This inspection was carried out on 29th September 2008.
CSCI found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Appleby Care Home Military Road North Shields Tyne And Wear NE30 2AB The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Suzanne McKean Date: 2 9 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Appleby Care Home Military Road North Shields Tyne And Wear NE30 2AB 01912579444 01912708226 Appleby@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ashbourne (Eton) Limited Type of registration: Number of places registered: care home 55 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 55 Over 65 0 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Dementia Code DE, maximum number of places: 55 The maximum number of service users who can be accommodated is 55. Date of last inspection Brief description of the care home Appleby is a 55 bed care home with nursing. It provides care for older people with enduring mental health problems. The home is owned and managed by Southern Cross Healthcare Limited a large national provider of services for vulnerable client groups. Care in the home is provided by Registered Nurses supported by care staff. The home is situated in North Shields in North Tyneside close to local shops and good public Care Homes for Older People Page 2 of 8 transport links. The building is comprised of two floors with 55 single bedrooms all with en-suite facilities. Each floor has separate lounge, dining areas, bathrooms and additional toilet facilities. The home also has a kitchen and laundry room. There is a garden and patio area to the rear of the home. Information about the homes services, philosophy of care, service brochures and Inspection reports are displayed in the homes entrance area. Care Homes for Older People Page 3 of 8 What we found:
This unannounced random inspection was carried out over a period of three hours starting at 09:30 Monday 29th September 2008. The manager Ms Hodgson was on duty and she assisted with the inspection supplying information as necessary. This was an inspection as part of the commissions programme to visit a small number of services who have achieved a 2 star/ good rating within the normal plan of inspection. However, the commission has also received a concern regarding some general issues and although this has not been investigated as a complaint they have been included in the areas looked at. What the care home does well:
The care plans looked at were detailed and up to date. They are currently being improved to make them more person centered and involve the care staff more in their completion. The staff were working hard to assist the residents in their day to day lives and they were helping them with their personal care and meals. The residents were clean and appropriately dressed for the activities they were involved in. Staff were courteous and friendly and residents were positive in the way they reacted to this. Meal times were calm and well organised and the residents had appropriate crockery and cutlery. They have a choice of cups to have their beverages from and these included both mugs, tea cups and feeding cups depending upon the manual dexterity and choice of the individual residents. There is an activities co-ordinator employed on a full time basis. She has organised a number of opportunities for the residents including painting and crafts as well as visiting entertainers. Photographic evidence of which is available on the walls of the corridors. Improvements have been made to the garden area which is still ongoing. Raised beds have been built and these are to be used for growing vegetables and herbs. Fruit trees are to be planted in some of the areas. There has been a recent period of time, for approximately one week, when the access to the garden was restricted as the home admitted an individual resident who was at risk if given free access to it. This has now been resolved. The home continues to organise the café teas which are popular with the residents, on occasion these have needed to be canceled but this is not frequent. The staff were following practices to reduce the risk of cross infection by hand washing and using disposable towels which were available as necessary. Incontinence pads were being placed in bags prior to being disposed of in the clinical waste bags. This reduces the odour and reduces the risk of cross infection. There are chairs situated at various points along the corridors which are placed for the use of the residents. There has been some concerns expressed that they would present an obstruction in the event of a fire. Advice was being taken from the fire service regarding this and other issues. At the time of the visit the staff on duty were, the Manager, two qualified nurses, seven care staff, the administrator, handyman, activities co-ordinator, two domestic staff, two catering staff and a laundry assistant. Two care staff had reported sick on Care Homes for Older People
Page 4 of 8 the morning. The staff were working well together and there was no suggestion of the residents being hurried or not being supported safely. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 26 16 (2) (k) The home must be kept free from offensive odours. 01/11/2007 Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
