Inspection on 28/11/05 for Chester Court

This inspection was carried out on 28th 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

Chester Court 03/08/09

Chester Court 19/08/08

Chester Court 27/07/06

Chester Court 08/08/05

Chester Court 16/11/04

Chester Court 21/04/04

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

CARE HOMES FOR OLDER PEOPLE Chester Court Choppington Lane Bedlington Northumberland NE22 6LA Lead Inspector Suzanne McKean Unannounced Inspection 13:30 28 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 Chester Court DS0000055012.V257733.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. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chester Court Address Choppington Lane Bedlington Northumberland NE22 6LA 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) 01670 820 111 01670 822 001 chestercourt@barchester.com Barchester Healthcare Homes Limited Care Home 41 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (1), Old age, not falling within of places any other category (39) Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Should either of the named service users within the categories LD/LD(E) leave the home, the Commission for Social Care Inspection must be notified immediately. 8th August 2005 Date of last inspection Brief Description of the Service: Chester Court is a purpose built care home on one of the main roads in the town of Bedlington. It is situated within easy access of local amenities and services. It is of brick build and apex tiled roof construction of a modern and up to date design. It has an open aspect to the front utilising large windows and glass doors to offer light and air to the building. The home is designed in a cluster of bedrooms and lounge areas. The car parking is to the side and front of the building and landscaped gardens are provided to the front. There is level access to the building and to all areas of the home with the use of the two lifts. Some of the bedrooms have their own door from their rooms directly into the garden area. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of 4 hours on one day by the inspector, who has visited the home on a number of previous occasions. This is the second unannounced inspection the home has had in this year and all of the core standards have been examined over the inspections so both reports should be looked at for the full picture. During the inspection twelve residents, five relatives and five of the staff were spoken to. The records examined included, four care plans and medication records, training records and the records for complaints. The inspector also viewed staff files including the evidence of their training and supervision. There were no requirements identified during the last inspection and two recommendations, both of which had been met by this inspection. During this inspection one requirement was identified and one recommendations. What the service does well: What has improved since the last inspection? There were no requirements identified at the last inspection. The recommendation to provide Protection of Vulnerable adults training is being carried out in the training programme for the home. During the last inspection the kitchen was clean but was due its “deep clean” this has now been carried out. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 6 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. Chester Court DS0000055012.V257733.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 Chester Court DS0000055012.V257733.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&6 There is a comprehensive assessment undertaken by the staff prior to admission, which forms the basis for the development of the care plan. The home does not offer intermediate care. EVIDENCE: Four care plans were examined and each has comprehensive pre-admission assessments, carried out by either the Manager or the senior staff. The residents also have a care management assessment, which is provided, to the home on admission and from these documents an individual care plan is developed. The home is not registered for, and therefore does not provide, intermediate care. Chester Court DS0000055012.V257733.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&9 Individual care planning is undertaken and the care is being delivered in line with these plans. The residents are having their needs met. The residents received their prescribed medication in line with safe working practices. The medicines in the home are well managed and safely disposed of as necessary. EVIDENCE: Residents have individual care plans and the four care plans examined were of a good standard although one needed to be further development as the resident was newly admitted. Relevant risk assessments are completed for, prevention of falls, nutrition, wound care, moving and assisting, and continence promotion. They are regularly reviewed and updated with involvement of residents and their representatives. The care plans identified the use of NHS services and facilities. There is a good range of pressure relieving mattresses for the prevention of pressure sores. Records of the nursing action taken for wound care was good with evaluations being dated and signed. Staff seek expert advice for wound management for the individual residents, this suggests their willingness to ensure that they are using best practice in their wound care. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 10 The systems for managing medicines in the home were found to be appropriate, the staff record the medicines being ordered, the prescriptions are then checked on receipt from the General Practitioners and are then sent to the Chemist for dispensing. The medicines are then again checked against the records when received into the home so that any errors can be picked up. No residents are currently managing their own medication in the home. Chester Court DS0000055012.V257733.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 Residents are satisfied with the flexibility of their routines for daily living and activities, which are appropriate to meet their cultural, social, religious and recreational interests and needs. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. EVIDENCE: The staff in the home confirmed on discussion that residents are encouraged to take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. Residents confirmed that they are able to make choices about how they spend their day and said they were satisfied with the activities available. Some organised activities are available and staff said that residents are able to choose whether or not they are involved. Residents confirmed this. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 12 The residents’ bedrooms were personalised reflecting individual choices and preferences and three residents asked about their bedrooms said they were happy with the decoration. Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Four relatives spoken to on the day and through returned questionnaires confirmed that they are welcomed to the home. Relatives are given information within the residents’ guide about visiting arrangements. Residents said they were satisfied with the arrangements for visitors and that staff welcome them. Chester Court DS0000055012.V257733.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 The home ensures that the residents and relatives are made aware of the complaints policy and that it is available in a variety of places. There is a system for managing and dealing with complaints, which makes it possible for them to be investigated and action taken to address any issues identified. EVIDENCE: The complaints procedure is available in the service users guide and a copy is available at the front entrance as well as being displayed in the home. The records of the complaints made to the home were examined, there has been Four complaints were recorded two of which were made formally and two were expression of concerns which were recorded as part of the quality assurance process. The records of these were detailed including the response to the complainants and the action taken in response to the issues raised. Two of the residents who were interviewed during the visit understood how to make a complaint, and could identify the way this would be dealt with. Three relatives who was visiting the home was aware of the complaints procedure but had not needed to use it. The home records even minor expressions of concern and deals with them formally so that they can be sure that they are dealt with effectively. Chester Court DS0000055012.V257733.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): 26 The home is clean and well organised and the staff are knowledgeable regarding the ways to prevent the risk of cross infection in the home. Equipment and facilities are available to support the staff in doing this. EVIDENCE: A tour of the home was conducted both with staff and alone however these standards were examined in detail at the last unannounced inspection and were not repeated on this one. The home is clean and was odour free on the day. The residents’ who were asked about their bedrooms said they were happy with the decoration and that they were kept clean by the staff. The bathroom and toilet areas were tidy and clean. The laundry was clean, organised and well equipped. The sluices were tidy, clean and odour free and the disinfectors operational. Staff were observed to follow infection control policies throughout the day and appropriate equipment was available. The light and emergency call cords were all clean and all emergency cords reached skirting level. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29, 30 The staff are recruited and selected using a system, which ensures that they are able to care for the residents and have not been identified as posing a risk to their welfare through Criminal Record Bureau and the Protection of Vulnerable Adults List. The training programme is not up to date for all staff although a significant amount of training is being given to the staff. EVIDENCE: Staff records examined were completed in line with the company policies and procedures, including two references and a completed application form. The requirement to have a CRB and POVA check in place is applied to all of the staff in the home. The training records maintained by the Manager to allow her to plan for training was examined, it was very clearly maintained and offered a good system. However, although there is evidence of a significant amount of training in both statutory and clinical areas of practice not all staff are receiving training in line with the company policy and statutory requirements for moving and handling and fire training. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 16 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): 33, 35, 38 The Manager, Ms Jackson, ensures that she has systems in place to make sure that the home is managed effectively taking into account the needs and wishes of the residents. She is continuing to consult the residents, staff and other interested parties to review the service provided and manage the staff in a way to improve care delivered. The home has in place effective health and safety systems although training in moving and handling must be brought up to date. Resident’s personal finances are managed appropriately. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 17 EVIDENCE: There is a system in place to review health and safety in the home involving the staff for which records are available. Training records are in place however some training must be brought up to date (see Standard 30) Records were examined of the staff meetings which take place regularly and the contents of these suggest that there a broad spectrum of relevant issues discussed, however those staff unable to attend are not given access to the notes from the meetings to ensure they are up to date with information. The Manager also facilitates meetings with the relatives and residents as appropriate. The personal records kept in the home of residents who are receiving assistance to manage their finances were examined and are detailed, logical and appropriate. Receipts were in place for purchases made on behalf of residents and signatures of either two staff or one and the service user were in place. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 18 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 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 2 Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 19 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. 1 Standard 30 Regulation 23(4)(d) 18(1) 13(5) Requirement The home must ensure that all staff receive training in moving and handling service users and in action to take in the event of a fire. Timescale for action 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 38 Good Practice Recommendations Records of the staff meetings should be circulated to all staff to ensure they are up to date with the information they need. Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Chester Court DS0000055012.V257733.R01.S.doc Version 5.0 Page 21 - 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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