Inspection on 05/12/06 for Inglewood

This inspection was carried out on 5th December 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Inglewood 24/11/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Inglewood Coppice Lane Disley Stockport SK12 2LT Lead Inspector June Shimmin Unannounced Inspection 10:00 5 December 2006 th 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.V317179.R01.S.doc Version 5.2 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.V317179.R01.S.doc Version 5.2 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.V317179.R01.S.doc Version 5.2 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) 2. * 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 March 2006 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. The weekly fees are £470.00 to £600. hairdressing, newspapers and chiropody. There are additional charges for Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 5th December, 2006 and lasted six and a quarter hours. A regulatory inspector carried out the inspection. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social services. We are currently testing a method of working where ‘experts by experience` are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term `experts by experience` used in this report describes people who have been appointed by Help the Aged, under the direction of the Commission for Social Care Inspection, to take part in the inspection of services for older people. The visit was just one part of the inspection. Other information received was also looked at. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about Inglewood. Questionnaires were also given to residents, families, health and social care professionals to find out their views. During the visit various records and the premises were looked at. A number of residents and relatives were also spoken with and they gave their views about Inglewood. What the service does well: Inglewood is highly regarded by residents, relatives and visitors. Inglewood provides information about the home so that prospective residents have enough information to make a choice about living at the home. A relative commented, “Inglewood is a very caring and homely place, with very friendly and helpful staff. My mother has been with them for a number of years and is very well cared for and she is very happy.” A GP wrote, “Fantastically well organised and run, excellent.” Residents are given a contract or statement of terms and conditions so that they know the costs of living at the home. Residents are offered choice in their daily lives and the standard of catering is good. Residents are treated as individuals and their privacy and dignity is respected. Inglewood has received no complaints. Residents know that their views will be listened to. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 6 Staff are encouraged to undertake training and more than 50 have achieved NVQ level 2 in care. The living environment is comfortable, homely and well maintained. 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. The summary of this inspection report can be made available in other formats on request. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 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.V317179.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and relatives are given sufficient information about the home and care costs so that they can decide if the home will meet their needs. Residents are fully assessed prior to admission so that care staff are able to meet their care needs. EVIDENCE: Inglewood provides a Statement of Purpose and Service User Guide, which are information leaflets about the home and its facilities. When a resident is admitted to the home the registered manager gives them a contract if they are self funding or a statement of terms and conditions if they are funded by Social Services. This explains the costs of living at the home and informs residents of their rights and obligations. It will also detail any additional costs for items such as toiletries and newspapers. A contract for a new resident was seen. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 9 Two residents had recently been admitted to Inglewood. The assessment of these residents was inspected. The registered manager or another suitably qualified person carries out assessments. In one case the admission to the home was an emergency and the assessment was conducted via telephone. However, the social worker had sent the home a copy of their assessment so that the home would be aware of the resident’s care needs. There was little information about the resident’s social, cultural and religious needs, which helps carers to provide better care. The registered manager acknowledged the importance of obtaining this information on admission but the resident was unable to remember life events. The content of the second assessment was good and contained all the information needed to provide care. This assessment did include information about the resident’s social history and preferences in relation to daily living and diet. There was also a detailed social history for a poorly resident who had been living at Inglewood for a longer period. A relative commented that she had looked at three homes and had no hesitation in choosing Inglewood. She had been given information about the home and a contract. One resident who spoke to the expert by experience said he had been there for only two months and had moved in because he had been told how good the home was and, “…everything he had been told was true.” Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are mainly identified and met. Medication is well managed. The staff members respect the privacy and dignity of residents. EVIDENCE: The care plans of two residents recently admitted to Inglewood were inspected. The care plan of a poorly resident was also looked at. The care plans were of a good standard and had addressed all care needs and potential areas of risk. They demonstrated that the author had a good understanding of the individual needs of the resident. In once case the plan had not been written until eight days after admission, which means that care staff may be unaware of the full care needs of residents and any risk factors. Where possible, the resident is involved in the care planning and review process and evidence of this was seen. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 11 Inglewood maintains good and close links with various health care professionals. The care plans had been reviewed so that changing care needs were recorded. Care plans had also been signed by residents, where possible, to indicate that they had been involved in the review process. There was a record of the residents` weight on and following admission. No residents at Inglewood have pressure sores. If a resident becomes ill the registered manager stays in close contact with district nurses to ensure that the residents’ care needs are monitored and appropriate equipment is provided to protect the resident from developing pressure sores. A district nurse commented, “have always found the staff very approachable and helpful. The residents seem very happy and have never complained to me. It is always a pleasure to visit.” Medication is well managed. The registered manager has recently updated the medication policy. Medication administration records were fully completed and found to be accurate. The subject of storage of medication was discussed again as there was no separate room for the storage and preparation of medication. However, the registered manager stated that work was to commence on providing separate storage for medication. It was noted that there were no photographs on the medication records of some residents to aid identification when medicines are being administered. Residents said that staff treated them with courtesy and respected their privacy. Observation of care practices demonstrated that care staff were sensitive to the diverse needs of residents. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered choice in their daily lives with a varied programme of activities. The standard of catering is good. EVIDENCE: Inglewood does not employ a staff member to lead and provide activities. However, the registered manager has made provision for activities by allocating two hours a day in the shift of one carer for activities. This works well and is organised on a flexible basis to meet the overall care needs of all residents. Residents are able to participate if they wish or stay in their own rooms. The expert by experience commented that there was a good programme of activities. Inglewood has a lounge without a television so that quieter pursuits can take place. For instance one resident plays bridge once a month with friends living in the community, thereby retaining local links. A Christmas outing has been planned for all residents including a meal and quiz. All residents except for one will attend this celebration and special transport has been arranged. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 13 The spiritual needs of residents are met. There is a regular monthly service and residents are supported to attend church services in the community if they wish. A local church will visit to provide Christmas carols. Residents said that the standard of catering at the home was good. Special diets were catered for. Inglewood has a dining room and meals could also be taken in the resident’s own room. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a complaints procedure and are protected from abuse. EVIDENCE: Inglewood has not received any complaints in the last twelve months. The complaints procedure is displayed and residents said they would know how to complain. The complaints procedure is also contained within the Service User Guide (information leaflet) so that residents are aware of their rights. Inglewood has policies and procedures relating to the protection of vulnerable adults. Although there has been no recent training in this subject it is a topic that is covered in NVQ training. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Inglewood is well maintained and clean. Residents live in a pleasant and homely environment. EVIDENCE: Inglewood provides a comfortable, homely and pleasant living environment for its residents. The home is well maintained. The decoration and furnishing is of a good standard. A dining room and two lounges are provided for social activities and there is a patio and garden available for both residents and visitors. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 16 Further improvements have been made to the home since the last inspection and building work was taking place during this inspection. This work did not disturb residents or visitors. Recent improvements included new en suite facilities in two bedrooms and the conversion of one double bedroom to single occupancy. The registered manager has made sure that improvements meet with the approval of the fire officer. The registered manager said that further improvements were planned. During a tour of the premises the home was found to be clean, tidy and free from offensive odours. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Inglewood is adequately staffed and staff are well trained. practices are thorough. EVIDENCE: There are enough staff on duty to ensure that the health and social care needs of residents are met. In conversation care staff demonstrated that they were knowledgeable about the care needs of residents. They also indicated that they enjoyed working at Inglewood. Information provided by the registered manager before the inspection indicated that 53 of care staff have achieved NVQ level 2 or above. The recruitment files of two new staff members were checked. These contained all necessary information including a “POVA first” check which indicates that it is acceptable to employ staff under supervision until a full check is received from the Criminal Records Bureau. Care staff have been undertaking the testing of blood sugars of diabetic residents. The registered manager, who tests her own blood sugars has undertaken training of care staff. The registered manager should ensure that this training is in line with best practice and meets with the latest guidance issued by the Medical Devices Agency. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 18 Recruitment 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is well qualified and experienced and is highly regarded by residents, staff and visitors. Inglewood is run in the best interests of residents and protects their health and welfare. 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 completed the level 4 NVQ course in care and management through a local college. A full time deputy manager and two part time administrators support the manager. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 19 Both the registered manager and deputy manager are very experienced and capable. One of the administrators has also just completed NVQ level 4 in care and management. Staff described the management as being “great” and said they felt supported. 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. Minutes of meetings were available. These demonstrated that the registered manager promotes the privacy, dignity, diversity, independence, choice, safety and well being of individual residents. The management do not act on behalf on any residents. Families handle the finances of residents and families are directly invoiced. Residents may keep small amounts of money if they wish. The registered manager provided the CSCI with written information about the home. This indicated that facilities, installations and equipment had been serviced on a regular basis. Fire safety records demonstrated that fire equipment and installations are tested and serviced on a regular basis. The registered manager provided a training plan, which demonstrated that staff undertake annual fire training updates. However, the plan indicated that although a number of staff have taken part in a fire drill in the last year there are some staff who have not. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 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 3 3 3 4 X X 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 and that the CSCI is notified of this in writing. (Previous timescale of 14/5/06 not met) Timescale for action 01/02/07 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 OP7 OP9 Good Practice Recommendations The registered person should ensure that care plans are written within five working days of admission to the home. The registered person should ensure that separate facilities are provided for the storage and preparation of medication. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 22 3. OP30 The registered manager should ensure that training in blood sugar monitoring is in line with best practice and meets with the latest guidance issued by the Medical Devices Agency. Inglewood DS0000006608.V317179.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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