Inspection on 25/05/07 for Inglewood Nursing Homes Ltd

This inspection was carried out on 25th May 2007.

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 Nursing Homes Ltd 28/05/09

Inglewood Nursing Homes Ltd 06/01/06

Inglewood Nursing Homes Ltd 20/07/05

Inglewood Nursing Homes Ltd 18/01/05

Inglewood Nursing Homes Ltd 21/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Inglewood Nursing Homes Ltd 7 & 9 Nevill Avenue Hampden Park Eastbourne East Sussex BN22 9PR Lead Inspector Kathy Flynn Key Unannounced Inspection 13:20 25th May 2007 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 Nursing Homes Ltd DS0000014005.V337248.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 Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Inglewood Nursing Homes Ltd Address 7 & 9 Nevill Avenue Hampden Park Eastbourne East Sussex BN22 9PR 01323-501086 01323-500102 Info@Inglewood.co.uk 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) Inglewood Nursing Homes Limited Mrs Catherine Mary Duggleby Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (60) of places Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is sixty (60). Service users must be aged sixty-five (65) years and over on admission. Service users may have a physical disability and be aged forty-five (45) and over on admission. Date of last inspection Brief Description of the Service: Inglewood is a registered care home providing nursing care for sixty residents, who meet the registration category of elderly and physically disabled. The accommodation offered consists of fifty single rooms of which twentyseven have an ensuite facility, five double rooms one of which has an ensuite facility. There are ample communal bathrooms with specialist equipment to ensure the safety of residents whilst bathing. The home has the necessary specialist equipment required to meet the varied needs of residents, including hoists, air mattresses and cushions. There is level access to all parts of the home by passenger lifts. The home is well maintained internally and externally, with well-tended gardens that are accessible for wheelchair users. The home is situated in a residential area of Hampden Park, near to an attractive park and the local shops. There are public transport amenities close to the home. Inglewood is set back from the road and has parking facilities to the front for approximately ten cars. Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on the 25th May and took place over six and a half hours. The inspection included a tour of the home, a review of pre-admission assessments, care plans, staff records and training, medication records, activities, and menus. There were 58 residents at the home during the inspection. Twenty six of the residents were spoken with and four visitors to the home were happy to discuss the support provided at the home. The manager, registered nurses and the staff on duty discussed the care and support they provide at the home. The Annual Quality Assurance Assessment (AQAA) was downloaded by the manager form the CSCI website and following discussions with the Commission the manager advised that it is being completed. It is a new assessment format and will take time to complete. The reader should aware that the Care Standards Act 2000 and the Care Homes Regulations 2001 use the term service user to describe those living in care home settings. However for the purposes of this report those living at Claremont House will be referred to as residents. What the service does well: The atmosphere at the home was relaxed and the residents were able to choose to spend their time in the lounge or in their own rooms. Communication between residents and staff was friendly and reflected the staffs understanding of their needs and the support they require. The residents spoken with were positive about the care provided saying the staff are ‘very good’ and offer the care they need. Visitors were equally positive saying the home is very good and the staff know what support and care the residents need and want. Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Inglewood Nursing Homes Ltd DS0000014005.V337248.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 Nursing Homes Ltd DS0000014005.V337248.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): 3. Standard 6 is not applicable. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Information about the services offered at Inglewood is available for all prospective residents. Pre admission assessments are completed to ensure the home can meet the needs of prospective residents, and they are encouraged to visit the home. EVIDENCE: Pre admission assessments are completed for all prospective residents before they are offered a room at the home. Those examined contained details of the residents medical and social history, as well as information about their interests and support needs, and identifies the risk assessments that will need to be carried out. Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 9 The assessments are completed with the resident and their relatives, two residents said they were to make sure that the home could give them the right support. A number of residents said that they knew people who had stayed at Inglewood and had visited them so felt ‘sure the home was the best place’ for them, and other residents said that the home had been recommended. Inglewood Nursing Homes Ltd DS0000014005.V337248.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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The care planning system ensures that appropriate support and care is provided for residents, and they are protected by staff following the home’s procedures for medication. EVIDENCE: The residents medical, nursing and social needs are recorded in the care plans in sufficient detail to enable the staff to offer appropriate care and support. The specific needs of residents were identified and staff were able to discuss how these are met and what additional support may be required, including hoists and pressure relieving mattresses. Risk assessments are carried out and these include moving and handling and nutritional assessments linked with the Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 11 monthly weights. The care plans are reviewed on a regular basis and there was evidence that residents and relatives are involved in this process. There was some confusion regarding the use of a fluid chart for a resident, in that was it required. But it was with the residents when she was sitting in the lounge and staff had not completed it appropriately. A folder is kept in the residents rooms to provide care staff with information about the residents support needs, and they record the care they offer over each twenty four hour period. These should be reviewed monthly with the care plans but it was noted that some were not done on a regular basis. The care staff who were spoken with said they did not read the care plans that are kept in the office and therefore rely on the information in residents rooms. This was identified as a concern at the last inspection and the care planning system has been reviewed to address this. The information included in the care plans and the folders will be combined and placed in folders in the residents rooms. The manager explained that they will be starting to use this new system with new residents, and then extend it to include all residents as the staff become more familiar with the change. There are policies and procedures in place for the receipt, storage and administration of medicines. During the inspection the monthly supply of medicines had been delivered they, and the medicine administration records (MAR) charts, were being checked and arranged for the following month. To ensure that the records are up to date and correct an audit is carried out regularly, and the MAR charts that were examined during the inspection were completed correctly. Residents at the home said staff looked after them ‘very well’ and this was supported by relatives who also felt that the ‘home is very good’ and they know what support and care the residents need and want. Communication between residents, visitors and staff was relaxed and friendly with staff chatting to residents as they assisted them, asking them what support they wanted and if they were comfortable. Inglewood Nursing Homes Ltd DS0000014005.V337248.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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about all aspects of their day to day lives, and the meals a the home are good, offering choices and meeting residents specific dietary needs. EVIDENCE: A varied programme of group and individual activities has been developed for the residents at the home. A group of residents were sitting in the small lounge doing exercises to music after lunch, and some of the residents spoken with said the staff do a very good manicure with a choice of nail varnish. Residents said that they are able to choose what they want to do and take part in activities if they wish. The previous day a trip had been arranged and several took advantage of a tour around Eastbourne by minibus, with a stop at Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 13 Beachy Head for ice cream. The weather had been ‘lovely’ and ‘we really enjoyed ourselves’. Visitors are welcome at any time, those spoken with said they feel comfortable visiting their relatives and friends, they are sure ‘they are well looked after’, and feel that they can talk to the staff if they want to know anything or have any concerns. The staff said residents are encouraged make choices about all aspects of their day to day lives, and a number of residents said they are able to choose how they spend their time, in their own room or in one of the lounges, and the staff are there to help them if they need it. They meals at the home are good, choices are available, the home caters for specials diets, and staff are available to assist residents if required. Residents spoken with said that the food is very good, they can have something to eat any time they like, and their relatives and friends can stay for meals if they wish. On the day of the inspection a resident was celebrating a family members birthday in the lounge, with balloons and a birthday cake. Inglewood Nursing Homes Ltd DS0000014005.V337248.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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to record and investigate complaints. Training in adult protection is provided for staff to protect residents from abuse. EVIDENCE: There are appropriate procedures in place for dealing with complaints. The manager explained that complaints are recorded, investigated within a twenty eight day timescale and acted upon if necessary. Residents spoken with said they are able to talk to about anything with the staff and feel that their concerns are acted upon. There are opportunities for residents and relatives to discuss any aspect of the services and care provided at the home during the residents and relatives meetings, these are organised four weekly and quarterly respectively. Staff spoken with said they have attended training in adult protection and were able to demonstrate an understanding of abuse and where quite clear that they would discuss any concerns with the Sister on duty. Inglewood Nursing Homes Ltd DS0000014005.V337248.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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Inglewood provides residents with a homely and comfortable environment with communal rooms and a shaft lift that enables them to have access to all parts of the home. Training in the control of infection is provided for staff to protect residents. EVIDENCE: There are five double and 50 single rooms at the home, these are homely and comfortable with furniture that is appropriate for the residents individual nursing needs. The residents are encouraged to bring their own possessions Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 16 with them, and many have furnished their rooms with small pieces of furniture, pictures and ornaments. There is an ongoing maintenance programme at the home, with repairs carried out when the need arises. There are two lounges, with one attached to the conservatory, and a separate dining room. Residents have access to the attractive gardens to the rear and some were taking advantage of the warm weather during the inspection. Training in controlling infection is provided for staff and there are policies and procedures for staff to follow. The appropriate use of aprons was discussed during the inspection and the Sister on duty talked immediately to staff members who were not following the policies. Inglewood Nursing Homes Ltd DS0000014005.V337248.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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Robust recruitment procedures are in place to protect residents, and staff training ensures they are aware of their roles and are able to provide the support and care the residents need. EVIDENCE: The staffing levels were adequate and those spoken with said they have time to spend chatting with the residents and their relatives. Residents said they are well looked after and they do not have to wait long when they need assistance from the staff. The home has robust recruitment procedures, which require completed application forms, two references and Criminal Registration Bureau (CRB) checks. Four were examined during the inspection and all but one had two references. Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 18 All staff are required to attend mandatory training including moving and handling, fire training, infection control, in addition to induction training that is in line with Skills for Care. Staff spoken with said that training opportunities at the home are good and they are well supported by the senior staff and the manager. Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 38. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management approach at Inglewood is open and encourages residents, relatives and staff to be actively involved in decisions about the services provided at the home. The health and safety of residents is protected through an ongoing training programme for staff. EVIDENCE: Residents, relatives and staff are encouraged to participate in discussions about the services provided at the home. There are regular meetings that they can attend if they wish, and questionnaires are sent out to residents and Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 20 relatives following admission to the home. The manager confirmed that feedback is sought from all groups and individuals who have any contact with the home, as part of the quality assurance system, and monitoring of all aspects of the care and support provided is carried out on a regular basis. The comments from residents and relatives during the inspection were very positive, and there were no suggestions as to how they service could be improved from anyone, including staff. Training required by legislation, including moving and handling, fire training and infection control is provided for all staff to protect the health and safety of residents. Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. Extracts may not be used or reproduced without the express permission of CSCI Inglewood Nursing Homes Ltd DS0000014005.V337248.R01.S.doc Version 5.2 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. 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!