Inspection on 20/09/05 for Nightingale

This inspection was carried out on 20th September 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

Nightingale 26/03/08

Nightingale 20/02/07

Nightingale 20/02/06

Nightingale 09/03/05

Nightingale 21/09/04

Nightingale 26/02/04

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

CARE HOMES FOR OLDER PEOPLE Nightingale Nether Lane Ecclesfield Sheffield South Yorkshire S35 9ZX Lead Inspector Michael O’Neil Unannounced Inspection 20th September 2005 08:55 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 Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 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. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Nightingale Address Nether Lane Ecclesfield Sheffield South Yorkshire S35 9ZX 0114 257 1281 0114 257 1279 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) None Paxfield Associates (Sheffield) Limited Ms Janice Maw Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (40) Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Under 65`s can only be accommodated with the consent of the Registering Authority. 9th March 2005 Date of last inspection Brief Description of the Service: Nightingale care home is a purpose built two storey building overlooking fields to one aspect and situated in Ecclesfield.The home caters for a client group aged 65 years and over who require personal care because of their diagnosis of Dementia (DE) or Mental Disorder (MD). The home is sited on a bus route and is close to a supermarket, chemist, bank and other shops. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 08:55 to 12:50. Anne Bradshaw ,deputy manager was present during the inspection. Eight residents, one relative and five staff were spoken with. A sample of records were examined and a partial inspection of the building was carried out. The inspector wishes to thank the staff, relatives and residents for their time, friendliness and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? What they could do better: One corridor carpet needs to be either thoroughly cleaned or ideally replaced. Flammable materials must be stored away from the building. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 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. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 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 Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 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): Standards 3 and 4. Standard 6 is not applicable to this home. Residents’ needs had been assessed. Specialist medical and nursing staff were regularly consulting with the staff at the home and advising good practice. EVIDENCE: Three resident files were checked and each contained a copy of their full needs assessments. The information from the full needs assessment had been incorporated into the resident care plans. This will assist in enabling staff to plan and meet the residents’ needs. Details of medical/nurse specialists who had been consulted with regard to the residents care were recorded in the care plans. This will assist in ensuring residents needs are met. Health professionals were visiting residents at the home and two residents were being escorted by staff to attend their out patient appointments at local hospitals. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 9 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): Standards 7,8 and 10. The residents’ health, social and personal care needs were well documented in the care plans. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents themselves said that the care they were receiving was very good and that the staff were friendly. Relatives said that the care delivered by staff was very good. Residents’ privacy and dignity was maintained. EVIDENCE: Three resident plans of care were checked. Each set out individual needs and the action required by staff to ensure those needs were met. Discussion with relatives identified that a range of health professionals visited the home to assist in maintaining the residents health care needs. Residents or their relatives were involved in drawing up the plans. Residents said that they were happy and that the staff were “very nice”. Relatives said that they thought the staff of the home were” caring” and “very nice”. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 10 Residents were well dressed in clean clothes and had received a good standard of personal care. Staff were observed to be assisting residents in a positive and friendly manner, doors were closed where staff were helping with personal care. Staff assisted residents to their rooms so that they could receive treatment from a visiting health professional in private. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 11 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): Standards 12,13,14 and 15. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. Meals served at the home were of a good quality and offered choice. EVIDENCE: Residents were able to spend their day as they wished and move freely around the home. Residents said that they were able to maintain contact with their family and friends. Relatives said that they were always made to feel welcome when they visited. Staff were undertaking simple activities with residents such as reading books, magazines and listening to music. It was pleasing to see that the staff tried to include as many residents as possible in the activities arranged. A friendly, jovial and very welcoming feel was evident in Nightingale. Residents said they chose when they got up and went to bed. Residents said that they had a choice of food and that the quality of food served was good. Lunch was served in a pleasant relaxed manner and the residents said that they enjoyed their lunch. A choice of meal was offered to the residents. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 12 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): Standards 16 and 18. The complaints procedure was clear and accessible. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home. EVIDENCE: A complaints procedure was displayed in the home. Residents and relatives said that if they had any concerns that they would feel comfortable in talking to the staff or the manager. Records checked indicated that staff had received information and training on adult abuse. This will help to ensure that residents are protected from abuse. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 13 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): Standards 19,20,21,22,24,25 and 26. The environment within the home was well maintained and clean providing a comfortable, safe environment for residents. EVIDENCE: All areas of the home were clean and tidy. Lounge and dining areas were domestically furnished, although the ground floor corridor carpet was stained in several areas. Three bedrooms were checked in detail and many others seen, all were comfortable and homely. Residents said they were happy with the décor and furnishings in their bedrooms. Bed linen checked was clean and in a good condition. The home was clean, with no unpleasant odours noticeable. Relatives and residents said that the home was always kept clean. Staff said that there was enough moving and handing aids available to ensure that residents could be safely moved. The home was warm in all areas. Window restrictors were fitted to all windows checked. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 14 The deputy manager said that soiled linen was sluiced and washed at a temperature to minimise the risk of spreading infection. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 15 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): Standards 27 and 28. Staff were employed in sufficient numbers. EVIDENCE: The staff rota identified agreed staffing levels had been met. This will assist in making sure that service users needs are met. Residents said there was always a member of staff available when they needed them. Staff said staffing levels were adequate. Fifty per cent of care staff had not achieved their level 2/3 NVQ qualification, although the deputy manager said that the majority of staff had enrolled or were undertaking their NVQ training. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 16 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): Standards 31,32,37 and 38. There was a positive style of management in the home and staff moral was good. In the main, the homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: Relatives and residents said that they met regularly with the manager and spoke positively about her approachability and helpfulness. The CSCI have not received notification to confirm that the manager has completed her level 4 NVQ management qualification. Staff said that they enjoyed working at the home and regularly attended staff meetings. Records were securely stored around the home, which protected the residents’ best interests and confidentiality. Staff said they had received recent fire safety training .A sample of records showed that staff were receiving this and other statutory training. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 17 The safety of the residents and staff could not be fully maintained however because some disused easy chairs had been stored outside the lounge windows. This could, potentially pose a fire risk. However, the administrator, before the end of the inspection had ordered a skip for the chairs to be removed the following day. At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. The hot water temperature in one bathroom measured a safe temperature of 42 degrees centigrade. This will promote the safety and welfare of the service users. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 18 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 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X 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 2 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X X X X 3 2 Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 19 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. 1 2 Standard OP19 OP38 Regulation 23 23 Requirement All areas of the home used by residents must be well maintained. (Corridor carpet) Adequate arrangements must be taken against the risk of fire. (Furniture outside lounge) Timescale for action 01/01/06 22/09/05 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 Refer to Standard OP28 OP31 Good Practice Recommendations Preparations should be made to ensure that 50 of staff are trained to NVQ level 2 or equivalent by 2005. Preparations should be made to ensure that the registered manager has a level 4 NVQ qualification in management or equivalent by 2005. Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Nightingale DS0000002990.V252224.R01.S.doc Version 5.0 Page 21 - 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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