Inspection on 06/10/05 for Carpenter Place

This inspection was carried out on 6th October 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

Carpenter Place 30/03/07

Carpenter Place 14/02/06

Carpenter Place 29/09/04

Carpenter Place 18/05/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

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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 Karen Thompson Announced Inspection 6th October 2005 10.00a 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.V257544.R01.S.doc Version 5.0 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.V257544.R01.S.doc Version 5.0 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.V257544.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That Samantha Price successfully undertakes the Registered Managers Award or equivalent by April 2005. 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) 6 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 flats that can accommodate two people. Service users are encouraged to personalise their own flats with their belongings. Furniture is provided for those requiring it. Flats 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 flats 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.V257544.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The findings of the report are following a statutory announced inspection. The inspection was conducted over a full day. Information was gathered from a number of sources including: tour of the building, examination of a sample of records and documents, lunch and tea with service users, talking to staff, residents and relatives, direct and indirect observation. Not all of the standards were examined during this inspection and a few do not apply. What the service does well: What has improved since the last inspection? What they could do better: Activities for resident are taking place but need to be expanded and tailored more to the individuals that live in the home. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 6 All documentation in regards to staff recruitment required by law needs to be kept in the home. Whilst each flat gives residents an individual homely environment, bathrooms are not suitable for some residents needs in relation to bathing. Refurbishment of flat bathrooms in the future needs to consider either flat floor showers or assisted baths. The home has good communal bathing facilities. 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.V257544.R01.S.doc Version 5.0 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.V257544.R01.S.doc Version 5.0 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, 4 Residents move into the home knowing that their assessed needs will be met. EVIDENCE: The residents files sampled evidenced that assessments had been carried out by social workers prior to admission to the home. The Care Manager was able to demonstrate an individual approach to residents and meeting their needs. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 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 The arrangements for residents health and social care planning was good ensuring residents needs and wishes were being met. Medication management was generally good protecting the well being of residents. EVIDENCE: Residents care plans are based on a comprehensive assessment. There were monthly reviews of care plans and these plans were observed in residents’ flats. Risk assessments were in place. Records were able to demonstrate that residents were seen by a variety of health care professionals. The majority of residents spoken to expressed satisfaction at the assistance given to them by staff. A relative spoken to during the inspection felt all there relatives needs were being met. The Care Manager and her team had a proactive approach to ensuring health care needs are met based upon a good knowledge of individual conditions and needs. Medication management was on the whole good. Medication balances were found to be inaccurate in some instances as stock left over from the previous month was not always being carried forward with the new balance. The home Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 10 does internal audit checks on medication along with three monthly checks from their dispensing pharmacist. The home keeps all the data sheets with regards to medication dispensed, which is good practice. All staff dispensing medication have received accredited training. Residents were observed to be spoken to by staff in a respectful and polite manner. Mail is given to residents unopened and they can make and receive telephone calls in private. Some residents had a telephone in their own flat. Residents were well presented and their clothes are laundered individually. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 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 helped to exercise choice and control over their lives which matches their expectations and preferences, with the exception of activies which needs further development. Residents enjoyed their meals, which were wholesome appealing and nutritionally balanced. EVIDENCE: Residents opinions and preferences are actively sought. Residents commented that they would like more activities arranged outside the home. Activities do take place every afternoon within the home not always to residents liking. One resident commented that they would much prefer to be out and about as opposed to playing Bingo that afternoon. Church services take place within the home twice a week. The home has good community links. Each year it enters the Balsall Heath flower show. The Care Manager stated that this was an important event for residents, family, staff and neighbours. Family and friends were observed around the home. Those spoken to were happy with the care given. All flats receive supplies of tea, coffee, milk, bread and cereals. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 12 One relative commented that this facility was nice as it allowed. This allows residents to maintain a degree of independence supported by purchases made by family members. . Residents were happy with their new agency cook and felt that things had improved with regards to meals and choice. The menus examined were nutritious and wholesome. Lunch with the residents, which was unhurried. Residents select their meals a day in advance and one resident commented that “Cook will also change original orders if you want and give him enough time” A couple of residents commented that the introduction of a selection of first courses had been a nice bonus and the presentation of these was good. Residents were assisted discreetly and sensitively. Those residents that decide to be half board can have the local milkman deliver to their flat door. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 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 Systems are in place to ensure that residents are protected and concerns listened to and processed in a sensitive and professional manner. EVIDENCE: The home has had no complaints either directly or logged with CSCI for the past two inspections. The home does not keep a grumbles book but monitors concerns and issues via the monthly review with residents. A leaflet was available for residents outlining the complaints procedure. Arrangements for protecting residents within the home were in place. The Care Manager is aware of the need to review adult protection training for staff, and the importance of implementing the procedure correctly. The Care Manager was able to demonstrate adult protection matters are dealt with appropriately. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 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, 21, 22, 23, 24, 25, 26 The home is safe, well maintained and individualized by resident creating a comfortable and homely environment to live in. EVIDENCE: The home had redecorated some of the communal areas since the last inspection. The dining room had been repainted and residents expressed their delight with regards to this. New carpet is to be laid in the dining room, hall and corridors. All flats have ensuite facilities with grab rails if needed and a bath. It is recommended that when refurbishening these areas in future, that a more appropriate bath are provided to support residents independence or flat floor showers for these areas. The home has a number communal assisted bathing facilities which the majority of resident use. The home has annex areas for the storage of wheelchairs. The home has recently installed a new emergency call bell system. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 15 The corridors are wide with grab rails that are accessible to wheelchair users. Residents commented to the inspector that doors to their flats were heavy to open. This was discussed with the Care Manager who was aware of the issue and has arranged for staff to accompany residents who require support back to their flats. The Care Manager advised that that advice from an occupational therapist is obtained for residents to ensure that aids and adaptations to increase independent living are obtained. Flat front doors are lockable and a significant percentage of residents choose to lock their flat on leaving it. A number of residents flats were viewed. There are four flats that can accommodate two residents, but are usually only occupied by married couples. Residents can bring in their own furniture and many do, but the home will furnish flats as required. One flat was observed not to have a lockable facility. The home is required to audit flats and ensure are provided where needed. One flat was empty at the time of inspection and this was being refurnished. Radiators within the flats were low surface temperature and residents were able to control then via a thermostat. Thermostatic valves are fitted to all hot water outlets in resident accommodation. Residents laundry is washed individually overnight by care staff. Clothing is not lost and does not need to be labelled, as each basket contains only one resident’s laundry. The Care Manager stated that the laundry room is due for refurbishment in the near future. There good systems in place to ensure the home was clean, hygienic and free from offensive odours. Staff were observed to be wearing protective clothing with regards to certain tasks around the home. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 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 There are sufficient staff on duty to meet residents needs. Documents were not able to demonstrate a robust recruitment practice therefore potentially putting residents at risk. EVIDENCE: The Rotas demonstrated five members of staff were on duty throughout the working day and two members on night duty. The home was using agency and casual staff to cover vacant posts. The Care Manager was due to interview staff for vacant posts in the near future. Staff files sampled did not meet the standard. They did not contain a CRB, but a letter from personnel saying the process had been completed and explaining the outcome. They also did not contain any proof of identification such as passport and birth certificate. Training for staff was in place and induction conformed to TOPPS. The Care Manager was asked to audit mandatory training, as it appeared that some staff had not had annual updated to manual handling training. The home did have a high number of staff that was first aiders. Over half of the staff have achieved qualifications to NVQ level 2 or above. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 35, 38 The manager ensures smooth running of the home in a competent manner. Residents financial interests with the home are safeguarded. The health and safety within the home is in the main well managed ensuring that the welfare of residents and staff is promoted and protected. EVIDENCE: This is a well managed home with a friendly, open and positive environment. Residents’ views are actively sought and they feel able to express them. The Care Manager was able to demonstrate her competency to run the home and will need to apply for a variation to extend the timescale for completion of the Registered Managers award, which she is due to complete next year. Residents’ money is kept secure with records of transactions. The home has access to a local credit union, where residents’ money can be kept. The credit union will visit the home once a fortnight with money that residents have requested to withdraw. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 18 The homes secretary helps residents with correspondence if they require such support. The home recently accessed the pension credit helpline facility for residents, which lead to representatives from the agency visiting the home and ensuring residents were able to access their entitlement. Health and safety issues within the home are generally well managed. One of the fire exits was observed to have broken timbers, the home is aware of this and intends to replace in the near future. The home will need to consult with West Midlands Fire Service with regards to this fire exit. Fire zones are not tested systematically but staff but all the zones are tested every three monthly by an external contractor. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 x x 3 x x 2 Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 20 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 2 Standard OP7 OP9 Regulation 13(4) 13(2) Requirement The Registered Person must ensure that each resident has a nutritional assessment. The Registered Person must ensure that medication left over from the previous months supply is returned or carried over with the new stock balance. The Registered Person must audit residents preferences with regards to activities and implement an activities programme based upon this audit. The Registered Person must audit all residents flats to ensure they all contain a lockable facility with key. The Registered Person must ensure that the information required by Schedule 2 is available for inspection. (Outstanding requirement 18/05/04) The Registered Person must audit staff training in relation to manual handling and ensure this takes place annually. Timescale for action 30/12/05 30/11/05 3 OP12 12(3) 30/11/05 4 OP24 12(4)(a) 30/12/05 5 OP29 17(2)Sch 2 30/12/05 6 OP30 18(1)© 30/11/05 Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 21 7 OP31 9 8 OP38 23(2)(b) 13(4) The Registered Manager must 30/10/05 submit a variation to extend the timescales within the condition of registration in respect of the Registered Managers Award. The Registered Person must 30/11/05 ensure that the fire exit stairs are in good repair and consult with West Midlands Fire Service as to the suitability of this fire exit. 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 2 Refer to Standard OP24 OP38 Good Practice Recommendations On refurbishment of flats consideration should be given to provision of alternative bathing facilities which are more suitable for residents with physical limitations The Registered Manager should adopt a more systematic approach to fire zone testing. Carpenter Place DS0000016741.V257544.R01.S.doc Version 5.0 Page 22 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.V257544.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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