Inspection on 12/09/05 for Allerton Court

This inspection was carried out on 12th September 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

Allerton Court 06/02/09

Allerton Court 05/02/07

Allerton Court 07/02/06

Allerton Court 21/10/04

Allerton Court 27/05/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

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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 Allerton Court 234 Hydes Road West Bromwich West Midlands B71 2ED Lead Inspector Mike Kirton Unannounced 12 September 2005 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. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Allerton Court Address 234 Hydes Road, West Bromwich, West Midlands, B71 2ED 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) 0121 588 5494 Sandwell Community Caring Trust Mrs Carol Cooksey Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21st October 2004 Brief Description of the Service: Allerton Court is a residential home registered to provide 24-hour care and support for 48 people over the age of 65. The home is in the Hall Green area of West Bromwich within walking distance of local shops and bus routes. It was purpose built and is situated at the end of a private drive with extensive grounds and ample parking facilities. Accommodation is provided over two floors which are divided into four separate units each with it’s own lounge, dining room, and kitchenette. In addition to the main staircase and fire exits a passenger lift provides access to the first floor. The majority of the rooms (36) have en-suit bathroom facilities and there are ample showers, baths, and toilets provided with the necessary adaptations. There is a day centre service provided for 12 people with their own large lounge, toilets, shower, kitchenette and conservatory. Service users living at the home are welcome to attend and join in the activities. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 7 hours and included discussions with 6 residents in private and in each of the 4 lounge areas. All staff on duty and 3 visitors were spoken with informally, and an interview took place with the manager. The care plan files for 4 residents and the medication records were also examined. 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. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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 Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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) 1,2,3,4,5 Residents are very pleased with the home and the standard of care they receive. However the admission procedures vary greatly and are not always very good. Not enough information is available to ensure their personal care and health needs can be met or sufficient plans in place to ensure their safety is protected. EVIDENCE: Intermediate care (standard 6) is not provided. The home provides a copy of their service users guide in every bedroom. The statement of purpose and the other information required in the guide including a copy of the contract and this inspection report are normally kept in reception and are available on request. Discussions took place with 3 residents who had recently moved into Allerton Court and 2 of their care records were examined to ensure the correct procedures had been followed. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 8 Those spoken with reported that they had visited the home on sometimes more than one occasion and had a good look around before deciding to move in on a trial basis. They said ‘the girls are very helpful’, and ‘I feel at home here’. One stated the reason for choosing the home were the good views, lovely meals, and the range of activities on offer. The care records for one resident contained very little information. There was a copy of an assessment carried out by social services 2 months earlier but was not relevant to their current needs and did not contain all the required information. No copies of the homes assessment or care plan were available and no risk assessments were carried out despite them having falls prior to and during their stay. The second file did contain an assessment carried out by the home however no care plan had yet been implemented. Residents funded through Social Services have a funding contract completed. Everyone should also have a statement of terms and conditions. This must state the room number, which they will be living in. They must also receive written confirmation following their assessment that the home can meet their needs. Although this varied these were not found on all the files examined. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10 Residents are well looked after and receive a high level of personal care. It was also evident from talking with them that their needs were being met. Improvements are needed however to their written plans to ensure risks to their health and safety such as falling and developing pressure sores are reduced. EVIDENCE: The care plans for 4 residents were examined. The standard varied from one service user to another and included 2 that had not been fully implemented. The homes care plan provides a summary of why the resident is in need of care. For example ‘to assist with washing and dressing’, and ‘to provide support in a residential setting’. A document called a ‘Personal Data Sheet’ is used both as an assessment and care plan. A brief care plan for each resident has been introduced to provide staff with a guide to meeting their needs. These were found to be easy to follow but only gave general guidelines such as ‘needs assistance with washing and bathing’. There was also evidence that not all staff knew they were available. Reviews were also not been carried out every month, or as required. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 10 Risk assessments had been completed in some instances including bathing, self-medication, and pressure sores. However they were sometimes not dated and were completed using incorrect or conflicting information. Health needs were being monitored using a tracker sheet however these were not always updated. The medication storage facilities and records were examined. The home has a good policy for the administration of medication and each resident has a photograph, description of side effects and reason for having the treatment. Accurate records are maintained for the receipt and return of all drugs to the pharmacist and the administration sheet was complete with no gaps found. All staff were seen to treat residents with dignity and respect. Personal care and medicals treatments are carried out in private and permission is sought before rooms are entered. Comments received during the day included ‘I am very lucky to be here’, ‘I wouldn’t want to move’, and ‘You can do what you like and come and go as you like’. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 11 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 Residents have sufficient opportunities to engage in planned activities with staff available to provide individual support if required. All feedback received praised the standard and variety of food and drink provided. EVIDENCE: Residents described being involved in a wide range of activities, which take place in the day centre (situated in the home but not inspected by the commission). Additionally staff often engage with 1:1 activities including shopping trips. The home has it’s own mini-bus which enables other outside activities to take place including trips to the Walsall lights. The local vicar also visits and residents are able to attend services as required. Visitors can be seen at any reasonable time (or at other times with prior agreement) and can be seen in the privacy of their own room if required. Residents have been able to keep their own pets such as a budgie and the home has it’s own cat. There are extensive grounds with landscaped gardens, excellent views over the surrounding area and plenty of seating. Residents were seen to be sitting outside and making the most of the sunshine. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 12 Encouragement is given to enable residents to make their own decisions about how they live their life. Residents meetings are held every 3 months to discuss any changes and receive feedback. They can handle their own finances and furnish their rooms to individual tastes. Details on how to contact an advocate are displayed on the notice board. The planning of meals and the options available are agreed at residents meetings. There is a cooked breakfast and choice of 2 main cooked meals at lunchtime and a vegetarian option. Fresh fruit is also available in all the lounge areas and drinks are served regularly and as requested. The kitchenettes on each unit enable snacks and drinks to be available at all times. Individual dietary requirements are also provided. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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) Standards were not fully assessed on this occasion. EVIDENCE: Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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) Standards were not fully assessed on this occasion. EVIDENCE: Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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) Standards were not fully assessed on this occasion. EVIDENCE: Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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) Standards were not fully assessed on this occasion. EVIDENCE: Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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. 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 2 1 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 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 x x x x x x x x x x x Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 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 2 Regulation 4,5,6 Requirement All residents must have a statement of terms and conditions, which includes the room to be occupied. This is to signed by them or their representative. The manager must ensure that all residents are admitted following a comprehensive assessment and that they receive up to date information from other professionals involved in their care. All residents must receive written confirmation that following their assessment the home is able to meet their needs. All service users must be provided with a detailed care plan on admission following a comprehensive assessment. This is an outstanding requirement from the last inspection. The home must complete assessments to prevent weight loss/gain or dehydration and reduce the risk of falling and developing pressure sores. This is an outstanding Timescale for action 01/11/05 2. 3 14 12/09/05 3. 4 14 12/09/05 4. 7 15 01/11/05 5. 8 12 01/11/05 Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 19 6. 19 16,17,23 7. 33 24,26 8. 38 12,23 9. 38 12,13,23 10. 38 12,13 requirement from the last inspection. Further assessments must be implemented as needed to reduce the risk of violence and aggression or a relapse in mental ill health. The uneven floor surface from the corridor through the day centre must be made level. This is an outstanding requirement from the last inspection. The manager must publish the home’s quality assurance and monitoring systems. This is an outstanding requirement from the last inspection. Fire doors must be fitted with appropriate devises if they are kept open. This is an outstanding requirement from the last inspection. Radiators in the bathroom must be covered or replaced with low surface temperatures. This is an outstanding requirement from the last inspection. Policies and procedures must be implemented and signed and dated by the manager. All staff must then sign to say they have been read and understood. This is an outstanding requirement from the last inspection. 01/01/06 01/01/06 01/01/06 01/01/06 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 20 No. 1. Refer to Standard Good Practice Recommendations Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 Allerton Court E55 S4793 Unannounced Allterton Ct V248372 120905 Stage 4.doc Version 1.40 Page 22 - 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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