2 9 13 People must only be given medication that has been prescribed for them. In order that peoples health and welfare is not put at risk 11/09/2009 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 21 of 22 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 22 of 22 - 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!