Inspection on 15/02/06 for Church Terrace Nursing & Residential Home

This inspection was carried out on 15th February 2006.

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

Church Terrace Nursing &... 15/02/07

Church Terrace Nursing &... 12/07/05

Church Terrace Nursing &... 17/12/04

Church Terrace Nursing &... 30/06/04

Church Terrace Nursing &... 05/01/04

Similar services:

Coton Hill House

Doddington Lodge

Far Croft

The Lodge Nursing Home

Bracken House

Sunnycroft

Churchill House Nursing and Residential Home

Field Farm House

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

CARE HOMES FOR OLDER PEOPLE Church Terrace Nursing & Residential Home The Terrace Cheadle Stoke-on-Trent Staffordshire ST10 1PA Lead Inspector Pam Grace Unannounced Inspection 15th February 2006 14:00 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 Church Terrace Nursing & Residential Home DS0000026942.V282139.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. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Church Terrace Nursing & Residential Home Address The Terrace Cheadle Stoke-on-Trent Staffordshire ST10 1PA 01538 750736 01538 754034 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) Minehome Limited Mrs Lesley Jane Hughes Care Home 71 Category(ies) of Dementia - over 65 years of age (71), Mental registration, with number disorder, excluding learning disability or of places dementia (2), Mental Disorder, excluding learning disability or dementia - over 65 years of age (71), Physical disability (2), Physical disability over 65 years of age (1) Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 20 MD minimum age 50 years 20 DE minimum age 50 years 7 MD Minimum age 35 years 7 DE minimum age 35 years 2 PD & MD under 65yrs on a temporary basis and then this category will cease 1 PD(E) named male resident aged 75 years presenting mental health problems 12th July 2005 Date of last inspection Brief Description of the Service: Church Terrace is a purpose built Care Home with Nursing. The home is situated on a main road within Cheadle town and has direct access to the town shops and facilities. The home comprises of two floors, served by a passenger lift, and stands in enclosed gardens. There is a car park within the grounds of the home. The home is registered with the Commission for Social Care Inspection to accommodate up to 71 service users over the age of 65 years with varying degrees of dementia and mental disorder requiring either residential and or nursing care. There are three units within the main building offering care with nursing (mental health), and a smaller unit for service users with residential care needs (mental health). The nursing units are as follows:Maple Dene (20 service users), Autumn Leaves (21 service users), and Oaklands (15 service users). All of these units care for service users who have varying degrees of mental health nursing needs. Blossom Court is a unit dedicated to caring for up to 11 service users with mental health (residential) needs. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory unannounced inspection was carried out over 4 hours by one inspector. A tour of the home was undertaken and discussions were held with service users, visitors and staff. Discussions were also held with the Nurse in Charge of the home, the Registered Manager was on leave at the time of the inspection visit. Relevant records and documentation was examined. Service users spoken with were very positive about the care they were receiving, there were also service users who were unable to communicate, the inspector noted that they appeared well cared for, and were happy in their surroundings. Conditions in the home were determined by direct observation, and sampling other services provided, such as medication, and aspects of health and safety measures. One complaint under the Protection of Vulnerable Adults procedure had been received by the home since the previous inspection. This was in the process of being investigated. Following the inspection visit, feedback was given to the Nurse in Charge. The inspector thanked the staff and service users for their contribution and cooperation during the inspection visit. What the service does well: Health care awareness was evident, with the importance of any changes in health status and mental health, being continually monitored by appropriately trained, caring and diligent staff. Care plans viewed were clear, and up to date, enabling service users’ needs to be met. Staff demonstrated great respect for service users. Service users were addressed in an appropriate manner, and service users spoken with confirmed their satisfaction with the services provided at the home. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 6 Service users residing in Blossom Court when spoken with confirmed that they had been consulted in regard to the refurbishment plans for the unit. They also confirmed that they would be able to choose colour schemes for the lounge/diner, and the furnishings that will be best suited. 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. Church Terrace Nursing & Residential Home DS0000026942.V282139.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 Church Terrace Nursing & Residential Home DS0000026942.V282139.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): Standards 3,4,5,6 Prospective service users have their needs assessed by the manager or deputy manager/senior. Service users and or their representatives are assured that the home would be able to meet their assessed needs. Prospective service users are invited to visit the home and to move in on a trial basis, to enable a decision to stay. Unplanned admissions are avoided where possible. The home does not provide intermediate care. EVIDENCE: There was written evidence within care plans sampled, that service users have had an assessment of his or her needs, carried out prior to admission to the home. The manager or deputy manager usually undertakes this assessment. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 9 This assessment may also involve the next of kin or representative providing information, which then feeds into the care plan. In some instances there has been an assessment by another professional such as a social worker. The prospective service user is then informed in writing that their assessed needs can be met by the home. The service users and visitors spoken to at the time of the inspection confirmed this. There was evidence of specialist advice and treatment contained within care plans seen. The home does not provide intermediate care. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 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 the following standard(s): Standards 7,8,10 Appropriate arrangements are in place for identifying and meeting the health and personal care needs of service users in the home. Service users are treated with respect, and their privacy is upheld. EVIDENCE: The inspector examined a random selection of service user care plans. They evidenced that individual health, personal and social care needs had been established, and were being met. Service users and visiting relatives spoken with spoke positively about the care and support that they and their relatives received from staff at the home. The Inspector noted how well service users appeared, and the atmosphere was relaxed and happy. Staff interacted appropriately with service users, respecting their wishes. Staff were seen to knock on service user’s bedroom doors prior to entering, and waited for consent to open the door. Church Terrace Nursing & Residential Home DS0000026942.V282139.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): Standards 13 Service users maintain contact with family, friends, their representatives and the local community as they wish. EVIDENCE: There was evidence from talking to service users and visiting relatives that contact is maintained with family and friends on a regular basis. There were no restrictions placed on visiting times, and the home provides a relaxed and friendly environment. Service users residing at Blossom Court confirmed that they use the local town for shopping when they wish to. This included the post office, chemist and local market. Service users and visitors were seen arriving and leaving the home during the course of the inspection. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 12 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): Standards 16,18 Complaints and concerns are listened to and resolved. The home’s policies, procedures and staff training protect service users from abuse. EVIDENCE: The home had received one complaint under the Protection of Vulnerable Adults procedure (POVA), since the previous inspection, which is in the process of being investigated. The inspector spoke with staff and service users. Service users spoken with said that they felt safe and secure in the home. The Nurse in Charge confirmed that staff had undergone appropriate CRB and POVA checks prior to employment at the home. Staff spoken with confirmed that any complaints and concerns are always listened to, and acted upon. They are usually resolved straight away. The home has a clearly written complaints and protection of vulnerable adults procedure, which is readily available to service users, their relatives and or representatives. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 13 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): Standards 19,22,24,25,26 The location and layout of the home is suitable for its stated purpose. Service users live in a safe, clean and comfortable environment, which has been adapted to suit their lifestyle, and individual needs. EVIDENCE: The inspector undertook a tour of the home, which included all the communal areas. The home was found to be clean and well presented throughout. Bedrooms seen were personalised, and had been adapted to suit the needs of the service users. Wardrobes were either fitted, or fixed to the wall for safety. Bedrails were used following a risk assessment. Bumpers were used with these. Various aids and adaptations were in place including assisted baths, mobile hoists and other equipment used for moving and handling of service users. There was a nurse call bell in operation, which was seen and heard to be working at the time of the inspection. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 14 The home’s refurbishment programme is still ongoing, and many areas of the home have been vastly improved with the replacement of comfortable chairs, new televisions/videos, carpets, furnishings and decorating of rooms. Plans are in progress regarding Blossom Court unit, which has yet to refurbished. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27 Staffing levels were appropriate to the number of service users in residence at the home. EVIDENCE: At the time of the inspection there was a total of 66 service users resident in the home. Duty rotas were examined. Staffing levels were seen to be appropriate to the number of service users in residence at the home. Staff spoken with confirmed that if possible existing staff members try to cover shifts that other staff would be unable to undertake, due to sickness or holidays. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 33,37,38 Service users benefit from the way in which the home is managed, and the home is run in the best interests of the service users. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: Accidents had been recorded as required and audited on a regular basis. The Nurse in Charge and staff spoken with said that they received regular updates in regard to mandatory health and safety training including regular fire drills. Staff spoken with also confirmed that they received regular supervision. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 17 Records, policies and procedures seen evidenced that service users’ rights and best interests are served and safeguarded by the home. Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 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 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 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 X X 3 X X X 3 3 Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 19 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 Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Church Terrace Nursing & Residential Home DS0000026942.V282139.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!