Inspection on 28/07/09 for Spennymoor Care Home Ltd

This is the latest available inspection report for this service, carried out on 28th 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Spennymoor Care Home Ltd 06/06/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton 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: Spennymoor Care Home Ltd Ivy Road/Church Road Bolton Lancashire BL1 6EE     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: Rukhsana Yates     Date: 2 8 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: Spennymoor Care Home Ltd Ivy Road/Church Road Bolton Lancashire BL1 6EE 01204846008 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Spennymoor Care Home Limited care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Spennymoor is a care home providing residential care for up to 19 older people. It is a large, converted detached house with an added extension. The home has two floors and a passenger lift. There is a garden area with borders and a patio to the front of the building. The weekly fees range is available from the manager on request. 0 Over 65 19 Care Homes for Older People Page 4 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: This inspection, which included a site visit that the home did not know was going to take place, was carried out over one day. The last key inspection prior to this was completed on 22 August 2007. The process of this key inspection included observing what went on in the home, talking to people living there, staff and the manager and owner of the home, looking round the home, and examining some important records. Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we see the service. We felt this form was completed adequately. Care Homes for Older People Page 5 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. 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 6 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 7 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 have their needs assessed before they move in to ensure that the the service is suitable, and are assured that their needs can be met. Evidence: Spennymoor has a service user guide that describes the home, facilities and philosophy of care. The guide contains information that is useful to existing and prospective residents of the home, but requires some revision as some of the details are not up to date. All of the people living at the home, or their representative, should be provided with a copy of an up to date service user guide in a suitable format so that they have the information they require. The initial assessment and admission process works well. The care records of one person recently admitted to the home showed that the manager visited the person beforehand to carry out an assessment to ensure that the service would be able to meet their needs. The assessment included information about the persons medical Care Homes for Older People Page 8 of 22 Evidence: history, routine on waking and retiring to bed, meal preferences, interests, health and social care needs. The social services review notes said, The home have coordinated the care necessary whilst involving the family at every stage. Care Homes for Older People Page 9 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. People experience a good standard of care and feel that they are understood and treated with respect. Evidence: The four care plans we looked at contained the range of information required to inform care staff about individuals health and social care needs. Day and night reports were well recorded and risk assessments were in place in relation to nutrition, mobility, and additional specific areas as required. Visits by health professionals were also recorded, and the manager and staff clearly had a good level of knowledge about the particular needs and preferences of people living at the home. People we spoke with were positive about the quality of care. One person who had experienced short stays at other residential homes said, It is very clean and the staff are very good. It is the best home in my opinion. Another person said, The staff are good. It is a very comfortable place in all ways, a very good place indeed. A visiting relative we spoke with said, The care is very good. Staff are friendly and welcoming. The manager is lovely and I feel I could go to her with anything. Care Homes for Older People Page 10 of 22 Evidence: The arrangements for the storage and administration of medication were generally satisfactory, with trained senior staff responsible for administering and recording. In the sample of medication administration records looked at there were occasional gaps in the records without an accompanying explanation. The records of medicines given or refused should be clearly indicated at all times to ensure people have the medicines they need, and refusals can be monitored. It was apparent, through observations during the visit and discussions with those living at the home, that people are assisted in a courteous manner and in a way that promotes their privacy and dignity. Care Homes for Older People Page 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel that their individual needs, preferences and personalities are understood, and they are encouraged to exercise choice in their daily routines. Evidence: Spennymoor has a maximum of 19 people living at the home, and this has helped to create a homely atmosphere where individuals needs, preferences, personalities and choices are known, understood and respected. People we spoke with and their visitors all commented on the homely and friendly atmosphere, and the manager confirmed good relationships with families of the people living there. The home provides a good range of activities, including arts and crafts, reminiscence, armchair aerobics, manicures, films and bingo. Residents art work was displayed in the home, along with photos of people enjoying activities. People are encouraged to use community facilities and there are plans to have more outings. People have a choice as to when to get up and go to bed, and where to spend their time and take their meals. Positive comments were made about food quality and choice, and the dining room provides pleasant surroundings for people to have their meals. Care Homes for Older People Page 12 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 are confident that they are listened to and taken seriously, and feel safely supported by considerate and well trained staff. Evidence: The complaints procedure is displayed in the home and included in the service user guide. People living at the home and their visitors told us that they would feel very comfortable approaching the manager or any of the staff should they have any concerns, but had not had occasion to complain. The home has Boltons inter-agency safeguarding procedures and all staff have received training to ensure that they would know what to do and who to contact if they had concerns about a persons vulnerability. Robust recruitment procedures are followed, which helps to ensure that all staff working at the home are suitable and understand the values underlying care practices. Care Homes for Older People Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a safe, homely, clean and comfortable environment. Evidence: We looked at some bedrooms and at the communal areas, and spoke with people living at the home and their visitors about the environment. The home was very clean, and people said that high standards were maintained with regard to cleanliness at all times. The lounges and dining room were homely and comfortable, and there is a well maintained small garden at the front of the home used by people in fine weather. There has been a continuous programme of refurbishment, which has resulted in several ongoing improvements. In the past year, the lounges, entrance hall, corridors, stairs and landings have been decorated and refurbished, and bedrooms have also been refurbished to a good standard. There were no concerns or hazards in evidence during the visit, and measures were in place for maintaining hygiene and infection control. Care Homes for Older People Page 14 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 who live at the home are supported by a stable and suitably trained staff team. Evidence: Observations made during the visit, and inspection of staffing rotas, indicated that staffing levels were suitable for meeting the needs of people living at the home. People we spoke with were complimentary about the staff and felt that their care needs were understood and met. In addition to care staff, housekeeping, catering and ancillary staff are employed at the home. Staff files showed that the recruitment procedure was safe and suitable. They contained an application form including a health declaration, two references, a Criminal Records Bureau check including a POVA first check, and proof of identity. New staff undergo a period of induction, and the manager was advised to ensure entries in the induction records were signed and dated to show that each topic in the induction was covered over a number of weeks, ensuring that staff understood all the areas. There is a commitment to NVQ (National Vocational Qualifications), with over half of the staff having obtained the qualification at level 2 or above. All mandatory training is provided and updated regularly. There is good consistency of care for people living at Care Homes for Older People Page 15 of 22 Evidence: the home due to low staff turnover and a stable staff team. The manager is planning to have regular staff meetings and individual supervision meetings as, to date, these have been infrequent. Care Homes for Older People Page 16 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. People feel that the home is managed in a way that promotes their best interests. Evidence: The manager of the home is suitably qualified and experienced, and has a friendly and open management style that helps to create a homely atmosphere while promoting good standards of care. Measures were in place to ensure that peoples financial interests are safeguarded. Where possible people are encouraged to control their own money. However where they are unable, or choose not to, personal allowances are managed by the home. The arrangements for this were secure and appropriately documented. The health, safety and welfare of people living at the home and others are promoted and protected. For example staff are provided with regular training and appropriate equipment to ensure individual moving and handling needs are met. An example of this would be for a person who needs to be safely moved with the aid of a hoist. Fire Care Homes for Older People Page 17 of 22 Evidence: safety training is regularly provided. Information provided by the home indicates that electrical safety inspections servicing and gas safety checks were up to date. Although people living at the home feel that their views are listened to, a discussion took place regarding the need for a quality assurance system to be in place that shows interested parties how their views are used to underpin plans for improvement. Care Homes for Older People Page 18 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 19 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 1 5 The service user guide must be revised to include up to date information and a copy provided to each person at the home or their representative. This will ensure people have the information they need about the service. 27/11/2009 2 9 13 Medication records must be checked regularly to make sure they are accurately maintained. This will ensure that medication procedures are safe at all times. 28/08/2009 3 33 24 A quality assurance system 27/11/2009 must be developed based on the views of people living at the home and their visitors, with the findings made available to them. This will ensure that planned improvements take account Care Homes for Older People Page 20 of 22 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 of the experiences of people living at the home and are shared with interested parties. 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!