Inspection on 04/10/05 for Corbrook Court

This inspection was carried out on 4th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 03/01/07

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 Announced Inspection 4th October 2005 09:30 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.V253045.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. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 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 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) Morris & Co Limited Julie Lyn Bristow 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.V253045.R01.S.doc Version 5.0 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) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 04/10/05 2. 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. At the time of the inspection there were only 28 beds available because the double room was being used as a temporary staff room. 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.V253045.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by two inspectors of the Commission, one of whom is a pharmacist inspector, and a Regulation Manager. The lead inspector spent two hours planning the inspection by reviewing previous inspection reports and the service history over the last twelve months. The inspection took place over five hours and included a tour of the building, inspection of records and discussion with nine residents, one relative and four members of staff. Discussion with residents focussed on meals, social contact and activities. All of the residents said they were very happy at Corbrook Court. Residents commented that “It is like being in a first class hotel”; “I’m very satisfied” ; “I’m quite happy here, very comfortable”; “I don’t have any problems, very settled.” Comment cards were received from two residents, seventeen relatives and two visiting health care professionals. The majority of the comments were positive. The visiting GP stated “ Generally very high standard of care respecting patients’ wishes and autonomy.” Feedback was given to the responsible individual at the end of the inspection. What the service does well: Full and comprehensive assessments are carried out to ensure the home will be able to meet the residents’ needs and residents are provided with a written contract that stipulates what is included in the fees. Staff recognise changes in residents’ health and respond quickly and effectively to address the changes. They are also mindful of residents’ privacy and dignity. Residents are able to maintain contact with their loved ones and exercise choice in their lives. Meals are well balanced and nicely presented, offering choice and variety. The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. . The home provides a clean, comfortable and pleasant environment. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 6 Recruitment practices offer protection for the residents and staffing, skill mix and training are sufficient to ensure that residents’ identified needs can be met. The home regularly reviews aspects of its performance through a programme of self-review and consultations, which include seeking the views of residents, staff and relatives. Safe working practices are followed in order to maintain the health and safety of residents and staff. What has improved since the last inspection? What they could do better: Although care planning documentation has improved, further work is needed to provide staff quickly and easily with the information they need to satisfactorily meet residents’ needs. At the previous inspection a requirement was issued in relation to the storage, handling and recording of medication. An additional visit was carried out in May that identified that medicines were handled appropriately and recording had improved. At this inspection the storage and handling were satisfactory, but the home must further improve the recording of medicines to ensure that all residents are given their medicines as prescribed and a complete audit trail is maintained. A further additional visit will be carried out to monitor compliance. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 7 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. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 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.V253045.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 Satisfactory arrangements are in place for prospective residents to be assessed prior to admission to ensure that the home will be able to meet their needs. At the point of moving in they are provided with a contract stipulating what is included in the fees. EVIDENCE: There was evidence in residents’ files that the manager or her deputy performed pre-admission assessments on prospective residents. There was a comprehensive pre-admission assessment form used to record biographical details and a needs assessment based on the activities of daily living. Risk assessments were also completed. Residents were included in the preadmission assessment and information was obtained from relatives and other healthcare professionals involved in the care of the person. Residents had a written contact that included the terms and conditions of occupancy and the amount and method of payment of fees. Corbrook Court DS0000053406.V253045.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, 9 & 10. Further improvements are needed to ensure that the care plans provide staff with all the information they need to meet all of the residents’ needs. Health needs of residents are well met, with evidence of good multi-disciplinary working taking place on a regular basis. Storage and handling of medication has improved, but further improvement in the recording is required to ensure that residents receive their medication as prescribed. Residents are treated with respect. 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 improved since the last inspection, but there was room for further improvement. For example, one care plan for a pressure sore stated ‘apply appropriate dressing’ but did not stipulate which dressing should be used. It also did not detail any instructions for the provision of pressure relief, although the resident had been provided with a pressure relieving mattress and a chair cushion. See Recommendation 1. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 11 Residents were registered with the local GP practice and were referred to other appropriate health care professionals as necessary. For example, one resident was under the care of a gastroenterologist and an ophthalmic surgeon. She saw her GP on a regular basis and the home had obtained the advice of a tissue viability nurse specialist for a wound. Risk assessments were carried out in relation to nutrition, moving and handling and risk of pressure sores. Those residents identified as being at risk 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. However, one resident had lost six kilograms in weight in the previous three months, but the nutritional assessment score did not reflect this and there was no plan of care in place to address this. See Requirement 1. Since the last inspection there had been considerable improvements in the storage and handling of medication. However, there were still some deficiencies in the recording of medication. Details of these have been identified to the registered provider in a separate letter. See Requirement 2. 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. Doors to rooms of residents who had gone out were locked. Corbrook Court DS0000053406.V253045.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, & 15 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 Activities organiser was setting up a harvest festival display in the large hallway. Residents’ relatives had donated some of the items. The organiser explained that they display familiar or topical themes of interest to the residents and indicated the next one would be a commemoration of Nelson’s battle at Trafalgar. A minister was attending that afternoon for a Communion service and one of the residents (a retired minister) was giving a reading. An activities programme for the week was displayed on the mantelpiece in the hallway. This included regular exercise sessions, visits from the hairdresser and a trolley shop. A BBC interviewer had recently visited the home to record people’s memories of World War Two. A car boot sale was planned for later in the month. Several residents said they were aware of organised activities. One preferred not to join in. She stayed in her room, liked to receive visitors and have her hair done. She said visitors travelled to see her and the kitchen staff provided Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 13 plated sandwiches for them on request. Another said he joined in the activities. He also had regular visits from his daughter several times a week. He had just returned from a walk around the grounds, something he did each day in fine weather. He also said he liked to read his daily newspaper and do crosswords. One resident was expecting her daughter to join her for afternoon tea and said she liked to be taken around the grounds in her wheelchair when the weather was good. Two residents said they would be taking Communion when the minister visited that afternoon. Residents in the sitting rooms said they enjoyed the views of the garden. One resident was sat on her own in a sitting room, reading a book. A special harvest festival meal was planned for lunch and a menu was on display in the sitting room and the dining room. In the kitchen the chef and catering assistant were preparing fresh fruit and vegetables for the lunch. The chef said that he had asked residents what they wanted to eat and all had opted for the harvest festival lunch. Dining tables were set with tablecloths and napkins. Residents were aware of the special lunch and said they were looking forward to it. Residents were complimentary about the food. One resident said “The chef comes to see me and knows what I like.” Another said “I enjoy the food but don’t have a good appetite. You are asked each day what you want for lunch and supper.” Residents said they could take meals in the dining room or in their own room. Several said they liked to breakfast in their own rooms but went to the dining room for lunch and supper. One resident with mobility difficulties preferred not to go to the dining room. The choices on offer for lunch were sampled and found to be well cooked and tasty. Corbrook Court DS0000053406.V253045.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): 16 Residents are able to voice their concerns and appropriate action is taken to address them. EVIDENCE: A visitor commented that the manager was approachable and felt confident that if she needed to raise anything with her she would sort it out. One resident said she would let the sister or the manager know if she had a problem and they would sort it out. The complaints log was reviewed. The home had received three complaints since the last inspection, which had all been resolved. Two had been partially substantiated and one unsubstantiated. The registered provider’s quality team reviewed all complaints to see whether any lessons could be learned or any improvements made. Corbrook Court DS0000053406.V253045.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): 19, 21, 22, 24 & 26. The standard of the environment within this home is good, providing residents with an attractive and pleasant place to live. EVIDENCE: At the time of the inspection the home was undergoing a programme of extension and improvement. The sitting room overlooking the garden had recently been refurbished and a shower provided on the first floor. A new kitchen was being built and a new, larger car park had been laid. Adequate moving and handling and pressure relieving equipment was provided to meet residents’ assessed needs. Residents’ rooms were personalised with their own belongings, such as small pieces of furniture, ornaments and photographs. One resident had brought in a comfortable easy chair, a television and a small fridge. Cleaners were seen working in several bedrooms and all areas were clean and tidy. The basement laundry was well equipped. All personal clothing and flat ware were laundered in-house. Provision was made for hand laundering of garments. Dry cleaning was sent out on request. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 16 Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 17 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. Staff morale is high, resulting in an enthusiastic workforce that works positively with the residents to improve their quality of life. There is a thorough recruitment procedure which ensures the protection of residents. Staffing levels and staff training ensure that residents’ needs can be met. EVIDENCE: There were 21 residents at the time of inspection, 19 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. Staff were cheerful and friendly and residents were complimentary about staff attitude and competence. Three staff files were reviewed. All the required information and documentation had been obtained prior to employment. All staff received an appropriate induction and were initially employed for a probationary period before their contract was made permanent. Eleven of the 21care staff (excluding registered nurses) had achieved an NVQ Level 2 in Care. Training provided in the previous five months had included infection control, first aid, pain assessment and control, continence management, wound care and immunisation. Training in mentorship was planned for the following week. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 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): 33 & 38. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of residents, staff and relatives. The residents’ health and safety are protected, so far as is reasonably possible. EVIDENCE: Residents spoken with confirmed that they had been involved in completing service user satisfaction surveys. One had been carried out not long before this inspection and the report was available. The overall response was one of satisfaction with the service provided. The registered manager also carried out audits according to the registered provider’s quality assurance programme. Maintenance records demonstrated that all equipment was well maintained and serviced at the required intervals. Engineers’ reports were available for the lift Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 19 and gas and electrical installations. Staff were trained in safe working practices and regular fire drills were carried out. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 x 3 X 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 21 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 OP7 Regulation 15(1) Requirement The registered person must ensure that a care plan is implemented for any resident who has any unplanned weight loss. The registered person must ensure that the audit trail of medicine records are properly completed. Timescale for action 31/10/05 2 OP9 13(2) 04/10/05 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 OP7 Good Practice Recommendations Care plans should be specific with regard to dressings and equipment in current use. Corbrook Court DS0000053406.V253045.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Corbrook Court DS0000053406.V253045.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. 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. 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