Inspection on 13/07/05 for Inglewood

This inspection was carried out on 13th July 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

Inglewood 24/11/08

Inglewood 05/12/06

Inglewood 13/03/06

Inglewood 03/11/04

Inglewood 21/07/04

Inglewood 27/02/04

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 Inglewood Care Home Coppice Lane Disley Stockport Cheshire, SK12 2LT Lead Inspector June Shimmin Announced 13 July 2005 09:00 th 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 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. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Inglewood Care Home Address Coppice Lane Disley Stockport Cheshire SK12 2LT 01663 762011 01663 765310 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr James Albert Barton Mrs Lynne Barton Care Home 22 Category(ies) of OP - Old Age (21) registration, with number PD - Physical disability (1) of places Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 22 service users to include: * Up to 21 service users in the category of OP (old age not falling within any other category) * 1 named service user in the category of PD aged between 62 and 65 years 2 Rooms 1 and 2 are only to be used by ambulant service users who are not reliant on aids for mobility and on whom an appropriate risk assessments have been undertaken. Date of last inspection 3rd November 2004 Brief Description of the Service: Inglewood is a care home providing personal care for up to 21 older people aged 65 years or over and 1 adult with a physical disability. The care home is owned and managed by one family who are all involved in running and managing the home and with the help of approximately twenty staff. The home is a 3 storey Victorian building, with a purpose built extension, situated in its own grounds in a quiet residential area of Disley. The village centre is approximately a mile away. Residents are accommodated on the lower ground floor, ground floor and first floor. The top floor is the private residence of the owners and their family. Access between floors is via the stairs or the passenger lift. Work to upgrade the original building is ongoing. There is adequate recreational, dining and communal space available for residents. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 6 and half hours. 12 residents, 2 relatives, the homeowner/manager and 8 staff members were spoken with. Written comments were received from 4 residents, 2 health care professionals and 11 relatives. A tour of the home was undertaken. Care records for two residents were looked at, as well as records on fire safety, medication, recruitment, accidents and training. What the service does well: What has improved since the last inspection? Further improvements have been made to the environment. The rear garden has been laid to grass and a walkway with sitting areas is to be provided. All radiators in the home have guaranteed low surface temperatures. The home has provided a fire risk assessment. All staff participates in a fire drill twice a year. The standard of care planning at the home has improved considerably. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 6 The owner has provided automatically opening fire doors on the patio windows of 2 residents accommodated on the lower ground floor. The owner/manager has provided a separate medication fridge. The medication policy has been amended. A number of repairs have been carried out around the home. 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. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 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 standard(s) 3 The manager assesses residents before they move into the home. Residents are not accepted if their needs cannot be met. If the needs of residents change those needs are reassessed by health and social care professionals. EVIDENCE: The manager and/or her deputy carry out assessments. New residents are visited either in their own home or other setting, to make sure that that their care needs can be met. The manager talks to the person and writes notes about their care needs. The resident’s care needs are reassessed when they move into the home. A full written assessment was seen for two residents who had recently moved into the home. The content of the assessments provided adequate detail about the needs of the residents. They also contained a good social and life history, which is good practice. A nurse or social worker may also provide written assessments. If a resident’s needs change the home gets in touch with health and social care professionals to reassess their needs. The home does not offer intermediate care. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 9 The current scale of charges is from £329.47 to £550. Additional charges are made for hairdressing, chiropody, personal toiletries, taxis, magazines and newspapers. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10 and 11 Great progress has been made with care plans so that they identify and address all care needs of residents. The system for managing the residents’ medications is safe. Residents’ rights to privacy and dignity are upheld. Inglewood provides good care for those who are dying. EVIDENCE: All residents have a care plan. Two care plans were read; both ere of a good standard and had addressed all care needs. They demonstrated that the author understood the individual needs of each resident, which is good practice. One minor issue was discussed at the inspection. The plans had been drawn up within five working days of admission to the home. The plans indicated that regular contact had been made with various health care professionals. Appropriate risk assessments were provided. Care plans had been reviewed monthly. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 11 Staff spoken to, were knowledgeable about the care needs of residents. The pre- inspection questionnaire (PIQ) indicated that no residents had pressure ulcers. Risk assessments identify those most at risk of developing pressure ulcers. Staff act to prevent vulnerable residents from developing pressure ulcers and are prompt to make contact with district nurses for advice or equipment. Specialist mattresses were being used by the home. Medication is well managed. Medication administration records were fully completed and stocks of several drugs checked and found to be correct. The medication policy had been amended to include a section on the management of controlled drugs. The subject of storage of medication was discussed during the inspection and the owner/manager is considering provision of a separate room for the preparation and storage of medication. A separate medication fridge has been provided since the last inspection. A written comment was made by one GP, “I think Inglewood provides a high standard of care, given by staff that genuinely care about the welfare of the residents. They treat residents with dignity and respect.” Residents also said that staff treated them with kindness and sensitivity as well as a sense of humour. Inglewood was providing terminal care for a resident following discharge from hospital. A relative of the resident wrote to the CSCI to commend the care being delivered by the care home, “ is made very comfortable and I feel sure her needs are being met with much kindness and consideration at this unfortunate time.” The care plan of the resident showed that all care needs had been anticipated and met. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 and 15 Standards of catering are good. Individual and group social activities are provided and where possible residents can express choice about their daily lives. Visitors are welcomed at the home. EVIDENCE: A number of activities are arranged for residents both at the home and outside. Wherever possible, residents are supported to continue with previous interests. Inglewood has its own small library and books are bought to increase the numbers of available books. The PIQ provided a list of activities at the home and these included, visiting entertainers, aromatherapy, library, knitting, music, painting, films, crafts, games, singing, quizzes and discussions. Outside activities included car rides, meals, theatre, library and the over 60`s club. The 4 written comments stated that the home provides suitable activities. Only one resident said that there could be more going on during the day. Residents can express choice in their daily lives in many ways. They can join in the activities if they wish. Several residents take a daily newspaper. The carers keep a list of the preferred times for each resident in terms of getting up and going to bed and try to comply with those wishes. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 13 Visitors said they were made to feel welcome. 11 written comments were received from relatives all of whom were complimentary, “it is always very clean and welcoming” and “always made welcome at any time and treated warmly during visits with refreshment always available.” The standard of catering at the home is good. Several residents said “good food.” The 4 residents who completed comment cards all liked the food. Special diets are catered for. The PIQ stated that there are facilities for residents to make drinks and snacks. The main meal of the day is served in the evening so that late risers can enjoy the main meal of the day. Mealtimes were as follows: Breakfast 8am to 10am Lunch approx 12 30pm Evening meal 5pm Supper 7 30pm to 10pm Meals can be taken in the dining room or the resident’s own room. Lunch was seen as soup and sandwiches followed by strawberries and cream. Alternatives are available on request. The cook or one of the carers asks residents each morning what they want for the evening meal. The evening meal menu was chicken in white wine with potatoes, carrots, green beans, peas and dessert was home made lemon meringue pie. Supper includes hot drinks, biscuits, toast and sandwiches. Much of the food is home made rather than pre prepared. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 Inglewood has a satisfactory complaints procedure. Residents and relatives are aware of the procedure and know who to speak to if they have concerns. The home provides information about protecting residents from abuse. Staff know what to do in the case of suspected abuse. EVIDENCE: Inglewood has a complaints procedure, which is clearly displayed in the hallway. Only one relative was unaware of the complaints procedure. The PIQ indicated that no complaints were received since the last inspection. Leaflets relating to adult protection are displayed in the staff room. Adult protection is covered during the induction process and as part of NVQ training. It is also discussed at staff meetings. During discussion, staff showed they were aware of the issues surrounding adult protection and the actions to be taken if abuse was suspected. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 22, 24 and 26 The owner has an ongoing programme of redecoration and refurbishment. The owner/manager has taken adequate steps to ensure that residents live in a well maintained environment. Inglewood maintains high standards of cleanliness. EVIDENCE: Since the last inspection the owners have continued a programme to improve the environment of the home. The back garden has been laid to turf and a walkway with sitting areas is planned. The standard of the décor and furnishings is good. The PIQ indicates the following improvements and redecoration have taken place since the last inspection: 3 new en suite facilities, the lowering of several ceilings, new window frames in several rooms and new internal doors. One toilet was out of action and was awaiting conversion. However, there were adequate numbers of toilets for the needs of residents. The owners have also upgraded and extended the fire alarm system. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 16 Two residents living on the lower ground floor can now exit via their patio doors if the fire alarm sounds. Staff can also access their rooms from outside if the residents are unable to move independently. A range of aids and adaptations at the home assist residents with varying degrees of disability. Specialist equipment obtained for one resident in particular had enabled the resident to enjoy an improved quality of life by being given more independence. The owner said that radiator guards are not required because the new heating system ensures that radiator temperatures do not exceed safe limits. During a tour of the building no odours were detected. Hand disinfectors have been provided at various locations throughout the home. It was noted that several storerooms were in the process of being converted. Residents said that they were not disturbed by the building work. Various building materials were being stored inside and outside the home. Some items were lying in the corridor by the kitchen and could present a hazard to residents and staff. Verbal and written comments from residents and relatives were made regarding the good standard of cleanliness at the home. The laundry is suitable for the size of the home and is well equipped. Residents spoken with were happy with their bedrooms. People could personalise their rooms and bring small items with them. Outside there are well maintained gardens. A decking area can be accessed from the home and several residents were enjoying the summer day sheltered by umbrellas. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Staffing levels at Inglewood are satisfactory. One piece of recruitment documentation was not provided. Staff are well regarded by residents, relatives and visiting health professionals. Staff are supported to undertake training relevant to their role. EVIDENCE: In addition to the manager a deputy manager works full time between Sunday and Thursday. There has been a slight increase in care staffing levels (one hour) since the last inspection. There is now an overlap between day and night staff to assist with getting residents up in the morning and helping them to go to bed at night. Staffing levels were as follows: 7am – 2pm - 2 care assistants (c/a) 7am – 11am – 1 c/a 12 noon – 7pm – 1 c/a 2pm – 9pm – 1 c/a 3pm – 9pm – 1 c/a 8pm – 7am – 1 c/a 9pm – 8am – 1 c/a At the last inspection concerns were raised about the provision of domestic hours and the fact that night staff were performing laundry duties. The owner has now looked at this issue and has provided a new laundry system, which reduces the number of hours spent in the laundry. The rotas have been reviewed to ensure that staffing levels at peak times are adequate. The care home does not use agency staff. The manager lives on the premises and is available outside her normal working hours if necessary. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 18 Written and verbal comments were received about the staff, “I have been thoroughly delighted with the care offered at Inglewood. The staff are always very willing to accommodate,” “staff have a good rapport with residents” and “always seems to be a more than adequate amount of staff.” Recruitment records of two staff members were viewed. All necessary documentation was available other than a photograph and proof of identity for one staff member. The enhanced disclosure from the Criminal Records Bureau related to a previous employer. Staff spoken to said that they were given opportunities to undertake training relevant to their role. A number of staff had achieved NVQ level 2 and others were working towards level 2 and 3. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 37 and 38 Inglewood is a well managed home. The management act to ensure the safety and well being of residents. EVIDENCE: The manager lives and works at the home. A full time deputy manager and two part time administrators support the manager. Staff described the management as being “easy to talk to “ and “will listen.” The manager talks to residents and staff, mainly on an informal basis, about the home. Staff said that meetings are held and that they can express their views about the home. A notice about the CSCI inspection was displayed in the hallway together with comment cards for residents and relatives to complete. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 20 The accident records were reviewed and no concerns raised. The manager notifies CSCI of any events in the home affecting the well being of residents. Fire safety records were well maintained and demonstrated that fire equipment and installations are tested and serviced on a regular basis. Staff undertake annual fire training updates and fire drills on at least a twice yearly basis. The PIQ indicated that other equipment is serviced on an annual basis. The kitchen was clean and tidy. Records were kept of the temperatures of the fridges, freezers and hot foods as required by law. Records relating to residents were kept in an office in a trolley that could not be locked. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 4 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 x 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x x x 2 3 Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 22 no 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. Standard 29 Regulation 19 Requirement A current enhanced disclosure must be obtained by the current employer. A photograph and proof of identity must be kept on file for all members of staff. Timescale for action 13/09/200 5 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. Refer to Standard 19 37 Good Practice Recommendations Building materials should not be stored within the home as these may present a hazard to residents and staff. Resident records should be kept securely at all times. Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit D, off Rudheath Way Gadbrook Park Northwich Cheshire, 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. Extracts may not be used or reproduced without the express permission of CSCI Inglewood Care Home F51 F01 S6608 Inglewood V228800 130705 Stage 4.doc Version 1.30 Page 24 - 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. 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