Inspection on 24/11/08 for Inglewood

This inspection was carried out on 24th November 2008.

CSCI found this care home to be providing an Excellent 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

Inglewood 05/12/06

Inglewood 13/03/06

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 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Inglewood Coppice Lane Disley Stockport SK12 2LT     The quality rating for this care home is:   three star excellent 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: June Shimmin     Date: 2 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 © (2009) 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: Inglewood Coppice Lane Disley Stockport SK12 2LT 01663762011 01663765310 inglewood@cumbriacc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lynne Barton Type of registration: Number of places registered: Mr James Albert Barton,Mrs Lynne Barton care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: 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. 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 Date of last inspection Brief description of the care home 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 Care Homes for Older People Page 4 of 26 Over 65 21 0 0 1 Brief description of the care home 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. There is adequate recreational, dining and communal space available for residents. Externally there are pleasant gardens and sitting areas. The weekly fees are 555 to 685 pounds. There are additional charges for hairdressing, newspapers and chiropody. 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: three star excellent 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 last inspection on this service was completed on 5 December 2006. We made an unannounced visit to Inglewood on 24 November 2008. The visit was done by one inspector and lasted six and a half hours. This visit was just one part of the inspection. We also looked at other information we had about the home. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about Inglewood. We sent our questionnaires out to people who live in the home and staff in order to find out their views. Other information we had received since our last major inspection at the home was also reviewed. Care Homes for Older People Page 6 of 26 During our visit, we looked at various records and walked round the home. We spoke with a number of people who live at Inglewood, relatives who were visiting it whilst we were there and staff. They gave us their views about Inglewood. What the care home does well: What has improved since the last inspection? What they could do better: The review of care plans should evaluate whether care has been effective and any changing needs should be recorded so that peoples needs are fully met. All staff working in the home should undertake training in safeguarding adults so they understand their role and responsibilities and so that people living in the home are protected. Staff should not start work in the home until an initial security check [POVA first] has been received from the Criminal Records Bureau so that people living in the home are protected. A record should be made of verbal references so the home can demonstrate that it has obtained a suitable reference for the staff member and that they are suitable to work with vulnerable people. Care Homes for Older People Page 8 of 26 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. People considering moving into the home have their care needs assessed before admission so they know that the home can meet their needs. Evidence: The assessments for two people recently admitted to Inglewood were seen. One was of a good standard, including the physcial and mental health needs of the person. In addition the assessor had included important information in the care file about the persons life history. This helps care staff to understand the cultural background of the person and to be able to communicate better with the person. The second assessment was less detailed and did not include information about the persons preferred form of address and there was limited information about the persons health care needs. The deputy manager said that she or the registered manager carry out assessments so that assessments are carried out by experienced and knowledgeable staff. The relatives of a person living in the home said that they had made the decision to Care Homes for Older People Page 11 of 26 Evidence: choose Inglewood partly based on the previous inspection report and were happy with their choice. The manager had requested that they complete a life history for their relative, which is good practice and demonstrates that care is based on the individual needs of the person. Another relative said that she had looked at a number of care homes before choosing Inglewood. 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. The health and personal care needs of people living in the home are met and in a manner that respects their privacy and dignity. Evidence: We looked at the care plans of two people recently admitted to Inglewood and the care plan of someone who had been living in the home for some time. The care plans were written on the day of admission or within a few days of admission so that care staff would be aware of the care needs of the person. Appropriate risk assessments were also provided so that staff could monitor any potential risks to the health and safety of people living in the home. One relative commented that she had been involved in the care planning process and had signed the care plan to show that she was satisfied with care provided. The content of the care plans was good and showed that Inglewood provides care, which is person centred and based on the individual needs of people living in the home. The care plans also evidenced that the physical, social and emotional care needs of people living in the home were fully identified and actions taken to meet those needs. The privacy and dignity of people living in the home was Care Homes for Older People Page 13 of 26 Evidence: reflected in care plans and people said that staff behaved in a caring and respectful manner towards them. Relatives also confirmed this. There was only one person with a minor pressure sore, which was acquired in hospital so the home can demonstrate that it provides good care for people who are at risk. The home also takes action to identify anyone at risk of weight loss so that further weight loss is prevented. The care plan of one person who had been in the home for some time was reviewed on a monthly basis. However, the review did not evaluate whether care had been effective so that any changing needs were not reflected in the review. Inglewood promotes good relationships with a variety of health professionals who visit the home. They identify when further advice is needed and seek that support promptly so that those health care needs are well managed. Medication is well managed. Since the last inspection the manager has provided space for the storage of medication so that it is more secure. Care staff have recently undertaken medication training so they are more knowledgeable about their role and responsibilities. the deputy manager said that a new controlled drug cabinet is waiting to be bolted to a wall and the home will purchase a controlled drug register rather than creating their own, which will make practice safer. 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. Inglewood provides a good standard of nutrition and people are able to exercise choice in their daily lives. Evidence: Inglewood does not employ a staff member with sole responsibility for providing activities. Care staff are encouraged to provide various activities when they have time during the day. Evidence was provided that this is discussed during staff meetings and the home has purchased a book from the Alzheimers society, which provides information about a variety of activities. The staff minutes also indicated that the manager is intending to find additional resources for activities so that people living in the home are offered stimulation. People said that they could join in activities if they wished but were not forced to do so enabling them to express choice in how they spent their time. A visitor commented about a relative, needs someone to talk if she wishes to chat. One person living in the home had brought two cats into the home. Visitors said they were made to feel welcome and the home was described as having a very homely and friendly atmosphere. The home organises trips out and anyone who wanted to had been on a trip to Chester Zoo. A Christmas trip was being arranged to a nearby pub and relatives were also Care Homes for Older People Page 15 of 26 Evidence: invited to join the group. Inglewood pays for an aromatherapist to visit the home and steps are taken to ensure that this is with the permission of the person or their family so that people are protected. the registered manager told us that the home is planning to create stronger links with the community and access more community based activities so that people have more choice. The care plans referred to the individual preferences of people in relation to food, mealtimes and also to their previous life and the interests that people had so the care staff could provide activities that were suited to the individual. The standard of catering at Inglewood is good and people are offered alternatives at mealtimes. One person said that they usually liked the food and that breakfast is best. Inglewood provides a cooked breakfast every day so the main meal is served in the evening when people have regained their appetite. The cook who has only recently started work at the home said that the quality of food purchased by the owners is good so people are receiving a quality service. People can eat their meals in one of the two lounges or their own room. It was noted, however, that the television was on in both rooms during the meal, which might not be the preference of all people, who may wish to eat their meal without background noise. A meal is also a social event and having the television on means that some people might not be able to converse easily. 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. People living in the home have access to a complaints procedure and are protected from possible abuse. Evidence: Inglewood has not received any complaints in the last twelve months so that there is overall satisfaction with the service provided. People living in the home and their relatives are aware of what to do and who to speak to if they have any concerns. A visitor commented that he was made aware immediately of any problems so that he was kept informed and up to date about his relatives progress. The home has a policy and procedure about safeguarding adults. However, the policy did not advise staff that they should contact Social Services if they suspected abuse and only referred to the police and CSCI. The assistant manager said that this policy would be amended but staff need to be made aware of their role and responsibilities in this regard. The deputy manager said that although staff do not undertake training in safeguarding adults this is discussed at staff meetings and staff do it as part of their NVQ training. As this is mandatory it is important that all staff undertake this training so they understand what to do if they suspect someone is being abused. 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 homely, pleasant and safe environment so they feel that the home offers good value for money. Evidence: Inglewood offers people living in the home a comfortable, homely and safe environment. The registered manager ensures that the home is well maintained and there are high standards of cleanliness. One relative commented, absolutely immaculate, smells nice. Shared living areas consist of two lounges ,which are also used as dining rooms and a separate quiet lounge. Externally, there is a large garden to the rear of the home and walkways. People living in the home also have access to a patio with tables and chairs during warmer weather. The owners have converted an old bathroom that was not being used into a further en suite bedroom since the last inspection and further improvements to the home are ongoing. There is a new medication cupboard and further improvements to the carers office are planned. The home has a large, modern shower or wet room and a separate bathroom. The bathroom would benefit from being upgraded as the fixtures and fittings are showing signs of wear and tear. The standard of furnishings and decoration throughout the home is good and people living in the home are able to bring personal items with them so that they can keep possessions of sentimental value with them. Care Homes for Older People Page 18 of 26 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. Staff are well trained and in sufficient numbers to meet the needs of people living in the home but several recruitment practices need to be more robust so that people are protected. Evidence: Staffing levels at Inglewood appear to be satisfactory so that the needs of people living in the home are met. Only one relative considered that more staff at night would be helpful. The registered manager arranges staffing rotas flexibly to cover busy times of day. Staff said that they enjoyed working at the home. Inglewood is very supportive of staff undertaking training, which is relevant to their role. More than 50 of care staff have achieved NVQ2 or 3 in care so are equipped to perform their role. Staff said, training is regular and up to date. The recruitment records of two new staff were seen. One staff member had undertaken an induction on a night shift before an initial security check had been received from the Criminal Records Bureau. Even though the deputy manager said that the staff member did not have any contact with people living in the home new staff should not undertake any work in the home until security clearance has been received so that people living in the home are protected. A verbal reference had been obtained for one of the staff members but there was no record of what was said so there was no evidence that the verbal reference had been received or the date when it was given. Care Homes for Older People Page 20 of 26 Evidence: All other recruitment records were satisfactory. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Inglewood is well run and in the best interests of people who live there. Evidence: Inglewood is a family run business and the registered manager lives and works at the home. The home has a strong management team consisting of the registered manager, a deputy manager and two assistant managers. The registered manager lives and works at the home and has achieved NVQ4 in care and management as has one of the assistant managers. The management team bring different skills to the home so that all aspects of management are performed to a high standard. One staff member commented, management are thorough and very helpful. Inglewood uses various methods to find out if it provides a good service to people living in the home. Questionnaires are given to people about a month after they move into the home and examples of these were seen. One person commented, happy with home, facilities and activities and another was not very impressed with the activities provided. The management team look at these responses and take the views of people Care Homes for Older People Page 22 of 26 Evidence: living in the home and their relatives into account when looking at ways to improve the service. In addition people are requested to complete a questionnaire about their preferences in relation to food and activities so that the home can provide care that meets individual needs. Staff are also able to voice their opinions about how the home is run at staff meetings. Minutes of these meetings were available. The home does not manage money on behalf of people living in the home. The management sent invoices to families to settle for items such as hairdressing and other small expenses. The registered manager sent us information about the maintenance of the home before the inspection. This showed that all appliances and installations in the home had been serviced on a regular basis. We looked at service records for gas installations and this had been carried out recently.Training records indicated that all staff had undertaken fire awareness training in the last year and had also taken part in two unannounced fire drills so they would know what to do in the event of fire. Although it was a year since most staff had done moving and handling training two dates had been organised for this in the coming month so staff were equipped to carry out this role safely. 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 1 7 The registered manager should ensure that care plan reviews indicate whether care has been effective and any changing needs are recorded so that peoples needs are fully met. The registered manager should ensure that all staff working in the home undertake training in safeguarding adults so they understand their role and responsibilities and so that people living in the home are protected. Staff should not start work in the home until an initial security check [POVA first] has been received from the Criminal Records Bureau so that people living in the home are protected. A record should be made of verbal references so the home can demonstrate that it has obtained a suitable reference for the staff member and that they are suitable to work with vulnerable people. 2 18 3 29 4 29 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 © (2009) 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!