Inspection on 14/02/06 for Carpenter Place

This inspection was carried out on 14th February 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

Carpenter Place 30/03/07

Carpenter Place 06/10/05

Carpenter Place 29/09/04

Carpenter Place 18/05/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Carpenter Place 103 Oldfield Road Sparkbrook Birmingham West Midlands B12 8TN Lead Inspector Elizabeth Mackle Unannounced Inspection 14th February 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Carpenter Place DS0000016741.V283576.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. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Carpenter Place Address 103 Oldfield Road Sparkbrook Birmingham West Midlands B12 8TN 0121 440 2823 0121 440 2520 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) Moseley & District Housing Association Samantha Adele Price Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That Samantha Price successfully undertakes the Registered Managers Award or equivalent by June 2006. The home may accommodate up to 5 service users who fall between the ages of 55 and 65 who require care for reasons of physical disability. (5PD) 6th October 2005 Date of last inspection Brief Description of the Service: Carpenter Place is a large two storey, purpose built residential facility providing bedroom, lounge, fitted kitchen and bathroom. There are four flatlets that can accommodate two people. Service users are encouraged to personalise their own flatlets with their belongings. Furniture is provided for those requiring it. Flatlets are furnished to meet the needs of the service users and are decorated as required. Service users can choose to take meals on a full board or part board basis. They can prepare their own breakfast and teas in their flatlets if they wish. There are some respite facilities available. Communal facilities consist of lounge, dining room, hairdressing salon, bathing/showering facilities, laundry, main kitchen and small shop. There is ample parking to the front of the building and very pleasant enclosed gardens to the rear with lawns, shrubs and seating for the service users. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out by one inspector on 14th February 2006. Information for the report was gathered from a number of sources including: discussion with four residents, examination of a variety of records, discussions with three members of staff in addition to the Manager and the Deputy Manager, a tour of the building and both direct and indirect observation. At the time of the inspection there were five vacancies in the home. A number of people had applied for places and were waiting for funding to be agreed. This report is to be read in conjunction with the report of the last inspection carried out in October 2005. What the service does well: What has improved since the last inspection? What they could do better: The carpets and some furniture in a small number of flatlets needs to be renewed. An assessment of residents in relation to any aids or adaptations that may improve their quality of life needs to be undertaken. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Carpenter Place DS0000016741.V283576.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 Carpenter Place DS0000016741.V283576.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): 2, 3, 4, 5 Residents admitted to the home have had their needs fully assessed, and are provided with the information they need to enable them to make an informed decision about the suitability of the home. EVIDENCE: Each resident is issued with a contract/licence agreement. A copy of this is kept in respect of each resident, together with Social Services Assessment information, the funding agreement, and a personal inventory including information about the residents wishes in the event of death. A comprehensive assessment is carried out on each prospective resident by the manager or her deputy. This covers all aspects of the person’s functioning and is designed to enable staff to identify any areas of support that may be required by the applicant, and determine whether these needs can be fully met by the service. Prospective residents and their families have an opportunity to view the home and have a full discussion with staff, before reaching a decision. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 The health care needs of residents are fully met, enabling them to maximise their quality of life. EVIDENCE: The care records of two residents were viewed. Each file had a copy of the Social Services Care Plan, and a detailed plan of care called the “Support Plan”, drawn up by the home’s staff, together with a summary of the plan for easy reference. Within the Support Plan the actual nature of the problem was clear and each problem statement had a corresponding, realistic goal. There was evidence of appropriate risk assessments with evidence of regular review of both risk assessments and the plan itself. Each resident had a nutritional risk assessment carried out and may be referred if required to the dietitian. Residents were weighed monthly and records maintained. In addition there was an annual review on each resident carried out by the Key Worker. Daily notes were maintained by care staff on each resident, and these were countersigned at least once during the 24 hour period by a Senior Carer. Residents have easy access to a range of health care professionals, including a visiting dentist, optician, Chiropodist (both NHS and private) and occupational therapists. Community nurses visit residents as required to deliver care such Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 10 as the administration of insulin, and wound dressings. Residents may keep their own General Practitioner if the GP is in agreement, or may register with a local GP practice. A GP from the local practice holds a surgery in the home every two weeks, and attends residents in the privacy of their own flatlet. Systems are in place in the home to support those residents who are able and willing to manage their own medication. Residents are assessed in respect of this. At the time of the inspection there were no residents responsible for managing their own medication. Within the care records there was a written record of discussions held with the resident as to any particular wishes they had in relation to their death. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents are involved in decision making about all aspects of life in the home, ensuring that they are able to live in a way that suits their individual wishes. EVIDENCE: Residents are encouraged to maintain links with family, friends and their local community. A consultation exercise had recently been carried out with residents to seek their views about leisure and recreational activities they would wish to have available. Efforts were made to accommodate residents’ preferences in relation to activities, and some residents had stated that they did not wish to take part in any activities. The job of one care assistant had recently been extended to allow her some time each day to co-ordinate activities, and this had resulted in more people attending planned activities. A number of residents attended day centres locally, and those who have lunch away from the home have the cost refunded. Residents go out to the local shops, to the pub, or for walks, and if they need staff to accompany them this was facilitated. They also attend activities in the community such as pantomime. Residents did some shopping for themselves, and for those who were unable to, a shopping list was circulated each week and the shopping done by staff and delivered to the residents’ flatlet. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 12 The home had a well equipped hairdressing salon. Smoking was not permitted in the communal areas, but residents may smoke in their own flatlet which fitted with a smoke alarm. Residents who smoke have had an individual risk assessment carried out by staff. Food items provided by the home to each flatlet daily includes: milk, bread, butter, cereals, tea, coffee and jams. Many residents prefer to have breakfast in their own flatlet, and they are also able to offer friends and family a drink and small snack when they visit. Residents may chose whether to have their lunch and evening meals in their flatlet or in the communal dining room. The meals provided are nutritious and wholesome. A review of the menus demonstrated that there was a wide variety of meals available, and residents have a good choice of main meal at lunch. The menus run on a three week cycle. The African Caribbean menu which is available to all residents includes such items as snapper fish, yam, jerk chicken and rice and peas with chicken. The Chef was observed to be an integral member of the staff team and one resident commented “we have a smashing chef here; we always have a choice”. Residents were observed to be freely accessing all areas within the home, and to be treated with respect and courtesy by the staff. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Systems in place for canvassing the views of residents and their families ensure that residents are confident that staff will address and promptly resolve any concerns they may have. EVIDENCE: No complaints had been received since the previous inspection and there was at present no Complaints Book. There was a comprehensive complaints policy and staff were able to demonstrate a good understanding of it. Residents spoken with were confident that their concerns would be dealt with at an early stage. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25, 26 The home generally provides a clean, comfortable and homely environment that promotes independence and also offers residents and their families opportunities for privacy. EVIDENCE: Each resident has his/her own self-contained flatlet within the home, and in addition has access to communal areas on the ground floor. Communal areas were comfortably furnished, well decorated and clean and fresh throughout. The flatlets were found be very clean, and generally well maintained. Many carpets had recently been replaced, but some carpets were seen to have cigarette burns, and in a small number of flatlets the furniture was shabby. The majority of residents had been able to bring with them personal items such as furniture, photographs and other homely touches. It was noted that in some cases residents did not have access to aids/adaptations that would have been helpful in their daily lives. One resident found difficulty using the taps in the kitchen sink; and another resident would have benefited from a raised toilet seat and grab rails or a frame over the toilet. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 15 An up to date staff call system enables residents (or staff) to summon help by the use of a pullcord or pendant worn around the neck which summons a member of staff via a cordless phone. On the first floor there was appropriate signage indicating the direction of numbered flatlets, but residents may also benefit from more detailed signage indicating the direction of lift and stairs to ground floor. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The home has robust recruitment procedures and a well structured induction programme, which safeguards the welfare of residents. EVIDENCE: The home had a number of experienced care staff, and had also recently recruited a number of care assistants. Agency staff were used on occasion to cover short term absences such as sick leave, holidays etc. One resident said “the staff here are very good” and expressed concern about continuity of care when agency staff are used, saying. “they don’t know you.” Two staff files were viewed. Recruitment procedures were found to be robust with completed application form, photographic and other evidence of identity, at least two references and enhanced CRB checks. Each member of staff had been issued with a person specification and role description. Each new member of staff had a comprehensive, structured induction, lasting approximately three months. This includes a range of topics that must be covered on day 1 before a member of staff commenced work in any capacity, covering areas such as discussion of job role, tour of building, fire procedures, and resident’s right to privacy. During the first week each new member of staff shadows an identified experienced member of staff and is issued with a Code of Practice. The Induction programme also included Protection of Vulnerable adults and elder abuse training. A review takes place at the end of the Induction period to ensure that all elements have been met, and to identify any remaining training and development needs. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 17 Training records were viewed and found to be clear and well maintained. The records confirmed that staff were receiving regular statutory training at appropriate intervals. Staff also have access to a wide range of other relevant training provided including topics such as: Falls awareness, Equal Opportunities and Diversity, Stress Awareness, Welfare benefits, Disability Awareness and customer care. Each employee had an annual assessment of competence and discussion of development needs. All staff received an annual cost of living increase in their salary and in addition the company has a system of pay incentives linked to a review of individual performance. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 18 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, 32, 33, 36, 37, 38 The home has an experienced and committed manager. The systems of managing the home are open and transparent and ensure that the home operates in the best interests of residents. EVIDENCE: The home had an experienced and committed manager and deputy manager who have promoted an open and inclusive management style. Effective communication systems were in place. Handover meetings between staff take place at each shift change. Staff meetings take place monthly and are documented. Meetings between staff and residents also take place monthly, with the schedule of meetings drawn up and circulated to residents at beginning of the year. Informative minutes of the meetings are kept, and circulated to all residents in the home. An In House quality audit takes place annually, and covers various aspects of activity in the home. Staff receive a summary of the audit together with an Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 19 outline of required action. Questionnaires were circulated to residents and relatives once or twice a year. There was a culture within the home of regular daily quality auditing, in relation to aspects of administration of medication and record keeping. Staff had recently begun to work with a Practical Quality Assessment system that had been designed for small organisations by Charities Evaluation Services. The aim was to increase the effectiveness of the voluntary sector by developing its use of evaluation and quality systems. Each member of staff had planned, regular supervision on a monthly basis, and records of this are kept in the personal file. A unlocked cleaning trolley containing toilet cleaner and plastic gloves was seen to have been left unattended and this may pose a danger to some residents. Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 X 3 3 X 2 3 2 3 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 3 3 X X 3 3 2 Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 21 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. Standard OP22 Regulation 16 (c) Requirement The Registered Person must ensure that an assessment of the individual needs of residents for aids and adaptations is carried out, and any requirements arising from this made available to residents. The Registered Person must ensure that damaged carpets and worn furniture is repaired/replaced as required. The Registered Person must ensure that substances that may be hazardous to health are securely stored. Timescale for action 01/05/06 2. OP24 16 (c) 01/06/06 3. OP38 13 (4)(a) 14/02/06 Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 22 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 OP16 Good Practice Recommendations It is recommended that a book recording concerns/complaints expressed by residents/families, and the outcome is maintained, in order identify any particular trends and to demonstrate that matters are addressed by staff. Consideration should be given to the introduction of more detailed signage in the first floor of the building. The Registered Person should continue to monitor the use of agency staff, with particular regard to the views of residents. 2. 3. OP19 OP28 Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Carpenter Place DS0000016741.V283576.R01.S.doc Version 5.1 Page 24 - 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. 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