Inspection on 04/10/05 for Northwood Nursing 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

Northwood Nursing Home 25/10/06

Northwood Nursing Home 21/02/06

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 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 Northwood Nursing Home DS0000022475.V254854.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.V254854.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.V254854.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 11th January 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. There were 22 residents at the home on the day of the inspection. 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.V254854.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 4th October 2005. 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. Three 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. A tour of the building was conducted. Residents case tracked were asked the best and worst things about the home. Comments were, “the peace and quiet”, “the services and facilities”, “you can pull the call bell for what you need”, “I can’t think of any worse thing” (from two residents) and “boredom. I am used to doing everything for myself”. What the service does well: The assessment process was good and ensured residents needs were met at the home. The relationship between staff and residents was good. Comments included, “the staff will do anything for you”, “you can ask any member of staff for what you what you want, they are most accommodating” and “then staff are pleasant”. The interaction between residents and staff provided a good atmosphere for residents to live in. Resident’s comments about food included, “the food is all home made and it’s very good. The meat is always tender, you get a choice and you can choose to eat in your room. I can pull the call bell and to get sandwiches and tea during the night if I wish. It’s a 24 hour service”, “food is excellent and you would not get better in a four star hotel” and “the food is all right. I get egg and bacon for breakfast. I also like the choice we have”. The food provided satisfied resident’s tastes. The recruitment practices were good and protected residents from possible abuse. Northwood Nursing Home DS0000022475.V254854.R01.S.doc Version 5.0 Page 6 Staff were well trained and had the knowledge and experience to look after the residents competently. Residents said visiting was unrestricted. Comments included, “my friend has been here already. She can visit anytime and is coming back later to take me out”, “visiting is anytime and you can go to your room” and “my grandson comes here every night. Visiting can be done anytime”. Visiting was promoted at the home to meet resident’s social needs. The general manager was held in high regard by the resident’s case tracked. All three said they would talk to her if they had any concerns and comments included, “she is lovely”, “the manager is very approachable – delightful” and “I can talk to the manager if I have any problems”. All three residents thought the home was well run. The attitude of the general manager was beneficial to the well being of residents. 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.V254854.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.V254854.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 meet their needs. EVIDENCE: Three plans of care examined during the case tracking process showed a staff member of the home had carried out a detailed assessment on residents. One resident newly admitted remembered the general manager had “come to see me”. Each file contained a social services assessment and for non-nursing residents a social services plan of care. The information gained from all documents gave staff the knowledge to develop a plan of care and meet the needs of residents. Northwood Nursing Home DS0000022475.V254854.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, 8, 9 and 10 Plans of care contained information staff required to meet the needs of residents. Residents attended health care specialists. Medication policies and procedures were good. Residents were treated with respect. EVIDENCE: Three plans of care examined during the case tracking process detailed a residents needs. Plans of care had been developed with the knowledge of two residents. One resident could not remember although a family member had signed the form. Residents said, “ I have read and signed my care plan” and “a lady talked to me about my care but I could not sign it”. Plans of care had been reviewed on a monthly basis. Two staff members questioned in depth gave a good account of the care written in the plans and delivered to residents. Plans of care gave staff the information needed to give staff the knowledge to care for residents. Plans of care contained evidence residents attended clinics and specialists. Equipment was provided for specialised needs and included pressure-relieving devices. Residents case tracked said, “They have already brought and optician and chiropodist to see me. I have also been to hospital”, “I only need to see Northwood Nursing Home DS0000022475.V254854.R01.S.doc Version 5.0 Page 10 my Doctor when I am ill” and “I see the Doctor they arranged for me when I came here”. Resident’s health care needs were being met. Medication policies and procedures were observed during the inspection. The medication record sheets were well maintained. There was a controlled drug cabinet and register. Medication was stored correctly. Medication policies and procedures were good and helped protect the safety and welfare of residents. During the inspection the inspector observed the interaction between residents and staff. Staff were observed to be respectful and treat residents with dignity. Resident’s case tracked said, “they treat me very privately and well. You don’t feel uncomfortable and you never hear carers talking about anyone else. They are very confidential”, “privacy and dignity – yes very much so” and “I need a lot of care and they treat me very privately. I get good care” The sensitive way staff gave care ensured the privacy and dignity of residents was maintained. Northwood Nursing Home DS0000022475.V254854.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, 14 and 15 Resident’s social, cultural and religious preferences were met. Contact with family and friends was maintained. Residents exercised choice and control over their lives. Food served at the home was good. EVIDENCE: A religious service was being conducted on the morning of the inspection and residents who wished attended. Resident’s case tracked said, “I get up by choice at 6am. I have had enough sleep. I come back to my room after lunch and have my tea in my room. I go to bed when I want”, “you make your own decisions and can do anything you want like get up and go to bed at your own choosing. They take me to town when I ask” and “I have to be in bed but they will sit me in a chair to watch football. They don’t hurry me if I am interested in something”. Residents were allowed choices of routine to help retain their independence. The general manager said, “We have an hour and a half of activities a day. One member of staff stays on to assist with activities”. Resident’s case tracked said, “I come to my room after lunch so don’t join in. I like to do my crosswords, read the newspaper and watch television”, “an entertainer comes about once a month and I like that. I prefer to do my own thing. I watch television, read and talk to the other residents” and “I watch television and Northwood Nursing Home DS0000022475.V254854.R01.S.doc Version 5.0 Page 12 listen to the radio. They keep asking me if I want a talking book but I can’t be bothered. My main interest is my family visiting”. One resident case tracked also commented “ I am waiting to go home. The worst thing for me is the boredom because I am used to doing everything for myself. They are arranging for me to live in a warden controlled flat. I am going to view two later”. Residents were satisfied leisure activities were provided but they wanted to pursue their own interests to maximise their contentment. Residents said they could receive visitors in private. Residents said visiting was unrestricted and staff welcoming to their families. Several members of staff offered the inspector refreshment. Resident’s social needs were being met. Residents appreciated food served at the home. A meal served during the inspection was nutritious, warm and appealing. The cook carried out environmental health checks. Residents requiring feeding received individual attention. Feeding was carried out discreetly. Meals and mealtimes were acceptable to the needs and tastes of residents. Northwood Nursing Home DS0000022475.V254854.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): 16 and 18 There was a complaints procedure for residents and their families to voice their concerns. Abuse procedures were in place to protect residents from possible abuse. EVIDENCE: The Commission for Social Care Inspection had recently received one complaint. This was currently being investigated by the service. One complaint had been received by the service since the last inspection. The complaint had been dealt with appropriately. Residents case tracked said, “I would talk to the general manager she is very approachable”, “I would talk to the general manager first” and “any complaints would be made to the general manager”. The general manager was aware she might have to refer any complaints to the Commission. Residents were able to follow the correct procedures to make a complaint. There were adult abuse procedures, a copy of the ‘No Secrets’ document and a whistle blowing policy. The Blackburn with Darwen procedures were available for staff to follow a local initiative. Some staff had undertaken courses on adult abuse. Staff spoken to were aware of abuse issues although it was advised they read the Blackburn with Darwen document. The abuse procedures were sufficient to protect the health and welfare of residents. Northwood Nursing Home DS0000022475.V254854.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 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 most bedrooms. Rooms visited had been personalised to resident’s tastes. Residents case tracked were satisfied with their rooms and communal space. Residents case tracked said, “I have a shared room which I like. It’s nice”, “ I can’t alter this can I. Peaceful and lovely view. There are three cords to pull for assistance” and “I have a nice big room”. There was a garden, which was secure 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. A recommendation was made to draw up a written plan of action. The general manager said, “the Northwood Nursing Home DS0000022475.V254854.R01.S.doc Version 5.0 Page 15 owners are looking to upgrade the rooms and a new painter is being employed”. The environment met resident’s needs. 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. Residents were satisfied with the service provided and said, “the laundry service is excellent” and “it’s great you get your clothes washed for you”. Staff said they had taken training in infection control. 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.V254854.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, 28, 29 and 30 The skill mix and numbers of staff met resident’s needs. Care staff had attained 50 NVQ qualifications. The recruitment practices were good. Staff were trained appropriately. EVIDENCE: The duty roster was examined and sufficient staff were employed to meet the needs of residents. The recruitment procedures were good. Two staff files contained all the documentation necessary to meet the current standards. Recruitment procedures protected residents from possible abuse. 80 of staff had attained a NVQ qualification. There was a training and development profile which detailed training undertaken by all staff and also showed were updating was needed or shortfalls occurred. The person in charge said, “all staff complete recognised induction training although we do not have any new staff ”. Two staff files contained documentary evidence to support induction and NVQ training was ongoing. Two members of staff were questioned in depth. Staff verified they had taken training, including health and safety, first aid, moving and handling, protection of vulnerable adults, food hygiene and fire awareness. The training enabled staff to gain better knowledge to care for residents. Northwood Nursing Home DS0000022475.V254854.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 and 35 The registered manager had not attained NVQ4 qualifications. The financial affairs of residents was safe-guarded. EVIDENCE: The registered manager was currently undertaking NVQ4 training. The general manager said, “we expect to complete the registered managers award by February”. When qualified the registered person will meet the current requirements of the CSCI. The general manager said, “we only handle pocket monies for a few residents. If the pocket money builds up we bank it for residents”. The system was scrutinised and found to be secure. The financial systems used at the home protected residents financial interests. Northwood Nursing Home DS0000022475.V254854.R01.S.doc Version 5.0 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 X X 3 X X N/A 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 2 3 3 3 3 3 3 X 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 2 X X X 3 X X X Northwood Nursing Home DS0000022475.V254854.R01.S.doc Version 5.0 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 Refer to Standard OP19 Good Practice Recommendations The registered manager should carry out an audit of the rooms which need decorating and draw up a plan to address the issue. This should be in the programme of routine maintenance. The registered manager should ensure the laundry floors and walls are easily washable. The registered manager should ensure there are hand washing facilities in all areas clinical waste is produced. This must include the laundry. The registered person must ensure the registered manager achieves the required NVQ 4 qualifications as soon as possible. 2 3 4 OP26 OP26 OP31 Northwood Nursing Home DS0000022475.V254854.R01.S.doc Version 5.0 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI Northwood Nursing Home DS0000022475.V254854.R01.S.doc Version 5.0 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. 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