Inspection on 16/02/06 for Avondale Residential Care Home

This inspection was carried out on 16th February 2006.

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

Avondale Residential Care Home 16/12/08

Avondale Residential Care Home 12/01/07

Avondale Residential Care Home 30/08/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Avondale Residential Care Home 45 Norton Road Stourbridge West Midlands DY8 2AH Lead Inspector Christine Lancashire Unannounced Inspection 16th February 2006 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 Avondale Residential Care Home DS0000064415.V282838.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. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Avondale Residential Care Home Address 45 Norton Road Stourbridge West Midlands DY8 2AH 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) 01384 442731 Stoneleigh Care Homes Ltd Kelly Bate Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 Brief Description of the Service: Avondale, which is on a main road near Stourbridge, is a fifteen bedded home accommodating older people. The home has been adapted and extended for this purpose from a traditional property in its own grounds with mature gardens and car parking available. The facilities include 15 single bedrooms (10 with en-suite), two communal lounges, a dining area, one assisted bathroom, one shower and four communal toilets. A shaft lift is also available for access to the first floor. Staffing is available over a 24hr period (this includes waking night staff) with seventeen staff including a registered manager, care staff and a housekeeper, cook and handyman. The home is registered for personal care only. The home offers a homely environment in which personal care is provided to older people without other substantive needs outside of frailty that is a result of the ageing process. The current resident group is of mixed gender and all white European. The home has a clear policy on not offering emergency care. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday morning and was unannounced. The inspector met four members of staff in addition to the manager. She examined records and toured part of the building, including the kitchen. She spoke with several residents, all of whom expressed great satisfaction with the home. After the visit, a questionnaire was sent to the manager in order to gather the information usually obtained prior to an announced visit. Questionnaires were also sent to the residents, their relatives and placing officers. 11 residents, 5 relatives, 1 GP and a placing officer provided comments. They all expressed satisfaction with the home. One wrote ‘The home (and more importantly the staff) are excellent’ and this was representative of the comments received from residents on the day. The purpose of this inspection was to assess those key standards not covered at the last visit. There are no requirements following this visit. What the service does well: What has improved since the last inspection? The home has continued to maintain the high standards. The quality monitoring system has been developed further. Staff have received further training in several areas. The manager has completed the Registered Managers’ Award and is developing her IT skills. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 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. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 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 Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. Standard 3 was met at the previous visit and standard 6 does not apply in this home. EVIDENCE: Avondale Residential Care Home DS0000064415.V282838.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): These standards were not assessed at this inspection. The key standards were all met at the previous visit. EVIDENCE: Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 10 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): 12,13,14,15 Residents find that the lifestyle at this home matches their preferences and meets their needs. They maintain contact with family, friends and their local community. Residents are enabled to exercise control over their lives. Residents enjoy an appealing and varied diet in pleasant surroundings. EVIDENCE: Residents are encouraged to voice their preferences in terms of daily activity and association. Their interests are recorded at the time of admission and staff make efforts to ensure that they are enabled to follow previous interests and explore new ones. One of the living rooms is quiet in the day so that residents can read or chat. There is a radio in the other room. The television stays off until after tea-time. The home uses the services of a variety of visiting workers to lead sessions in physical activity and crafts. Staff also encourage residents to participate in games, such as bingo, skittles, dominoes and board games. In the Summer months, residents enjoy the garden. Trips to places of interest, such as the safari park and garden centres, have been organised in the past, but most of the residents now prefer to avoid long journeys. They enjoy occasional pub meals and musical entertainers. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 11 Some residents visit relatives or friends. They are encouraged to make choices about the activities at the home on an individual basis and at residents’ meetings. The right of residents to choose to rest and not to participate in organised activity is respected. The home has a policy on maintaining the involvement of relatives, friends and representatives. This is on display in the foyer to the home. Visiting is not restricted, but visitors are asked to avoid arriving at mealtimes. In survey responses, relatives confirmed that they are made welcome by staff. Visitors may be entertained in service users’ rooms in addition to the two lounges and dining room. The garden is also available in the warmer weather. The home encourages residents to make their own arrangements for handling their finances. Contact numbers for advocacy services and external agencies are made available to service users and their relatives. Residents are enabled to bring personal possessions with them and many have chosen to bring small items to make their rooms more individual. The home has some storage space, should a resident wish to replace an item of furniture for one of their own. This would be agreed prior to admission. Residents are able to access their records and signatures on files indicate that they are encouraged to participate in the care planning and review process. The home offers three meals a day to residents, with some also choosing to take supper as well. Breakfast is served between 8 and 9.30am and includes a full choice of cold and cooked foods. Those who choose not to come down stairs for breakfast may have a tray in their room. There is a set menu at lunchtime, but the menu is written on a board the day before. The preferences and medical needs of individuals are known by staff and alternatives are prepared after consultation. There are hot and cold choices at tea-time. The menus show a variety of traditional English meals in accordance with the cultural background of the residents. The home has offered multi-cultural alternatives from time to time, but these are not popular. Survey responses indicated that residents are pleased with the standard of catering and residents praised the catering on the day of the inspection. All service users are assessed at the time of admission and the staff monitor weight loss and gain, so that appropriate referrals can be made to health professionals in case of unusual or concerning variations in this respect. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Residents’ and their representatives are confident that their complaints will be treated seriously and acted upon. Residents’ legal rights are protected. Residents’ are protected from abuse. EVIDENCE: There are good arrangements for handling complaints and these are well publicised. The home maintains records of complaints which have been made, together with details of how they have been handled and the outcome. Few complaints are made. The manager shared the details of a recent complaint with the inspector and this demonstrated an impressive amount of work which the manager had undertaken in order to explore solutions to the situation and ensure that the complainant was satisfied with the outcome. Residents’ legal rights are protected at this home. Residents’ are encouraged to register so that they may vote and the manager produced evidence that they had done so. There are policies and procedures to enable staff to protect residents’ from abuse. Staff receive training in this area and this is renewed on a regular basis. Appropriate checks are made on all staff. Professional visitors are asked for identification and other visitors are monitored by means of a signingin book. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. The key standards were all met at the previous visit. EVIDENCE: Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): These standards were not assessed at this inspection. The key standards were all met at the previous visit. EVIDENCE: Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31,33,35,38 Residents’ live in a home which is run by a manager who is fit, of good character and able to discharge her responsibilities fully. The home is run in the best interests of residents. The residents’ financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The Registered Manager is suitably qualified and experienced to run the home. She has just completed the Registered Managers’ Award and has plans to improve her IT skills. She is diligent in her duties and works hard to ensure that the high standards are maintained. There are clear lines of responsibility in the staff team and suitable arrangements for cover in the absence of the manager. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 16 The home makes use of a quality assurance system in order to maintain the standard of care. This involves questionnaires which are sent to all interested parties including the residents’ and visiting professionals. Policies and procedures are reviewed regularly. The home has an annual development plan and a business plan. The home does not act as an appointee or agent for any service users. Service users make their own arrangements for the handling of their finances. However, the home does look after some small amounts of spending money on behalf of residents’. There are procedures which govern the handling of this money. Individual amounts of money are stored securely, with full records of deposits and withdrawals. These records were seen to be appropriately recorded. The manager checks the records on a regular basis and signs to indicate this. Inventories of service users’ property are completed at the time of admission to the home. The home has a written statement of the policy, organisation and arrangements for maintaining safe working practices. All accidents are recorded. Dates were provided for the full range of safety checks on equipment in and services to the home. Staff are provided with training in safe working practices and equipment for infection control is freely available at the areas of frequent use. There are risk assessments in relation to the individual service users, the building, working practices and fire. These are reviewed and updated on a regular basis. The inspector sampled the risk assessments and the safety records and found these to be up to date and in good order. The physical environment is well maintained and any possible hazards, such as steps, are well marked. Staff are also aware of the need to provide verbal warnings to visitors. There are aids and adaptations in bathrooms and WCs to enhance personal safety. There are weekly visits by the handyman, who attends to minor repairs and decorates all areas on a regular basis. Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X 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 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 4 Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 18 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 Avondale Residential Care Home DS0000064415.V282838.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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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