Inspection on 13/10/05 for Corner House Nursing Home
Also see our care home review for Corner House Nursing Home for more information
This inspection was carried out on 13th October 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
There is a core staff team who continue to be committed to the support and care of the service users, despite the difficulties that the home has experienced with management and staffing changes and a period of time with the lift out of action. Staff take care with service users` personal care and general health. All service users spoken to looked clean and well dressed.
What has improved since the last inspection?
Overall the home was cleaner, quieter and there was a calmer atmosphere from the people living and working in the home. Individual care/support plans have been organised and much of the irrelevant information has been removed. There are still more of them that need to be sorted out. The manager has some ideas for the redesign of the written support plans to improve them further. The manager is promoting more activities and time spent with the people who live in the home to develop their interests and awareness in their surroundings. One person who, a few months ago was being very noisy and sitting on the floor in doorways and refusing to move was calmer, sitting on a chair and responded with gestures when the manager spoke to her. The home looked cleaner, additional housekeeping staff have been employed. Redecoration is in progress throughout the home. Two bedrooms had been completed and the manager was considering options for new dividers/screens in shared rooms. One of the bedrooms was in the process of being decorated. Clinical and waste bins have been discretely placed in the grounds of the home, which has also improved the outside appearance of the home. The home now has a manager and there is leadership and direction.
What the care home could do better:
The service still needs to develop considerably to meet national minimum standards. It is a recommendation of this report to have a copy of the National Minimum Standards for Younger Adults available and for all staff to become familiar with its contents to assist with the changes that are being implemented to meet them. Staffing levels have not improved yet, despite the company increasing the staffing budget and advertising for care staff. New staff are being recruited but there has been some loss of staff, sickness and unreliable staff at times. There are usually 5 carers on duty and one nurse, but sometimes this has reduced to 4 carers. The home relies on staff working additional hours and agency staff to supplement the shifts particularly at night. The manager is continuing to recruit staff to increase the staff team. A requirement has been made to provide sufficient staff to meet individually assessed needs. Staff have got to know the people living in the home and can interpret most basic needs but this is quiet limiting and means that they are reliant on staff to interpret their needs and does not assist enough with developing individualcommunication skills. There need to be some systems and aids to develop expression and response to non-verbal communication in the home. There needs to be a structured system of specialist training for the nursing staff so that they can continue to increase their knowledge and update their practice to teach and guide care staff. The people living in Corner House would benefit from an outside area that they can spend time in safely. At present this is not possible. Many of the people living in the home need at least one-to-one support out in the community and opportunities to go out are limited. The lack of garden restricts their freedom to go out in the fresh air which some may be able to do independently if there was a secure area. The new manager has ideas about developing this. The conservatory was originally built to provide additional communal space and the option of a quieter room. It has not been successful so far. There is no lock or keypad on the outside door for security. It has insufficient window blinds to shield against extremes of weather. One of the bedroom windows looks out onto the conservatory so there is no access to fresh air in this room. It has tiled flooring and this has become slippery during wet weather. A requirement has been made to resolve the issues and make this room safe and useable. All outstanding recommendations from previous inspections have been carried over.