Inspection on 09/01/06 for Aston Court Nursing Home

This inspection was carried out on 9th January 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 20/11/06

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 Unannounced Inspection 9 January 2006 9:30 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.V277100.R01.S.doc Version 5.1 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.V277100.R01.S.doc Version 5.1 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 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.V277100.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 55 Physical Disability |(PD) - Minimum age 60 years on admission Date of last inspection 4th July 2005 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 and there are three residential Beds. 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 lounges and a 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. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out this unannounced inspection. The manager Jane Melling was in the home and her Deputy was in charge of the morning shift. There was a pleasant atmosphere in the home with residents going about their usual routines supported by carers and nurses. No issues relating to complaints had been received by the CSCI or issues of abuse reported. Staffing was found to be in order and recruitment had resulted in a full team of permanent staff working within the home. The visit was uneventful and all requests from the inspectors were met. What the service does well: 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. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 Page 6 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.V277100.R01.S.doc Version 5.1 Page 7 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, 4 and 5 The home demonstrates its capacity to meet the needs of individuals admitted to Aston Court via good assessment procedures being followed. EVIDENCE: Where involved with the resident prior to admission Continence Nurse and District Nursing assessments are taken into account. Health care assessments are carried out on an ongoing basis and needs are met via General Practitioner district nurse and other specialist involvement as required. Where an individual has specialist equipment in their own home then this would be transferred to Aston Court with them. If a resident needs specialist equipment after moving into the home then they are assessed for this at Aston Court. Outcomes of all assessments are confirmed in writing to the individual. Prospective residents and their relatives are invited to the home to have a look around and meet individuals already living here. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 Page 8 To view the accommodation available to them, they may have a meal, spend the day or indeed make a second visit if they wish before taking the decision to move in and to become a permanent resident at Aston Court. Where possible the home does not take unplanned admissions. Pre-admission visits are carried out to residents in their own homes or current surroundings to enable them to meet staff from the home. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 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): 8,11 The assessed health and personal care needs of service users had been well documented and were evidenced as being met, with a good standard of care being delivered including a safe system for the receipt, storage, administration and disposal of medicines. EVIDENCE: Specialist nurses are regular visitors in the home to advise and support good practice carried out during individual nursing interventions. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked through pharmacy audits and no errors have been noted. Comprehensive medicines policy documentation seen was being complied with. No resident was ‘self medicating’, however locked facilities were available if someone should wish to. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 Page 10 During the inspection the inspector observed that privacy and dignity were being afforded to service users, and there was very good interaction with staff. Care staff were continually seen knocking on doors before entering. Through appropriate training and supervision residents are assured at the time of their death that they will be treated with sensitivity and respect. Annual Inhouse training from the nurse specialist in palliative care is arranged to inform the staff of good practice and guidance. The inspector saw several ‘Thank you’ cards to evidence that relatives do feel supported and comforted at this sad time. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 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 Discussions with some residents identified that resident’s views are sought and acted upon. Contact with families and friends remain as desired. The menus at the home offer both choice and variety. EVIDENCE: Two activities persons are employed over six days and they provide a varied programme of social opportunities that is displayed in the home. Discussions with residents identified that they were content with the lifestyle they experience at Aston Court with visiting ministers meeting the religious needs of individuals. There is a general activities programme, plus a morning activities programme, hostesses provide drinks throughout the day and tea and coffee machines are provided. The home has a small shop for residents that provide toiletries, sweets, crisps, cards, videos, and crafts, anything residents’ want included. Visitors were observed to be moving freely in and out of the home and contact with the local community was good. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 Page 12 Choice was promoted by staff that were observed to be asking individual residents to make decisions about their daily routine. Food provided for residents was nicely presented with choice being offered at all meals. Meals were taken in very attractive dining rooms with nicely laid tables. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 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): 17 Policies and procedures in the home ensure that residents’ rights are protected. EVIDENCE: Staff induction, training and on-going supervision ensures that the staff are aware that residents do have rights and that they are allowed to carry them out. Postal voting is arranged as necessary. Civil ceremonies are attended as planned. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 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 The standard of the environment within this home is very good which provides residents with an attractive and homely place to live. EVIDENCE: Accommodation is provided to two floors and a passenger shaft lift or stairs provides easy access between them. Decoration and soft furnishings in the home are maintained to a high standard with lots of homely touches despite the size of the home. Hotel services were to an extremely high standard. Residents bedrooms visited were comfortable and personalised and have been redecorated and refurbished this is ongoing. Specialist equipment is provided to individuals as required. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 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): 27 and 28 The individually assessed needs of service users had been met by an adequate number of suitably trained staff. Staff training had been given a high priority. EVIDENCE: Staffing rosters were checked and found to be in order. In addition to the manager and her deputy there had been a minimum of two trained nurses and eight care staff on each morning shift, two trained nurses and six care assistants on each evening shift, and two trained nurses and three care assistants on each night shift. Adequate ancillary staff had been provided each week. The records seen evidenced that in addition to the manager the home employed 14 nurses and 30 care assistants, of which 23 (75 ) of care staff were trained to NVQ level 2 or above. Eight members of staff hold the First Aid Certificate also. Training had been given a high priority by the deputy manager and the training records of individuals were seen. The records evidenced that trained staff and care assistants had benefited from ‘in house’ and external training which had covered the needs of the registered client group. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 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): 31, 32, 34, 36 and 37 The home is well managed and robust quality assurance is in place. Financial aspects were addressed and recorded with safeguards to residents. Health and safety issues had been given priority EVIDENCE: There is a positive ethos throughout the home to give a good caring service to the residents. The manager is professional in her manner and she clearly defines her role and the role of her staff within the home. The staff are totally supported by her and they appreciate her openness and ability to be approached. Small amounts of monies looked after by the home on behalf of residents were sampled by the inspector and cash balanced with records maintained. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 Page 17 The home has in place a quality assurance system that is fully audited on a yearly basis. Policies and procedures are in place to inform staff of the practices in the home. Records required by regulation are in place and those sampled were found to be accurate and up to date. There is safe storage of hazardous substances and regular servicing of equipment. The home complies with relevant legislation and was able to evidence this via records and procedures. Risk assessments are carried out for safe working practices. There was evidence that staff were suitably supervised and supported by the management. Clear and precise records were seen. Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 Page 18 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 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 4 9 X 10 X 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 4 4 X X X X X X X STAFFING Standard No Score 27 4 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 X 3 X 4 4 X Aston Court Nursing Home DS0000022308.V277100.R01.S.doc Version 5.1 Page 19 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.V277100.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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. 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