Inspection on 13/04/05 for Aigburth

This inspection was carried out on 13th April 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.

Other inspections for this house

Aigburth 27/06/08

Aigburth 08/11/06

Aigburth 03/11/04

Aigburth 05/05/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Aigburth 21 Manor Road Oadby Leicestershire LE2 2LL Lead Inspector Everton Osbourne Unannounced 13th April 2005 09:30 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 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. Aigburth Version 1.10 Page 3 SERVICE INFORMATION Name of service Aigburth Address 21 Manor Road, Oadby, Leicestershire, LE2 2LL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0116 271 5086 0116 271 4288 home.lei@mha.org.uk Methodist Homes for the Aged Mrs Sarah Haines Care Home 32 Category(ies) of DE(E) Dementia - over 65 (8), MD(E) Mental registration, with number Disorder - over 65 (8), Old Age (32) of places Aigburth Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: No persons to be admitted to the home in categories MD(E) or DE(E) when 8 persons in total of these categories/combined categories are already accommodated within the home. Date of last inspection 3rd November 2004 Brief Description of the Service: Aigburth care home cares for thirty-two older people in a purpose built property. It is set in a quiet residential area close to a variety of amenities in Oadby town centre. The premise consists of three floors. Residents occupy the ground and first floor and the third floor is occupied by staff members employed to work on the premise. Access to all three floors is by use of the passenger lift or stairs. There are a variety of aids and adaptations throughout the premise based on residents care needs to support them to be more independent. The home has thirty single bedrooms and one double bedroom all with ensuite facilities. There are sufficient toilet and bathroom facilities on both floors based on the number of residents residing in the home. The home has a garden to the front and rear of the premise. Aigburth Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took four hours and thirty minutes to complete and is the seventh statutory inspection under the Care Standards Act 2000. A total of twenty-two out of thirty-eight Standards were inspected and all Standards inspected on this occasion met the required National Minimum Standard. A tour of the premises took place and staff and care records were inspected. Three residents and three staff members were spoken to. What the service does well: What has improved since the last inspection? What they could do better: No issues were identified during this inspection. Aigburth Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Aigburth Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Aigburth Version 1.10 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 standard(s) 1, 3, 4 and 6 The admission procedure is good. There is detailed information about the services provided in the home which is given to residents before they move into the home. This information is also available to residents’ relatives. The assessment process works well and is carried out prior to residents’ moving into the home. Staff members are well motivated in providing a high quality of care. This service does not provide intermediate (rehabilitation) care. EVIDENCE: Detailed examination of the Statement of Purpose indicated that the document accurately describes the services provided in the home. Three residents spoken to indicated that they were given a copy of the document and are satisfied that the care matches the information they were given prior to moving into the home. For example one resident indicated that the information contained in the Statement of Purpose concerning the complaint procedure was sufficient in providing good guidance to make a complaint which was dealt with in a professional manner with a satisfactory outcome. Aigburth Version 1.10 Page 9 Three residents’ assessments were inspected and conversation held with these residents indicated that it was clear that the information in the assessments were accurate in describing their care needs. One resident commented ‘The girls are very good’ referring to the care staff and the level of care given for example attending to their personal hygiene care needs. Three staff members on duty were spoken to which included one kitchen staff member. They were able to give an accurate account of the residents’ assessed care needs and what duties they needed to carry out to meet those care needs, referring also to the residents’ care plans. The registered manager indicated that intermediate (rehabilitation) care is not provided in the home which was confirmed during an inspection of the Statement of Purpose. Aigburth Version 1.10 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 standard(s) 7, 8, 9, 10 and 11 Residents’ care plans are written well to give care staff members detailed information about how the residents’ care needs must be met. Suitable processes are in place in giving residents the opportunity to access health care provisions when needed and to give residents adequate privacy in the home and respect in the event of the death. The medication process works well in ensuring that residents receive correct doses of medication. EVIDENCE: Detailed examination of three residents’ care plans indicated that all aspects of personal and health care needs including recreational needs are recorded in the document which is regularly reviewed. Daily record sheets seen indicated that entries are made each day concerning residents’ daily care. Three residents spoken to described their care needs which were recorded accurately in their care plans. One resident stated ‘The care is good’ and another resident commented ‘I’m satisfied with the overall care in the home’. Aigburth Version 1.10 Page 11 The residents indicated that they have access to General Practitioners and Community Nurses. The professional visitors’ records confirmed that professionals located in the community form part of the care process in the home and that they visit residents when needed. One Community Nurse was in the home attending to one resident’s nursing needs during the inspection. The medication process was observed on two separate occasions during the day and residents were given their medication as prescribed. Three residents spoken to indicate that they are given their medication as indicated on the prescription. Detailed examination of three residents’ medication records indicated that accurate recording is being made by staff members’ trained to give medication. Written policies concerning medication use was examined which had sufficient information for staff members’ guidance concerning safe use of medication. Observations made throughout the day indicated that residents’ privacy is being respected for example staff members were seen knocking on residents’ bedroom doors before entering the bedrooms. Three residents spoken to confirmed that they are satisfied that staff members respect their privacy. Conversation held with two care staff members indicated that suitable processes are in place when caring for residents’ who are dying or after the death of a resident. Written policies seen had sufficient guidance for staff members to follow during the event of the death of a resident. Aigburth Version 1.10 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 standard(s) 14 and 15 Giving residents’ choices over their daily lives and providing a well balanced meal is managed very well for residents residing in the home. EVIDENCE: Three residents were spoken to and they indicated that they were extremely satisfied that they have choices concerning their daily living in the home. For example one resident talked about having the opportunity to take into the home his own furniture which was seen during the inspection. One resident was eating breakfast after 10am and she indicated that it was her choice to have breakfast at this time. Detailed examination of the weekly menu and a conversation held with the lead kitchen staff member indicate clear choice of meals. For example one resident reported their dislike for soup and sandwiches which is served sometimes for evening meals but indicated that the choice is given to have alternative food. Verbal statements about the food from residents were positive for example ‘Meals are generally fine’ and ‘Excellent food’. Aigburth Version 1.10 Page 13 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 standard(s) 16 and 18 Complaints are managed efficiently and responded to within given time scales. There is an adult protection procedure to respond to suspicion or allegation of abuse. EVIDENCE: Detailed examination of the written complaint process indicated that clear guidance is given to residents and their relatives on how to make a complaint. A copy of the complaint process is written in large print and posted on the wall in the entrance to the home. The complaint record showed that one resident made a number of complaints. The resident was spoken to who indicated that on each occasion the complaint was dealt with in a ‘professional and efficient manner’. Two other residents indicated that they know how to make a complaint but never had to do so. A detailed examination of the written adult protection process indicated that procedures are in place to respond to allegations of abuse. Two staff members spoken to were able to verbally demonstrate their knowledge of the home’s adult protection process. Three residents spoken to indicated that they feel safe in the home. Aigburth Version 1.10 Page 14 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 standard(s) 19, 20, 21, 22, 25 and 26 The premises are maintained to a high standard with a strong emphasis on residents’ comfort. There is sufficient communal space and adequate toilet and bathing facilities including sufficient specialist equipment for residents’ use. The home throughout is very clean, pleasant and hygienic in appearance. EVIDENCE: An examination of the walls flooring and fixtures throughout the premises indicated that it is in good condition creating a positive impression of the home. One resident spoken to stated ‘I’m satisfied living here’. Grab rails are fixed on walls throughout the home and residents with mobility difficulties were seen using the rails. The numbers of toilet and bathing facilities seen throughout the home indicated that there are sufficient facilities based on the number of residents residing in the home. An examination of the premise indicated that it is clean and hygienic in appearance. Aigburth Version 1.10 Page 15 Five visitors comments cards seen indicated that these visitors are satisfied with the décor of the home and friendliness of the staff. One resident stated ‘The staff seem to be content, that’s why they get on together’. Aigburth Version 1.10 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The number of staff deployed to work in the home is sufficient to meet residents’ assessed care needs. EVIDENCE: A calculation of staffing hours using the Residential Forum for Older Persons for week beginning Monday 11th April to Sunday 17th April 2005, was carried out. This indicated that sufficient staffing hours is provided to meet residents’ care needs and that suitable skill mix of staff is employed to work in the home. Aigburth Version 1.10 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 37 Good accounting processes to safeguard residents’ monies and good recordings of residents’ care is maintained in the home. EVIDENCE: An employers’ liability certificate displayed on the wall in the home indicate that the home is insured against loss or damage to the home. Three residents spoken to felt satisfied that their money was not at risk because their relatives manage their finances. Three residents care records seen for example their assessments and medication records indicate that residents’ care records are being maintained appropriately. Three staff members spoken to gave clear verbal statements indicating that they adhere to written guidance in the home concerning keeping residents records up to date. Aigburth Version 1.10 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x x 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x 3 x x 3 x Aigburth Version 1.10 Page 19 Are there any outstanding requirements from the last inspection? 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 N/A Regulation N/A None Requirement Timescale for action N/A 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 N/A Good Practice Recommendations None Aigburth Version 1.10 Page 20 Commission for Social Care Inspection The Pavilions 5 Smith Way Enderby Leicester LE19 1SX 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. 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