Inspection on 09/05/07 for Collingtree Park

This inspection was carried out on 9th May 2007.

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

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

Other inspections for this house

Collingtree Park 24/03/10

Collingtree Park 02/10/09

Collingtree Park 13/10/08

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Collingtree Park 110 Windingbrook Lane Northampton Northants NN4 0XN Lead Inspector Mrs Carole Burgess Key Unannounced Inspection 9th May 2007 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 Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Collingtree Park Address 110 Windingbrook Lane Northampton Northants NN4 0XN 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) 01604 763623 01604 702820 Barchester Healthcare Homes Ltd Vacant Care Home 79 Category(ies) of Dementia (7), Learning disability (2), Learning registration, with number disability over 65 years of age (4), Old age, not of places falling within any other category (36) Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age range for persons within the Dementia category (DE) is between 45 and 65 years. First floor - No person between 50 and 65 years of age who falls within the category of DE may be admitted to the first floor of Collingtree Park Care home when 6 persons of this category are already accommodated. First Floor - No persons may be admitted to the first floor of Collingtree Park Care Home that fall within the category of DE(E) when 43 persons of this category are already accommodated. The total number of service users must not exceed seventy nine (79) No person in the category DE between the ages of 45-65 may be admitted to the new home when one person in this category is already accommodated. New Service 3. 4. 5. Date of last inspection Brief Description of the Service: Collingtree Park is a purpose built residential care home in a quiet residential area, close to a golf course. The home is set within well-maintained grounds and is bright, clean and modern in design. All areas of the home and gardens are accessible to people who use wheelchairs. All rooms have en-suite facilities and can be personalised with the resident’s own furniture. There are attractive communal sitting rooms and dining areas on both the ground and the first floor. There are additional assisted bathing and showering facilities for less able residents. There is an ‘in house’ laundry service and all food is freshly prepared and cooked ‘on site’. The Statement of Purpose and Service Users Guide (both give information about the home) are provided for all new residents, and a copy is available in the foyer. Fees at the time of inspection were: £331 - £650 pr week. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. The site visit was unannounced and took place over five hours. The Inspector selected four residents and tracked the care they receive through a review of their records, discussion with them, and their relatives (where possible), and the care staff, and observation of care practices. The Inspector spoke with staff members regarding training and support. The Manager, Team Leader/trainer and other staff spoken with were positive and helpful during the inspection. Planning for the Inspection included assessing notifications of significant events sent to the CSCI by the home. There have been no complaints received by the CSCI regarding the home since its registration in February 2006. ‘Have Your Say About Collingtree Park’ These are questionnaires sent out to homes to enable residents to give the Inspector their opinions of how well the service is doing. Four residents, two by relatives on behalf of residents, and a carer responded. Residents were positive about the home. One said that care and support was excellent and that medical support was superb; that the room (the resident’s room) was light and airy. One relative said that some of the overseas staff needed to improve their English, and that there should be more supervision for the people with learning disability. Another relative said that the staff were excellent, that visitors were made welcome and good information was provided, and that the home always called promptly if there were any problems. A relative said that the meals were not always suitable – but did not say why; another said that the meals were very good. What the service does well: Collingtree Park provides a good standard of care within a bright, spacious, modern but homely environment. The home and the attractive gardens are well maintained and provide a safe environment in which residents can be supported to maintain as much independence as possible. The home maintains a high standard of décor and cleanliness throughout. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 6 Food is nutritious and individual diets and preferences are catered for and the cook and staff are very flexible to ensure that residents’ requests are accommodated. There is a very good activities programme for residents. Residents confirmed that staff are very caring and respectful, ensuring their privacy and dignity at all times. 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. The summary of this inspection report can be made available in other formats on request. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with sufficient information, and have their health, welfare and social care needs assessed, so that they can be met once they move into the home. However, the current Statement of Purpose does not reflect the care provided for a small number of residents with a learning disability. EVIDENCE: The home provides prospective residents and their relatives with a detailed Statement of Purpose and Service Users Guide (both give information about the home) to help them decide if the home is the right one for them. The Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 9 Statement of Purpose does not state that the home provides a small number of places for people with a learning disability. However, additional, clear, simplified, pictorial Service Users Guide is provided for persons with a learning disability. Copies of the residents’ contracts are kept in the home but residents spoken with were not clear if they had received a contract, but thought that their relatives had copies. The Manager should check if this is so and provide copies where necessary. The four residents’ care plans reviewed contained a detailed pre-admission assessment to show that the home could meet their specific health, welfare, and social care needs. This included personal details, relative and GP contact numbers, past and present medical history and medications, personal preferences, social interests and hobbies. The home does not provide intermediate care. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well looked after in respect of their health, personal and social care needs. EVIDENCE: The Manager is in the process of introducing new care plans for all of the residents in line with Barchester Healthcare Homes Limited. Care plans are reviewed and updated monthly and are detailed, giving carers in-depth information which enables them to met the health, personal and social care needs of the residents. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 11 The recently completed care plans have yet to be agreed and signed by the residents and/or their representatives. The Manager is recommended to make sure that all new care plans are seen, agreed and signed by the resident, or their representative, so that residents’ care needs continue to be fully met. Contact with healthcare professional such as GP’s, District Nurses, hospitals, and Chiropodists were recorded in the care plans to ensure that healthcare needs and treatments were addressed. Medication administration practices were satisfactory. Residents are able to continue to self medicate following a risk assessment to ensure that they are safe to do so. Medications is only administered by senior carers who receive annually updated training to safeguard the residents, and ensure to that they receive their prescribed medication. One resident, seen regularly by her GP and in spite of being given regular, prescribed pain relief tablets said that she was continuing to experience pain. This was discussed with a senior carer and the Manager. It is recommended that the Manager discusses with the District Nurse or GP strategies for pain management and checks that all residents have medication regularly reviewed by the GP to make sure that, as far as is possible, residents remain pain free and comfortable. Observation during the inspection showed that staff have a good awareness of how to protect residents privacy and dignity. Staff spoke to residents in a respectful, friendly, quiet and supportive way. Three residents, spoken with during the inspection, said that they were well looked after and that staff were kind, caring and respectful. All of the care plans seen contained details of residents’ preferences for end of life arrangements. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff work hard to ensure that residents experience a safe and homely life style. EVIDENCE: The home has information detailing forthcoming activities arranged by three activities organisers. On the day of the site visit residents were enjoying cheese tasting. The week before they had been trying different types of tea. Each weekday there are between three and four activities to choose from. Residents said that there was a good selection of activities such as, arm chair exercises, bingo, nail pampering, painting and drawing, but they could choose to take part, or not. Saturday afternoons there is a film in the downstairs lounge, with refreshments. The local Church provides monthly services in the home. Birthdays and festive days are celebrated. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 13 Residents are able to have their own television and telephone in their rooms should they choose to do so. Residents spoken with said they got up and went to bed when they wished, were able to choose what they wanted for their meals and were well supported by very caring staff. However, one resident did say that she felt that she had to get up at about 7am when there were two carers available to assist her, but this was the time she would get up anyway. She also said that she felt rushed in the morning and did not always feel that she had time to choose what she wished to wear. Residents said that they are able to have visitors at any time. Residents have a nutritional assessment in their care plan to ensure that their dietary needs are being met. Special diets such as diabetic and soft diets are catered for. All residents had additional jugs of water or fruit juice in their rooms and fluid intake records are kept where required to ensure that residents do not become dehydrated. All meals are prepared in the home’s kitchen by the cook. A cooked breakfast is available every day and there are choices at all main meal times. Residents spoken with said that the food was very good and that there were always choices. One resident commented that she had enjoyed her lunch that day as it was so well presented, ‘ not messed up’, on the plate. The importance of well-presented meals was discussed with the Manager who agreed that there was room for improvement, and that it was an important aspect of maintaining good nutrition. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for receiving and responding to complaints are sound resulting in satisfactory protection of residents’ rights. EVIDENCE: Residents’ comments showed that people feel at ease discussing any concerns with the staff. Information regarding advocacy services is available. The CSCI has not received any complaints regarding the home. The home has received five general (not serious) complaints from relatives since registration in February 2007. The Manager has dealt with them in a professional manner. The home’s complaints process reflects the Safeguarding Adults policies and procedures and staff are being provided with appropriate training and were able to demonstrate the correct procedures for safeguarding the residents from abuse. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 15 The home’s complaints policy requires updating to reflect current information for residents and their relatives relating to the CSCI. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A comfortable, clean, safe high standard of accommodation is provided for the residents. EVIDENCE: The home is clean, safe and well maintained with many adaptations to suit residents’ specific needs. It is decorated and furnished to a high standard that creates a comfortable, light, spacious but homely environment. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 17 Residents have access to attractive safe gardens and all areas of the home are fully accessible for people who use wheelchairs. The Manager said that he hoped to improve the garden further by adding more trees, a sensory garden and improved seating. A new sensory room was being installed on the first floor for residents with dementia or a learning disability to enjoy. Residents’ rooms have en-suite facilities and ‘nurse call’, and were clean and well decorated; residents are able to bring items of their own furniture and possessions with them to personalise their rooms. All residents’ rooms were highly personalised. There are sufficient toilets, bathing and assisted bathing facilities. Bath and shower rooms are being upgraded to provide improved facilities for residents who need extra assistance. The home’s health and safety arrangements such as regular maintenance and servicing of equipment, regular fire drills and monitoring heat control valves on hot water taps throughout the home show that the providers are mindful of their responsibilities to make sure that residents live in a safe environment. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current staffing levels on the first floor make caring for of residents with dementia or a learning disability a challenge for staff, but residents care needs appear to be met. EVIDENCE: Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 19 There were seventy-three residents at the time of the site visit. Staffing levels, at the point of inspection, were sufficient to meet residents’ needs. During the early shift there are twelve carers, and ten carers on the late shift to cover both floors; there are nine carers at night. In addition, during the day, there are cooks, cleaners, kitchen and laundry staff and a maintenance person. However, a number of residents commented that more staff were needed, and staff said that it was difficult to meet the needs of residents who had dementia, and particularly the small number of residents with a learning disability, due to their increasing dependency levels. The manager acknowledged that staffing was ‘tight’ and that additional staff are being recruited and a potential carer came to the home, during the site visit, to collect an application form. Four staff files were checked during the inspection. All staff had had Criminal Records Bureau (CRB) checks, but three files contained only one reference, one being from a colleague. These are staff who have been employed in the home for some time, and prior to the new registration. The Manager has given a commitment to follow this up, rectify it as soon as possible and provide the information to the Inspector. This will ensure that the home has up-to-date information on which to base their decision to employ the carers, thereby fully protecting the residents from abuse. Following the inspection the Manager confirmed that the required references had been obtained. The home has a training matrix. Staff undertake training in specific areas such as fire training, first aid, moving and handling and safeguarding adults. Staff have not undertaken any specific training regarding caring for people with a learning disability or challenging behaviours. Staff said that they need this additional training to ensure that they have the necessary skills to care properly for these residents. Fifteen staff had completed National Vocational Qualification (NVQ) in Care and both the Manager and Team Leader/trainer have Level 4 and the Registered Managers Award. This ensures that they have the necessary skills to support staff and provide safe care for the residents. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has made a good start in providing strong and supportive leadership to staff, and is committed to ensuring that residents receive a high standard of care. EVIDENCE: Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 21 The Manager, appointed in March 2007, has twelve years care experience and works in a supervisory and management role in addition to the care staff numbers. He has applied to the CSCI to become the Registered Manager (a person considered by the CSCI as ‘fit’ to manage a care home). Good interaction between staff and residents ensures that there is a feeling of friendliness in the home. Residents said that they were well cared for by staff and that they liked the new Manager. The home does not currently have a quality assurance and quality monitoring system in place. The Manager said that this is something that he will introduce so that comments from residents, relatives, and others, can be collated, assessed and published to help improve the service. The Manager has started to introduce a system of staff supervision and appraisal. This is considered to be good practice to ensure that training needs are identified and staff maintain the standards of care expected for the residents. Health and Safety Policy and Procedures, such as regular hot water checks are completed, to ensure the health and safety of the residents and staff. Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 22 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 4 4 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 3 X x 3 X 3 Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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. 1 2 3 4 5 6 Refer to Standard OP7 OP9 OP15 OP16 OP27 OP33 Good Practice Recommendations All residents’ new care plans are agreed and signed by the resident, or their representative, to ensure that the residents’ care needs are fully met. Residents’ medication should be monitor and discuss with the GP if they have concerns, specifically relating to relieving residents’ pain. Food should always be presented in an attractive and appealing manner so that residents fully enjoy their meal times. Update the complaints policy, providing a current contact address and telephone number for the CSCI. Provide staff with specific training regarding learning disability and challenging behaviours to ensure that all residents’ needs are fully met. Introduce a quality monitoring system so that areas requiring improvement are identified and acted upon to improve the service for the residents. DS0000069211.V336519.R01.S.doc Version 5.2 Page 24 Collingtree Park Collingtree Park DS0000069211.V336519.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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