Inspection on 09/05/05 for Amethyst House Care Centre

This inspection was carried out on 9th May 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 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

Amethyst House Care Centre 19/11/07

Amethyst House Care Centre 11/09/06

Amethyst House Care Centre 29/09/05

Amethyst House Care Centre 16/11/04

Amethyst House Care Centre 26/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE AMETHYST HOUSE CARE CENTRE Sheepbridge Lane Rossington Doncaster DN11 Lead Inspector Alan Bartrop Unannounced 09 May 2005 09:00. 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. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Amethyst House Care Centre Address Sheepbridge Lane Rossington Doncaster South Yorkshire DN11 01302 866226 01302 865415 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) Ashbourne Homes Limited Mrs Susan Seale PC Care Home only 39 Category(ies) of OP Old Age - 39 registration, with number of places AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user under the age of 65 named on the variation dated 23rd August 2004, may reside at the home. Date of last inspection 16 November 2004 Brief Description of the Service: Amethyst House is a care home for older people providing personal and nursing care, registered for 39 service users.The accommodation is a converted older building with a new extension.The home is situated in the village of Rossington, near Doncaster.The home has well maintained gardens that are level, save and accessible to people who use wheelchairs or have mobility problems.The home is owned by Ashbourne Homes. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which happened to be done on the same day that the company undertook it’s own audit of the home. The inspection started at 09:00, lasted for 5 hours, and included observation of both breakfast and lunch. Three visitors, and nine residents were asked for their impressions of the care delivered by the home and all indicated their satisfaction. Because the two inspections coincided some of the residents became confused as to who people were, but it was felt that it was still able to get accurate information about how happy they were with the care they received. What the service does well: What has improved since the last inspection? Some service users have moved bedrooms to enable a laundry shoot to be constricted between the ground floor and the basement laundry. Once this is completed it should mean that the laundry can be transported into the laundry in a more hygienic manner which will also be safer for the staff than the current staircase. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 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. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 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 standard(s) 6 The home does not offer Intermediate care. EVIDENCE: The home is not registered to provide Intermediate Care and the facilities do not meet with the National Minimum Standards for such a service. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 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) 10 The staff follow the principals of ensuring the residents benefit from as much privacy as possible, whilst still attending to their care needs. The resident’s dignity was preserved by staff, and an atmosphere of mutual respect was maintained during the inspection. EVIDENCE: When residents needed personal care this was delivered away from the communal areas and other residents so that their privacy is not breached. There were examples seen where staff were giving residents plenty of time to complete what they were doing without being rushed or confused. Residents said that the staff would knock on their bedroom doors and wait to be invited in. This indicates a commitment to the resident maintaining control of that environment whilst they were in the room. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 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) 13,15 The visiting hours of the home are not restrictive and that visitors are encouraged. The meals are well prepared and presented so that the residents can have a good choice of food and a healthy diet. EVIDENCE: One visitor confirmed that they came into the home regularly and that they were always made welcome, both by the staff and the residents. Another visitor said that the only restrictions on visiting times were at meal times and late at night, they felt that this was reasonable and that it was not a problem. The meals were well cooked and presented so that the residents had a good choice of what to eat and were encouraged to eat heartily. Residents confirmed how much they looked forward to their meals and how much they enjoyed them. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 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 standard(s) 16 There is a good complaints procedure within the company but more care needs to be taken to ensure that complaints made against agency staff are adequately investigated. EVIDENCE: An instance was noted where a complaint had been made against a member of staff provided by an Agency where there was no record in the home that the complaint had been investigated satisfactorily, nor was there any record of the outcome. This situation needs to be rectified to ensure that the company is satisfied that the residents are cared for in an appropriate manner. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 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 standard(s) 19 The environment is well maintained and there is a regular maintenance schedule for keeping the building up to standard. EVIDENCE: The grounds were well maintained and accessible to service users who have mobility problems. Several of the residents said that they enjoyed going into the gardens and that they also enjoyed watching the wildlife that was attracted by the food that was put out by the staff. There was some minor damage noted that had probably been caused by wheelchairs but the handyman had a schedule to periodically touch these areas up with paint. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 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 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 There was an adequate number of staff on duty to meet the needs of the residents. The staff members had different skills and a lot of experience in dealing with the needs of the resident group. EVIDENCE: There is a commitment to National Vocational Qualification training from both the company and the staff in order that their knowledge base will be increased. Less experienced staff said how much they benefited from working with more experienced people whilst learning the job. Staff were heard discussing resident needs in a knowledgeable manner with colleagues. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 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 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 There is a continuing concern about staff safety regarding taking dirty washing into and clean washing out of the laundry because of the steepness of the staircase that has to be used. There were no other concerns identified with the safe operation of the home or the appropriate moving and handling techniques of the staff. EVIDENCE: Staff were seen taking washing into the laundry in a manner that put a lot of strain on their back possibly leading to an injury. However, there are plans to rectify this situation with the installation of a shoot. There were good techniques observed when residents needed help with getting in and out of chairs. This meant that the staff were minimising the risk of injury and the residents felt safe. AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 Page 15 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 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 2 x x x x x x x x x 2 AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 Page 16 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 16 Regulation 22 Requirement The home ensures that any complaints made against Agency staff are fully investigated and recorded Timescale for action 1st 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. Refer to Standard 38 Good Practice Recommendations The lift into the laundry be completed as soon as possible AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster South Yorkshire DN4 5HZ 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 AMETHYST HOUSE CARE CENTRE J55-J07 S15849 Amethyst House V206718 090505 Stage 4.doc Version 1.30 Page 18 - 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!