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Inspection on 12/02/07 for Israel Sieff Court

Also see our care home review for Israel Sieff Court for more information

This inspection was carried out on 12th February 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has good systems in place for training staff. Records relating to staff induction were thorough and ensure staff are well equipped to meet the needs of service users in the home. Care files were maintained to a good standard and kept under review. Complaints were managed appropriately and recorded. Medication was managed safely and staff were trained in administration of medication. The manager had clear goals and objectives and staff were guided to ensure the objectives are met. The staff have a good understanding of service users` needs and desires. Staff assisted in creating a friendly, safe and peaceful environment for all who live and work in the home.

What has improved since the last inspection?

There has been on going development of the home`s maintenance and this assists in ensuring the home remains safe and that a pleasant environment for all who live at the home was created. Further plans for a hairdressers room were currently under review along with a conservatory planned for later in the year.

What the care home could do better:

The home must adopt a system for maintaining residents` monies that ensures the national minimum standards are met and service users finances are safe from any potential abuse.

CARE HOMES FOR OLDER PEOPLE Israel Sieff Court 7a Bennett Road Crumpsall Manchester M8 8DU Lead Inspector Andrea Morris Unannounced Inspection 10:45 12 February 2007 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 Israel Sieff Court DS0000021553.V320938.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. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Israel Sieff Court Address 7a Bennett Road Crumpsall Manchester M8 8DU 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) 0161 740 8597 0161 795 3075 susan.austin@anchor.org Anchor Trust Sharon Bollesty Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: Israel Sieff is a purpose built care home that provides accommodation and personal care for 34 elderly residents. It is one of a number of homes owned by Anchor Homes, which form part of Anchor Trust, a registered charity. The property has three floors, and bedrooms are located on each of the floors. All the accommodation is offered in single rooms, which provide en-suite facilities. The home is situated in a residential street in the Crumpsall area of Manchester, about three miles from the city centre. The Crumpsall Metro Station and public transport links are all within easy walking distance. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the unannounced site visit which forms part of the inspection process. During the inspection the inspector met with several service users and staff. A tour of the home was made. A selection of documentation was looked at including care files, staff files, training records, complaints log, fire records, certificates relating to health and safety and policies and procedures. What the service does well: What has improved since the last inspection? What they could do better: The home must adopt a system for maintaining residents’ monies that ensures the national minimum standards are met and service users finances are safe from any potential abuse. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 6 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. Israel Sieff Court DS0000021553.V320938.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 Israel Sieff Court DS0000021553.V320938.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, 4, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users were assessed prior to being offered a place, this ensures that service users’ needs can be met. EVIDENCE: The home has a Statement of Purpose and Service User Guide that WAS up to date and in a format appropriate to the residents. Each resident was in receipt of a written contract that clearly determines the terms and conditions of residency. All potential residents were able to visit the home prior to moving in, they could if they choose to spend an afternoon or stay for a meal. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 9 The manager and deputy manager were responsible for assessing all residents to ensure that their needs can be met. Records of all assessments were retained on each residents file. The home obtains wherever possible, a copy of the social services assessment. The home records all visits from other healthcare professionals in each resident file, residents if appropriate can retain their own GP. Israel Sieff Court DS0000021553.V320938.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, 10, 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments were formulated to ensure care needs were being met and the residents receives appropriate and safe care. EVIDENCE: Care files were seen and found to be well recorded, all aspects of care were detailed to ensure staff had a good understanding of each individual resident. Staff regularly reviewed the care files to ensure resident’s care was being provided according to the plan. Residents were able to participate, if they wish, in the review process and to any changes necessary to the care plan. There were detailed risk assessments in place for all residents which were also kept under review. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 11 The home had a policy on care of the dying for which staff were in receipt of relevant training on care of the dying during the induction programme. Medication was appropriately managed were records are maintained to a good standard. Staff had received training in the administration of medication. Medication stock was adequate and a record was being made of all medication received in to the home and leaving the home. The deputy manager carries out regular audits for all medication to monitor compliance of current practices. The home had ordered a new medication fridge, which was urgently needed, as the current one was not working properly. Israel Sieff Court DS0000021553.V320938.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, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Meals were wholesome and nutritious and provided residents with a balanced diet, ensuring that their nutritional needs and dietary requirements were being met. EVIDENCE: The home currently does not have an activities organiser however, a volunteer visits 4 times per week to provide a variety of activities with the residents. The home had plans to employ an activities organiser in the new financial year. Current activities were planned and this plan was displayed in the entrance area of the home. Activities include armchair exercises, visiting entertainers, outings to local areas, pottery, art classes and discussion group with a variety of subjects covered. Residents were able to participate as they choose in any activities, staff respect any decision made by residents in relation to participation of activities. The home operates an open visiting policy, residents were able to receive visitors in private if they prefer. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 13 The home was in the process of making plans for a home holiday, any resident wishing to go will be assessed for safety and health needs. The home operates its menus on a four weekly rota; menus were kept under review to accommodate resident’s preferences. Meals were served in the main dining area but residents could take their meals in their own room if they prefered. Residents were able to select alternative options to the main menu if they wish. The daily menu was displayed in the dining area and the four weekly menu was displayed in the main corridor area of the home. Residents were able to maintain their religious beliefs. The local churches visit on a weekly basis for communion. Anyone following an alternative faith were supported by staff. Israel Sieff Court DS0000021553.V320938.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, 17, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All staff receive training in adult protection, this assists in promoting safety for all residents in the home. EVIDENCE: The home has a copy of the Manchester ‘No Secrets’ adult protection policy. All staff had received an outline of training during the induction period and then attend a more in depth full day training on the subject at the next available training session. There have been no referrals to Adult protection since the last inspection. The home had a satisfactory complaints system, there was a book to record complaints received by visitors and details of the investigation along with the outcomes were also recorded. Residents were able to receive their post unopened. Information on independent advocacy agencies was displayed in the home. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 15 Residents were able to maintain their right to vote if they wish, they were registered on the electoral role and could access the postal voting system or if they prefer they would be assisted to the local polling station. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 16 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, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well maintained to ensure there was a homely and safe environment for all residents who live in the home. EVIDENCE: Since the last inspection there has been further improvements to the home. New block paving had been laid to the rear of the home this means that residents could enjoy the well maintained gardens when the weather is good. New curtains have been purchased for all communal areas. Plans were in place for the hairdressing room to be developed into an individual area to create a more realistic feel to the area. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 17 In addition, the provider was considering constructing a conservatory which would be built later in the year. The lounge area was identified for redecoration following completion of the building work. All bedrooms were personalised with resident’s own effects, all rooms seen were found to be pleasantly presented and residents stated they liked their own rooms very much. The home was suitably equipped with aids and adaptions for moving residents safely, these include 2 manual hoists. All staff had received annual training to operate the equipment safely. The home was found to be well maintained and clean, there were no unpleasant odours during the tour of the home. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 18 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive regular training to ensure safe practices and that residents are protected from potential harm. EVIDENCE: The staffing rotas were viewed and seen to be staffed appropriately. Staff were in receipt of regular training. The home had a training plan that covers all mandatory training and other appropriate training for the whole year. Staff training records were seen and found to be well maintained. Staff received regular supervision from their line manager. These supervision sessions were recorded and held securely in their files. All staff receive an in depth induction which was recorded. Staff personnel files were seen and found to demonstrate that all staff were appropriately checked against the CRB (Criminal Records Bureau) register. All staff were issued with a copy of their job description that details their roles and responsibilities. Staff are provided with the opportunity to complete the NVQ in care and currently 67 of care staff hold the NVQ2 in care and a further 24 were currently studying for the award. Israel Sieff Court DS0000021553.V320938.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, 32, 33, 34, 35, 36, 37, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was managed well and staff received guidance and leadership from a competent manager, thus assisting in providing good standards of care. EVIDENCE: The manager is registered with the Commission for Social Care Inspection, she has a number of years experience and provides the staff with guidance to ensure the care provided to the residents was safe and offered care that promotes residents independence. The manager has completed her NVQ Level 4 in Management. Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 20 The home has up to date policies and procedures, these were kept under review by either the staff or head office. All documentation was held securely in locked cabinets in compliance with the Data Protection Act 1998. Certificates relating to Health and Safety were seen and all found to be in date. Fire records were found to be maintained to a good standard. Staff receive fire evacuation training at regular intervals. Resident finances were held in one fund, although individual finance records were available. The home operates a quality assurance system, questionnaires were sent to residents and their relatives and then comments were recorded and acted upon accordingly. Israel Sieff Court DS0000021553.V320938.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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 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 3 3 3 3 3 3 3 Israel Sieff Court DS0000021553.V320938.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 Israel Sieff Court DS0000021553.V320938.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Israel Sieff Court DS0000021553.V320938.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!