Inspection on 07/02/06 for Nazareth House

This inspection was carried out on 7th February 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 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

Nazareth House 08/02/10

Nazareth House 30/10/09

Nazareth House 10/09/09

Nazareth House 06/04/09

Nazareth House 14/04/08

Nazareth House 25/04/06

Nazareth House 27/07/05

Nazareth House 08/02/05

Nazareth House 01/07/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Nazareth House 118 Harlestone Road Northampton Northants NN5 6AD Lead Inspector Irene Miller Unannounced Inspection 7th February 2006 11:00 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 DS0000012866.V273162.R02.S.doc Version 5.1 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. DS0000012866.V273162.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Nazareth House Address 118 Harlestone Road Northampton Northants NN5 6AD 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) 01604 751385 01604 580435 debi@naznptn.plus.com The Congregation of the Sisters of Nazareth Mrs Deborah Elizabeth Miller Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52) of places DS0000012866.V273162.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home limits its services to the following service user categories:Care Home personal care only - up to 52 service users within the OP over 65 years category Between the dates of 23.04.05 to 03.05.05 no one falling within the category of OP may be admitted into the home where there are 53 service users who fall within the category of OPalready accommodated within the home Between the dates of 23.04.05 to 03.05.05 a named service user can be accommodated in Room 6 of Zone 3 of the home. Between the dates of 23.04.05 to 03.05.05 - 53 service users within the category OP can be accommodated within the home 2. 3. 4. Date of last inspection Brief Description of the Service: Nazareth house is a large home located on the outskirts of Northampton providing personal care for to upto 52 persons within the category of old age. Niursing care is not provided by the staff but by health care professionals that visit the home. Nazareth House is convenient to a bus service to the town centre which is approximately 2 miles away. The home has been established for many years and is run by The Congregation of the Sisters of Nazareth who also offer a comprehensive range of spiritual support and guidance to meet the individual religious needs and preferences of each resident. Daily mass is celebrated in the convent chapel, which is located on the same site. The sisters publish a Charter of Residents Rights and Responsibilities in their brochure, which demonstrates the homes committed to individual rights and choice. The home consists of two wings, the St Margaret Clitherow unit and Thomas Morre unit. There is no difference in the levels of care given to the residents living in either of the units. Residents rooms are on two floors and a lift is available for the residents to use. Ten of the fifty rooms have en-suite facilities. DS0000012866.V273162.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is based upon the outcomes for residents, and upon their views of the service provided. This inspection involved tracking the care of resident through reviewing care plans, discussion with the service users, were possible, staff and visitors. Staff, recruitment, training and supervision records were looked at, and a limited tour of the building was conducted. The registered manager was available within the home on the day of inspection. Prior to the inspection-taking place, the inspector spent forty-five minutes planning this inspection, based upon information gained from reviewing the homes service history and previous inspection reports. The inspection took place midday over a period of approximately 3 hours. What the service does well: Prospective residents and their representatives have access to information prior to moving into the home, ensuring that individual care needs can be met. Residents are supported in following their individual lifestyle preferences and their views sought on personal information provided in their individual plans of care, and are encouraged to retain as much independence as possible in continuing to undertake their own personal care tasks, demonstrating the residents’ rights to privacy, dignity and respect. Medication is managed well, there were records of regular stock checks made of controlled drugs, and all medication was stored securely. The home has a large chapel facility for residents to worship according to their faith, religious services are held regularly throughout the week. Residents are cared for by a committed, well-trained and enthusiastic staff team. The home has met the National Minimum Standard of 50 of staff being trained to National Vocational Qualification level 2 by 2005. DS0000012866.V273162.R02.S.doc Version 5.1 Page 6 Staff recruitment is rigorous to ensure the protection of residents, staff turnover is low many of the staff have worked at the home a considerable number of years. There is good support from management and training opportunities are available. The registered manager is competent and experienced within her role. 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. DS0000012866.V273162.R02.S.doc Version 5.1 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 DS0000012866.V273162.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Prospective residents and their representatives have access to information prior to moving into the home, ensuring that individual care needs can be met by the home. EVIDENCE: The home has a statement of purpose, which is provided to prospective residents on the initial enquiry, potential residents are invited to visit the home to meet other resident and staff, and view the facilities available. Residents are permanently admitted to the home trial following a period of approximately 3 months, to allow the resident sufficient time to be certain that they are satisfied with the care provided, it is at this stage that a contract of care is put in place which outlines the full terms and conditions of residency. Contract documentation was in place for residents living at the home. Pre admission assessments were seen to be in place, which addressed areas where residents require support from other health care professionals. DS0000012866.V273162.R02.S.doc Version 5.1 Page 9 DS0000012866.V273162.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 & 11 The resident’s health, personal and social and spiritual care needs are met EVIDENCE: Care plans provided sufficient information on the health, personal, social and emotional needs of residents, with specific instruction to staff about how their needs are to be met, and were regularly reviewed. The care plans looked at were signed by the resident. The individual plans of care included healthcare assessments on nutritional needs, pressure care and falls prevention. Visits made by health care professionals were recorded within the care plans and specialist equipment is provided, for example pressure-relieving mattresses, walking and lifting aids. Residents are consulted and their views sought on personal information provided in their individual plans of care, and are encouraged to retain as much independence as possible in continuing to undertake their own personal care tasks, demonstrating the residents’ rights to privacy, dignity and respect. DS0000012866.V273162.R02.S.doc Version 5.1 Page 11 Medication is managed well, there were records of regular stock checks made of controlled drugs, and all medication was stored securely. Risk assessments are in place to ensure safe practices for those residents who self medicate. Records of staff training on the administration of medication were available, which follows the homes medication policy and procedures. Residents spoken to confirmed satisfaction with the care provided in the home and that their wishes were respected. Building works have been taking place that has involved the pipe work to be replaced throughout the whole home. On a phased basis residents have had to temporarily move out of their bedrooms, whilst the contractors work on replacing the pipe work in the ceilings. Residents spoken to said that they were very satisfied with the way that this was being managed, that the home had kept to their word on meeting deadlines, as to when they would be able to move back into their bedrooms. Five residents were temporarily sharing a room, which was similar to a hospital style ward; each had their own space, which had been personalised with items of furniture belonging to the residents. There was ample screening provided which fully enclosed the bays, ensuring that residents could be cared for in full privacy. The call alarm system had been diverted to provide each resident within a call bell facility. The staff training records demonstrated that staff receive training on death, dying and bereavement, supplementary spiritual support is available from the sisters who live within the home. DS0000012866.V273162.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Residents are supported in following their individual lifestyle preferences. EVIDENCE: The home employs an activity therapist to make available activities that are in line with resident’s individual hobbies and interests, through consultation with residents, preferred activities have been identified such as arts and crafts, sing-a-longs, quizzes, exercise to music. The home has its own mini bus facility to provide residents with transport to go on days out. The home has two kitchenette facilities available for any residents who wish to retain skills in food preparation/cookery etc, however on speaking with staff this has been an activity which has not been received very well by the current residents. A computer is available within the lounge for residents to have Internet access. DS0000012866.V273162.R02.S.doc Version 5.1 Page 13 The home produces a newsletter to inform residents of up and coming events and fundraising activities and planned activities were displayed on the resident’s notice boards Residents and visitors are invited to meet informally on a weekly basis with the registered manager; notices were placed around the home to remind residents and visitors of this opportunity. A religious mass takes place three times a day within the convent chapel and is open to all residents, visitors and members of the community. The Congregation of the Sisters of Nazareth offer spiritual support and guidance to meet the individual religious needs and preferences of each resident. From the residents spoken with the comments were very positive and complimentary to the home. Daily menu cards are provided for residents and fresh fruit was available for residents to access within the dining rooms. Residents confirmed satisfaction with the food provided and opportunities to contribute to the menu planning. Meals are generally served within the congenial setting of the two dining rooms. Residents were also able to take their meals in the privacy of their private accommodation or within the lounge should they so wish. DS0000012866.V273162.R02.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Residents are supported in raising any concerns they may have about the services provided by the home and protected from abuse. EVIDENCE: There is a complaints policy available, which provided to all residents on admission. Staff training records demonstrated that training is provided on abuse awareness. In addition the home has available the Northamptonshire inter agency policies and procedures for guidance to ensure that any suspected or actual abuse reported is investigated thoroughly Residents have the opportunity to raise any concerns they may have about the service provided directly to the registered manager. Residents spoken to confirmed that they felt safe living at the home, that the staff were very nice. DS0000012866.V273162.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 & 26 Residents live in a home that is well maintained and meets their needs. EVIDENCE: The home has been undergoing extensive refurbishment and maintenance work that has involved replacing all the pipe work and ceilings within the home, the planning of the work has been phased to cause the minimum amount of disruption to residents. The work has been risk assessed and areas of the home isolated whilst the work is in progress, to ensure the safety of resident’s staff and visitors. The provision of window restrictors is based upon an assessment of vulnerability and risk to residents. Through discussion with the registered manager, it was demonstrated that this safety feature would be fitted to windows were there is an identified risk to the residents safety. The home is spacious and pleasantly furnished, and provides a choice of facilities for residents to access. DS0000012866.V273162.R02.S.doc Version 5.1 Page 16 The home has a large chapel facility for residents to worship according to their faith, religious services are held regularly throughout the week. There is a pleasant garden with seating areas, plans are in hand to provide a sensory garden, work had began in anticipation that the this are of the garden will be ready for the spring. Bathrooms and toilets viewed had sufficient aids and adaptations provided and were clean and hygienic. The main kitchen was viewed staff spoken to had a good knowledge of all the necessary food safety checks required, catering records were maintained of dried, fresh and frozen food deliveries, cleaning schedules, daily fridge and freezer temperatures, temperature readings of cooked foods and stock control. The kitchen was clean, tidy and hygienic. Residents spoken to confirmed satisfaction with the facilities provided by the home and the comfort of their private accommodation. Rooms evidenced a high level of personalisation. DS0000012866.V273162.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Residents are cared for by a committed, well-trained and enthusiastic staff team. EVIDENCE: The home employs is a large staff team; the staffing levels on the day of inspection were sufficient in numbers to ensure that resident’s needs could be met. The home has met the National Minimum Standard of 50 of staff being trained to National Vocational Qualification level 2 by 2005. Staff records contained evidence of a rigorous interview and vetting procedure in place. Supervision records demonstrated that staff are provided with one to one support, and that their needs to grow and develop within their respective roles are nurtured Staff training records demonstrated that training is provided on all the statutory requirements, such as Health and safety, food hygiene, moving and handling, fire awareness and first aid. DS0000012866.V273162.R02.S.doc Version 5.1 Page 18 The training plan was viewed which identified additional training to be delivered such as, dementia awareness, communication skills, care planning, loss and bereavement, the impact of moving into residential care, infection control, eye care, wound care and prevention of pressure ulcers. The content of the various training courses delivered by the home was viewed within the training documentation, which was in-depth and specific to the client group cared for at the home. On the staff notice board, there was information on further training available, and minutes of meetings. There was letters of praise from families and friends of residents thanking the staff for the care they had provided for their loved ones. There is a very low turnover of staff, many of the staff spoken to had worked at the home for 15 years saying that they enjoyed working at the home, there is good support from management and training opportunities are available. DS0000012866.V273162.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36,37 & 38 The leadership in the home is good, an established staff team, and low staff turnover, ensures consistency in the quality of care provided for residents. EVIDENCE: The registered manager is competent and experienced within her role, and through discussion demonstrated that she keeps herself up to date on current good practice methods and is approachable to both residents and staff. The registered manager provides many of the in-house training sessions, the content of the various topics covered in the staff training was looked at, and this was very in-depth and specific to the needs of the residents living at the home. The ethos and leadership of the home is based upon Christian values, through providing effective training, communication and support for the staff, a loyal team of staff and volunteers care for the residents living at the home. DS0000012866.V273162.R02.S.doc Version 5.1 Page 20 Residents and staff records were seen to be stored securely. The health, safety and welfare of residents, staff and visitors to the home is protected, policies and procedures are followed and regularly reviewed. DS0000012866.V273162.R02.S.doc Version 5.1 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 N/A 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 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 DS0000012866.V273162.R02.S.doc Version 5.1 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 DS0000012866.V273162.R02.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. 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