CARE HOMES FOR OLDER PEOPLE
Cotteridge House 31 Middleton Hall Road Kings Norton Birmingham West Midlands B30 1AB Lead Inspector
Kath Strong Unannounced Inspection 17th November 2005 10:25 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 Cotteridge House DS0000016899.V267006.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. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Cotteridge House Address 31 Middleton Hall Road Kings Norton Birmingham West Midlands B30 1AB 0121 624 0506 0121 624 0506 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 Lyn Walker Mr Graham Walker Mrs Lyn Walker Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection Brief Description of the Service: Cotteridge House is registered to provide care for up to eleven persons of 65 years age or over. Nursing care is not provided by the home, district nurses visit the home as required. The home is situated within a pleasant residential area of Kings Norton. Local amenities are within a short walking distance. The large attractive Victorian premises have been sympathetically adapted for its current use. The property is set back from the main road, which permits off road parking for up to seven vehicles. Bedroom accommodation is located on both floors offering single or shared status. There is a lounge and separate dining room. Accommodation is comfortable, personalised and well maintained. All meal preparation and laundry services are provided on-site. The very attractive extensive rear garden is well laid out and well frequented by residents during clement weather. Staff provide a strong family culture and senior staff promote a a home for life ethos. Family and friends are welcomed and may stay for meals. Visitors are encouraged to participate in the care of their relative. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The purpose of the visit was to carry out an unannounced inspection, the outcome of which was determined by a number of methods. In depth discussions were held with the registered manager as well as a brief conversation with the deputy manager. Three residents were spoken with individually and a very brief discussion was held with a visiting GP. Relevant documentation was examined including two care plans, one was case tracked in order to ensure that all identified needs were being met. A partial tour of the premises was conducted. At the conclusion verbal feedback was given to the registered manager. This was the second inspection for the year. It was restricted to the few key standards not inspected and any others determined as being essential. It is recommended that this report should be read in conjunction with the inspection of 21st June 2005 to gain a full insight into the services provided by this home. Historically the home has worked to a high standard and the last inspection resulted in no requirements being made. What the service does well:
Residents are strongly encouraged to treat Cotteridge House as their home; a family culture is maintained. Given the size of the home there is a generous compliment of management staff The health and welfare and safety of residents are paramount and the involvement of external professionals is actively sought. The system of care planning is comprehensive and set out in a logical format for ease of referencing. There is light hearted and supportive rapport between staff residents and visitors. Staff take time out to socialise with residents. The standard of accommodation is high and there is a programme of maintenance and redecoration. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Cotteridge House DS0000016899.V267006.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 Cotteridge House DS0000016899.V267006.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 Sufficient details are provided to prospective residents to assist them in making an informed decision about the home. EVIDENCE: A copy of the last inspection report is on display within the reception area of the home. Standards 1, 2, 3, 4 and 5 were examined at the last inspection and found to be satisfactory. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 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 and 10 Care plans provide staff with sufficient information to enable them to deliver acceptable standards of care that meets individual’s needs. The arrangements for administration of medications ensures the safety of residents. Observations revealed that resident’s dignity and privacy is respected. EVIDENCE: As with previous inspections care plans clearly identify physical and mental health needs and the means to be deployed by staff in delivery of care. Files are comprehensive and maintained in logical sequence. They included relevant risk assessments and detailed records in respect of life histories and personal preferences. There was good evidence of the input of external professionals; the district nurse makes regular visits. The system for the administration of medications was found to be satisfactory and the registered manager advised that all staff have recently undergone further training. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 10 During the inspection a GP arrived, the resident was transferred to the bedroom for examination whilst his lunch was kept hot. The GP said, “There is never a problem here, staff are helpful”. A resident reported, “Staff are so helpful, spoilt in this home”. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 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): 12, 13 and 15 In-house activities are good and links with the community are encouraged. The meals provided are appealing, offering both choice and a balanced diet. EVIDENCE: The previous inspection revealed that standards 12 and 13 were fully met. The home has recently had a bonfire party, relatives attended. The home is currently preparing for the Christmas festivities. Currently there are sherry and mince pie suppers being held. A carol service has been arranged with relatives invited to attend. Residents are booked to go to a carvery at a local hotel. A full Christmas meal is planned with the deputy providing entertainment and distributing presents. Some residents are planning to spend the day with relatives and will return for the buffet supper. As with previous inspections the meals provided are to the residents liking. The registered manager advised that fresh fruit is always available and encouraged in the form of fruit salads. The standard of the lunch provided was well presented and carried out discreetly. Comments received from residents were, “Food is beautiful”, “I always enjoy the food”, “We get very good food and given as much as we can eat”.
Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 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 Resident’s opinions are listened to and acted upon. EVIDENCE: Standards 16, 17 and 18 were examined at the last inspection and found to be satisfactory. The home has not received any complaints since the last inspection. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 13 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 and 26 The accommodation is warm, comfortable and ensures the safety of residents. The furniture fixtures and fittings are of good quality and well maintained. The home was tidy and hygienic throughout. EVIDENCE: The homely atmosphere and positive ambience persists. The ethos of the home concerns safety and comfort. There is a lounge and separate dining room, which are tastefully decorated. Residents are encouraged to frequent the garden during clement weather to have tea or a barbeque. Spatial restrictions means that the home is unable to accommodate wheelchair users. Toilets and assisted bathing facilities are strategically located throughout the home. Bedroom accommodation consists of nine single rooms and one shared room, all have wash hand basins. Bedrooms vary in size and layout. They are well personalised, some contain an abundance of personal possessions and
Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 14 furniture. Larger rooms are supplied with two seater couches. Suited door locks have been fitted for those who wish to have additional privacy. The kitchen is well equipped, hygienic and all relevant checks are carried out. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 15 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): 30 Staff are supplied with adequate training for them to carry out their designated roles effectively. EVIDENCE: Standards 27, 28, 29 and 30 were examined at the last inspection and were found to be satisfactory. Staff have recently undertaken further training in Manual Handling, First Aid, Fire Safety, Medication and all except one have been trained in Food Hygiene. All carers are currently undertaking training in NVQ level 2 Cleaning and Support Services. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 16 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 and 32 Senior staff support the registered manager and there are clear lines of accountability EVIDENCE: The registered manager has extensive skills, knowledge and experience within the care sector. A deputy manager who has recently completed the registered managers award supports her. Observations revealed positive relationships between all staff, senior staff delegate tasks in a professional manner. Feedback provided by residents was without exception complimentary. Standards 31, 32, 33, 35, 36 and 38 were examined at the last inspection and found to be satisfactory. Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 17 X 18 x 3 3 3 X X 3 X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X X Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 18 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. 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 Cotteridge House DS0000016899.V267006.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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