Inspection on 11/07/05 for Blenheim Court Nursing Home

This inspection was carried out on 11th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Blenheim Court Nursing Home 26/02/07

Blenheim Court Nursing Home 21/11/06

Blenheim Court Nursing Home 16/01/06

Blenheim Court Nursing Home 11/01/05

Blenheim Court Nursing Home 29/06/04

Blenheim Court Nursing Home 02/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Blenheim Court Nursing Home Elm Lane Sheffield South Yorkshire S5 7TW Lead Inspector Mike ONeil Unannounced 11 July 2005 09:00am 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 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. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Blenheim Court Nursing Home Address Elm Lane Sheffield S5 7TW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0114 2456026 0114 2577016 Not known Southern Cross Healthcare Limited Mrs Angela Turner N Care Home with Nursing 44 Category(ies) of OP Old age - 44 registration, with number of places Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: To allow 3 beds for service users aged 55 years and over Date of last inspection 11th January 2005 Brief Description of the Service: Blenheim Court is a residential nursing home providing care and accommodation for 44 older people, including care for up to three people between the ages of 55 and 65. Blenheim Court is situated in the North of Sheffield, close to Sheffield Lane top. The home is within a short driving distance to local amenities such as shops, and churches; and local shops and pubs can be reached within a short walk from the home. The home is a two-storey building with lift access to the upper level. The home is accessible for wheelchair users. The home has both single and double accommodation.The home is split into two wings consisting of the original building and an extension. The homes gardens are accessible to wheelchair users and there is a patio with seating area. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 09:35 to 13:35. Julie Wright,deputy manager was present during the inspection. Nine residents, five relatives and five staff were spoken with. A sample of records were examined and a partial inspection of the building was carried out. The inspector wishes to thank the staff, relatives and residents for their time, friendliness and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? What they could do better: Resident contracts need to contain more details on the fees charged. The quality and presentation of the food needs some improvement. The lounge carpets require additional cleaning or replacing. Staffing levels must be maintined and increased supervision of residents in two lounges is needed. The frequency of practice fire drills must be increased. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 standard(s) 1,2 and3. Standard 6 is not applicable to this home. The Statement of Purpose and Service User Guide provided sufficient information. Residents’ contracts did not contain a detailed breakdown of fees charged by the home. Residents’ needs had been assessed. EVIDENCE: The homes Statement of Purpose and Service User Guide were informative and up to date which would enable prospective residents to make an informed decision about admission to the home. Copies of the statement of purpose were available in the reception area of the home. Residents had been issued with a contract. The information in the contracts did not clearly inform residents about the fees charged by the home. Two resident files were checked and each contained a copy of their full needs assessments. The information from the full needs assessment had been incorporated into the resident care plans. This will enable staff to plan and meet the residents’ needs. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 standard(s) 7,8 and 10. Care plans detailed a significant amount of information relating to health, personal and social needs. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents themselves said that the care they were receiving was very good and that the staff were friendly, helpful and polite. Relatives said that the care delivered by staff was excellent. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 10 EVIDENCE: Two resident plans of care were checked. Each set out individual needs and the action required by staff to ensure those needs were met. Discussion with residents and relatives identified that a range of health professionals visited the home to assist in maintaining the residents health care needs. Residents or their relatives were involved in drawing up the plans. Residents said that they were happy and that the staff were very caring and “marvellous”. Relatives said that they thought the staff of the home were” wonderful” and that the care delivered by them was “excellent”. Residents were well dressed in clean clothes and had received a good standard of personal care. Residents and relatives said that staff were friendly, helpful and polite. Staff were observed to be assisting residents in a positive and friendly manner, doors were closed where staff were helping with personal care. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 standard(s) 12,13,14 and 15. On the whole the meal served at the home on the day of inspection was not of a good quality. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 12 EVIDENCE: Throughout the day friends and family were seen visiting freely and being offered hospitality, which creates a home that people want to visit. A friendly and welcoming feel was evident in Blenheim Court. Residents and relatives spoke positively about the amount of activities available both within the home and on trips outside the home. Residents said that they had really enjoyed a barge trip last week. Residents said they chose when they got up and went to bed. Lunch was served in a pleasant relaxed manner with staff sat with some residents assisting them to eat. Six residents said that they had not enjoyed their lunch, as the texture of the food was dry. One resident was adding copious amounts of relish to their meal because they said the meal was too dry. The portions of food did appear very large and there was a fairly large amount of waste left on several of the residents’ plates. The residents did say that generally the food served was of a good quality but that the odd meal was not very nice. The appearance of the pureed diets was poor and did not look appetising as the meat and vegetables were pureed together and not individually pureed and served in three separate portions on a plate. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 standard(s) 16. Complaints procedures are in place to enable residents and relatives to feel confident that any concerns they voice will be listened to. EVIDENCE: Complaints procedures were displayed around the home. Relatives and residents said that if they had any concerns that they would feel comfortable in talking to the staff or the manager. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 standard(s) 19,20,21,22,24,25 and 26. The environment within the home was generally well maintained and clean providing a comfortable, safe environment for residents. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 15 EVIDENCE: The grounds around the home were very welcoming and residents and their relatives were sat outside on furniture in the well-tended gardens. Since the last inspection refurbishment of the home has continued. The lounges and corridors have been redecorated which has markedly improved the aesthetics of the home. Some lounge carpets in the home are marked and need either thorough cleaning or replacing. However the environment within the home was on the whole, well maintained providing a comfortable, safe environment for residents. Three bedrooms were checked in detail and many others seen, all were comfortable and homely. Residents said their beds were comfortable. Bed linen checked was clean and in a good condition. The home was clean, with no unpleasant odours noticeable. Relatives and residents said that the home was always kept clean. The home was warm in all areas. Staff said that there were enough hoists available to ensure that residents could be safely moved. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27. Staff were not employed in sufficient numbers to meet the needs of residents in accordance with agreed staffing levels. EVIDENCE: Staffing arrangements and numbers meant that at times residents’ needs may not be met. There was a shortfall of two care assistants, due to staff sickness, which meant that agreed staffing levels were not met. Residents were not being supervised in two lounges in the home for periods of up to ten minutes. There was little stimulation for the residents in these lounges during the morning period whilst staff were attending to the other residents care needs. Residents did say that generally there was always a member of staff available when they needed them. Staff said staffing levels were adequate providing that there was no staff sickness. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33 and 38. There was a positive style of management in the home and staff moral was good. Further staff fire and food hygiene training is needed to protect the safety of the residents and staff. In the main however, the homes policies and procedures promoted the health, safety and welfare of residents and staff. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 18 EVIDENCE: Relatives and residents said that they met regularly with the manager and spoke positively about her approachability and helpfulness. Staff said that they enjoyed working at the home and regularly attended staff meetings. Records were securely stored around the home, which protected the residents’ best interests and confidentiality. Staff said they had received recent fire safety training .A sample of records showed that staff were receiving this and other statutory training. The safety of the residents and staff could not be fully maintained however because: • A practice fire drill had not been completed at the home since December 2004. • The deputy manager said that not all the catering staff had received food hygiene training. At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. The hot water temperature in one bathroom measured a safe temperature of 43 degrees centigrade. This will promote the safety and welfare of the service users. Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 2 3 3 3 x 3 3 3 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 3 x x x 3 2 Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 20 Yes Are there any outstanding requirements from the last inspection? 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. 1. Standard 2 Regulation 5 Requirement Each resident receiving nursing care must have a contract, which provides a breakdown of all the fees charged. (Previous timescale of 30/04/05 not met) Food ,including liquidised meals, must be served in an attractive and appealing manner.The food must be appealing in terms of texture, flavour and appearance. All areas of the home used by residents must be well maintained.(Carpets) There must be sufficient numbers of competent and experienced staff on duty at all times. Staff numbers and organisation must be such that residents are adequately supervised. All staff involved in food preparation must receive regular food and hygiene training. (Previous timescale of 30/04/05 not met) Staff must participate in fire drills at least twice a year. Timescale for action 01/12/05 2. 15 16 01/09/05 3. 4. 19 27 23 18 01/12/05 01/09/05 5. 6. 27 38 18 13,18 01/09/05 01/12/05 7. 38 23 01/10/05 Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 21 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 None Good Practice Recommendations Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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. Extracts may not be used or reproduced without the express permission of CSCI Blenheim Court Nursing Home J55 S21770 Blenheim Crt V236473 11.07.05 UI Stage 4.doc Version 1.40 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!