Inspection on 15/06/05 for Amblecote House

This inspection was carried out on 15th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Amblecote House 07/01/09

Amblecote House 27/02/07

Amblecote House 11/01/06

Amblecote House 20/01/05

Amblecote House 26/08/04

Amblecote House 15/03/04

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 Amblecote House King William Street Amblecote Nr Stourbridge DY8 4ES Lead Inspector Mike Kirton Unannounced 15th June 2006 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. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Amblecote House Address King William Street, Amblecote, Nr Stourbridge, West Midlands, DY8 4ES 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) 01384 813285 01384 813516 Dudley Metropolitan Borough Council Mercedes Holness Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (25) Dementia (11) of places Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Daycare provision must not encroach on the facilities, staffing and services provided to residential service users. By the 30th September 2003, all radiators and exposed pipe work in bathrooms and within areas accessed by service users shall not exceed 43 degrees Celsius in the interim following risk assessments, strategies are implemented to safeguard service users. All requirements contained with in registration report 6, 9 and 12 December 2002 are met within the timescales contained within the action plan agreed between Dudley Metropolitan Borough Council and the National Care Standards Commission. All recommendations made by the West Midlands Fire Services detailed in their report dated 2 April 2003 are met by 30 September 2003. Date of last inspection 20th January 2005 Brief Description of the Service: Amblecote House is owned by the Dudley Local Authority and managed by the Social Services Department. It is registered to provide residential care services for 36 people over the age of 65. The home is situated within the local community close to the Brierley Hill and Stourbridge shopping centres and is accessible by public transport. The Home provides single bedroom accommodation on one floor with sufficient toilets, bathrooms and lounge facilities. The building is shaped in a square with two small inner garden areas one of which is lain with lawn, the other with shrubs and flowerbeds. Adjacent to this building are other social services premises. The home is currently providing a day care service to the residents and extended community, however this facility is not being inspected or registered. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over seven hours and includes the views taken from 15 service users, 9 staff members and 2 visiting relatives. A tour of the buildings also took place including bathrooms, lounges and dining rooms, bedrooms, laundry and sluice rooms. 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. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 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 Amblecote House E55 S41946 Amblecote V233821 150605 Stg 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) 2,3,4&5 The standard of assessments were found to be satisfactory in giving an indication as to whether residents needs can be met by the home. Care must be taken however to ensure all information is obtained and recorded correctly. Residents felt that they were provided with sufficient information before making a decision to move in. EVIDENCE: Each resident has a individual file containing their assessment, letter confirming their needs can be met, statement of purpose/service users guide and contract/terms and conditions. Once a perspective resident is referred the home will carry out their own assessment in their current environment. The two examples inspected were brief but were backed up by copies of assessments obtained from other professionals including the social worker. Letters had then been sent confirming that the home can meet their needs and a date for moving in for a trial period is arranged. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 8 Although day visits can be arranged to Amblecote before moving in, it is often only the relatives who do. This however should be continually encouraged to ensure an informed choice is being made. The home does have five holiday/respite beds available, and currently a day service, which can also provide people with the opportunities to get to know the home, staff and other residents. Of the two files inspected neither the resident or their representative had signed the contract. This must be completed to ensure they are fully aware of the services available, conditions of residency and costs involved. Residents spoken to who had recently moved into Amblecote described the event as being fairly positive. One had been to other similar establishments but said ‘If you have got to be in a home then this is the one’. Standard 6 intermediate care is not provided. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 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&10 Generally there had been some improvement with the standard of care planning however this varied considerably between them. Further work is required to ensure all needs are being met. It was however good to hear such positive feedback from residents, staff, and visitors who all felt the level of care provided was very high. EVIDENCE: The care plans for three residents were examined. There was some good recording of specific actions required by care staff to meet assessed needs and personal histories had also been included which gave carers the chance to know the individual better. On some occasions there had been duplication of information and monthly reviews had not taken place. Risk assessments for nutrition, falls, pressure areas and manual handling had not been updated as required. Health care needs were not covered in the plan however all appointments were recorded in a separate file. A separate record was made in addition to daily notes, which was used for staff handovers, this also included environment checks. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 10 It was noted that staff were not recording incidents when they had been physically assaulted or verbally abused. Similarly risk assessments for residents who had been violent or aggressive were not being undertaken. All residents were observed to be treated with dignity and their privacy was respected. All care and medical treatments were carried out in private. Positive feedback was received from everyone who was met during the day. This included comments such as ‘I have already booked my bed for when I need one’ and ‘it’s nice here and the staff are lovely’ Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 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 Although there will always be times when staff are busy there was a commitment shown to ensure that a variety of activities are available and that residents are able to express individual choice. Staff attitudes were very positive and their cheerful approach obviously has a beneficial effect on resident’s wellbeing. EVIDENCE: Residents are able to make their own decisions as to how they plan their daily routines. This may sometimes be limited however during busy times in the day when staff are already occupied. There are times when only one staff member is appointed to each unit with a ‘floater’ used when two people are needed. Generally however staff were seen to have sufficient time to spend with residents and all urgent requests were attended to immediately. At present the home has a day care facility where residents are able to attend and take part in group activities. There are plans to move this service, however the room will still be made available for residents with staff time allocated. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 12 Staff were observed to interact with residents and had time to spend talking with them and engaging in individual activities such as giving manicures. There was also a painting and art group recently started and day trips had been organised to the Black County Museum and both local and costal resorts. Relatives and friends are able to visit at any reasonable time or with prior agreement, and can be seen in private. Arrangements can also be made for residents to make visits outside the home and the ring and ride service can be accessed. They are also able to furnish their own room, subject to fire regulations, and manage their own personal finances. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 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: Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 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) 19&26 Although some areas of the home are now dated improvements are being undertaken. Best efforts are being made to ensure a homely atmosphere and all areas were found to be comfortable and well maintained. EVIDENCE: A tour of the buildings took place including all communal areas, bedrooms, laundry room and sluices. The home is in the process of having new double glazed windows and radiators fitted to all rooms. This will allow temperatures to be adjusted to the individual’s preference. All bathrooms and lounge areas were found to be clean and tidy and well maintained. Suitable equipment and bathing facilities are available to meet the needs of residents. Continued redecoration of bedrooms will be required to bring all areas up to standard. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 15 The sluice rooms are also used as facilities for keeping and charging lifting equipment. These had improved since the last inspection and did not contain as much general storage. The laundry room was still poorly kept and not very clean. Tiles were missing from the floor and staff cups were found in the chest of draws. Procedures were in place to ensure there was no cross contamination of infection. Separate cleaning items were kept for the bathroom, laundry and kitchen and all chemicals are kept secured. Action is required to ensure that all fire doors close correctly and that appropriate mechanisms are installed for those that are required to be kept open. Staff handover records are completed to ensure all health and safety checks are completed including fridge temperatures, best before dates on food and all windows and doors are secured. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 16 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: Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 17 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: Amblecote House E55 S41946 Amblecote V233821 150605 Stg 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 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 x x x x x x 2 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 Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 19 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 5(1)(b)(c) Requirement Each service user must be provided with a statement of terms and conditions, which must be signed by them or a representative. This is an outstanding requirement from the last inspection. Develop the service user care plan to take into account all aspects of their care and the action to be taken by the staff. Ensure the service user and or their representative agree all care plans. Each service users care plan is reviewed monthly. Care plans must be developed to take into account the specialist needs of service users diagnosed with dementia with the required actions or changes to the environment carried out. These are outstanding requirements from the last inspection. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 20 Timescale for action 01/09/05 2. 7 13&14 01/08/05 3. 7 4. 8 Risk assessments must be completed for residents who are physically and/or verbally aggressive. All incidents must be recorded appropriately and action plans implemented. 12,13,14& Every service user must have up 15 to date and accurate risk assessments for pressure areas, nutrition, moving and handling and falls. With the appropriate action plan implemented. The care plan must demonstrate how all health care needs are being met including services are arranged for dentist, opticians, chiropody, hearing and any specialist medical or therapeutic treatments required. 13&14 01/07/05 01/07/05 5. 19 23&13 These are outstanding requirements from the last inspection. Provide the CSCI with the 01/09/05 department’s plans on what arrangements will be put in place with regards to the day care facility. All fire doors must close correctly into the frame. Have the exposed pipe work boxed in. These are outstanding requirements from the last inspection. Provide the means to enable the service user and the staff to control the heating in their bedrooms and the home. This is an outstanding requirement from the last inspection. 6. 25 13,16&23 01/09/05 Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 21 7. 26 16,23&37 The laundry needs work undertaking on the missing and cracked tiles and the condition of the walls. This is an outstanding requirement from the last inspection. The sluice rooms should not be used as general storage facilities. Staff cups or food items must not be kept in the laundry room. These are outstanding requirements from the last inspection. Keep individual service users personal allowance separately to maintain individuality and to enable clear and easy checks to be carried out by the NCSC 01/09/05 8. 26 16&23 01/07/05 9. 35 20 01/09/05 10. 37 This is an outstanding requirement from the last inspection. 12,13,14& Review the policies and 17 procedures on a annual basis and put in place those which are missing. Staff should sign to say they have read these. This is an outstanding requirement from the last inspection. 01/10/05 11. 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. Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 22 Refer to Standard Good Practice Recommendations Commission for Social Care Inspection Mucklow Office Park West Point, Mucklow Hill Halesowen B62 8BR 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 Amblecote House E55 S41946 Amblecote V233821 150605 Stg 4.doc Version 1.30 Page 23 - 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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