Inspection on 07/11/05 for Chamber Mount

This inspection was carried out on 7th November 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

Chamber Mount 04/07/07

Chamber Mount 01/12/05

Chamber Mount 18/07/05

Chamber Mount 19/08/04

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 Chamber Mount 197 Chamber Road Werneth Oldham Lancashire OL8 4DJ Lead Inspector Michelle Haller Announced Inspection 09:00 7 November 2005 th 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 Chamber Mount DS0000060625.V254285.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. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chamber Mount Address 197 Chamber Road Werneth Oldham Lancashire OL8 4DJ 0161 928 2940 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) Elizabeth Knight Anthony Knight Barbara Meredith Care Home 23 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (23) of places Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 23 service users to include: * up to 23 service users in the category of OP (Older people not falling within any other category). *up to 6 service users in the category of DE(E) (Dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 18th July 2005 2. Date of last inspection Brief Description of the Service: Chamber Mount is a residential home providing 24-hour personal care and accommodation for up to 23 service users over the age of 65 years. The home is situated approximately one mile from Oldham’s town centre and is close to local shops and amenities. Bus services are available close by providing access to Oldham town centre or Manchester city centre. Chamber Mount has a small flagged area to the rear and gardens to the front and side of the property. The home was originally two Victorian houses that have been converted to one, and the front faces onto Chamber Road. A ramp has been installed at the side entrance to the home providing level access. Bedroom accommodation is provided on three levels including lower ground floor, ground floor and first floor. A passenger lift and a chair lift are available for the use of service users. Chamber Mount provides eleven single bedrooms and four twin rooms. Bedrooms are pleasantly decorated with complementary curtains and bedding. Bathing facilities include one assisted bath, one unassisted bath and two shower rooms. There is a choice of lounge and dining areas all of which provide comfortable well furnished accomadation. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection of Chamber Mount residential care home took place over the course of a 5-hour visit to the home. During this time interviews with 5 service users, 1 relative and 2 staff members took place. A tour of the private and communal areas of home was also undertaken and the interactions between staff and service user observed. The inspection process also included scrutiny of 9 service users assessments and care plans and examination of other documents concerned with the care of service users and the running of the home, these including the staff roster, staff files, policy’s and procedures, medication records, the accident book and other records and reports. At the time of completing the report 7 service-user comment cards, 5 relative comment cards and three general practitioner comment cards had been returned. All were complementary about the care provided by the staff at Chamber Mount one respondent stated; ‘The staff at this home are very caring and respectful to all the residents, they treat them as a family member, joking or sympathising in a normal family manner. The staff are professional but not unfeeling’. What the service does well: The manager makes sure that that service users are given information about the home. The manager ensures that the assessment of needs and response to those needs is of a high standard. The health and physical care and support provided in the home continues to be exemplary, all health care instructions are carried out to the letter and the effectiveness of any intervention is noted and appropriate action taken. Advice from specialist health professionals is sought in order to reduce the risk of a health need developing. The home provides nourishing, well-prepared traditional meals and snacks. There are a variety of recreational activities enjoyed by service users provided within the home. The home is clean, comfortable and nicely decorated and all areas are arranged to satisfy the collective and individual preferences of service users. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 6 Staff continue to receive comprehensive induction, foundation and specialist training in issues related to physical and social care. The ethos of the manager fosters good relationships between service users, staff and visitors. Service users continue to be content with living in the home. Recent comments included, ‘I get on well with all the staff and feel well cared for.’ What has improved since the last inspection? 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. Chamber Mount DS0000060625.V254285.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 Chamber Mount DS0000060625.V254285.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): 1,2,3,4 and 5 Chamber Mount provides appropriate information to service users and their representatives prior to their admission to the home. Sufficient information is gathered about service users before they move into the home. EVIDENCE: During the inspection the home’s statement and purpose and service user guide were examined and assessed. They contained information necessary to assist service users in making a decision about whether the home would suit them and the Service User Guide was written in plain English, and provided a description of the services provided in the home. A copy of the complaints procedure was also included. Copies of the documents were readily accessible at the entrance of the home and in each bedroom. The home’s admission policy specifies that service users and their representatives are free to visit the home prior to moving in. It was suggested that the views of the service user be included in the service user guide when it is next reviewed. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 9 Five service user files were examined. Each file also contained a copy of the homes statement of terms and conditions, signatures evidenced that these had been discussed with service users or their representatives; this document confirms that service users are admitted on a trial basis of one month. All files also contained assessments detailing the personal, health and psychological care needs of each service users. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,10 and 11 The home ensures that the health needs of the service users are fully recorded and met. Service users are treated with respect and compassion throughout their time in the home. The home’s medication policies, procedures and guidelines are satisfactory. EVIDENCE: Examination of reports and records concerned with care confirmed that detailed care plans were available for all service users living in the home. These plans would meet the assessed needs of service users, and provided care staff with detailed information about the actions they must take to maintain service users independence and safety. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 11 Evidence was obtained that care plans were reviewed either monthly or more frequently depending on the changing needs of service users. Five service users were interviewed and each was keen to confirm that staff were always pleasant, always willing to help and treated them with dignity and respect at all times. Seven service user comment cards were returned and all confirmed that the health care in the home was satisfactory. Records and reports in the care files clearly demonstrated the involvement of district nurses, general practitioners and other health care professionals in the monitoring, assessment and treatment of service users. It was also evident that advice and instruction were followed. The service user comment cards, which were returned, all confirmed that activities were satisfactory. One respondent commented ’I get on well with all the staff and feel well cared for’. Another person commented that one of the best things about the home was the companionship between the residents. General practitioners who visit the home returned three comment cards and their comments included ‘Good place’; and ‘On the occasions I have visited the home the staff have always been polite and aware of their clients needs’. In relation to palliative care, 5 care staff have completed NVQ level 3 and ‘Death and care of the dying’ is a module on this course. During questioning staff were knowledgeable about the care and support provided during this time. They confirmed that extra care was provided and included sitting with the person, ensuring fluids were offered in a manner that could be managed, pain relief that could be easily administered was made available and pressure area care increased. Family and close friends were able to spend time with the person. Furthermore representatives of the appropriate religious background would be summoned according to the request of the service user or family. The preference of the service user in relation to death and dying is also recorded soon after their admission to the home. In the course of the inspection the home’s medication policy and guidelines relating to administration, recording and disposal of medication was checked and appeared to be in order. The medication record sheets confirmed that medication was administered and recorded in accordance with the prescription provided by the general practitioners. It was noted however that some medication had been received into the home was been stored in the kitchen fridge and not in the locked medication fridge available in the home. Immediate action was taken to remedy this situation. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14 and 15. The daily life and social activities experienced by service users at Chamber Mount meets their expectations. Service users are treated well and supported in keeping in contact with friends and friends. Meals provided by the home are varied and plentiful. EVIDENCE: Records and reports of the activities offered to service user indicated that a variety of activities occur in the home and were enjoyed by service users. These activities include, sing-a-longs, weekly visits from the hairdresser, attendance to church services in the home and at a local church, outings to local tourist attractions, discussion groups, arts and crafts, film evenings and board games. Staff have provided one to one escort for service users who want to go shopping. Five service users were interviewed and they were, for the most part, enthusiastic about the activities provided in the home and confirmed that their privacy is respected. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 13 Four relatives returned comment cards and all confirmed that the care, support and communication in the home was good. One person commented ‘I am very satisfied with the care mother receives at chamber Mount and the support myself and family receive from staff’. All the service users were well groomed and supported in keeping clean and tidy. Clothes were well laundered and ironed, and service users confirmed that their own belongings were always returned to them. The meals served in the home have always been varied and of a high quality. The menu confirmed that meals continue to be traditional in nature with plenty of choice for lunch and at teatime. Fruit, snacks and hot and cold drinks were also served throughout day of inspection. As a result of the previous inspection staff have been provided with clearer guidelines and effective training in respect of maintaining the dignity of service users who need assistance during meal times. A record of food and drink consumed by each service user is also maintained and monitored. On the day of inspection lunch was steak and onion casserole or tuna bake, potatoes and cabbage, followed by home made jam roly-poly or fresh fruit salad and cream. The meal was nicely presented and clearly enjoyed by all service users. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 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 the following standard(s): 16, 17 and 18 The home operates a robust and effective complaints procedure. Service users are protected from abuse. EVIDENCE: The home has a written complaints procedure detailing how complaints can be made and the time scale by which complaints will be dealt with. Service users who were interviewed were confident that if they had complaints they would be taken seriously and dealt with appropriately. Service users stated that they would talk to the manager if they had any concerns. The home has not recorded any complaints over the past year. The home operates the Oldham Adult protection policy. Staff confirmed that they had received training in adult protection, and had attended a course called ‘Making a protected disclosure’ about whistle blowing. Staff interviewed were clear about the behaviours that could be classed as abuse and were confident about the actions they would take if they witnessed abuse of any kind. Service users stated that though staff were always gentle and caring with all service users they would not hesitate talking to the manager if they noted anything untoward. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 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 the following standard(s): 19,20,21,22,23,25 and 26 Chamber Mount is provides pleasant comfortable communal and private accommodation. The home is safe, clean, well maintained and meets the needs of its residents. EVIDENCE: A tour of the private and communal parts of the home was undertaken. The majority of bedrooms had been personalised by the service users. Many contained furniture, pictures and ornaments brought from their homes or purchased since their admission. All areas were clean and free from unpleasant odours. Service users were observed accessing all areas of the home independently or with assistance according to their care plans. Grab-rails, ramps, heightened toilet seats and other equipment was also available to maintain the independence and promote the safety of service users. Furthermore, wheelchairs, a passenger lift and other equipment were used by staff to ensure that service users could access all parts of the home and use all the facilities. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 16 There are two main lounge areas and dining areas, and service users were observed enjoying these areas for different activities throughout the day. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 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 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 and 30 The staffing levels maintained in the home are suitable and meet the needs of services users. All staff are sufficiently trained and experienced to ensure the needs of the service users are met. The home recruitment policy and guidelines are robust and protect the service users. EVIDENCE: On the day of inspection the duty roster for the previous week was examined and confirmed that the number of care and ancillary staff employed in the home met the needs of service users. During the day of this inspection there were 7 members of staff providing care and other support to 16 service users. The duty roster also indicated that 2 wake and watch staff were on duty over night. Service users felt that staff were always available to provide support when needed. Four staff files were examined. Each contained a copy of their application form, confirmation CRB disclosure, proof of identity and address, and two references. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 18 It was evident that at all new staff are enrolled onto an induction course that introduces them to the routines of the home and the basic principles and procedures concerning the care of older people. Prior to commencing a National Vocational Qualification (NVQ), staff also complete a Foundation course in care. The majority care staff have now attained NVQ level 2 or above in care. Examination of the homes training record, certificates of attendance and discussion with care staff also confirmed that training, in medication administration, diabetes awareness, fire safety, managing incontinence, toe nail cutting, detecting and dealing with abuse and food hygiene, has been provided. The manager also stated she was trying to establish a rolling program of training for moving and handling, dementia care and first aid and food hygiene. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 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 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): 31,33,34,35,36 and 38. Chamber Mount is a well managed home and staff, service users and others involved in the home are able to voice their opinions. The homes quality assurance system is satisfactory. The management of the business and service users finances appeared to be in order. The health, safety and wellbeing of service users and staff working and living in Chamber Mount are safeguarded. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 20 EVIDENCE: The manager of Chamber Mount has more than two years management experience and examination of the manner in which care is provided and the home is maintained demonstrates her ability to run the home. The manager is close to completing the Registered Manager Award and also attended a specialist-training course in pressure area care. The staff and service users were positive about that the management style confirming that there was an open door policy and leadership, in relation to staff was fair. Appraisals and supervision sessions have been introduced and staff were keen to confirm that they welcomed the opportunity to discuss aspects of the work and other issues on a one to one basis. Team meetings are also organised and the notes identified that staff are encouraged to discuss all aspects concerning the running of the home. These meetings are also used as an opportunity to provide short periods of in-house training on aspects of health and safety, risk assessments or other issues concerned with working at Chamber Mount. The home has produced a quality-monitoring questionnaire that is distributed to all service users, their representatives and others who have dealings with the home and the process of auditing the responses is being undertaken. The management team at Chamber are co-operative with the Commission for Social Care (CSCI) inspection process, striving to meet all requirements within the given time scales and encouraging service users and their representatives to return comment cards that are sent. Discussion with the proprietor suggested that the financial situation of the home was satisfactory. A current insurance certificate concerned with the carrying on of the business was displayed. The home operates a written policy for the management of service users money. All financial transactions are recorded in a ledger book, and smaller amounts classed as pocket money is recorded in individual pocket books and receipts stapled into these books. During this inspection it was possible to balance the amounts recorded in the ledger and individual account books with the amounts held on behalf of a random selection of service users. Relatives who received money on behalf of service users signed the ledger to confirm that they had been given the money. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 21 Policies and procedures in use in the home demonstrated that health and safety issues are taken seriously and provided protection to staff and service users. The domestic staff are been encouraged to enrol on appropriate training and as previously identified a rolling programme of training concerning moving and handling, food hygiene and first aid is soon to be in place. The home had a Fire safety Inspection in October 2005 and no recommendations were made indicating that its procedures and equipment provided sufficient protection concerning prevention, detection and protection of service users and staff in this area. It was observed that posters concerned with health and safety were strategically placed throughout the home and staff were keen to share the knowledge they had concerning preventing cross infection, the storage of hazardous substances and safe ways of moving and handling heavy items. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 22 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 3 3 3 3 3 N/A 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 3 3 3 3 3 3 x 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 x 3 3 3 3 x 3 Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 23 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. 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 2 Refer to Standard OP1 OP9 Good Practice Recommendations The registered person should include the views of service users about the home in the service user guide. The registered person should ensure that medication requiring refrigeration is stored in the medication fridge. Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Chamber Mount DS0000060625.V254285.R01.S.doc Version 5.0 Page 25 - 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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