Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 10/07/07 for China Cottage Nursing Home

Also see our care home review for China Cottage Nursing Home for more information

This inspection was carried out on 10th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home was well-managed and organised and promoted individual rights, choice whilst encouraging and maintaining peoples independence whenever possible. People who lived at the home said that they were very happy with the care and services provided and would not wish to live anywhere else. The views of residents and their representatives were regularly sought and acted upon by the homes management. Staff clearly knew the individual residents well. Their interactions were both skilful and professional as they worked to meet each individuals needs. Staff were both heard and observed to offer individual`s choice of meals, drinks and activities. There is a good staff team, which worked well together to ensure the continuing wellbeing of the people living at the home. Staff had worked well with the local health services, in particular in the area of palliative care. The manager and staff had completed a number of training courses and were committed to developing their level of skill and knowledge.

What has improved since the last inspection?

The system of care management continues to develop and evolve. The home`s owner and manager continued to demonstrate their commitment and positive attitude to staff training induction and development of the care team.Statutory requirements made following the previous inspection: to provide designated and trained first aid for staff and improve recording of any concerns or complaints had been met.

What the care home could do better:

The redecoration and refurbishment programme was ongoing. Some improvements have been made to bedroom accommodation with more refurbishment scheduled.

CARE HOMES FOR OLDER PEOPLE China Cottage Nursing Home 154 Owston Rd Carcroft Doncaster South Yorkshire DN6 8EA Lead Inspector Ian Hall Key Unannounced Inspection 10th July 2007 07:50a 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 China Cottage Nursing Home DS0000053683.V345379.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. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service China Cottage Nursing Home Address 154 Owston Rd Carcroft Doncaster South Yorkshire DN6 8EA 01302 724815 01302 728312 manager@ccchd.eclipse.co.uk 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) Doncaster Property Investment Fund Ltd Mrs Sandra Thomas-Blount Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit persons between the ages of 60 - 65 years. Date of last inspection 12th July 2006 Brief Description of the Service: China Cottage is a care Home registered to provide personal care and nursing care for up to 33 persons in the category of older adults. The home is situated in the village of Carcroft, which is about six miles from the town of Doncaster. It is a two-storey building with 29 single and 2 double bedrooms. There is a passenger lift to both floors. Accommodation is provided on both floors. The lounges, dining areas, kitchen and laundry facilities are all located on the ground floor, there is also a hair dressing facility. There are patio and lawn areas at the rear of the home and car parking spaces to the front. The fees are from £380.62 to £426.30 per week. This information was provided on the 10th July 2007. The home charges extra for chiropody, telephone, holidays and hairdressing. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The senior person present at the inspection representing the providers was Mrs S Thomas-Blount the registered manager. The inspector spoke to people who use the service, the staff and visitors to the home. Personal and communal living areas were inspected. Recording systems including risk assessments, care plans, menus, complaint files and staff files were examined. The history of the service was examined prior to the site visit. This included telephone contacts, letters and notifications. What the service does well: What has improved since the last inspection? The system of care management continues to develop and evolve. The home’s owner and manager continued to demonstrate their commitment and positive attitude to staff training induction and development of the care team. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 6 Statutory requirements made following the previous inspection: to provide designated and trained first aid for staff and improve recording of any concerns or complaints had been met. 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. China Cottage Nursing Home DS0000053683.V345379.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 China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. This judgement has been made using available evidence including a visit to this service. Pre admission assessments demonstrated that individual needs had been planned for before people moved into the home. People who required care services and their families were given all the information they required to make a choice of whether China Cottage was the home for them. Individual written contracts detailing terms and conditions of residence provided clear information for people who use the service. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 9 EVIDENCE: The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. Case records and discussion with staff confirmed that any specialised equipment that may be required is obtained before anyone is admitted to ensure that people’s health and wellbeing could be supported. Intermediate care was not available at the home. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. This judgement has been made using available evidence including a visit to this service. People who lived at the home and their relatives were involved in care planning and setting measurable targets for care. Care staff were proactive in ensuring that the health care needs of people were adequately addressed. Staff attitudes and approach to care was based on respect for the person and this helped to safeguard and promote the rights and dignity of individuals. Staff were working to the home’s policies for the administration of medication, which promoted the wellbeing of people who lived at the home. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 11 EVIDENCE: The care plans were well compiled and complete they promoted dignity, privacy and encouraged independence. They contained appropriate information to enable people who were not familiar with the individual to meet their care needs. These had been monitored at regular intervals; some plans had been amended within the timescale in response to changed care needs. Risk assessments had been recorded and evaluated to promote safety of people who use the service. Risk areas had been identified and planned for such as: poor appetite, risk of falls, episodes of confusion and disruptive behaviours, all had plans for staff to follow. Care records show that staff had good communication with the local hospitals, primary care trusts and local GPs. Specialist equipment had been obtained and used to maintain people’s wellbeing such as pressure relieving mattresses. Relatives were observed to visit freely and continue to assist with care of their loved ones as they wished. Family members spoken to confirmed their involvement in the planning and provision of social, physical and psychological care. They said they could have access to care plans whenever they wanted. People who lived at the home and relatives spoken with confirmed that staff respected their privacy and dignity. An example of this was staff knocking on bedroom doors and waiting to be invited to enter. Staff were observed to interact with people appropriately and with obvious empathy for their needs. People living at the home spoke well of their key workers and ‘named nurse’, who they felt provided them with invaluable help. Good interactions were seen with staff this helped to maintain a relaxed and happy atmosphere at the home. All were offered personal care in the privacy of their own rooms or in bathrooms. People were observed to be dressed appropriately this enhanced their self-confidence and dignity. Staff were observed administering medications and helping the people to take their prescribed medicines. Records were correctly maintained and medicines stored safely. The home had a range of policies and procedures to provide guidance for staff and maintain the safety. None of the people were responsible for their own medication although this facility was available. Relatives praised the staff and services provided, “nothing is too much trouble, they are most helpful and ring me and keep me fully informed, they took my mum to hospital and stayed with her I was so relieved, they have endless patience I don’t know how they do it, I’m very happy with the care my mum China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 12 gets here, they remember the little things, she wears her jewellery and makeup as she always has”. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. This judgement has been made using available evidence including a visit to this service. Social and leisure activities are organised by the activities coordinator and other staff, all spoke favourably about their involvement in the activities. The home was providing meals and snacks, which met both the nutritional needs and food preferences of the people living at the home. EVIDENCE: The religious and cultural needs of people were documented, the records showed how these could inform basic lifestyle issues such as diet and dress, and how staff, sometimes in conjunction with families acted to meet these. People were encouraged to choose their own clothes to wear each day, decide when to bathe, where to sit and select their own meals. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 14 People said that they were satisfied with the social and recreational activities that take place at the home. The meals provided appeared well cooked and presented. Mealtimes were unhurried with extra portions available as required. Portions were adjusted to each person’s likes and diet needs. Care staff also helped people to exercise their food choices at meal times, and those who had difficulty with eating were offered appropriate assistance People living at the home were encouraged to eat healthily. Plentiful supplies of food and fresh fruit were available. There was a four weekly menu with records kept of each persons food consumption. Alternative meals were available if people did not like the planned meal. Visitors to the home confirmed that there was an open visiting policy and that they were encouraged to maintain regular contact with their relatives. Visitors spoken to said they are encouraged to come and see their relative or friend and are always made to feel welcome. One visitor said, “although they’re busy, they always make me and mum a tray of tea and biscuits.” China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This judgement has been made using available evidence including a visit to this service. The staff and management operated an effective complaints policy to protect service users. The policy and procedures for adult protection was in line with the local multi-agency approach. Staff had been trained to implement these procedures to protect people from all forms of abuse. EVIDENCE: There was a complaints’ procedure, it was accessible to all people who live at the home and any visitor. A copy was displayed in the entrance hall. This procedure was referred to, in the statement of purpose and the service user guide. All said that they could complain, if they had reason to do so. They commented that they were confident that management would address their concerns seriously. Three complaints had been made since the last inspection. Records checked showed that they were appropriately dealt with. The recording system has been improved in accordance with requirements made at the last inspection. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 16 The policy and procedures for adult protection were in line with guidance contained in the ‘ No Secrets’ document issued by the Department of Health. Staff confirmed that they had been given training on issues relating to adult protection. There had been no reported incidence of abuse at the home. People who lived at the home confirmed that staff were caring and that they were very satisfied with the delivery of care. They said, “I haven’t any complaints” and “what have I to complain about - I can’t think of anything,” “I am very happy and satisfied with everything here”. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This judgement has been made using available evidence including a visit to this service. The home was clean, well-maintained, odour free and homely. Bedrooms were clean, comfortable, and overall well decorated and furnished to meet their needs. Good hygiene standards were maintained and this helped with the control of infection and made the home more pleasant. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 18 EVIDENCE: Comments received included “staff worked hard to keep the home clean, the lounge, dining room and the bedrooms are always nice and clean”. The owners had created a good environment for people living at the home. And continued to redecorate and refurbish the home. A range of colours and homely features had been used to individualise and improve the appearance of the bedrooms. A number of families had assisted with personalisation of bedrooms with favourite items and memorabilia. The maintenance record book identified that any repairs discovered had been dealt with promptly. The homes gardens were accessible to people who live at the home whenever the weather was suitable. The building and its surroundings were generally well maintained, thereby enhancing its appearance and facilities. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including interviewing and observing staff as they worked. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff were sufficient to meet peoples’ needs, in particular, their nursing needs. Staff had received training to meet general and specific needs. Appropriate support and guidance was provided to new staff, enabling them to safely care for people who lived at the home. Staff files included the required information. The home operated a recruitment policy that promoted people’s protection. EVIDENCE: The numbers of trained nurses, care workers and ancillary staff on duty was sufficient to meet the needs of the people. The three staff files inspected were detailed and complete. They contained CRB and POVA checks, job application, references, copies of induction and training undertaken. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 20 The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged to train and develop personally. Staff had undertaken statutory training and updates i.e. basic food handling & hygiene. Training had been provided to increase staff awareness of dementia care and adult protection this promoted good practise and people’s rights. Staff received regular supervision and appraisal from the manager this ensured they were equipped to provide a good standard of care. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including interviewing the registered manager and observing staff as they work. This judgement has been made using available evidence including a visit to this service. The home is well organised and managed with the health, safety and welfare of people was promoted and protected. EVIDENCE: People said they were satisfied with the way the home was managed. The registered manager was described as being ‘ very able, honest and professional’. She was a first level nurse with wide range of experience. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 22 Some people spoke about their involvement in residents meetings commenting that these were held frequently. This was a way to air their views on a range of issues relating to life at the home. People and their relatives commented that use of the homes customer satisfaction questionnaire was a good way of helping the home to further improve its services. The manager also completed regular audits on specific issues such as the environment. The outcomes of these surveys and audits were used to improve the quality of care for people who lived at the home. Visitors to the home stated that they had ready and easy access to the homes management and that they felt confident in them. Staff said there was always a senior member of staff on duty at the home with advice and support readily available. Responsibilities were shared between senior members of the team. The manager monitored case files and the personnel files to ensure policies and procedures were adhered to, this enabled her to identify where improvements were needed. Staff files contained evidence of completed statutory checks protecting vulnerable adults. The manager maintained a system to ensure staff training needs had been met. This enabled her to ensure staff had the necessary skills to provide the care and service that people required. People were assisted to manage their personal monies by either family or staff. The monies held and records maintained were correct. Health & Safety at Work risk assessments had been reviewed to maintain continued safety for people living at the home, visitors and staff. Statutory checks and servicing of equipment were undertaken and records maintained. The Environmental Health and Fire Prevention Services inspection reports were positive confirming that the home provided a safe environment. China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 24 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 China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 China Cottage Nursing Home DS0000053683.V345379.R01.S.doc Version 5.2 Page 26 - 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!