Inspection on 20/12/05 for Cheviot Nursing Home

This inspection was carried out on 20th December 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

Cheviot Nursing Home 08/05/09

Cheviot Nursing Home 11/04/07

Cheviot Nursing Home 05/07/05

Cheviot Nursing Home 10/03/05

Cheviot Nursing Home 24/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Cheviot Nursing Home 11 Park Road Colchester Essex CO3 3UL Lead Inspector Diana Green Unannounced Inspection 20th December 2005 01:30 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 Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 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. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cheviot Nursing Home Address 11 Park Road Colchester Essex CO3 3UL 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) 01206 763648 01206 763987 cheviot@balkernegardens.fednet.org.uk Balkerne Gardens Trust Limited Mrs Jean Hudson Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (1), Physical disability of places over 65 years of age (33), Terminally ill over 65 years of age (2) Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 33 persons) Persons of either sex, aged 65 years and over, who require general palliative care (not to exceed 2 persons) Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 3 persons) Persons of either sex, aged 65 years and over, who require intermediate care. Care to be provided in the new wing of main building; bedroom numbers 2, 3, 6, 8, 9, 10 and 11. Dedicated lounge/dining facilities to be provided and designated sessions for rehabilitation (not to exceed 7 persons) One person, under the age of 65 years, who requires care by reason of a physical disability, whose name was made known to the National Care Standards Commission, for 30/08/03 - 15/09/03 and 11/11/03 - 18/11/03 The total number of service users accommodated must not exceed 33 persons 5th July 2005 5. 6. Date of last inspection Brief Description of the Service: Cheviot Care Home provides nursing and personal care with accommodation for up to 33 older people. The home provides intermediate care and is also registered to care for service users with a terminal illness. Cheviot is owned by a charitable organisation, named Balkerne Gardens Trust Limited. The home is located in a quiet cul-de-sac within walking distance from Colchester town centre. The home was opened in 1990 and consists of a two-storey building with a newer purpose built two-storey wing.There are 29 single en-suite bedrooms and 2 double en-suite bedrooms. There is a passenger lift. The home has enclosed gardens to the rear of the property that are attractive and accessible to wheelchair users. Cheviot is accessible by road and rail and the nearest station is in Colchester. Parking is available in the small car park and adjacent road. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 20/12/05, lasting 4.5 hours. The inspection process included: discussions with the senior registered nurse, five staff, health and social care workers, four residents and two relatives; a partial tour of the premises including a number of residents’ rooms, bathrooms, communal areas and the laundry; and inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). Ten standards were inspected and no requirements made. Action had been taken promptly to address previous requirements and recommendations. It was evident that Cheviot Nursing Home continues to provide a high standard of personal and nursing care for residents. The manager and staff were welcoming and helpful throughout the inspection. What the service does well: What has improved since the last inspection? Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 6 Action had been taken to address the one requirement made at the previous inspection and the recommendation made by the fire officer. An annual development plan had been produced for the home. Staff had received further training with several achieving NVQ qualifications and senior staff having undertaken leadership training. The comprehensive programme of social activities continues to develop to encompass all residents’ diverse needs and to help them gain an understanding of the range of cultural backgrounds of staff that care for them. 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. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 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 Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 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): EVIDENCE: Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 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): 8, 9 Residents health and personal care needs are consistently well met within the home. The systems for the administration of medicines are good with clear and comprehensive arrangements being in place to ensure residents’ medication needs are met. EVIDENCE: The home is well supported by the local GP practice who attends the home weekly and residents also have a choice of their own GP. One GP is responsible for those residents receiving intermediate care. Records showed appropriate and prompt referral to health professionals and GP’s with good access to outpatient services as necessary. The home had a good range of pressure relieving mattresses to meet residents’ needs. There were four residents with pressure sores and the records confirmed that appropriate care and treatment was being provided. Residents spoken with said that the standard of personal care was good, and that care staff were friendly, helpful and polite. Relatives spoken with said that they were kept well informed and the manager was very approachable. The home had a medication policy with relevant procedures for staff guidance Registered nurses administered all medication at the home. Advice and support Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 10 was provided through the supplying pharmacy and appropriate ordering and disposal procedures were followed. Medication administration records (MAR) were viewed, and were well maintained. Action had been taken to monitor and record the administration of temazepam as for controlled drugs, as recommended as good practice. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 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 Daily routines are flexible, and choices are actively promoted. A good and appropriate range of activities and interaction takes place in the home. Visiting arrangements are open and relaxed; staff encourage contact with the local community. EVIDENCE: Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 12 Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 13 From discussion with residents and with staff, routines in the home appeared flexible and residents’ individual choices were accommodated. Residents’ rooms were personalised with photographs and small items of furniture. The home adopted a person centred approach to social care with residents assessed on admission to determine their individual interests, a plan of care developed and outcomes recorded. A programme of individual and group activities was provided based on their interests and led by a senior care assistant supported by four care staff. Regular themed parties were organised and trips to the theatre and other outings. Seated exercise was organised at minimum four weekly with stretching exercises for individual residents. Regular church services were also organised. Staff had also provided talks based on their own cultural and religious experiences that helped residents gain an in-sight into their various backgrounds. It was evident from speaking with residents that they were enabled a choice of taking part and that they found the activities stimulating. Two visitors spoken with said they were able to visit at anytime and found the home and staff very welcoming and they were always offered a drink. Relatives said they found the manager and staff friendly and supportive and communication was very good. The service users’ guide and record of activities confirmed that links were made with the local community. All residents had a representative or advocate to act on their behalf. Information on advocacy services was displayed for their information and facilitated as needed. The service user guide detailed residents’ rights to access their personal care records in accordance with the Data Protection Act 1998. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Cheviot has robust systems in place for the handling and management of complaints providing assurance to complainants their views will be listened to and acted upon. EVIDENCE: No complaints had been received by the CSCI about the home since the last inspection. Cheviot had a complaints procedure that included timescales within which complainants can expect a response and their right to complain directly to the CSCI at any stage. The procedure was included in the statement of purpose and displayed in the home for resident and representative information. Residents and their relatives spoken with had no complaints about the home, and said they felt the manager would deal with any issues as they arose. The record of complaints inspected detailed the investigation and outcome with evidence of action taken to resolve identified issues and reach a satisfactory conclusion. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Cheviot is safe, well maintained and has a homely environment. The home was clean and hygienic with safe infection control practices evident. EVIDENCE: A partial inspection of the premises was made that included communal areas, a number of residents’ rooms, the sluices, bathrooms and the laundry. The home was in a good state of maintenance and decoration. Communal rooms were clean and well decorated and furnished to provide a homely environment for residents. The gardens were attractive and well maintained and provided good access for residents. Records provided evidence that the building complied with the requirements of the local fire and environmental health department. The home was clean and hygienic throughout with no odorous smells. The infection control practices in place were observed to be safe. The home had two sluice disinfectors, one on each floor of the premises that were well maintained. The laundry was equipped as required and very well organised. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 16 Laundry and sluice facilities were located away from areas where food was prepared or eaten. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 30 Cheviot has a strong ethos of staff development and training that provides them with essential and enhanced skills, resulting in a motivated and stable team who ensure residents’ needs are appropriately met. EVIDENCE: Care staff were encouraged and supported to undertake NVQ training. There were five care assistants with NVQ level 2 training and a further five undertaking the course. Two care assistants had NVQ level 3 training with a further three staff undertaking the course. All staff were registered on a TOPPS certified training programme. Individual training records and evidence of induction training were not inspected on this occasion. The home had a comprehensive training programme in place. Records summarising training were seen, and showed that all staff were up-to-date with all mandatory training including health and safety, fire safety, basic first aid and moving and handling. Training had also been provided in customer care, nutrition, COSSH, team leadership, appraisal, Parkinson’s disease, palliative care and dietary needs in palliative care. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 The systems for service user consultation are good with sound evidence that indicates that their views are sought and acted upon. Residents financial interests are promoted and protected through robust systems that are well adhered to. EVIDENCE: Balkerne Gardens Trust had a business plan that included the aims and objectives of the charity and referred to all four homes it represented. The home had a quality assurance framework in place that included distribution of service users’ questionnaires alternating annually with those sent to relatives. Policies and procedures inspected were regularly reviewed and action from inspection reports was progressed within timescales as required. There was evidence from discussion with residents, their relatives and staff and previous knowledge of the home that Cheviot was run in the interests of service users. An annual development plan had also been formulated for the home. There Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 19 was evidence from discussion with residents and their relatives that their views on the home were sought through frequent informal discussion with the manager. The systems for the management of four residents’ monies were inspected. All were appropriately managed with records of receipts maintained and amounts confirmed as accurate. Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 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 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x x Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 21 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 Cheviot Nursing Home DS0000015332.V274731.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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