Inspection on 10/05/06 for Nethercrest Residential Care Home
Also see our care home review for Nethercrest Residential Care Home for more information
This inspection was carried out on 10th May 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.
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 is well presented to prospective clients both in general appearance and in the excellent sources of information provided. The home provides person centred care in a friendly, homely atmosphere and a very pleasantly maintained environment. Residents receive good standards of care and support delivered in an individual way as the residents wish by well-trained staff. The home delivers safe services such as medication administration in a safe and healthy environment and holds adult protection as a priority. The home is well managed and regular quality assurance monitoring assists in maintaining this and promoting further developments. Service users are very positive about the home with comments such as, " you won`t find a better home" and " the staff are very good and kind". Relatives also commented positively one saying, " Mum is settled and very happy here". Service users are in particular pleased with the high standard of the meals and have gained the gold award from Dudley Public health for healthy eating, many also find the garden and patio area a good source of pleasure. A number of service users commented how much they enjoyed the meals at the home The staff group are stable with many having been employed for many years. There is a commitment to staff training and supervision that ensures care practice is of a high standard.
What has improved since the last inspection?
Case file documentation of service users wishes at the end of life have been addressed and more attention paid to evaluation records ensuring they are clearly identifiable to which care plan they refer. A programme of decoration is underway commencing with the small lounge and a hairdressing salon is being developed from a bathroom surplus to required numbers. Records of hot water monitoring now include details of adjustments made to each mixing valve to achieve and maintain a safe supply at service user outlets. The manager has completed the registration process.
What the care home could do better:
The assessment process while being extensive and thorough requires to demonstrate the involvement of the service user or representative either by obtaining a signature or documenting a statement to that effect. The internal review of assessments requires to be broad ranging and not restricted to previously identified problem areas. The pharmacy provider should be invited to monitor medication arrangements at the home on a regular basis and at least quarterly. A means of monitoring compliance in medication administration by persons self-medicating would improve managerial accountability. The current state of decoration both internal and externally is satisfactory but with some indication of weathering on external paintwork it is timely to prepare a programme for decoration. The home should provide training for sufficient numbers of staff in NVQ level 2 in care to ensure the 50% minimum can be maintained at all times.