Inspection on 03/05/07 for Court Nursing Home

This inspection was carried out on 3rd May 2007.

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

Court Nursing Home 17/04/09

Court Nursing Home 06/09/06

Court Nursing Home 20/02/06

Court Nursing Home 19/07/05

Court Nursing Home 04/03/05

Court Nursing Home 04/05/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Chirnside House

Ashwood Court Unit 1

Thornton Lodge

Emmaus House

East Croft Grange

Craignair

Alfred House Residential Care Home

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

CARE HOMES FOR OLDER PEOPLE Court Nursing Home 644 New Chester Road Rock Ferry Birkenhead Wirral CH42 1QB Lead Inspector Inger Moynihan Key Unannounced Inspection 30th May 2007 09:030 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 Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Court Nursing Home Address 644 New Chester Road Rock Ferry Birkenhead Wirral CH42 1QB 0151 643 1162 F/P 0151 643 1162 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) Helmreal Limited Mrs Carol Lynne Owens Care Home 31 Category(ies) of Dementia - over 65 years of age (31), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (31) Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 4 named adults under 65 years of age Two named service users under 65 years Date of last inspection 6th September 2006 Brief Description of the Service: The Court Care Home is situated in a residential community and is close to all local amenities and is on a public transport route with easy reach to Birkenhead town centre. Accommodation for service users is provided on three floors. Communal space is situated on the ground floor and includes a lounge with access to the dining room. There is a serving hatch from the kitchen to the dining room. There is a non-smoking lounge and a separate designated smoking room. The dining room is accessed through the lounge. There is single and shared bedrooms on three floors. A passenger lift is available to service the first and second floor. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information about The Court was obtained through a pre-inspection questionnaire and examination of the homes policies and procedures and supporting documentation. Discussion took place with residents, the Registered Manager and members of the staff team. A tour of the building also took place. Fees £490.00 - £623.00 per week. What the service does well: What has improved since the last inspection? What they could do better: Improvements need to be made to the dining area and the way meals are served to ensure resident dignity is respected. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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 Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are only provided with a service after their needs are assessed and they have been assured these needs will be met. EVIDENCE: An assessment of residents care needs is carried out to ensure staff have all the information they need on how to look after the them in accordance with their individual needs. Risk assessments have been completed to ensure residents safety and welfare, however, a review date had not been set, rather it was noted the risk assessments should be reviewed when necessary. A clear system of review must be set up to ensure staff have the most current information they need on how to ensure residents safety and welfare. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 9 Intermediate care is not provided at the Court. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health care needs are monitored and met so ensuring residents are treated in a dignified and respectful way. EVIDENCE: A documented plan of the support provided to each service user is in place and gives staff guidance and information on residents individual care needs. Resident’s health care needs are monitored with a record of their daily welfare being kept. The residents spoken to during the visit said they regularly see health care professionals such as their GP, chiropodist or dentist. The residents spoken to during the visit confirmed the staff treat them with respect and their privacy and dignity is always upheld. The residents spoken to said the staff are not bad, ok and very kind and helpful. One resident said the staff are better than anywhere she has lived before. The staff spoken to understood the need to treat the residents with respect and ensure their right to privacy was upheld. The Registered Manager said she intended to Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 11 hold a meeting with the residents in order to find out their views on the standard of care they receive and how they would like the home to change. Systems are in place to ensure residents receive their medication as prescribed by their GP and only qualified nursing staff are allowed to handle residents medication. The residents spoken to confirmed they receive their medication on time. Appropriate storage facilities are in place and all medication administration record sheets were up to date. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The routines within the home are flexible, which means residents, can exercise choice in their daily lives. EVIDENCE: A range of social activities is provided at the home and an activity organiser is employed for five hours each day. Residents social care needs are assessed and activities are provided in groups and on an individual basis. All residents have an opportunity to go out into the community. A religious minister visits the home each week and arrangements can be made for residents to attend church if they wish. During discussion residents confirmed they could go about their day as they wish with little restriction in place. They confirmed their friends and relatives can visit at any time. A varied menu is in place and residents spoken to said they enjoyed the meals and always had plenty to eat and drink. Systems are in place to ensure the kitchen is kept clean and tidy, which was the case on the day of the visit. Lunchtime was observed during the visit with the following issues being raised: Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 13 • • • • The dining room was bare and unwelcoming in that it had no homely touches such as pictures or ornaments etc. The dining tables were not set before residents sat down to eat their meal. Plastic picnic beakers were being used instead glasses. Residents were only given a dessert spoon to eat their meal rather than a knife and fork. A number of residents at the Court need assistance to eat and two staff were seen helping them in a polite and discreet manner. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place for the protection of residents from harm and abuse are robust. EVIDENCE: The pre inspection questionnaire indicated the home has not received any complaints within the last 12 months and no concerns have been made to the CSCI. Staff spoken to were aware of the action they should take in the event of them receiving a complaint. All staff are trained on protecting vulnerable adults from abuse. During discussion they demonstrated an understanding of the different types of abuse that can occur and the action they should take in the event of them suspecting or knowing an incident of abuse had occurred. Each member of staff is given a pack of information when they commence employment with a copy of the adult protection procedures within it. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the decor ensures people live in a comfortable and homely environment. EVIDENCE: There is a large garden at the back of the home which residents can use at any time, however, this area is untidy and did not provide a pleasant environment for residents to sit. There is an ongoing programme of refurbishment in the home were bedrooms and communal areas have been decorated. There are sufficient bathing facilities however some of the bathrooms whilst functional are bare and basic in appearance and require some attention. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 16 On the day of the visit the home was clean and tidy. Sufficient laundry facilities are in place along with systems to prevent the spread of infection. The laundry was extremely tidy and it is noted the laundry staff are clearly working very hard to ensure their area of work is kept to a high standard. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff recruitment process and training ensure suitably qualified and competent staff are employed. EVIDENCE: Staff are provided with induction training when they are first employed. This ensures staff have the information they need on how to look after the residents in accordance with current good practice. The pre inspection questionnaire indicated that staff have completed a range of training within the past 12 months and that further training is planned for the forthcoming the year. Many of the staff confirmed they have under taken a national vocational training qualification. All of the staff spoken to said they enjoyed their work and they are well supported in their role. They confirmed the Registered Manager and administrator is always available for advice and support when necessary. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home, which is run and managed to ensure that staff, friends and people who use the service feel valued. EVIDENCE: The Registered Manager has been managing the home for seven years. She is qualified to NVQ level 4, which is the recognised qualification for a manager of a care service. There are clear lines of accountability within the home for all staff. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 19 The pre inspection questionnaire indicated that a range of policies and procedures relating to the care of the service users and the running of the home are in place and have been reviewed and updated earlier this year. Systems are in place to ensure the ongoing monitoring of the service. Staff are supervised and monitored in their role and administrative systems are reviewed. The Registered Provider visits the home on a regular basis and carries out his own quality assurance assessment. A new and more comprehensive system of quality assurance has recently been introduced for the purpose of monitoring and improving the service provision. The administrator takes responsibility for the management of residents daily money. The Registered Provider manages other finances. A selection of financial records and money was inspected and noted to be in good order. Residents health, safety and welfare are promoted in the home. The pre inspection questionnaire indicated the equipment in the home such as the fire system, hoists, and electrical wiring etc is checked / serviced regularly; associated records and certificates are in place to validate this. During discussion staff confirmed they have completed a range of training in this area. A health and safety checklist is completed each week to ensure everything is in good order. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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 x 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 21 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. 4 Standard OP15 Regulation 12 and 16 Requirement The dining room needs to be improved to ensure that meal times are taken in a more comfortable and pleasant surroundings. Improvements must be made to the bathroom areas to ensure a more comfortable and homely environment is provided. Timescale for action 31/07/07 7 OP19 23 30/09/07 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 2 Refer to Standard OP3 OP18 Good Practice Recommendations Risk assessments should have a clear review date rather than “when necessary” The registered person should provide residents and staff with the telephone number of the organisation Action on Elder Abuse so they can report abuse anonymously. Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Court Nursing Home DS0000020944.V335127.R01.S.doc Version 5.2 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. 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