Inspection on 24/03/09 for Aspen Court

This inspection was carried out on 24th March 2009.

CSCI found this care home to be providing an Good service.

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

Aspen Court 02/02/07

Aspen Court 29/09/05

Aspen Court 01/06/05

Aspen Court 10/11/04

Aspen Court 11/05/04

Aspen Court 26/09/02

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Aspen Court Aspen Drive Spondon Derby DE21 7SG     The quality rating for this care home is:   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. Lead inspector: Jo Wright     Date: 2 4 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Aspen Court Aspen Drive Spondon Derby DE21 7SG 01332672289 Telephone number: Fax number: Email address: Provider web address: ricea2@bupa.com www.bupa.com Name of registered provider(s): Type of registration: Number of places registered: BUPA Care Homes (BNH) Ltd care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of residents who can be accommodated is 40. The registered persons 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 are within the following category: Old age - not falling within any other category - Code OP. Dementia over the age of 65 - code DE(E) (maximum number of places: 1). Date of last inspection Brief description of the care home Aspen Court care home provides nursing for 40 people aged 65 years and over. The home is a two-storey purpose built building, situated near to Sponden village and local facilities. The home has 36 single and 2 shared rooms, all rooms have ensuite facilities. The home is on two floors accessed by stairs and a passenger lift. The lounge and Care Homes for Older People Page 4 of 27 Over 65 1 40 0 0 Brief description of the care home dining areas are on the ground floor. Residents have access to a well set out garden. The fees per week at the time of this inspection were £750 a week for privately funded people, £376 plus £75 top up for people funded by the local authority, and £620 for people admitted through continuing care. There are additional charges for items such as hairdressing, private chiropody, toiletries. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views of the service provided. The process considers the services capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The inspection visit was unannounced and took place over the period of a day. The service was last inspected on 2nd February 2007. In order to prepare for this visit we looked at all the information that we have received since our last visit. This includes any notifications and information received from the service about events that have occurred. We also asked the manager to complete a self-assessment of the service called an Care Homes for Older People Page 6 of 27 Annual Quality Assurance Assessment (AQAA). We also used that information to tell us about the service and what we needed to look at during our visit. During the visit case tracking was included as part of the methodology. This involved sampling of files of a total of two people representing a cross section of the care needs of individuals within the service. Discussions were held with these individuals about the care and services that are provided. During the day we also spoke with other people using the service and relatives. We also spoke with the manager and staff about the arrangements for their deployment, recruitment, induction, training and supervison, and records examined to support these procedures were in place. The last inspection report was available in the reception area of the home. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the information they need to choose a home that can meet their needs. Pre-admission procedures ensure appropriate admissions. Evidence: The manager told us in the information supplied about the service that all potential admissions were assessed by a member of staff from the service prior to admission. We were also told that information was also obtained from other professionals involved in the individuals care. This was supported by the two care files that we reviewed. Both files contained a detailed assessment of need, which covered all aspects of care. Information about the service was available in each persons bedroom, meaning that people had access to information about the service provided. A relative told us that they had received a full pack including the statement of purpose and last inspection report at the time their relative was admitted. People told us in completed survyes Care Homes for Older People Page 10 of 27 Evidence: that they had received sufficient information about the service to make decisions. People told that they had looked around the service prior to moving in, and that information was good and given in clear informative way. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person has a detailed care plan that covers their personal and health care needs, which enables staff to meet provide care and support that meets peoples individual needs. Evidence: The manager told us in the information supplied about the service that people had comprehensive personal care plans in place, as well as associated risk assessments. This was supported by the two files we reviewed. Both files contained detailed care plans and risk assessments, which provided staff with information on how to meet the individuals assessed needs. Information had also been obtained from the persons relatives and was used to inform the plans of care. We also saw detailed risk assessments in place relating to moving and handling, falls and pressure area care. People told us during the visit and in their completed surveys, that they felt involved in their care, through discussions with staff. We saw that care plans were changed to reflect changes in the persons needs or abilities and updated on a regular basis. People told us during our visit and in their completed surveys that they were able to Care Homes for Older People Page 12 of 27 Evidence: see their doctor, and they had access to other health care professionals. This information was also recorded in the files that we reviewed. People told us that they felt involved in their relatives care and they were kept informed about any changes. People commented that they were involved if the doctor needed to be requested, or there were any concerns. Relatives also told us that they could see the care plans if they wished. People told us that they were satisfied with the care delivered and that privacy and dignity was maintained. Comments included that staff speak nicely to their relative, she gets a choice, they make sure she is clean and her clothes are clean, and they always knock. However, we observed that the dignity of some people with a high level of need may not always been maintained to the required standard. We observed several people who had dirty fingernails, and several ladies with holes in their stockings, or their stockings had fallen down. The manager told us in the information supplied about the service that the management of medication is audited regularly. We found this to be the case. However, staff were not always completing these audits correctly and identifying issues. Staff had not identified within one audit that the amount actually given for variable dose medication was not consistently recorded. Staff had not followed the internal procedures when recording the amount of medication received and writing up the details of medication on one hand written chart. As a consequence medication had been written up incorrectly. However, this had not affected outcomes for the individual concerned. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lead a varied and fulfilling lifestyle of their choosing. Evidence: People told us during our visit and also in their completed surveys that there are planned activities that they can join in with if they wish. Comments included do not go to few activities but do participate in most and enjoys outings; lots of activities if I want to be involved, I enjoy going to play bingo, they have something almost everyday. We did not see any activities during our visit as the member of staff responsible for organising activities was on leave. However, we saw records that supported that activities take place and information about planned activities was displayed around the home. However, information about individuals life history and social interests was not well recorded in peoples files. People told us and we observed that family and friends were welcome to visit at anytime. Comments in completed surveys supported that people were supported to keep in touch with their families and families made aware of any significant events. People told us that the routine was relaxed, and they were able to use all areas of the building. People commented that they were able to choose what clothes to wear, and what time to get up and go to bed. Care Homes for Older People Page 14 of 27 Evidence: People told us that they enjoyed the meals provided for them. Comments included food is good and well presented, food is lovely, there are little bowls of fruit in the morning with the drinks and a dessert trolley in the evening. People were offered a choice at each meal time, and daily menus were displayed on the tables. Snacks and drinks were available for people at all times. People using the service were involved in planning the menus through residents meetings. Peoples likes and dislikes discussed on admission and people are asked daily what choice they would like from the menu. Care Homes for Older People Page 15 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are kept safe and their rights upheld. Evidence: The manager told us in the information supplied about the service that there was a clearly defined policy for complaints, which included agreed timescales. The manager also told us that the service had received four complaints in the previous twelve months and that these had been resolved satisfactorily. The records we saw on complaints supported that the complaints had been investigated and resolved to the satisfaction of the complainant. People told us in person and in their completed surveys that they knew who to go to if they were unhappy about something, and how to make a complaint. Relatives also told us in person and in completed surveys that they were aware of how to make a complaint and comments included on few occasions we have had to make a complaint we have been satisfied with the understanding and response, the management team are always approachable, and the odd issue is sorted out straight away. We did note that staff sometimes record issues that people raise in their care files. Although these issues were looked into and addressed, they were not recorded as formal complaints. The manager had already recognised the need to train staff to deal more effectively and positively with complaints, and had included this in her plans for Care Homes for Older People Page 16 of 27 Evidence: the future. The manager told us in the information supplied about the service that there are robust policies for dealing with allegations of abuse or neglect. The manager also told us that they have made one safeguarding referral and again, this had been dealt with appropriatley. Staff told us that they receive training on how to deal with allegations of abuse and were aware of what action to take. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a pleasant and well maintained environment Evidence: People told us in person and in the completed surveys that the home was fresh and clean. Comments included always pleasant and fresh, housekeeping staff keep on top of any incident and its always clean, theres no smell. People were encouraged to bring in their personal belongings and we observed this in the bedrooms that were viewed. The manager told us in the information supplied about the service that there were systems in place for maintaining cleanliness and infection control measures. Staff told us that there were supplies of aprons and gloves and different coloured laundry bags for infected and soiled linen. Staff told us they are provided with infection control training. The building was generally well maintained with some evidence of recent redecoration. We observed that some areas of decoration in the conservatory were worn and some lounge chairs were stained. The manager told us that she had requested a total refurbishment, and this was also recorded in the information supplied about the service. Care Homes for Older People Page 18 of 27 Evidence: People using the service had access to equipment to assist staff to care for them. A new Parker bath had been installed, and a range of hoists were also available. Staff told that due to the current needs of the people using the service additional equipment was required. The manager told us that this was due to be discussed at the next staff meeting and the equipment ordered. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a competent staff team, who have been recruited to ensure they are safeguarded from any harm. Evidence: People who use the service and their relatives told us that staff are very nice, staff are lovely, and staff are cheerful. However, they also commented that in the day we get quite a lot but night staff is inadequate, should be 3 but sometimes only 2, not quite enough staff, depends what you need, staff come straight away, they are all pretty good, people have to wait for the toilet, staff are always busy and staff do all they can but they are always very busy. Staff also commented that they usually considered there were enough staff to meet the individual needs of all the people who use the service. Comments included unit is always well staffed with the exception of unforeseen sickness, and 7 care staff in the mornings and 6 in the afternoon is much better but I feel more staff are needed to meet residents needs. The manager told us that she is able to alter staffing levels according to the needs of the residents, and that there had been a recent increase in care staff on during the day time shifts. The manager also told us that all attempts are made to cover any sickness or shortfalls using bank or agency staff. The duty rota we looked at Care Homes for Older People Page 20 of 27 Evidence: supported this. Staff were positive about the range of training opportunities that were provided for them. Comments included keep me up to date with regular mandatory training, they introduce the NVQ level 2 to every new starter, many videos and dvds for staff, practical training to meet the individual needs of service users, and excellent training record. This includes all the mandatory training and inhouse BUPA training, as well as training specific to the needs of people using the service such as mental capacity act, dementia care and dealing with challenging behaviour. Evidence of staff training was seen individual staff files and on the training matrix. Staff told us that they are offered the opportunity to study towards a National Vocational Qualification (NVQ) Level 2 and progress to Level 3 if they wish. Half of the care staff have achieved this qualification. Staff also told us that they receive a detailed induction to the service. The manager told us in the information supplied about the service that a robust recruitment procedure was in place. We found this to be the case in the staff files that we looked at. All of the required information had been obtained. Staff told us in person and in completed surveys that the required checks had been completed before they started at the home. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is managed in peoples best interests and they are kept safe. Evidence: People told us that the service was run in their best interests. People using the service and their relatives had completed a satisfaction survey undertaken on behalf of BUPA by an external company. The report had been received by the manager and was positive about the service. The report was due to be shared with staff, residents and relatives in the near future. A relative told us we had a residents meeting one or two weeks ago, they make a difference. Comments in surveys included there is an air of friendly efficiency, it has a good feeling as you enter, clean, fresh and staff welcoming, god communication, welcome given to friends and family and the manager and her staff are dedicated to the residents, the atmosphere is friendly but professional. Staff also commented positively about the management of the service. Comments in surveys included home manager always available, I feel my manager supports me Care Homes for Older People Page 22 of 27 Evidence: and guides me when it is needed, I know I can always talk to her and offers support with my role. Staff told us in person and in completed surveys that they receive regular supervision and annual appraisals. We saw records to support this during our visit. The manager told us in the information supplied about the service that systems were in place the maintain health and safety and welfare of all residents and staff. Staff files, training records and the training matrix, and maintenance records supported this. Regular heads of department meetings also took place and minutes of these meetings were available. The manager also carries out monthly audits as required by the company on a range of activities, for example number of complaints, pressure sores, accidents and incidents. Systems were in place for safe keeping of peoples money. A relative told us the home deals with money, they send me a statement every month, I am happy with the way they deal with that. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 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 1 9 13 The information recorded on hand written medication records must be the same as recorded on the prescription / dispensing label. This will ensure that the information on medication charts is accurate and people receive the medication that they are prescribed. 10/04/2009 2 9 13 The exact amount of variable dose medications such as one or two tablets to be taken must be recorded so it is clear how many tablets are being administered each time. This will ensure that people receive safe doses of medicines. 10/04/2009 Care Homes for Older People Page 25 of 27 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 1 9 Medication audits should be completed correctly to ensure that any discrepancies or errors are noted and dealt with appropriately. Staff should ensure that the privacy and dignity of people using the service is main tainted to an acceptable standard at all times. 2 10 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) 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 27 of 27 - 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!