Inspection on 19/07/07 for Daleside Nursing Home

This inspection was carried out on 19th July 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

Daleside Nursing Home 08/08/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Daleside Nursing Home 136-138 Bebington Road Rock Ferry Birkenhead Wirral CH42 4QB Lead Inspector Jeanette Fielding Unannounced Inspection 19th July 2007 09:30 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 Daleside Nursing Home DS0000066725.V337414.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. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Daleside Nursing Home Address 136-138 Bebington Road Rock Ferry Birkenhead Wirral CH42 4QB 0151 644 6773 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) Kate Armstrong-Shone Margaret Armstrong Kate Armstrong-Shone Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 32 beds nursing care (3 of which may be used for residential care) One named person under 65 years of age may be accommodated Date of last inspection 12th March 2007 Brief Description of the Service: Daleside nursing home is a three storey building situated in Rock Ferry, opposite Edgerton Park. There are nine single rooms and one double on the ground floor, with an extension leading onto the gardens. The first floor has two double and five single bedrooms, and there are a further four double and four single bedrooms located on the second floor. A lounge, a dining room and a conservatory are available on the ground floor, and a further lounge/quiet room is situated on the first floor. All floors are served by a lift. There is a car park at the front of the building and a secure garden to the side and rear. Daleside offers 24 hour registered general nurse care, and caters for a variety of nursing needs. The home benefits from being close to local shops and amenities, and is on a bus route. The fees for the home are from £352 - £408 plus the assessed nursing fee. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted in one day over a period of seven hours. During the inspection, the care plans for a selection of service users were inspected together with records held in relation to the care afforded to service users. Staff records were inspected to ensure that recruitment procedures are robust to ensure the protection of service users. Discussion took place with the manager, staff, service users and visitors to the home. A full tour of the premises was undertaken. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 6 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 Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 7 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): 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Full information regarding prospective service users needs is gathered prior to service users admission to the home to enable staff to be fully informed about their care needs. EVIDENCE: The owner has produced a detailed statement of purpose and service user guide which provides current and prospective service users with full information regarding the home and the services and facilities provided. A copy is provided in each service users bedroom and additional copies are available from the home on request. The document is comprehensive and easy to read. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 8 All prospective service users are assessed prior to admission to ensure that the staff can meet their individual care needs and to enable any necessary equipment to be provided prior to admission. The assessment involves gathering information from the service users, their family, GP, hospital staff and any other person involved in their care, this includes likes and dislikes and individual preferences. The assessment also identifies any specific equipment necessary to meet the service users needs and enables the home to obtain the equipment prior to the service users admission where necessary. The preadmission assessments of service users recently admitted to the home were found to contain comprehensive information from which the initial plan of care is prepared. Prospective service users and their families are encouraged to visit prior to a move to the home. The home has a four-week trial period, before a making a decision to move in permanently. The home does not offer intermediate care. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 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. 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. Detailed care plans are prepared to enable the staff to identify and meet the service users individual needs and preferences. EVIDENCE: Individual care plans are prepared for all service users. The initial plan is prepared in line with the information gathered during the pre-admission assessment and all care needs are reviewed following admission. All risks are identified and plans put in place to remove or reduce these risks. Care plans identify the service users care needs and a separate plan is prepared for each specific need. Daily records completed by the staff provide evidence of the actual care given. Records are held of all visits to and by other healthcare professionals i.e. doctor, dentist, chiropodist, tissue viability nurse, continence advisor and dietician. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 10 Records are also held of meetings and conversation with family members and any other significant person in the service users life. The home has a comprehensive policy and procedure for the administration of medications. These documents are under regular review to ensure that medications are handled safely. Audits on the medications are undertaken on a regular basis and the home has a comprehensive recording system for medications delivered to the home and for medications that are returned to the dispensing pharmacist. Contractual arrangements are in place with the pharmacist for the disposal of medications. Storage areas were clean, secure and well organised. Records relating to medications administered to service users were in order. The home has specified spaces for each resident where their mail is kept and opened by the resident or relative. If the person has no relative the post is opened with the resident. Residents may use their own bedroom or in one of the communal areas as they wish. The office can be made available for private meetings. The staff team were observed to knock on doors and to wait for an answer prior to entering. Screens are provided in shared bedrooms to ensure that privacy and dignity are protected. Staff were observed to knock on doors prior to entering and to speak quietly and discreetly to service users when referring to personal matters. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A wide range of activities are available which provide service users with stimulation to promote social interaction. EVIDENCE: Service users are asked about their lifestyle, choice of foods and choices and preferences of the social activities they would like to participate in. These details are held in their care files to inform staff. The home employs an activities co-ordinator and service users are offered an extensive range of activities. Details of the activities are displayed in the home and include group and individual opportunities. Detailed records are held of the activities that service users participated in and how much they enjoyed it. Service users spoken to said that there was always something going on and that they could choose not to participate if they wished. Ministers visit the home regularly and provide services for those service users who wish these. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 12 Visitors are welcome to visit the home at any time and one visitor said that she was always made very welcome. She said that there was always a senior member of staff on duty to talk to about her relatives care and was kept up to date about changes or visits by doctors. She felt that the home was doing an excellent job in caring for her relative. The home does not deal with any of the service users’ finances and so family members or an advocate act on their behalf. Meals are served in the dining room but service users are free to take their meal in their bedroom if they wish. Dining tables are attractively laid and condiments are provided. A choice of meals is offered and special diets can be prepared on request or on the advice of the GP or dietician. The menus provide evidence that a varied and balanced diet is offered. The meal on the day of the inspection smelled appetising and was observed to be attractively served and presented. Service users said that they enjoyed the meals and that the choices were good. Staff were observed to assist some service users with their meals in a calm and dignified way. The kitchen was noted to be clean and organised with good supplies of fresh goods. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All staff have been given training on the protection of adults to ensure that service users are protected from harm or abuse. EVIDENCE: The home has a comprehensive complaints procedure which is detailed in the statement of purpose and also displayed on the notice board in the home. The document has recently been reviewed to ensure that prospective complainants have full details of the person to whom their complaint should be directed, and the homes responsibility towards the response. Two complaints have been received by the home since the last inspection and were responded to in accordance with the policy and procedure. All staff have been given training on adult protection and their role and responsibility in the event of abuse being suspected. Staff spoken to were able to demonstrate their knowledge and understanding of adult protection and of the action to be taken. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 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. 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. Continued investment in the home provides a pleasant and homely environment for the service users and for those visiting. EVIDENCE: The home provides accommodation in single or double bedrooms, some of which having en-suite facilities. The home provides a large communal lounge, a smaller quiet lounge and a conservatory. Service users are free to choose the area where they spend their day. Communal areas are decorated and furnished to a good standard and every effort has been made to provide service users with a homely environment. Bathrooms and toilets have been redecorated and work is currently taking place to provide a new bathroom with Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 15 a walk-in shower. Risk assessments have been undertaken on all work within the home to ensure that service users are not placed at risk. Bedrooms are attractively decorated and furnished. It is evident that staff and relatives have strived to personalise service users bedrooms and these were seen to contain pictures, photographs and items of memorabilia. A passenger lift provides full access to all areas of the home. Equipment and hoists are provided to assist service users in bathrooms and bedrooms and are used following a risk assessment. All staff have been given training in the use of the equipment. Laundry is carefully attended to by designated staff. Domestic staff attend to cleaning the home and all areas were found to be extremely clean. No unpleasant odours were noted. Infection control policies are in place and it was evident that staff follow all procedures. Plans are in place for further improvements to be made to the home. Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the service users’ support needs which is evident from the positive relationships which have been formed between staff and service users. EVIDENCE: The staff rota provides evidence that the home employs and deploys staff in sufficient numbers to meet the needs of the service users. A qualified nurse is on duty at all times, supported by care staff who have all been given training in the care of elderly people. Staff training continues to be provided with specific training courses being offered in line with the identified needs of the service users. The home has a robust recruitment procedure and the staff files inspected provided evidence that all checks are made on staff prior to them commencing work at the home to ensure that service users are protected. Staff records were found to be in order. All new staff complete a full induction training programme and evidence of this is held on their individual files. They are Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 17 required to sign the induction training documentation to verify the completion of their training. Regular supervision is now given to all staff and staff meetings are held. Staff are also given training on the home’s policies and procedures and staff are required to sign to indicate their understanding and knowledge of these. Staff spoken to were able to demonstrate their knowledge of service users needs. Daleside Nursing Home DS0000066725.V337414.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. The manager has a clear development plan and vision for the home, which she has effectively communicated to the service users, staff and relatives. EVIDENCE: The registered manager of the home is also one of the registered owners. She holds NVQ in management at level 4 and has many years experience in care home management. It is evident from discussion with service users that the home is run in their best interests. One service user said that she had been at the home for some Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 19 considerable time and that staff will do anything for her. She said that she had her favourites amongst the staff but all were really nice. One visitor to the home said that the home looked after her relative really well and that the staff were wonderful. Regular surveys are undertaken to gather the views of service users and their relatives. The manager speaks with service users on a daily basis to further obtain their views to ensure that their individual needs and preferences are met. The home does not deal with any of the service users finances. Secure facilities are provided to store valuables and accurate records are held of these. Supervision is given to all staff every two months and annual appraisals are undertaken to provide staff with the opportunity to review their own professional and career development and to identify training needs. All staff have been given training on health and safety and are required to read the policies and procedures relating to these. Safety certificates were all found to be well maintained and up to date. Tests are made on fire detection equipment as appropriate and are duly recorded. Training on fire prevention is given to all staff on a regular basis. Daleside Nursing Home DS0000066725.V337414.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 4 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 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 4 X 3 X 3 X X 3 Daleside Nursing Home DS0000066725.V337414.R01.S.doc Version 5.2 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Daleside Nursing Home DS0000066725.V337414.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 Daleside Nursing Home DS0000066725.V337414.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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