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Inspection on 06/11/06 for Northcott House Nursing & Residential Care Home

Also see our care home review for Northcott House Nursing & Residential Care Home for more information

This inspection was carried out on 6th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents spoken with liked living at the home, with one saying that `it`s a really good home, one of the best`. Residents also said that the staff were very kind and caring and `couldn`t be faulted`. Staff spoken with said that the registered manager, Christine Mirner, was supportive and residents said that they felt able to talk with her at any time. A care needs assessment is undertaken for all prospective residents, before a place at the home is offered, to ensure the home can meet their care needs. A resident said that the information about life at the home given to them was good and they had been able to visit the home before making the decision to take a place there. Residents are involved in planning their care and care plans seen were detailed and provided clear information on the assessed care needs of the resident and the actions required by staff to meet those needs. A resident said that their care plan reflected their wishes. Residents spoken with felt that they were treated with respect and their right to privacy was upheld. The home has clear procedures for dealing with medicines. Staff follow the procedures and this protects the health and safety of the residents. Residents are provided with a varied programme of social activities and are able to choose when they wish to participate. Visitors are welcomed at the home at any time. Residents spoken with said that the food provided was `always good` and they were offered a choice at each meal. Residents are able to choose which of the two dining rooms they would like to use for meals, or if they wish can take their meals in their own rooms. The home looked clean and homely and residents spoken with said that they liked their rooms, which had been personalised with items such as pictures and ornaments, and found the communal rooms comfortable. Many of the rooms have views over the enclosed, well-maintained garden. One resident said that they enjoyed sitting looking out onto the garden. Three residents and a visitor said that they knew the procedures to follow should they wish to make a complaint. All said that they had no reason to complain but if they did have any concerns they would talk with the registered manager who they felt would act to address the issues. The home has procedures in place for the protection of vulnerable adults and staff had received training in the prevention of abuse. Three staff members spoken with knew the procedures to follow should abuse be suspected. Residents are protected by the home`s procedures for the recruitment of staff which includes the undertaking of a Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check for all prospective staff members. Staff receive the training required to do their jobs and have regular supervision sessions with the registered manager or the senior nurse.

What has improved since the last inspection?

At the time of the last inspection the laundry room was untidy, with a large amount of soiled linen waiting for laundering. Residents said then that it took quite some time for clothing to be returned from the laundry. Since then the registered manager has changed the staffing levels for the laundry and on the day of the visit the laundry room looked clean and in good order. Residents spoken with said that they did not have to wait long for clothing items to be laundered and returned. Soap bars are no longer kept in communal bathrooms so the risk of cross infection has been reduced. New staff members are required to wait for at least a POVA first check to be completed before commencing work at the home, to protect the safety of residents.

What the care home could do better:

Requirements issued at the last inspection had been met and there were no requirements made at this inspection visit.

CARE HOMES FOR OLDER PEOPLE Northcott House Nursing & Residential Care Home Northcott Close, Bury Hall Lane Alverstoke Gosport Hampshire PO12 2PP Lead Inspector Marilyn Lewis Unannounced Inspection 6th November 2006 10:00 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 Northcott House Nursing & Residential Care Home DS0000011513.V316606.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. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Northcott House Nursing & Residential Care Home Northcott Close, Bury Hall Lane Alverstoke Gosport Hampshire 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.V316606.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Only 25 service users in the OP category can be accommodated at any one time who are in receipt of personal care Only a total of 5 service users in the categories TI(E) and TI can be accomodated at any one time Service users in the category TI to be accommodated only between the ages of 55-65 4th October 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 two and a half years. 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. Accommodation is provided over two floors with stairs, a passenger lift and a chair lift giving access to each floor. Residents are accommodated in 53 single rooms and 1 double room. Four of the single rooms plus the double room have en-suite facilities. Bathrooms and toilets are situated close to rooms without en-suite facilities. Residents are also able to access the six lounges situated around the home, the conservatory and two dining rooms. Many of the rooms have windows that give views of the pleasant, well maintained gardens. At the time of the visit the registered manager stated that current fees ranged from £265.72 to £430.50 per week depending on the level of care needs. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 6th November 2006. The inspector toured the home and met with nine residents, 5 staff members, 3 visitors, the registered responsible individual and the registered manager. During the visit care plans were sampled and records seen included those for medication, complaints, accidents, staff training and staff recruitment. The registered manager has provided pre inspection information that has been used as part of the inspection process. The people spoken with who live at the home wished to be known as residents and have therefore been referred to as residents in this report. What the service does well: Residents spoken with liked living at the home, with one saying that ‘it’s a really good home, one of the best’. Residents also said that the staff were very kind and caring and ‘couldn’t be faulted’. Staff spoken with said that the registered manager, Christine Mirner, was supportive and residents said that they felt able to talk with her at any time. A care needs assessment is undertaken for all prospective residents, before a place at the home is offered, to ensure the home can meet their care needs. A resident said that the information about life at the home given to them was good and they had been able to visit the home before making the decision to take a place there. Residents are involved in planning their care and care plans seen were detailed and provided clear information on the assessed care needs of the resident and the actions required by staff to meet those needs. A resident said that their care plan reflected their wishes. Residents spoken with felt that they were treated with respect and their right to privacy was upheld. The home has clear procedures for dealing with medicines. Staff follow the procedures and this protects the health and safety of the residents. Residents are provided with a varied programme of social activities and are able to choose when they wish to participate. Visitors are welcomed at the home at any time. Residents spoken with said that the food provided was ‘always good’ and they were offered a choice at each meal. Residents are able to choose which of the Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 6 two dining rooms they would like to use for meals, or if they wish can take their meals in their own rooms. The home looked clean and homely and residents spoken with said that they liked their rooms, which had been personalised with items such as pictures and ornaments, and found the communal rooms comfortable. Many of the rooms have views over the enclosed, well-maintained garden. One resident said that they enjoyed sitting looking out onto the garden. Three residents and a visitor said that they knew the procedures to follow should they wish to make a complaint. All said that they had no reason to complain but if they did have any concerns they would talk with the registered manager who they felt would act to address the issues. The home has procedures in place for the protection of vulnerable adults and staff had received training in the prevention of abuse. Three staff members spoken with knew the procedures to follow should abuse be suspected. Residents are protected by the home’s procedures for the recruitment of staff which includes the undertaking of a Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check for all prospective staff members. Staff receive the training required to do their jobs and have regular supervision sessions with the registered manager or the senior nurse. What has improved since the last inspection? What they could do better: Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 7 Requirements issued at the last inspection had been met and there were no requirements made at this inspection visit. 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. The summary of this inspection report can be made available in other formats on request. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 8 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.V316606.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with clear information about life at the home and are able to visit the home before making a decision about taking a place there. A care needs assessment is undertaken for all prospective residents, before a place is offered, to ensure the home can meet their care needs. The home has procedures in place for providing care for people admitted for intermediate care. EVIDENCE: The home provides residents with a Statement of Purpose and Service User Guide that gives clear information about life at the home. The latest inspection Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 10 report is included in the documents. Comments from residents giving their views on the care provided are also included. A resident who had recently moved into the home said that the information provided had been very helpful. The registered manager said that a care needs assessment is undertaken for each prospective resident, to ensure the home could meet their needs, before a place at the home was offered. Assessments seen covered all aspects of care needs including mobility, history of falls, personal care and social care needs. Prospective residents were able to visit the home before making a decision about living there. One resident said that she has seen her room and spent time with residents during a visit before moving in to the home. Each resident is provided with a written contract that gives the terms and conditions for residency. Contracts seen indicated the services provided that were included in the fees and services available at an additional cost, such as chiropody, hairdressing, newspapers and toiletries. The registered manager said that residents are admitted for intermediate care. However no one currently resident in the home was receiving intermediate care. Procedures were available that included arranging rehabilitation services such as physiotherapy and speech therapy. People admitted for intermediate care were admitted for a specific number of weeks. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in their care planning, their health care needs are met and staff following the home’s clear procedures for dealing with medicines protects them. EVIDENCE: Care plans were sampled for five residents, three of whom had recently been admitted to the home. The plans were detailed and included nutritional, mobility, pressure care and personal hygiene needs. Care plans seen showed evidence of regular review and involvement of the residents. One resident said that the registered manager had discussed her care plans with her and she had agreed that they contained her wishes. Risk assessments were included in the care plans and those seen had been reviewed regularly to reflect the changing needs of the residents. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 12 Records seen indicated that resident’s health needs were being met. Visits were recorded from GPs, community psychiatric nurses, district nurses and a speech and language therapist. A resident said that staff had arranged for her GP and the district nurse to visit when she had been unwell recently. The home has clear procedures in place for dealing with medicines. The nurse responsible for medicines on the day of the visit discussed the procedures with the inspector, including those for medicines entering the home and the disposal of unwanted medication. Medication records seen had been completed appropriately. Records seen for controlled medicines were also up to date and the records matched the stock held. At the time of the visit no residents were responsible for their own medicines, but procedures were in place for residents to self administer their medication should they wish and were assessed as able to do so safely. Up to date information on the medicines used in the home was available for staff and the nurse said that staff received training in the administration of medicines. Training records confirmed that staff had received the training. During the visit staff were seen to knock on doors and wait before entering rooms and spoke with residents in a friendly respectful manner. Residents spoken with said that staff were kind and caring and one resident said that they ‘could not fault’ any of the staff. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice and control over their daily lives, participate in a range of suitable activities, receive visits from relatives and friends as they wish and enjoy a varied and nutritious diet. EVIDENCE: Resident’s preferences for participation in daily living and social activities were recorded in their care plans, including the time they wished to get up and go to bed and whether they wished to shower or bath. Notices displayed in the main reception area indicated that church services were held every Sunday for those who wished to attend. A resident said that a special service for Remembrance Sunday had been arranged, where he was to lay a poppy wreath. The home employs an activities co-ordinator for 12 hours per week. The coordinator said that current residents were not interested in craftwork but did enjoy bingo and quizzes and movement to music. A movement to music Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 14 session was held during the visit and residents participating said that they always enjoyed it. Residents spoken with said that they did not wish to do craft work. The co-ordinator said that entertainers such as a group of Scottish dancers visited the home to entertain residents. The home was also ‘twinned’ with one of the local schools and was invited to join the school for some of their social events. The home also takes residents who wish to participate on outings to local areas of interest. One outing to the seafront for a fish and chips lunch had proved very popular and another outing had been arranged. Three residents spoken with said that they had particularly enjoyed the outing and were looking forward to the next one. On the day of the visit a firework display had been arranged for the evening. The chef in charge of resident’s meals had come into the home, in his free time, to assist the cook on duty prepare a buffet for the evenings entertainment. A resident said that they had also enjoyed a recent event where staff had dressed up for a recent 60s music disco. One resident said that they enjoyed the social activities and they appreciated staff allowing them to decide when they wished to participate and when they preferred to spend time quietly in their room or in one of the small seating areas around the home. The registered manager said that there were no restrictions on relatives and friends visiting the home if the resident wished to receive them. This was confirmed by a resident who said that they received visits from family members frequently and three visitors spoken with said that they were able to visit as often as they could and that staff always made them feel welcome. All residents spoken with said that the food provided at the home was good. Menus seen indicated that choice was offered. Lunch was a choice of Ham and egg or chicken chasseur with chips, peas, cauliflower and grilled tomatoes, followed by banana and custard or fruit jelly and cream. The chef said that additional alternatives were available if residents wished them and that yoghurt and ice cream were always on offer. The home was providing meals for diabetics and pureed meals for those who had been assessed as requiring them. Fresh fruit and vegetables were being used in the preparation of the meals. Residents were able to choose to eat in one of the two dining rooms or if they preferred in their own room. Staff were seen to support residents who required assistance in a friendly and caring manner. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that any complaints will be taken seriously and acted upon as necessary and staff training and awareness in the protection of vulnerable adults protect them. EVIDENCE: The home has a complaints policy in place that indicates complaints would be taken seriously and investigated promptly. No complaints had been recorded in the last year. Three residents and a visitor spoken with knew the procedures for making a complaint but all said that they had not had any cause to do so. All said that they would speak with the registered manager if they had any concerns and they felt sure she would listen, take their concerns seriously and address the issues. Three staff members spoken with said that they had received training in the protection of vulnerable adults and were aware of the procedures to be followed should abuse be suspected. The staff members also said that the prevention of abuse was discussed during their supervision meetings. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 16 The home’s procedures for the protection of vulnerable adults were readily available for staff. Records seen indicated that checks were undertaken before new staff commenced work in the home to ensure residents’ safety was protected. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Northcott provides a clean, comfortable and homely environment for all who live, work and visit there. EVIDENCE: Northcott House is situated in a residential area of Alverstoke, Gosport. It shares a site with bungalows and flats owned and managed by the same charitable organisation, God’s Port Housing Society Ltd. Accommodation is provided for 55 residents in 53 single rooms and one double room. The rooms are on two floors and stairs, passenger lifts and a chair lift allow residents access to each floor. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 18 Six lounges are provided with a large lounge on the ground floor and smaller lounges offering quieter seating areas are situated on each floor. Residents are also provided with two dining rooms and a large conservatory. The home looked clean and homely. All residents spoken with said that they liked their rooms and found the communal areas comfortable. Many of the resident’s rooms have windows that give views of the well-maintained enclosed garden. A resident said that she enjoyed sitting and looking out at the garden and watching the gardener at work. Resident’s rooms seen looked homely and contained many personal items such as pictures, ornaments and small pieces of furniture. A resident said that he felt it was important to be able to have some of his personal items with him as they held so many memories, particularly of his late wife. Residents are provided with locked storage space and those who wish them have a key to their room. Four of the single rooms and the double room have en suite facilities. Bathrooms and toilets are situated close to rooms without en suites. Bathrooms and toilets seen during the visit looked clean. One bathroom was being renovated and the bath that was sited next to the wall, making it difficult for carers, was being moved to the centre of the room. During the last inspection visit the laundry room was seen to be untidy with large amounts of soiled linen waiting for laundering. Residents said that they had to wait a few days for clothing to be returned from the laundry. Since then the registered manager has changed the staffing levels in the laundry and the domestic supervisor spends more time overseeing laundry duties. At this visit the laundry looked clean and in good order and residents were satisfied with the service, saying that clothing was now returned quickly. Visitors to the home are asked to sign the visitors record book on entering and leaving the building so that staff are aware of who is on the premises at any time. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by the number and skill mix of staff employed at the home and are protected by the home’s robust recruitment procedures. Staff receive the training required to do their jobs. EVIDENCE: The home employs the registered manager; eight trained nurses and twentyfour carers. Separate staff are employed for administration, catering, laundry, domestic and maintenance duties. Agency staff are employed to cover for staff shortages, holidays and sickness. The registered manager said that agency staff have worked at the home on numerous occasions and are known to the residents. Two residents said that they thought there were sufficient staff on duty at any one time and a staff member also said that she felt staff were able to fully support the residents. The registered manager said that the organisation was trying to recruit new staff and that a meeting was being held the following week to discuss how best to retain the staff currently employed. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 20 The home has procedures in place for the recruitment of staff. Records seen for four staff members contained the information required including two written references and proof of identity. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been completed. The registered manager said that the checks are undertaken before any new member of staff is allowed to work at the home. Fifteen of the twenty-four carers hold or are in the process of obtaining, NV Q level 2 or above. Two carers spoken with said that they were encouraged and supported by the registered manager to gain qualifications. One of the trained nurses has trained to be a trainer in moving and handling and is currently updating all staff in manual handling. Records seen indicated that staff are receiving training in infection control, health and safety, abuse awareness, first aid and nutrition. Some staff had also attended training sessions in subjects relevant to the service group including palliative care, dementia care, continence care and Parkinson’s disease. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents. Residents’ financial interests are safeguarded by the home’s clear procedures for handling money and their health and safety is protected by the supervision of staff and the safe working practices operated in the home. EVIDENCE: The registered manager, Christine Mirner, has managed the home for two and a half years and is a trained nurse with over twenty years experience in providing nursing care. It was evident during the visit that there was a good rapport between the registered manager and staff and residents. Staff spoken with said that they Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 22 received good support from the registered manager and residents said that they felt able to talk with her at any time. The registered manager said that an annual survey was held to obtain the views of the residents on the quality of care provided. Feedback was given during the next resident meeting. Residents spoken with said that they attended meetings to discuss issues affecting the home such as decorating communal areas, catering and staffing levels. A resident said that they had been involved in staff interviews where two residents chatted with a prospective staff member. The responsible individual who called into the home during the inspection visit said that he spends time talking with residents which gives them the opportunity to discuss any concerns or issues regarding the running of the home. The organisation also undertake internal audits for the home to ensure the quality of care provided at the home is good. A staff member said that staff meetings are also held. Trained staff meet and feedback to the carers and there are also inter department meetings where one person from each area attend the meeting and feedback to the rest of the team. Minutes seen confirmed that meetings were taking place. The home holds small amounts of money for some residents. The monies are stored individually in a secure place. Records and receipts are kept for all transactions and records seen for two residents matched the amount of money held. The registered manager and the senior nurse have received training to provide supervision for staff. A staff member said that she received supervision regularly and records seen confirmed this. Records are kept for all accidents. The registered manager who said that this was to monitor the accidents and review risk assessments if necessary had audited records seen. During the visit staff were seen to use safe working practices and substances hazardous to health such as cleaning fluids were stored safely. Staff were seen to wear protective clothing such as disposable gloves and aprons, as required. Records seen indicated that maintenance of specialist equipment such as hoists and checks on utilities including the testing of electrical equipment were undertaken as necessary. The kitchen looked clean and was in good order, with stored correctly. All staff who worked in the kitchen had received training in food hygiene. The home had a risk assessment in place for fire safety and records seen indicated that checks on fire safety equipment were undertaken. Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 23 Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 24 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 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 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 3 x 3 Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Northcott House Nursing & Residential Care Home DS0000011513.V316606.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V316606.R01.S.doc Version 5.2 Page 27 - 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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