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Inspection on 07/12/05 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 7th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

The home continues to include families and service users in the planning and carrying out of care, and a strong and competent manager, supported by a line management system, ensures that the home is ran in a capable and open manner. It was particularly pleasing to view the nostalgia room that gives service users and their families an opportunity to look back at times gone by. Staff and service users contributed to the setting up of the room and it should be of great benefit to all who use it.

What has improved since the last inspection?

Since the last inspection a number of areas had been redecorated and new flooring had been put in place. Contracts and terms and conditions had been renewed and the requirements and recommendations made at the last inspection had been attended to.

What the care home could do better:

During the inspection it was noted that fire exit signs were incorrectly placed or needed renewal to comply with the current standards, and a waste bin in the smokers lounge needed to be replaced with a metal bin. The manager was also asked to consider an easier access to the washbasin for service users who use a wheelchair.

CARE HOMES FOR OLDER PEOPLE Warrior Park Nursing Home Queen Street Seaton Carew Hartlepool TS25 1EZ Lead Inspector Stephen Willcock Unannounced Inspection 7th December 2005 11:00 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 Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 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.V257572.R01.S.doc Version 5.0 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 Tamaris Healthcare (England) Ltd (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.V257572.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 4 places can be used for people with a Physical Disability aged 55 . 11th July 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. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 7 December 2005 over a period of 4 hours. During the inspection time was spent talking to service users, staff and management. A number of records were looked at and the grounds and building itself were inspected. Discussions with service users found a high degree of satisfaction with the care provided and the rapport that had developed between themselves and the staff. Comments made by service users suggested that the communication between the manager and relatives was “very good” and that the staff are “always caring, patient and willing to listen”. One service user said, “ staff understand me and are very amenable my needs”. Another service user said, “staff give the care that I want; in the way that I want it, everybody is always nice and friendly”. What the service does well: What has improved since the last inspection? Since the last inspection a number of areas had been redecorated and new flooring had been put in place. Contracts and terms and conditions had been renewed and the requirements and recommendations made at the last inspection had been attended to. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 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.V257572.R01.S.doc Version 5.0 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.V257572.R01.S.doc Version 5.0 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): 4 and 5 The home ensures it can meet service users assessed needs and offers the opportunity of trial visits. EVIDENCE: In discussion service users spoke highly of the service provided, in meeting their assessed needs. Evidence was seen in service users care plans of good access to health care including opticians, dieticians and chiropody. The manager said prospective service users were invited, with their relatives, to come to the home for a visit to see the facilities offered, before making the decision to live there permanently. Assessments were carried out at the service users own home or hospital to ensure the home could meet their needs. One service user he “had looked at other homes in the area but decided on Warrior Park”. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 9 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): 8 and 11 A system of care planning for individual service users is in place and the home has approached the issue of ageing and dying with sensitivity and respect. EVIDENCE: Evidence of regular care review was seen, and carried out to ensure the service was providing the care required. Changes in service user need were recorded. The home had conducted discussions with service users and their families to ensure that arrangements made in the event of ageing and dying were recorded and met with the service user’s wishes. The manager said there was good contact with MacMillan Nursing staff and it was hoped that the home would become a centre of excellence for palliative care. Information was also available for the care of people from ethnic minorities including full details of the rites and procedures to be followed in the event of dying. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 10 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): 13 and 14 The home encourages service users to maintain their social contacts and encourage them to retain control over their lives. EVIDENCE: In conversation, service users confirmed that visitors to the home were encouraged to visit their relatives at any time. One service user said the home was “very clean and the staff are very nice” and she could always meet with her relatives in private. The manager said that contact was maintained with service users’ on a daily basis to discuss elements of need and that any issues raised were recorded in a daily record. Service users were encouraged to maintain a level of independence where possible within the framework of a risk assessment and to take part in domestic activity around the home and their own bedrooms. Service users were encouraged to bring their own furnishings to make their rooms more like home. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 11 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): 17 The home promotes and protects the legal rights of service users. EVIDENCE: The manager said that the home encouraged the use of an advocacy service and advised service users and their families to consult with their own solicitors for legal matters and financial arrangements. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 12 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): 20 and 24 The home provides accommodation in a safe and pleasant environment. EVIDENCE: The home was well maintained and some recent redecoration had taken place. The main lounge had also been redecorated, a new carpet fitted and new flooring. The manager said new chairs had also been ordered. A rolling programme of radiator cover renewal was underway as some had become loose or damaged. A room had been set aside and furnished as a nostalgia room. Photographs of service users and their families had been donated and were on display and authentic 1940s style items gave the room an atmosphere of calm where service users could reflect on past times. Bedrooms were seen to be spacious and well decorated, often to the service users own taste. Service users had been invited to bring their own possessions and items of furniture on admission to make their rooms more homely. It was noted that in bedrooms accommodating wheelchair users, better access to washbasins could be provided. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 13 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 and 28 The home provides staff with satisfactory training to do their jobs and carries out robust checks prior to employment at the home to ensure the safety of service users. EVIDENCE: Staffing levels at the home remained constant, with many of the staff members being long serving. The home currently employed 5 Registered Nurses and 24 care staff of which, 4 were senior staff. Training was continuing and 13 care staff had completed NVQ2 in care. Some of the care staff were waiting to start a Modern Apprenticeship course with a local college. Over 50 of care staff had completed studies leading to the qualification NVQ2 in care. Examination of staff files found evidence of satisfactory checks being carried out prior to the commencement of employment including Criminal Records Bureau checks and Protection of Vulnerable Adults checks. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 14 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): 33, 35 and 38 The management arrangements at the home are satisfactory and Health and Safety is given full attention. EVIDENCE: The home is owned by Four Seasons, a large group with responsibility for many care homes. A line manager carries out quality assurance checks and audits during regular visits to the home. The organisation monitors the service provided at the home by the user of service user comment cards that asks for views and opinions on all aspects of life at the home. The home’s manager has also carried service user meetings and has achieved the Registered Managers Award. The manager said she had recently attended training on Parkinson’s disease and was wishing to put into practice what she had learned. Certificates of insurance were in place and were up to date. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 15 Service users personal finances were confidentially held and regularly checked for accuracy. It was noted that individual service users finances were held on computer record and a paper record. It was noted that fire exit signs needed to be repositioned and new signs were required. The home also provided a smoking lounge, however it was noted that a plastic waste bin was being used for discarded cigarette ends. It was advised that only a metal bin should be used to minimise the risk of fire. The manager was able to demonstrate that as far as reasonably practicable the health, safety and welfare of service users, staff and visitors to the home were maintained. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 16 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 X X X 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X 4 X X X 3 X X STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 17 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. 1 Standard OP38 Regulation 13 Requirement The Registered Person must ensure Fire Exit signage is reviewed and metal bins are used in the smokers’ room. Timescale for action 31/01/06 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 OP24 Good Practice Recommendations The manager should look at alternative arrangements to make easier access to bedroom washbasins for service users in wheelchairs. Warrior Park Nursing Home DS0000000220.V257572.R01.S.doc Version 5.0 Page 18 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.V257572.R01.S.doc Version 5.0 Page 19 - 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. 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