Inspection on 20/12/05 for Anley Hall Nursing Home

This inspection was carried out on 20th December 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

Anley Hall Nursing Home 15/05/07

Anley Hall Nursing Home 22/08/06

Anley Hall Nursing Home 06/01/05

Anley Hall Nursing Home 17/06/04

Similar services:

Snydale Care Home

Abbey The

Whiteley House

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Anley Hall Nursing Home Anley Hall Skipton Road Settle North Yorkshire BD24 9JU Lead Inspector John McGarva Unannounced Inspection 20th December 2005 10:30 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 Anley Hall Nursing Home DS0000027923.V273601.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. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Anley Hall Nursing Home Address Anley Hall Skipton Road Settle North Yorkshire BD24 9JU 01729 822268 01729 822123 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) www.anleyhall.co.uk Mr Malcolm Haigh Mrs Felicity Ann Kirby Care Home 47 Category(ies) of Dementia (47), Mental disorder, excluding registration, with number learning disability or dementia (47), Old age, of places not falling within any other category (47), Physical disability (47), Terminally ill (47) Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age Range 45 years upwards Service Users to include up to 47(OP), up to 47(PD), up to 47 (DE), up to 47 (MD) and up to 47 (TI) up to a maximum of 47 Service Users Date of last inspection Brief Description of the Service: Anley Hall is a care home providing nursing care for up to 47 residents who are elderly and may suffer from; Dementia, Physical Disability or be Terminally Ill. It is a Georgian, circa 1830, stone built country house, previously a private dwelling and is situated in a rural setting on the outskirts of the market town of Settle in the Yorkshire Dales. There are two floors including ground floor and a vertical lift provides level access to the first floor. It retains many of its original features including high ceilings and chandeliers and has extensive gardens, which are well maintained. It was converted for its present use in 1986 / 87 Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection that took place on Tuesday 20th December 2005 April. The manager, Mrs Felicity Ann Kirby was available to assist with the process throughout. Mrs Wanda Carr deputy manager was also present until lunchtime. The inspection lasted 4.5 hrs (10.30 am to 3pm). There were 35 residents in the home with one resident in hospital and all were in receipt of nursing care. The inspection focused on some of the key standards as well as addressing issues, which were identified at the last inspection. The manager and all staff spoken to provided information in an open and professional manner and without reservation. Conversations with the manager ranged wide and included many professional matters including, funding and assessment issues and the inspector agreed to send the manager further information, which will assist her with these. An inspection of some areas of the premises took place, including bedrooms, lounge and dining areas, bathroom and kitchen. Discussions took place with the manager, carers, the cook and residents. What the service does well: The home provides a good quality of care in a homely and professional manner. All the staff works as a well-integrated team and the rapport between the staff and manager was observed to be very positive. Conversations with the staff confirmed this impression. There are good systems of documentation in relation to care planning, policies and procedures. This was particularly evident in the documentation of a pressure sore which is being resolved satisfactorily. All residents spoken to indicated their contentment at the quality of the care provided by the nurses and care staff and also commented favourably on the quality of the food. The input from the activities organiser is particularly appreciated and favourably commented upon by staff and residents alike. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 6 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. Anley Hall Nursing Home DS0000027923.V273601.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 Anley Hall Nursing Home DS0000027923.V273601.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. The resident’s needs are assessed which permit the care plans to be developed so that their needs can be met. EVIDENCE: The assessment documentation inspected was good and included sufficient detail so that residents needs are identified and upon which information the care plans are developed. Anley Hall Nursing Home DS0000027923.V273601.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 10. The physical and health needs of the residents are identified and appropriate care plans created to ensure they are met. EVIDENCE: The home utilise the Kardex system of documentation and individual plastic folders are available for each of the residents and into which all information relating to them is located. The documentation includes admission details, assessments, care plans, daily statements, nutritional assessments and weight charts. The Waterlow assessments for risk from pressure sores were relevant and appropriately documented. There is only one resident with a pressure sore and the particular assessment and strategy to resolve it was of a very high quality, with diagrammatic illustration and progress in resolution recorded. This was a particularly challenging case and the professional approach in meeting the problem it is a tribute to the professional approach of the nursing staff in the home. There is a key worker system whereby the care staff are allocated a small group of residents to care for. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 10 So far, they are not directly inputting into the care or daily report notes and this will be developed in the future. The resident’s privacy and dignity are respected, with the staff referring to them in appropriate terms and also observed to knock on room doors prior to entering on invitation. Each of the residents rooms are provided with lockable space so that they may store their valuables or medication in safety should they so wish. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 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 the following standard(s): 12,13 and 14. The resident’s wishes are respected at all times and contact with relatives and friends is encouraged. EVIDENCE: The resident’s routines of daily living are tailored to their needs and choice and there is an activities organiser to assist with in social activities. The activities organiser’s work is important and particularly well appreciated both by the residents and staff spoken to during the inspection. The organiser works for 20 hrs per week and makes it her job to identify those who may require a visit in their rooms and help either with conversation or assistance with letters or other private matters. During the inspection the residents were being assisted in making their own Christmas cards. Entertainers are arranged on a regular basis and outings are also organised with the use of a mini–bus that is made available on request. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 12 Visitors can attend the home at any time they choose, day or night, with drinks provided for them routinely. The policy on visiting and encouraging contact with relatives and friends is included in the home’s Statement of Purpose. The residents personal monies is managed either by themselves or their relatives and the home has no responsibility for any residents monies at the present time. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 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 the following standard(s): 18. The policies and procedures and training of the staff in adult protection issues safeguard the residents from abuse. EVIDENCE: Adult Protection and Whistle Blowing procedures are available to protect the residents. A carer who had completed the NVQ Level 2 confirmed that adult abuse issues were included, as part of this course and that she had recently attended training on the subject of aggressive behaviour. There is a system whereby the staff sign to evidence they have seen and understood the home’s policies and procedures and this accords with good recommended practice. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 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 the following standard(s): 19, 21. The environmental standards of the home are satisfactory. EVIDENCE: The home is set in very pleasant grounds and these are kept in a good condition with easy access by wheelchair being provided. The home is well maintained and issues relating to the floor surfaces and furniture raised at the last inspection have been satisfactorily addressed. There were no malodours detected on the day of inspection. Improvement in the easy management of the residents in getting into and out of the baths would be facilitated by the provision of a power-assisted hoists rather than the ‘wind-up’ design presently provided. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 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 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): 29 and 30. The residents receive a good standard of care from staff who are appropriately screened, trained and supervised. EVIDENCE: The recruitment procedures and records kept of staff at the home meet the required standard. Appropriate Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks are completed for all staff. There is a training programme in place for the care staff, which meets the National Training Organisation (NTO) standards. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 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 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): 35 and 38. The home is well managed with staff that is kept informed and consulted on developments in the home. There are systems in place to ensure that the Health & Safety of the residents and staff are protected. EVIDENCE: The residents personal monies is managed either by themselves or their relatives and the home has no responsibility for any residents monies at the present time. The staff receives training in the areas of Health & Safety, First Aid, Fire Safety and Moving and Handling at the relevant recommended intervals. Regular servicing of gas boilers, lifts, hoists and other equipment takes place and the records of these are kept in an easily accessible ring folder. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 Standard No Score 16 x 17 x 18 3 3 x 3 x x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 3 Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 2 Refer to Standard OP8 OP21 Good Practice Recommendations The care staff should be encouraged to record the care they give in the care plan documentation. Consideration should be given for the provision of power assisted hoisting equipment in the bathrooms. Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Anley Hall Nursing Home DS0000027923.V273601.R01.S.doc Version 5.0 Page 20 - 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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