Inspection on 14/07/05 for Ings House Nursing Home

This inspection was carried out on 14th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ings House Nursing Home 19/01/09

Ings House Nursing Home 12/12/06

Ings House Nursing Home 19/12/05

Ings House Nursing Home 25/01/05

Ings House Nursing Home 21/10/04

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Snydale Care Home

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

CARE HOMES FOR OLDER PEOPLE Ings House Nursing Home 350 Bradford Road Liversedge West Yorkshire WF15 6BY Lead Inspector Sally McSharry Unannounced 14 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ings House Nursing Home Address 350 Bradford Road Liversedge West Yorkshire WF15 6BY 01924 405263 01924 410131 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Keen Mr Kenneth Woolford Care Home with Nursing 32 Category(ies) of Older people 31 registration, with number Physical disability 1 of places Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 25/01/05 Brief Description of the Service: Ings House care home was built in the early 1800’s and was extensively renovated and refurbished in 1990, when it was converted for use as a nursing home. It is situated just off a main road from Heckmondwike to Cleckheaton and it is convenient for those travelling on public transport. Shops and local amenities are located fairly closely within 5 minutes walking distance. The home offers single and twin accommodation, some with en-suite facilities for up to 32 elderly people. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit carried out on 14 July 2005. At this visit the inspector spoke to some of the service users, visitors to the home, staff and the registered manager. A sample of care records, medications, staff recruitment and training records was audited. Health and safety records were also inspected. All requirements and recommendations from the last report have been addressed. Four recommendations have been made following this inspection. What the service does well: 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. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Prospective service users are assessed by staff from the home to ensure their health and welfare needs can be met at Ings House. EVIDENCE: The registered manager has implemented a thorough and detailed preadmission procedure to ensure that the needs of service users admitted to the home can be met. The home does not provide intermediate care. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Each service user has an individual care plan, which identifies their health and welfare needs and gives information to staff how these are to be met. Service users’ needs are being met. Medications are appropriately managed. Service users’ privacy is protected and staff treat service users with respect. EVIDENCE: Each service user has an individual care plan. Risk assessments are also carried out. All information in care plans is reviewed monthly and updated where required. Annual reviews are also carried out with the service users and their representative. The service user, or their representative signs the care plan to confirm they have seen and agreed it. Daily records made in the home refer to the needs identified in the care plan and the care given. These should be expanded to reflect the outcome of the care provided. This information is recorded in the home on separate sheets relating to toileting. It is good practice to keep all the information relating to a service user in one individual document. There is evidence in service users’ records that where needed health care professionals such as the chiropodist, optician, the tissue viability nurse and Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 9 community psychiatric nurses are accessed for service users by the staff in the home. Appropriate arrangements are in place for the storage, administration and management of medications. A sample of medications was audited at this visit and were found to be correct. All the service users and visitors who the inspector spoke to said the care staff were very good and that staff were always caring and respectful. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Activities are offered in the home and service users’ religious needs are addressed individually. Contact with families and the community are encouraged and service users are offered choice in the home. Meals provided are wholesome. EVIDENCE: Activities are offered in the home. The activities organiser aims to engage each service user in some form of activity at least once a week. Group activities, such as quizzes and games are offered; individual one to one sessions also take place. Short local trips are arranged. Contacts with service users’ families, friends and the local community are encouraged. At the time of this visit several relatives were at the home. Service users are offered choice in the home. In some cases choice is limited due to service users’ frailty, however one service who is bed bound is able and encouraged to manage their own financial affairs. Service users said meals are wholesome and that portions are ample. There is a choice at breakfast and a set menu at lunchtime, however service users advised that if they did not like the lunch offered, the kitchen staff always provided an acceptable alternative. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. Complaints are appropriately investigated and acted upon by the manager. Service users are protected from abuse by ensuring staff are trained to recognise and report potential abuse. EVIDENCE: There is an appropriate complaints procedure. A clear record of any complaint is maintained including records of the investigation carried out and the outcome. Service users and visitors said if they had concerns they would raise them with the manager and were confident that he would act upon these. Adult protection training is ongoing and written policies and procedures are available to staff about how to report any suspicion of abuse. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,24 and 26. Ings House is a safe, well maintained home. Service users have comfortable bedrooms with their own possessions around them. The home is clean and tidy. EVIDENCE: The home has a detailed planned maintenance programme in place to ensure equipment and facilities are maintained to a high standard. Redecoration and refurbishment work is carried out continuously. The home was clean and tidy at the time of the visit and the laundry well managed and efficient. It was suggested as a standard precaution that an antibacterial hand wash be provided in each sluice. There were no unpleasant odours noted during this visit. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. The staffing levels provided are sufficient to meet the needs of the current service users. A robust staff recruitment process protects service users. An increased amount of staff training is being provided, this helps ensure staff are competent to do their job. EVIDENCE: Staffing levels are sufficient to meet the current services users’ needs. Care staff, domestic and catering staff are provided. The home also provides the services of a physiotherapist on a weekly basis. An extra 10 care shifts each week are provided to cover holidays and sickness. Detailed recruitment records are maintained in the home. Since the last inspection the level of training provided in the home has been increased. Induction training is now provided with the aid of Learn Direct. This induction is based on the national training organisation standards. Training provided in the home has increased and there are varied training materials available in the home to staff. Staff receive training relevant to the care they are providing and to the needs of the service users at the home. External training courses are also attended and four members of staff are booked to attend first aid training. The registered manger is working toward the NVQ level 4 in care and also the Registered Managers Award. Until the registered manager has achieved these qualifications there is a senior nurse responsible for the management of care in the home. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,36 and 38. Service users’ financial interests are safeguarded. Staff are appropriately supervised. The health, safety and welfare of service users’ and staff are promoted and protected. EVIDENCE: Clear and auditable records are maintained for service users’ finances held by the registered manager. Staff in the home receive regular supervision. A record of supervision sessions is made. The home has a planned preventative maintenance programme in which all equipment, systems and areas of the home are routinely monitored and checked, any issues identified are acted upon promptly. It was noted that although the home regularly monitors the hot water temperature of taps to ensure hot water is delivered at a safe temperature, there was no written record of the precautions taken against the growth of the Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 15 legionella bacteria. This should be looked into by the registered manager and appropriate steps taken and records maintained. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 x x x x 3 x 2 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 3 x 2 Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. 2. 3. 4. Refer to Standard 7 7 26 38 Good Practice Recommendations Daily records should be more detailed and include the outcome to care provided. All information regarding the care of service users should be recorded on one individual document the service users care plan. It was suggested as a standard precaution that a antibacterial hand wash be provided in each sluice. No written record of the precautions taken against the growth of the Legionella bacteria were available. This should be looked into by the registered manager and appropriate steps taken and records maintained. Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 18 Commission for Social Care Inspection Park View House Woodvale Road Brighouse Hd6 4AB 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 Ings House Nursing Home J51J01_s1086_Ings House_v237533_140705.doc Version 1.40 Page 19 - 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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