Inspection on 12/12/05 for Belvidere Nursing Home

This inspection was carried out on 12th December 2005.

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

Belvidere Nursing Home 12/04/07

Belvidere Nursing Home 11/09/06

Belvidere Nursing Home 08/12/04

Belvidere Nursing Home 18/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Belvidere Nursing Home 85/89 Seabank Road Wallasey Wirral CH45 7PB Lead Inspector Jeanette Fielding Unannounced Inspection 12th December 2005 10:30 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 Belvidere Nursing Home DS0000020932.V275205.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. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Belvidere Nursing Home Address 85/89 Seabank Road Wallasey Wirral CH45 7PB 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) 0151 639 7773 0151 691 1090 Belvidere Nursing Home Limited Karen Pickford Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 named adults under 65 years of age Date of last inspection 13th June 2005 Brief Description of the Service: Belvidere Nursing Home is owned by Belvidere Nursing Homes Limited, and is managed by Miss Karen Pickford, who is a first level nurse with experience in caring for the client group. This care home is registered to provide nursing care for 40 older people. Belvidere is a large imposing building, which is located in the residential area of Wallasey, close to the promenade and local amenities. Communal areas are bright pleasantly furnished and furbished, and ornaments, flowers and pictures result in a comfortable environment. Televisions, videos, piano, electric organ and a music centre are available. The home is double glazed throughout and ramp access is available at the side front entrance. A lift serves all floors. There is a reception hall with leather seating, desk, fireplace, plants and photographs, and there is a choice of lounges and dining rooms. A conservatory and other quiet sitting areas are located in various parts of the building and one small lounge is designated for those residents who wish to smoke. A hairdressing salon is provided. Both single and shared accommodation is provided on three floors and many have the benefit of en-suite facilities. A selection of bathrooms, toilets and a shower are provided on each floor. All are well appointed and assisted bathing facilities are available. The well-maintained rear garden has walkways, sitting areas, gazebo and a summerhouse. Car parking is provided at the front and rear. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this inspection, the views of service users, staff and visitors to the home were obtained to give a broad picture of the service provided. Pre admission assessments were checked, together with care plans and evidence of the care given to service users on a daily basis. These records were found to be detailed and informative. Staff records were up to date and information was recorded regarding the training given to both care and nursing staff. Records relating to health and safety were examined to provide evidence that the service users were protected. All areas of the home were inspected and showed that service users bedrooms and communal areas were decorated and furnished to a good standard. What the service does well: What has improved since the last inspection? What they could do better: The home should continue to undertake regular reviews to evaluate and improve the service. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 6 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. Belvidere Nursing Home DS0000020932.V275205.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 Belvidere Nursing Home DS0000020932.V275205.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): 1, 3 The homes Statement of Purpose and Service User Guide are good providing service users with details of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: A detailed Statement of Purpose and Service User Guide provide current and prospective service users with full information regarding the home and the service it provides. These documents are available to view in the entrance area of the home and copies are available on request. Prospective service users are assessed by the manager or deputy manager prior to being admitted to home. This is undertaken to ensure that the home can meet the service users identified needs and to enable any specialist equipment to be provided prior to the service user being admitted to the home. The assessment is undertaken with the service user, their family and other professionals involved in their care. The care files for service users recently admitted to the home were inspected and were found to contain detailed assessment records. Belvidere Nursing Home DS0000020932.V275205.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): 7, 8, 9, 10 The health care needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: Comprehensive care plans are prepared for each service user to provide staff with full information regarding the care needs and preferences of each service user. Inspection of the care plans showed that care needs had been identified and action plans set in place to address those needs. Risk assessments had been undertaken and risk management strategies set in place where necessary. Evidence of visits to and by GP’s, Chiropodist, Dentist and other health care professionals was seen, together with information given to the home by these professionals. Daily reports provide evidence of the actual care given by the staff. These reports are detailed and informative. Medications are dealt with in accordance with the home’s policy and procedure. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 10 Policies and procedures are in place to ensure that privacy and dignity are maintained. Staff are given training on this during induction and additional information is detailed in the staff induction handbook. A handbook is issued to all new staff to enable a comprehensive induction training programme to be followed. Headings within the book are signed by the manager when competency in specific tasks is established. Service users may meet with their visitors in the privacy of their bedroom or in one of the communal areas as they wish. A pay telephone is available although some service users have chosen to have their own telephone installed. Mail is delivered unopened and service users are addressed by the name of their choosing. Service users spoken to during the inspection confirmed that their privacy is respected at all times by the staff and that the staff did all they could to meet their needs. They also confirmed that the staff tried really hard to meet their individual preferences. Screens are provided in shared bedrooms to promote privacy and to protect dignity. Belvidere Nursing Home DS0000020932.V275205.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, 13, 14, 15 A high number of activities and social events are provided by the home and enrich service users social and educational opportunities. EVIDENCE: Service users spoken to at the inspection said that they were free to choose their own routines within the home and that the staff were always caring. A high number of activities take place within the home and a record of these is maintained. Recent activities include a Frank Sinatra sing-along, a fashion clothing sale and a local shop hosted a toiletries and gift pack sale to enable service users to purchase gifts for family and friends. A Christmas party and a carol concert were planned for later in the week following the inspection. Service users said they had recently held a fair where they sold items that they had made. Other service users said they were looking forward to a cinema evening. Activities also include reminiscence, games and crafts. Relatives and friends are encouraged to visit and those spoken to confirm that the staff made them feel very welcome. Ministers provide services within the home to provide for service users spiritual needs. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 12 Service users take their meals in the dining room or in their own bedroom as they choose. A selection of meals is offered at all mealtimes and any special requests can usually be met. The chef discusses the meal of the day with the service users and the menus provide evidence that a varied and balanced diet is offered. Special diets can be provided on request or on the advice of the GP or dietician. The meal on the day of the inspection looked and smelled appetising and service users spoken to said that the meals were always good and that they could choose from a selection of meals. Belvidere Nursing Home DS0000020932.V275205.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): 16, 18 Arrangements are in place for protecting service users and to prevent them being placed at the risk of harm or abuse. EVIDENCE: The home has a comprehensive complaints policy and procedure. The procedure is detailed in the Statement of Purpose and is also displayed on the notice board. No complaints have been received in the last twelve months. Service users spoken to said that they knew who they could express their concerns to and felt confident that they would be listened to and appropriate action taken. Training on abuse is given during the induction training programme and has been given to staff to assist them in understanding the various forms of abuse. Information regarding abuse and additional training is given to staff on a regular basis. The manager and deputy manager are fully aware of the action to be taken in the event of abuse being suspected and of the people to be contacted. Belvidere Nursing Home DS0000020932.V275205.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, 26 The standard of the environment within this home is good and continues to improve, providing service users with an attractive and homely place to live. EVIDENCE: The home is extremely well maintained with a rolling programme of redecoration. Several bedrooms have been redecorated since the last inspection and all rooms were seen to be bright and attractively decorated and furnished. Furnishings are in good condition throughout the home and provide service users with a bright, pleasant and homely environment in which to live. Repairs have been made to the baths, which had been noted as damaged at the last inspection. Evidence that repairs are attended to as soon as they are reported was seen. New curtains are being provided in bedrooms and it is evident that continued improvements are being made within the home. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 15 Appropriate measures have been taken with regard to the call bells in ensuite toilets. Risk assessments have been prepared and risk management plans put in place to ensure the protection of service users. The home was seen to be clean throughout and free from offensive odours. Infection control and laundry policies and procedures are in place and training is included in the induction programme. Service users personal laundry is attended to by the home and was seen to be handled with care and consideration. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 16 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, 28, 29, 30 Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. EVIDENCE: The staff rotas provide evidence that the home is employing and deploying staff in sufficient numbers to meet the needs of the service users. During the morning, the home provides two qualified nurses supported by six care staff, in the afternoon and evening, two nurses are supported by four care staff and at night, one nurse is supported by three care staff. Evidence is held on staff files of training undertaken during induction and subsequently. Comprehensive training has been undertaken by both care staff and qualified nurses to ensure that they can offer service users a high standard of care. Evidence of all training undertaken by the staff is held on their individual files. Information regarding both in house and external training is displayed on a board and is accessible to all staff. Specialist training is provided whenever it is identified as necessary in addition to the training to further promote staff’s knowledge and understanding. The home has a policy and procedure for the recruitment of staff which is accordance with equal opportunities legislation. All prospective staff are required to complete an application form and then attend for interview. Two references are taken and checks made with the CRB and POVA and evidence of qualifications is required to be produced. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 17 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 EVIDENCE: The manager of the home is a qualified nurse who has considerable experience in the management of a care home for elderly persons. She continues to develop her knowledge and understanding through training and is currently working towards an NVQ in management at level 4. The home has developed a quality monitoring system. Questionnaires are sent to all service users, relatives and staff to obtain their views of the home and of the service provided. A file is held in the home providing evidence of all questionnaires responded to and of the action taken following the surveys. Service user’s and relatives meetings are held on a regular basis and minutes of these meetings are held. The records provide evidence that issues and suggestions raised during these meetings are acted upon. The manager and Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 18 deputy manager speak with service users on a one to one basis on a daily basis whenever possible. Service users confirmed that they were given every opportunity to express themselves both openly and confidentially to the management. The home does not deal with any of the service users personal monies. Family members or advocates are invoiced for any additional charges incurred by the service users. A written statement for maintaining safe working practice is included in the homes policies and procedures and work based risk assessments are undertaken, documented and regularly updated. Tests are made on the fire detection equipment as required and is duly recorded. All safety certificates inspected were found to be well maintained and up to date. Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 19 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 3 X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 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 4 X 3 X 3 X X 3 Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 20 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 Belvidere Nursing Home DS0000020932.V275205.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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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