Inspection on 28/06/07 for Charnwood Care Home

This inspection was carried out on 28th June 2007.

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

Charnwood Care Home 23/06/08

Charnwood Care Home 01/06/06

Charnwood Care Home 04/05/05

Charnwood Care Home 01/09/04

Charnwood Care Home 20/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Charnwood Care Home 24 Station Road Carlton Nottingham NG4 3AX Lead Inspector Karmon Hawley Unannounced Inspection 28th June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Charnwood Care Home Address 24 Station Road Carlton Nottingham NG4 3AX 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) 0115 940 4441 0115 987 5008 charnwoodcourt@schealthcare.co.uk Exceler Healthcare Services Limited Mrs Mary Ledger Care Home 88 Category(ies) of Old age, not falling within any other category registration, with number (83), Physical disability (5) of places Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Exceler Healthcare Services Limited may provide the following categories of service only:- Care home with Nursing:- Old age not falling within any other category (OP) 83, Physical Disability (PD) 5, All service users falling within the category PD will be aged 50 years or over One named service user within the category of PD who is under the age of 50 may be admitted into the home named in variation dated January 2006 One named service user may be admitted within the category DE(E) named in variation dated 19/2/07 The maximum number of service users who can be accommodated within the home is 88. 1st June 2006 Date of last inspection Brief Description of the Service: Charnwood is a registered care home providing both nursing and personal care. The home is located in an inner city area of Nottingham, close to the local shops, general practitioners surgery and other amenities. The accommodation is a purpose built building, with two units offering a total of 88 beds, comprising of 62 single rooms nine of which are ensuite and 12 double rooms one of which is ensuite. All bedrooms are fitted with an alarm call system and are suitably furnished, however service users are encouraged to personalise their own rooms. There is one large lounge within each unit, incorporating a designated dining area. There is a pleasant garden access leading from patio doors. The current weekly fees are as follows: residential care £334 for social services funded service users and £360 for private service users. £360 plus the nursing contribution for social services nursing service users and £440 plus the nursing contribution for private nursing service users. These fees do not include the following – chiropody, hairdressing, toiletries and newspapers. This information is made available on the point of enquiry. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager about Charnwood Care Home and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the manager matched individual experiences of service users living at the home by talking with them and observing the care received. Five service users and one relative were spoken with, all of them expressed that care was at a good standard and staff were very kind and attentive. General records maintained by the service and staff records were also looked at to ensure these were maintained and provided positive outcomes for service users. What the service does well: What has improved since the last inspection? What they could do better: The home continues to operate at a good standard and no requirements or recommendations were made following this inspection. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed prior to admission and they are assured that the home can meet their needs before they make a decision to move in. EVIDENCE: The manager or unit manager visits prospective service users within the community to carry out a pre-admission assessment prior to admission. Evidence of these assessments taking place was contained in service users files. The manager said that so prospective service users could get a feel for the home and what it has to offer; they are invited to visit the home and stay for a trial period. One service user discussed how they had been helped by their social worker to make arrangement to come to stay at the home for a short period and another stated that a member of staff had visited them at home before they moved in. The manager confirmed that the home does not offer intermediate care. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In depth plans of care and systems in place ensure that service users health, personal and social care needs are met. Service users feel that staff are respectful and ensure that their privacy is upheld at all times. EVIDENCE: In order to gain a clear picture of service users needs, they undergo various assessments such as the activities of daily living, nutrition, manual handling and risk assessments. Information gained had been used to form the plan of care. These were in depth and covered identified needs as well as reflecting people’s preferences. Service users or relevant others had been involved in the care planning process. To ensure any risks highlighted are reduced risk management plans were in place. Positive comments were received from service users: “I am happy and well looked after here, I can maintain my independence but am reassured that staff are here if I need them”, “I am settled and well looked after”, “the home Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 10 is marvellous and the staff are very good”, “my relative stays in bed when they are unwell, staff keep me informed of all events” and “staff are polite and cheerful and they help me when needed”. Staff spoken with were able to discuss service users needs and the care and support required. There was evidence available within service users plans of care to show that the doctor, district nurse, optician and other specialist services are accessed as required which ensures that service users receive the necessary help and support they need. During the brief tour of the home specialist equipment such as hoists, mattresses and cushions were seen. One service user discussed how staff use the hoist to help them move from place to place in a safe and comfortable way. Another said that they could see the doctor at any time, and another discussed how the district nurse visits them on a regular basis. To ensure that service users are protected by the homes medication policies and procedures all staff who handle medication have undergone relevant training. Staff confirmed that this training had taken place and there was evidence available within staff files. Medication records checked on the day of the visit were well maintained and corresponded with the administration record. Staff were observed during the lunchtime medication round and were seen to follow good practice procedures. Service users said that staff were respectful at all times and that their privacy was maintained. To enhance this for those service users who share rooms curtains are available. Staff were seen to treat service users with respect and knock on doors prior to entering room. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are helped and supported by staff to live a lifestyle of their choosing which satisfies their needs. They feel that they are treated as individuals and they have control over their lives. EVIDENCE: There are activities coordinators who offer activities such as games, arts and crafts, sing a longs and bingo on a daily basis. Outside entertainers also visit the home and on the day of the visit service users were enjoying a session of movement to music. Service users comments included: “I enjoy movement to music and I have joined in this morning”, “I enjoy the trips out, we enjoyed the recent boat trip and are looking forward to the summer fete”. To enable service users to continue their religious beliefs, church services are held in the home and Holy Communion is offered. One service user spoken with stated that they attend a religious day centre where their religious needs are met. The routine of the home was described as being flexible, service users spoken with said that they could spend their day as they wished and make their own choices, staff spoken with confirmed this. To ensure that service users maintain contact with relevant others there are no restrictions placed upon visiting times. A visitor said “I am always made Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 12 welcome, staff offer me drinks and sometimes a snack when I am here”. One service user commented, “my family visit often, I can see them in private if I want to”. Staff spoken with discussed how they felt it was important to get to know service users and their personal needs to ensure that care is delivered as they wish. Service users spoken with said that staff were respectful at all times and listened to them. One discussed how staff had assisted them to meet their religious needs and have made arrangements to ensure that the food they eat is appropriate for them. Another said, “I can make my own decisions and have discussion with staff about the risks I may wish to take”. A wholesome and appealing diet is on offer with choices available at each mealtime. Service users said, “food is very good and plentiful”, “choices are on offer at each meal time and the food is very nice”. The lunchtime meal was observed, staff were seen to assist service users as needed and several choices of food were on offer. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel confident that they can approach staff and raise any concerns, and that these will be addressed. Policies and procedures and a well-trained staff team ensure service users are protected from abuse. EVIDENCE: Five complaints had been received since the previous inspection. There was evidence within the complaints file to show that these had been dealt with and resolved appropriately. Service users and the relative spoken with all felt that staff were approachable and they would feel comfortable making any concerns known to them; “I know how to complain and I would feel comfortable doing so” and “staff listen to you and I feel confident that they would resolve any problems”. Staff were able to discuss how they would deal with a complaint should it be received. To ensure that staff are fully aware about adult protection procedures all staff have attended training in this area. Staff were able to discuss these issues and how they would respond should they suspect that abuse was occurring. All service users spoken with felt that staff were kind and caring and they felt settled living in the home . Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable and homely environment, which is clean, pleasant and hygienic. EVIDENCE: To ensure that service users live in a well-maintained environment, ongoing redecoration and refurbishment is taking place. All areas of the home were well maintained on the day of the visit. A gardening club has been established and service users have been involved in the redesign of the garden, adding a gazebo, water feature and plants. One relative spoken with said “the garden is so peaceful and is much nicer now with the plants in place”. They are also looking forward to the forthcoming summer fete when the official opening of the garden takes place. The home was clean and tidy throughout and a service user said, “it is always clean and tidy like this”. Sufficient housekeeping staff are employed to maintain the cleanliness of the home. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported by a very well-trained and competent staff team who are recruited safely. EVIDENCE: The duty rotas sent to the CSCI prior to the visit showed that sufficient staff were employed to meet service users needs. During the visit sufficient staff were seen attending to service users needs. Service users commented, “staff are always available if I need them”, “staff are very nice and there are enough of them to help me” and “staff are very good, I have a good chat with them”. To ensure that new staff have time to get to know about service users needs and the policies and procedures of the home an in depth induction programme is in use. Staff records and comments confirmed that a good induction had been provided. One member of staff confirmed that they had undertaken an induction and that it had been very helpful. The training records showed that 92 of staff working in the court and 66 of staff working in the house have attained the national vocational qualification level 2 or 3 in care (a nationally recognised work and theory based qualification). Two members of staff confirmed that they had achieved these awards. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 16 To ensure that service users are protected by the homes recruitment policies and procedures all staff have undergone a criminal record bureau check (a police check to see if an individual has a caution or criminal record) in addition to this all the required documentation such as references and proof of identity were on file. One member of staff confirmed they had undergone a criminal record check before commencing employment. To ensure that staff are fully trained and competent to meet service users needs an in depth training programme is in place. There is a training officer in each unit who assists in the delivery of both compulsory training such as manual handling and specialist training such as tissue viability care. Staff spoken with said that training was at a very good standard and they felt extremely supported by the service in their development. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home which is well run and managed where they are given the opportunity to have their say and know that this will be listened to. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. She ensures that she remains up to date with all necessary training to ensure current good practice is maintained. Staff spoken with said that the manager was very approachable and likes to ensure that excellent standards of care were maintained. Service users commented, “the home is very well run”, “I feel settled and comfortable here” and “the home is marvellous”. To ensure a quality service is maintained the manager carries out various monthly audits such as medication, food delivery and care planning. Results are then analysed and an action plan devised to address any areas of concern. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 18 To ensure that service users have their views listened to there are also monthly service users meetings; the minutes of one of these meeting was displayed on the notice board and showed that issues such as entertainment and food had been discussed. Questionnaires are also sent out on a regular basis to service users, staff and other visiting professionals, comments returned were mainly of a positive nature, such as, “I am aware of care plans,” “I am able to personalise my room” and “staff are professional and caring”. Two negative issues were highlighted, “there is a slight odour in the smoking room” and “sometimes the home is short staffed”. To ensure safe keeping of service users personal allowances safe holding is available should it be required. Four service users accounts were checked and corresponded with the accounting sheet. One service user confirmed that they had money in safekeeping and they could access this at any time. The information sent from the service to the CSCI demonstrated that relevant servicing and maintaince such as the annual gas testing and mains electrical testing had taken place. The hoist certificate was seen on the day of the visit, which showed that it had been serviced. Staff had received training in health and safety and were seen to be working in a safe manner. The manager stated that regular health and safety meetings are held to ensure that safe working practices are maintained. Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 20 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. Refer to Standard Good Practice Recommendations Charnwood Care Home DS0000026425.V340218.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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