Inspection on 11/04/07 for Auden House

This inspection was carried out on 11th April 2007.

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

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Auden House 473 Audenshaw Road Audenshaw Tameside M34 5PS Lead Inspector Janet Ranson Unannounced Inspection 11th April 2007 10:00 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 Auden House DS0000068287.V334829.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. Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Auden House Address 473 Audenshaw Road Audenshaw Tameside M34 5PS 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) 0161 301 2424 Dr Judith Bronwen Stockton David John Evans Mrs Linda Daniels Care Home 16 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (16), of places Physical disability over 65 years of age (11), Sensory impairment (1) Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 16 service users to include:*Up to 16 service users in the category of OP (Old age not falling within any other category). *Up to 16 service users in the category of DE(E) (Dementia over 65 years of age). *Up to 11 service users in the category of PD(E) (Physical disability over 65 years of age). *Up to 1 service user in the category of SI(E) (Sensory Impairment over 65 years of age). This was the first inspection since registration of the new providers in November 2006 Date of last inspection Brief Description of the Service: Auden House is a large detached Victorian property that has been adapted and extended over the years to provide accommodation for up to sixteen older people. The home is situated in a residential area of Audenshaw and is in private ownership. The accommodation is provided in single rooms over two floors. Two bedrooms also have en-suite facilities. The residents are encouraged to personalise their own rooms and can be provided with a key for the bedroom door. There is a full passenger lift and other aids to meet the resident’s daily living needs, throughout the home. On the ground floor there are two lounges and a dining room. There is a further small seating area in the front hallway. To the side of the property is a small accessible garden. Off road car parking is available at the back of the home. Fees for accommodation and care at the home range from £323. 66p to £365. Additional charges are also made for hairdressing and chiropody services, newspapers and personal toiletries. Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the key inspection, which included an unannounced site visit. The site visit took place on 11th April 2007 and covered a period of 6 and three quarter hours from 10:00am until 16:45. The home had completed a pre inspection questionnaire. Using some of the information contained in the questionnaire a number of general practitioners were surveyed as to their impressions of care for their patients. During the inspection time was spent talking to the residents, the new owner of the home and some staff. The inspector also looked the home’s routine and how the staff worked and talked with the residents. A total of three residents’ identified needs were closely looked at. Individual details of their experiences and care were examined from when they first came into the home to their current care needs. The inspector looked around the building and a selection of staff and residents’ records was examined including records of care, medication records, employment and training records. What the service does well: What has improved since the last inspection? This was the first inspection carried out at Auden House since the registration with the Commission for Social Care Inspection. Auden House DS0000068287.V334829.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Auden House DS0000068287.V334829.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 Auden House DS0000068287.V334829.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): 3 (Standard 6 intermediate care is not provided at Auden House) Quality in this outcome area is good. The home’s system of assessment reflected individual preferences and social requirements. This meant that the home could be certain they could meet the prospective resident’s diverse needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual care needs assessments were contained within the four care files examined as part of the inspection. The home also has a process of assessing potential resident’s needs carried out by a senior member of staff. Prospective residents and their relatives are also invited to visit the home so that they can meet other people and see the accommodation for themselves. By completing such an assessment the home can be sure that individual needs can be met. A letter to the resident or their representative from the manager confirms this. Auden House DS0000068287.V334829.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): 7, 8, 9, 10 & 11 Quality in this outcome area is excellent. The care planning process clearly identifies the residents’ individual health and social requirements. They provide the carers with action to be taken to provide appropriate care on a day-to-day basis enabling the residents to benefit from the individual care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans were examined as part of the inspection process. They clearly set out the residents’ individual personal care needs. The care plans document the action to be taken by the carers to ensure all aspects of health, personal and social care are met and reviewed. Risk assessments were in place including those people identified as being at risk from falling. Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 10 Documentation within one persons file showed the home was working closely with the mental health team in an effort to ensure the resident’s well being could be improved. Further documentation in a care plan set out the details of a resident’s specific medical condition along with a pamphlet explaining the condition. This helped the resident and the carers to better understand the condition. There was also an implication for diet requirements that was also clearly defined. Where identified, the resident’s health is monitored and addressed by the appropriate health care professionals. The district nurses are involved on a regular basis as are the chiropodist, audiologist, dietician and speech therapist. The home operates a “care pathway” system for those residents who have been assessed by a doctor as being in their final stages of life. This involves other healthcare professionals in addition to the homes care staff enabling the resident to remain in their own room whilst receiving specialist care. Two carers who spoke with the inspector said they had been recently involved in a resident’s final stages of life. The carers said they had all the information they required and felt confident that along with the local district nurses they could meet the resident’s needs. The family had remained with the resident and had sent cards of appreciation. The senior staff are responsible for the administration of medication. There was evidence to show they had received training to correctly administer medications. Records are retained to show changes to medications and medical interventions. There is a policy and procedure in place to ensure all medications are administered in the correct manner. The medication storage was satisfactory. Based on observation, it was apparent that the staff respected the residents’ privacy by knocking and waiting before entering rooms. The carers responded to the residents in a respectful manner. Auden House DS0000068287.V334829.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): 12, 13, 14 & 15 Quality in this outcome area is good. The choices offered to the residents meet with their requirements and needs and enable them to exercise elements of control over their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a system of outlining the resident’s previous life history. The completed document details religious, cultural and recreational interests and is retained in the individual care file. This helps the carers to better understand the residents needs and is considered to be very good practice. The carers support the more able residents to visit the local hairdresser across the road from the home. A resident who spoke with the inspector confirmed they were expecting a visit from their family later in the day. It was apparent from speaking to the carers that the resident’s relatives were well known and welcome to the home. One resident said he spent time away from the home with his family. Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 12 Based on direct observation, it was apparent that the residents benefit from relaxed informal contact with the staff. Music was playing in one lounge and a small group of residents were enjoying a murder mystery on the television. There was plenty of lighthearted banter between the residents and the staff. The manager had forwarded certain documents to the inspector before the inspection. These included an example of the daily menu. Judging from this and from speaking with the cook, the inspector can conclude that the food provided meets with the required nutritional standards. Those residents who spoke with the inspector said they enjoyed the food and the choices available at each meal. As a result of a written comment within a recent quality survey the home has improved the quality of the bread providing a choice of wholemeal or white. Auden House DS0000068287.V334829.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): 16 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Staff knowledge and understanding of adult protection issues provides a safe environment to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a policy and procedure concerning reporting and investigation of complaints. This is available to the residents in written form and available in each bedroom. According to the pre inspection questionnaire eight complaints have been investigated during the previous twelve months. They were all recorded in the correct manner and responded to within twenty-eight days. A resident said he would speak to the manager or family if he had any concerns. He said he would expect to be listened to and have his concern addressed to his satisfaction. The home has a policy and procedure to respond to allegations of abuse. The senior carers have received formal training in the Protection of Vulnerable Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 14 Adults (POVA) as required. The carers have also received this training. They clearly demonstrated their understanding of abusive situations, when interviewed by the inspector. There have been no complaints made to the Commission for Social Care Inspection. Auden House DS0000068287.V334829.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): 19 & 26 Quality in this outcome area is good. The home provides the residents and their visitors with a safe, warm and welcoming environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector looked around the home with the manager. All areas of the home were clean and free from hazards to health and safety. With one exception in a resident’s room, there were no offensive smells. The new owners have made a good start upgrading the environment. Several new carpets had been laid and rooms decorated. It is understood that the communal areas are also to be re - carpeted. The owner advised the inspector that the plans to extend and improve the home are well under way. Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 16 All the bedrooms are single occupancy with two having en-suite facilities; there are plans to improve this situation. It was apparent that the residents were encouraged to personalise their rooms with the presence of photographs, ornaments, pictures and furniture. Some redundant furniture and fittings were observed to the side of the building. Not only did this look untidy it had the potential to attract vermin and could be a fire hazard. A resident told the inspector he was quite satisfied with his accommodation and had full access to it during the day if he wished. It was noted there were aids through out the home to meet with the residents assessed needs. As a result of a recent quality survey carried out by the home, a quiet area had been created for residents and their visitors to speak in private. The manager retains a record of renewals of fixtures fittings and furnishings within the home along with a record of required maintenance. One of the owners carries out the general day-to-day maintenance. It was evident that those residents who are independently mobile were able to move around all areas of the home at will. Auden House DS0000068287.V334829.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): 27, 28, 29 & 30 Quality in this outcome area is good. The residents receive care from well-trained staff who respond to the residents and visitors in a respectful manner. The homes recruitment policy and procedure provides protection to the residents from potential abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From observation during the inspection the numbers of staff on duty met with the residents’ assessed needs. The rota that was submitted confirmed the staff on duty at any one time. This is a very stable workforce, which serves to provide a continuity of care to the residents. According to the pre inspection questionnaire one member of staff has left to work elsewhere since the last inspection. All mandatory training has been carried out and some specialist courses have been completed via the training consortium. A total of sixty two percent of the carers have a National Vocational Qualification (NVQ) at level two or above. Some staff are undertaking the new induction standards. The training records were very well maintained. The carers said they enjoyed the training and they felt supported during the NVQ process. One person said the training had given her more confidence in Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 18 her role. They also said the lines of communication were good with regular staff meetings and formal supervision. The manager has adopted an open management style. The carers said they enjoyed working at the home and were proud to be associated with it. One person said she had job satisfaction and felt rewarded by her role. A small number of staff files were examined. They contained the required documentation and there was evidence of references including satisfactory checks with the Criminal Record Bureau. Once again it was noted that the contents of these files were well maintained. Auden House DS0000068287.V334829.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): 31, 33, 35 & 38 Quality in this outcome area is good. The manager of the home has the skills, experience and qualifications to run the home in the resident’s best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has the appropriate skills and experience to manage Auden House. There was evidence to show she continues to update her knowledge and skills by attending various courses. The home has a system to protect the financial interests for those residents who are no longer able to deal with their money. Satisfactory records with receipts covering all expenses are retained for auditing and inspection purposes. Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 20 The care plans and risk assessments were found to be up to date and regularly reviewed as are the homes policies and procedures. The home uses part of a quality assurance system that is specifically designed for care homes’ purposes. Quality surveys are sent out at six monthly intervals. There was evidence that comments contained within the surveys were acted up wherever possible. The residents also have meetings where they can become involved in the running of the home. The registered providers remain in contact with the home. Reports of regulation 26 visits made to the home by the registered provider or their representative were available for inspection. No hazards to health were noted during the inspection. The health, safety and welfare are further ensured by the systems in place to report any accidents and incidents. Auden House DS0000068287.V334829.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Auden House DS0000068287.V334829.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. 1 Refer to Standard OP19 Good Practice Recommendations The registered person should arrange to have the redundant furniture and fittings removed from the side of the building as they could attract vermin or be a potential fire hazard. Auden House DS0000068287.V334829.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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 Auden House DS0000068287.V334829.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. 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. 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