Inspection on 07/02/06 for Gorstyfield Nursing Home

This inspection was carried out on 7th 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gorstyfield Nursing Home 26/04/07

Gorstyfield Nursing Home 24/03/05

Gorstyfield Nursing Home 14/09/04

Gorstyfield Nursing Home 02/03/04

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

CARE HOME ADULTS 18-65 Gorstyfield Nursing Home Ridge Hill Brierley Hill Stourbridge West Midlands DY8 5ST Lead Inspector Mrs Amanda Hennessy Unannounced Inspection 7th February 2006 10:30 Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 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 Gorstyfield Nursing Home DS0000004876.V284957.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 Adults 18-65. 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. Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Gorstyfield Nursing Home Address Ridge Hill Brierley Hill Stourbridge West Midlands DY8 5ST 01384 401018 01384 291753 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) Shaw healthcare Limited Alison Lowe Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16) of places Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. MHD - Mental Health Establishment taking people liable to be detained. Date of last inspection 19th September 2005 Brief Description of the Service: Gorstyfield Nursing Home is privately owned by Shaw Homes. The home provides accommodation for up to 16 service users who have a mental illness and require nursing care. The aim of the home is for service users to be as independent as possible whilst living in a supported environment, which enables them to develop life and social skills. The home was previously a three-storey block of flats, each flat consisting of four single bedrooms, a kitchen and a bathroom. The communal rooms are situated on the ground floor and consist of two lounges, a dining room and a smoking breakfast kitchen. Laundry and catering facilities are available on site. Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection undertaken by one Inspector. The inspection commenced at 10.30 and finished at 15.00. The inspection included a review of records and talking to service users and staff. The inspection found that the home provides a high standard of care for its service users. Gorstyfield is privately owned by Shaw Healthcare. Ms Alison Lowe is the Registered Manager. All previous requirements were found to have been fully addressed, two requirements were made as a result of this inspection. 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. Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The home is able to meet prospective service users’ needs but must ensure that all required assessments are available to give full assurance that all needs are met comprehensively. EVIDENCE: A comprehensive assessment of service users needs is undertaken prior to agreement that the service user can come to live at the home. The assessment involves the prospective service user, their family members whenever possible, their Doctors, other professionals and either Gorstyfield’s Manager or a senior qualified member of staff. Prospective service users visit the home several times initially to have a meal and then for an over night stay before they decide that they would like to come and live at Gorstyfield. There was no record of the care management plan (which is a required multidisciplinary assessment) within those care records seen. There is a need to ensure that a copy of this assessment is available and that the service user plan is developed alongside the Care Management Assessment. Service users spoken to both during this and previous inspections are able to confirm that they are involved in the development of their care plans and are fully aware of any restrictions of their choice or freedom based on their treatment plan. Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Service users know that their assessed and changing needs and personal goals are reflected in their individual plan. EVIDENCE: Service users have plans of care and required risk assessments. As identified previously the single Care Management assessment is not available which should be providing direction in the plan of care. Service users are involved with developing the plan of care and also its ongoing evaluation but this is not always recorded. The manager is advised to ensure that there is a record of service users involvement in the review and evaluation of their plan of care. Care plans include the development of service users life skills, discussion was undertaken to identify ways that this could be further developed. Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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 Service users’ rights are respected and responsibilities recognised in their daily lives. EVIDENCE: The home promotes independence, choice and freedom of movement (within a risk assessed framework). Service users have keys to their own bedroom with staff only entering their room with their permission. Service users do undertake housekeeping tasks such as cleaning their room and undertaking their own laundry, which is identified and agreed in their plan of care. Rules on smoking, alcohol, drugs and aggression are clearly stated in their contract. Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The home has appropriate and safe medication policies and practice to promote residents wellbeing. EVIDENCE: The home has appropriate policies and procedures for the safe administration and safe keeping of medication. All medicines are administered by qualified registered mental health nurses. Requirements made at the previous inspection have been addressed – staff now check and receipt of medicines that are received into the home. Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were inspected in this section. EVIDENCE: Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 The home is clean and hygienic. EVIDENCE: The home is decorated and furnishings to a high standard. All areas of the home seen were clean, welcoming and free from offensive odour. There are appropriate infection control systems in place. The laundry and laundry systems meet infection control guidance. Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 The home has sufficient and appropriately skilled and well trained staff to meet residents’ needs. EVIDENCE: The home has sufficient staff on duty with an appropriate skill mix to meet service user’s needs. Service users’ benefit from having a registered mental health nurse on duty twenty-four hours a day. Staff receive induction and ongoing training that meets required standards. A training needs analysis has been undertaken from which a home development plan has been developed. Staff have at least five training days each year and a training and development plan which links to the homes aims and service users needs Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were assessed in this section. EVIDENCE: Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 x 3 2 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 3 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x x x x x x x x Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 16 Yes 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. 1 2 Standard YA3 YA6 Regulation 14 14 Requirement The care management plan must be available before service users are admitted to the home. Staff must ensure that service users sign to confirm their involvement in the drawing up and review of their plan of care. Timescale for action 31/03/06 31/03/06 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 Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Gorstyfield Nursing Home DS0000004876.V284957.R01.S.doc Version 5.1 Page 18 - 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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