Inspection on 18/05/07 for Cheaney Court Care Home

This inspection was carried out on 18th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

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 Cheaney Court Care Home 2 Harrington Road Desborough Northamptonshire NN14 2NH Lead Inspector Kim Cowley Key Unannounced Inspection 18th May 2007 11:00 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 Cheaney Court Care Home DS0000068684.V337626.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. Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cheaney Court Care Home Address 2 Harrington Road Desborough Northamptonshire NN14 2NH 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) 01536 761116 01603 764700 Alpha Care Management Services Limited Ms Gwendolyn Ann Johnson Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22) of places Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Cheaney Court care home is registered to provide personal care to male and female service users who fall within the following categories: Dementia - over the age of 65 years (DE)E)) 22. Old age, not falling within any other category (OP) 22. Cheaney Court care home can accommodate one service user under the age of 65 years under the OP category. Specific bedrooms: The bedrooms approved for use are on the ground floor and to the right of the central hallway. The maximum number of persons to be accommodated at Cheaney Court Care Home is 22. Not applicable – new registration 2. 3. 4. Date of last inspection Brief Description of the Service: Cheaney Court is a newly registered care home, which opened in December 2006. It is situated in Desborough, Northamptonshire, close to a good range of local amenities, including transport links. At present it has 22 beds for older persons, some of whom have mental health needs. All bedrooms are on the ground floor and most have ensuite facilities. The premises were purpose built 10 years ago and are spacious and accessible throughout. There is a large enclosed garden to the rear of the home. The fees range from £370 to £425. Additional charges are made for chiropody, hairdressing, newspapers and toiletries. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home can be requested from the General Manager or Registered Manager. Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, the inspector spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, the inspector checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to three residents living at the home by meeting or observing; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspector also met other residents and relatives, the Providers, the Registered Manager, the General Manager, and two carers. Five relatives surveys and four residents surveys were returned to CSCI prior to the inspection. All respondents made many positive comments about the home. Some of these are quoted throughout this report. What the service does well: Cheaney Court Care Home provides residents with a good standard of accommodation and care. The premises are homely, comfortable, and well decorated and furnished. All areas inspected were clean, fresh, and tidy. All residents interviewed said they were pleased with the care at the home. One said, ‘I am so thankful that I do receive the care and support I need, and I do appreciate it.’ Care in the home is flexible to fit in with residents’ preferences. One relative said, ‘I always get the impression that the residents are able to live as they wish to.’ Another relative commented, ‘The residents are happy and content and the staff are patient and helpful.’ An Activities Organiser is employed who provides a varied programme of activities for residents. Art and craft sessions are held, and examples of the residents’ work are on display in the home. Exercise classes, trips out, and visiting entertainers are also organised. One resident said, ‘The activities organiser helps us wonderfully with arts and crafts and exercise. I am very pleased with this. She is great.’ Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 6 All staff in the home, managers and carers, were observed as having excellent relationships with residents and to have a good understanding of their needs. Residents interviewed said they were pleased with staff team. One commented, ‘If I’m in my room and I press the button the staff come as fast as lightening.’ Another said, ‘The care staff are wonderful – much better than at my last home.’ A relative commented, ‘So far everything is to our satisfaction. My (relative) could not be treated better and I have peace of mind which is wonderful.’ 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. The summary of this inspection report can be made available in other formats on request. Cheaney Court Care Home DS0000068684.V337626.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 Cheaney Court Care Home DS0000068684.V337626.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): Quality in this outcome area is good. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standard 3 was inspected.) EVIDENCE: Residents who are considering coming to Cheaney Court are invited to visit prior to making a decision. The General Manager assesses all prospective residents in their own homes, in hospital, or during a visit to Cheaney Court. Information is sought from health and social care professionals where appropriate. The assessment process helps to ensure the home is suitable for residents who are considering living there. Records relating to three recent admissions were examined. All had written assessments in place. The views of relatives, and assessments carried out by health and social services staff, had been taken into account. Standard 6 was not inspected as the home does not provide intermediate care. Cheaney Court Care Home DS0000068684.V337626.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): Quality in this outcome area is good. Staff in the home, and in the wider community, meet residents’ health and personal care needs. Medication is safely managed. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) EVIDENCE: Care plans are in place to ensure that residents’ health, personal and social needs are met. All residents case tracked had the necessary risk assessments in place. Records showed some residents improving and becoming more independent since they had been in the home. All residents interviewed said they were pleased with the care at the home. One said, ‘I am so thankful that I do receive the care and support I need, and I do appreciate it.’ Care in the home is flexible to fit in with residents’ preferences. One relative said, ‘I always get the impression that the residents are able to live as they wish to.’ Residents are registered with GPs at a local surgery. At present District Nurses visit the home twice a day to provide treatment. Records showed that Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 10 residents have access to a full range of health care treatment including input from CPNs, chiropodists, dentists (NHS and private), and opticians. One resident commented, ‘We do get medical support when we really need it.’ The Registered Manager oversees medication administration and audits medication records every week. Only senior staff who have completed a safe handling of medication course are permitted to give out medication. The home’s contract pharmacist carries out inspections to ensure medication is properly kept, and provides staff training where necessary. At present one resident partially self medicates supported by care staff. One relative said, ‘I was most impressed with the way they handle medication. A big improvement on (my relative’s) previous home.’ It was observed during the inspection that staff treat residents with respect and help to maintain their dignity by providing care discreetly and sensitively. Cheaney Court Care Home DS0000068684.V337626.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): Quality in this outcome area is excellent. Daily life and social activities enable residents to lead purposeful lives. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) EVIDENCE: An Activities Organiser is employed who provides a varied programme of activities for residents. Art and craft sessions are held, and examples of the residents’ work are on display in the home. Exercise classes, trips out, and visiting entertainers are also organised. Residents and staff are in the process of planning a summer fete to be held at the home. One resident said, ‘The activities organiser helps us wonderfully with arts and crafts and exercise. I am very pleased with this. She is great.’ Staff and residents at the home have already formed links with a local primary school and the children have visited and provided entertainment to the residents. A branch of the Alzheimer’s Society is having meetings at the home and a percentage of the proceeds from the summer fete will go to this organisation. Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 12 Relatives’ meetings are held every three months. At the last meeting relatives asked if the staff could wear name badges. The Providers and Managers have agreed this is a good idea and will be implementing it. The routine in the home is designed to fit in with residents’ preferences. Residents can get up when they want. One the day of inspection one resident had just got up and was having their breakfast at 11.30am. Bedtimes are also flexible. Staff told the inspector that two resident had been up until 1am that morning talking. A fulltime qualified cook is employed. Meals are served in the dining room where residents sit in small groups at individual tables. All residents interviewed praised the food and the following comments were made: ‘The cook’s lovely, she does her best. Her porridge is nice, so are the jacket potatoes.’ ‘The cook goes out of her way to make me something special if I want if.’ ‘We are having fish today. The cook takes all the skin and bones off for me.’ ‘The cook makes a wonderful tea with all the sandwiches standing up properly.’ Cheaney Court Care Home DS0000068684.V337626.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): Quality in this outcome area is good. Residents feel able to talk to staff about any concerns they might have. This judgement has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) EVIDENCE: The home has a written complaints procedure, which is given to all residents (or their representatives) prior to admission. There is a copy on the relatives’ notice board and residents have a copy in their bedrooms. All residents interviewed said they knew what to do if they had a complaint. One said, ‘I haven’t got any complaints at all, but if I did I’d tell a member of staff or the Manager.’ There have been no complaints since the home opened. Staff are trained in safeguarding vulnerable adults during their induction. The home has a whistle blowing procedure in place, and a procedure for reporting suspected abuse. In discussions all staff were clear about what to do if they had concerns about a resident’s well being. Cheaney Court Care Home DS0000068684.V337626.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): Quality in this outcome area is excellent. Residents live in an environment that is spacious, safe and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) EVIDENCE: The premises, which were purpose built as a care home 10 years ago, are homely, comfortable, and well decorated and furnished. All areas are easily accessible to residents with limited mobilty. The interior of the home has been designed so tit is easier for residents who are confused to find their way around. All toilet doors are yellow and bathroom doors are blue. Some doors have symbols on them to indicate the purpose of the room in question, for example, there is a picture of a knife, fork and plate on the dining room door. All areas inspected were clean, tidy and fresh. Residents and relatives comments about the environment included: Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 15 ‘My (relative) moved rooms then decided to move back again. The staff were superb about this, taking down pictures and then putting them up again twice in total.’ ‘This home is spotless. The cleaner is out of this world.’ ‘It’s beautiful here.’ ‘The lounge is lovely. We sit in there and it’s so peaceful.’ ‘This home is always wonderfully fresh and clean.’ Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Friendly and professional staff meets residents’ needs. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) EVIDENCE: Staffing hours provided exceed the recommended minimum, which means that staff have more time to spend with residents. During the inspection staff were observed as being professional and caring in their approach to residents, and to communicate well with residents with dementia. All residents interviewed said they were pleased with staff team and the following comments were made: ‘If I’m in my room and I press the button the staff come as fast as lightening.’ ‘The night staff are lovely. They come in to see if I’m alright and if I want anything.’ ‘The care staff are wonderful – much better than at my last home.’ Relatives also expressed satisfaction with the staff team: ‘My relative does tend to get rather muddled from time to time and imagine certain things, but all the staff have been very understanding about this and I try to work with them when needed.’ Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 17 ‘Everyone I have met so far on my visits has been very caring and professional.’ ‘I know that I could always discuss anything with regard to my (relative’s) care with the Manager or carers.’ Recruitment procedures were discussed with the General Manager. He confirmed that all staff are subject to CRB and POVA checks, and references are obtained. This helps to ensure residents are safeguarded. Staff receive good training opportunities. At present 50 of staff are qualified to at least NVQ Level 2 or it equivalent. Additional training courses are ongoing and records showed that staff are encouraged to develop their existing skills and learn new ones. Since the home opened courses in Health and Safety, Moving and Handling, Fire Safety, POVA (Protection of Vulnerable Adults), Food Hygiene, COSHH (Control of Substances Hazardous to Health), and Dementia Awareness have been run. Future courses that have been booked include POVA, Moving and Handling, First Aid, and Dementia Awareness. In addition all staff have six-monthly supervision sessions with the Registered Manager. The training and supervision arrangements in the home help to ensure that staff are competent to do their jobs. Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Residents live in a home that is safe and well managed. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) EVIDENCE: The General Manager (a Registered Nurse) and the Registered Manager are responsible for the day-to-day running of the home. Both have substantial experience in management and the care of older people with a variety of different needs. In discussion the Managers and the Providers demonstrated a commitment to providing quality care for residents in a homely and relaxed environment. Comments from residents and relatives indicate that the routine in the home is flexible to meet residents’ needs and individual preferences. To monitor the Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 19 success of the home the Managers have set up to two evidence files where the care provided is assessed in line with CSCI’s national minimum standards. All residents handle their own financial affairs, or their relatives manage their affairs for them. Records showed that the Providers and Managers have taken the necessary steps to promote and protect the health, safety, and welfare of residents and staff. A full-time handyman is employed to oversee this area. Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 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 X X X X 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 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Not applicable 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 Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI Cheaney Court Care Home DS0000068684.V337626.R01.S.doc Version 5.2 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!