Inspection on 08/08/06 for Normanton

This inspection was carried out on 8th August 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 06/02/06

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 Pat Scott Unannounced Inspection 8th August 2006 09:30 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.V297405.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. Normanton DS0000020715.V297405.R01.S.doc Version 5.2 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 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.V297405.R01.S.doc Version 5.2 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. 6th February 2006 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 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 makes their services known to prospective service users in: The Statement of Purpose and Service Users Guide. The inspection report is available within the home. The care home rates are reviewed annually on 1st April each year and service users are notified one month in advance. The only additional charges to service users are for extra hairdressing, chiropody, newspapers, dentist and opticians. This is clearly laid out in the terms and conditions. Fees for Normanton as of 1st April 2006 are: £355-£365. All service users pay monthly Normanton DS0000020715.V297405.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service, discussions with the staff team, discussion with the manager and owner, tour of the premises, previous inspection reports, quality assurance process, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. What the service does well: What has improved since the last inspection? What they could do better: The manager agreed that the frequency of updates for adult protection training could be improved. This will be cascaded within supervision sessions with the manager. Handwashing facilities in bathrooms and toilets would be improved by the use of pump soap dispensers, paper towels and foot operated bins. Normanton DS0000020715.V297405.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Normanton DS0000020715.V297405.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 Normanton DS0000020715.V297405.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home which will meet their needs Service users have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: The statement of purpose and service users guide are reviewed annually. This information is clear, jargon free and easy to understand. Prospective service users are able to view the home, as seen on the day of inspection and also have a trial stay. Care plans contained full needs assessments that were conducted prior to service users being admitted. These documents confirmed that the assessment had been conducted professionally and sensitively and had involved the family or representative of the prospective service user. Normanton DS0000020715.V297405.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is in a format that provides staff with the information they need to satisfactorily meet service users needs. Personal support in this home is offered in such a way as to promote and protect service users privacy, dignity and independence. EVIDENCE: Care plans are in place for each individual and the manager stated that the style of these will be reviewed to allow for more in-depth planning of care. Care plans demonstrated that staff actively promote the service users’ right of access to the health service both within the home and the community. Appointments are planned or arrangements are made for professionals to visit frail service users. The systems to receive, store, administer and dispose of medication in the home are good and followed according to the home’s policies. The home does Normanton DS0000020715.V297405.R01.S.doc Version 5.2 Page 10 not have storage for controlled medication but the manager stated this is on order. Staff were seen and heard to respect service users’ privacy and dignity. They were allowed to go about their usual routines and sit where they liked. The staff were seen to interact well with service users and it was evident that relationships are close but still professional. Service users spoken with were very complimentary about their life in the home. They praised the staff and could not fault the care they received. Normanton DS0000020715.V297405.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to participate in social activity and keep in contact with family and friends. Residents receive a healthy, varied diet according to their assessed requirement. EVIDENCE: The way in which activities are provided places an emphasis on more meaningful pastimes tailored to individual needs. A dedicated staff member is allocated to the provision of this service. The manager and staff explore ways of improving leisure time and service users stated that they are regularly consulted about what they would like to do. Details are displayed in the activity log of daily pursuits and include social gatherings, arts and crafts or reminiscence. There are many photographs on display around the home of events that have taken place. Service users spoken with stated that they may receive visitors at any reasonable time of the day and that they are always made very welcome by the staff. Normanton DS0000020715.V297405.R01.S.doc Version 5.2 Page 12 The home employs a cook who has a good relationship with the service users and plans the menus around their preferences and dietary needs. The meal provision and kitchen duties are well organised and staff have received food hygiene training. The availability, quality and presentation of food ensures that service users receive a wholesome, appealing and nutritious diet. Service users spoken with could not fault the food provided. Normanton DS0000020715.V297405.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a robust, effective complaints procedure that enables them or their supporters views to be listened to and acted upon. Staff are provided with induction training regarding adult protection. This provides staff with knowledge about how to safeguard service users from many types of abuse. EVIDENCE: The CSCI has not received any complaints about the home. Nor have their been any adult protection issues. Service users were seen to speak easily to staff and were comfortable in their company. Staff are skilled in communicating with people to ascertain their well being. Induction training provides new staff with information about adult protection. It was agreed that updates for existing staff would be delivered. Normanton DS0000020715.V297405.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Normanton is comfortable and homely and service users live in a safe, wellmaintained environment. EVIDENCE: Rooms entered into were personalised according to individual wishes and tastes. Service users said that they liked their rooms very much and that staff cleaned them daily. Communal areas were clean and comfortable. Service users have access to a beautiful garden which is very well maintained. Staff implement procedures to minimise cross infection but improving the handwash facilities in areas where staff deal with personal care could improve. Normanton DS0000020715.V297405.R01.S.doc Version 5.2 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: There have not been any new members of staff recruited since the last inspection. Previous inspection reports conclude that recruitment processes are robust. The policies and procedures have been reviewed for July 2006. The manager is to attend training to update the induction process to meet the changes set out by Skills for Care. Staff confirmed that training is provided and there are many equal opportunities to improve themselves for the benefit of service user care. Four staff are doing NVQ 3 in care. Service users commented that they feel safe with the staff caring for them and they felt that the home employs people that are capable of carrying out their care duties. Normanton DS0000020715.V297405.R01.S.doc Version 5.2 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): 31,32,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The ethos of the home is based on openness and respect with effective quality assurance systems developed by qualified, competent management to achieve good outcomes for service users in all areas of care. EVIDENCE: The registered manager/owner has the required qualification and experience to meet the standards and aims and objectives of the home. Through discussion she demonstrated that she manages the service efficiently, providing quality care to service users. She seeks to develop staff to improve their skills to create a confident staff team. The home does not manage money on behalf of service users. Normanton DS0000020715.V297405.R01.S.doc Version 5.2 Page 17 Quality assurance takes place throughout the service in both a formal and informal manner. Meetings, surveys, day to day contact all provide records to show that service user satisfaction is at the heart of the service. Service users spoke of the meetings they attend and felt that they were consulted in the running of the home. The home keeps records to show that the health and safety of service users is promoted and protected. The fire records and hot water temperature checks were seen as an example of this. Normanton DS0000020715.V297405.R01.S.doc Version 5.2 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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 Normanton DS0000020715.V297405.R01.S.doc Version 5.2 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. 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. 1. 2. Refer to Standard OP26 OP18 Good Practice Recommendations The registered person should provide soap dispensers, paper towels and pedal bins in toilets and bathrooms. The registered person should provide updates for staff in adult protection. Normanton DS0000020715.V297405.R01.S.doc Version 5.2 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.V297405.R01.S.doc Version 5.2 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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