Inspection on 30/05/07 for Cornmill Nursing Home

This inspection was carried out on 30th May 2007.

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

Cornmill Nursing Home 25/01/06

Cornmill Nursing Home 27/09/05

Cornmill Nursing Home 09/12/04

Cornmill Nursing Home 11/05/04

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 Cornmill Nursing Home Cornmill Nursing Home Bonds Lane Garstang Nr Preston Lancashire PR3 1RA Lead Inspector Mrs Christine Marshall Unannounced Inspection 30th May 2007 2:00 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 Cornmill Nursing Home DS0000006034.V332407.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. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornmill Nursing Home Address Cornmill Nursing Home Bonds Lane Garstang Nr Preston Lancashire PR3 1RA 01995 606446 01995 606447 ghill@cornmill.com www.cornmill.com G Hill 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) Mrs Susan Elizabeth Dewhurst Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (7) of places Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home shall at all times employ a suitably experienced and qualified manager who is registered with the NCSC The home may accommodate 7 service users in the category of physical disability (PD) over the age of 50 years and 41 in the category of old age (OP). The registered person may accommodate up to a maximum of 48 older persons when not utilising those places designated for physical disability. 25th January 2006 Date of last inspection Brief Description of the Service: The Cornmill Nursing Home is situated within its own grounds very close to the town centre of Garstang. The home is registered for a total of 48 older people with a condition of registration for 7 persons over the age of 50, with physical disability, within this total. There are two lounges, a sun lounge and dining rooms, all of which are furnished to a high standard. Bedrooms are individually personalised and residents are given a full choice of daily routines and activities. The registered providers are fully committed to staff training and development and staffing levels are more than adequate for the care of the residents. There is adequate car parking space to the front of the home. A separate private physiotherapy room is accessed through a side door to the home. Residents can benefit from this service if they require. At the time of this visit (30/05/07) the fees for the home ranged from £382 to £680 with extra costs for private physiotherapy, aromatherapy, hairdressing and newspapers. Mrs and Mrs G Hill own the home and Mrs S Dewhurst is the registered manager. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of The Cornmill included a site visit to the home that was done between lunch time and late afternoon; the visit was unannounced, which means that the owners, staff and residents did not know it was taking place until the inspector arrived. Time was spent sitting and talking with people who use the service, alongside their relatives, and observing the day-to-day routines of the home and care staff, as they provided support. A tour of the home included looking at bedrooms, lounges and dining areas, kitchen and laundry rooms. This was to assess whether the home provided a comfortable, homely environment for the enjoyment of everyone, and to ensure the residents’ safety. The people who live at the home said that they preferred to be called residents. Comment cards were sent to the home for residents and relatives to fill in and a good amount were returned. They all showed an excellent level of satisfaction with the care at the home. The owner completed a pre-inspection questionnaire and forwarded it to the commission before this visit. The document contained a good level of information about the home and helped in the planning of the visit. Residents were spoken with and commented that – “I can’t say anything wrong about the home.” “The staff are wonderful.” “I must give them (the home) top marks for the activities, there is something on offer every day.” Two visiting relatives said that they were happy with everything at the home and had no complaints to make. Discussions took place with the manager and some administration records were looked at. Care staff were also spoken with and said that they were happy and supported in their work. Everyone at the home was friendly, welcoming and co-operative throughout the visit. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Two new hoists have been provided that incorporate weighing scales; this means that residents’ who are bedfast and unable to stand, can have their weight monitored for the benefit of their nutritional assessments. Sixteen new nursing “Huntleigh Contour 480 electric profiling beds” beds have been bought for pressure relief and for the comfort of the residents. The kitchen extractor has been replaced to meet current Corgi regulations for safety. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 7 A new “Ozone” machine has been purchased for the extra cleaning and disinfecting of bedrooms; this compliments the home’s laundry system which is also “Ozone” and gives extra protection against cross-infection. 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. Cornmill Nursing Home DS0000006034.V332407.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 Cornmill Nursing Home DS0000006034.V332407.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): Standard 3 (Standard 6 does not apply to this home) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Anyone considering moving into the home undergoes a full assessment of their needs and strengths so that the home can make sure that they can provide the right service to that person. EVIDENCE: The pre-admission assessments were looked at for the most recently welcomed residents and all areas of need were all completed; they were comprehensive and included aspects of physical, social and psychological care, making sure that any needs were identified, and that the home could provide the care that was needed. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 10 These assessments were done by the manager or the nurse in charge, and agreed by the resident and/or their family. Some advice was given in respect of the completing these assessments and the manager readily accepted this advice. Three residents were asked if they had been visited before going into the home and confirmed that they had been assessed before entering the home. Generally all residents are assessed by the same tool, thus promoting equality of assessment and care provision. The pre-admission assessments are good. Cornmill Nursing Home DS0000006034.V332407.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): Standards 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 information contained in the residents’ files shows that all their health and social care needs are met. Residents said they were fully supported so that they could enjoy their daily lives. EVIDENCE: Care plans are written records that describe the care that is given to each resident. Three of these were looked at and found to be informative and individual. All aspects of care had been considered, including some social history. Again some advice was given in respect of the care planning process and the manager readily accepted this advice, as part of the home’s on-going aim to improve the quality of care. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 12 Some residents were able to say that they knew about their care plans. Residents also said that they had the GP of their choice and equally that they had regular visits by the chiropodist, dentist, optician and also hearing aid services. The medication policies and procedures make sure that the residents are safe. Trained nurses give out the medicines, and to promote equality and choice, any resident who wishes to take responsibility for taking their own medicine is able to do so after a risk assessment, and signing a disclaimer for this. The residents were seen to be treated equally with respect, privacy and dignity, and there were good personal interactions with the nurses and carers. Residents’ comments included “I am very well looked after.” “I am more than happy here.” “I can do what I want and the staff are great.” Cornmill Nursing Home DS0000006034.V332407.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): Standards 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. The residents benefit by being well supported, so as to promote the quality of their daily lives. They are given full choices of daily living and provided with a well-balanced and nourishing menu. EVIDENCE: Residents said that they were offered good choices and supported in their preferred daily routines. They said that they could go to their room or to bed whenever they wished and that they made their own choices about what time they got up in the morning: There are lots of planned activities and residents said that they are given options of joining in with any activities that were provided, or to have quiet time in the lounges or their rooms. Activities include regular outings and the local Rose Queen’s recent visit the home was particularly enjoyed. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 14 Residents all agreed that they had a good choice of food. On the day of the visit, the evening meal looked very appetising and there was a very good choice of meals with equally good choices of sweets. There is equality of choice for every resident and any preferences that are requested are catered for, for example vegetarian and diabetic food. The midday meal also offers full choices, with afternoon tea and suppers available. The residents said that the food was “very good”, “very nice” and “nicely presented.” The dining room is light and well furnished and the mealtime was relaxed and unhurried, with the carers helping sensitively and discretely when needed. Cornmill Nursing Home DS0000006034.V332407.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): Standards 16 & 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to voice their opinions and know who to speak to if they have any concerns. Adult protection and quality checks are in place, which means that residents live in a safe environment where their satisfaction is assured. EVIDENCE: There is a written complaints procedure for the residents and their relatives and this is included in the home’s information pack. The residents who were spoken to said that they had no complaints at all. Residents also said that they could get in touch with their relatives, solicitors or anyone else that they might need for help, if they wished: There are advocacy information leaflets and advice available, which is for anyone who is without relatives and needs someone to speak on their behalf. There are very robust policies in place for the protection of vulnerable people and the care staff are given training on abuse awareness. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 16 Evidence was found to confirm that where complaints or safeguarding adult issues are raised, the management team at the home deal with them in accordance with agreed polices and procedures and in an effective and efficient manner. Systems for recording any such issues are comprehensive and well detailed. The complaint and abuse policies are commended for their approach to voicing concerns and for protection issues. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 17 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): Standards 19,20,21,22,23,24,15 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are provided with very clean, homely and pleasantly furnished surroundings and bedrooms are personalised and very comfortable; this means that people feel at home with their photographs and belongings around them. EVIDENCE: All lounges, dining areas and bedrooms are very comfortable and furnished to a very good standard: There is very good ongoing refurbishment programme in place. Residents said that they were happy with their bedrooms and the lounges and dining areas. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 18 Lounge and dining areas are very nicely furnished and kept extremely clean. Bedrooms are very clean, very nicely furnished with personal affects and with any equipment that is needed for the comfort of the resident. There are aids and adaptations such as grab rails in toilets and special lifting and bathing hoists for the residents who need help with their mobility. There are also assisted baths for residents that cannot get in and out of the bath without help. Laundry systems are of a very good standard and make sure that there are no problems with cross-infection; and the laundry area is kept very clean and tidy. The cleanliness of the home is commendable. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 19 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): Standards 27,28,29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live at the home have their care needs met through good levels of staff, who have the appropriate qualifications and experience necessary to give a good care service. EVIDENCE: The list of staff on duty showed that there are good levels of nurses, carers and domestic staff on duty at the home. The carers were very friendly and helpful and showed that there is a very good mix of people in place. National Vocational Qualifications (NVQ) training programs are in place for the carers, and over 95 of staff have achieved this. This is commendable. The pre-inspection questionnaire showed that the recruitment policies and procedures are reviewed annually and that there are very robust preemployment checks that make sure that the residents are in safe hands. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 20 The questionnaire also showed that staff training programmes are in place and the carers and the trained nurses also confirmed that there are well trained and that there are more than ample training opportunities offered to them. The home is currently part of the pilot scheme for the Gold Standard Framework for Palliative Care and the manager holds the Palliative Care Certificate. This means that staff are specially trained and able to care for people who are reaching the end of their lives. Discussions with the manager and owners showed that staff training and development is considered very important in the running of the home and the care of the residents. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 21 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): Standards 31,33,35 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home makes sure that the best interests of the residents are protected through clear leadership, policies for the protection of the residents, and robust health and safety checks. EVIDENCE: The manager is a Registered Nurse who holds an equivalent Registered Managers Award. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 22 Equality of care is evident throughout in the policies and procedures for all aspects of care at the home. Regular resident quality surveys are undertaken and staff have regular meetings. Nurses and carers are encouraged to be involved in the planning and giving of care. Residents said that they get surveys to fill in and that the manager spends time regularly with them. Policies are in place for the protection of residents from any financial abuse. Those residents who spoke to the inspector said that they either looked after their own money or their relatives did it for them. Confidentiality is maintained through records being stored in locked cabinets, with staff looking at them only when they need to find out about any particular person’s care needs. The pre-inspection questionnaire gave good information about the Health & Safety policies and procedures, records and equipment servicing certificates. Information was also provided about extensive contingency plans that are in place for the health and safety of the service users, the staff and the environment. This is commendable. Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 4 Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Cornmill Nursing Home DS0000006034.V332407.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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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