Inspection on 04/10/05 for Northcott House Nursing & Residential Care Home

This inspection was carried out on 4th October 2005.

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

Northcott House Nursing &... 28/10/08

Northcott House Nursing &... 06/11/06

Northcott House Nursing &... 17/05/05

Northcott House Nursing &... 12/10/04

Northcott House Nursing &... 13/05/04

Northcott House Nursing &... 30/07/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Northcott House Nursing & Residential Care Home Northcott Close, Bury Hall Lane Alverstoke Gosport Hants PO12 2PP Lead Inspector Gina Pickering Unannounced Inspection 4th October 2005 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 Northcott House Nursing & Residential Care Home DS0000011513.V255242.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. Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Northcott House Nursing & Residential Care Home Northcott Close, Bury Hall Lane Alverstoke Gosport Hants PO12 2PP 023 9251 0016 023 9251 3110 Address 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) God`s Port Housing Society Limited Mrs Christine Mirner Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55), Terminally ill (5), Terminally ill over 65 of places years of age (5) Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Only a total of 5 service users in the categories TI(E) and TI can be accomodated at any one time Only 25 service users in the OP category can be accommodated at any one time who are in receipt of personal care Service users in the category TI to be accommodated only between the ages of 55-65 17th May 2005 Date of last inspection Brief Description of the Service: Northcott House is a care home providing nursing and personal care for up to 55 service users over the age of 55. The registered provider is God’s Port Housing Association, a charitable organisation, who also manage flats and bungalows on the same site as the care home. The manager Mrs Christine Mirner has been in post for fourteen months during which time there have been substantial improvements in the management of the home and staff morale. The home is situated in a residential area of Alverstoke in Gosport, with easy access to local amenities, health care providers and the coastal are of Stokes Bay. Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a one day period. The inspector spoke with the manager, eight staff members, two visitors and twelve residents as well inspecting various documents. Discussions with the manager revealed that service users at the home like to be called residents; this shall be reflected throughout the inspection report. Residents spoke highly of the staff at the home saying that they are lovely and caring. Staff at the home stated that the manager is very caring towards the residents and very receptive towards the needs of the residents and staff. It was noted that there was a happy friendly atmosphere at the home throughout the inspection. What the service does well: What has improved since the last inspection? Improvements have been made in the storage of medications; a regular stock count of controlled medications is carried out issues of overstocking have been addressed with the help of a community link pharmacist. The procedure for managing residents ‘spending money’ been revised; this has increased the Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 6 assurance that residents financial welfare is protected. An procedure for indepth monitoring of the outcome of falls of residents has been implemented with the expected outcome that more falls can be prevented and that injuries sustained as a result of falls will be noted if they become apparent in the days following the fall. Staff have been working hard to improve the quadrant garden area of the home making it a pleasant environment that residents will be able to utilise in the warmer months. The open and inclusive atmosphere of the home continues to improve as a result of the management methods of the registered manager. 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. Northcott House Nursing & Residential Care Home DS0000011513.V255242.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 Northcott House Nursing & Residential Care Home DS0000011513.V255242.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): 1&6 Resident’s views about the service provided at the home are still not yet included in the statement of purpose. This does not allow for prospective residents to make fully informed decisions about the home. The home does not offer intermediate care. EVIDENCE: The statement of purpose has not yet been revised to include service users views as to the service provided despite this being highlighted at previous inspection. This was discussed with the manager who agreed to collate service users views and ask the registered provider to add them to the statement of purpose. The home does not provide intermediate care. Northcott House Nursing & Residential Care Home DS0000011513.V255242.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): 9 & 10 Medication at the home is well managed promoting good health. Resident’s dignity and privacy is assured through the ethos of the home and the professionalism of the staff at the home. EVIDENCE: Following a recommendation made in the previous inspection of 17/05/05 a weekly stock count of controlled medications is documented. A link pharmacist is assisting the manager with reducing overstocking of medications. Residents told the inspectors that the staff are lovely, caring and treat them as individuals respecting their wishes. Bedrooms doors are lockable and a record us kept of the residents that hold keys to their bedrooms. Toilets and bathrooms have lockable doors promoting the privacy of the residents. Observing the interaction between care staff and the people that live in the home evidenced the respect and attention that care staff give to the residents. Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 10 s Northcott House Nursing & Residential Care Home DS0000011513.V255242.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 The home provides stimulating and varied activities to enrich the life of the residents. The home encourages and supports clients to maintain links with the local community and their family and friends. EVIDENCE: Pre admission assessments include information about resident’s past and present hobbies and social and leisure needs. However the manager told the inspector that this is not included within the care planning process. She has agreed that methods to include this information in the care planning process will be explored with the staff team. An activities co coordinator is employed by the home who at the time of the inspection was on holiday. Her role and documented records of activities will be assessed at the next inspection. Information displayed in the entrance hall indicated various activities happening such as Scottish dancing, a weekly syndicate for the national lottery, and weekly church services held at the home. Several residents spoke with enthusiasm about outings to garden centres, church fetes and the homes garden parties. Photographic displays in the entrance area indicate the fun had by all at a Morris dancing display. Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 12 Visitors are welcome to the home at any time with the residents being able to choose where to receive their visitors. The inspector spoke with two visitors who confirmed that they can visit at anytime suitable to the resident and that the staff at the home are very welcoming to them. Northcott House Nursing & Residential Care Home DS0000011513.V255242.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): These standards were not assessed. EVIDENCE: Northcott House Nursing & Residential Care Home DS0000011513.V255242.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 & 26 Residents live in a homely environment. The management of the laundering facilities poses a significant cross infection risk and does not protect the well being and health of the people living at the home. EVIDENCE: The inspectors toured the internal and external environment observing that it is well maintained though some of the corridor areas would benefit form a fresh coat of paint. At the time of the inspection several rooms were in the process of being redecorated and refitted. All areas of the home are decorated and furnished in a homely fashion. Residents have the opportunity to bring possessions into the home making their bedrooms personal. Staff at the home have been busy landscaping the garden, giving an accessible pleasant environment for residents to access. The kitchen is supplied with herbs from this garden. Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 15 A team of housekeeping staff are responsible for the cleaning and laundering duties in the home. The home was clean and free from any offensive odours at the time of the inspection. An inspection was made of the laundry area. The laundry is situated in a separate building from the home. Covered level walkways allow for access to this building. At 10.45 there were eight containers of dirty washing, including soiled, offensive smelling laundry to be attended to with all the washing machines in use. It was said that residents are waiting several days to get their personal clothing back and that some laundry has to wait till the next day for washing. One member of staff is generally on duty in the laundry with the last load of laundry having to be put on by 11.30 due to staffing levels. Touring the home evidenced that more items for washing were being collected whilst care staff are attending to the residents. The backlog of dirty washing in the laundry poses a cross infection risk; containers of clean washing waiting drying are stored in the same area as dirty washing. The laundry is cluttered with clean and dirty laundry containers posing a risk of trips and falls to staff working in the laundry. Conversations with residents, their relatives, staff at the home and the manager confirmed that there are delays in residents receiving their clean clothing due to the laundry problems. Requirements have been made about this issue. Bathrooms were noted to have bars of soap in them, some two or three, that could pose a cross infection risk. Northcott House Nursing & Residential Care Home DS0000011513.V255242.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): 27 & 39 Care needs and nutritional needs of residents at the home are met with appropriate staffing levels, however staffing levels within the laundry compromise the laundering provision for the residents. The resident’s well-being is partially protected by the recruitment practice at the present time. EVIDENCE: Staff rota’s indicate the number of staff working each shift. Staff members told the inspector that there are enough staff on duty each shift to allow them to fulfil their role and meet the needs of the residents. This was confirmed with conversations that the insector had with the residents who informed the inspector that if they need assistance this is given promptly. Laundry staffing levels have been highlighted as a concern in standards 26. The manager has appointed an extra cook that ensures continuity in the provision of meals when the repent cooks are on leave. Recruitment polices and procedures are in place. On inspecting staff documentation it was noted that a member of staff had commenced employment prior to receiving a satisfactory CRB and POVA clearance. This practice does not ensure the safety and well being of the residents at the home. This issue was discussed with the manager who agreed to ensure that the correct procedure will be followed in the future. Northcott House Nursing & Residential Care Home DS0000011513.V255242.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): 31, 35 & 38 Residents live in a home that is managed in a manner that allows all residents and staff to input into the running of the home. Good practices ensure that clients’ financial interests are safe guarded. The health and safety of residents is only partially protected by practices at the home EVIDENCE: The registered manager has now been in post for fourteen months and has just commenced the Registered Managers Award. Staff and residents at the home spoke highly of her open and inclusive management practices and her sensitive caring approach to residents and the staff at the home. All staff expressed that they are fully supported by the manager and since her employment have had opportunities to further their training and become more active in the management of the home. Since the appointment of Mrs Christine Mirner as registered manager the staff turnover has dramatically decreased. Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 18 Few residents are able to manger their finances themselves; relatives or solicitors generally act for them. Lockable storage areas in the resident’s bedrooms allow them to keep money and valuables in a secure area in their bedrooms. Resident’s money is securely kept within the home. Records of income and expenditure are kept for each resident on an individual basis, their money is stored in separate wallets and all receipts of transactions are kept and, logged with a number. A procedure is in place for residents to access money at the times when the manger or the administrator is not on site. A health and safety officer for Gods Port Housing Association oversees health and safety issues for the home. He has responsibility for the fire safety of the building. All records viewed evidenced that staff training and fire safety checks meet the current legalisation and guidelines. A ground floor fire door did not close fully. This was discussed with the manager and the health and safety officer who said they would address the issue promptly. All are staff receive annual instruction about moving and handling and this is due to be implemented for ancillary staff. Several members of staff have undertaken a distance course about the control of infection, following which a training programme has been developed for all other staff at the home. Staff members have received first aid training and the manager will allocate a member of staff each shift who has received the appropriate training to act as an appointed first aider. Service certificates indicate that all equipment and services are serviced at the recommended intervals. Bathrooms and toilets were noted to have cleaning solutions on shelves that could be accessible to the residents. This was discussed with the manager who agreed to remove these to an area that would pose no risk to the residents. A practice for auditing accident forms and monitoring the outcome for residents that have had any falls has been implemented. Health and safety risks associated with the management of the laundry have been discussed in standard 26. Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 19 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 2 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 20 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 OP27 Regulation 18(1a) Requirement A review of laundry staffing levels must be made. The results of this review must be acted upon to ensure resident’s needs are met. A review of the laundry procedures must be made and changes implemented to protect the health and safety of all who live and work at the home. A risk assessment of the laundry area must be performed, the results of which must be acted up on. The registered person must ensure that all staff members receive as a minimum a POVA first clearance whilst awaiting full POVA and CRB clearance prior to commencing employment at the home. Soap bars in bathroom areas must be removed to the individual residents bedroom to reduce the risk of cross infection Timescale for action 15/10/05 2 OP26OP38 13(4c), 16(2e), 30/10/05 3 OP38 23(1a), 16(e) 18(1a) 15/10/05 4 OP29 15/10/05 5 OP26OP38 13(3) 15/10/05 Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 21 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 OP1 Good Practice Recommendations Resident’s views of the service provided by the care home should be include within the statement of purpose. Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Northcott House Nursing & Residential Care Home DS0000011513.V255242.R01.S.doc Version 5.0 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. 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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