Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Nazareth House Liverpool Road Crosby Liverpool Merseyside L23 0QT two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Patricia Thomas Date: 2 6 0 3 2 0 0 9 Information about the care home
Name of care home: Address: Nazareth House Liverpool Road Crosby Liverpool Merseyside L23 0QT 01519283254 01519287723 nazarethhouse@crosbyuk.freeserve.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sisters of Nazareth care home 66 Number of places (if applicable): Under 65 Over 65 2 64 dementia old age, not falling within any other category Conditions of registration: 0 0 The registered person may provide the following category of service only: Care home only: Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP (maximum number of places: 64). Dementia over 65 years of age: Code DE(E) (maximum number of places: 2). The maximum number of people who can be accommodated is: 66. Date of last inspection Brief description of the care home Nazareth House is a care home for older people owned by the Sisters of Nazareth. The registered manager is Sister Rose Ita, who has many years experience in health care and service to the community. The ethos of Nazareth House is rooted in Catholicism and there is an integral chapel with daily Mass for those who live there. The religious Care Homes for Older People
Page 2 of 8 Brief description of the care home beliefs of service users of all denominations are respected in this home through arrangements for visiting ministers accordingly. Nazareth House accommodates sixty six residents and to ensure a homely and personalised service, the accommodation is divided into three self-contained floors or units. Each unit is individually managed by nominated senior staff, under the supervision of the registered manager, who has ultimate responsibility for the day to day management of the home. Nazareth House is situated on the main Liverpool to Southport Road with close links by public transport and nearby shops, a cinema, local churches, and a wealth of local amenities. Care Homes for Older People Page 3 of 8 What we found:
We carried out a short inspection at Nazareth House on 26 March 2009. This was to see how admissions to the home are managed and how care is given to people with high support needs. The manager was not on duty at the time of our visit and we spoke with senior staff on the three floors where people are accommodated. References to us or we in the report represent the Care Quality Commission. During our visit, we walked round the home and checked various records to see what services the people in Nazareth House receive. We use a system called case tracking to help us to look at services from the point of view of some of the people who use them. We track peoples care to see whether the service can meet their individual needs. We looked at the checks done about the care needs of a person who had moved in to the home most recently. This person had returned to Nazareth House from hospital a few days before our visit. There was no record that staff from Nazareth House had visited the person in hospital to carry out an up to date check of her needs before she returned to the home. However staff had kept in touch with the persons family and ward staff while she was in hospital and had recorded her progress until discharge. Records show that a senior member of staff had discussed this persons needs with ward staff on the telephone before she returned home and arrangements were made for the district nurse to visit her on return. A copy of the check on her care needs done by ward staff at the time she was discharged from the hospital had been given to Nazareth House when the person returned to the home. These checks had provided information about the persons general condition and care needs at the time she was discharged from the hospital and moved back into the home. We checked the care records of six people who live at Nazareth House to see the care they receive. We spoke with some people about the care they receive and their views about the home have been taken into account in this report. We found that the support needs identified in the check done about a persons care needs had not been clearly addressed in the care plan so that staff had no clear instructions about how to look after the person properly and safely. We found that in most of the files we looked at, care plans lacked detail. Although care plans had been reviewed recently by staff, they did not fully address each persons needs. Examples of this are regarding pressure care, catheter care, moving and handling and external application of prescribed creams. We found that risks to peoples safety had not been addressed or recorded, for example regarding people who may be at risk from leaving the building and losing their way, due to short term memory loss. A number people have been identified as needing bed rails to protect them from falling out of bed. There was no record of the bed rails having been checked regularly to make sure that they were safe and did not have gaps which could cause entrapment. What the care home does well:
We met several people who live in Nazareth House and they all looked well cared for regarding their personal grooming and clothing. People appeared relaxed in their home and were spending time in the lounges or in their bedrooms. There were plenty of books and newspapers available to them and a notice board to give them information about what was happening in the home. Each lounge has a television and music system. The bedrooms we visited were personalised and comfortable. A visitor told us Care Homes for Older People
Page 4 of 8 that their relative is well cared for in Nazareth House and they are more than satisfied with the service. Care records we looked at showed us that information is kept about peoples spiritual needs, which confirmed that their individual preferences and beliefs in this are being met in Nazareth House. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 38 13 Risks to peoples safety and wellbeing should be identified, recorded, addressed and regularly reviewed, regarding leaving the building and use of bedrails. This is to ensure that peoples safety and wellbeing will be promoted and protected in Nazareth House. 22/05/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 3 An assessment of each persons needs should be carried out by staff of Nazareth House before they move in. This is to ensure that the home can demonstrate their needs can be met by the service. Peoples care plans should give staff clear guidance about how to meet each area of need identified in individual assessments. This is to ensure that they will be supported properly and safely in Nazareth House. 2 7 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
