CARE HOMES FOR OLDER PEOPLE
Florence Shipley Florence Shipley Market Place Heanor Derbyshire DE75 7AA Lead Inspector
Judith Beckett Unannounced Inspection 19th January 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 Florence Shipley DS0000035583.V279000.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. Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Florence Shipley Address Florence Shipley Market Place Heanor Derbyshire DE75 7AA 01773 728400 01773 728405 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) Derbyshire County Council Mrs Eileen Wathall Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: The home is situated within the community of Heanor, located at the market place, in the town centre. This establishment is a 26 bedded home with single rooms, but no en suite facilities. The home is pre-existing April 2002, therefore the references to pre-existing homes within the National Minimum Standards, are applicable. It is spread over three floors and with a lift to help access to the upper floors and a call system throughout the building in case of emergencies. There are assisted bathroom and toilet facilities on all floors and the home has three lounge areas on the ground floor and a dining room. The home has a large garden although access to this is not easy for residents. Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over two hours. 23 residents were in the home and two were in hospital, of these, 22 were long stay and 1 short stay. As the majority of the standards were inspected at the last Inspection, time was spent on this occasion looking at the remainder of the standards. Discussions with the manager and deputy manager took place and a partial walk around the building to observe work completed was made. Records, files and policies were looked out. Staff residents and relatives were spoken to. What the service does well: What has improved since the last inspection?
Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 6 Since the last Inspection work has been carried out on the lift ,consisting of new electrics and a new control panel plus new flooring and decoration. The medicine room radiator has been capped off and the room is therefore now much cooler. The upgrading of bathrooms and toilets has been looked into by officers from Derbyshire County Council. Work is in hand for new flooring in the kitchen around the dishwasher. Decoration has taken place in the bathrooms and toilets and linen room also in the stairway to the first-floor. New flooring has been renewed in bedroom 2. 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. Florence Shipley DS0000035583.V279000.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 Florence Shipley DS0000035583.V279000.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): These standards were not specifically assessed on this occasion. EVIDENCE: Florence Shipley DS0000035583.V279000.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): These standards were not specifically assessed on this occasion. EVIDENCE: Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 10 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): These standards were not specifically assessed on this occasion EVIDENCE: Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 11 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): 16,17,18. The home has a satisfactory complaints system with some evidence that service users feel that their views are listened to and acted upon. EVIDENCE: The complaints procedure is displayed in the hallway on entry to the home. A suggestion book for comments is also available. The complaints file was inspected and procedures are in place if a complaint should arise. Policies and procedures are clear should any suspected abuse occur. Staff attend courses on adult abuse and this area is incorporated in the skills for care training. All residents are registered to vote. A taxi is arranged for those who wish to visit the polling station, postal votes are organised for the majority. The residents have access to advocacy services this is through Age Concern. Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 12 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): 19,20,21,23,24,25,26. The home is clean, hygienic and offers a good standard of comfort to residents in both their bedrooms and communal areas. However, some aspects of the home’s environment requires upgrading. EVIDENCE: On entering the home it was evident that the home was kept clean. All residents and relatives spoken to were happy with how their rooms were looked after. The housekeeping team must be complemented on the excellent way they maintain the home. Some of the kitchen cupboards are in need of upgrading. Also the flooring around the dishwasher requires attention. Toilets and bathrooms are also in need of upgrading. Some of the furniture in the bedrooms requires attention, as some drawers do not shut properly.
Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 13 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 standard of vetting and recruitment practices is satisfactory with appropriate checks being carried out, therefore protecting service users. EVIDENCE: On the morning of the inspection a new member of staff had just commenced work. Her file was inspected, written references had been obtained and all necessary information was present including an enhanced CRB. She was shadowing an experienced member of staff during the morning shift. All care staff have NVQ 2 except a new member of staff. Three staff have NVQ 3 and one NVQ 4. Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 14 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): 34,35,37,38. The home is managed by a registered manager who supervises staff appropriately. It is run in the best interests of its service users. EVIDENCE: The manager has NVQ level 4 in social care. Monthly visits are made by Social Service service managers and reports are kept on file. All personal allowances for residents are kept in the safe and double signatures required for any transactions. The records and contents of the safe were inspected during the visit. Any larger amounts of money are kept in separate building society accounts. All health and safety records were inspected during this visit. This included fire safety, including training, electrical and gas, appliances including lift and hoist
Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 15 maintenance, records of temperatures, including food served. Records of water temperatures for the prevention of legionella were also examined. These were all satisfactory and well maintained. Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 2 X 3 2 2 4 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 4 3 X 3 3 Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP21 OP19 Regulation 23(2)(b) 16(2)(g) Requirement First floor toilet and disabled toilet require upgrading Some areas of the kitchen require upgrading, cupboards and floor covering around the dishwasher. Some furniture in bedrooms requires upgrading. New security fencing to be put in place around the garden Timescale for action 01/09/06 01/09/06 3. 4. OP24 OP19 23(2)(c) 23(2)(o) 01/09/06 01/06/06 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 Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Florence Shipley DS0000035583.V279000.R01.S.doc Version 5.1 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
