Inspection on 15/09/05 for Church View Nursing Home

This inspection was carried out on 15th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Church View Nursing Home 31/01/08

Church View Nursing Home 18/10/06

Church View Nursing Home 04/01/06

Church View Nursing Home 01/11/04

Church View Nursing Home 04/08/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Church View Nursing Home Thompson Street Norton Stockton-on-Tees TS18 2NY Lead Inspector Katherine Acheson Unannounced Inspection 15th September 2005 10:00 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 View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 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 View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Church View Nursing Home Address Thompson Street Norton Stockton-on-Tees TS18 2NY 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) 01642 802490 01642 802491 Teesside Health Care Limited Mrs Denise Mary McPhee Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability over 65 years of age (0) of places Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 23 service users who require nursing care can be admitted to the home from age 55 . This variation to age is for one named individual, until such a time as the placement is no longer required. 1st November 2004 Date of last inspection Brief Description of the Service: Church View Nursing Home is registered to provide personal and nursing care to forty-seven older people. The home is situated on Thompson Street in Stockton, and is close to the town centre and other local amenities. The home is a modern, two storey, purpose built facility. The home is divided into two units. The ground floor of the home accommodates a maximum number of twenty-three residents who require nursing care, and the first floor of the home accommodates a maximum number of twenty-four residents who require personal care. Each unit has a lounge, dining area and lounge designated for those residents who wish to smoke. All bedrooms are single in nature and provide ensuite facilities, which comprises of a toilet and hand washbasin. All bedrooms meet special requirements of National Minimum Standards. There is a car park to the front of the home and a pleasant enclosed garden/patio area to the rear, for resident use. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection started at 10.00am and lasted for almost three hours. The Manager was not present at the home for the inspection, however staff should be complimented on their efficiency throughout the inspection process. Four residents were interviewed and two staff members were spoken to informally. Numerous records including care plans, policies/procedures maintenance and staff training records were examined. What the service does well: What has improved since the last inspection? All but one of the requirements identified at the last inspection have been addressed. The Manager has developed a quality assurance system, questionnaires have been sent out to residents and relatives to seek views on many areas of the home and the service that is provided. A number of days of fire training have been provided to staff. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 6 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 View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 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 View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 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): 2, 3, 6 The home is able to meet the assessed needs of residents by ensuring that a thorough pre-admission assessment is carried out. Residents are provided with a contract that informs them of the terms and conditions of their stay. EVIDENCE: Residents are admitted to the home following an assessment that is carried out by a Social Worker or Health Care Professional. Qualified staff at the home also carry out a pre-admission assessment on all prospective residents to ensure that the home can meet the individuals assessed needs. Residents spoken to during the inspection confirmed that their care needs were met. One resident spoken to during the inspection said, “It’s lovely it’s like a first class hotel” another said, “I’m happy as I am”. Residents files examined during the inspection contained a copy of the home’s statement of terms and conditions/contract. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 9 The home does not provide intermediate care. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 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): 7, 8, 10 The home provides a high standard of care, however, care plans are not specific to the individual resident and as such ensure all social care and nursing needs are met. The recording of risk assessments requires further development to ensure resident’s welfare is fully promoted and safeguarded. EVIDENCE: Four plans of care were examined during this inspection. Care plans were found to be evaluated on a regular basis and contained signatures of the resident or their family member to confirm that they had been involved in drawing up the plan of care. Examination of records highlighted that the home use core care plans, a pre-printed, standard plan of care for individual problems. Two of the four residents plans of care examined were found to be individualised, however two were not. Two plans of care were found to be similar, despite both residents having different problems and needs. Care plans were not individual to the resident and did not include the capabilities of the resident or assistance required. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 11 Evaluations of the plan of care did not include a baseline observation of capabilities, limitations or assistance required and as such did not show if the resident had deteriorated or they had improved. A discussion took place with the Person in Charge of the home during the inspection in respect of this. Risk assessments on resident’s files were observed to be too basic. Risk assessments did not clearly define the risk to the resident nor did they highlight intervention required to minimise, reduce or prevent the risk. Risk assessments had not been evaluated to confirm their effectiveness. Four residents were spoken to during the inspection. One resident said, “It’s all right here I wouldn’t like to go anywhere else. Staff are nice to me”, another resident said,” I like the privacy of my own room”, another said, “I’m happy, well cared for and the staff are good”. One resident spoken to during the inspection said, “Sometimes I have to wait to go to the toilet, on occasions there doesn’t appear to be enough staff”. This was pointed out to the Person in Charge of the home during the inspection who said that there had been a staff shortage, and that over the past couple of months the home had needed to use on occasions agency care staff, however, the home have recently recruited new care staff. Residents spoken to confirmed that staff respected their privacy and dignity. Files examined contained a record of visits carried out by chiropodists, G.P’s, opticians and other health care professionals. Staff at the home record accidents to residents appropriately and the Manager carries out an audit of the accident record on a regular basis. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 Resident’s daily lives are enhanced by the social activities provided by the home and the welcome it extends to residents visitors. EVIDENCE: The home employs an Activity Co-ordinator to work twenty-five hours per week. A scheduled plan of activities was available in the home for inspection and included bingo, arts and crafts, dominoes, sing-a-longs, trips out and entertainers/acts coming into the home. One resident interviewed during the inspection said, “I enjoy listening to the entertainers that come into the home” another said, “I choose not to join in the activities, I like to listen to my radio” another said “Sandy takes me for a walk out into the town to do my shopping”. One resident spoken to during the inspection said that he did not go out on the last trip to South Shields and that he would like to go out a bit more, as he gets bored. This was pointed out to the Person in Charge of the home during the inspection who said that they would take immediate action to address the situation. Staff at the home support residents to practice their religion and visits from clergy are available to the home, residents spoken to confirmed that this was the case. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 13 Residents interviewed said that contact with family and friends is encouraged and that visiting is at any time. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 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): EVIDENCE: The above standards were not inspected. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 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): EVIDENCE: The above standards were not inspected, however, a requirement highlighted at the last inspection in November 2005 in which it was identified that the Manager must contact Fire Safety and seek advice in respect of the home’s hairdressing salon had been addressed. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): EVIDENCE: The above standards were not inspected in full, as the Person in Charge of the home during the inspection did not have access to many of the staff records, however a requirement highlighted at the last inspection in respect of fire training was re-visited. Records were available to confirm that a number of days of fire training had been provided for staff working at the home. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 38 The home ensures that the health and safety of residents is safeguarded and protected. The home seeks the views of residents and their families to ensure that it is managed with their best interest. Systems are in place to ensure resident’s money is managed appropriately. EVIDENCE: The Manager has developed a formal quality assurance system to send out to residents and relatives on an annual basis. Records were available to confirm that the home had carried out this process in April of this year. The results of this survey had been made available to residents and relatives/representatives at the home. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 18 It was highlighted at the last inspection that copies of reports from visits as required under Regulation 26 of the Care Homes Regulations must be forwarded to the Commission for Social Care Inspection on a monthly basis, this has not been addressed. The home operates a rolling programme of servicing appliances and equipment. Records examined at random confirmed that the homes fire extinguishers, fire alarm and gas boilers are serviced on a regular basis. Mandatory training is provided to staff working at the home on a regular basis. The home operates an effective system in which they look after the personal allowance of a number of residents. Accurate records of transactions and receipts were available for examination. Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 N/A 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 14, 15 • Requirement Care plans must be developed further to ensure that they are specific and individual to the resident Evaluations of residents plans of care must include a baseline of capabilities, limitations and assistance required Risk assessments must be developed further to clearly identify the risk to the resident Risk assessments must highlight intervention required to minimise, reduce or prevent identified risk Risk assessments must be evaluated to confirm effectiveness Copies of reports from visits as required under Regulation 26 of the Care Home Regulations 2001 must be forwarded to the Timescale for action 30/11/05 • 2 OP8 13 • 30/10/05 • • 3 OP33 24 • 30/10/05 Church View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection on a monthly basis (Previous timescale for action of the 30th December 2004) 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 View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 View Nursing Home DS0000000160.V249197.R01.S.doc Version 5.0 Page 23 - 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. 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