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Inspection on 06/07/06 for Warrior Park Nursing Home

Also see our care home review for Warrior Park Nursing Home for more information

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

A good standard of care is provided for the people who live at the home. Service users said they enjoyed living there, and that the staff were kind and helpful. There were written care plans in place for each service user. This helps staff make sure that each resident gets the support and assistance that is needed for them to live safely and comfortably. The manager is motivated and committed to having a fully trained workforce, and the training that staff receive is good. The care practice is up to date and well researched; this was particularly evident in the in the dementia unit. The cook was knowledgeable about the dietary requirements of the service users, the kitchen was nice and clean and service users said they enjoyed the food.

What has improved since the last inspection?

Bedrooms and some communal areas have been refurbish and redecorated, and this is ongoing. New floor covering has been ordered for some parts of the home. Following an inspection from the fire and rescue service new smoke seals have been fitted to doors and fire signage is now on display in picture format. A metal bin has now been supplied to extinguish cigarettes in the designated smoking area. Staff are receiving regular training in all aspects of care.

What the care home could do better:

Whilst all service users have a care plan these need to be developed further, to ensure that the social and psychological needs of services users are identified and plans put in place for these needs to be met. The manger needs to consider a better way of auditing the effectiveness of the cleaning schedules, as on the first inspection visit to the home some areas of the home were dirty.

CARE HOMES FOR OLDER PEOPLE Warrior Park Nursing Home Queen Street Seaton Carew Hartlepool TS25 1EZ Lead Inspector Bridgit Stockton Unannounced Inspection 09:30 6 & 26th July 2006 th 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 Warrior Park Nursing Home DS0000000220.V303690.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. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warrior Park Nursing Home Address Queen Street Seaton Carew Hartlepool TS25 1EZ 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) 01429 234705 01429 869373 www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Linda Mary Hutchinson Care Home 56 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0), of places Physical disability (0) Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 4 places can be used for people with a Physical Disability aged 55 . 7th December 2005 Date of last inspection Brief Description of the Service: Warrior Park is a two storey purpose built care home, situated close to local shops and amenities. The ground floor is for service users needing personal or nursing care. The first floor provides personal care for service users with dementia. There are five lounges and a large dining area. The home has a large garden to the rear and car parking to the side. The current scale of charges at the home range from £333.00 to £338.00 Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 10 hours on 6th & 26th July 2006. The plan for the inspection was to check whether the home had met previous requirements and recommendations; to talk with service users about living in the home; to meet with care staff and the home’s management team; to look at records and to look into some concerns raised to the Commission by an anonymous source. What the service does well: What has improved since the last inspection? Bedrooms and some communal areas have been refurbish and redecorated, and this is ongoing. New floor covering has been ordered for some parts of the home. Following an inspection from the fire and rescue service new smoke seals have been fitted to doors and fire signage is now on display in picture format. A metal bin has now been supplied to extinguish cigarettes in the designated smoking area. Staff are receiving regular training in all aspects of care. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 6 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. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 7 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 Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Prospective service users can be assured that their needs are appropriately assessed prior to admission to the home and that they are given sufficient information to make an informed choice before moving into the home. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been updated. These guides contained all of the information that is required to enable people to make an informed choice about where to live. Evidence was seen in service users files that a contract had been signed by service users or their representatives. The contracts were detailed and included a breakdown of the fees and who was responsible for paying them. The manager confirmed that visits to prospective service users always take place before their admission to the home, to carry out an assessment of needs. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 9 Four service users files inspected had pre admission assessments and care management assessments so that a decision could be made about whether the home was able to meet the needs of the individual. Intermediate care is not offered at Warrior Park Care Home therefore this standard was not assessed Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,&10 Good systems are in place to ensure that health care needs of the service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: A service user plan has been developed for each service user that identifies needs associated with health and personal care. This ensures that staff are clear about what is required of them in meeting a service user’s needs. The plans could be developed further to incorporate social aspects of the service users needs. It was evident that staff had a really good insight into activities that individuals enjoyed, however there was no documentation to support this. There was evidence of involvement of specialist healthcare people such as the community psychiatric nurse, the dietician and continence nurse. The residents spoken to felt that the staff “were wonderful” and it was observed that their particular needs and wishes were addressed in a kind and professional manner. During the previous inspection some service users Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 11 dignity was compromised, however during this inspection staff were seen to be desecrate whilst caring and supporting service users. The administration of the medication was checked. The medication administration records had been completed accurately and an audit of one resident’s medication was undertaken and was satisfactory. The medicine trolley was clean and tidy and was well organised. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14&15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. service users are enabled to make daily choices and independence promoted A good selection of meals with choices and alternatives are available for service users at the home. EVIDENCE: The home had a busy but purposeful atmosphere with many visitors to the home during the inspection. Service uses are encouraged to maintain links with the community and visitors to the home were allowed to visit at any reasonable time. One service user said that her family and friends were always made to feel welcome at the home. One visitor to the home said ‘staff are very welcoming and the manager is approachable, if I have a problem I would go to any one of the staff’. It was observed that all service users had access to a nurse call bell, which was close to hand to enable them to summon assistance should they require it. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 13 Service users are encouraged as far as possible to remain independent and make choices over how they choose to live. Arrangements had been made for one service user to visit the local DIY shop, so they could choose their own bedroom wallpaper. On the ground floor of the home some service users were sat in the lounge with the television turned on. None of them were watching the television, and there was no other form of stimulation. The manager needs to review this, and ensure that service users social care needs are met in a more structured individual way. All of the service users spoken to said that the meals were good. One service user said ‘ the foods okay they do their best’. Another service user said ‘ I like the food we have good cooks here.’ The lunchtime meal was being served during the inspection. It looked nice and service users said they enjoyed it. Staff were available to assist service users who needed help. For service users who require a pureed diet food is now served in separate components on the plate. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users can be confidant that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: All complaints are taken very seriously and the company has a robust policy and procedure for dealing with complaints about the service. All complaints investigated by the home are documented with the outcome and actions taken recorded. Service users said that they knew how to complain if they were not happy and said that the staff at the home were very approachable. Staff training has taken place in the protection of vulnerable adults in abuse. Staff recruitment procedures were adequate and staff were employed and deployed following appropriate CRB and POVA checks. The staff team were clear and confident in the protection of vulnerable adult procedures. Staff training is ongoing in the protection of vulnerable people. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users live in a clean and comfortable environment. EVIDENCE: During the first inspection to the home some areas in the home were found to be dirty. On the second visit the hygiene and cleanliness particularly in the bathroom areas had improved. A relative comment card said ‘my relatives bedroom is a bit grubby, in need of a proper clean’ another relative during the inspection said’ the staff do a good job keeping the place clean and tidy, it must be a thankless task.’ The home was decorated and maintained to a good standard. Some new carpets had been ordered and a refurbishment and redecoration program is on going. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 16 A large crack in the glass panel of an external fire door had been reported to be repaired; it had been made safe to reduce any injury to people at the home. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29&30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service user can be confident that staff are trained and on duty in sufficient numbers to meet their assessed needs. EVIDENCE: Fifteen out of twenty four staff are trained to the National Vocation Qualification (NVQ) level two or above in care. Several other members of staff are currently working towards obtaining this qualification. There was evidence of on going training for staff in such things as dementia care, moving and handling of service users, fire awareness and prevention of falls. From the rota supplied with the pre inspection questionnaire there was sufficient care staff on duty to meet the assessed needs of service users. Service users said that staff were always around and answered the call bells quickly. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35&38 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users can be assured that the care home is managed properly and their best interests safeguarded EVIDENCE: The homes manager is a first level nurse and has completed the registered managers award. Staff, residents and visitors to the home have open access to the manager at Warrior Park Care Home; this was evident during the inspection. Staff supervision takes place and the manger confirmed that sometimes she would work alongside staff to ensure that they are competent in caring for people. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 19 Some service users personal allowances are held at the home. Financial policy and procedures are in place to ensure that all transactions can be accounted for. Regular service users, relative and staff meetings are held and any issues raised are acted upon. The homes health and safety file was examined; all equipment in the home is regularly checked with valid certificates issued. Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 20 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 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 X X X 3 Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 21 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 2 Refer to Standard OP7 OP26 Good Practice Recommendations It recommended that care plans be reviewed to include service users preferences to activities and social recreation It is recommended that the manager develops a more robust procedure for monitoring and auditing the cleaning schedules at the home Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 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 Warrior Park Nursing Home DS0000000220.V303690.R01.S.doc Version 5.2 Page 23 - 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!