Inspection on 16/02/06 for Craigielea Nursing Home

This inspection was carried out on 16th February 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

Craigielea Nursing Home 26/03/07

Craigielea Nursing Home 22/06/05

Craigielea Nursing Home 17/02/05

Craigielea Nursing Home 16/09/04

Craigielea Nursing Home 04/03/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Craigielea Nursing Home 739 Durham Road South Low Fell Gateshead Tyne & Wear NE9 6AT Lead Inspector Mr Tom Moody Unannounced Inspection 16th February 2006 10:30 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 Craigielea Nursing Home DS0000018171.V270558.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. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Craigielea Nursing Home Address 739 Durham Road South Low Fell Gateshead Tyne & Wear NE9 6AT 0191 487 4121 0191 487 0639 sj@craiglea.fsbusiness.co.uk 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) Gateshead Dispensary Nursing Home (Craigielea Limited) Mrs Deborah Doran Care Home 31 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 (31), Physical disability (1), Physical disability over 65 years of age (3), Sensory Impairment over 65 years of age (1), Terminally ill over 65 years of age (4) Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 person may be in category MD(E) for the length of the placement or as long as the home can continue to meet their needs appropriately 1 person may be in category PD for the length of the placement or as long as the home can continue to meet their needs appropriately 22nd June 2005 Date of last inspection Brief Description of the Service: This home is a three storey, stone built building with a slate roof. It is a converted building. A sympathetically styled extension has provided additional communal and bedroom space. It is located in a residential area, close by the A167 in the Low Fell area. It has 31 places and is registered to provider care, including nursing care, to elderly persons. The home is run on a not for profit basis by a registered charity. It is close to local facilities and main bus routes. It stands in its own grounds. These are well kept and planted, and are easily accessible to service users. There is limited parking in the home but street parking is possible in the area around the home. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out, by a single inspector, on the 18 February 2006. Care practice was observed and a tour of the premises took place. Service users and relatives were spoken to. Discussion also took place with manager and staff members. Records and care plans were examined. The home has three floors and all were seen during the inspection. Some refurbishment work has taken place in bathrooms and further work is underway to improve bedroom accommodation. What the service does well: The home has a varied social programme that is enjoyed by the service users. Most of the service users can make excursions outside the home and staff support this. The home has it’s own minibus transport and extra staff are brought in to provide escorts if necessary. The home has well maintained. It has accessible gardens that are well planted and pleasantly landscaped. The gardens are used and appreciated by service users. A well-appointed hair salon has been provided. This adds interest to service users lives as well as providing a hair dressing service. The staff are strongly committed to providing good care and relatives and service users spoke well of staff’s attitude and enthusiasm. Staff are well trained and supported by the homes management. The kitchen staff are equally enthusiastic and “home cooking” features strongly on the menu. The quality and timing of meals is good. The majority of rooms are well decorated and have a homely feel. The furnishings in bedrooms reflect the service users own tastes and interests. The home’s management pursue a policy of quality improvement and carry out a bi-yearly audit of the premises to ensure repairs and maintenance are up to date. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 6 The management forward plan so that equipment is purchased in anticipation of it’s need rather than as a reaction to a problem. 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. Craigielea Nursing Home DS0000018171.V270558.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 Craigielea Nursing Home DS0000018171.V270558.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): 2, 3, All of the assessments seen matched the needs of service uses and the home surveys service users to confirm this. Each service user has a written contract. EVIDENCE: The manager spoke of service user’s and their relatives being able to make trial visits to view rooms and sample meals and facilities. She did state that most of the referrals to the home were people who’s physical frailty often made trial visits in person unrealistic, although their relatives usually did this for them. Relatives who were spoken to confirmed this. The manager told the inspector that service users are assessed by community care nurse assessors and hospital based professionals. The home manager and her deputy will also make an assessment before admission under normal circumstances. Assessment documentation in care plans is comprehensive and matched to service users needs. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 9 The manager confirmed that most service users have a local authority, social; services contract but the home has contracts for service users who are self funding. Examples of contracts were seen. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 11 Service users care plans are comprehensive and guide staff in providing the correct care to meet service user’s needs. The care practice in the home was good and the planned care is being carried out by care staff, ensuring service user’s needs are met. Medication systems are safe and operated correctly so that service users are safeguarded. The needs of service users in the end stages of life are protected by good policies and procedures and the staff operate to these guidelines. EVIDENCE: Each service user has an individual plan of care. This covers all aspects of care, including social and aspirational needs, as well as having a good levels of clinical details. The manager said that these were regularly updated and reviewed. An examination of a sample of plans confirmed this. The manager said the home has a good relationship with the local primary healthcare teams and GPs. The care plans indicate that the home accesses local chiropody and Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 11 dental practitioners, as well as more specialist services such as tissue viability nurses and dieticians. Drug storage is secure and clinical areas are well organised. They could be improved by the installation of a sink unit to replace the hand basin and by installing an improved splash-back. Medication Administration and Recording (MAR) charts are well kept. The home plan to purchase new drug cabinets and this should improve storage facilities. Controlled drugs are appropriately stored and stock balances are kept correctly. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The home works hard to provide a lifestyle that matches service users needs and preferences and contacts are maintained with the community. Service users can exercise a good degree of control over their lives and the home promotes this. Meals are of good quality and the timing and choice can be varied to meet service users needs. EVIDENCE: Individual’s preferences are recorded well in the care plans that were sampled. Those service users who were in their rooms were noted to be engaged in their own past times, for example, watching television or reading and others described their interests to the inspector. Ministers of religion visit the home. There is a minibus available for outings and volunteer members of staff are trained as drivers. The manager and service user’s spoke of recent outings. The majority of service user’s comments about their experience of being cared for in the home were positive. Service users said, “I can’t think of anywhere better than this”. Visitors also confirmed that their relatives, “get on well with the staff.” Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 13 Relatives confirmed that they can visit at any time and the notice board confirmed that visitors were able to have meals at nominal cost in the home. The home has an activities co-ordinator and the social programme includes one-to –one activities such as arts and crafts, as well as entertainments and excursions. The inspector was able to see these activities taking place. The home has recently opened a hairdressing facility that compares well with commercial salons in the community. The modern décor and coffee machine make service users feel they have had “a trip” to the hairdressers even though they are too frail to journey out. Service user’s spoke of “having an appointment at the hairdressers” on the following day. The cost of basic hair care is now inclusive of fees. The meal that was seen looked appetising and was well presented. Service users were very positive about the quality and presentation of the food in the home. Service users who needed assistance to eat were provided with discrete and appropriate support. All who were spoken to confirmed that they enjoyed the food in the home, comments such as “I like my meals” and “The meals are good here” were typical. The kitchen is well stocked with a variety of foodstuffs and it is tidy and well organised. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 The home’s policies and operation protects service users legal rights. The homes policy on adult protection reflects the multi agency approach to adult protection, and local procedures and staff know how to use it. This should ensure the protection of service users. EVIDENCE: The complaints procedure is appropriate and the level of recording, seen by the inspector, is good. The complaints policy is prominently displayed on the homes notice board as well as being in the service user’s guide. Inspectors are aware, from earlier contacts, that the home has involved independent advocacy in the past and the manager has a good aware of these issues. The whistle blowing policy is appropriate and staff confirm that they are aware of this policy and would act upon it. The current policy on adult protection is appropriate and takes into account the latest guidance. Care plans record if service users are subject to guardianship or other legal status. The manager confirms this and states that all service users are on the electoral role. Their participation in local and national elections is facilitated. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The environment is monitored and maintained regularly to ensure the safety and comfort of service users. The home has sufficient equipment to ensure service user’s needs are met. Rooms are comfortable, furnished to service users tastes, and contain service users own possessions. The home is kept clean and free from unpleasant smells. EVIDENCE: The care environment has a homely feel and some bedrooms have a very domestic style. The design and layout of the building were found to be accessible and suitable for the home’s stated purpose. The grounds are well designed and maintained. There are paved areas accessible to service users. The home was noted to be clean, decorated to a good standard and generally well maintained. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 16 There is a useful variety of communal space spread across several separate areas and providing a different ambience in each area. This included a quiet lounge and service users were found to be making use of all areas. There is the required number of bathroom and washing facilities. Several of these have been refurbished. The old baths have been replaced with a modern purpose built unit and the floors have been relayed. Hoists and handrails are provided and these areas are clean. Thermostatic temperature controls are fitted in bath and shower outlets. The manager stated that new hoists have been bought in anticipation of changes in service users status and inspectors saw that a ceiling track hoist had been installed in one bedroom. The home does have a “loop” induction coil system, for hearing aid users, installed and working in the lounge. Rooms are appropriately furnished and conversations with service users indicate they are happy with their rooms. Suitable locks are fitted to all bedrooms. The home is well lit and adequately ventilated. The temperatures were pleasant in all areas although the outside temperature was high on the day of inspection. The home is clean and there were no unpleasant odours in the home. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. The manager ensures that the home operates safely and sufficient staff are available to meet service users needs. The home’s recruitment policy is robust and the manager ensures it operates to protect service. Service users are looked after by staff who are well trained and up to date in their knowledge. EVIDENCE: This level of staffing is entirely appropriate for the service users accommodated in the home and staff were able to respond promptly to service user’s needs. The home employs a full time activities co-ordinator in addition to the usual compliment of care staff. The homes recruitment policy is appropriate and samples of staff records were seen that confirmed the manager carries out the policy. Many of the staff now have NVQ level 2 or higher qualifications. The home invests heavily in training and induction. An example of this good practice is the provision of training for “drivers” of the minibus although this is not mandatory. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 36 37 38 The manager is experienced and competent and the home is well managed. The manager is professional and ethical and service users benefit from the way she carries out her duties. The home is run in service user’s best interests and staff are supervised well trained. The manager has a good awareness of health and safety and monitors the environment to ensure the safety of all the homes occupants. EVIDENCE: The Registered Manager is an experienced Registered Nurse and has managed the home successfully for some time. She has completed the “Registered Managers Course”. The staff confirm that they can approach the manger and that staff meetings take place. Relatives and service users said that they feel that they can approach the manager and senior staff. Staff and manager have a relaxed but respectful attitude to one another. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 19 The home use a service user questionnaire, which is included in the service user’s guide, in which service users are invited to comment on their admission experience. Service users are also surveyed on a 3-4 monthly basis. The manager said she carries out a six monthly review of the service taking this information into account. In the past staffing rotas have been modified in response to this feedback. The service user’s personal allowance is kept safely and accounted for in a foolproof way. The chief executive spoke of the home’s financial viability and accounts confirm this. The home’s policies cover induction and training. Inspection of records and discussion with staff confirm this takes place, and that training is of good quality and provided by reputable agencies. Supervision also takes place within an established framework and records are kept. Issues of health and safety are satisfactorily addressed. Risk assessments are carried out and records, and inspectors observations, indicate that the home is well maintained. The management team forward plan to anticipate problems and invest in appropriate equipment before it is needed. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 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 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 3 4 3 4 3 4 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 4 4 3 3 3 3 4 Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 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. 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 OP9 Good Practice Recommendations The installation of a stainless sink with a drainer and an adequate splash-back would improve the clinical area and facilitate good practice. Craigielea Nursing Home DS0000018171.V270558.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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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