Inspection on 24/01/07 for Whitehaven (Gold Care Limited)

This inspection was carried out on 24th January 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.

Other inspections for this house

Whitehaven (Gold Care Limited) 26/05/09

Whitehaven (Gold Care Limited) 07/01/09

Whitehaven (Gold Care Limited) 25/11/05

Whitehaven (Gold Care Limited) 07/07/05

Whitehaven (Gold Care Limited) 05/11/04

Whitehaven (Gold Care Limited) 03/08/04

Whitehaven (Gold Care Limited) 31/03/04

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

CARE HOMES FOR OLDER PEOPLE Nightingale (Gold Care Limited) 218 - 220 Kettering Road Northampton Northants NN1 4BN Lead Inspector Mrs Linda Preen Unannounced Inspection 10:00 24 January 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 Nightingale (Gold Care Limited) DS0000060368.V327421.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. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nightingale (Gold Care Limited) Address 218 - 220 Kettering Road Northampton Northants NN1 4BN 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 626272 01604 626272 Gold Care Limited Mrs Sharon Sooriah Care Home 19 Category(ies) of Dementia (19), Dementia - over 65 years of age registration, with number (19) of places Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person under 50 years of age who falls within the category DE may be accommodated in the home. The home may continue to accommodate two named service users whose needs fall within the category Mental Disorder over the age of 60 who were accommodated in the home prior to re-registration with CSCI. 25th November 2005 Date of last inspection Brief Description of the Service: Nightingale is a care home providing twenty-four hour care for up to 19 older people. An Equal Opportunities policy is in place, ensuring that residents from any ethnic background may be accommodated, although to date, no requests have been received from any one other than white, British. The home is situated close to the centre of Northampton overlooking a large area of parkland. The home comprises a three-storey building, with off road parking to the rear of the house, and an enclosed garden area. The garden has been landscaped and provides a very pleasant, safe area for service users use. An awning has been fitted over a paved area just outside the back of the house to create a covered area for smokers. The original frontage of the house has been retained so that the home blends in with others in the road. There are two lounges a dining room and a sun lounge. Bedroom accommodation is in single and shared rooms, some of which have en-suite washbasins and toilets. Owing to the complex needs of residents in the home, fees are charged on an individual assessed basis. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection reviewing previous requirements and recommendations and collating information provided by the service. Comment cards had been sent out to a selection of residents in order to ascertain their opinion of the service provided. Eight of these had been returned and relatives had assisted those whose mental condition prevented them from completing these unaided. All of the comments received were complimentary and expressed satisfaction with the service provided. The Commission sent comment cards out to a random selection of residents and to General Practices providing a service to the home, but none of these had been returned. The inspection took place over a period of four and a half hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be assessed. The method used was “Case Tracking”. This involved looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff rotas and medication records were seen. Information was available from a questionnaire completed by the providers of the service. What the service does well: What has improved since the last inspection? Requirements made at the last inspection concerning medication and pressure ulcer risk have been met. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Nightingale (Gold Care Limited) DS0000060368.V327421.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 Nightingale (Gold Care Limited) DS0000060368.V327421.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): 3. Standard 6 does not apply in this home, as intermediate care is not provided. Quality in this outcome area is good. Thorough assessments and Terms and Conditions ensure that residents are confident that their needs may be met in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Comprehensive assessments were available in the resident records seen. Assessments of physical, mental and social needs were in place. These included information from health care professionals and family members where possible. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. Good systems are in place to ensure that all aspects of resident need are identified and documented for staff guidance, to ensure that these needs may be met in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents were chosen in order that their experience in the home could be assessed using the case tracking methodology. This involved looking at their records, observing them and talking to staff about their care. Residents in this home have limited verbal communication owing to their mental health condition, but observation of their body language informed the process. Clear, individual care plans were in place to address their assessed needs, and these were reviewed regularly to ensure they were kept up to date. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 10 Interaction between staff and residents was observed to be very caring and staff offered assistance in a sensitive manner, giving due regard to the privacy and dignity of residents. All residents seen were well groomed and appropriately dressed according to individual tastes. Healthcare assessments included pressure ulcer and nutritional assessments along with falls risk assessments and there is evidence of involvement of the multi disciplinary team as required, for example the GP and Community Psychiatric Nurse (CPN). Systems for the ordering, storage, administration and disposal of medication were seen and found to be satisfactory. A previous requirement to improve records of stock levels of medication in the home had been met. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. Social Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records of resident’s previous lifestyle, including occupation and preferred hobbies and interests were available to assist staff in formulating suitable activities within the home. An occupational therapist is employed to carry out individual assessments on each resident, and she was present in the home to assess a new resident during the inspection. In discussion, she stated that communal activities are arranged in the morning and individual activities in the afternoon. Some of the residents were involved in a simple craft project on the day of the inspection. An activities programme was on display in the home, and listed such things as music and dancing, crafts, and baking. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 12 Some of the residents are able to go out to the local shops with staff or out with relatives, and the home is situated opposite the racecourse park where residents can go in good weather. Records of residents preferred times of rising and retiring, and of their food likes and dislikes were available for staff guidance. Some residents were enjoying a late breakfast at the commencement of the inspection. Staff confirmed that this meal was served when residents came downstairs and that times were flexible to meet individual needs. Meals are served in an attractive dining room, at small family sized tables, although some residents prefer to eat alone, away from the distraction of others. Menus provided as part of the pre-inspection questionnaire completed by the provider, demonstrated that a varied, nutritious diet is provided. Staff confirmed that drinks are available at any time and that snacks are available between meals if required. Visitors are welcome at any time, and some were present during the inspection. Those spoken to stated that they were very happy with the standard of care and attention provided. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 13 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 and 18. Quality in this outcome area is good. Residents may be confident that their concerns will be addressed and that they will be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure was on display in the home and contained the required information. Advice was given to include details of care management to whom complaints concerning individual residents should be addressed. There have been no complaints received by the Commission for Social Care Inspection since the last inspection, and none have been recorded in the home. Staff training records demonstrate that training in the protection of vulnerable adults from abuse has been provided, and that refreshers are planned within the next few weeks. Staff spoken to confirmed that this training had been undertaken. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 14 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, 24, 25 and 26. Quality in this outcome area is good. Residents live in homely surroundings, which are well maintained and clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was decorated and furnished to a high standard in a homely manner. A continuous programme of refurbishment and decoration is in place in order to maintain this standard, and the manager was in the process of choosing new carpets for two resident’s rooms. Residents were observed to be freely accessing communal areas, while being observed by staff in order to maintain their safety. A pleasant garden is provided with disabled access so that residents may sit outside when the weather permits. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 15 A selection of resident’s rooms were seen, and these demonstrated that they were comfortably furnished with evidence of personalisation in the form of pictures, books and ornaments. Separate housekeeping staff are employed in order to maintain the home in a clean and hygienic manner. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 16 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 and 30. Quality in this outcome area is good. Procedures for the recruitment of staff provide safeguards necessary to offer protection to the people living in the home. Staff are provided with training and in sufficient numbers to meet the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three staff files were seen. These demonstrated that recruitment procedures are in place to protect residents from potential harm. These included obtaining references and clearance from the Criminal Records Bureau. A new staff member was on induction and was working through a formal induction programme, with a member of the qualified staff to ensure that she was aware of care and managerial issues within the home. Staff are employed from a variety of ethnic backgrounds, ages and both sexes, according to the equal opportunity policy in place in the home. Training records demonstrated that staff receive statutory training for such things as Fire, Moving and Handling, Food Hygiene, First Aid and Health and Safety, and that updates are arranged as required. In addition to this, staff Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 17 receive specialist training such as dementia care and the care of diabetes mellitus in order to meet resident’s needs. Duty rotas provided as part of the pre-inspection questionnaire, demonstrate that adequate numbers of staff are provided to meet resident’s needs. One resident is currently assessed as requiring one to one supervision during the daytime in order to maintain her safety and this has been provided. A staff member was present in the lounge area at all times during the inspection to ensure the safety of the residents sitting in there. A staff member spoken to confirmed that she felt well supported in the home and that she received regular supervision in order to identify any training needs and to offer support in dealing with this highly dependent group of residents. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 18 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, 35, and 38. Quality in this outcome area is good. Management systems are in place to ensure that the home is run with the best interests of the residents foremost. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager is a Registered Mental nurse with several years experience of caring for this resident group. She is currently working towards the Registered Manager’s Award, which gives a basic understanding of management issues within a care setting. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 19 Staff and residents were relaxed and comfortable in her presence, and a staff member spoken to stated that both the manager and provider were very supportive and approachable. Regular staff meetings are held and minutes of the last meeting were on display in the home. A comprehensive Quality Assurance system is in place to monitor satisfaction with the service provided as well as management systems in the home. This includes such things as training, medication and environment. Surveys of relatives, staff and stakeholders are also undertaken, and the results of these surveys were available for inspection. Positive feedback had been received from all who completed these surveys. Records of the testing of fire alarms and emergency lighting, as well as hot water temperatures were seen and were completed at the required intervals to maintain the safety of the home. A maintenance person is employed so that any problems found may be addressed in a timely manner. Records of resident’s personal allowance kept in the home were seen to be satisfactory. The Registered Manager and Provider audit these on a monthly basis in order to further protect residents and staff. Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 20 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 3 X X X 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 X 3 X X 3 Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 21 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 Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Nightingale (Gold Care Limited) DS0000060368.V327421.R01.S.doc Version 5.2 Page 23 - 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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