Inspection on 05/05/05 for Albany Nursing Home

This inspection was carried out on 5th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Albany Nursing Home 08/05/07

Albany Nursing Home 19/06/06

Albany Nursing Home 10/11/05

Albany Nursing Home 09/11/04

Albany Nursing Home 05/05/04

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOMES FOR OLDER PEOPLE Albany Nursing Home 11-12 Albany Road Leyton London 10 7EL Lead Inspector Harun Rashid Unannounced Inspection 5th May 2005 at 11:00am 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. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Albany Nursing Home Address 11-12 Albany Road, Leyton, London, E10 7EL 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) 020 8556 7242 020 8556 0550 Topcare Limited Ronna Doreen Gummer Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (17) of places Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 9th November 2004 Brief Description of the Service: Albany Nursing Home is situated in a residential area of Leyton in the London Borough of Waltham Forest. The registered provider is Top Care Limited. The home can accommodate a total of 55 service users and provides nursing care for older persons and younger adults with physical disabilities. There is one double bed room and the remainder are single, and all rooms are en-suite. Planning permission is currently being sought for an extension to the existing building to accommodate an additional seven residents.The Statement of Purpose states that Albany Nursing Home will develop care facilities by delivering a range of professional health services, ensuring that client needs are identified and holistically addressed on individual basis. The management shall continue to develop their expertise in providing both general and specialist services to meet continuing care demands whilst demonstrating a level of flexibility to meet changing market needs. The professional staff team will continue to focus on developing standards of excellence in their home, whilst they will remain committed to their personnel, supporting their professional development training and career progression’’.The staff team consists of 36 care staff, 15 registered nurses, 18 ancillary staff, one activity co-ordinator and 1 hand man in addition to the manager and deputy manager. Some of the care workers are working as part time employees. There are always 3 registered nurses and 10 care workers and 1 ancillary staff on duty on each shift. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a weekday morning on 5th of May 2005. The Inspector was able to speak to ten service users and eight members of staff including the registered manager. The Inspector also spoke to a service user’s relative during the inspection. They all expressed their satisfaction about the care provided in the home. A partial tour of the premises took place and staff files and care records were inspected. What the service does well: What has improved since the last inspection? The management have worked hard with staff team to implement the requirements, which were made at the last announced inspection on 9th of November 2004. Two requirements had not yet been fully met, and new dates have been set for full compliance. The service made provision of extra storage facilities for hoists by creating some spaces from bathroom/toilets. The manager advised the Inspector that ten members of staff have completed their NVQ level 2 qualifications in care. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 6 What they could do better: 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. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 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 Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 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 and 3 Prospective service users are given adequate information regarding the service and facilities offered prior to their move into the home. The admission procedure ensures that service users assessment of needs are carried out prior to the admission. EVIDENCE: The Service Users’ Guide had been amended further following the recommendation of the previous inspection report. The service now included the information that any charge for escorting service users to pre-planned medical appointment by a care worker to be paid by the service user. However, the manager advised the Inspector that escorting service user to casualty is not charged. The registered manager and the deputy manager are both RGN’s and have experience and skills to carry out assessment of needs – they usually carry out pre-admission assessments prior to any admission in the home. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 9 For individuals referred through care management arrangements, the manager obtains a summary of the care management of the health and social services assessment and a copy of the care plan. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 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 and 8 The Service demonstrates that service users health and personal care needs are adequately met. However there was a minor shortfall in meeting social care and cultural needs of a service user with severe physical disabilities. EVIDENCE: It was evident that care plans were generated from comprehensive assessments of care managers/health professionals. For service users who are self funded care plans were developed from comprehensive assessments carried out by the manager/deputy manager. Staff interviewed and daily records showed how care plans were implemented. The named nurses review care plans on monthly basis. Service users were referred appropriately to health and social care professionals. Nurses carry our nutritional assessments for service users. Staff were provided training for the better management of pressure sores and ulcer care. The management also consult with Tissue Viability Nurse specialist and take advice for the better management of pressure sores. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 11 The management provides ‘tempur’ med mattress, memory foam mattress and low air loss mattress for service users who are suffering from pressure area problems. However, it was evident from examining care files that the service did not adequately meet a young service user’s (with severe physical disabilities) social and cultural needs. The registered manager advised the Inspector about the difficulties around this and she is seeking advice from family members who are happy with the present arrangements. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 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) 13 and 15 The service encourages and welcomes service users’ visitors in the home. However, the service do not provide a visitor’s room although the proprietor is addressing the matter of the provision of a visitor’ room. The service provides varied and balanced diets to service users. EVIDENCE: The service users of Albany Nursing home are able to receive visitors in private in bedrooms, and are able to choose whom they see and do not see. In addition to this, they can meet their visitors on the first floor multi-sensory room while this is not in use. The home do not have any separate visitors’ room. The proprietor is addressing this matter of the provision of a visitors’ room by obtaining quotes for an extension to the existing building. From examination of the weekly menu and Inspector’s observation it was evident that service users receive a varied, appealing, wholesome and nutritious diet which is suited to individual, assessed and recorded requirements. Religious and cultural dietary needs are catered for as agreed at admission and recorded in care plan. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 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) 17 and 18 Staff training, policy and procedures contain sufficient guidance for staff to enable them to protect service users from abuse. The service users have opportunities to participate in civic process. EVIDENCE: There was an adult protection policy and procedure, which ensures that service users are safeguarded from physical, financial and sexual abuse. The Adult Protection Policy and procedure (including Whistle Blowing) complies with the Public Disclosure Act 1998 and DOH Guidance ‘No Secrets’. The manager advised that service users were able to exercise their civic rights by voting in this general election. The family members acted as service users advocates to preserve their interests. In addition to this service users and family members were provided information how to access to advocacy services like Age Concern. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 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 and20 The home is suitable for its stated purpose, which is safe and well maintained. The service users have access to all communal facilities in the home. However, a provision for a separate visitors’ room to be addressed by the proprietor. EVIDENCE: The location and layout of Albany nursing home is suitable for the service users currently living in the home. However, the current facilities are not fully suitable for young adults with complex disabilities. The manager must ensure that the home has appropriate facilities to meet the needs of service users as identified by the admission and continuing assessment process. As stated before, there is no separate visitors’ room and this will be addressed during the building extension. Service users are able to smoke in a designated areas and a risk assessment is in place for each service user who smokes. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 15 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, 28 and 30 The deployment and current number of staff was sufficient to meet service users current needs. The service provides training for staff development and the management is confident that 50 of their care staff will achieve NVQ level 2 qualifications in care by the end of 2005. EVIDENCE: From the examination of staff rota and discussion with the manager it was evident that currently 15 registered nurses and 36 (part time/full time) care staff and 18 ancillary staff (part time/fulltime) are employed by the home in addition to the registered manager and deputy manager. During the day 3 registered nurses and care workers are on duty in each shift. At night 2 registered nurses and 4 care workers are on duty. The manager advised that 10 members of staff have completed their NVQ level 2 qualifications in care and another 13 members of staff have started the NVQ level 2 qualification in care. In addition 3 members of staff are currently doing NVQ level 3 qualifications in care. The management is currently looking into staff training for certificate in infection control and certificate in health and safety at work. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 16 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) 31 and 38 There is an effective leadership guidance and direction to staff to ensure service users assessed needs are met. The service ensures service users health, safety and welfare. EVIDENCE: The registered manager is a qualified RGN and experienced to run a nursing home. She is able to demonstrate leadership through her communication with members of staff to deliver an effective service for the service users accommodated in the home. The manager ensures staff and service users health, safety and welfare. Staff were provided training with manual handling, fire safety, first aid, food hygiene and infection control. Regular checks are carried out on gas and electric appliances. The home has a valid insurance cover against loss or damage to the assets of the property. Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 17 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 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 2 14 x 15 3 COMPLAINTS AND PROTECTION 3 2 x x x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 3 3 x x x x x x 3 Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 18 Yes 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 OP7 Regulation 14 Requirement The registered manager must ensure that service users unmet cultural and social needs are identified in the care plan and have a strategy how these can be met. The manager must submit an action plan to the CSCI addressing the matter of the provision of a visitors room. Timescale for action 31/7/05 2. OP13 23 31/7/05 3. 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 Good Practice Recommendations Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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 Albany Nursing Home G56 G06 S25945 Albany NH V225186 050505 Stage 4.doc Version 1.20 Page 20 - 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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