Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Addison Court Nursing Home Addison Street Accrington Lancashire BB5 6AG The quality rating for this care home is: The rating was made on: one star adequate 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Susan Hargreaves Date: 0 6 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Addison Court Nursing Home Addison Street Accrington Lancashire BB5 6AG 01254233821 01254393628 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Speciality Care (Addison Court) Ltd care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category 25 5 0 Over 65 0 0 25 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N 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: 25) Dementia - Code DE (maximum number of places: 25) Mental disorder, excluding learning disability or dementia - Code MD (maximum number of places: 5) The maximum number of service users who can be accommodated is: 50 Date of last inspection Brief description of the care home Care Homes for Older People Page 2 of 9 Addison Court is a purpose built home situated in a small cul-de-sac in a mainly residential area. It is close to a number of shops and a church. The centre of Accrington is approximately 10 minutes walk away. The home has a small garden, which is accessible to residents who wish to sit outside when the weather permits. There is adequate parking for staff and visitors. Addison Court offers 24 hour nursing and personal care for up to 50 residents. This includes the Baxenden unit, which offers care for up to 25 residents who suffer from mental health problems or dementia. Accommodation is provided in single en-suite rooms. A passenger lift facilitates access to all areas of the home. The current fees charged at Addison Court are #332 - #483 per week. Additional charges are payable for private chiropody, hairdressing, toiletries and newspapers. A copy of the service user guide was available to prospective residents and their relatives on request. Care Homes for Older People Page 3 of 9 What we found:
The quality rating for this service is 1 star. This means that the people who use the service experience adequate quality outcomes. Seven completed surveys were received from people who use the service and two form members of staff. The individual care plans of four people who use the service were inspected. These plans identified the personal and healthcare needs of each person and provided clear guidance for staff to follow to ensure that their individual needs were met. The care plans also gave detailed information about the likes and dislikes of each person relating to all aspects of their care. The care plan for one person stated they disliked group activities another care plan about the persons cultural needs stated they did not eat meat on Fridays. Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. Information for staff about how to manage identified risks was also in place. One care plan instructed staff to help one person to change position every four hours. Members of staff completed a chart each time to confirm this procedure had been carried out. Care plans and risk assessements were reviewed monthly and updated when the needs of the person changed. Where possible the person using the service or a relatve were involved in planning and reviewing their care and signed the care plan to indicate their agreement with the care provided. One person who used the service said, The staff are good with me. Medication was stored correctly and administered by registered nurses. Records relating to the management of medication were in place. Medication administration records indicated that people who use the service received the correct medication at the right time. However, instructions for staff to follow about when to give medication prescribed when required needed to be more detailed. The care records for one person stated that medication should be given for agitation without any explanation about how this person behaved when anxious and agitated. Having clear written information is important to ensure people are given their medicines only when they need them. Good practice by members of staff involved keeping a running total of the amount of medication in stock for each person using the service. This checks medication is being given as prescribed by the doctor and ensures people do not run out of their medication. The manager reguarly audited medication in order to check that it was being managed correctly. Discussion with people who use the service and members of staff confirmed that activities were routinely organised at the home. Since the last inspection people who use the service were asked to complete a survey about leisure activities. This has resulted in an increased and more varied programme of activities being organised. Activities include, baking, pamper sessions, music, film afternoons, arts and crafts, quizzes, bingo and karaoke. An outside entertainer also visited the home every month. People living on the dementia unit had made name plates for their bedrrom doors Care Homes for Older People Page 4 of 9 which reflected their individual interests. Two people who use the service are doing a computer course at the community centre. During the inspection two people were taken out to the park, a care worker was observed helping one person to do a jigsaw and another care worker was helping someone with a craft activitiy. Local Clergy also regularly visited the home for people who chose to practice their faith. In answer to the question are there activities arranged by the home that you can take part in one person who completed the survey put always, two usually and two sometimes. The meal served at lunchtime looked wholesome and appetising. Dining tables in all areas of the home were nicely set. On Baxenden unit the menu was displayed, which enabled members of staff to offer a choice. Members of staff were observed talking to the people they were feeding at lunch time and generally making this time an enjoyable social occasion. Blended meals were served with each item of food blended separately so that people could identify the food and experience the individual flavours. All the people who use the service who were asked said the meals were good. One person said, The meals are good, i enjoy everything i have. The refurbishment in progress at the last inspection has been completed and at the time of this inspection the home was clean, tidy and well maintained. A room on the ground floor previouly used as an office has been converted into a room for members of staff to speak in private to people who use the service and their relatives or for people to take their visitors. New carpets have been fitted in the bedrooms and all bedroom furniture has been replaced. Pictures have been hung on the walls in communal areas to make the environment more homely. To promote the privacy of people who use the service locks for the ground floor bedroom doors have been ordered. However, the privacy lock fitted to the toilet door on the Baxenden unit does not allow members of staff to gain access in the event of an emergency and must be replaced. There was an unpleasant odour in the shower room and the privacy lock needed to be repaired. One visitor said the home had improved, it was cleaner and didnt smell. A person who used the service said, I like staying here its very nice and comfortable. The files of three members of staff appointed since the last inspection were examined. These files indicated that all the required pre-employment checks to ensure protection of the people who use the service from unsuitable staff had been completed prior to appointment. These checks included a written reference from each applicants previous employer and a full employment history. Three members of staff were interviewed and all said they enjoyed their work and the manager was approachable. One of them explained they had more time to do activities and the cooks were offering more choices of food at mealtimes. One member of staff who completed the survey wrote, The manager always involves staff in how to improve services for the residents. To make sure the home was a safe place for people to live and work the fire risk assessment had been reviewed and updated, the testing of small electrical appliances was carried out in July this year and the remedial electrical work had been completed and a new installation certificate issued on 5th June. Care Homes for Older People Page 5 of 9 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 21 12 The lock to the toilet on the first floor baxenden unit must be replaced to enable staff to gain access in an emergency and the lock to the shower room must be repaired or replaced. Locks must also be fitted to bedroom doors. To promote the privacy and dignity of people who use the service 30/11/2008 2 26 16 The odour problem in the first floor shower room must be addressed. To promote the wellbeing of people who use the service. 30/11/2008 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 Clear instructions should be in place for staff to follow to ensure medication prescribed when required is given correctly. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: 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 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 © (2008) 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 9 of 9 - 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!
