Inspection on 06/02/06 for Normanton

This inspection was carried out on 6th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Normanton 07/06/07

Normanton 08/08/06

Normanton 13/09/05

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 Joy Hoelzel Unannounced Inspection 6th February 2006 11:30 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.V282367.R01.S.doc Version 5.1 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.V282367.R01.S.doc Version 5.1 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 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.V282367.R01.S.doc Version 5.1 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. 13th September 2005 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. Mr and Mrs Edwards and their daughter own the Home. 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.V282367.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over three hours on Monday 6th February 2006 and is the second of the two statutory inspections for 2005/06. Twenty-nine people are currently living at the home, staffing consisted of the manager, care and ancillary staff. This inspection focused on the ‘key’ standards that were not inspected at the previous visit in September 2005. Relevant documents were inspected, discussions were held with service users and staff and a tour of the building was conducted. What the service does well: What has improved since the last inspection? The three requirements made following the previous inspection in September 2005 have all been complied with. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 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. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 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.V282367.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not inspected on this occasion, but were included in the announced inspection in September 2005. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not inspected on this occasion, but were included in the announced inspection in September 2005. The manager commented that staffs have been enrolled on the Managing and Safe Handling of Medicines at the local college following the requirement made at the previous inspection. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 10 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): OP12 Residents are offered the opportunity to participate in a very varied social and recreational programme. EVIDENCE: Social activities continue to be arranged on behalf of residents in abundance, during the tour of the home, many photographs were displayed around the home showing the different functions. The manager explained that many relatives and friends visit the home and are encouraged to actively participate in all social aspects. The minutes of a recent meeting stated that a new barbecue had been purchased as the previous one was ‘worn out’. One staff member described the recent purchase of a trolley shop; the trolley is taken round the home to the residents, they then have the opportunity to shop for sundries and personal items. Residents stated that this was a lovely addition as they are not able to access the local shops due to mobility problems but had the opportunity to choose from a range of goods. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: These standards were not inspected on this occasion, but were included in the announced inspection in September 2005. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 12 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): OP19, 25 The home continues to provide a high quality and comfortable environment for those in residence. EVIDENCE: The home is purpose built and provides high quality accommodation to twentynine people of varying degrees of disabilities. All areas of the home were observed to be exceptionally clean; all staff should be commended for maintaining such a high standard. During the tour of the building it was noted that some wedges are used to keep open fire doors. The hot water outlets accessible to residents were randomly tested and were recorded far in excess of the safety levels, this being close to 43 degrees centigrade. All baths had a pre set valve fitted to maintain the required temperature, the wash hand basins had not. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 13 Both of these issues were discussed with the manager at the time of this inspection. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 14 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): OP 27, 28, 29, 30 There is a stable staff group working positively and enthusiastically to provide the required care to the people residing at the home. EVIDENCE: The staffing rota indicated that the usual levels of staff are being maintained, this being four care staff during the day, 3 care staff during the evening and two at night. The home does not employ agency staff the manager explained that the regular staffs fill in for any sickness and annual leave entitlements. Residents commented that all the staff ‘are lovely’, ‘do anything for you to help’, and ‘we couldn’t be better looked after’. The manager and observation of staff personnel files confirmed that National Vocational Qualification training at levels 2 and 3 are continuing for staff. Many staff have been at the home for a number of years, the personnel file of the most recent employee was inspected and contained two references, criminal record bureau disclosure and proof of identification. Each member of staff is issued with a contract/ terms and conditions with the home. The training and development needs of staff are identified through the regular supervision sessions. All core and specialised topic areas are arranged annually and include moving and handling, fire safety, care of the skin and managing and safe handling of medications. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 15 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): OP 31, 33, 35,38 The manager is approachable and supportive, having a positive impact on staff and residents. EVIDENCE: The manager has the skills and experience to successfully manage the home; she is undertaking additional training in managing and safe handling of medications and is planning another course in leadership. She demonstrated a sound knowledge of the service users group and the difficulties and challenges associated with ageing. Residents made positive comments about the manager and indeed all of the staff. Residents meetings are held every three months, satisfaction questionnaires are distributed to residents and their representatives prior to the meeting, and the findings of the questionnaires are then openly discussed at the meeting. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 16 The manager carries out monthly monitoring audits to review the aims and objectives. The manager explained that no money is held on the premises on behalf of the residents. The residents representatives are invoiced for any sundry expenditure that occurs i.e. hairdresser, newspapers etc. Some residents keep small amounts of cash only. The safety checks for the gas and electrical wiring systems were carried out in October 2005. As mentioned earlier in the report hot water outlets accessible to residents must be maintained at a temperature close to 43 degrees centigrade. Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X 2 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 X 3 X 3 X X 3 Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 18 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 OP19 Regulation 23(4)(a) Requirement Where there is a need or preference for fire doors to remain open, the registered person must ensure that an appropriate door closure is fitted that is linked to the fire alarm system so as to close effectively in the case of an emergency. Timescale for action 31/03/06 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 OP25 Good Practice Recommendations It is recommended that the risk of hot water at outlets accessible to individual service users are assessed and appropriate action is taken to reduce the risk of scalding Normanton DS0000020715.V282367.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE 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.V282367.R01.S.doc Version 5.1 Page 20 - 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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