Inspection on 19/04/06 for Country View Nursing Home

This inspection was carried out on 19th April 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 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

Country View Nursing Home 05/05/07

Country View Nursing Home 16/01/06

Country View Nursing Home 10/10/05

Country View Nursing Home 20/12/04

Country View Nursing Home 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Country View Nursing Home Warkton Kettering Northants NN169XQ Lead Inspector Mrs Linda Preen Unannounced Inspection 19th April 2006 10:00 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 Country View Nursing Home DS0000012609.V289749.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. Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Country View Nursing Home Address Warkton Kettering Northants NN169XQ 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) (01536) 484692 (01536) 518376 brian_webb@btconnect.com Country View (Warkton) Limited Mrs Margaret Jean Webb Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (4) of places Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No one falling within the category of OP may be admitted to the home where there are 29 persons of category OP already accommodated within the home. No one falling within category PD may be admitted into the home where there are 4 persons of category PD already accommodated within the home The total number of service users accommodated in the home must not exceed 29. 16th January 2006 Date of last inspection Brief Description of the Service: Country View Nursing Home is owned privately and managed by the owners. The nursing home is a large converted country house, with a large ground floor extension. It comprises double and single rooms with day spaces. The home has a large garden which is maintained to a high standard, and is accessible to service users. The home also has views over open countryside. Fees range from £428-£885 per week. Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One day was spent prior to the inspection reviewing previous requirements and recommendations, and collating information provided by the service. The inspection took place over a period of seven hours as part of the statutory inspection programme. Three residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff records and medication records were seen. What the service does well: What has improved since the last inspection? A new pre-admission assessment document has been developed in order to ensure that all prospective residents needs may be met in the home. Evidence was available that residents and their relatives are involved in the review of care provided. Risk assessments have been carried out concerning access to the garden and evacuation of the lounge in case of fire. Advice has been sought from the fire officer and an occupational therapist concerning the use of space in the home to benefit residents and protect their health and safety. Improvements have been made to the access to the patio and garden in order to better facilitate wheelchair users. Residents who decline the use of footplates on their wheelchairs have risk assessments completed to ensure their safety. Cot bumpers are provided to protect residents from entrapment. Several resident’s rooms have been redecorated and been refurbished, new kitchen equipment and worktops have been fitted. Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 6 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. Country View Nursing Home DS0000012609.V289749.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 Country View Nursing Home DS0000012609.V289749.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): 1 and 3 (standard 6 is not applicable in this home.) Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Thorough assessments and Terms and Conditions ensure that residents are confident that their needs may be met in the home. EVIDENCE: A Statement of Purpose is available as well as a copy of the latest report for current and prospective residents information. A comprehensive brochure is also available and this includes copies of letters received from families whose relatives have been in the home. A new pre-admission assessment form has been developed to ensure that the information required to ensure resident’s needs may be met is available, but no new residents have been admitted since this form has been developed. Country View Nursing Home DS0000012609.V289749.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 and 10 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Good systems are in place to ensure that all aspects of resident need are identified and documented for staff guidance, to ensure that these needs may be met in the home. EVIDENCE: Three residents were selected in order that their experience in the home could be monitored. Records demonstrated that care plans were in place to guide staff concerning resident’s needs, and staff were fully aware of these needs on discussion. Advice was given concerning expanding these plans further in order to give more specific individual detail in some cases. Medication records for these residents were reviewed and found to be satisfactory. Good systems are in place for the ordering administration and disposal of medication in the home with clear audit trails in evidence. A contract is in place for the correct disposal of unused medication. Residents were treated with dignity and respect. Records demonstrated that privacy and dignity issues had been considered as part of their care and residents spoken to stated that staff could not be better. The home cares for a wide age range of residents and this was reflected in care plans that included Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 10 the differing needs of younger residents. There are currently no residents from ethnic minorities in the home, which is a reflection of the local country location. Country View Nursing Home DS0000012609.V289749.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): 12, 13, 14 and 15 Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. Social Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. EVIDENCE: Resident records demonstrated that they were consulted concerning their previous lifestyle and activity preference. Staff were aware of this information on discussion and were aware of the residents as individuals. Activity care plans and records are kept for each resident that demonstrate that activities identified are provided. For example, one lady enjoyed embroidery and was working on a gift for a friend and another lady was pleased to be involved in the flower-arranging group. Examples of craft items were on display in the home and one lady spoken to was pleased to have discovered an interest in the craft activities and was proud to show items she had made to the inspector. An entertainer was present in the home during the inspection, and residents were enjoying singing along to his music. An activities co-ordinator is employed in the home, and she provides one to one stimulation and occupation for those unable or unwilling to join in with group activities. Excellent records of this provision were available. Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 12 In discussion, residents reported that a recent party had been held for one of their birthdays and that another resident’s daughter was planning a wedding blessing in the home next month as her mother was unable to attend the actual ceremony. Records were available of resident religious preferences and the provision of these. For example, the local priest visits to provide communion to those who would like this facility. The home is situated adjacent to farmland and residents were interested in watching the lambing and antics of the new lambs. Work has been completed in improving wheelchair access to the well-kept garden and some residents reported that they had already been outside during recent sunny weather. Several groups of visitors were present in the home and those spoken to confirmed that they are able to visit freely and are welcome in the home. Menus seen demonstrated that a varied, nourishing range of food is provided, with choices offered at all meals. Residents eat in a pleasant dining room at small family sized tables or in their own rooms according to individual preference. Those residents who require assistance with eating, had this provided on an individual, sensitive manner. Residents confirmed that the standard of food was good and that special items would be purchased if they fancied something in particular. Case records demonstrated that residents choices in relation to rising and retiring, food and activities were recorded and staff were observed to be facilitating these choices. Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 13 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 and 18 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The company takes all complaints seriously and acts upon them. Residents are protected from abuse. EVIDENCE: No complaints have been received since the last inspection to the home. The home has a complaints procedure available that includes the required information. In conversation, staff demonstrated awareness of their responsibilities in relation to protecting residents from potential abuse and of the correct reporting systems in case of any such concerns. Country View Nursing Home DS0000012609.V289749.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, 22, 23, 24 25 and 26 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. A safe, clean, well-maintained environment is provided for the residents. Specialist equipment is provided to meet their needs. EVIDENCE: A tour of the environment was undertaken. This demonstrated that all areas were clan and tidy and maintained to a good standard. A programme of refurbishment is in progress and several resident’s rooms have been redecorated and refurbished since the last inspection. Resident’s rooms showed evidence of personalisation, with small items of personal furniture, ornaments and pictures on display. As stated above, access to the well-kept garden has been improved, and residents have the use of pleasant community lounges in addition to individual rooms. Most of the residents choose to sit in the lounge area close to the entrance of the home, and the advice of the fire officer and an occupational therapist have been sought in respect to the use of this room. Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 15 In discussion, the Registered Manager/Provider stated that there are plans to develop a little used bathroom into a hairdressing salon. She also reported that three more specialist profiling beds were on order to improve the comfort of bed bound residents in the home. Several residents have specialist electric wheelchairs, specialist bathing provision is made and hoists are provided to assist in moving and handling residents safely. Sensory stimulation equipment is provided for those residents who have communication difficulties. Country View Nursing Home DS0000012609.V289749.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 and 30 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Procedures for the recruitment of staff provide safeguards necessary to offer protection to the people living in the home. Staff are provided with training and in sufficient numbers to meet the needs of the residents. EVIDENCE: A selection of staff files was reviewed. These demonstrated that the necessary checks are in place, including Criminal Records Bureau Checks, to ensure that residents are protected from potential abuse. An equal opportunities policy is available. The training manager provided records of individual staff training and details of planned training over the next few weeks. Eleven care staff currently hold National Vocational Qualifications, with three more having just registered to commence this training. This exceeds the required minimum Fifty per cent of carers holding this qualification. This is in addition to the registered Nurses employed, one of whom is on duty at all times. In discussion, staff confirmed that this training had been provided and that regular supervision sessions have been provided. Country View Nursing Home DS0000012609.V289749.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, 32, 33, 35, 36 and 38. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The Registered Manager ensures that the home is run efficiently, in a way that serves the best interests of the residents. EVIDENCE: The Registered Manager/Provider is an experienced Registered Nurse who holds the Registered Managers Award. She has many years experience of working with this resident group and makes every effort to ensure that their needs are met in the home. She has an open friendly manner and staff and residents were observed to be relaxed and comfortable in her presence. Quality assurance programmes are in place, and records of questionnaires concerning care provided and also food provision and standard. A Newsletter is regularly published to keep residents informed of events in the home, in which new residents are welcomed and residents who are no longer in the home remembered. Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 18 The home does not handle resident’s finances, with sundries such as hairdressing and chiropody being invoiced on a monthly basis. Staff records demonstrate that a supervision process is in place to ensure they continue to provide residents with a high standard of care. No Health and Safety issues were identified at this inspection. A Handyman is employed to ensure the safety of the home for both residents and staff. Country View Nursing Home DS0000012609.V289749.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 3 X 3 X X N/A 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 Standard No Score 16 3 17 X 18 3 3 3 X 3 3 3 3 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 3 3 3 X 3 3 X 3 Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 20 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. 1 1 Refer to Standard OP7 OP20 Good Practice Recommendations Further work should be done to ensure specific instruction is included in care plans. E.g. specify blood sugar levels to be maintained. Risk assessments provided for the evacuation of the lounge in case of fire and the access to the outside of the home should be individualised to reflect resident’s abilities. E.g. bed bound residents have differing evacuation needs. Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Country View Nursing Home DS0000012609.V289749.R01.S.doc Version 5.1 Page 22 - 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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