Inspection on 27/05/08 for Station Court

This is the latest available inspection report for this service, carried out on 27th May 2008.

CSCI 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

Station Court 17/10/05

Station Court 23/05/05

Station Court 13/12/04

Station Court 28/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Station Court Station Road Ashington Northumberland NE63 8HE Lead Inspector Jim Lamb Key Unannounced Inspection 27th May 2008 10:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Station Court Address Station Road Ashington Northumberland NE63 8HE Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01670 817 222 01670 817 555 stationcourt@barchester.com www.barchester.com/oulton Barchester Healthcare Homes Ltd Mrs Vivienne Morris Care Home 63 Category(ies) of Dementia (33), Old age, not falling within any registration, with number other category (30) of places Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 30 2. Dementia - Code DE, maximum number of places: 33 The maximum number of service users who can be accommodated is: 63 30th October 2006 Date of last inspection Brief Description of the Service: Station Court is a residential care home providing personal care and accommodation for 63 older people. The home is in a residential area of Ashington with good access to public services and amenities. All bedrooms are single with en-suite facilities. The home is very well decorated throughout. There are a number of lounges, dining rooms, Assisted bathrooms, a large conservatory and an activities room. The gardens are attractively landscaped, and there is also an enclosed sensory garden. Copies of inspection reports and information about the service are available in the home. Fees for the home range from £419 to £507. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 27.05.08. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a person’s needs before deciding if it can meet all those needs. The home draws up detailed plans to meet the care needs of its service users. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 6 Service users health care needs are also fully assessed and properly met. Service users said that staff treat them well and treat them with respect. The home is working extremely hard to provide a stimulating atmosphere in the home, with appropriate therapies and social activities for service users. All are encouraged to keep in regular contact with family and friends, who say they are always made welcome in the home. Service users are also encouraged to take as much control over their own lives, as they are able, and make their own decisions. Service users are very complimentary about the food, and there is a balanced diet, with a good choice included. Complaints and concerns are taken very seriously and are responded to properly. The home meets all the requirements of a modern care home. The home is kept clean, hygienic and free from odours. The home is very careful as to how it recruits new staff, and runs all the necessary checks on them to protect its residents. The manager is experienced and is providing very positive leadership to the home. The home is being run in the best interests of the service users. Service users finances are protected by the home’s policies and accounting systems. The health and safety of the service users and of the staff are protected by the home’s policies and systems. What has improved since the last inspection? The memory lane concept has been fully developed with very positive outcomes for service users. Memory lane is very person centred, and the whole staff team have worked extremely hard in setting it up, and they are fully committed to its ongoing success. The majority of the homes communal areas have been refurbished to a very high standard. Several bedrooms have also been refurbished. The sensory garden now has a large summerhouse and a dovecote. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are properly assessed and are provided with enough information about the service to enable them to make a choice about where they want to live. EVIDENCE: 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, what they hope for and want to achieve, and the support they need. The care records for three service users were examined. These showed that the manager makes sure that a full assessment of a new service users needs is carried out by the person’s social worker before they come into the home. The manager also carries out her own assessment, to be doubly sure that the home can meet all of the new person’s needs. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 10 More detailed assessments are carried out once the new service user has come into the home. These include assessments of risk; of nutritional needs; of social needs; of moving and handling needs and of behavioural needs. A dependency rating scale is also completed. As a result of all these levels of assessment, the manager can clearly demonstrate that all her service users are in a home that can give them the care that they need. All are provided with a contract explaining the home’s terms and conditions, and fees. Intermediate care is not provided. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health of the service users is met and there is good multi disciplinary working taking place. The promotion of health care is taken seriously, and service users have their personal needs met in the way that they prefer. EVIDENCE: There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. The Area Director intends to reintroduce written monthly care plan evaluations. There are advocacy arrangements, as well as family input to represent service users. Care plans are drawn up with service users and their relatives. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 12 There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. Staff who have completed relevant training administers medication. A sample of medication records was examined. These include photographs for identification purposes. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. The Controlled Drugs register was appropriately recorded. However some prescribed creams were not always recorded properly on the medication recording sheets. The manager will carryout a full audit, and address this issue. Privacy and dignity issues are built into the home’s policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. The service users confirmed that their privacy and dignity are respected at all times. Service users’ said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. One service user said, “I have only been here for about nine weeks, I think it is a marvellous place, it is just like a top class hotel”. One relative said, “I visit often, the staff are friendly and they care for my Mother very well”. People feel that they will be able to live the life they choose in the home. This is because the care is person centred and shows an understanding and respect for diversity, including gender (and gender identity), age, sexual orientation, race, religion or belief, and disability. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users are offered a good quality lifestyle, which includes social contact, activities and choice. EVIDENCE: Each person is treated as an individual and the home is responsive to his or her race, culture, religion, age, disability, and gender. They can take part in activities that are appropriate to their age and culture and are part of their local community. The staff supports people to follow personal interests and activities. Service users are able to keep in touch with family, friends and representatives and the home supports them to have appropriate friendships, family and personal relationships. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 14 People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. The service promotes the highly regarded memory lane person centred concept. This has been developed on a very large scale. On the first floor they have recreated the local community of Ashington and Newbiggin-by-the-sea. These areas include: The North school, which was a local school in the town. Memorabilia of the royal family. A nursery room, that promotes doll therapy. An old-fashioned parlour room. A music area, with a piano, and other musical instruments. An old-fashioned back yard area complete with a washing line. Ashington Pit village memorabilia. Display area of Ashington’s famous footballers. A garden room area. An old-fashioned shopping area. A local seaside beach area. There are rummage boxes available in several areas. Outside of every bedroom there is a memory box that is unique to every service user. There are regular reminiscence sessions, and the manager said that service users enjoy interacting with each other. She also said that there has been a significant reduction in challenging behaviours. People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect and autonomy over their chosen way of life People have healthy, well-presented meals and snacks, at a time and place to suit them. All service users spoken to said that the meals were very good. The home has two part time social activities co-ordinators, and they are supported by the care staff in providing a wide range of social activities both inside and outside the home. The home has regular access to a Barchester Health Care are mini bus. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good, clear, user-friendly complaint and protection system, service users are safe and their views are listened to and acted upon. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the home’s investigation and response. The procedure is written in a way that ensures service users fully understand its contents. Two service users said that they had been given copies of the procedure and that staff listened to their complaints and always dealt with them fairly. The home keeps a record of complaints. Since the last inspection visit there have been four complaints received, all were investigated properly and resolved. The home has a Whistle Blowing policy, the Local Authorities Vulnerable Adults procedures, and a copy of the Department of Health’s document, “NO SECRETS”. Staff are aware of these procedures and have easy access to them. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 16 Safeguarding adults training is ongoing for all staff. Service users can deposit cash for safe keeping in the home’s safe and records are kept of accounts. A sample of personal finances records was examined. Transactions were appropriately recorded and had two signatures for each entry. There was plenty of evidence of personal spending. Receipts are obtained for purchases and numbered to cross-reference to the transaction. Weekly checks of balances and cash are carried out. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 23 24 25 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a very comfortable, clean, safe and pleasant environment for those living there. EVIDENCE: The home was clean, well decorated and well maintained. The grounds were tidy, safe, attractive and accessible. The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. The lounge and dining areas are highly attractive areas; they are pleasant, well decorated and comfortably furnished. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 18 Service users can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in very good condition. Lighting was bright and domestic in design. All doors have privacy locks and room sizes exceed the minimum required. There is space on either side of beds when necessary, to enable access for carers and specialist equipment. Service users’ bedrooms have opening windows and restrictors are in place where needed. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. Service users have access to an enclosed sensory garden area that is a very safe, pleasant and thoughtfully landscaped. There is also a large raised flowerbed, garden furniture, summerhouse, and a dovecote. There was emergency lighting throughout the home. The kitchen was clean and well organised. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are well organised, and the washing machines have the specified programme to meet disinfection standards. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good match of well-qualified staff, who are appropriately recruited and supervised and who offer consistency of care within the home. EVIDENCE: Staff levels on the day of the inspection met the agreed level. The required numbers of staff were on duty: 9 staff between 8am and 10pm with 4 staff between 10pm and 8am. The manager agreed to closely monitor the dependency levels of the service users. If the dependency levels become greater, then there may be a need to increase the staffing levels during the night from 4 staff to 5 staff. All staff were over 18 years of age and those left in charge were at least 21. The training needs of the staff are identified in supervision and appraisal sessions. The home’s training programme meets the National Training Organisation requirements for the first six months. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 20 Staff receive at least three days paid training each year. Two staff files were examined; the service has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. The service has a good staff training and development programme in place. All statutory training was up to date and 75 of the staff team has completed NVQ level 2/3. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported by the organisation in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities, and service users best interests being promoted. EVIDENCE: The manager has many years experience in senior management prior to her recent appointment to the home. She has the appropriate qualifications, experience and skills necessary to manage the service. Staff spoken to were clear about their responsibilities, and they had very good knowledge of the service users’ needs, and safeguarding procedures. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 22 Service users are told when inspections take place and they are shown inspection reports. These are also summarised and discussed in service user meetings. Copies of reports are available for relatives and others to see. A quality system is in place to monitor the quality of the service provided. This involves gaining feedback from service users, relatives and professionals involved with the home. Monthly audits also take place. The outcomes of the service users survey results will be published and made available to all prospective service users. The home is also in the process of implementing an annual development plan. The records inspected were found to be appropriately completed. These included the fire log book, accident records, personal allowance records and Health and Safey manual. There is a health and safety policy and a range of associated procedures. Staff receive training in safe working practices. There are appropriate maintenance contracts in place for the home. Water storage tanks, gas and electrics are checked annually. Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations All prescribed external creams must have labels that specify frequency of use, and these must also be recorded on the medication recording sheets. Continue to monitor the service users dependency levels, and if necessary increase the night staff levels accordingly. 2. OP27 Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Station Court DS0000055020.V365036.R01.S.doc Version 5.2 Page 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. 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