Inspection on 05/05/09 for St Quentin

This is the latest available inspection report for this service, carried out on 5th May 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Quentin 14/05/07

St Quentin 13/01/06

St Quentin 19/07/05

St Quentin 29/09/04

St Quentin 13/07/04

St Quentin 17/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Quentin Sandy Lane Newcastle Staffordshire ST5 0LZ     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Amanda Hennessy     Date: 0 5 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 26 Information about the care home Name of care home: Address: St Quentin Sandy Lane Newcastle Staffordshire ST5 0LZ 01782617056 01782620255 st.q@virgin.net 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) : St Quentin Residential Homes Limited care home 20 Number of places (if applicable): Under 65 Over 65 5 1 20 1 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: (DE) over the age of 60 years - 5 beds Date of last inspection Brief description of the care home 0 0 0 0 St Quentin is a care service, registered to provide personal care for up to 20 people in the above categories. The home is maintained to a high standard and has many old features throughout the home. There are 18 single bedrooms, eight en-suite bedrroms and one double room, spacious lounges and very pleasant dining room. The service is located in a residential area on the outskirts of Newcastle and close to a Care Homes for Older People Page 4 of 26 Brief description of the care home range of shops and community services and situated on a public transport route. The service was first established in 1988 and is owned and managed by the family business. There is a sister service next door, which provides nursing care 24 hours a day. The service is set back from the road with mature front gardens and ample car parking space. As no information about fees is included within this report the reader is advised to contact the service direct for this information. Care Homes for Older People Page 5 of 26 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: Two inspectors carried out this key unannounced inspection between 09.30 and 14.00hrs. Neither the proprietor or manager know that we were coming. The manager and proprietor were available throughout the inspection. Information for the report came from a number of sources: a questionnaire called the Annual Quality Assurance Assessment (AQAA) which was completed by the provider and was sent to us before our visit; We looked at the environment of the home, including communal areas and a sample of bedrooms: discussion with people who live at the home, the manager and staff. We looked at staffing levels, staff training and how staff are recruited; We looked at how the service has responded to any complaints and how it protects people from abuse. Care Homes for Older People Page 6 of 26 Three people who live at the home were case tracked this involves establishing peoples experience of living at the home by meeting or observing them, discussing their care with staff, looking at their care file and focusing on outcomes of care that they receive. Tracking peoples care helps us to understand the experience of people who use the service, how they spend their time and whether the service promotes their privacy and dignity. What the care home does well: What has improved since the last inspection? What they could do better: We have recommended that two members of staff confirm the accuracy of hand writtem medication records to reduce the risk of error. It is positive that the Proprietor has identified what improvements that are planned for the service in the next year. Care Homes for Older People Page 8 of 26 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 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 9 of 26 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 10 of 26 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 good information about the home and their needs assessed which enables them to make an informed choice that the home will be suitable for them. Evidence: The home has a statement of purpose and service user guide. The service user guide is also available in large print . We were told that when new people come to live at the home they have their own service user guide which includes information about the fees that they pay and their room number. Copies of the service user guide were also available in peoples bedrooms for reference. People have an assessment of their needs, undertaken by the Manager before they come to live at the home. Those assessments we saw provided comprehensive information about the person, their needs, choices and capabilities. Care Homes for Older People Page 11 of 26 Evidence: Trial visits are encouraged by the home. We spoke to one person who had recently come to live at the home they confirmed that they had visited with a relative before they made the decision to come to live there. The home does not have people who require intermediate care. Care Homes for Older People Page 12 of 26 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 have their health, personal and social care needs identified and met by the service. The management of peoples medicines is undertaken safely. Evidence: People who live at the home have a plan of care that details their needs, choices and capabilities and gives staff information on how their needs should be met. It was positive also to see information on how people like to spend their day: Likes to go to her room after tea and watch television. Care plans are also written with the involvement of the person whenever possible. It was positive to see that since the previous inspection care plans more fully detail short term care needs as well as their long term health needs. When we spoke to staff it was positive that they had a good knowledge of peoples needs and told us that they have a handover when they discuss how people are and whether there are any changes to their needs. People have risk assessment for the risk of pressure sores, poor nutrition, falls, use of a wheelchair and appropriate moving and handling. Risk assessments also include Care Homes for Older People Page 13 of 26 Evidence: actions that staff need to take to promote the persons health and wellbeing and keep them safe. People have access to other Health professionals such as District Nurses, Doctors, Opticians, Dentists and Opticians dependent on their needs. People told us : they get the doctor for me if Im not well. It is also positive that people are weighed regularly and staff ensure that appropriate actions are undertaken if they have any concerns. There have been improvements in the management and storage of medicines since the previous inspection. The home now has a new medication system that although staff said it has taken some getting used to feel that in the longterm it will save them time and give greater assurance that people have the medicines that they are prescribed for. The home also has a new controlled drugs cupboard that meet new regulations and provides greater security of people medicines. We found that the home has good and safe systems in place to manage peoples medicines. The management of medicines is undertaken by care staff who have had additional training in the safe management of medicines. Two members of staff do not confirm the accuracy of the medication record when it has been hand written, this is a good practice and can help reduce the risk of possible medication error. The homes induction programme includes a section on treating people with respect. People we spoke to said that their privacy is respected. Care Homes for Older People Page 14 of 26 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. People have the opportunity to take part in activities they are interested in, spend their day as they want to and have meals based on their choice. Evidence: Peoples interests and choices (such as where they like to spend their day, get up and go to bed) are identified within their plan of care. The home ensures that activities meets peoples interests and capabilities. We found that people are able to choose where or how they spend their day and get up and go to bed when they choose. One person said: I like to go to my room after tea to watch the television. It was positive that this was also recorded in their plan of care. There is a plan of activities which is displayed on the homes main notice board. People we spoke to told us that they can chose whether they part in activities. Food is that is served in the home we were told is: very good and there is always a choice available. There is a menu displayed in the Care Homes for Older People Page 15 of 26 Evidence: dining room, the menu shows that a choice available at every meal time. We were also told that people can have snacks and drinks whenever they want them. We found that dining tables are attractively presented with tablecloths, cruets and cutlery making mealtimes more pleasurable. Visitors are welcome at anytime and we were told that visitors can have a meal at the home if they want to. Care Homes for Older People Page 16 of 26 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 able to highlight concerns and are assured that any concerns would be appropriately responded to. Evidence: The homes complaints procedure is displayed in the hallway and is also included in the service user guide. People living at the home told us that if they had any concerns they would: talk to Chris (the manager). someone else said: I am entirely satisfied with all aspects of the home, also appreciate being able to live here. yes I know how to make a complaint. The service has told us that they have had one complaint in the last year, we have had no complaints about the service. We looked at the record of the complaint and found there were detailed records within the persons care records and a record of the outcome of the complaint. We agreed with the outcome of the complaint which was not substantiated by the evidence that we saw. The service has required safeguarding procedures. Staff told us that they have had safeguarding training and told us what they would do if they had any concerns about potential abuse. We were told that there have been no safeguarding referrals since the previous inspection. Care Homes for Older People Page 17 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is homely, clean, well maintained making it a safe and lovely place for people to live. Evidence: The home is homely, well maintained, pleasantly decorated and furnished and has many of the original features of the house with wooden floors, leaded windows making it a lovely place to live. There is an ongoing redecoration and improvement plan and improvements to the home since in the last year have gone the extra mile to make the home even more pleasant and safe. Improvements to the home have included: a new door locking system (with swipe cards so that people can have their own door key is), a new security system, a newly refurbished bathroom and additional ensuite bathroom. People living at the home agree: the home is lovely and always very clean with no smells.and I feel very lucky to live here. The home is set in an acre of gardens with both grassed and paved areas with garden furniture and a secure garden pond. There is a large lounge with television, a smaller quiet lounge and a large entrance hall all with a range of seating, there is a separate dining room. The home has arrange of bedrooms that vary in size. There are eight bedrooms with ensuite facilities, one bedroom has an adjoining door that would be suitable for a Care Homes for Older People Page 18 of 26 Evidence: couple and there is also one shared bedroom. Bedrooms are also pleasantly decorated people are also able to perdsonalise them if they want to. There are adequate toilets and bathrooms around the home. Bathrooms have recently been upgraded to provide additional facilities for dependent people. The home is clean and tidy throughout. We saw staff using gloves and aprons when completing personal care. Care Homes for Older People Page 19 of 26 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. There are sufficient staff who are appropriately trained and recruited to meet peoples needs and also keep them safe. Evidence: The home is staffed with appropriate numbers and skill mix to meet the needs of people who live there. Staff we met spoke positively about the support and training they receive. We also found that when we spoke to staff they were knowledgeable about peoples needs and how they should be met. We observed a good interaction between people living at the home and staff. People told us; the care staff are very good and give me the help I need. Training at the home is supported. All new staff receive a formal induction training which the manager has confirmed meets the Skills for Care standards. We also spoke to a new member of staff who told us that she was additional to care staff numbers for the first week she worked at the home, which enabled her to get to know people and their needs. It is positive that the home has ten of its fifteen care staff with a care qualification (minimum of National Vocational Qualification level 2). This gives confidence that staff will be knowledgeable and understand peoples care needs. Staff recruitment and selection is completed to the required standard. All staff files Care Homes for Older People Page 20 of 26 Evidence: seen contained appropriate checks such as a criminal records checks and references which are received before people start working at the home, peoples identity is also appropriately checked. This gives confidence that the availability of required checks means that the risk of unsuitable working at the home will be minimised. Care Homes for Older People Page 21 of 26 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. There are appropriate management and health and safety arrangements in place that keeps people safe. Evidence: The Care Manager has worked at the home for many years, initially as a care assistant before she worked her way up to manager. The Manager does not have the recommended care and management qualifications, although does have National Vocational level 3 in care and has extensive experience working with older people. We found that the home has a knowledgeable staff group who have regular training and supervision to ensure their ongoing development. Staff recruitment is also completed appropriately which promotes the safety of people living at the home. The Annual quality assurance Assessment (AQAA) was sent to us when we asked for it and gave us a reasonable account of the service, what it does well and areas that have been identified for improvement. The home has a quality assurance system. Surveys are sent out to people living at the Care Homes for Older People Page 22 of 26 Evidence: home and their relatives to seek their views every six months. No report was available of the findings of the surveys. Surveys we saw expressed peoples satisfaction with the home: the care is very good here. No member of staff acts as an appointee for anybody living at the home. There are appropriate arrangements in place when people ask that small amounts of money are looked after by the home or its staff. There is a record of all transactions and receipts are available to confirm all transactions that have been made. The home has an up to date health and safety policy for safe working practice within the home which is also supported by a range of risk assessments. Staff receive required mandatory training which is regularly updated in areas such as first aid, food safety, infection control, moving and handling and fire safety. The proprietor has confirmed that all maintenance contracts are in place including the provision of hot water and this was supported by those which were checked Care Homes for Older People Page 23 of 26 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 24 of 26 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 8 Two staff members confirm the accuracy of hand written medication records. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!