Inspection on 23/01/06 for Corona House

This inspection was carried out on 23rd January 2006.

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 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 18/11/05

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 23rd January 2006 11:30 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 Corona House DS0000018879.V282466.R01.S.doc Version 5.1 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.V282466.R01.S.doc Version 5.1 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.V282466.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th November 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.V282466.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were 14 people living at Corona House on the day of the visit. The inspection was unannounced and took approximately three hours. The inspector spent time with two members of the staff team, the manager, spoke to four residents’ and two relatives. 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 guidance on identified care needs. To make sure residents’ receive the best and safest care and support. Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 6 The home’s pre admission assessment needs to provide more detail on residents’ care needs including information about their emotional wellbeing. 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.V282466.R01.S.doc Version 5.1 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.V282466.R01.S.doc Version 5.1 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): 3. The home’s pre admission assessment does not provide detailed information to enable the home to offer placements based on prospective residents’ full needs, particularly with regard to sharing a bedroom with another resident. EVIDENCE: The home is working towards expanding the pre admission assessment document to gain more detailed information about residents care, social and emotional needs. The manager told the inspector she needs more time to comply with the requirement that was made in the last inspection report. The inspector acknowledges this and will extend the timescale to reflect this. Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 9 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. The care planning system in place does not adequately provide staff with the information they need to satisfactorily meet residents’ needs. The home actively supports residents to ensure their health care needs are fully met. Residents’ are protected by the homes medication policy and procedures and practice with regard to the administering, recording and storing of medication. 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 manager told the inspector she is reviewing the care plans with the intention of including more detail to support the staff team to provide appropriate levels of care and support. Records show the home actively seeks the advice and in put from health care professionals. With visits made to the home by district nurses, a podiatrist and an optician. Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 10 Since the last inspection visit the manager and a member of the care staff have completed a ten weeks distance learning medication administration course. A sample of residents’ medication and the medication administration records show the home manages the ordering, storing and recording of medicines administered to residents in a safe and ordered manner. Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 11 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): 14. The ethos of the home enables the staff team to actively support residents’ to exercise choice and control over their lives. EVIDENCE: The manager informed the inspector she has informal meetings with residents to find out if they are happy with the level of care and support they receive. This includes asking about the meals being offered and the activities being provided. The inspector advised the manager to record the information gained from these meeting to ensure the home could show they are acting on residents’ comments. The inspector spoke to a number of residents’ who said they liked the home and that it was very comfortable. Also the manager and the care staff were kind and patient with them. Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 12 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 & 18. The home has a robust complaints procedure, which views concerns raised in a positive way and works to resolve issues quickly. Residents’ are protected from forms of abuse by the home’s adult protection policy and procedure and the staff teams proactive approach to residents well being. EVIDENCE: The home has a policy and procedure in place detailing how to protect vulnerable adults for abuse. Since the last inspection visit the manager has discussed this policy and procedure with the staff team this information is documented in the staff team minutes book. Members of the staff team were able to explain to the inspector the actions they would take if they witnessed or were told about an incident of abuse or poor practice. They were clearly aware of their responsibilities and the need to ensure the protection of residents’. The home has a formal complaints procedure, which provides detailed information about investigation timescales and the responsibilities of the registered persons. They have also produced a user-friendly format, which asks residents and all visitors to the home to raise concerns or queries with the manager to give her the opportunity to resolve any problems. During the visit the inspector spoke to relatives who felt confident discussing issues with members of the staff team and the manager and felt they were listened to and concerns were acted upon. Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 13 Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 14 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, 24 & 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 all ground floor bedrooms with the remaining bedroom carpets to be replaced by the end of the month. As they were identified in the last inspection report as possibly being a tripping hazard. 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.V282466.R01.S.doc Version 5.1 Page 15 Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 16 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 residents’ and provides a consistency in the care provided. The organising of specialist training will ensure specialist care needs are met. The home’s recruitment practices protect residents from possible abuse. EVIDENCE: A number of the staff team have gained NVQ Level 2 and 3 in care. There have been no 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. Since the last visit the manager has arranged for the staff team to attend specialist training about supporting older people with dementia. This training will enable the staff team to support residents’ with 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.V282466.R01.S.doc Version 5.1 Page 17 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): 31, 35 & 38. The manager provides clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities. The manager acts on issues of health and safety in a positive and proactive manner. EVIDENCE: The manager has gained the NVQ level 4 Manager Award and continues to undertake training to enable her to meet residents’ needs and to be a responsible employer. The manager informed the inspector the home does not hold personal monies for residents’ and does not act as appointee regarding residents’ pensions or benefits. Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 18 During the visit the inspector noticed the surface of the electric storage heaters in the dining room and hall were very hot the manager immediately turned the temperature. The inspector advised the manager to assess the risk of burns to residents’ and take appropriate action to safeguard them. The manager told the inspector she would carryout a risk assessment and would look to having them covered at the earliest opportunity. But until then would check the surface temperature at regular intervals. Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 19 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 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Corona House DS0000018879.V282466.R01.S.doc Version 5.1 Page 20 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 OP3 Regulation 14 Requirement The registered person 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. The registered person must ensure care plans provide the staff team with detailed information to ensure the most appropriate support is offered to residents’. The registered person 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 person must ensure the carpets identified in this report as being worn and a DS0000018879.V282466.R01.S.doc Timescale for action 30/04/06 2. OP7 15 30/04/06 3. OP27OP30 19 25/02/06 4. OP24 16 10/01/06 Corona House Version 5.1 Page 21 possible tripping hazard are replaced within the agreed timescale. 5. OP38 16 The registered person must ensure a risk assessment is carried regarding the hot surface areas of the electric storage heaters identified in the report. With appropriate action taken to safeguard residents’ from the risk of burns. 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. 23/01/06 6. OP38 16 31/01/06 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.V282466.R01.S.doc Version 5.1 Page 22 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.V282466.R01.S.doc Version 5.1 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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