Inspection on 09/08/05 for Chirton Resource Centre

This inspection was carried out on 9th 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

Chirton Resource Centre 11/10/06

Chirton Resource Centre 10/02/06

Chirton Resource Centre 21/02/05

Chirton Resource Centre 30/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Chirton Resource Centre Headlam Way Byker Newcastle Upon Tyne NE6 2DX Lead Inspector Elaine Malloy Unannounced 09 August 2005 10:35 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. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Chirton Resource Centre Address Headlam Way Byker Newcastle Upon Tyne NE6 2DX 0191 276 2195 0191 224 1929 andrea.marshall@newcastle.gov.uk Newcastle City Council 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) Andrea Mary Marshall CRH 20 Category(ies) of OP - Old Age (20) registration, with number of places Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Up to 3 beds can be flexibly used to accommodate service users aged 55 to 64 years old, or service suers over pensionable age. Date of last inspection 21.2.05 Brief Description of the Service: Chirton Resource Centre is a registered care home for 20 older people. 3 beds can be used to accommodate people aged 55 to 64 years old. It is operated by Newcastle City Council Social Services. The centre is located within the Byker Wall in Newcastle upon Tyne. It provides short stays for community rehabilitation, respite care and emergencies. The staff team is supplemented by a range of health and social care professionals. Accommodation is provided over two floors and a passenger lift is available. All service users have single bedrooms. There are no en-suite facilities. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 6 hours. Staff and service users were spoken to. Each area that the home was asked to improve at the last inspection was checked. Parts of the building and a range of records were also inspected. The Inspector also conducted a separate visit to Newcastle Civic Centre to examine staff recruitment records. What the service does well: Each service user has a thorough assessment of their needs. Service users described being well cared for and supported. They said staff were patient and very kind. The resource has input from a range of health and social care professionals. The rehabilitation service helps many service users to return to their own homes. Plans that show how service users’ care needs are to be met were well recorded. Good health care arrangements are in place, and service users and visitors commented on health progress. Service users confirmed that staff respect their privacy and dignity. A varied menu is offered. Service users are given choice of meals and said they enjoyed the food. Service users feel secure staying at the resource. There are procedures and training for staff in protecting service users from abuse. The building is well maintained, clean and comfortable. There is good staffing to meet the needs for the number and dependency levels of service users. Service users have their personal finances safeguarded. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 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 Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 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, 4 and 6. Service users have a comprehensive assessment of their needs. Care needs were being met and service users gave positive feedback. The community rehabilitation service is successful in assisting many service users to return home. EVIDENCE: The resource follows assessment protocols according to referrals for the different types of services provided. Care management assessment is obtained and where relevant health care professionals also complete assessments. Upon admission staff document a comprehensive ‘Baseline Assessment’. Each section of this indicates whether a care plan is required to address needs. Service users and relatives spoken with gave very positive comments about the resource and the care and support provided. They confirmed that written information on the resource is available. A copy of the Service User Guide is held in each bedroom. Service users said they are offered keys to their bedroom. Each was happy with their room and communal areas, and a number commented on the good standards of cleanliness in the building. One lady said she was very impressed with the service and was treated very well. Another Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 9 said how she had been well looked after, had good health care and was going home soon. Staff were described as patient, very kind, and marvellous. A service user said assistance with personal care was delivered in a dignified way. A visitor said staff ‘bend over backwards’ to meet service users needs. He said he had seen definite improvements to his relative’s health and general condition. Some intermediate care is provided to service users through the community rehabilitation service offered by the resource. A multi-disciplinary team of health and social care professionals provide input. Each service user’s stay is tailored to their needs and there is a planned discharge process. The resource collates information on the numbers of service users who return to their own homes, or are transferred to hospital or other care settings. In the six-month period to the end of July 2005, 22 service users had returned home, 2 had transferred to an emergency bed within the resource, 3 went into care homes, 6 to hospital, 3 to another resource and 8 were still with the service. The average length of stay was 23 days. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Plans demonstrating how service users’ care needs are to be met were well recorded. Service users are provided with input from a range of health care professionals. Medication recording was not currently to a satisfactory standard and requires improvement. Service users have their privacy and dignity respected. EVIDENCE: A sample of service user care records was examined. Care plans were devised as a result of needs identified from assessments. These were recorded to a good standard with detailed and personalised interventions, and regular evaluations. Where possible the service user signs their care plans; this is good practice. There was plentiful evidence of arrangements to meet service users health care needs. A fast access system to health care professionals continues to be in place. Input is provided where necessary from Consultants, Psychogeriatricians, GP’s, District Nursing Service, Community Psychiatric Nurses, Physiotherapists, Occupational Therapists and Dieticians. A number of Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 11 service users and visitors commented positively upon progress made to individuals’ health and conditions. The Inspector checked current medication administration records. The following deficits were noted: • There were some unexplained gaps to signatures • Unclear directions were recorded for creams and eye drops • Medication had not been available for a period of time for one service user The centre’s representative stated a decline in the standard of recording had recently been identified. An audit of the records was to be conducted. Service users are offered keys to their bedrooms. They can choose when to spend time alone or be in the company of others, and where to receive visitors. Service users described being treated as individuals and said staff respected their privacy. Personal care was confirmed as being carried out in private and in a dignified manner. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 12 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) 12 and 15. Service users were not being provided with regular opportunities for social stimulation. A good diet is offered and service users have choice of meals. EVIDENCE: Service users spoke positively about staying in the resource and how they make choices and decisions. They confirmed that contact with family and friends are supported. One service user commented upon forging relationships with other people staying. Social needs and interests are assessed and individual care plans devised. Planned programmes of activities were available. These indicated daily exercises and newspapers in the mornings, and afternoon and evening sessions that included quiz, board games, reminiscence, bingo, music, video/DVD films, crosswords, current affairs, and outings. Some service users spoken with were not aware of daily activities. Others said that the activities depicted on notice boards did not always take place. Minutes of Unit Meetings with service users also indicated some comments about activities not being carried out. The Inspector examined the two activities books that are maintained, one for each unit. There was insufficient evidence of social activities being actively provided. Gaps were evident to recording and some days no social stimulation was offered. In other instances entries were not Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 13 relevant to activities provision, for example bathing, sleeping, relaxing in lounge/bedroom. The resource has a 3-week cycle of menus with good variety of meals. Breakfast consists of cereals, porridge, grapefruit, toast and cooked items daily. Choice is offered at all mealtimes. Drinks and snacks are served between meals. Service users confirmed they are asked to choose meals and preference sheets are completed. They said the food was very good and they enjoyed meals. The day’s menu is displayed on boards. Meals are also discussed with service users at Unit Meetings. Nutritional needs are assessed and the resource benefits from input from a Dietician. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 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 standard(s) 16 and 18. Responses to complaints could not be determined as records were incomplete. The resource has procedures to protect service users from abuse. EVIDENCE: A record of complaints and compliments is maintained. A range of ‘thank you’ cards/letters was kept. Complaints records were examined and found to be incomplete. Full details of investigations and written responses to complainants were not on file. Service users views are obtained at Unit Meetings. Meals, activities, house and staff issues, and any concerns and ideas are discussed. Minutes and summaries of the meetings are recorded. The centre’s representative said the frequency of meetings is to be reviewed and determined. Discussion took place regarding a concern raised by a service user at a meeting. The minutes stated action would be taken by following this up at a Staff Meeting, however there was no evidence this had occurred. Feedback should be given to ensure service users feel they have been listened, and responded to. The resource has policies and procedures for the protection of vulnerable adults, including prevention of abuse and whistle blowing (informing on bad practice). Staff are provided with relevant training. There have been no allegations of abuse since the last inspection. Service users indicated that they felt safe whilst staying at the centre. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 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 standard(s) 19, 25 and 26. The building was being well maintained, and was clean and comfortable. Lighting in some parts of the home needs to be checked to ensure service users safety. EVIDENCE: At the last inspection a Recommendation was made for windows to be continually checked, serviced and repaired. This had been actioned. Windows are checked daily as part of a health and safety audit. The home’s representative stated that some new window locks were currently on order. The Inspector conducted a short tour of the building. All areas seen were suitably decorated, furnished and clean. Some service users gave positive comments about the comfort and cleanliness of the environment. In the period since the last inspection a new fire alarm system had been commissioned. Door guards had also been fitted in many areas, linked into the system. These allow doors to be safely held open, and close in the event of the alarm being activated. The carpet in one bedroom had been replaced. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 16 60-watt light bulbs were in use in some areas. The Inspector advised lighting be reviewed, taking into account service users needs. There are plans to provide liquid soap and paper hand towels in all bedrooms to promote infection control. The issue of light cord pulls that can be readily cleaned was discussed. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 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 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 and 29. The resource has good staffing to meet the needs for the number and dependency levels of service users. There is a suitable recruitment process, which is to be further enhanced by ensuring good practice is followed regarding second or additional references. EVIDENCE: At the time of the inspection there was 14 service users. 8 were receiving the community rehabilitation service, 1 was receiving respite care, and 5 were emergency admissions. Suitable staffing levels are maintained for the numbers and needs of service users. As a minimum there are 5 carers on duty in the mornings, 4 in the afternoons and evenings and 2 carers at night. These levels are exceeded at times. Two Care Officers were in the process of being recruited to fill vacancies. Existing staff were currently providing cover for absence. The resource has appropriate weekly domestic and catering hours. A full-time Administrator is employed. At the last inspection a Requirement was made for all staff to be provided with the General Social Care Council Code of Conduct. This had been actioned. As part of the inspection a separate visit was conducted to examine staff recruitment files held at Newcastle Civic Centre. These contained appropriate information including proof of identification, application form, references, and interview records. A reference is always taken from the last or current employer. Issues regarding the policy for other reference(s) have subsequently been raised with senior management, and are to be reviewed with managers who have recruitment responsibilities. Arrangements are in place for all staff to Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 18 have Criminal Records Bureau checks carried out. Checklists are used to ensure all necessary documentation has been received/provided. There was evidence of the recruitment process being updated where staff already employed had applied to work in other services within the Directorate. Services. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 19 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 and 35. An experienced and qualified manager manages the resource. Service users finances are safeguarded. EVIDENCE: At the last inspection a Requirement was made for a suitably experienced and qualified manager to be appointed and put forward for registration. This had been actioned. Andrea Marshall has since been approved as Registered Manager. Service users finance records were examined. Individual sheets are recorded with each person’s transactions. Entries have two signatures and receipts are kept for purchases. Daily checks of balances and cash are carried out. Service users access to cash when key-holders to the safe are not on duty was discussed. The centre’s representative agreed to take this matter forward with the manager to resolve. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x 2 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 x x x 3 x x x Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 21 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. 2. Standard 9 12 Regulation 13(2) 16(n) Requirement Deficits to medication recording must be rectified, as detailed in this report. The resource must provide a varied social activities programme for service user stimulation, and maintain daily records of provision. Full details of action taken as a result of complaints must be maintained. Timescale for action Immediate action 9.9.05 3. 16 22 Immediate 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 25 29 Good Practice Recommendations Lighting in some areas of the building should be reviewed to ensure service user safety. Good practice should be followed regarding obtaining second/additional references for the recruitment of new staff. Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 22 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 Chirton Resource Centre B53-B03 S42084 Chirton Resource Centre V237679 090805 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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