Inspection on 14/11/05 for Norlington Care Home

This inspection was carried out on 14th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Norlington Care Home 10/09/09

Norlington Care Home 19/09/07

Norlington Care Home 15/05/07

Norlington Care Home 03/10/06

Norlington Care Home 18/05/06

Norlington Care Home 01/06/05

Norlington Care Home 11/02/05

Norlington Care Home 22/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Norlington Care Home 19 Stourwood Avenue Southbourne Bournemouth Dorset BH6 3PW Lead Inspector Chris Gould Unannounced Inspection 14th November 2005 10:15 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 Norlington Care Home DS0000055350.V265755.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. Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Norlington Care Home Address 19 Stourwood Avenue Southbourne Bournemouth Dorset BH6 3PW 01202 422064 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) Norlington Care Limited Ms Mary Bloomfield Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 20 service users in need of nursing care may be accommodated. 1st June 2005 Date of last inspection Brief Description of the Service: The Norlington Care Home is registered to provide both personal and nursing care for older people. It can accommodate a maximum of 20 people with nursing needs. Mrs June Tempany and her son Mr Gary Tempany own the home. Mrs Mary Bloomfield, a first level registered nurse is the registered manager and is in day-to-day charge of the home. Norlington Care Home is situated on the edge of Southbourne and is close to local shops and amenities such as libraries, churches etc. and also to the sea and cliff top walks. There are single and double rooms on the ground, first and second floors. A lift provides level access to all areas of the home. There is a large lounge and lounge/dining area in the original part of the home. At the rear of the home, on the ground floor, are a small quiet lounge and a conservatory that can be used as a dining area. Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over five hours on one day in November 2005. This inspection assessed 13 standards and the outstanding requirements from the previous inspection. A tour of the premises took place and three residents care records were inspected. Documents and records were viewed relating to the running of the home. Ten residents, four visitors and the staff on duty were spoken with during the inspection. The registered manager was unavailable so the deputy matron and Mrs Tempany, the proprietor, assisted with the inspection. The total bed occupancy in the home was 35 residents with 19 requiring nursing care. This report should be read in conjunction with the report of the previous inspection that took place in June 2005 What the service does well: What has improved since the last inspection? Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 6 The procedure for the prevention of abuse has been reviewed to protect residents from abuse. The recommendations issued by the Dorset Fire Safety Officer in May 2005 have now been met. A survey involving residents and visitors has recently been undertaken to ensure the home is run in the best interests of residents. Residents commented on the survey and thought it very useful. 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. Norlington Care Home DS0000055350.V265755.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 Norlington Care Home DS0000055350.V265755.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): 3 Residents do not move into the home until an assessment has been undertaken and they have been assured that the home can meet their needs. EVIDENCE: Individual records are maintained for each of the residents. Inspection of the records for the most recent admissions contained a detailed pre admission assessment of care needs including information from professionals previously involved in providing their care. Discussion with staff confirmed that they were aware of the resident’s needs at the time of their admission. A letter is provided to the prospective resident advising them that following assessment the home is able to meet their needs. The home is not providing intermediate care at the present time therefore standard 6 is not applicable. Norlington Care Home DS0000055350.V265755.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): 7, 8 and 9 The absence of a clear and consistent care planning system to adequately provide staff with the information they need to satisfactorily meet residents’ personal, social and health care needs has the potential to place residents at risk. Residents are not protected by the systems in place to ensure the safe administration of medication, as they are not consistently reflected in the home’s care practices. EVIDENCE: All residents have individual plans of care and the three residents care records inspected had been reviewed at least monthly. The records varied in their content. Two of the files viewed identified that the resident had difficulty communicating. One resident’s care record contained an action plan to meet this need but this was not available in the second file. The detail in the action plan was insufficient to provide staff with the information required to meet residents’ needs. Action plans state ‘assist with washing and dressing’. ‘do oral hygiene’ but no further information of how this was to be Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 10 achieved. For one resident the pre admission assessment had identified nutritional concerns but this had not been followed through with a nutritional assessment and action plan. Wound care documentation is in place but is not consistently completed to provide a clear assessment, action plan and evaluation of the wound. The three records identified that the residents are at high risk from developing pressure ulcers. An action plan was not in place to clearly identify the preventative actions to be taken. The records included input from health care services including General Practitioners, opticians and chiropodist. The home has a contract in place for the disposal of medicines no longer required. The Medication Administration Records had not been signed on a number of occasions. An audit trail for medicines has been introduced but proved to be unreliable when tested. One resident’s medication was not available, as a new prescription had not been obtained. Norlington Care Home DS0000055350.V265755.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): 12 The social care provided in the home does not satisfy the social and recreational interests and needs of the residents. EVIDENCE: Social activities are provided including bingo once a week, entertainers once a fortnight, church singers once a month and communion is offered. Individual social care plans are being put in place and a social activities programme developed. A number of residents commented that they would join in activities if they were appropriate for them. Norlington Care Home DS0000055350.V265755.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): 18 Systems are in place to protect residents from abuse. EVIDENCE: The home has reviewed and updated the adult protection procedure so that it is now in line with the local multi agency ‘No Secrets’ guidance. Staff confirmed that they have received training on the prevention of abuse. Norlington Care Home DS0000055350.V265755.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): 19, 22, 25 and 26 The standard of the environment is good providing the residents with a comfortable, clean and well maintained place to live. Residents have the specialist equipment they require to maximise their independence. The lighting and hot water provision is not consistently appropriate to meet individual needs. EVIDENCE: A new entrance hall has recently been completed at the front of the home and there are plans to redecorate the ground floor hallway and corridors starting after Christmas. The fire safety recommendations issued by the Dorset Fire and rescue Service have now been met. The home has not received an assessment by a suitably qualified person including an occupational therapist. This needs to be addressed in order to Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 14 fully meet this standard. A passenger lift provides access to all parts of the building and there are rails in the corridors and all toilets are suitable for people with disabilities. Residents were observed using mobility equipment to enable them to walk within their room and the home. Low level lighting is not provided in all rooms. Assessments are not in place where it would not be safe to provide this form of lighting. One room shared by two people had only a centre ceiling light. A number of bedrooms still have fluorescent strip lighting. The resident’s preference for this type of lighting needs to be evidenced in the individual care records. The hot water provided from the washbasin taps in two residents rooms and one toilet was of a very low pressure and the water was tepid. On the day of inspection the home was clean and no malodours were noted. An infection control procedure is in place and staff confirmed that they had received training. No inappropriate infection control procedures were observed during this inspection. All residents and visitors spoken with commented positively about the laundry service and the cleanliness of the home. Norlington Care Home DS0000055350.V265755.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): 28 Staff training meets the needs of the residents. EVIDENCE: Of the total number of care assistants fifteen have achieved NVQ level 2 in care or equivalent. The home has a continuous plan for enabling all care staff to have the opportunity to achieve an NVQ level 2 in care. This was confirmed in discussion with staff. Norlington Care Home DS0000055350.V265755.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): 33 and 35 Systems are in place to ensure the home is run in the best interests of residents. Residents’ personal monies are kept secure and with appropriate records ensure financial interests are safeguarded. EVIDENCE: Service user and relative/friends questionnaires were distributed in October 2005. The results are now to be collated and an action plan drawn up to address issues identified. Two issues have already been addressed. Residents commented on the survey and thought it very useful. One resident commented ’small things happen but soon get sorted’. All residents are assisted by family, friends or professional advisors to manage their financial affairs. Pocket money is held for a number of residents and the Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 17 three records checked were all correct. The money is kept in secure facilities. Residents confirmed that the home keep some money for them to pay for hairdressing, chiropody and anything else they may want to buy. Norlington Care Home DS0000055350.V265755.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X 2 X X 2 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 19 Yes Are there any outstanding requirements from the last inspection? 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 Standard OP7 Regulation 15(1) Requirement Timescale for action 28/02/06 2 OP8 12(1) 3. OP9 13(2) 4 OP9 13(2) The registered person shall ensure that residents care plans contain sufficient detail to provide clear guidance to staff on the actions to be taken to meet their care needs. The registered person must 28/02/06 ensure that proper provision is made for the health care and where appropriate treatment of residents. The registered person shall make 28/02/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Timescale of 30th September 2005 not met. The registered person must have 28/02/06 a clear audit trail for medicines e.g. dating packs when they are started or entering a carry forward balance on the MAR chart and this must be monitored to ensure medicines are given correctly. This was previously a recommendation. DS0000055350.V265755.R01.S.doc Version 5.0 Norlington Care Home Page 20 5 OP12 16(m)(n) 6 OP25 23(p) The registered person must consult residents about their social interests and provide facilities and resources to meet their needs. The registered person shall ensure that suitable lighting and water at the appropriate temperature is provided in all parts of the home that are used by residents. 28/02/06 28/02/06 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. Refer to Standard OP22 Good Practice Recommendations It is a recommendation that suitably qualified persons including a qualified occupational therapist with specialist knowledge of the client group that the home caters for make an assessment of the premises and facilities. Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Norlington Care Home DS0000055350.V265755.R01.S.doc Version 5.0 Page 22 - 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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