Inspection on 16/01/06 for Blenheim Court Nursing Home

This inspection was carried out on 16th January 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

Blenheim Court Nursing Home 26/02/07

Blenheim Court Nursing Home 21/11/06

Blenheim Court Nursing Home 11/07/05

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 Michael O’Neil Unannounced Inspection 16th January 2006 09:10 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 Blenheim Court Nursing Home DS0000021770.V274768.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. Blenheim Court Nursing Home DS0000021770.V274768.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Blenheim Court Nursing Home Address Elm Lane Sheffield South Yorkshire S5 7TW 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) 0114 245 6026 0114 257 7016 blenheimcourt@highfield-care.com Southern Cross Care Homes Limited Mrs Angela Turner Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Blenheim Court Nursing Home DS0000021770.V274768.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow 3 beds for service users aged 55 years and over Date of last inspection 11th July 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 DS0000021770.V274768.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Michael O’Neil carried out this unannounced inspection from 9:10 to 14:10. Angela Turner,registered manager was present for the inspection. Opportunity was taken to make a partial tour of the premises, inspect a sample of records and policies and talk to 7 staff, 4 visiting relatives and 10 residents. 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? The appearance of the meals had improved since the last inspection and the residents said that they enjoyed the food served at the home. Further refurbishment of the home has taken place. The two smaller lounges have been redecorated and new carpets laid which has markedly improved the appearance of these rooms. New chairs have also been provided in these lounges. Staff were employed in sufficient numbers and the residents and relatives said that staff were available when they needed them and that they were visible around the home. Blenheim Court Nursing Home DS0000021770.V274768.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. Blenheim Court Nursing Home DS0000021770.V274768.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 Blenheim Court Nursing Home DS0000021770.V274768.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): Standard 2. Residents’ contracts contained a breakdown of fees charged by the home. EVIDENCE: A resident’s file was checked. The resident had been issued with a contract. The information in the contract informed the resident and their relatives about the fees charged by the home. Blenheim Court Nursing Home DS0000021770.V274768.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): Standards 8,9 and 10. Residents themselves said that they were happy at the home and the staff were nice. Relatives said that the care delivered by staff was very good. Current medication practices undertaken by staff were safe. Residents’ privacy and dignity was maintained. EVIDENCE: Residents said that they were happy and that the staff were nice. Residents also said that the care they received couldn’t be better. Relatives said that they thought the staff of the home were” lovely” and that the care delivered by them was “very good”. Residents were well dressed in clean clothes and had received a good standard of personal care. Staff were observed to be assisting residents in a positive and friendly manner, doors were closed where staff were helping with personal care. Medication procedures provided protection to residents. Medicines were securely stored in the home in locked cupboards within a treatment room. Medicine Administration Records (MAR) checked were completed with staffs’ signatures. Blenheim Court Nursing Home DS0000021770.V274768.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): Standards 12,13,14 and 15. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. Meals served at the home were of a good quality and offered choice. EVIDENCE: A friendly, lively and welcoming feel was evident in Blenheim Court. Residents and relatives spoke positively about the amount of activities available within the home. Activities were happening at the time of inspection. Residents were enjoying games of dominoes in the morning and a singer was entertaining the residents in the afternoon. Residents said that they were able to maintain contact with their family and friends. Relatives said they were always made to feel welcome when they visited. Residents said they chose when they got up and went to bed and had a choice of food at mealtimes. Records of the residents’ food choices were seen in the kitchen. The appearance of the meals had improved since the last inspection. Lunch was served in a pleasant relaxed manner and the residents said that they enjoyed their lunch. Blenheim Court Nursing Home DS0000021770.V274768.R01.S.doc Version 5.1 Page 11 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): Standard 18. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home. EVIDENCE: Staff interviewed said they had received information and training on adult abuse. This will help to ensure that residents are protected from abuse. Blenheim Court Nursing Home DS0000021770.V274768.R01.S.doc Version 5.1 Page 12 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): Standards 19,21,22,24 and 26. The environment within the home was on the whole well maintained and clean providing a comfortable, safe environment for residents. EVIDENCE: Since the last inspection further refurbishment of the home has taken place. The two smaller lounges have been redecorated and recarpeted which has markedly improved the aesthetics of these rooms. New chairs have also been provided in these lounges. The carpets in the larger lounge and corridors on the ground floor are marked and need either thorough cleaning or replacing. The home was clean, with no unpleasant odours noticeable. Residents said that their rooms were always kept clean. Five bedrooms were checked and were comfortable and homely. Bed linen checked was clean, however a bed sheet on one bed had holes in it and on two beds checked the sheets appeared very thin and worn. Staff said that there were enough hoists available to ensure that residents could be safely moved. Blenheim Court Nursing Home DS0000021770.V274768.R01.S.doc Version 5.1 Page 13 The nurse call unit in one lounge was damaged and could not be used safely by the residents to summon help from the staff should they need too. Blenheim Court Nursing Home DS0000021770.V274768.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): Standards 27,29 and 30. Staff were employed in sufficient numbers. Staff had undertaken training in various subjects. The recruitment information obtained for new staff was sufficient to adequately protect the welfare of residents who lived at the home. EVIDENCE: The manager stated that agreed staffing levels were being maintained. The staff rota identified agreed staffing levels had been met. This will assist in making sure that residents’ needs are met. Residents and relatives said that staff were available when they needed them and that they were visible around the home. The recruitment information obtained for new staff was sufficient to adequately protect the welfare of residents who lived at the home. The staff files contained references from the staffs last employer, information to verify identity and notes were made during the interviews of prospective staff. Staff said that there were good training opportunities available to them, which enabled them to feel competent to do their job. Blenheim Court Nursing Home DS0000021770.V274768.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): Standards 31,32,35,37 and 38. There was a positive style of management in the home. In the main the homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: Residents and relatives said that the manager was approachable and helpful. The manager said that she had completed a management in Health and Social Care qualification at Leeds University. The inspector saw a certificate supporting this. The manager should be commended for achieving this qualification. The manager and cook said that all the catering staff had received food hygiene training. However they were not sure if this was to an adequate legal requirement. Advice from the local Environmental Health Officer must be sought over this matter. Blenheim Court Nursing Home DS0000021770.V274768.R01.S.doc Version 5.1 Page 16 The inspector examined the residents’ personal money accounts. A receipting system and statement sheets were seen for each resident. The manager at the home said that some of the residents money is banked in an account that is interest paying. The inspector found no evidence, however that interest had been apportioned to individual residents in the past 12 months. This interest must be apportioned so that the residents’ financial interests are safeguarded. The safety of the residents and staff could not be fully maintained. This was because fire drill records did not identify the time and duration of the drill and there was no evidence to indicate that the drills were being held at different times of the day so that all staff could participate in a drill. 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. At the time of inspection no fire exits were blocked and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. This will promote the safety and welfare of the service users. Blenheim Court Nursing Home DS0000021770.V274768.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 3 X X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 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 X 17 X 18 3 2 X 3 2 X 2 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 X X 2 X 3 2 Blenheim Court Nursing Home DS0000021770.V274768.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. 1. 2. 3. 4. Standard OP19 OP22 OP24 OP35 Regulation 23 23 16 13, 16 Requirement All areas of the home used by residents must be well maintained. (Carpets) Call systems with an accessible alarm facility must be provided in every room. Adequate and comfortable bed linen must be provided for residents. Residents financial interests must be safeguarded by interest being paid on any savings held on their behalf. The home must consult with the authority responsible for environmental health for the area in relation to the suitability of staff training in food safety. Fire Drills must be conducted at different times of the day/night so as to ensure that all staff working at the home are aware of the procedures to follow in the event of fire. Fire Drills records must indicate the time and duration of the drill. Timescale for action 01/07/06 01/04/06 01/04/06 01/04/06 5. OP38 23(5) 01/04/06 6. OP38 23 01/04/06 Blenheim Court Nursing Home DS0000021770.V274768.R01.S.doc Version 5.1 Page 19 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 Blenheim Court Nursing Home DS0000021770.V274768.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Sheffield Area Office 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 DS0000021770.V274768.R01.S.doc Version 5.1 Page 21 - 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. 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