Inspection on 04/07/05 for Bury Metro - Killelea

This inspection was carried out on 4th 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 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

Bury Metro - Killelea 07/09/06

Bury Metro - Killelea 03/01/06

Bury Metro - Killelea 14/03/05

Bury Metro - Killelea 27/07/04

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 Bury Metro - Killelea Killelea Residential Care Home Brandlesholme Road Bury, Lancashire BL8 1JJ Lead Inspector Rukhsana Yates Announced 04 July 2005 : 09:30 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. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bury Metro - Killelea Address Killelea Residential Care Home Brandlesholme Road Bury Lancashire BL8 1JJ 0161 253 6550 0161 252 6551 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) Bury MBC Mrs Marie Josephine Glynn CRH Care Home 36 Category(ies) of OP Old Age : 36 Places registration, with number of places Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 36 service users, to include: Up to 36 service users in the category of OP (Older People). 2. The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 3. The service must at all times employ suitably qualified and experienced staff to meet the assessed needs of service users. 4. Within the maximum of 36 places registered, there is provision for up to 18 places for intermediate care. 5. A revised Statement of Purpose and Service User Guide, in a format suitable for intended service users, must be provided to the Commission for Social Care Inspection by 1st July 2005. Date of last inspection 14 March 2005 Brief Description of the Service: Killelea House provides a range of services to older people in the Bury area. These include Intermediate Care, the aim of which is to promote recovery, independence and daily living skills for people who may then be able to return to live at home following an illness or accident. The remaining places provide Short Stay Care, Interim Care, and a limited number of permanent residential care places. The home has undergone major refurbishment to create a purpose built facility. There are two floors with lift access. All bedrooms are single and have en-suite facilities. Killelea is situated one mile from the centre of Bury and is on a main bus route. Details of the services at Killelea are described in a Statement of Purpose which is available on request. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took 9 hours over two days. Half of the time was spent talking to residents on the ground floor and intermediate care service users on the first floor. Discussions took place with health staff involved in supporting service users with their independence programmes and with care staff on both floors. The remaining time was spent watching the way in which staff provided support, and looking around the home. Some paperwork relating to the care and safety of residents was examined. 5 service users, 5 relatives, 5 GPs, 1 District Nurse and 1 Social Worker gave their views of the home by completing questionnaires. The manager of the service is Marie Glynn, previously the manager at Beech Grove which has since closed. What the service does well: What has improved since the last inspection? The home has been completely refurbished and redecorated since the last inspection. The bedrooms are spacious and modern with en-suite facilities. There are well designed therapy rooms that allow people to develop their daily living skills and work towards moving back home. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 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. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 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 Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 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, 3 and 6 Service users admitted to Killelea House have their needs assessed and are given information about the home to ensure the service provided is suitable. Intermediate care service users benefit from a good range of support to maximise their independence. EVIDENCE: There is a statement of purpose and a service users’ guide to the home. Both of these documents clearly describe the services provided, the criteria and process for admission, review arrangements, along with a range of other useful information for residents and their relatives. The documents are readily available to the users of the service, and relatives consulted were aware of the contents. Care files showed that each person has their needs assessed before admission. The home ensures that a community care assessment is obtained, and a multidisciplinary assessment carried out if necessary. The major refurbishment of Killelea House has taken account of the facilities needed to provide an effective intermediate care service. Facilities include a Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 9 Physiotherapy room, Occupational therapy room and a fully equipped therapy kitchen. The care plan for each person is based on the input of a multidisciplinary team that includes trained care staff, physiotherapists and occupational therapists, district nurses, consultants and social workers. Care plans reflect the support given to enable people to return home, and the service users’ involvement in reviewing their own progress. Discussions with two service users confirmed that they knew about the aims of the service, and were pleased with the support, saying “all the staff are very good”. One relative’s questionnaire stated “Killelea has proved invaluable as a transition between hospital and home. My husband has improved in mobility and confidence during his stay. The staff have been unfailingly pleasant and helpful”. A service user stated “I was given excellent care…The management and staff were helpful and friendly. They helped me through a very difficult period in my life”. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 10 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 and 8 Each service user’s personal, health, social care needs and risk assessments are reflected in their care plan. Reviews should be kept up to date to ensure that changes in need are known and effectively met. EVIDENCE: For those service users admitted for intermediate care, assessment information was up to date and being reviewed frequently by the multi-disciplinary team. Rehabilitation plans were clear in terms of goals and inputs required to achieve those goals. Plans were realistic, taking account of the risks associated with mobility and other activities of daily living. Service users confirmed that they are involved in review meetings and aware of their care plan. The residents in the permanent stay beds have well devised care plans. Aims and actions relating to each area of need were specific, and cover a range of areas including sight / hearing, personal care, mobility and dexterity, family involvement, communication, social interests, mental state and cognition, religious and cultural beliefs, personal safety and risk. Since the last inspection, the monthly reviews for permanent residents have not been kept up to date, with the files seen last reviewed three months previously. The reviews for these residents should be updated monthly as previously. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 11 Records and feedback received from visiting health professionals indicate that health needs of service users are met. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 12 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 Service users feel they have flexible daily routines. Permanent residents feel they need an increase in the number and range of social activities and interaction to enjoy their time at the home. EVIDENCE: Residents said they have a choice in their daily routines, including what time they get up and go to bed. Since the last inspection, the home has introduced other services including intermediate care and short-term care. These service users said they did not become bored because of their involvement in rehabilitation programmes, or because of the knowledge that their stay was temporary. The small number of permanent residents have continued to live at the home through the refurbishment, and had become accustomed to more interaction with staff than can now be provided. During this visit, there was little staff presence in the residents’ lounge areas over the two hours spent on the ground floor. Staff members reported that they had time to carry out basic care tasks but little else. These matters are addressed under the staffing section in this report. In terms of activities, residents said that there was “nothing” or “very little” to do. One said “They Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 13 (the staff) don’t have time to talk to us”. The activities records have not been consistently completed. The social and recreational needs of residents clearly require attention in order to improve the quality of their lives in the home. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 14 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 Service users and their relatives feel that any concerns or issues they raise will be listened to and acted upon. EVIDENCE: Killelea has a written complaints procedure included in the service users’ guide. The procedure describes the stages and timescales for complaints and provides the contact details for the CSCI and for Bury Social Services. Service users consulted said that they, or their relatives, had been given the guide and they would speak to the manager or staff in the first instance if they had any issues. The home has regular residents’ and relatives’ meetings. Although the latter has not been well attended, it provides a forum for interested parties to air their views about the service. The manager keeps a record of complaints and the action taken to resolve them. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 15 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 and 26 Killelea provides a clean and comfortable environment for service users. Health and safety matters need to be addressed to minimise any risks to service users’ safety. EVIDENCE: Service users and relatives made positive comments about the environmental standards in the home following the refurbishment. Accommodation is on two floors, with 18 single rooms on each floor. All bedrooms have en-suite facilities. The first floor bedrooms are for intermediate care service users, and there is sufficient communal and dining space available for all service users accommodated. However, bedrooms do not have tables that service users can use for their meals should they choose to eat in their rooms. Toilet doors have not been fitted with locks. These matters must be addressed. The home was seen to be clean and comfortably furnished throughout. Health and safety concerns were highlighted and addressd on the days of the inspection. These included a cleaning trolley left unattended in a resident’s Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 16 room, and an unlocked storeroom containing cleaning chemicals. Such hazards to service users must be minimised at all times. Fire safety checks appeared to be carried out at the required intervals, but the records of checks were disorganised and showed gaps in alarm and fire appliance checks, some of which were recorded as done in another file. The manager was advised to organise the records for routine checks relating to fire safety and water temperatures to ensure that all checks are carried out at the right frequencies and the results clearly recorded. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 17 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 and 30 The staff group has the knowledge, skills and training needed to understand the care needs of residents. More staff are required to ensure that personal and social care needs are effectively met. EVIDENCE: Training arrangements are very good. Over half of the care staff are qualified to NVQ level 2 or above. New staff members benefit from a comprehensive induction programme, and all staff attend mandatory courses. Carers working with intermediate care clients have completed specialist Diagnostic and Therapeutic NVQ training, and further relevant courses are being identified, such as management and risk assessment training. There are, however, issues to be addressed in terms of the numbers of staff on duty. At present, there are two carers on each floor during the day, with an additional carer helping out on both floors. Staff on the ground floor reported that the ‘floating’ staff member is usually on the first floor, leaving two to care for everyone on the ground floor most of the time. One said that “there is no time for talking to residents, for courtesy”. This was evident from observations during the inspection and from residents interviewed. One resident said “they’re short staffed but they do their best. They hardly ever have time to chat”, and this view was echoed by others. A minimum of three carers is required on each floor during the day. In discussion with the manager, it was apparent that the ability to increase staff numbers was compromised by budget savings the home is expected to make. This extends to administration staff hours, and also to the low level of social activity provision. As Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 18 intermediate care facilities in terms of therapy rooms and dining space extends to the ground floor, an additional staff member would also enable more flexibility around the use of the building. For example, someone would be available to support service users to use the ground floor dining room. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 19 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) These key standards were not assessed at this inspection. EVIDENCE: The home will be assessed against these key standards at the next inspection. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 20 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 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x x Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 21 No 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 12 Regulation 13, 16 Requirement The registered person must ensure that the social and recreational needs of each resident are assessed and met within a suitably resourced activity programme. A small table must be provided in each bedroom to facilitate dining. All communal toilet doors must be fitted with locks. The registered person must ensure the safety of residents at all times, to include regular checks of water temperatures, fire equipment and environmental hazards. Staff numbers must be increased to effectively meet the peersonal and social care needs of all residents. Timescale for action 3 October 2005 2. 19 23 3 October 2005 4 July 2005 3. 19 13 4. 27 18 12 September 2005 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 7 Good Practice Recommendations Care plans should be reviewed each month to ensure F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 22 Bury Metro - Killelea changing needs are recorded and effectively met. Bury Metro - Killelea F56 F06 S8465 Killelea V227898 040705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton BL6 6HG 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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