Inspection on 21/09/05 for Ingersley Court

This inspection was carried out on 21st September 2005.

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

Ingersley Court 05/09/07

Ingersley Court 12/12/06

Ingersley Court 18/04/05

Ingersley Court 15/09/04

Ingersley Court 20/04/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Ingersley Court Lowther Street Off Church Street Bollington Cheshire SK10 5QA Lead Inspector June Shimmin Announced Inspection 21st September 2005 09:25 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 Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 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. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ingersley Court Address Lowther Street Off Church Street Bollington Cheshire SK10 5QA 01625 574233 01625 573196 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) CLS Care Services Limited Ms Hilary Jane Young Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th April 2005 Brief Description of the Service: Ingersley Court is a purpose-built care home for older people. It forms part of the CLS Group which is a not for profit organisation based in Cheshire and Wigan. The home is located in the village of Bollington and has access to local facilities such as shops, churches and other community amenities. Macclesfield town centre is approximately five miles away. Ingersley Court is a threestorey building (basement, ground and first floor). Service users are accommodated on the ground and first floor only. Access between floors is via a passenger lift or the stairs. Service users` accommodation currently consists of 33 single bedrooms, with one bedroom being used as a double. 18 bedrooms have en-suite facilities and the remaining bedrooms have wash hand basins fitted. There is generous communal space and this comprises 4 lounges, 2 dining rooms and a sitting area in the reception. There are a number of sitting areas and walkways in the gardens. Ingersley Court has a number of separate toilets and bathrooms. Various aids and adaptations have been provided for service users requiring assistance. There are a number of flats attached to the home. These are occupied by tenants who sometimes come into the home during the day for a meal or company. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 21 September, 2005 and lasted approximately eight and a half hours. The manager was on duty together with the agreed numbers of care and ancillary staff. During the inspection nine residents, an MP, a health care professional, the manager and six members of staff on duty were spoken with. A range of care, health and home records were examined and a tour of the premises, including all lounges, other shared areas and a number of bedrooms, was undertaken. Comment cards for use by residents, relatives, GP`s and health and social care professionals in contact with the home were forwarded to Ingersley Court prior to the inspection. Three relatives, one GP and two care professionals returned completed cards. What the service does well: Ingersley Court provides high standards of care. The following comment is typical of those made in writing and verbally during the inspection: “All the staff at Ingersley Court, led from the top by Hilary Young, are competent and pleasant.” A GP made the following comment: “Ingersley Court provides an excellent standard of care………..the staff are always extremely helpful and attentive, show a clear understanding of the needs of residents and always treat them with respect.” Staff were described as going the “extra mile.” During the temporary absence of the activity coordinator, staff were coming into the home in their own time to provide activities for residents. Ingersley Court maintains high standards of cleanliness. The accommodation is spacious and comfortable. The standard of décor and furnishings throughout the home is good. Catering is good. The manager receives no complaints about the home. All staff are supported to undertake training relevant to their role. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 6 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. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 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 Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 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): 1, 3, 4 and 5 Information about Ingersley Court needs to be updated. Residents are assessed prior to admission to ensure that Ingersley Court will be able to meet their needs. Residents are encouraged to visit before moving in permanently. EVIDENCE: Information about Ingersley Court (Service User Guide) was displayed at the entrance. Perspex holders had been fixed to the door of every bedroom to hold this information leaflet. However, the guides seen were not up to date and referred to staff who no longer worked at the home. One new resident had come to have a look at Ingersley Court before taking the decision to move in permanently. The resident said, “it`s a real home.” Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 9 The manager or a senior carer assess new residents before they move into the home on a permanent basis to ensure that their needs can be fully met. The assessment documentation of two new residents was looked at. This contained all necessary information so that a care plan could be drawn up describing the actions to be taken by care staff to meet those needs. This information also included full details of the resident`s family history and social care needs which is good practice. Written and verbal comments about staff were all complimentary: “the staff all appear to be genuine caring people and the home is run in an efficient but friendly manner. The residents seem to be happy, contented and well cared for.” Staff interviewed said that they enjoyed working at Ingersley Court. All staff are given training opportunities so that Ingersley Court has a skilled and experienced staff group. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 All residents have appropriate care plans and risk assessments so that their care needs can be identified and met. Ingersley Court has good links with health and social care professionals so that additional needs can be met promptly. Medication is generally well managed. The residents` privacy and dignity are maintained. EVIDENCE: The care plans of three residents were looked at. These had identified all care needs and areas of risk. The content of the care plans was informative and gave a clear picture of the residents` needs. There was no record of the weight of two residents so that their nutritional needs could be assessed. Care plans had usually been reviewed every month. One resident had fallen three times but this had not been commented on when the care plan was reviewed. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 11 Three residents were being supported to administer their own insulin. The care plan of one diabetic resident which was looked at did not include details about how the blood sugar of the resident was being monitored and the actions to be taken if these were either too low or too high. There was also no internal quality assurance method documented to demonstrate that the equipment being used to monitor blood sugars was accurate. There was no care plan to state the actions to be taken by staff during the administration of insulin. Health care professionals were complimentary about the care provided at Ingersley Court. They commented that there was good teamwork between themselves and care staff and that there was mutual respect. Written and verbal comments stated that the dignity and privacy of residents was respected. Medication administration records were of a good standard. Care staff were praised for having ensured that there were full instructions for the administration of creams and lotions. Excess medication is sent back to the pharmacist. Two out of date and unlabelled medicines were pointed out and removed immediately by care staff. Olive oil had been poured into a bottle and labelled by a member of care staff. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Routines at Ingersley Court are flexible to suit residents` individual preferences. Residents are consulted about activities and make choices in their daily lives. Visitors are always welcome at the home. Catering standards are good. EVIDENCE: Ingersley Court employs an activity co-ordinator for 20 hours a week. The pre-inspection questionnaire (PIQ) provided details of activities available at Ingersley Court. These included musical entertainers, quizzes, bingo, weekly shopping trolley and visits from local schools. Activities outside the home included shopping trips and a drive out for coffee or afternoon tea. The spiritual needs of residents are met by visits from local clergy who hold a monthly service. Residents can also attend local churches if they wish. Many residents take a daily newspaper. Forthcoming events such as a coffee morning and Christmas sing-a-long were displayed on notice boards in different parts of the home. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 13 Three relatives provided written comments. One relative commented, “the staff couldn`t be nicer, friendly always, whatever time the family visit.” Relatives confirmed that they could visit their family member in private and that they were kept informed about important matters affecting their family member. Residents spoken to said that they could stay in their own rooms if they wished and were not pressurised into joining in activities. Meals can be taken in the dining room or in the privacy of the residents` own rooms. Those residents spoken to said that they liked the food provided. There was an alternative if anyone did not like the main choice. The lunch was braising steak, potatoes, cauliflower, carrots and swede or fishcake. The dessert was stewed apples and custard or ice cream. The evening meal was hot dog and onions or sandwiches followed by a scone and jam. The menu was displayed on a plastic coated board in the corridor outside the upstairs dining room. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Ingersley Court provides a complaints procedure. Residents know who to speak to if they are unhappy with their care. Policies, procedures and staff training are in place to protect residents from abuse. Staff know what to do in the case of alleged abuse of a resident. EVIDENCE: Ingersley Court has not received any complaints. The complaints procedure is included within the information leaflet, or `Service User guide.` Residents said that they would know who to speak to if they were unhappy about any aspect of their care. Ingersley Court has an adult protection policy and procedure which has recently been updated. Staff spoken to were aware of the actions to take in the case of suspected abuse. The manager has recently been trained to deliver a training module from Action on Elder Abuse and has started the process of sharing this information with staff. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 and 26 Ingersley Court offers a pleasant, safe and comfortable environment for residents. High standards of cleanliness and hygiene continue to be maintained. EVIDENCE: The pre-inspection questionnaire (PIQ) indicated that several changes had occurred since the last inspection. This included redecoration of a bedroom and the dining room, a new flyscreen for the doors and windows in the kitchen and the upgrading of an en-suite toilet. The standard of décor in those bedrooms which were looked at was good. Residents said that they were happy with their living environment and that their rooms were kept clean and tidy at all times. Ingersley Court is commended for maintaining high standards of hygiene and cleanliness. The hot water temperature of a bath was tested and found to be within acceptable limits. Records were seen of the hot water temperatures of baths and wash hand basins. These were all within safe limits. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Ingersley Court is adequately staffed. Staff are highly regarded by residents and people visiting the home. Staff are supported to undertake appropriate training. EVIDENCE: Ingersley Court employs a number of staff who have worked at the home for several years. This provides the home with continuity and stability. Staffing levels have increased since the previous inspection, which means that only two shifts are not covered by permanent staff. Agency staff are only used to cover for sickness and holidays. The manager said that the home tries to use the same agency so that the same staff are used wherever possible. The CLS staffing bank is not often used. Written comment cards from three relatives stated that they thought there were enough staff on duty. The recruitment records of two new members of staff were looked at. These included all necessary documentation. The manager had received enhanced disclosures from the Criminal Records Bureau, which means that new staff are thoroughly vetted before starting work. Staff said that they were supported to undertake training relevant to their role. Domestic as well as care staff are given the opportunity to do training. Three care staff have achieved NVQ level 2. The PIQ indicates that Ingersley Court has a full training programme including mandatory topics such as fire safety and additional subjects such as medication. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 17 A new member of staff said that the induction process had been good. The care assistant worked with another carer for the first two weeks. Other staff had been supportive. The new carer had undertaken mandatory training in moving and handling and fire safety. The manager had given the new carer an induction workbook to complete. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35 and 38 The manager is very experienced and capable. Ingersley Court is maintained to a high standard. EVIDENCE: The manager is very experienced and competent and has held the post of manager of Ingersley Court for over twenty-seven years. She is highly regarded by residents, relatives/friends and staff. Comments made about the manager were, “excellent” and “very approachable.” The PIQ stated that residents`finances are managed by their families. Small amounts of money are brought into the home by families and kept securely for the use of residents. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 Page 19 Ingersley Court is well maintained. The PIQ provided information about the servicing of equipment and installations and these were all up to date. Fire records were checked. These indicated that fire equipment was tested regularly and that staff undertook fire training and fire drills. Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 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 2 X 3 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X 3 3 4 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 X X 3 x X 3 Ingersley Court DS0000006668.V249778.R01.S.doc Version 5.0 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. 1 2 3 4 Refer to Standard OP1 OP7 OP7 OP7 Good Practice Recommendations An up to date service user guide should be provided and a copy given to all residents. The weight of service users should be recorded on admission and kept under review. This should be linked to the nutrition care plan. The care plan of a service user with a history of three falls should be updated to reflect changing need. Care plans should include details about the monitoring of blood sugars and the checking of blood sugar monitoring equipment. The care plan should include details actions to be taken by staff when insulin is being administered. Unlabelled medication should not be kept. Olive oil should not be decanted into a different bottle. The home should continue to support staff to achieve the target of 50 of care staff with NVQ level 2 or above by the end of 2005. DS0000006668.V249778.R01.S.doc Version 5.0 Page 22 5 6 OP9 OP28 Ingersley Court Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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