Inspection on 08/08/05 for Chester Court

This inspection was carried out on 8th August 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 28/11/05

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 08 August 2005 09:30 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 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 B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Chester Court Address Choppington Lane Bedlington Northumberland NE22 6LA 01670 820111 01670 822001 chestercourt@barchester.com Barchester Healthcare Homes Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vacant CRH 41 Category(ies) of LD Learning disability (1) registration, with number LD(E) Learning disability - over 65 (1) of places OP Old age (39) Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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. Date of last inspection 16th & 30th November 2004 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 B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 5 hours on one day by the inspector, who has visited the home on a number of previous occasions. The manager was on duty during the visit and accompanied the inspector a tour of the premises Twelve residents were spoken to during the visit and four relatives and the inspector also spoke to six of the staff the in process of the inspection visits. During the inspection the records examined included, four care plans and medication records, training records and the records for complaints as well as the accident records. The inspector also viewed staff files including the process for their recruitment and selection. There were no requirements identified during this inspection and only two recommendations. What the service does well: What has improved since the last inspection? At the last inspection there was only one recommendation made which is for the then Manager to undertake the management relevant qualification. However, due to promotion of the previous manager within the company and Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 6 the appointment of Mrs Jackson to the post this recommendation no longer applies. 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 B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 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: Five care plans were examined and each has comprehensive pre-admission assessments, which were undertaken by the Manager or the senior staff in the home. 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 produced. The home is not registered for, and therefore does not provide, intermediate care. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 10 Individual care planning is undertaken and the care is being delivered in line with these plans. The residents are having their needs met. Residents are confident that the staff treat them with respect and maintain their privacy so far as possible when delivering care and throughout their daily life. EVIDENCE: Each resident has an individual plan of care, which is based on the admission assessment and is then added to during the placement. Four care plans were examined and they were completed to a good standard. There was evidence that relevant risk assessments are available for the prevention of falls, nutrition, wound care, moving and assisting, and continence promotion. The plans showed that they are regularly reviewed and updated and that reviews are regularly held with residents and their representatives. However there were areas of the care plan which could be developed further to ensure their ongoing improvement this was discussed with the Manager who is planning to deliver training in care planning as part of her quality assurance programme. The care plans showed that the residents have access to all NHS services and facilities. There was a good range of pressure relieving mattresses in use for Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 10 the prevention of pressure sores. The recording of the nursing action taken for wound care was satisfactory with evaluations being dated and signed. There was evidence in two of the care plans that the staff had sought expert advice about wound management for the individual residents, this suggests their willingness to ensure that they are using best practice in their wound care. The staff spoken to are aware of the need to maintain residents privacy are doing so as part of their delivery of care, including the use of a door handle hanging notice explaining not the enter the bedroom as personal care was being provided. The residents interviewed were complementary about the care they received and said that the staff treat them in a kind and caring way. Two specifically said that the staff support them to spend time alone when they wanted and would knock on their door before entering their room. One said that staff had told her that it was up to her who she allowed into their room as it was her home, the resident was impressed with this stance. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 standard(s) 15 The food being served is being prepared safely by knowledgeable staff and offers choice to the residents. The home offers the resident a balanced diet and there is sufficient quantity of both food and fluids to meet their needs. Staff are aware of the importance of a balanced diet and the way it is served. EVIDENCE: The residents are offered a choice of three meals a day and residents on the day were seen eating heartily one asked said that the “food is really nice”. The meal being served was ample portion size, hot and well presented. Residents were offered assistance in a discreet manner. Residents were offered second helpings and alternatives to the main and dessert course were available. A variety of cold drinks were available throughout the meal and hot, cold drinks and biscuits were available throughout the day. There was an ample supply of frozen, tinned, dried and fresh food available all of which was appropriately stored. The kitchen staff were aware of residents specialist needs including how to fortify foods for those who have poor appetites or those who have lost weight. The kitchen was generally clean and well organised. The kitchen records are being kept appropriately and were examined these include recording the temperature of the food being served, the fridge and freezer temperatures and the cleaning schedule. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 12 There is now a need for deep cleaning of the kitchen including the floor behind the kitchen shelving and the wall next to the rear door. Kitchen staff are not responsible for this as part of the cleaning schedule and it is usually undertaken by the handyman at a time convenient to the needs of the home. A recommendation has been made regarding this. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 standard(s) 16, 18 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. The residents are protected by ensuring that the staff are given Protection of Vulnerable Adults training and whistle-blowing as well as reporting concerns to the Manager. 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 seven complaints recorded and 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. Written guidance is in place regarding the protection of vulnerable adults. Staff confirmed that they knew about the guidance and could identify the action they would take if they were made aware of or had any concerns regarding this issue. Staff are being given training on protection of vulnerable adults new staff are being given. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The home is well decorated and is safe for the residents to live in. It is being maintained in a satisfactory way and there is a programme in place to ensure that the redecoration and maintenance is undertaken. The bedrooms are all single occupancy and are decorated and equipped in a homely and personalised way. There are suitable toilets and bathrooms, which are well equipped and nicely decorated. The necessary specialist equipment is provided in the home and when required appropriate advisors are brought in to offer advice and assess residents needs e.g. Physiotherapy. EVIDENCE: A tour of the home was conducted both with staff and alone to assess the general condition of the home. It is tidy and organised in such a way to make sure that the residents are able to use the home safely. It is purpose built and is well maintained and there is evidence of some refurbishment and redecoration-taking place as necessary currently that includes toilet areas with plans for the downstairs dining room. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 15 There is a pleasant outdoor area to the front of the home and two residents said that they spend time in this area when the weather is fine. They explained that they liked “watching the world go by” and enjoying the “lovely garden”. The home is clean and was odour free on the day. The residents’ bedrooms were personalised reflecting individual choices and preferences and three residents asked about their bedrooms said they were happy with the decoration and that they were kept clean by the staff. 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. The light and emergency call cords were all clean and all emergency cords reached skirting level. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, The home is staffed with appropriate numbers of staff and there are qualified nurses on duty in sufficient numbers to meet the needs of the residents. 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. EVIDENCE: Staffing rotas showed that the Manager is ensuring that enough staff are on duty to meet the staffing levels set down prior to the change to the CSCI without reduction. It was noted that when sickness and staff holidays occur these occasions are usually covered by home staff. However, when this is not possible agency staff are being used, late reporting does occasionally result in fewer staff being on duty for short periods. Only one staff record was examined and this was 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. There is evidence of a significant amount of training in both statutory and clinical areas of practice. All staff are receiving training in line with the company policy and statutory requirements. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 38 The home has a new Manager in post, Alison Jackson (Ali), who is about to undertake the process of being registered by the CSCI. She was involved in the inspection and demonstrated a willingness to comply with the recommendations being made. She will need to complete the necessary management training as planned. The home has systems to make sure that it is managed effectively taking into account the needs and wishes of the residents and there is a good line of accountability through the home and the company. The home has in place effective health and safety systems including staff training. EVIDENCE: The Manager, Ali Jackson has a good understanding of the client group, there is information available in the service user guide about the lines of accountability both in the home and within the company, and she is aiming to have the relevant management qualification by the specified date. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 18 Staff said “there have been a lot of management changes but things were getting better” “There is now support from the manager and there is plenty of training”. The staff confirmed that they receive statutory training to ensure the health and safety of residents, staff and all visitors which was supported by the training records provided. The home has in place arrangements to ensure that persons working at the care home receive suitable training in fire prevention and by means of fire drills and training in the procedures to be followed in the case of fire. There is a system in place to review health and safety in the home involving the staff for which records are available. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x x x 3 Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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 7 15 Good Practice Recommendations It is recommended that the Manager delivers the training in care planning as planned to further improve the standards. The deep cleaning of the kitchen should be undertaken to maintain the level of cleanliness. Chester Court B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 B53-B03 S55012 Chester Court V225746 080805 Stage 4.doc Version 1.30 Page 22 - 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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