Inspection on 03/01/07 for Corbrook Court

This inspection was carried out on 3rd January 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

Corbrook Court 04/10/05

Corbrook Court 26/04/05

Corbrook Court 22/11/04

Corbrook Court 11/05/04

Corbrook Court 28/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Corbrook Court Corbrook Court Nursing Home Audlem Crewe Cheshire CW3 0HF Lead Inspector A Gillian Matthewson Unannounced Inspection 3rd January 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 Corbrook Court DS0000053406.V320314.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. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Corbrook Court Address Corbrook Court Nursing Home Audlem Crewe Cheshire CW3 0HF 01270 812049 01270 812324 corbrook@morris-care.co.uk www.morriscare.co.uk Morris & Co Limited 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) Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (7), Terminally ill (3) of places Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 30 service users to include:* Up to 20 service users in the category of OP (Old age, not falling within any other category) * Up to 7 service users in the category of PD (Physical disability under the age of 65 years) * Up to 3 service users in the category of TI (Terminal illness under the age of 65 years) 4th October 2005 Date of last inspection Brief Description of the Service: Corbrook Court is a nursing home providing 24 hour nursing care, personal care and accommodation for a maximum of 30 people. Up to 7 people may have a physical disability, up to 3 people may be terminally ill and up to 20 may be older people requiring nursing or personal care. Corbrook Court is set in eleven acres of land on the outskirts of Audlem village, which has all the essential community amenities. It is a three storey building and access can be obtained to the first and second floors via the shaft passenger lift or the stairs. Accommodation is provided on the three floors of the main building in 18 rooms, 13 of which have en-suite facilities. There is also a purpose built extension on the ground floor consisting of seven rooms, all with en-suite facilities. Separate assisted bathing facilities and toilets are also available. There are two lounges and a dining room available for service users. Ample parking space is provided. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place on 3rd January 2007 and took seven hours. It was carried out by an inspector of the Commission and Mr Alf Clemo, an ‘expert by experience’. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people who have been appointed by Help the Aged, under the direction of the Commission for Social Care Inspection, to take part in the inspection of services for older people. The visit was just one part of the inspection. The home was not informed of the date the visit was to take place, but prior to the visit the manager was asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires were also made available for residents, families and health and social care professionals to find out their views. Other information received since the last inspection was also reviewed. During the visit the inspector and ‘expert by experience’ spoke with the manager, staff, residents and visitors. They looked around the premises and the inspector looked at various records held by the home. All of the residents said they were very happy at Corbrook Court. Two residents commented that they “felt at home straight away”. Completed questionnaires were received from seven residents, nine relatives and two visiting health care professionals. All the comments were positive. “ I am very well looked after in a very happy family orientated atmosphere”, “ I am very satisfied with care and attention the staff give my wife”, “We are delighted with the care my mother is receiving, it is reassuring to know she is in safe hands”, “We are very impressed by all aspects of Mum’s care”. The visiting GP stated “ Residents are very well cared for by experienced and well trained staff”. Feedback was given to the manager and deputy manager at the end of the inspection. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? A new kitchen and laundry have been provided and some bedrooms have been refurbished. An activity organiser has been employed and the activity programme has been extended, providing residents with further opportunities for recreation. A new medicine store has been provided and the recording of medication now provides a clear audit trail. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 7 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. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 8 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 Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 9 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 & 3. 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 the information they need to decide whether the home will suit them. They have their needs assessed to ensure that the home has the resources to meet those needs. EVIDENCE: Prospective residents are provided with a guide to the home, which sets out residents’ rights, the aims and objectives of the home, details of accommodation, facilities, services and staffing provided and the complaints procedure. It also includes comments from other residents. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 10 There is evidence in residents’ files that the manager or her deputy perform pre-admission assessments on prospective residents. There is a comprehensive pre-admission assessment form used to record biographical details and a needs assessment based on the activities of daily living. Risk assessments are also completed. Residents are included in the pre-admission assessment and information is obtained from relatives and other healthcare professionals involved in the care of the person. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 11 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care provided to residents is based on their individual needs. The principles of respect, privacy and dignity are put into practice. EVIDENCE: Three care plans were reviewed as part of the case tracking process. Individual files were maintained for each resident. All the relevant information was recorded in that a care plan had been drawn up for each resident and daily events were recorded in the daily progress notes or on the communication sheet. The quality of the care plans had continued to improve since the last inspection, but there was still room for further improvement. For example, not all alterations to nursing instructions were dated and not all care plans stated what the expected outcome of care was. One resident’s records did not contain Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 12 sufficient detail on the care that was actually being provided. However, discussion with staff and comments from residents, relatives, GPs and a district nurse demonstrated that a good standard of care was being provided. The new manager had identified that there were shortfalls in the recording of care and had arranged a workshop for staff. Residents were registered with the local GP practice and were referred to other appropriate health care professionals as necessary. The GP visited the home on a weekly basis and also as requested. Risk assessments were carried out in relation to nutrition, moving and handling and risk of pressure sores and falls. Those residents identified as being at risk had relevant care plans in place and were monitored on a regular basis. Opportunities for exercise and physical activity were provided and residents were weighed on a regular basis to assess whether they were maintaining adequate nutritional intake. Since the last inspection a new clinical store had been provided and the arrangements for the receipt, administration, recording and disposal of medicines were satisfactory. Residents said that they were treated courteously and with respect by all staff. Staff were observed to knock on doors and request to enter rooms, also to call residents by their preferred names. The residents’ guide set out how the home would maintain residents’ privacy and dignity. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents have the opportunity to exercise choice in relation to leisure and social activities. Residents’ dietary needs are well catered for with a balanced and varied selection of food that meets residents’ tastes. EVIDENCE: The residents’ guide stated that residents could choose their daily routines and did not have to fit in with any set routines to suit the staff. Residents confirmed that this was the case and that staff were flexible and “nothing was too much trouble”. The home employs an activity organiser for 16 hours per week. Residents said they had enjoyed the range of activities provided in December, which had included a Christmas fair, a concert provided by Newcastle male voice choir, a sing-a-long with a group of ladies called the Melody Makers and entertainment from the Back Row Girls and a magician. Residents had been involved in Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 14 decorating the Christmas trees and making door wreaths, pomanders and flower arrangements. The home had also arranged for the local chemist to bring a selection of gifts for residents to purchase. In the week leading up to Christmas children from the local primary school had come to sing for the residents and there was a Christmas church service for all denominations. On New Years’ Day the home had held a party for residents and visitors with a special buffet and entertainment from a Welsh tenor. In addition to the above, the home had also held its regular games afternoon, exercise classes and reminiscence sessions. On the day of the inspection some of the residents were enjoying a bingo session. Each resident was provided with a monthly programme of activities. Residents said that they could receive visitors at any reasonable time and one visitor said she was impressed by how much the staff go out of their way to make her feel welcome and include her in her relative’s care. She said that staff always offer a cup of tea or coffee when she visits. Residents said they were also encouraged to go out and visit family and friends and a taxi would be ordered if required. The visitors’ book contained numerous complimentary remarks. The home offers a varied, extensive menu, which is all home made by the chef. Residents said that he regularly consults them about the menus and there is plenty of choice. Breakfast is served in residents rooms from 8am. Residents can choose from a range of cereals, fruit juices or stewed fruits, any cooked items and a range of breads and croissants with preserves. Lunch can be taken in the resident’s own room or the dining room and consists of a three course meal with at least two choices for each course. Every day apart from Sunday, when there is a roast dinner, there is a choice of a meat or fish dish. At dinner time there is a lighter hot meal. Residents confirmed that they can always ask for alternatives if they don’t want what’s on the menu and light snacks and drinks are always available on request. Staff were observed helping residents who needed assistance to eat. This was done in a relaxed, discreet manner and staff were seen to check the temperature of the food first and chat with the resident during the process. The expert by experience took lunch with the residents and said it was probably the best meal he had ever had in a care home. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 15 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. Residents have access to a robust complaints procedure. EVIDENCE: The home has a satisfactory complaints procedure, which residents are aware of. The home had not received any complaints since the previous inspection 15 months ago. The home also has adequate policies and procedures for the protection of vulnerable adults, including those of Shropshire and Cheshire County Councils. Staff receive basic awareness training in this on induction. Qualified nurses are provided with further in-depth training from the company and care assistants receive further training when they undertake an NVQ Level 2 in Care. Corbrook Court DS0000053406.V320314.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, 22, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents with an attractive and pleasant place to live, with rooms they can personalise to suit their tastes. EVIDENCE: At the time of the inspection the home was undergoing a programme of extension and improvement. A new kitchen and laundry had been provided and there had been some refurbishment of bedrooms. Adequate moving and handling and pressure relieving equipment was provided to meet residents’ assessed needs. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 17 Residents’ rooms were personalised with their own belongings, such as small pieces of furniture, ornaments and photographs. They were well furnished and decorated and were provided with telephone points with broadband connection available. Cleaners were seen working in several bedrooms and all areas were very clean and tidy. All personal clothing and flat ware were laundered in-house. Dry cleaning was sent out on request. Residents said the home was always clean and one resident commented on how much she appreciated the ‘very efficient laundry service’. It was noted that in a few bedrooms the bed rail protectors had been left on the floor. This could pose a risk of infection. Corbrook Court DS0000053406.V320314.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 adequate. This judgement has been made using available evidence including a visit to this service. Staff morale is high, resulting in an enthusiastic workforce that works positively with the residents to improve their quality of life. Staffing levels and staff training ensure that residents’ needs can be met, but a recent lapse in the recruitment procedure could have potentially put residents at risk. EVIDENCE: There were 22 residents at the time of inspection, 20 of whom required nursing care. Staffing rotas demonstrated that staffing levels and skill mix were adequate to meet the needs of those in residence. The home was fully staffed with no vacancies. Agency staff were only used to cover for short notice sickness. Staff were cheerful and friendly and residents were complimentary about staff attitude and competence. Staff files were reviewed. All the required information and documentation had been obtained prior to employment, apart from the two most recently employed staff who had not had Criminal Records Bureau checks. They were still in their induction period and only working under the supervision of a more Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 19 senior member of staff, but these checks should have been carried out before they commenced working with residents. The new manager said this was not the normal company policy and she would ensure this did not happen again. All staff received an appropriate induction and were initially employed for a probationary period of three months before their contract was made permanent. During this time reviews of performance were carried out every month. Eleven of the 20 care staff (excluding registered nurses) had achieved an NVQ Level 2 in Care. Training provided in the previous year had included customer care, mentorship, complementary therapies in palliative care, immunisation and wound care. Corbrook Court DS0000053406.V320314.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, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home regularly reviews aspects of its performance through a programme of self-review and consultations, which includes seeking the views of residents, staff and relatives. EVIDENCE: There is a new manager in post who had commenced full time in the home on 1st January. She is a registered general nurse who qualified in 1984. She has worked for Morris Care for 14 years, during which time she has obtained an Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 21 NVQ Level 5 in Operational Management. She has been a home manager for ten years. The home carries out internal audits of all departments; nursing and care, housekeeping, catering and maintenance. These are discussed at quarterly quality meetings attended by heads of department and, if necessary, action plans are raised to address any shortfalls. Any residents leaving the home are interviewed as to their opinion of the home. These comments are also brought to the quality meeting. A director of Morris Care visits the home monthly to talk to residents and staff and inspect the premises and records. Reports of these visits are submitted to CSCI. Residents and relatives are asked to complete a customer satisfaction survey on an annual basis and the comments received are included in the residents’ guide. Last year, three meetings were held for residents and relatives to provide information and seek their views on the running of the home. The home only looks after the monies of three residents. Balances and records were checked and found to be in order. Staff are closely supervised during their induction period and thereafter receive an annual appraisal of their performance. However, apart from supervision of care staff on a day to day basis by the registered nurses, staff do not receive any formal documented supervision to discuss aspects of their practice and any training needs. The new manager had already identified this as a shortfall and had plans to address it. Staff received annual training in safe working practices and the pre-inspection information submitted indicated that all systems and equipment were tested and serviced at the required intervals. No obvious hazards were identified on inspection. Corbrook Court DS0000053406.V320314.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 4 X 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 3 X 3 2 X 3 Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP29 Regulation 19 Requirement To ensure the protection of residents, the registered person must not allow a new employee to commence employment until a Criminal Records Bureau disclosure has been obtained for that person. Timescale for action 12/01/07 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 Refer to Standard OP7 OP26 OP36 Good Practice Recommendations Care plans should conform to the Nursing & Midwifery Council guidelines for Records & Record Keeping. To reduce the risk of infection, bed rail protectors should not be stored on the floor when the resident is out of bed. Staff should receive regular formal supervision to monitor their performance, identify any training needs and give them the opportunity to raise any concerns. Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. Extracts may not be used or reproduced without the express permission of CSCI Corbrook Court DS0000053406.V320314.R01.S.doc Version 5.2 Page 25 - 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!