Inspection on 11/08/06 for Blyth Country House Care Home

This inspection was carried out on 11th August 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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Blyth Country House Care Home Spital Road Blyth Worksop Nottinghamshire S81 8DU Lead Inspector Mary O`Loughlin Key Unannounced Inspection 11th August 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 Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blyth Country House Care Home Address Spital Road Blyth Worksop Nottinghamshire S81 8DU 0115 9691300 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) Hanumaan Ltd Ms Julie Tindall Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Blyth Country House is a care home registered for 30 older people providing nursing and personal care. The home was registered to Hanumaan Ltd on 29th June 2006. The home is a converted and detached property with bedrooms on the ground and first floor. There is a passenger lift to facilitate access. There are 22 bedrooms, 14 of which have en-suite facilities and 4 double bedrooms 1 of which have en-suite facilities. There are 3 communal lounges. The home is situated on the outskirts of the village of Blyth and is accessible for the village facilities such as shops and public houses. There is level access to the gardens. The range of fees are; £277.00 to £343.00 depending on the dependency of the resident. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over 3.5hrs following the registration of the new provider of the service. A range of information was used to undertake the inspection and the report. The service provided information to the Commission for Social Care Inspection in the pre-inspection questionnaire. Three residents were case tracked which involves reading their care plans and tracking the care they receive through discussion with them and their relatives wherever possible, looking at the facilities and services available to them and the delivery of the care they receive. One resident and one relative who were not part of the case tracking also provided information to the inspector. The individual rooms and the bathing and toilet facilities used by those case tracked were viewed. Four staff were spoken with including the homes administrator. The manager was on the premises at the start of the inspection but was escorting residents on a day trip, so was unable to stay for the duration of the inspection. She did give as much information as possible before leaving the home. Records of recruitment practices were examined. The homes registered manager and staff have not changed since the new registration on 29th June 2006. The policies and practices remain the same and are fully compliant with the National Minimum Standards. What the service does well: What has improved since the last inspection? This is the first inspection following the home’s new registration. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3-6 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents are assessed prior to the home agreeing admission to ensure that their needs can be met by the home. Intermediate care is not provided. EVIDENCE: Three care plans examined show that an appropriate pre-admssion assessment is undertaken prior to residents moving into the home. The home has a sustained track record with ensuring that residents are not admitted until a full assessment of their needs is undertaken and any external professional assessment is also obtained. This ensures that the home are able to meet the persons needs before agreeing the admission. The home does not provide intermediate care. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7-8-9-10 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents health, personal and social care needs are set out in a care plan that is drawn up with the resident and their representative. Residents health care needs are fully met. Residents are protected by the homes policies and procedures regarding medicines. Residents are treated with respect and their privacy is upheld. EVIDENCE: The residents spoken to on this occasion felt properly supported by staff and confident that their privacy was maintained. Each resident has a care plan in place that describes the actions necessary by staff to deliver care. Significant time is spent ensuring that plans are reviewed as conditions change and there is evidence of the involvement of the residents and their relatives when drawing up the plans. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 10 The care plans are working tools and show that residents are referred to external health and remedial services, as their care requires. Daily records are also completed which provide staff with current information on the resident’s day. Residents are provided with suitable aids and equipment they require. Residents spoke of how they are assisted by staff and feel supported by them in a manner that respects their privacy and dignity. Each bedroom has a notice advising staff/visitors to knock and wait before entering. One relative spoke of how she is able to assist with her husbands care particularly at mealtimes; they were also enabled privacy during visits within the person’s own room. Staff providing personal care did so in private and restricted entry to those areas during the procedures to ensure privacy was maintained. Three residents medicine management was examined and suitable safeguards were in place. There was evidence that the manager also audits the homes practices in the management of medicines to ensure appropriate practice is taking place. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-13-14-15 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents have opportunities to choose a lifestyle that matches their expectations. Residents are supported to maintain contact with family and friends. Residents feel they have control over their lives. A nutritious and wholesome diet is provided with individual choices on the day. EVIDENCE: On this day of inspection residents were going out on an organised boat trip, escorted by the manager and staff. Residents have access to an organised activities programme. An activities person is employed at the home which provides dedicated time for residents to be supported to take part in their activities of their choice. Residents spoken with felt they could choose what time they got up or went to bed and felt they had control over their lives. Residents are given a daily choice of menu and staff spend time visiting each person to ensure they have the opportunity to choose their choice of diet for the day. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 12 Special diets are catered for and there were good arrangements in place to ensure residents received an appropriate diet according to their assessed need. Kitchen staff said they prepare traditional meals on the day with little frozen food used. There was a delivery of fresh vegetables and fruit each week and staff said they had a good supply of all the required foods to provide a nutritious and wholesome diet. Residents said they liked the food provided and could ask for what they wanted. Residents receive mail unopended and have access to a payphone, one resident said that staff help her to get to the phone at the times her relatives organise phone calls. There is no restriction on visiting and relatives are able to visit in private. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16-18 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents have access to a robust complaints procedure and are protected from abuse. EVIDENCE: The home has a complaints procedure in place. Residents spoken with felt able to talk to staff about any concerns. A recent complaint received by the Commission had been addressed by the registered manager and recorded within a complaints book. The complaint was not substantiated. The areas of the complaint were also looked at by the inspector during this inspection and found to be not substantaited. The staff have received training in adult protection issues and policies are in place to ensure staff know what to do in the event of an allegation or suspicion of abuse. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents live in a safe well maintained environment. The policies of the home protect the residents from infection. EVIDENCE: The home is a listed building and has a programme of routine renewal and decoration in place. Staff said they had each been seen by the new registered provider and were able to make suggestions for improving the gardens at the home. They felt that their views had been listened to. Residents were seen to be able to access their call bellls from communal and private areas to summon assistance. The home was warm and well maintained. Linen cupboards provided evidence of good clean stocks of fresh laundry. There were ample supplies of protective clothing in place for staff to use and control infection. Policies and procedures are in place to control infection. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents needs are met by the numbers and skill mix of staff. Residents are in safe hands at all times. Residents are protected by the homes recruitment practices. Staff are trained and competent to do their jobs. EVIDENCE: The numbers of staff on duty were sufficient to meet the needs of the residents. There is however a reliance on the use of agency staff following a period of the change of ownership which is now being addressed. The manager spoke of the registered providers request to ensure the staff team are recruited in sufficient numbers to reduce the use of agency staff. The manager has recently appointed 2 new staff. The records of recruitment show that a robust procedure is in place that safeguards residents from people who may be unsuitable to work with vulnerable adults. Each staff file examined shows that records of training are held with the provision of planned training this year. The small staff team exceed 50 being qualified to NVQ level 2. There are always trained nurses on duty over the 24hr period. The manager has recently adjusted times of working to ensure that there are more staff on duty at peak times of activity in the home. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. There is a suitable manager employed to run the home. There are quality assurance systems in place that seek the views of those that use the service. Residents financial interests are safeguarded. The health, safety and welfare of the residents are protected by the homes policies and practices. EVIDENCE: There is a registered manager in post with the required qualification and experience to run the home. The registered provider is visiting the home at least weekly and preparing reports on the service which are given to the manager. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 17 There are quality assurance systems in place that seek the views of the residents, the registered person was required previously to provide suitable feedback to the residents following consultation with them, this was not evidenced at this inspection as the manager was out on a trip with the residents. There was evidence of quality monitoring of the medicines at the home. The administrator manages the records of any small cash floats that are held on the residents behalf, these records show that suitable systems are in place to protect the residents interests. The handyman manages all the health and safety monitoring within the home and confirmed that he records all the actions taken in respect of the maintenance of health and safety. Fire test records are held appropriately. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations The registered person should ensure that the results of service user surveys are published and made available to current and prospective users, their representatives and other interested parties. Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Blyth Country House Care Home DS0000067367.V307169.R01.S.doc Version 5.2 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. 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!