Inspection on 21/02/06 for Northwood Nursing Home

This inspection was carried out on 21st February 2006.

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

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

Other inspections for this house

Northwood Nursing Home 25/10/06

Northwood Nursing Home 04/10/05

Northwood Nursing Home 11/01/05

Northwood Nursing Home 08/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Northwood Nursing Home 206 Preston New Road Blackburn Lancashire BB2 6PN Lead Inspector Mr Graham Oldham Unannounced Inspection 21st February 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 Northwood Nursing Home DS0000022475.V267436.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. Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Northwood Nursing Home Address 206 Preston New Road Blackburn Lancashire BB2 6PN 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) 01254 57208 01254 878728 Mr Brian J O`Neill Mrs Eileen O`Neill Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (23) of places Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Under Annex 2, a maximum of 23 service users requiring nursing care who fall into the category of either OP or PD A max of 28 service users requiring personal care of the category OP Staffing for service users requiring nursing care will be in accordance with the Notice issued dated 22 January 1996 4th October 2005 Date of last inspection Brief Description of the Service: Northwood provides long and short-term care for a maximum of 28 residents who are elderly and have physical need for which they need nursing care. The registered persons are Mr and Mrs O’Neill. Mrs O’Neill takes responsibility for managing the home on a day-to-day basis. The home is a converted and extended Victorian property, which has retained its style and character. It is located in a residential area within close proximity of all local amenities (shops, churches, bus route and public houses) and less than a mile from the centre of Blackburn. Bedrooms at the home are a mix of single and shared rooms, some of which have en-suite facilities. There are a number of lounge and dining areas located on the ground floor. A passenger lift serves both floors. Residents have access to the large garden and patio area. Car parking space is located to the front of the house. Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 21st February 2006. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Two residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were talked to about care issues. The general manager was present throughout the inspection. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. Core standards – inspected and met on 4th October 2005 were not re-inspected if evidence was not found to warrant further investigation. A tour of the building was conducted. There had been one complaint made to the Commission for Social Care Inspection since the last inspection, which had been suitably investigated by the service. What the service does well: The assessment process was good and ensured residents needs could be met at the home. The relationship between staff and residents was good. Residents (including the two case tracked residents) said, “I am happy here”, “all the staff are very nice – it’s like being at home”, “staff are very friendly and they help you” and “nowts too much trouble for them”. The interaction between residents and staff provided a good atmosphere for residents to live in. Food was described as “good” and “plenty of choice” by residents spoken to. Food was satisfactory to resident’s tastes. Staff were well trained and had the knowledge and experience to look after the residents competently. Plans of care were good and provided staff with sufficient knowledge to care for residents. Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Northwood Nursing Home DS0000022475.V267436.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 Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The assessment of residents prior to admission ensured the home gained sufficient knowledge to help meet their needs. EVIDENCE: Two plans of care examined during the case tracking process contained assessment documentation from Blackburn with Darwen NHS Trust. The manager of the home had visited residents prior to admission and assessed them prior to admission. One resident newly admitted remembered a member of staff visiting him, explaining the service and discussing care. The resident found the member of staff to be “very friendly”. Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 8 Residents had their health, social and personal needs set out in a plan of care. Resident’s health care needs were met. EVIDENCE: Two residents were case tracked during the inspection and their plans of care examined. Plans had been developed with residents or a family member and reviewed on a regular basis. Both residents were questioned about their care and plans. Two staff members were questioned about the care they gave to the two residents. The care given by staff matched the care written in the plans and met residents expectations. Plans were accurate and up to date to ensure resident’s needs could be met. Plans of care contained evidence residents attended specialist clinics (such as the diabetic clinic) and received attention from opticians and chiropodists. Both residents case tracked were able to confirm they attended health care specialists. Residents had been assessed for their nutritional and pressure area needs. The tissue viability nurse and dietician had visited the home to offer advice or treatment. Residents had been risk assessed for falls. Residents received treatment and advice from health care specialists to try to maintain or improve their condition. Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 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): No standards were inspected within this section. All standards were met at the last inspection. EVIDENCE: Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 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): No standards were inspected within this section. Core standards were met at the last inspection. EVIDENCE: Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 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): 19 - 26 Residents lived in a secure environment. Communal and private space was homely and met current requirements. Parts of the home would benefit from improvement. The home was clean and hygienic. Aids and equipment met resident’s needs. Laundry services were provided for residents. EVIDENCE: The inspector conducted a tour of the building and visited all communal rooms and some bedrooms. Rooms visited had been personalised to resident’s tastes. Residents case tracked were satisfied with their rooms and communal space. There was a garden, which was accessible and safe for residents. Residents were observed sitting together and socialising in various lounges of the home. Toilets and bathrooms had disability equipment suitable for the resident group accommodated. Equipment such as hoists and grab rails was observed during the tour. Bedrooms had a lockable door and lockable facility within the room. The general décor was domestic in character but would benefit from upgrading in some areas. The general manager produced a copy of Northwood’s business plan dated January 2006 to December 2008. This highlights work and timescales for upgrading the home over the three-year period. It was Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 13 envisaged this would vastly improve the home. A copy was given to the Commission to follow the progress. The facilities and décor was satisfactory to residents. There was an adequately equipped laundry. There were no hand washing facilities in the laundry. Floors and walls needed attention to be more easily cleaned. Staff said they had taken training in infection control. Two areas recommended at the last inspection had not received attention but was to be completed as part of the overall plan. Policies and procedures were in place for the control of infection and helped protect the health and welfare of residents and staff. Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 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): No standards were inspected within this section. All were met at the last inspection. EVIDENCE: Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 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): 31, 33 and 38 The registered manager had completed NVQ training to meet the requirements of the CSCI. Quality assurance systems had been developed but not practiced for some time and therefore the views of residents, family members and stakeholders were not up to date. Health and safety systems were in place for the protection of staff and residents. EVIDENCE: The general manager said, “the registered manager has now qualified in NVQ4 management and is a registered nurse I have also qualified in NVQ4 but need to complete another unit to attain the Registered Managers Award”. The registered manager and general manager updated their knowledge on a regular basis. The management of the home provided staff and residents with the direction needed to provide a good service. Quality assurance systems had been developed over time but the views of residents, families and stakeholders had not been obtained for two years. Recorded meetings were held with staff and residents. The views of all Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 16 involved in the home must be obtained to enable management to react to comments and were possible improve the service. There was a health and safety policy and procedure. Health and safety posters were placed within the building. Staff has undertaken training in health and safety related issues. Not all certification of gas and electrical appliances or equipment was available at the inspection or was out of date. Work was being carried out on the day of the inspection to remedy this. The health and safety of residents and staff were, in the main, well protected. Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 3 3 3 3 3 3 2 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X 2 Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 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 OP33 Regulation 24 Requirement Timescale for action 30/06/06 2 OP38 13(4)(a) (b)(c) The registered manager must ensure quality assurance systems include feedback from residents, families and stakeholders. The registered manager must 31/03/06 ensure that all risks to the health and safety of staff and residents be eliminated. All equipment must receive appropriate checks and certification be available for inspection. 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 3 Refer to Standard OP26 OP26 OP31 Good Practice Recommendations The registered manager should ensure the laundry floors and walls are easily washable. The registered manager should ensure there are handwashing facilities in all areas clinical waste is produced. This must include the laundry. The registered person should send a copy of NVQ qualification to the CSCI. Northwood Nursing Home DS0000022475.V267436.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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. 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