Inspection on 04/01/06 for Church View Nursing Home

This inspection was carried out on 4th January 2006.

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 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 View Nursing Home 31/01/08

Church View Nursing Home 18/10/06

Church View Nursing Home 15/09/05

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 4th January 2006 10:05 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.V266626.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 View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 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.V266626.R01.S.doc Version 5.1 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. 15th September 2005 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.V266626.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over two days and lasted for a total of seven hours. Two residents were spoken to individually at length, two other residents were spoken to briefly, and a discussion took place with one relative. Staff were spoken to informally and a lengthy discussion took place with the Manager. Records examined during the inspection included, medication, complaints, staff training/recruitment and a number of policies and procedures. The Manager accompanied the Inspector on a tour of the home. Requirements highlighted at the last inspection in September 2005 were revisited. What the service does well: What has improved since the last inspection? It was highlighted at the last inspection that resident care plans and risk assessments required further development. Examination of three plans of care during this inspection showed that minor improvements had been made, however, further development was still required. A long discussion took place with the Manager in respect of care plans. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 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.V266626.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 View Nursing Home DS0000000160.V266626.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): The above standards were not inspected. EVIDENCE: Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 The home’s medication policy/procedure ensures that there are safe practices in place for dealing with medication. EVIDENCE: The home’s system for storing, administering and recording medication was seen to be effective, storage is safe and complies with the relevant regulations and records of medication received at the home and given to residents were seen to be accurate. An appropriate system for disposal of medication is in operation. A record of controlled drugs is maintained. The Manager said that those residents who are able are encouraged to self medicate, a risk assessment is carried out on the resident to determine ability and safety, and lockable storage for medication is provided. It was highlighted at the last inspection in September 2005 that resident care plans and risk assessments required further development to ensure that they were specific and individual to the resident. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 10 Three plans of care were examined during this inspection. Care plans examined showed minor improvements. Plans of care examined were still observed to be similar despite residents having very different problems and needs. A lengthy discussion took place with the Manager in respect of this. Residents spoken to during the inspection said that they were happy and that their needs were met. One resident when asked how good is the home at meeting their needs Said, “Good, and I am spoilt”, another said, “They look after me well”. Church View Nursing Home DS0000000160.V266626.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): 15 The home provides a wholesome, varied and appetizing menu that ensures dietary needs of residents are met. EVIDENCE: The home offers a four-week menu with an alternative choice available at each mealtime. Menus examined were wholesome and showed variety. Records were available to confirm that appropriate temperature checks are carried out on fridge, freezers and food. Records of food provided were available for inspection. One resident spoken to during the inspection said, “The food is spot on, there is lots of variety and choice”. It was evident following discussion with residents that relatives are also made to feel welcome for tea/coffee and at mealtimes. One relative said, “I was here for Christmas lunch, it was lovely. We had sherry and bucks-fizz with lunch”. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 12 One resident spoken to during the inspection said that they liked takeaway curries and that staff supported and assisted with this. Mealtime was observed to be pleasant and relaxed. Roast beef with all the trimmings was on the menu on the day of the inspection, however, some residents had opted for an alternative. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The home has an effective complaints procedure, which enables residents to make any complaints they feel necessary. The home’s adult protection policy and staff knowledge helps protect residents from abuse. EVIDENCE: The home has a clear complaints procedure, details of which are also available in the statement of purpose and service user guide. Residents spoken to during the inspection said that the Manager and staff at the home are approachable and if they felt the need to complain then they would do so. One resident spoken to during the inspection said, “If the need arose I without doubt would complain and have confidence that the complaint would be dealt with effectively”. The home has an adult protection policy/procedure that informs of action to take if abuse is suspected. The Manager said that all staff receive adult protection training on induction and on a regular basis throughout their employment, records were available to confirm that this was the case. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The standard of the environment within this home is good providing the people who live there with and attractive, homely and comfortable place to live. Refurbishment of the lounge on the first floor designated for those residents who wish to smoke would further enhance this. EVIDENCE: A tour of the premises found the home to be well maintained internally and externally. The home is modern, spacious, welcoming and decorated in a homely and comfortable manner. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 15 The home is divided into two units. The ground floor of the home accommodates residents requiring nursing care and the first floor of the home accommodates residents requiring personal care. Each unit has a lounge, dining area and a smaller lounge designated for those residents who wish to smoke. The lounge designated for those residents who wish to smoke on the first floor of the home was observed to be in need of re-decoration and replacement flooring. Chairs in this area were also observed to be worn and marked. Resident’s bedrooms are homely and personalised with personal possessions being evident. Residents bedrooms visited were well decorated and furnished. The Manager said that all baths, showers and sinks in the home environment are temperature regulated and that water temperatures are taken in these areas on a weekly basis. Records were available to confirm that this was the case. At the time of this unannounced visit the home was clean and hygienic with good facilities and procedures for handling laundry and preventing odours or the spread of infection. The home has a total of five hoists, many pressure relieving mattresses and other specialist equipment to assist residents and maximise their independence. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 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): 27, 28, 29, 30 The homes recruitment and selection process is robust and as such ensures that residents are protected. Staff receive appropriate training to ensure that care needs of residents are met. Appropriate numbers of staff are on duty. EVIDENCE: Duty rotas examined during the inspection confirmed that the home is working with the appropriate number of staff on duty. The Manager said that staffing levels fluctuate depending on dependency and resident numbers. Residents spoken to during the inspection said that they felt that there were sufficient staff on duty. The Manager said that 56 of care staff are trained to NVQ level 2 and 3 in care or equivalent with the majority of other staff registered and working towards their NVQ level 2 or 3 in care. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 17 Two staff files were examined at random during this inspection. Files examined contained a photograph, two references, one being from the last employer, proof of identity and appropriate POVA/Criminal Record Bureau checks. Both files examined confirmed that a thorough recruitment procedure had been followed. Both files examined were those of staff who had been recently appointed and contained evidence to confirm that induction training had been undertaken. A discussion took place with the Manager regarding the new induction standards that are to come into force in September of next year. Records were also available to confirm that a rolling programme of training is provided for staff working at the home. The Manager keeps a record, which lists all mandatory and other relevant training to the job that staff do. The record highlights each staff member working at the home, training received and training that is due. It was observed that the home’s reference request does not ask the referee to confirm dates of employment. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 The Manager works extremely hard to ensure that Church View Nursing Home is managed efficiently and effectively. EVIDENCE: The Manager, Denise McPhee is a first level Registered Nurse who has also completed an NVQ level 4 in Management. Denise has worked in the nursing and social care environment for many years. Residents and the one relative spoken to during the inspection spoke highly of the Manager, staff team and care that is provided. One resident spoken to said, “Denise is ideal and I like the nurses”. A relative said, “Denise is good, everyone is on first name terms it is very friendly”. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 19 Standard 33 was not inspected in full, however it was highlighted at the last inspection in September 2005 that copies of reports from visits as required under Regulation 26 of the Care Home’s Regulations 2001 must be forwarded to the Commission for Social Care Inspection on a monthly basis, as yet no action has been taken to address this. A discussion took place with the Manager in respect of this who advised that she would forward the minutes of the monthly meetings to the Commission for Social Care Inspection on a regular basis. Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X X Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 21 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. 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 2. OP8 13 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 3. OP33 24 Copies of reports from visits as required under Regulation 26 of the Care Home Regulations 2001 must be forwarded to the Commission for Social Care Inspection on a monthly basis (Previous timescale for DS0000000160.V266626.R01.S.doc Timescale for action 30/03/06 30/03/06 04/02/06 Church View Nursing Home Version 5.1 Page 22 action of the 30th December 2004 not met) 4 OP20 16, 23 • The lounge on the first floor designated for those residents who wish to smoke must be redecorated and the flooring replaced. The chairs in this lounge must be replaced 30/05/06 • 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 Refer to Standard OP29 Good Practice Recommendations The homes reference request should be developed further to seek confirmation of dates of employment Church View Nursing Home DS0000000160.V266626.R01.S.doc Version 5.1 Page 23 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.V266626.R01.S.doc Version 5.1 Page 24 - 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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