Inspection on 13/03/06 for Inglewood

This inspection was carried out on 13th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 13/07/05

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 Coppice Lane Disley Stockport SK12 2LT Lead Inspector June Shimmin Unannounced Inspection 13th March 2006 09:45 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 Inglewood DS0000006608.V272451.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. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Inglewood Address Coppice Lane Disley Stockport SK12 2LT 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) 01663 762011 01663 765310 Mr James Albert Barton Mrs Lynne Barton Mrs Lynne Barton Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (21), Physical disability (1) of places Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 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 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. 13th July 2005 2. Date of last inspection 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 DS0000006608.V272451.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 and a quarter hours. A partial tour of the building was undertaken. 8 residents, a relative, the registered manager and 5 staff were spoken with. The care records for a resident recently admitted to Inglewood were looked at as well as records on information about the home, complaints and fire safety. What the service does well: What has improved since the last inspection? What they could do better: Fire safety at Inglewood could be improved by ensuring that all staff take part in a fire drill at least twice a year. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 6 Care plans should evaluate care delivery and be reviewed every month. Several environmental issues should be dealt with promptly. 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 DS0000006608.V272451.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 Inglewood DS0000006608.V272451.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, 2, 4 and 5 Residents are given information about Inglewood when they move in. They receive either a contract or statement of terms and conditions. Residents and relatives know that Inglewood will meet their care needs. EVIDENCE: Although the statement of purpose and service user guide were not on display the registered manager was able to produce a copy of these information guides. The content of the statement of purpose and service user guide was informative and easy to read and understand. The registered manager said that residents and/or their family are given a copy of these guides on admission to Inglewood. The service user guide includes a copy of the terms and conditions which the resident or representative is requested to complete to acknowledge receipt. Residents are invited to visit Inglewood for a short trial visit to enable staff to assess whether the home can meet their needs. The registered manager was able to demonstrate that the home will not accept residents for whom they are unable to care. Staff receive training to ensure that individually and collectively they have the skills and experience to deliver appropriate care. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9 Care plans are well written describing the care needs of residents. Reviews need to reflect whether care given has been effective. There is good communication with health and social care professionals. Medication is well managed. EVIDENCE: All residents have a care plan. The care plan of a resident admitted to Inglewood before Christmas was read. This was of a good standard and had addressed all care needs and potential areas of risk. It demonstrated that the author had a good understanding of the individual needs of the resident, which is good practice. The plan had been drawn up within five working days of admission to the home. It indicated that regular contact had been made with various health care professionals. The care plan had been reviewed but not every month. The review did not fully evaluate the effectiveness of care delivery. There was no record of the resident`s weight. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 10 Medication is well managed. Medication administration records were fully completed and stocks of several drugs checked and found to be correct. The subject of storage of medication was discussed again as there was no separate room for the storage and preparation of medication. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 11 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): 13, 14 and 15 The standard of catering at Inglewood is good. Residents can express choice in their daily lives. Visitors are made to feel welcome. EVIDENCE: A visitor commented positively about Inglewood, “it`s great, very friendly, make you welcome, look after Mum well.” Residents said that they had choice in their daily lives. They could stay in their own room of come to one of the shared living areas. Several residents took a daily newspaper. Carers kept a list of the preferred times for each resident in terms of getting up and going to bed and tried to meet those wishes. The standard of catering at the home was good. Several residents said that the food was very good. Special diets were catered for. Meals could be taken in one of the three lounges or the resident’s own room. One resident said that “if you don`t like something you can have something else.” Much of the food was home made rather than pre prepared. The main meal of the day was served in the evening so that late risers could enjoy their main meal. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 12 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 Inglewood has a complaints procedure. Residents and relatives are aware of the procedure and know who to speak to if they have concerns. EVIDENCE: The complaints procedure is included in the service user guide (information guide), which is given to residents or their families on admission to the home. Residents and a relative were aware of whom to speak to if they had a concern. Although Inglewood had not received any complaints it did not keep a complaints book. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 13 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, 25 and 26 The owners have a continuous plan to update and improve the environment at Inglewood. Some building work needs to be addressed promptly to ensure a safe environment. Inglewood maintains high standards of cleanliness. EVIDENCE: The owners have made various improvements to the environment at Inglewood. These include a new office, which is nearing completion. A double room is being converted to a single room with en suite facilities. A new fire exit has been created along a corridor for two residents living in the adjacent double room. Further adaptations and improvements are planned for the future. The standard of the décor and furnishings was good. There were three comfortable shared living areas, one of which was designated for quieter pursuits and no television. A range of aids and adaptations at the home assisted residents with varying degrees of disability. These included bathing facilities and toilets suitable for residents with a disability. Verbal comments from residents were made regarding the good standard of cleanliness at the home. This was also noted during a partial tour of the home. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 14 Several residents expressed satisfaction with their bedrooms. Residents could personalise their rooms and bring small items with them. Several environmental issues were outstanding. This included a cracked window pane on a bedroom at the rear of the home and two radiators which did not have a thermostatic control or radiator cover. The registered manager said that these issues would be put right in the very near future. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 15 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 and 29 Staffing levels at Inglewood are satisfactory. Recruitment procedures are thorough. Staff are well regarded by residents, relatives and visiting health professionals. Staff are supported to undertake training. EVIDENCE: In addition to the registered manager a deputy manager works full time between Sunday and Thursday. There are two vacancies, which the manager is hoping to recruit to. Permanent staff are covering the hours of the vacancies. Current staffing levels are satisfactory. The care home does not use agency staff. The registered manager lives on the premises and is available outside her normal working hours if necessary. The recruitment records of a recently employed member of staff were looked at and all necessary documentation was in place. Three care staff have achieved NVQ level 3 in care and three have obtained level 2. Staff are given time off to attend college and receive enhanced pay for gaining additional qualifications. Staff commented that they enjoyed working at Inglewood and that there was a friendly atmosphere. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 16 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, 33, 35, 37 and 38 Inglewood is a well managed home. Fire safety needs to be ensured by all staff taking part in fire drills at least twice a year. EVIDENCE: The registered manager lives and works at the home. She has just started on a level 4 NVQ course in care and management at a local college. A full time deputy manager and two part time administrators support the manager. Staff described the management as being approachable and felt they could talk to them about any problems. The registered 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. Inglewood does not act on behalf on any residents. Families handle the finances of residents and bills are invoiced directly to the families. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 17 Records relating to residents were kept in an open trolley in an office that could not be locked. Fire safety records demonstrated that fire equipment and installations are tested and serviced on a regular basis. The registered manager said that staff undertook annual fire training updates. However, the records of the latest fire drills indicated that eleven staff had not taken part in a fire drill in the last year. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 18 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 3 3 X 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X 2 3 3 3 X X 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 X 2 2 Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? no 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 OP38 Regulation 23 Requirement The registered manager must ensure that all staff take part in an unannounced fire drill at least twice a year. Timescale for action 14/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard OP7 OP9 OP16 OP19 OP25 OP28 Good Practice Recommendations Care plans should be reviewed monthly and evaluate care delivery. Separate facilities should be provided for the storage and preparation of medication. A book should be kept for recording in writing any complaints made to the home. The cracked window in the bedroom at the rear of the home should be repaired promptly. A thermostatic valve or radiator cover should be applied to the two bedrooms on the ground floor near to the front door. A minimum of 50 of care staff should achieve NVQ level 2 or equivalent. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 20 7. 8. OP31 OP37 The registered manager should achieve NVQ level 4 in care and management or equivalent. Resident records should be kept securely at all times. Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Inglewood DS0000006608.V272451.R01.S.doc Version 5.0 Page 22 - 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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