Inspection on 07/06/05 for Alfreton Residential Home

This inspection was carried out on 7th June 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

Alfreton Residential Home 26/09/06

Alfreton Residential Home 13/03/06

Alfreton Residential Home 17/01/05

Alfreton Residential Home 02/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Alfreton Residential Home 6 Reservoir Road Prenton Birkenhead Wirral CH62 8LJ Lead Inspector Peter Cresswell Announced Tuesday, 7 June 2005 09.15 th 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. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Alfreton Residential Home Address 6 Reservoir Road, Prenton, Birkenhead, Wirral, CH42 8LJ 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) 0151 608 6863 Weatherstones House Care Limited Sandra Phillips PC Care Home Only 16 Category(ies) of Op Old Age 16 registration, with number of places Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17.1.05 Brief Description of the Service: Alfreton is a detached three-storey house with a large and attractive back garden. A house is now being built to the side of the home and part of the garden, though most of the garden will remain available to residents. The home is situated in a quiet residential area of Birkenhead just off a main road and within a mile of local shops. The home is part of a family owned company which operates a small group of care homes and a domiciliary care agency. The home has a registered manager and the owners and their family play an active part in the week to week running of Alfreton, which was the first home they owned. Alfreton is registered to accommodate 16 elderly persons who are accommodated in three shared and ten single bedrooms, four of which have en suite toilets. Residents have use of a TV lounge, a music/quiet lounge and a conservatory that overlooks the large back garden. Although there is not a separate visitors’ room, the wide range of communal spaces means that residents can see visitors in private if they wish to do so. The home has a spa bath, an assisted Apollo bath and a shower room. All floors are served by a shaft lift. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this announced inspection the inspector spoke to eight of the residents about their life at Alfreton. He also spoke to the manager, a member of the owner’s family, and a number of members of staff. He toured the building and examined a range of documents including care plans, staff files, fire safety records, the activities record and the accident book. The inspector shared lunch with the residents and observed some of the planned activities. What the service does well: What has improved since the last inspection? 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. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 6 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 Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 7 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) 3 and 6 The home carries out pre-admission assessments, ensuring that residents are appropriately placed and therefore receive the care that meets their needs. EVIDENCE: Residents are assessed by the Registered Manager before being admitted to the home and have the opportunity to visit the home before they make a final decision. Alfreton does not normally provide intermediate care but on this occasion there was one resident who was receiving what was described as short term ‘respite’ care. She had fallen in her own home and her family were away. She was therefore staying at Alfreton for a short period (envisaged as being two or three weeks) before returning home. The resident was clear that she would be returning home and suitable arrangements were being made for this. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 8 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, 11 Care planning is good and regular informal reviews ensure that staff are aware of residents’ current needs. The system for organising medication is sound, though some extra attention is needed to ensure the safety of residents who administer their own medication. EVIDENCE: Residents’ care plans set out how their needs are to be met. Each element is regularly reviewed by the Registered Manager or the senior care assistant. Residents have access to the full range of community, and if necessary specialist, health services and contact with these is recorded on the files. Two residents have had pressure sores but were referred immediately to the District Nurse. This prompt observation and intervention has ensured that the wounds are now healed. Medication is well organised and safely stored but some prescribed medication was kept in one resident’s bedroom although there was no risk assessment to indicate that she had been assessed as being able to administer and look after her own medication. On another resident’s file it was not clear if she was able to self medicate as the form had been completed incorrectly. The home uses a monitored dosage system for medication, with most medication being delivered by the dispensing Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 9 pharmacist in blister packs. Medication that needs to be refrigerated is kept in a normal fridge in locked containers. Residents’ wishes in respect of what will happen in the event of their death are recorded on the file. The Registered Manager said that in the past funerals had been organised from the home when that had been the wish of the resident’s family. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 The home arranges a wide range of activities which enhance the lives of its residents. The menu provides choices and meets the dietary needs of the residents, who said that they enjoy the food. EVIDENCE: The senior care assistant is responsible for arranging activities for residents and with the Registered Manager she has developed a full programme of activities. A timetable is on display for each month and lists at least one activity every day. These include ball games, manicures, music, painting, cooking, gardening and letter writing. It is arguable as to whether a chiropodist’s visit can reasonably be described as an ‘activity’. As well as this the management are arranging a number of excursions in the summer, including a visit to Knowsley Safari Park and a trip on a canal narrowboat. There were photographs on display of recent parties, including a VE night and a 90th birthday party which was attended by a large number of family members as well as the residents. Most of the residents recalled the social events and were looking forward to the trips out as well as the forthcoming garden party, arrangements for which were already well advanced. The activities programme was well documented, enabling staff to identify those which had been especially successful. Residents enjoyed the exercise activity organised in the morning. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 11 The main meal is served at lunchtime but the evening meal (‘supper’) includes substantial options such as chicken and mushroom pie and corned beef hash. Salads and sandwiches are always available as options and other choices are available at each mealtime. Tea and cakes are served at tea time (around 3pm). Most of the residents spoken to said that they enjoyed the food though one did say it was not always as hot as she would like it to be. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 12 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, 18 Procedures for complaints and adult abuse allegations are in place, providing protection for residents. EVIDENCE: The home has appropriate policies in respect of complaints and the prevention of abuse. Complaints are properly recorded. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 13 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, 23, 24, 25, 26. The home provides a comfortable and clean environment for its residents. EVIDENCE: Alfreton was clean and well maintained, with no offensive odours. The home employs a handyman to carry out minor repairs. Bedrooms were well furnished and personalised though the carpets in two rooms are nearing the stage at which they will need to be replaced, being rather worn and marked. The home has a main TV lounge, a ‘quiet’ room (known as the ‘music room’) and a conservatory, overlooking the garden. In warm weather the conservatory is very well used and during the inspection many residents also sat out in the garden, where appropriate furniture and sun umbrellas were provided. The garden is large and well maintained. The coach house to one side of the house is being replaced by a newly built house and this involves losing a portion of the garden, which will remain spacious despite this. The coach house had been used to accommodate two freezers and these have now been put in the conservatory. This is entirely unsuitable and does not provide for a homely environment. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 14 Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 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, 29, 30 Sufficient staff are employed to meet the needs of the residents but more NVQ training is needed to meet the National Minimum Standard. The home’s recruitment procedures are satisfactory and protect the residents against the employment of unsuitable staff. EVIDENCE: Two care staff are working towards their NVQ2. Four staff already have NVQ2 so there is still some ground to make up if the home is to meet the standard of 50 of care staff with at least NVQ2 before the end of the year. Staff are not employed until a current CRB certificate has been obtained but no new staff have been taken on since the last inspection. The Registered Manager is studying for a manual handling trainers award so that training on moving and handling can in future be provided in-house. Halton College will be providing on-site training in a range of subjects including food hygiene, and equality and diversity. The home employs a cook for three hours a day, five days a week and at other times the care staff do the cooking. A handyman is employed to carry out minor items of maintenance and repair. Sufficient staff are employed to meet the requirements of the previous registering authority though care assistants carry out domestic tasks such as cleaning as well as care duties. The rota provides for at least two carers to be on duty at all times. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 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) 38 31, 32, 33, 35, The home is efficiently managed and staff morale is good, helping to promote a homely and welcoming atmosphere. The home’s financial procedures protect the interests of the residents. EVIDENCE: The Registered Manager is continuing to study for her Registered Managers’ Award. The home has the Investors in People Award which requires it to maintain a quality assurance system. The owners are planning to extend the current satisfaction questionnaires to visitors and relatives in order to gain increased feedback on the quality of the services provided. Several residents returned questionnaires to the Commission for Social Care Inspection before this inspection and all said that they were happy with the services provided. Residents’ personal allowances are accurately recorded and receipts are kept Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 17 for any money spent on their behalf. Staff receive regular supervision and brief notes are kept of the issues discussed during supervision sessions. Fire safety records were up to date and valid gas and electrical safety certificates were in place. The kitchen was well organised and fridge and freezer temperatures were recorded daily. Accidents are reported appropriately to the Commission for Social Care Inspection. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 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. 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 x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 x x 3 Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 19 NO 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 9 Regulation 13(2) Requirement The Registered Person must ensure that clear and appropriate assessments are made and retained in respect of residents decisions to administer all or part of their own medication. Timescale for action 1 July 2005 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. 2. 3. Refer to Standard 20 28 24 Good Practice Recommendations The Registered Person should make more suitable arrngements for the location of the freezers that are currently in the conservatory. More care staff need to obtain NVQ2 if the standard of 50 of care staff with NVQ2 is to be achieved by the end of the year. The Registered Person should consider replacing the bedroom carpets identified during the inspection. Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Liverpool Office 3rd Floor, 10 Duke Street, Liverpool L1 5AS 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 Alfreton Residential Home F52 F02 S18857 Alfreton V226513 070605 Stage 4.doc Version 1.30 Page 21 - 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. 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