Inspection on 07/02/06 for Allerton Court

This inspection was carried out on 7th 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 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 12/09/05

Allerton Court 21/10/04

Allerton Court 27/05/04

Similar services:

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 Allerton Court 234 Hydes Road West Bromwich West Midlands B71 2ED Lead Inspector Keith Salmon Unannounced Inspection 09:45 7th February 2006 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 Allerton Court DS0000004793.V278793.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. Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 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 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) 0121 588 5494 NONE Sandwell Community Caring Trust Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user is currently under 65 years of age and will remain until such time that the current service users placement is terminated. 12th September 2005 Date of last inspection Brief Description of the Service: Allerton Court is a residential home registered to provide 24-hour care for a maximum of 48 people over the age of 65. Purpose built, and situated at the end of a private drive, the Home benefits from extensive grounds and ample parking facilities. Accommodation is provided over two floors, which is subdivided into four separate Units, each with its own lounge, dining room and kitchenette. In addition to the main staircase a passenger lift provides access to the first floor. The majority of the bedrooms (36) have en-suite facilities, with ample additional bathroom and toilet provision having the necessary adaptations. Situated in the Hall Green area of West Bromwich the Home enjoys easy access to local services and public transport. The Home also provides a day centre service for 12 people which has it’s own large lounge, toilets, shower, kitchenette and conservatory. Residents of the Home are welcome to attend and join in the activities of the Centre. Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection, undertaken by one Inspector, commenced at 09.45 and lasted 3 hours. This Report is a product of observations made during a tour of the Home, through discussions with the Registered Manager, 12 Residents, 3 visiting Relatives and several members of Staff. In addition, a review was undertaken of care related documentation, staff recruitment/ deployment records and a range of documents/records reflecting the general operation of the Home. The overall ambience of the Home presents a friendly and open atmosphere with Residents enabled to conduct their ‘day’ as they wish, and this was strongly reflected in ‘one to one’ discussions with Residents. Comments made to the Inspector were virtually all appreciative of the care provided at the Home and included: - “…I’m very happy with the care and attention given to me…”, “…The Staff are always friendly and do everything they can for us…”, ”…We’re really pleased we decided to place our relative here...” What the service does well: What has improved since the last inspection? What they could do better: One area, which received some criticism from Residents was the lack of activities. Residents variously reflected they would appreciate “more to do” during the day, e.g. traditional games, more ‘reminiscence’ activities, craft activities etc. Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 6 There are two health and safety issues in the main laundry. One relating to infection control, and the other to the provision of safety warnings, must be addressed. Specifically, these relate to the provision of a sign warning of very hot water and the need for a small basin for the washing of hands. 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 DS0000004793.V278793.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 Allerton Court DS0000004793.V278793.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): 2,3,4. Residents’ rights are protected by a written Contract. Processes to ensure appropriate and thorough care needs assessment, prior to admission, are diligently and effectively applied. EVIDENCE: Ten randomly selected Care Plans clearly demonstrated Service Users are provided with a Statement of Terms and Conditions, detailing the accommodation to be provided, and the Registered Manager, or an appropriately experienced Senior Carer assess all prospective Residents/Service Users prior to admission. Allerton Court DS0000004793.V278793.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): 7,8. The model of Care Plan, utilised by the Home, is of good design, easy to read and comprehensive. Care provision is effective in meeting individual Residents’ assessed care needs and is delivered efficiently and with consideration. EVIDENCE: A review of 10 Care Plans, selected at random, showed them to be well organised, current, clearly written and comprehensively encompassed the range of ‘care areas’ necessary to ensure delivery of care appropriate to the needs of each Resident. In order to make the care documentation more ‘user friendly’, on a day-to-day basis, the Home utilises a Summary Sheet. Used in conjunction with a ‘Personal Data Sheet’ this approach appears to work well. The frequency of care plan review was criticised at the previous Inspection and the Inspector found this had improved and was now satisfactory. Allerton Court DS0000004793.V278793.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): 12. There is an apparent lack of planned day-to-day leisure and other stimulating activities. EVIDENCE: Whilst Residents have opportunities to engage in planned activities (e.g. Bingo, visiting singers/musicians and one-to-one activities, including shopping trips/ trips out in the Home’s mini-bus), a number of Residents informed the Inspector they often found their days lacking stimulation and would value more planned activities during the day, e.g. traditional games, more ‘reminiscence’ activities, craft activities etc. A Requirement of this Inspection will be a complete review of the provision of daily activities with the aim of offering both physical and mental stimulation. This review is to include input from Service Users. It is also recommended the Home considers creating the post of ‘Activities Coordinator’ tasked to develop and maintain an activities programme, in conjunction with the existing ‘Key Worker’ system. Allerton Court DS0000004793.V278793.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): 16,18. The interests of Residents are protected through ready access to the Home’s Complaints Procedure, and information relating to advocacy services. Staff are aware of their role in protecting Residents from abuse. EVIDENCE: Complaints procedure details are included in the Service User Guide and are displayed prominently for the benefit of Residents and visitors. The Home has policies and procedures in place, which are intended to provide protection for vulnerable people. These fully meet the requirements of this Standard and staff training files confirm the topic is covered both at induction and through on-going staff training. Allerton Court DS0000004793.V278793.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): 19,20,22,23,24,25,26. The Home provides an environment which is pleasantly decorated, clean, well maintained to a good standard and it possesses a homely and congenial atmosphere. Residents have access to ample lavatory and washing facilities, together with specialist equipment consistent with their needs. The gardens provide a safe environment, easily accessible to Service Users at all times of year. The standard of cleanliness in the Home is excellent. EVIDENCE: The Home provides a safe environment with the notable exception of the uneven floor surface from the corridor through the day centre which was made a Requirement at the two previous Inspections. The Inspector was told that plans are currently being formulated to address this with work being undertaken during the next financial year. Thare is a full range of maintenance contracts in place, and an on-going refurbishment/redecoration programme. A tour of the premises demonstrated bedrooms are comfortably furnished, equipped to a high standard and Residents are clearly encouraged to personalise bedrooms with their own possessions. The laundry is well organised with a large washing capacity provided by an industrial sized Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 13 machine, with a plumbed-in detergent and fabric conditioner supply, thus eradicating mess and providing good health and safety practice. There is a well-organised system for ensuring personal clothing is returned to the respective Service User. Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 14 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. Staff numbers and skill-mix on duty were consistent with that shown on the rota, and were sufficient to meet the assessed care needs of current Residents. EVIDENCE: The current staffing rota, and those from the immediately preceding weeks, were examined. Staffing numbers and skill-mix enable a service provision, which meets the care needs of the Service Users. It was not possible to assess the Home’s recruitment policies/practices, or to determine whether they are in accordance with the Regulations, as these files are held at the Offices of Sandwell Community Caring Trust. The Inspector was informed the files could be made available at the Home for a future inspection, and to facilitate this it will be a Requirement of this Inspection that staff employment and training records be made available at the Home on the occasion of the next Announced Inspection. Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 15 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): 31,32,33,35,38. The Home enjoys excellent leadership from the Manager who is well supported by longstanding and experienced Staff. The ambience of the Home is warm, friendly, and inclusive. Operationally, the Home is well organised with the central purpose being ‘the best interests of Residents’. All Staff are subject to effective support with regular supervision, and were observed to be involved and appeared happy in their work. Health and Safety Policies/Procedures/Practices were satisfactory. EVIDENCE: The Registered Manager has many years experience as a Care Manager and is clearly closely involved in the day-to-day ‘hands-on’ management, as well as the strategy of the Home. The Inspector observed Residents and Staff were able to approach the Registered Manager, and her Deputy, with a range of issues, all of which were received in an interested and involved manner. Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 16 The Home’s practices in the context of health, safety and welfare of Residents, Visitors, and Staff were seen to be generally in accordance with the Regulations. However, there are two areas of concern in the main laundry area. The first is the paper sign placed above the twin sink warning of very hot water - this must be replaced by a more substantial, waterproof, notice. The second area of concern requires the installation of a small basin for the sole purpose of the washing of hands - a notice to this effect must be displayed and the supply of hot water thermostatically controlled. Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 3 X 3 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 2 Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? YES 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 OP12 Regulation 16.(2)(m)(n) Requirement To review with the involvement of Service Users the ‘Residents day’ so as to introduce opportunities for a wider range of appropriate satisfying/ stimulating activities. The uneven floor surface from the corridor through the day centre must be made level. Firm (i.e. budgeted) proposals to address this must be made known to CSCI. This is an outstanding requirement from two previous inspections. A more substantial, waterproof notice must replace the paper sign, placed above the double sink in the Laundry Room, warning of very hot water. A small basin for the sole purpose of the washing of hands must be installed in the main laundry. A substantial, waterproof notice indicating its dedicated purpose must be displayed. The supply of hot water to the small basin must be thermostatically controlled. Timescale for action 31/03/06 2. OP19 23.-(2)(b) 31/03/06 3. OP38 13.(4)(a)(c) 31/03/06 4. 5. 6. OP38 OP38 OP38 13.- (3) 13. - (3) 13. - (3) 31/03/06 31/03/06 31/03/06 Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 19 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 OP12 Good Practice Recommendations To consider establishing the post of an ‘Activities Coordinator’ to develop and maintain an activities programme, in conjunction with the existing ‘Key Worker’ system. Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI Allerton Court DS0000004793.V278793.R01.S.doc Version 5.1 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. 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!