Inspection on 11/05/05 for Appleby Court

This inspection was carried out on 11th 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

Appleby Court 23/01/08

Appleby Court 12/03/07

Appleby Court 10/11/05

Appleby Court 02/11/04

Appleby Court 22/06/04

Appleby Court 23/03/04

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Keer Sands Residential Home

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Ruskin Lodge

Bushell House

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Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE APPLEBY COURT ELLESMERE ROAD PEMBERTON WIGAN WN5 9LA Lead Inspector Bernard Tracey Unannounced 11 May 2005 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. APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Appleby Court Address Ellesmere Road Pemberton Wigan WN5 9LA 01942 215000 01942 215000 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) Mr Keith Lowe Mrs Sheena Thompson CRH Care home with nursing 80 Category(ies) of OP Old Age (80) registration, with number PD Physical Disability (4) of places TI(E) Terminall Ill (4) APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the total numbers of registered 80 OP places, up to 40 places can be used for OP nursing and up to 40 places for OP non-nursing 2. Within the total of 80 registered places there can be up to 80 OP, up to 4 PD and up to 4 TI(E) places. 3. The service at all times employs a suitably qualified manager who is registered with the Commission for Social Care Inspection Date of last inspection 2nd November 2004 Brief Description of the Service: Appleby Court is situated on the outskirts of Wigan town centre close to shops and other amenities and is on the main bus route. The home is purpose built and accommodation is on two floors with a passenger lift available from the lower floor.Personal accommodation is provided in single rooms with en suite facilities. There are large communal lounges and separate dining rooms.The home provides nursing and social care to male and female service users aged 65 years and over. There are ample car parking spaces and the grounds have been landscaped and are well maintained. APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Appleby Court is privately owned by Mr Keith Lowe. The Inspector took the opportunity to speak with five residents and one visitor during the Inspection, as well as 3 members of staff. The residents felt that the home was meeting their individual needs and spoke warmly regarding the attitude of the staff in relation to responding to their care needs. Members of the care staff spoken with at the Inspection displayed a high degree of commitment and a thorough knowledge of the service users’ individual needs and preferences. The home was not made aware that this visit was going to take place, and the Inspector was in the home for 3 hours concentrating on how care is documented and the quality of the environment. The inspector asked residents and a visitor what they thought of the decoration and furniture, did they like their bedroom, what the staff were like and whether they felt well cared for What the service does well: What has improved since the last inspection? The manager has recently completed a review of the paperwork, which is used to record the needs of residents, and she is hoping that this new documentation will lead to greater consistency throughout the home. APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 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. APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 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 APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 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) None of the key standards were fully assessed on this inspection EVIDENCE: The key standards were not inspected on this occasion. They will be inspected at the next inspection. APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 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) 7 and 10 There is a clear and detailed care planning system in place that provides the staff with the information needed to meet the needs of the residents. The manager is reviewing how details are recorded in order to provide consistency throughout the home. Personal support is given in the home in a manner that promotes and protects privacy, dignity and independence of the residents. APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 10 EVIDENCE: Individual care plans are in place for each resident. The care plans examined were well maintained, with evidence of resident involvement in the review of care. Access to all NHS services is upheld and documented within the care plan. The plan is generated from a comprehensive assessment and there is evidence that it is drawn up with the involvement of the resident and their representative with care plans signed by the resident or their representative. Relatives are invited to the monthly reviews. The care plan includes reference to the care management assessment and relevant health care needs identified from a previous hospital admission care plan, if appropriate. Three care plans were examined and on the whole provided enough details to describe the actions needed to be taken by care staff, to ensure the residents’ needs were met. The manager provided the Inspector with evidence of the involvement in the review of the care by either the resident or their representative. If changes occur within the care planning process the resident’s representative will sign the care plan when at the home or if this is not practical, a copy of the revised care plan is sent by post. A relative spoken with at the inspection confirmed this to be the case and felt she was kept fully informed of her sister’s needs. The manager is presently reviewing the way information contained in the care plans is documented within the home, in order to provide more consistency throughout the different units. The replacement documentation was examined. All members of staff receive instruction and training in preserving the privacy and dignity of residents on induction, and a signed form, kept in their personal file, indicates acceptance that the training has been given and received during the induction process. Staff members were observed to address residents appropriately and were seen to knock and wait before entering personal accommodation. Residents spoken with said they felt the staff were very caring and a relative confirmed that she had ‘every confidence’ her sister’s needs were met by the staff in the home. Medical examination and personal treatment is provided in the privacy of the resident’s own room. Relatives and friends are encouraged to visit as often as possible and the home operates an open visiting policy, which is referred to in the Statement of Purpose and confirmed in discussion with residents and relatives spoken with during the inspection. APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 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) None of the key standards were examined on this occasion.t EVIDENCE: The key standards were not inspected on this occasion. at the next inspection. They will be inspected APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 12 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) None of the key standards were examined on this occasion.t EVIDENCE: The key standards were not inspected on this occasion. at the next inspection. They will be inspected APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 13 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 standard of the decoration within the home is, in the main, poor with little evidence of continuing improvement through an ongoing refurbishment plan. Both the communal and personal accommodation does not present as an attractive and homely environment for the residents to live in. EVIDENCE: A programme of re-decoration of the personal and communal accommodation had begun in the past year but there was no evidence that the home has continued with this. Personal accommodation, in particular, does not provide residents with a homely and comfortable setting. Generally the lounges and bedrooms are seen as looking tired and worn, and would be more attractive to residents if they were repainted and provided with new bedding and curtains. The corridors also are in need of re – decorations as in several areas cracks in the plaster were seen. The home must provide a detailed plan of re-decoration of the home and include replacement carpets and fabrics within the refurbishment plan. APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 14 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) None of the key standards were examined on this occasion.t EVIDENCE: The key standards were not inspected on this occasion. at the next inspection They will be inspected APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 15 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) None of the key standards were examined on this occasion.t EVIDENCE: The key standards were not inspected on this occasion. They will be inspected at the next inspection APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 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 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 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 1 x x x x x x x 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 APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 17 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 19 Regulation 23 Requirement A programme of decoration and refurbishment to all of the personal accommodation must be provided within the timescale stated. A programme of decoration and refurbishment to all of the corridors and communal lounges must be provided within the timescale stated Timescale for action 30th July 2005 2. 19 23 30th 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 None3 Good Practice Recommendations APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 APPLEBY COURT F56 F06 S5668 Appleby Court V221288 110505 Stage 4.doc Version 1.30 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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