CARE HOMES FOR OLDER PEOPLE
Alderson Resource Centre Linnaeus Street Kingston Upon Hull East Yorkshire HU3 2PD Lead Inspector
Angela Sizer Key Unannounced Inspection 17th March 2008 09:30 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 Alderson Resource Centre DS0000034408.V358118.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. Alderson Resource Centre DS0000034408.V358118.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Alderson Resource Centre Address Linnaeus Street Kingston Upon Hull East Yorkshire HU3 2PD 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) 01482 585166 louise.eastwood@hullcc.gov.uk Kingston upon Hull City Council Thetis Eastwood Care Home 26 Category(ies) of Dementia - over 65 years of age (17), Physical registration, with number disability (9), Physical disability over 65 years of of places age (9) Alderson Resource Centre DS0000034408.V358118.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th January 2007 Brief Description of the Service: Alderson Resource Centre is a Local Authority provision with Hull City Council’s Social Services Department. It is a purpose-built establishment in a busy area of Anlaby Road, opposite the Hull Royal Infirmary. There is a bus route into and out of the city centre and further if necessary. The home is registered for up to 26 residents, 17 permanent beds are for Older People with dementia and there is a Stroke Unit situated upstairs offering support for up to 9 people who are subject to a physical disability. The home is on 2 floors, serviced by a passenger lift, and provides permanent accommodation and care for up to 17 service users and rehabilitation and care to a further 9 service users who are victims of a stroke and require intermediate care. The home has a dedicated stroke unit. There are 4 lounge/dining rooms, 4 bathing/showering facilities, and 8 WCs. There are internal garden areas, which are secure and provide seating and potted plants. The stroke rehabilitation unit, located upstairs has a treatment/therapy room, which contains specialist hoists and electronic moving beds and couches. The unit also has a rehabilitation kitchen. The home is equipped with the necessary and appropriate furniture, equipment and fittings. The home has GP and hospital services close by, as well as local pubs and some shops. The Local Authority own and run the home with some assistance from the Primary Care Trust. All new residents are given a service user guide explaining what the home will provide. The weekly fees are £672.00, this information was provided by the registered manager before the inspection visit. Additional charges are made for hairdressing, toiletries, transport and chiropody when private. Alderson Resource Centre DS0000034408.V358118.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes.
The site visit was part of the key inspection process and took place over one day and took a total of 7.5 hours. Prior to the visit surveys were posted out to; 13 residents and 4 were returned, 20 were sent to staff members and 9 were returned, 16 of the sent to health and social care professionals 4 were returned and 1 was sent to a care manager, this was not returned. The registered provider returned the pre-inspection questionnaire and this gave some details about the service including staffing levels and some information about the level of need the residents’ have. From this information the decision was made about which staff and resident files would be looked at. The previous requirements were discussed with the manager and a large number have now been met. During the visit several of the residents, two staff members and one relative were spoken to this was to find out what it was like for people who live here. A tour of the building was undertaken; some of the records looked at included the medication, complaints, accident/incidents, 3 resident files, 3 staff files and other paperwork relating to the maintenance of the home and the care of the residents. A discussion with the manager occurred regarding diverse needs and in particular how the residents are currently supported to follow their religion of choice and practise their faith. Training courses have being undertaken to ensure that all residents are treated equally and not excluded because of a diverse need. The registered manager was present throughout the inspection and was told how the inspection had gone at the end of the day. A meeting took place at the CSCI Hessle Office on 26.3.07 in order to discuss the draft report and comments from this have been included. The inspector would like to thank the residents, manager and staff for welcoming her into the home and contributing to the content of this report. Alderson Resource Centre DS0000034408.V358118.R01.S.doc Version 5.2 Page 6 What the service does well:
The home continues to offer an excellent standard of care to all of the people living there. The staff group are well trained and carry out their duties in a professional, yet caring and friendly manner. The home’s ethos is to deliver person centred care ensuring that the residents are treated with respect and dignity at all times, practice was observed throughout the day and people were treated with respect. Some of the residents were able to give comments about the staff group; “the staff are very nice”, “they help me”. Two relatives were spoken to and six surveys commented; “I believe my husband gets excellent care, he is very happy living there all his needs are met and he is treated with care and dignity”, “the home has staff with unfailing good humour towards the people in their care and I cannot praise them highly enough”, “staff have a good knowledge of each resident so each can be treated individually. All staff are cheerful and make visitors welcome whatever time of the day”. Permanent residents have their needs assessed prior to moving into the home and there is a clear plan of care for staff to follow. The home’s own daily living assessment included personal care and well-being, weight, communication, foot care, mobility, falls, continence, medication, mental health, end of life care, risk management and social interests. People who use the service receive an excellent level of personal and healthcare support that ensures their needs are met. The home has a risk management procedure and risk assessments have been developed for lots of areas including smoking, aggressive behaviour, going missing, falling and many more, these are clear, descriptive and give direction to staff. Staff treat people with respect and dignity, privacy is promoted within the home, therefore people living in the home receive support in a caring and professional way. A range of recreational activities is provided in the home and resident’s preferences are accommodated, this means that all of the people living in the home including those with communication or memory impairment are able to take part in activities when they choose to. The home promotes contact with friends, relatives and the local community, this ensures that people living in the home maintain contact with their loved ones and the world outside of the home. The home continues to offer a very high standard of diet and meets a variety of different needs that the residents have. The home has a very good complaints procedure in place that ensures that all complaints are dealt with in a fair and thorough way.
Alderson Resource Centre DS0000034408.V358118.R01.S.doc Version 5.2 Page 7 The home is warm, comfortable and well maintained. It is clean and hygienic, there are infection control procedures in place and staff have received training in this area. This ensures that the home is maintained to a good standard and people live in a safe, homely and comfortable environment. As stated in previous inspection reports a variety of training courses including dementia care mapping, dealing with aggression, depression, Epilepsy, Parkinson’s are accessible to the staff group ensuring that their skills and knowledge are kept up to date. 36 out of the 38 care staff have now achieved or are working towards NVQ 2. The home has a robust recruitment and selection procedure; therefore people living in the home are protected from abuse. The local authority offers a wide range of both mandatory and more specialised training to it’s staff group, the training records show that this has been undertaken and therefore the health and safety of the residents is promoted and maintained. The management of the home is carried out with leadership and appropriate guidance; ensuring that people living in the home receive quality care and a resident centred ethos is promoted within the home. People living in the home have their financial affairs safeguarded by the homes policy. The home has developed a good quality assurance system, this incorporates regular liaison with residents, family/friends, other professionals, the completion of surveys and the correlation of this information throughout the year. An annual report is produced and is shared with the people living in the home and CSCI. What has improved since the last inspection?
For the people in the stroke unit the care plan is drawn up by the health team and instruction given to the care staff about how to assist the person, any rehabilitation techniques are carried out under the guidance of the Occupational Therapist or Physiotherapist. The residents on the Stroke Unit have a daily living assessment undertaken with them. The manager confirmed that these have been improved since the last inspection and the information is now transferred into the form of a care plan and this gives clear direction to staff with regard to care tasks. The home provides a good level of care and has increased the amount of staffing hours since the last inspection; this means that staff in sufficient Alderson Resource Centre DS0000034408.V358118.R01.S.doc Version 5.2 Page 8 - 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!
