Inspection on 04/01/08 for Guy`s Court Nursing Home

This inspection was carried out on 4th January 2008.

CSCI found this care home to be providing an Good service.

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

Guy`s Court Nursing Home 20/11/06

Guy`s Court Nursing Home 16/01/06

Guy`s Court Nursing Home 05/09/05

Guy`s Court Nursing Home 30/11/04

Guy`s Court Nursing Home 30/06/04

Guy`s Court Nursing Home 09/09/02

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Guy`s Court Nursing Home 409 Poulton Road Fleetwood Lancashire FY7 7JY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wesley Cornwell     Date: 0 4 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Guy`s Court Nursing Home 409 Poulton Road Fleetwood Lancashire FY7 7JY 01253776073 01253870136 norma@guyscourt491.orangehome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Norma Elizabeth Needham Type of registration: Number of places registered: European Care (UK) Limited care home 37 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The home is registered for a maximum of 37 service users to include:- up to 27 service users in the category of OP (old age not falling within any other category) and up to 10 service users in the category of DE (Dementia) Date of last inspection Brief description of the care home Guys Court is a purpose built home located in a residential area of Fleetwood. The home is one of a number owned by European Care (UK) Ltd and is registered under the Care Standards Act 2000 to care for twenty seven people requiring nursing or residential care.The home also has a specialist unit looking after ten people who have dementia. The dementia unit has its own lounge and dining facilities. The home has three floors comprising of bedrooms, toilet and bathing facilities. Resident accommodation is located on all three floors. Eleven bedrooms have en-suite facilities. The home has a passenger lift to facilitate easy access between the three floors. Care Homes for Older People Page 4 of 26 Over 65 0 27 10 0 Brief description of the care home Lounge and dining areas are located on the ground floor. Regular social activities are organised within the home. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. The range of fees at the home are four hundred and seventy three pounds to five hundred and sixty eight pounds covering all aspects of care, food and accommodation. The manager provided this information on the 4th November 2008. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced site visit was undertaken as part of the homes key inspection. The site visit commenced at 9am and took place over 7 hours. The Inspector was accompanied by an Expert by Experience who is a person, who because of their shared experience of using services, visits a service with an Inspector to help them get a picture of what it is like to live in or use the service. The Expert by Experience observed routines within the home and spoke to a number of people who live there, relatives and staff members. The views of the Expert by Experience and comments received during the visit have been included in the report. Care Homes for Older People Page 6 of 26 Prior to the site visit the manager of the home completed an Annual Quality Assurance Assessment form (AQAA) providing detailed information about the service they are providing. The AQAA is a self assessment and data set, which providers are asked to complete each year and is one of the main ways that we obtain information about how they are meeting outcomes for people in their care. A number of people living at the home and staff members were contacted prior to the site visit and their views about the home have been included in the report. Staff, care, maintenance and financial records were examined during the site visit and a full tour of the premises was undertaken with the manager. The last inspection on this service was completed on 20th November 2006. What the care home does well: What has improved since the last inspection? What they could do better: There has been no requirements or recommendations made of the home during this inspection. The home continues to provide a service, which people are happy with and feedback throughout the inspection process was positive about the home and the staff who work there. However, the manager of the home understands there is always room for improvement and they must continue to work hard to ensure the standards Care Homes for Older People Page 8 of 26 presently being provided continue to be met. During completion of the Annual Quality Assurance Assessment form the manager has identified some areas where she thinks the service being provided can be improved. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of people were met. Evidence: The care plan records of three people admitted into the home had full assessment information including religious, cultural and relationship needs. The assessment had identified the nutritional needs of people and risk assessment information advising staff members of the action to be taken to minimise identified risks and hazards was in place. The staff members spoken to confirmed they had access to this information and showed a good understanding of the needs of people they were supporting. People spoken to during the visit confirmed they were happy with the support being provided and their needs were being met. One person Said, I came to stay at the home for some respite care and liked it so much I asked to move in permanently when Care Homes for Older People Page 11 of 26 Evidence: my health deteriorated. I love it here. This home does not provide intermediate care. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously, peoples welfare is closely monitored and health needs were met. Evidence: Individual records are kept for each person with a plan of care setting out the action that is needed to be taken by staff to ensure all aspects of health, personal and social care needs of people living at the home are met. Significant events had been recorded and daily entries made setting out the care given. The care plans were structured and were being reviewed with the people or their relative,advocate and updated to reflect any changing needs and these were being actioned as required. The records of three people were looked at and these described their healthcare needs. Discussion with staff members on duty confirmed they were fully aware of the healthcare needs of people living at the home and these are monitored and kept up to date. Entries on care plans showed good communication between the home and healthcare professionals. Daily entries made on care plans showed staff members were Care Homes for Older People Page 13 of 26 Evidence: following the instructions of healthcare professionals and an appropriate level of care was being provided. People who were being cared for in bed had been provided with a special mattress that was suitable for the relief of pressure and prevention of pressure sores. The relative of one person commented, The care my wife receives is exceptional. Observation of practice and examination of care plan records confirmed staff were meeting the diverse needs of the people with specific disabilities and specialised equipment was readily available to assist them with their duties. Discussion with staff members confirmed they were aware of the needs of the people in their care and the level of support that needed to be provided. The staff members responsible for the administration of medicines had received training to ensure they had basic knowledge of how medicines are used and how to recognise and deal with problems in use. Medication practices observed during the visit were safe and good records had been maintained confirming people received their medicines as prescribed by their doctor. People spoken to said the staff team respected their privacy and they could spend time on their own if that was their wish. One person commented, I prefer to stay in my own room. I am quite happy with my own company. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Evidence: People spoken to said routines in the home were flexible and they were able to make their own decisions about how to live their lives. One person said, I love it here. You can choose what you want to do. I prefer to stay in my room as I enjoy my own company. People spoken to were happy with arrangements in place for receiving visitors. The relative of one person commented, I visit most days and I am always made welcome. The staff are very friendly and helpful. People spoken to confirmed they enjoyed the food provided by the home. The staff member responsible for the preparation of meals was able to confirm they had information about people with special diets and personal preferences. One person commented, I always enjoy the meals. Good variety provided. Another person said, I am a poor eater but they make me what I ask for. Meal times were served in a Care Homes for Older People Page 15 of 26 Evidence: relaxed and unhurried manner. Staff members were observed being very attentive to the needs of people. People spoken to were happy with the arrangements in place for social activities. These were varied and arranged individually and in groups. One person commented, Always activities being arranged to keep us occupied. Films, bingo and entertainers. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are handled well and taken seriously ensuring people feel listened to. Evidence: The home has a detailed complaints procedure, which is made available to everyone on his or her admission. People spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. One person said, I have never had anything to complain or worry about so far. At the time of this site visit no complaints had been referred to the Commission for Social Care Inspection. The home has a procedure in place for dealing with allegations of abuse. The staff members spoken to had received training in the protection of vulnerable adults and showed a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff members spoken to said they wouldnt hesitate to report any concerns they had about care practices to ensure people living at the home are protected from potential harm or abuse. At the time of this site visit the Commission for Social Care Inspection had not received any safeguarding referrals about staff working at the home. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable, homely, clean and safe environment Evidence: The home has been well maintained and decorated for the comfort of the people living there. People spoken to were happy with the standard of accommodation provided and said they felt at home. Since the last inspection a number of bedrooms have been redecorated and refurbished. The manager said the refurbishment of the home was ongoing and she was waiting for new furniture to be delivered for the dining room and lounge areas. People spoken to were very happy with the improvements being made. A tour of the building confirmed people had personalised their bedrooms with their own belongings. People spoken to were happy with their rooms and said they had the choice of spending time on their own or in the lounge areas. Hot water temperatures were checked throughout the home and found to be delivering water at a safe temperature in line with health and safety guidelines. It was observed during the visit the home was clean and hygenic ensuring a pleasant Care Homes for Older People Page 18 of 26 Evidence: environment in which to live. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are sufficient to meet the needs of people living at the home. Evidence: Staffing levels were sufficient for the number of people living at the home. People spoken to said they were happy with the care they were receiving and they were well treated by the staff. One person commented, The matron and her staff are all excellent . Another person said, The staff always respond quickly when I request assistance. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of the people in their care are met. The relative of one person said, Very happy with the care my mum receives. The staff are all lovely caring people. Nothing is too much trouble for them. Records show all staff members have access to a structured training and development programme ensuring the people in their care are being supported by a well trained and competent staff team. In addition 80 of staff members have achieved National Vocational Qualifications (NVQ) ensuring people are in the safe hands of qualified and competent staff. Examination of staff records confirmed the home has thorough and robust systems in place for recruiting staff members ensuring the protection of people living there. Care Homes for Older People Page 20 of 26 Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run and ensures the health and safety of staff and people living there are promoted and protected. Evidence: The manager of the home has many years experience in caring for elderly people and has achieved a recognised management qualification and is also a Registered General Nurse. She has access to training to ensure her knowledge and skills are updated and the home continues to be well run and for the benefit of the people who live there. People spoken to were very positive in their comments about the manager and her staff who were described as being very caring friendly and helpful. The home has effective quality assurance systems in place to monitor the level of service they are providing. An annual quality assessment is undertaken by a professionally recognised organization who complete an audit of the care being Care Homes for Older People Page 22 of 26 Evidence: provided and seek the views of the people who live at the home and their relatives. In addition the home has in place its own quality assurance systems to gather the views of people and keep them informed about events being organised. People spoken to confirmed they are consulted about changes taking place within the home and kept fully informed about forthcoming events being organised. Financial records were well maintained and up to date ensuring the interests of people are safeguarded. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation providing a safe environment for people to live. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!