Inspection on 20/02/06 for Nuffield House

This inspection was carried out on 20th February 2006.

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

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

Other inspections for this house

Nuffield House 18/10/06

Nuffield House 12/07/05

Nuffield House 25/01/05

Nuffield House 13/09/04

Nuffield House 15/04/04

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Nuffield House Barclay Street Leicester Leicestershire LE3 0JE Lead Inspector Rajshree Mistry Unannounced Inspection 20th February 2006 10:40 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 Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Nuffield House Address Barclay Street Leicester Leicestershire LE3 0JE 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) 0116 2541363 0116 254163 Leicester City Council Mrs Sandra Mary Hamilton Care Home 34 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (34), Physical disability over 65 years of age (6), Sensory Impairment over 65 years of age (10) Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers DE (E) & MD (E). No one falling within category DE (E) or MD (E) may be admitted into the home when 20 persons who fall within categories/combined categories DE (E) or MD (E) are already accommodated within the home. Service User Numbers PD (E). No one falling within category PD (E) may be admitted into the home where there are 6 persons of category PD (E) already accommodated within the home. Service User Numbers SI (E). No one falling within category SI (E) may be admitted into the home where there are 10 persons of category SI (E) already accommodated within the home. Named Person. To admit a named person with physical disability under the age of 65 years of age, as identified in application number V19444 dated 11 April 2005. 12th July 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Nuffield House is a registered care home that accommodates up to thirty-four older people and is owned by Leicester City Council. The home is situated in a residential area and close to local shops and amenities. Public transport is nearby and a ten minute bus journey to the city centre. Nuffield House is a large purpose built property. There is car parking space to the front of the home and access to the home is level entry. Residents’ accommodation is provided on the ground and first floor, which can be accessed via the stairs or the passenger lift located near to the centre of the home. Bathrooms and toilets facilities are located close to the bedrooms and the communal areas. There are several lounges including a designated smoking lounge, a dining room and visitors lounge available to residents and their visitors. There is seating available for residents to the front of the home and a large garden with seating to the rear. All areas of the home are accessible to people using mobility support, aids and equipment. The home is well maintained with comfortable furniture and décor to compliment. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the service, which took place on the morning of 20th February 2006 and lasted under 5 hours. This is the second regulatory inspection of the service addressing the remaining core standards. The focus of the inspection undertaken by the Commission for Social Care Inspection (CSCI) is upon the outcomes for the resident and their views of the service provided. The primary method of inspection used was ‘case tracking’ two residents. The inspection consisted of a group discussion with the residents and members of staff, a tour of the home, review of the residents’ records and observation of care practices. The inspection also reviewed of the recommendations from the last inspection. What the service does well: What has improved since the last inspection? What they could do better: This was a positive inspection and the standards inspected were all met. The feedback received by the Inspector from the residents and staff were positive. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 6 The Registered Manager received the discussion well, regarding the consistent practice for the management and recording of medication when the residents are attending hospital appointments. 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. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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 Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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): EVIDENCE: The core standards were inspected at the last inspection and were met. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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): 8, 9. Residents are well cared for, having their health and social care needs met on time. EVIDENCE: The qualified staff assesses the residents health care needs and ensure the residents receive appropriate health care support from the District Nurse, Chiropodist and GP. On the day of the inspection, one resident who had been unwell, was waiting for the GP to visit. Many residents spoken with indicated that the staff would call the GP if required. One resident spoken with was having some difficulty with her eyesight and said “I’m waiting for new glasses to come . . . . . , had the optician visit last week and ordered prescription glasses”. Two residents care files viewed contained the care plans, the daily notes made by the carers and record of the Health Professionals visits such as the District Nurse and GP, detailing the treatment prescribed during their visit. Medication administered by the Senior Carer at lunchtime was examined against the medication records and found to be accurate. It was noted that one resident was given the lunchtime medication to take with her to attend a hospital appointment but was not recorded. This was raised with the Senior Carer and after discussion it was acknowledged that there was no record or Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 10 any form of audit trail. As a result of the discussion, the Senior Carer recognised she should have recorded the medication taken out and brought back to the home on the resident’s return from the hospital. This was raised with the Registered Manager who acknowledged the oversight gave assurance to address this matter, promptly. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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, 14. Residents are supported to make daily choices, maintain contact with family and engaging in activities and interests to suit their life style. EVIDENCE: Residents spoken with described how they are supported by the staff to make decisions and choices regarding the care they receive and when, how they choose to spend the day, relaxing or participating is any activity, social event or attending the church service. Residents are encouraged to maintain contacts with family and encouraged to receive visitors or go out with family. One resident who showed the Inspector her bedroom said her daughter visits at anytime and is happy with the lifestyle and care provided at the home. The resident stated that they had a film show with a big screen the previous Saturday and often enjoy having a good sing-a-long and dance. Several residents spoken with indicated that they can choose to retire to their bedrooms at anytime. The Inspector observed carers assisting resident to their bedrooms or to the toilet without having to wait for assistance. Residents were observed moving around the home freely, using the passenger lift independently. A visiting prospective resident, family and social worker were viewing the home and were seen having a full and thorough tour of the home and were also given the opportunity to speak to the residents already living at the home. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 12 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. Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of residents’ rights. EVIDENCE: Residents are provided with the Complaints Procedure at the point of admission to the home. The complaints procedure is displayed on the notice boards, with details of the Advocacy Service and is available in other formats if required. One complaint received by the Commission has been referred to the home to investigate and assurance given that this would be investigated within 21 days from receipt. Residents spoken indicated they had no complaints, felt safe and protected by the way the home is managed and aware of whom to contact in the home should any concerns arise. All were confident that any concern and complaint made would be addressed promptly. Comments received from the residents included “got no complaints” and “I’ve got no reason to complain and would speak to . . . . .”. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 13 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): 24. Residents live in a comfortable environment that is personalised to create a homely and warm feel. EVIDENCE: One resident that was case tracked invited the Inspector to speak with her in the privacy of her bedroom. Additionally two other bedrooms were viewed with the residents’ permission. The bedrooms are spacious and decorated to create a bright and warm feel to the bedroom. The resident have personal possessions such as family photographs and ornaments of sentimental value displayed around them. All the bedrooms have ample wardrobe and storage space, have a wash hand basin and are close to bathrooms and toilets. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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): 29. Residents are protected by the home’s robust recruitment and induction procedures. EVIDENCE: The recruitment procedure is robust, which is managed by the Human Resource Team. Staff personnel files containing the application forms and preemployment checks are held at the Human Resource Office and the Registered Manager receives confirmation checks carried out are satisfactory. The Inspector examined training records for a Senior Carer, confirmation of pre-employment checks, contract of employment, completion of the Local Authority Induction, policies and procedures and certified training in care, moving and handling, adult protection, first aid, administration of medication, dementia care, health and safety. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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): 33, 35. Residents’ views are sought regularly and incorporated in the daily life in the home. The residents’ finances are safeguarded with a robust system. EVIDENCE: The home is run in the best interest of the residents, through consulting with each resident on a daily basis regarding the care and plans for the day. Formal review of the care plans are done on a monthly basis with the resident and formal review meetings with social workers and family representatives are completed annually in the main. Residents spoken with stated that they felt involved within the home and often have a large meeting with the residents, when any planned event such as the entertainment or film show has been organised. The minutes of the last Residents Meeting held on 19/01/06 were viewed. The minutes viewed include the standard agenda items such as meals and fire drills and other discussions Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 16 such as outings for a pub lunch, film show and trip to the zoo as a result of some fund-raising events. Residents have access to a lockable drawer in their bedrooms to store personal valuable items and money. Residents manage their own finances with either support from a relative or solicitors, as appropriate. The administrator at the home ensures there is sufficient money for the residents to receive their money on request. Residents finance records examined clearly showed good financial reconciliation and management of residents money, which is double signed by the member of staff and the resident, and crosschecked against the sums of money kept on behalf of the resident. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X 3 X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 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. 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 OP9 Good Practice Recommendations It is recommended that arrangements for residents’ medication whilst attending hospital appointments be in accordance with the home’s policy on recording and administration. Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Nuffield House DS0000037699.V284046.R01.S.doc Version 5.1 Page 20 - 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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