Inspection on 13/09/05 for Normanton

This inspection was carried out on 13th September 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 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

Normanton 07/06/07

Normanton 08/08/06

Normanton 06/02/06

Normanton 16/11/04

Normanton 05/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Normanton 168 Ellesmere Road Shrewsbury Shropshire SY1 2RJ Lead Inspector Gurinder Cheema Announced Inspection 13th September 2005 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 Normanton DS0000020715.V250736.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. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Normanton Address 168 Ellesmere Road Shrewsbury Shropshire SY1 2RJ 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) 01743 271414 01743 271441 Mrs Mary Ursula Edwards Mr Kenneth Franklin Edwards, Miss Samantha Edwards Mrs Mary Ursula Edwards Care Home 29 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8), Old age, not falling within any other category (19) Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may accommodate a maximum of 29 service users. The home may accommodate 29 Elderly Persons, of whom up to 2 may be persons with a Mental Disorder, and 8 may be Elderly persons with a Mental Disorder. 16th November 2004 Date of last inspection Brief Description of the Service: Normanton is a privately owned care home registered with the Commission for Social Care Inspection to provide a service for 29 older people. The home situated on the Ellesmere Road, approximately two miles from the centre of Shrewsbury and within easy access of all major services and amenities. The Home is owned by Mr and Mrs Edwards and their daughter. Currently Mrs Edwards is the registered Manager however an application is being made to register the daughter, Miss Edwards, who has the day-to-day management responsibility for the home. The home is largely purpose built with the main living areas and majority of residents rooms being on the ground floor. It features 21 single rooms and 4 shared rooms, 22 of which have en suite facilities. Residents are able to enjoy attractive gardens to the front of the building with further lawns extending to the rear. Normanton is well equipped to provide for the frailest of residents supported by a good complement of appropriately trained staff providing consistency in a warm comfortable atmosphere. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual inspection of the year. Care homes are inspected at least twice a year. The inspection was announced and took place on September 13th 2005 between 11:00am and 2:00pm. The manager, staff on duty, and the service users, who were mostly available, were all very welcoming and helpful throughout the inspection. Not all of the National Minimum Standards were met however the overall quality of care provided is very good. Written comments and feedback via questionnaires were sought prior to the inspection from a number of individuals. These included: Service users, staff, General Practitioners, Health and Social care professionals and service users’ carers. Only questionnaires from relatives were received back and these were all found to be very positive. The care home has a history of meeting national minimum standards and providing a good service for people; consequently on this occasion mainly those standards identified as “key” by CSCI have been inspected. What the service does well: Information available for service users is good. Personal care needs are assessed and met, with each service user having their own care plan, which were found to be regularly reviewed. These are detailed and appropriately documented giving clear instructions to staff on service users individual care needs. These are also accessible to all service users. A number of service users were met both in private and in groups. The comments received were all very positive and included: “I’m very very happy and love them all (staff)” “They are all very nice, I’m alright” “The food is always good” Risk assessments are comprehensive and information regarding individuals is provided to staff before they begin caring for the individual. The home have not had a formal complaint made for some time however they would be recorded and documented in a central complaints file with a record of the outcome and action taken. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 6 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. Normanton DS0000020715.V250736.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 Normanton DS0000020715.V250736.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 The home has a satisfactory and functional admissions procedure proving an effective needs assessment and evaluation of suitability for both privately funded residents and those placed by the local authority. EVIDENCE: Ms Edwards, or a Senior Member of the homes staff, undertakes a preadmission assessment of potential Service users prior to them moving in. The process of pre-admission assessment is outlined for the service user in the Guide. Three residents’ files were inspected, of which one was a recent admission. These were found to contain detailed assessments and showed that they were completed before admittance. This was confirmed further from discussions held with residents - in particular with one resident that had recently moved into the home. Residents spoken to also confirmed that they had trial visits before moving into the home. Normanton DS0000020715.V250736.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): 7,8,9 and 10 Staff are sensitive to the individual needs of each service user and meet these in a professional manner. There is a clear and consistent care planning system in place that provides staff with the information they require to meet residents’ needs. EVIDENCE: Three samples of Individual plans of care completed for all residents were inspected. They identify individual needs and show how these are addressed by the home. The inspection of these care plans showed that they are reviewed formally every six months and to a lesser degree each month. Representatives of the residents such as family, friends or Social Workers are invited to the six monthly reviews. All care plans inspected were consistent in that they contained regular and accurate recording and were individually geared depending on the needs of that particular resident. The Home appeared to be well equipped to provide for the frailest of residents with the availability of specialist equipment. These include Pegasus mattresses for prevention of pressures sores, mobile hoists, Parker baths and additional aids and adaptations. All resident files inspected contained comprehensive Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 10 medical detail including GP and visiting Community Nurse notes which showed that residents access a range of medical practices / resources in the Shrewsbury area. The home has a comprehensive policy and complementary procedures relating to the administration and storage of medication. Medication is administered through a ‘blister pack’ system. Only senior staff administer medication to residents. Records kept were observed to be satisfactory, and include a system of recording all medicines as they are received and returned or disposed of. Residents are enabled to self medicate where they are assessed as competent however the majority of residents prefer the home to take this responsibility for them. The manager must ensure however that all staff administering medication receive accredited training. Service users confirmed that staff are very caring and always treat them with respect. Residents’ files include details about personal likes and dislikes and preferred form of address. No unreasonable limitations are placed upon residents receiving guests or family visitors. Some residents have their own phone lines installed in their bedrooms. The home has a residents’ email address that is also used to send and receive photographs. Residents usually receive GP visits in the privacy of their own room. The homes Service User Guide includes detail about its promotion of privacy, choice, fulfilment, rights and independence for residents Normanton DS0000020715.V250736.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): 12,13,14 and 15. Staff work in close liaison with service users and their relatives to understand their individual lifestyles and preferences in order to promote choice and control over their lives. EVIDENCE: The home incorporates a range of gentle activities into the daily routine to suit the needs and preferences of the residents. This is now done through an activities co-ordinator who has responsibilities for organising such activities and outings. Residents can choose either to become involved in the entertainment or retire to another lounge or the privacy of their own rooms. Resident input is given through their regular meetings and the home makes full use of staff skills to facilitate the weekly programmes. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 12 Residents have no restrictions put on their access to relatives. Relatives are encouraged to visit the home or take residents out. Residents spoke of family members visits and of the support they continue to receive, both in time and monitory terms. Many residents also have their own phones installed in their bedrooms. Residents continue to handle their own finances or are assisted by their relatives who take on this responsibility for them. A large number of the residents at Normanton have personalised their own rooms, many bringing their own furniture (and bed) with them to the home. All residents are given information about and have access to their personal files. The residents spoken to were complimentary about the quality and quantity of food presented to them. Some residents were observed receiving help with feeding when necessary and being treated with respect and dignity. The home provides a range of freshly prepared nutritious meals for the residents. These include special diets catering for individual needs. Residents usually take breakfast in their rooms through choice and eat their main meal in one of the two dining rooms. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Service users are protected from abuse by the home’s policies and procedures. EVIDENCE: There have been no formal complaints made either to the home or through the Commission for Social Care Inspection within the last twelve months. The residents and staff at the home have access to a formal complaints procedure and may also influence practice and services through a suggestion box scheme. Residents are consulted about the services received through three monthly questionnaires. The home has policies and procedures relating to the protection of vulnerable adults. These mitigate against the potential for any abuse of residents. In recognition of the vulnerability of both residents and staff, risk assessments are in place with consideration given to individual vulnerability and ‘difficult’ situations as they occur or are identified. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. The standard of the environment is good providing service users with a safe well-maintained environment to live in. EVIDENCE: Normanton is situated on the Ellesmere Road, approximately two miles from the centre of Shrewsbury and within easy access of all major services and amenities. The main areas of accommodation are located on the ground floor in the purpose built part of the building, with the additional rooms being located in a converted staff cottage and off the conservatory link between them. All rooms are decorated and furnished to a very high standard. The majority of resident rooms have en suite facilities and exceed minimum standard size requirements. Communal areas include two lounge/ dining areas, a bright airy reception hallway and a spacious conservatory. The home opens out onto a flat flower and lawned frontage with vehicle access direct to the main entrance. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 15 It is noted that the home was found to be exceptionally clean, tidy and well maintained throughout during the day of inspection. Residents reported that the home is always kept to a high standard of hygiene and cleanliness. Satisfactory measures are in place to promote a hygienic environment to reduce the potential for infection or contamination. However, the laundry needs to have hand wash facilities to reduce the risks further. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): There appeared to be satisfactory numbers of competent staff on duty to meet the identified care needs of the residents. EVIDENCE: These standards were not inspected fully on this occasion. However, there appeared an adequate number of staff on duty and those spoken showed knowledge and understanding of the needs and wishes of the residents. Residents spoken to all commented positively about the staff and stated that they are very caring and responsive to their needs. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 17 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): 38 Some improvement is needed in the monitoring of safe working systems so that the health, safety and welfare of service users and staff are promoted fully. EVIDENCE: Fire risk assessments have been carried out for specific areas of the home and general risk assessments are reviewed each year. The manager is usually on top of all health and safety procedures, however on this occasion there was no evidence to support that the annual gas and five yearly electrical wiring safety checks had been conducted. This was addressed immediately with arrangements made to have them checked by appropriately qualified people. Normanton DS0000020715.V250736.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 4 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x 2 Normanton DS0000020715.V250736.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 Standard 38 Regulation 13(4) Requirement Timescale for action 18/10/05 2 3 26 9 13(3) 13(2) The Manager must ensure that the gas and electrical wiring systems are checked for their safety. The Manager must ensure 19/10/05 adequate hand washing facilities with the laundry room. The Manager must ensure that 31/10/05 all staff administering medication receive accredited training. 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 28 Good Practice Recommendations That at least 50 of care staff are trained to level 2 NVQ in care by end 2005. Normanton DS0000020715.V250736.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Normanton DS0000020715.V250736.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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