Inspection on 23/02/06 for Aldridge Court Nursing Home

This inspection was carried out on 23rd February 2006.

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

Aldridge Court Nursing Home 27/06/07

Aldridge Court Nursing Home 26/07/05

Aldridge Court Nursing Home 08/11/04

Aldridge Court Nursing Home 04/05/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Aldridge Court Nursing Home Aldridge Court Little Aston Road Walsall West Midlands WS9 0NN Lead Inspector Mr Keith Salmon Unannounced Inspection 23 February 2006 10:00 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 Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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. Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Aldridge Court Nursing Home Address Aldridge Court Little Aston Road Walsall West Midlands WS9 0NN 01922 455731 01922 455731 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) Mr Jatinder Singh Wasu Mrs Judy Neadle Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users in the category OP may be 50 years and over. One service user (male) identified in the variation report dated 26 July 2005 may be accommodated at the home in the category DE(E). This category will be for the lifetime of the service user only and whilst the home is able to meet the service users needs without adversely affecting other residents who are accommodated at the home. At such time the registration category will revert back to frail elderly. 26th July 2005 Date of last inspection Brief Description of the Service: Aldridge Court is a privately owned two-storey Victorian house situated on the outskirts of Aldridge. Set in large grounds, among mature gardens and trees, the Home enjoys extensive views over open countryside with ample car parking. The Home has recently been extended and now provides a Home for up-to 57 older people requiring nursing care. Refurbished to a very high standard the accommodation comprises mainly single rooms, with a small number of shared double rooms located in the original building, and a several thoughtfully located lounge/dining areas. Rooms on the first floor are accessed via a shaft lift and services including laundry, catering, housekeeping and maintenance are all provided in-house. Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection commenced at 10.00 a.m., lasted 3.0 hours, and was undertaken by one Inspector. This Report is a product of observations made during a tour of the Home, a review of care related documentation, including staff recruitment/ deployment records and a range of documents/ records reflecting the general operation of the Home. In addition, discussions were held with the Proprietor, Manager, members of Staff and 5 Residents, one of whom was receiving ‘respite care’. Previous high standards of direct care provision and overall management have been maintained, and are implemented in a friendly and open atmosphere, which is now further enhanced by the recent completion of work to a ‘newbuild’ extension, together with major internal re-building and refurbishment of the original building. The ‘new build’ provides for an increase in Residents from 36 to a maximum of 57. At the time of the Inspection the Home had 30 Residents but was expecting to work up to full occupancy over the coming months. Residents spoken with were all in agreement the quality of care they receive was of very high quality. Comments supporting this included: - “Exceptionally committed and caring Staff, well led and motivated…”, “The Staff are always available and make great efforts to look after me…”, ”I enjoy my food. I have been a Resident for many years – it’s like a posh hotel…” “I have a chronic medical condition, which I was not coping with very well at all. I now have a very good understanding about how to manage it myself, all thanks to the staff. I will be going home soon...” What the service does well: What has improved since the last inspection? The Manager and Staff have worked very well to meet all `Requirements’ cited at the previous Inspection. These included ‘Requirements’ relating to the frequency of care planning review, the accurate maintenance of medicine administration records, the introduction of a clearly stated ‘Statement of Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 Page 6 Conditions’ and the sharing of questionnaire findings with Residents, Relatives and other interested parties. 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. Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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 Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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): 2. A ‘Requirement’ cited at the previous Inspection relating to ‘Choice of Home’ has been met. EVIDENCE: Examination of a randomly selected sample of Residents’ personal files, demonstrated the Home now issues Residents with an appropriate ‘Statement of Terms and Conditions’. Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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): 7,9. All Residents benefit from a Care Plan, which identifies their individual care needs and sets out a clear and appropriate programme of care. The storage, administration, and disposal of medicines, are fully in accordance with accepted good practice. EVIDENCE: Examination of a randomly selected sample of Care Plans showed the model of Care Plan, utilised by the Home, to be of an excellent design, diligently and effectively applied in aiding the provision of care pertinent to Residents’ individually assessed care needs, and is subject to monthly review. Inspection of medicine storage provision and administration records demonstrated the Home’s practices meet current related legislation, and the guidelines of the Royal Pharmaceutical Society. Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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): Standards in this section were not assessed at this Inspection. EVIDENCE: Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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): Standards in this section were not assessed at this Inspection. EVIDENCE: Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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): 19,20,26. Residents benefit from accommodation, décor, and furnishings, of the very highest standard. The standard of cleanliness in the Home is excellent. EVIDENCE: Virtually all of the building works relating to the new extension, partial internal rebuilding/refurbishment of the original accommodation, have been successfully completed to a very high standard. However, due to the Resident population being at virtually half capacity it will be a more meaningful exercise for a full ‘Environment’ assessment at the next Inspection when occupancy will, no doubt, be much higher. A tour of the premises showed levels of cleanliness in all areas of the Home are a credit to the Housekeeping Staff. Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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): 27,29,30. Staff numbers and skill-mix on duty were sufficient to meet the assessed care needs of current Residents. Recruitment and employment practices are consistent with the safeguarding of Residents. The Home has a high commitment to providing training for Care Staff. EVIDENCE: Staff numbers and skill-mix on duty were consistent with that shown on the rota, indeed providing a very generous high Staff : Resident ratio – particularly in respect of trained nurses due to the Home having a full complement in post pending full operation of the Home. Staff Personal Files demonstrated evidence of full compliance with the Standard and Schedule 2 of the Regulations. Staff are subject to a thorough, and relevant, orientation/induction programme, which is followed by comprehensive ‘foundation’ training, e.g. ‘manual handling and lifting’, ‘fire safety’, ‘simple infection control’. Staff were observed to be carrying out care provision to a high standard, sympathetic to identified care needs. Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 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): 31,33,35,38. The Home has excellent leadership from the Manager, who, in turn, is very well supported by the Owner. Operationally the Home is very well organised, with the central purpose being ‘the best interests of Residents’. Residents financial interests are safeguarded. Health and Safety Policies/Procedures/Practices were satisfactory. EVIDENCE: Residents and Staff were seen to approach the Manager with a range of issues, which were received in an interested and involved manner. In turn the Registered Manager is well supported by the Owner who visits the Home on a regular basis. Evidence was seen which demonstrated the management of Resident’s personal monies, and related documentation, are in accordance with the requirements of the Standard. COSHH requirements were satisfactory, with maintenance and servicing of equipment regularly undertaken, and appropriately documented. Records are maintained for hot water supply to baths, and water tested during the Inspection was found to be satisfactory. COSHH data sheets were up-to-date. Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 Page 15 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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 4 3 X X X X X 4 STAFFING Standard No Score 27 4 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 Page 16 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Aldridge Court Nursing Home DS0000020786.V281709.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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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