Inspection on 18/11/05 for Corona House

This inspection was carried out on 18th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Corona House 20/02/07

Corona House 23/01/06

Corona House 21/03/05

Corona House 11/11/04

Corona House 09/02/04

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 Corona House 1 Osmaston Road Prenton Birkenhead Wirral CH42 8PY Lead Inspector Helen Carton Unannounced Inspection 18th November 2005 09:15 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 Corona House DS0000018879.V268955.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. Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Corona House Address 1 Osmaston Road Prenton Birkenhead Wirral CH42 8PY 0151 608 3536 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 Deborah Elaine Jane Wallace Mr John Wallace Mrs Deborah Elaine Jane Wallace Care Home 15 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (14) Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st March 2005 Brief Description of the Service: Corona House was registered to the present owners in January 2000 provides accommodation and care for fifteen residents. There are in six shared and three single bedrooms, on the ground and first floors. Special facilities include a stair lift on the main staircase and bath-lifts in the two bathrooms. Communal accommodation comprises a lounge with attached conservatory, a dining room and a hairdressing/visitors’ room. The home is next to the main shopping area in Prenton and is close to local transport links. Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were 15 people living at Corona House on the day of the visit. The inspection was unannounced and took approximately four hours. The inspector spent time with one member of staff, the manager and briefly spoke to two residents’. What the service does well: What has improved since the last inspection? What they could do better: Further work needs to be carried out on residents’ care plans and risk assessments to make sure they provide the staff team with full details and Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 6 guidance on identified care needs. To make sure residents’ receive the best and safest care and support. The home has not provided the staff team with specialist type training to help and enable them to support residents’ who may have specific care needs such as short-term memory loss. Also to provide training to help the staff team to recognise abusive practice or behaviour so they can protect the people they are supporting. 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. Corona House DS0000018879.V268955.R01.S.doc Version 5.0 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 Corona House DS0000018879.V268955.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 4 The home’s Statement of Purpose and Service Users Guide are good providing residents’ and prospective residents with details of services the home provides. The home’s pre admission assessment does not provide detailed information to enable the home to offer placements based on their full needs, particularly with regard to sharing a bedroom with another resident. The home has not provided staff with specialist training to ensure they can meet the assessed needs of residents. EVIDENCE: Older people and their relatives and carers who may be interested in moving into Corona House are provided with good information about the type and level of care the home can provide. Information about the facilities of the home is also given. The inspector looked at records of residents’ admitted to the home since the last inspection visit. The pre admission assessment document is not detailed and does not offer the staff team good information about the person’s care Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 9 needs. It does not allow the manager and staff team to properly assess the impact the admission will have on the residents’ already living at the home. The inspector discussed with the manager the need to make pre admission assessments much more detailed particularly as most of the bedrooms at the home are shared. The inspector looked at records, which showed on a number of occasions those residents’ in shared rooms had caused disruption to each other resulting in loss of sleep. The inspector noted a number of residents’ experience short-term memory difficulties. However the manager has not provided the staff team with appropriate training to enable them to support residents’ in the best way. Corona House DS0000018879.V268955.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 & 10 The care planning system in place does not adequately provide staff with the information they need to satisfactorily meet residents’ needs. Personal support in this home is offered in such a way as to promote and protect residents’ privacy and dignity. EVIDENCE: The care plans do not provide detailed information about the care needs of residents’ or the type and level of support needing to be provided. The inspector noted that for newly admitted residents’ a care plan is not produced until after they have been living at the home for over six weeks. The staff team must rely on the limited information held in the pre admission assessment document to provide care to residents’. Resulting in health care and behaviour issues not being referred to health care professionals for advice and support. The inspector advised the manager to produce an initial care plan on admission to enable the care team to offer the most appropriate care and supervision to residents’. Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 11 The manager discussed with the inspector an assessment that had been carried out by a health care professional, which indicated one resident, is inappropriately placed. The inspector advised the manager to discuss this placement with the placing agency to make sure until an alternative placement is found the home is supported to provide a safe environment for the resident. The home has a policy and procedure detailing how the manager expects the staff team to promote and respect residents’ privacy and dignity. During the visit the inspector observed the manager and members of the staff team supporting and spending time with residents’ in a respectful and sensitive way. Corona House DS0000018879.V268955.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 The home provides residents’ with a range of activities that meets their social and recreational interests. The home actively supports residents’ and their relatives to maintain appropriate relationships. EVIDENCE: The manager informed the inspector occupational and physiotherapists visit the home twice a week to provide activities to residents. The staff team play bingo, card games and board games in the afternoons and evenings also music and videos are played whenever residents want them. Residents are supported to access community activities however these activities are usually pre arranged with the manager. Residents’ are supported to maintain links with social and religious groups they attended prior to moving into the home. During the visit to the home the inspector observed residents’ family members visiting the home. Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 13 Since the last inspection visit the dining room has been decorated and cardene flooring has been fitted. The dining room is a homely and attractive place for residents to enjoy their meal. Corona House DS0000018879.V268955.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): 18 Arrangements for protecting residents are not satisfactory placing them at possible risk of harm and abuse. EVIDENCE: The home has a policy and procedure in place detailing how to protect vulnerable adults for abuse. However the manager has not provided the staff team with training to enable them to understand the policy and procedure. Also to enable them to recognise the different forms of abuse and have the confidence to voice concerns and challenge poor practice. Corona House DS0000018879.V268955.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): 19,20,21,24,25 & 26. The overall quality of the furnishings and fittings is good creating a comfortable and safe environment for those living there and visiting. EVIDENCE: Since the last visit new carpet has been fitted to the hall, stairs and landing. The dining room has been decorated and new flooring has been fitted. The kitchen has been painted and a new cooker and microwave have been purchased. The manager told the inspector all bedroom carpets on the first floor are to be replaced in the coming year. The inspector viewed a number of bedrooms and informed the manager two of the carpets were worn and did not fit properly resulting in them being a possible tripping hazard. The manager told the inspector these carpets would be replaced in December 05 and January 06. Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 16 New non-slip flooring has been fitted to the downstairs toilet with plans to paint all toilet and bathrooms in the New Year. The home is pleasantly decorated and furnished providing a homely and comfortable place for residents to live. All areas of the home viewed by the inspector were clean and tidy. Corona House DS0000018879.V268955.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): 27,29 & 30 Staff morale, is high resulting in an enthusiastic workforce that works positively with residents’ and provides a consistency in the care provided. Due to the lack of specialist training being provided specialist care needs of residents are not being met. The home’s recruitment practices protect residents from possible abuse. EVIDENCE: A number of the staff team have gained national vocational qualifications in care. There have been few changes in the staff team since the last inspection visit providing residents’ with people they know well to support them with their personal care needs. The inspector discussed the need to provide specialist training for the staff team. To enable them to support residents’ with particular needs such as short-term memory loss in the most appropriate way. A sample of staff records were looked at they were in good order and all the appropriate checks had been made to protect residents. Corona House DS0000018879.V268955.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): 33,36 & 38 Residents’ views are sought from time to time and there is evidence these views are acted upon. The manager provides clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities. The manager maintains the health and safety of residents’ and the staff team through her work routines and record keeping. EVIDENCE: Since the last inspection visit the manager has begun to have meetings with residents’ to find out what they like about living at the home and what they think could improve. These meetings are recorded so the manager and staff team can check that the service they are providing fits in with what the residents’ feel they need. To help with this process the manager has produced Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 19 questionnaires for relatives and friends of residents’ and other people such as GPs’ who support them to gain their opinion. Two members of the staff team gave the inspector permission to look at their supervision records they showed the manager cover all the main areas of their work performance including training needs. The inspector looked at safety and maintenance records they were well maintained and showed the manager has equipment and utilities checked at the appropriate intervals. Corona House DS0000018879.V268955.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 3 X 1 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 1 3 3 3 X X 2 3 3 STAFFING Standard No Score 27 2 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 3 X 2 Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP3OP38 Regulation 14 Requirement The registered persons must ensure pre admission information is gained from all interested parties. Then included in detail in the home’s assessment documentation. With particular regard to gaining detailed information from the placing agency. Previous timescale of 8/11/04 and 30/4/05 not met. 2 OP4OP27O P30 19 The registered persons must ensure specialist training is provided to the staff team to ensure the assessed and changing needs of the residents’ are met. Previous timescale of 30/4/05 not met. The registered persons must ensure relevant information from the pre admission document is included in the initial care plan for residents. To ensure identified care needs are met the staff team. DS0000018879.V268955.R01.S.doc Timescale for action 30/12/05 25/02/05 3 OP7 15 25/02/05 Corona House Version 5.0 Page 22 Previous timescale of 30/4/05 not met. 4 OP18 19 The registered persons must ensure up to date information on POVA is available in the care home. And that appropriate training is provided to ensure the information has been understood in its entirety. Previous timescale of 30/4/05 not met. 5 OP24OP38 16 The registered persons must ensure the carpets identified in this report as being worn and a possible tripping hazard are replaced within the agreed timescale. 10/01/06 25/02/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Corona House DS0000018879.V268955.R01.S.doc Version 5.0 Page 24 - 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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