Inspection on 20/11/06 for Aston Court Nursing Home

This inspection was carried out on 20th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Aston Court Nursing Home 09/01/06

Aston Court Nursing Home 04/07/05

Aston Court Nursing Home 31/01/05

Aston Court Nursing Home 24/08/04

Aston Court Nursing Home 15/03/04

Similar services:

Maple Lodge

Heathlands

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Aston Court Nursing Home Little Aston Drive Sutton Coldfield West Midlands B74 3BF Lead Inspector Mrs Joanna Wooller Key Unannounced Inspection 20 November 2006 09:30 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 Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 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. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aston Court Nursing Home Address Little Aston Drive Sutton Coldfield West Midlands B74 3BF 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) 0121 353 1133 0121 352 0024 www.bupa.com BUPA Care Homes (BNH) Limited Mrs Fiona Jane Melling Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55), Physical disability (55), Physical disability of places over 65 years of age (55) Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 55 Physical Disability |(PD) - Minimum age 60 years on admission Date of last inspection 9th January 2006 Brief Description of the Service: Aston Court is a 55 Bedded Nursing Home situated in Sutton Coldfield. It is comprised of one building. The current Company BUPA Nursing Homes Ltd have run the home since 1998. The home was first registered in 1994. The Home is currently registered to admit 55 elderly Service Users. The home is set in rural location with views of landscaped gardens. There were beautifully arranged floral displays around the home inside and out. Aston Court is decorated to an extremely high standard with a wealth of beautiful fixtures and fittings in the form of mirrors and pictures. The home comprises of 55 bedrooms over two floors. Many of the bedrooms are singles, and all have en-suite WC facilities. There are several spacious lounges, a summer room and a well laid out dining room on both floors. Other facilities and services include hairdressing, a wealth of activities/crafts, a shop which sells cards and sweets etc, visits from the mobile library and outings. All areas of the home have access via stairs and a passenger lift. Visitors are greeted in a spacious well-presented entrance hall. Weekly Fees. Lowest £760 Highest £1000 Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Lead Inspector carried out this Unannounced Key Inspection. The Home Manager was on duty supported by two registered Nurses and eight Carers. The inspection included the following elements; A tour of the building, Observation and inspection of records relating to provision of care, Discussions with several service users, Discussions with several of the staff members on duty, Observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues and health & safety. The Inspector was made very welcome in the home and all assistance was given to gain the evidence required for the report. Care documentation is due to change to a new system called ‘Quest’. No complaints had been dealt with by Commission for Social Care Inspection since the last inspection. Service Users spoken to at the visit were complimentary about the home as were the comments received on the Feedback cards, which were returned. Comments included: “I am very happy with the care my Mother receives at Aston Court” “The care my Mother receives at Aston Court is exceptional” “I enjoy all the activities” “I am very happy here, I enjoy all the activities and look forward to them. I don’t need to know how to make a complaint, I never need to complain” “I enjoy keep fit classes and the activities” “The home is very clean and fresh, excellent” “The home-made soup is excellent” “I am satisfied with my care at the home” What the service does well: The home management and staff offer high quality nursing and personal care in a high quality premises. The home is beautifully decorated and furnished and staffed with professional, well-trained, competent staff. The Manager accepts only the highest standards of care, attention and professionalism from all her staff in all departments. The care staff were evidence to support the Service Users in a compassionate way promoting their independence as far as possible and protecting their privacy and dignity. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 6 BUPA self audit systems allow strict monitoring of most departments throughout the year maintaining high standards and monitoring Service Users, relatives and staff satisfaction. 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. The summary of this inspection report can be made available in other formats on request. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 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 Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service Users are individually assessed prior to admission, which ensures that their needs can be met whilst at the home. EVIDENCE: A Registered Nurse prior to admission individually assesses each Service User. Clear notes are recorded and an admission is only organised once the home can ensure that the Service Users needs can be met. This is agreed in writing. Potential Service Users and their representatives have the opportunity to visit the home, read the Statement of Purpose and look around the home with a chance to speak to other Service Users. One relative spoken to at the inspection confirmed that they had been included in this procedure and had found the staff most helpful and sympathetic. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users health, personal and social care needs are set out in care plans to ensure their needs can be met. Service Users are treated with respect and their privacy respected. Service Users are assured that at the time of their death, staff will be respectful to them and their relatives. EVIDENCE: The inspector spoke to several other Service Users during the visit. The Service Users care plans and associated documentation was well written and reflected the current condition of residents. Some assessments as identified to the nurse on duty were not signed but the majority were. The documentation seen enabled the inspector to evidence that health and personal care needs were being well met. The local GP’s practice and pharmacist service the home. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 10 There was evidence of a safe medication administration system being in place, and that the comprehensive medicines policy documentation seen was being followed. One relative spoke of the “excellent care that the staff had delivered to her mother and she was delighted with the choice they had made regarding the home”. NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. Privacy and dignity were being afforded to Service Users, and the inspector evidenced good interaction with staff. The care staff were able to demonstrate this by the inspector evidencing care staff knocking on doors before entering bedrooms. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12 – 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Management and staff of the home provide a warm, extremely comfortable and relaxed environment for vulnerable older people. Service Users were encouraged to continue with their chosen life style. They were prepared a balanced diet with choices on a daily basis. Visitors continue to be made welcome at the home and the staff encouraged service users to exercise choice. The Activity Coordinator maintains individual records of all the activities taking place. EVIDENCE: Service Users at Aston Court experience a varied lifestyle with lots of activities taking place. The activities organiser is exceptional, she plans a weekly diary, which is displayed around the home and delivered to each Service Users room. Each Service Users has a Personal profile and a Map of Life. A weekly discussion group has proved most enjoyable and once a month the home manager joins them to discuss any issues relating to care of food. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 12 Dominoes and card sessions have been popular. A Christmas fair was planned to allow Service Users chance to buy gifts and do some shopping with their families. A Christmas Meal and a Christmas party were also arranged. Festive entertainment was planned in the diary such as a Male Voice Choir and carol singers. Religious needs are met by visiting ministers or Service Users attending church. Service Users had access to the shop in the home that sold smaller sweet snacks, cards and toiletries. The home does not deal with service users financial affairs this is dealt with by relatives or solicitors. Relatives felt the meals and choice were excellent and the Service Users spoken to agreed with this. Visitors were moving freely in and out of the home. The home does not deal with service users finances this is dealt with by relatives or solicitors. Menus were planned for four weeks; the qualified cooks were on duty throughout the day and they prepared balanced nutritional homemade food. Dining room tables were attractively set with tablecloths, flowers and serviettes promoting a calm ambiance like that of any restaurant. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home follows the BUPA complaints policy and procedure that is evidenced on display. In house awareness training takes place to protect Service Users from abuse. EVIDENCE: As at the previous inspections an examination of the complaints book, the relevant policy and procedure documentation, and a discussion with staff and service users, evidenced that complaints were listened to and continue to be dealt with in the correct manner. The Commission For Social Care Inspection had received no complaints since the last inspection. No incidents of neglect or abuse of any kind has been reported. Staff training and observations of service users ensured that they are protected from all forms of abuse. A large number of thank you cards from service users relatives were on display on the many notice boards. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 14 One relative commented that she would be able to talk to the Manager before making any type of complaint and felt that it would not be an issue. Feedback from Service Users also commented that they felt confident that they were listened to, especially now the Service Users can attend discussion groups. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is exceptional, providing service users with an attractive and homely place to live. The hotel standards are exemplary and a credit to the staff. EVIDENCE: As at the previous inspection the home is very well maintained and totally suitable for its stated purpose. There is a programme of routine maintenance and renewal of soft furnishings and equipment. This is completed to a very high standard and the appearance is exceptional. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 16 Externally there are attractive gardens with patio area tables, chairs, and umbrellas are provided in warmer weather. There is lawned areas and ample parking to the front of the home. Service Users bedrooms are comfortable and have been personalised, as they prefer, some Service Users have more personal items than others. The Inspector evidenced the environment f the home to be exceptionally clean, hygienic, attractively furnished and decorated, and very homely. Specialist equipment is purchased as required to support the Service Users needs. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27 to 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users identified needs are met by the staff that are suitably trained for their role. The homes recruitment policies and procedures ensure the correct persons are employed at the home. Service Users are protected from abuse by the policies and procedures carried out within the home. EVIDENCE: Staffing levels were being maintained as 1st April 2002 on the Notice of Staffing issued by the Health Authority. Staffing rosters and levels were checked and in order. The home employs adequate numbers of ancillary staff to carry out domestic and kitchen duties. The Service Users commented that staff were wonderful and always available when they wanted them. The relatives commented that they had much praise for the home, the staff and the care that their relatives received. There were no changes in the homes recruitment policy, procedures and documentation. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 18 Staff had been subject to POVA/CRB comprehensive checks, and these were being recorded. Training had been given a high priority and the training records of individuals were seen. The records evidenced that all staff had benefited from ‘in house’ and external training, which had covered the needs of the client group. Training had again been provided for staff in the awareness and management of dementia related conditions and palliative care. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users live in a well managed home, which has the Service Users best interests at the forefront of the individualised care. The health, safety and welfare of all the Service Users and staff are protected. EVIDENCE: From observations made by the inspector and discussions with the manager and staff, it was evident that the home was being run in the interests of service users. Relatives commented very highly of the Management at the home and felt that the Manager was very open and approachable. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 20 The Inspector checked all relevant records required meeting the National Minimum Standards and a discussion with both Service Users and representatives evidenced that all service users had the opportunity to handle their own finances and all Service Users and their families had chosen to do so. The documentation evidenced by the Inspector for servicing and examination of machinery and equipment was all correct and up to date. Health and safety issues are given a high priority and the evidence seen by the Inspector supported this. The records requested by the Inspector were well kept, in order and up to date. Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 21 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 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 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 © 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 Aston Court Nursing Home DS0000022308.V318515.R01.S.doc Version 5.2 Page 24 - 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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