Inspection on 15/11/05 for Altham Care Home

This inspection was carried out on 15th November 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

Altham Care Home 28/05/09

Altham Care Home 02/10/07

Altham Care Home 31/01/07

Altham Care Home 24/05/05

Altham Care Home 25/01/05

Altham Care Home 03/09/04

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

CARE HOMES FOR OLDER PEOPLE Altham Care Home Burnley Road Clayton-le-moors Lancashire BB5 5TW Lead Inspector Mrs Susan Hargreaves Unannounced Inspection 15th November 2005 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 Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Altham Care Home Address Burnley Road Clayton-le-moors Lancashire BB5 5TW 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) 01254 396015 0254 871335 Mr Rajinder Singh Mrs Mary Fell Care Home 36 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (13) of places Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 13 service users requiring personal care who fall into the category of OP. A maximum of 23 service users requiring personal care who fall into the category of DE(E) The registered provider, must, at all times, employ a suitably qualified and experienced person who is registered with the Commission For Social Care Inspection as Manager of Altham Care Home. 24th May 2005 Date of last inspection Brief Description of the Service: Altham Care Home offers 24 hour personal care for up to 36 older people including 23 people with dementia. The property is purpose built with a car park and garden. It is located in Clayton-Le-Moors close to local amenities and public transport. Accommodation is provided on two levels in thirty single and three twin-bedded rooms. Twenty of these rooms have en-suite facilities. Communal rooms include two separate lounge ares with television, and two dining rooms. One dining room has a kitchenette for residents to make their own drinks and snacks. Toilets and bathrooms are conveniently located close to communal rooms and bedrooms. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six and a half hours. No additional visits have been made since the last unannounced inspection. At the time of this inspection 33 residents were living at the home. A tour of the premises took place and staff files and care records were inspected. Members of staff on duty, residents and visitors were spoken to. Discussions also took place with the manager regarding issues raised during the inspection. What the service does well: What has improved since the last inspection? To ensure the rights of all residents were promoted their preferred time of getting up and going to bed was recorded in the care plans. The night staff stated in the report if a resident got up early. The management of medication has improved and detailed records of when medication was refused by a resident and the reason why medication was omitted were kept. Fire prevention is taken seriously and a fire safety consultant has visited the home and completed a fire risk assessment. The areas of risk identified by this consultant and the recommendations made are being addressed. Fire drills are held regularly and attendance records are kept. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 6 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. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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 Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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): 3 Admission procedures were thorough. EVIDENCE: The individual records of four residents were inspected. These contained a detailed pre-admission assessment. This assessment provided important information for the care plan. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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 and 9 Care plans explained how the personal care needs of residents were met but they did not address all identified risks. Care was given in a manner, which promoted the privacy and dignity of all residents. Medication was managed efficiently promoting good health. EVIDENCE: The individual care plans of four residents were inspected. These identified the needs of each resident and explained how these needs were met. Appropriate risk assessments had been carried out. However, care plans to address identified risks e.g. falls, pressure sores were not in place. Records of the visits of other healthcare professionals e.g. GP, chiropodist, district nurse etc. were included in the care plans. A report about the care and condition of each resident was written during each shift. Care plans were reviewed monthly and residents or their relatives were invited to be involved in this process. At the time of the inspection one resident was self-medicating. A risk assessment relating to this had been carried out. Records for the management of medication were seen to be up to date. Medication was stored correctly and the temperature of this area was checked regularly. During the inspection members of staff were observed attending to residents in a polite and friendly manner. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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): 14 and 15 The daily routine was flexible in order to meet the needs and preferences of residents. The meals were wholesome and menus offered variety and choice. EVIDENCE: The daily routine was flexible in order to meet the needs of residents. One resident said, “ I get up and go to bed when I want.” The preferred times of getting up and going to bed were recorded in residents individual care plans. Menus were varied and offered choice. The meal served at lunchtime looked wholesome and appetising. Residents were asked by the cook to choose from the menu just before the meal was served. Members of staff offered assistance to residents in a sensitive and patient manner. Lunch was unhurried allowing residents time to chat and enjoy their meal. All the residents asked said they had enjoyed their lunch. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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 and 18 Complaints were taken seriously and investigated. Members of staff had a clear understanding of adult protection issues, which protects residents from abuse. EVIDENCE: A comprehensive complaints procedure was in place. Three complaints have been made to the home since the last inspection. Written records of all complaints and the action taken were kept. Policies and procedures relating to the protection of vulnerable adults were in place. This issue was discussed with four members of staff. They were aware of the procedure and said they would report any concerns immediately. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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 The home was clean, comfortable and well maintained. This meant that residents had a homely place to live. EVIDENCE: At the time of the inspection the home was clean, tidy and well maintained. Since the last inspection new central heating boilers have been fitted. This provided a safe and comfortable environment for the residents. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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, 28 and 29 Staffing levels were appropriate to meet the assessed needs of the residents. Recruitment procedures were thorough. Care staff were encouraged to obtain NVQ qualifications. EVIDENCE: Examination of the duty rota confirmed that a sufficient number of staff were on duty for all shifts to meet the assessed needs of the residents. The files of four members of staff appointed since the last inspection were examined. These indicated that all the required pre-employment checks to ensure protection of the residents had been completed. It was evident from discussions with the manager and four members of staff that training was encouraged. Six care assistants had achieved NVQ level 2. One care assistant had achieved NVQ level 3. Five care assistants were working towards NVQ level 2 and two care assistants were working towards NVQ level 3. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 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 and 38 The home has an experienced and competent manager. Residents and their relatives were consulted about the quality of the care and services provided at the home. Appropriate procedures were in place to safeguard the health, safety and welfare of residents. EVIDENCE: The registered manager had completed the NVQ Registered Manager’s Award. She maintained an up to date knowledge of current practice by attending relevant training courses and reading articles in various care publications. The home had achieved the nationally accredited Investors in People award. Anonymous satisfaction questionnaires were due to be given out to residents within the next month. Resident’s and relative’s meetings were held about every six months and minutes were taken. At these meetings any issues raised by the residents or their relatives was discussed. This usually included meals and entertainment. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 15 Records of transactions involving resident’s money were seen to up to date and accurate. Since the last inspection a fire safety consultant had been commissioned to carry out a fire risk assessment of the home. The areas of risk identified by this consultant were being addressed in order of priority. Fire safety training had taken place in June and was ongoing to ensure all members of staff were updated annually. Fire drills were held regularly and attendance records were kept. Fire alarms and emergency lighting were checked monthly. Records maintained by the cook included fridge, freezer and food temperatures. Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 16 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 17 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 OP8 Regulation 12(1)(a) (b) Requirement The registered person shall ensure that the care home is conducted so as (a) to promote and make proper provision for the health and welfare of service users; (b) to make proper provision for the care and, where appropriate, treatment, education and supervision of service users. A care plan to address a resident’s identified risk e.g. falls and pressure sores must be in place. Timescale for action 30/12/05 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 Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Altham Care Home DS0000009438.V255561.R01.S.doc Version 5.0 Page 19 - 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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