Inspection on 21/06/05 for Cotteridge House

This inspection was carried out on 21st June 2005.

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 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

Cotteridge House 28/06/07

Cotteridge House 17/11/05

Cotteridge House 24/11/04

Cotteridge House 27/07/04

Cotteridge House 25/02/04

Cotteridge House 02/09/03

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Cotteridge House 31 Middleton Hall Road Kings Norton Birmingham B30 1AB Lead Inspector Kath Strong Announced 21 June 2005 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 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 E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cotteridge House Address 31 Middleton Hall Road Kings Norton Birmingham B30 1AB 0121 624 0506 0121 624 0506 Telephone number Fax number Email 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 Mrs Lyn Walker Care Home 11 Category(ies) of Older People [11] registration, with number of places Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24 November 2004 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 E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 announced inspection. This was conducted over a period of one day; the outcomes were determined from a number of methods. In depth discussions were held with the two homeowners, one of which is the registered manager and two members of staff were formally interviewed. Five residents were spoken with, one relative and a visiting district nurse. Two care plans were examined in order to ensure a consistent approach is adopted in meeting individuals identified needs. Other relevant documentation was reviewed as well as the many comment cards received from residents, relatives and external professionals. A tour of the premises was carried out. What the service does well: What has improved since the last inspection? New curtains, bed quilts and towels have been purchased. A new assisted bath has been installed and the raised toilet seats replaced. The lounge, dining room, hall, stairs, landing and two bedrooms have been redecorated. The exterior of the home has been painted. The carpet cleaner and the commercial washing machine have been replaced. New smoke detectors have been purchased and installed. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 6 A sundial has been incorporated in to garden as a central feature. The lounge television has been replaced with a flat screen model. 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 E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4, 5 Prospective residents are supplied with sufficient information to make an informed choice about the home. No person is offered a placement without having their needs assessed and assurance given that the home can meet them. EVIDENCE: The home has a joint document in respect of the statement of purpose and service user guide. The document had been amended and was determined to be satisfactory; a copy is supplied to each resident. The home also issues a contract to all residents. Pre-admission assessments are carried out at a venue that is convenient to the prospective resident. Pre-admission visits to the home are encouraged, talking to staff and other residents and sampling of food prior to a placement being offered. If requested, overnight accommodation can be arranged to assist in decision making. A trial period is offered and external professionals are requested to participate with reviews in order to ensure the homes ability to meet all needs. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10 Resident’s health and personal care needs are provided and clearly documented. Staff respect residents privacy, dignity and rights to make personal decisions. The arrangements for the administration of medication are comprehensive. EVIDENCE: Two care plans examined indicated that the home carries out relevant assessments and appropriate care plans are compiled. Files were comprehensive, maintained in logical sequence, included risk assessments and detailed records regarding life histories and personal preferences. There was good evidence of a proactive approach to the input of external professionals. Discussions held with the visiting district nurse were very positive. She reported that “residents are always clean and the home has a good toileting policy, no problems and staff are very helpful”. The system for the administration of medication was determined to be satisfactory. The written policy, staff practices and staff training were fully up to date. Staff had also commenced further in depth training. Observations and discussions with residents revealed that their privacy and dignity is respected. A visiting relative provided positive feedback, “free to Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 10 visit anytime, staff talk to residents as if they were their own, can phone at any time, it’s a fantastic home”. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 In-house activities and links with the community are good. The systems for resident’s consultation in the home are adequate with evidence that resident’s views are sought and acted upon. The meals are appealing, offering both choice and variety and special diets are catered for. EVIDENCE: The in-house activities include a weekly exercise session and bingo. Other recreational pursuits are encouraged and facilitated following regular liaison with individuals. Entertainments in the home include parties; carol service, Christmas fair, Easter parade and Irish dancing. Residents are supported in going out with relatives and fish and chip suppers are also arranged. Two residents regularly go out unaccompanied to various venues. Residents meetings are held every two to three months and minutes distributed accordingly. A resident advised that she enjoys a gin and tonic each evening. The inspector noted a relaxed and good rapport between the residents and the two homeowners. Lunch was seen to be attractive and well presented including fresh vegetables followed by a choice of sweet. In the event that a resident does not like the main dish of the day other meals are always available. Residents reported that they were satisfied with the meals provided. One resident said, “lunch was very good”, another advised, “I can’t stop eating the food”. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 standard(s) 16, 17, 18 The home has a satisfactory complaints procedure; resident’s opinions are actively sought. Staff’s knowledge and understanding of adult protection issues provides a safe environment to protect residents from abuse. EVIDENCE: The complaints procedure is on display in the reception area of the home. Historically the home receives very few complaints, none had been received since the last announced inspection. Care plans included evidence that residents are supported in voting during government elections. Advice was given that relatives may arrange for members of the legal profession to visit respective residents. The written policy regarding adult protection was determined to be satisfactory. The home has produced a further document entitled “adults at risk” which compliments the adult protection policy. Staff receive regular training and the two members of staff who were formally interviewed demonstrated a sound understanding of their roles. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 24, 26 Residents live in a safe and comfortable environment. The overall quality of the furnishings and fittings is good and well maintained. The home was hygienic throughout. EVIDENCE: As with previous inspections there was a homely atmosphere and a positive ambience. The ethos of the home is that the comfort and safety of residents are paramount. The home has a lounge and separate dining room, which were tastefully decorated. There are adequate toilet and assisted bathing facilities for the number of residents. The home is unable to accommodate wheelchair users. The extensive and attractive rear garden is utilised for teas, barbeques and social events. Bedroom accommodation consists of nine single rooms and one shared room, all of which have wash hand basins. Bedrooms varied in size, layout and design. Rooms were personalised with some rooms containing an abundance of personal possessions and furniture. Suited door locks had been fitted for added privacy for those persons who wish to have added privacy. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 14 All areas of the home were tidy and clean. The well equipped kitchen had a cleaning schedule and food was stored appropriately. Laundry is carried out on site and clothing is dried naturally. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Staff morale is high resulting in an enthusiastic workforce that works positively with residents to improve their quality of life. Staff possessed the knowledge and skills to ensure that acceptable levels of care are provided. EVIDENCE: The staff rota indicated that staffing levels were acceptable. The home employs a cook and one homeowner covers the remaining shifts. The registered manager is available during the week as well as weekends if required. The home also benefits from a deputy manager. The recruitment practices are satisfactory and the home enjoys a low staff turnover. All relevant checks are carried out prior to a new member of staff commencing employment. The home has introduced a comprehensive induction programme and advice was given that it will be utilised for all new staff. The levels of training were found to be above the minimum requirement. Further training included bereavement, dementia care, customer care, optical awareness, cross infection and skin care. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36, 38 The registered manager has a clear development plan and vision for the home, which is effectively communicated to the residents and staff. Safe systems are in place for the handling of resident’s personal monies. Health and safety arrangements are comprehensive ensuring the protection of residents and staff. EVIDENCE: The registered manager has extensive knowledge and experience within the care sector. A full time deputy manager supports her. The management approach was noted to be open and positive. Staff said that the managers were approachable, supportive and friendly. Residents also reported a conducive relationship with all senior staff. The home has a fully developed quality assurance system that covers all aspects of the home and takes into account the opinions of residents, relative’s staff and external professionals. The inspector received numerous comment Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 17 cards from residents, relatives and external professionals. Without exception all comments were positive and in some cases very complimentary. The home maintains personal monies on behalf of some residents, the system in place was found to be satisfactory. All written policies and procedures are reviewed annually. Formal staff supervision is carried out six times per year for each member of staff. All maintenance and servicing checks were valid. The fire alarms are tested weekly and the emergency lighting monthly. All rooms have a thermometer in place and are checked regularly during cold weather. Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 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 3 15 3 COMPLAINTS AND PROTECTION x 3 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 3 x 3 Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 19 NO 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Cotteridge House E54 S16899 Cotteridge House V226062 210605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Birmingham & Solihull Local 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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