Inspection on 07/12/05 for Old School House And Courtyard Nursing Home

This inspection was carried out on 7th December 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

Old School House And Courtyard... 20/02/07

Old School House And Courtyard... 05/07/05

Old School House And Courtyard... 26/01/05

Old School House And Courtyard... 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Old School House And Courtyard Nursing Home Main Road Gilberdyke East Yorkshire HU15 2SG Lead Inspector Jo Bell Unannounced Inspection 7th December 2005 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 Old School House And Courtyard Nursing Home DS0000000945.V267980.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. Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Old School House And Courtyard Nursing Home Address Main Road Gilberdyke East Yorkshire HU15 2SG 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) 01430 441803 Mr Stephen Waltham & Mrs Sheila Waltham Mrs Sheila Waltham Mrs Elaine Joy Hall Care Home 46 Category(ies) of Dementia - over 65 years of age (46), Old age, registration, with number not falling within any other category (46), of places Physical disability over 65 years of age (46), Terminally ill over 65 years of age (46) Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration includes 1 day place Date of last inspection 5th July 2005 Brief Description of the Service: The home provides nursing and residential care for up to 46 service users with dementia needs, physical disabilities, and those requiring palliative care. The home is situated on the main road in the small village of Gilberdyke. The home has ground floor access throughout and easy access to the grounds outside. Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The 2nd unannounced inspection of the year took place on Wednesday 7th December 2005. One inspector spent 4 hours at the home. The registered manager was available to assist with the inspection. A tour of the premises took place. Records relating to medication, infection control, recruitment, quality assurance, service users finances and health and safety were inspected. Residents, relatives and staff were spoken with during the inspection. The food and drink that residents are provided with was discussed and the lunchtime practice of serving meals was observed in the dining room. The home offers a high standard of care with staff having an excellent attitude towards the residents, relatives and each other. The manager is pro-active in training and development and offers a high level of support to the staff. The home is well run and in the best interests of the service users. No requirements were made at this inspection. What the service does well: What has improved since the last inspection? The service user plans have been computerised. This ensures that they are updated, reviewed and amended as required. They are user friendly and professional looking. Staff can locate the information easily. Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 6 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. Old School House And Courtyard Nursing Home DS0000000945.V267980.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 Old School House And Courtyard Nursing Home DS0000000945.V267980.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): None of these Standards were assessed (Standard 6 was not applicable) EVIDENCE: Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 Service user’s medication needs are met, this is underpinned with a robust medication policy and procedure. EVIDENCE: The home have a robust medication policy in place. The medication charts were examined and were found to be correct. A medication audit takes place, and staff were aware of how to dispose of waste medicines. The temperatures of the fridge is taken daily, this was within expected parameters. Controlled drugs were checked and these were both stored and recorded correctly. Currently only registered nurses administer medication, there are two residents who self medicate. Their consent had been given and the GP had confirmed this. Risk assessments were in place to ensure they were able to self medicate safely. A locked area in the resident’s room was available to store medications in. Old School House And Courtyard Nursing Home DS0000000945.V267980.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): 15 Residents are offered a wholesome and nutritious diet in a congenial setting. EVIDENCE: Residents were observed at lunchtime enjoying liver, potatoes and vegetables. Peaches and cream was the dessert which was very popular. Many positive comments were made regarding the food. One lady was offered a second helping as she had eaten and enjoyed the first helping so much. The chef was spoken with who discussed the meals. A four week rota is available and the chef offers home cooked food with good portion sizes. A menu is on display which residents can view. Breakfast, lunch, evening meal and supper are available in either the communal areas or in residents own rooms. One lounge area which is also used as a dining room was observed to be light and airy with new tables and chairs. Material napkins, crockery and sturdy cutlery was available. The home have a policy in place which discussed menu planning for service users. Two residents were observed at lunchtime who required assistance with feeding. The staff undertook this in a professional and competent manner and the residents reacted positively to this. The chef caters for diabetics, soft/pureed diets and special requests as required. A discussion took place in the kitchen regarding caring for a resident who is either under or over nourished. The home consistently undertake nutritional assessments of all Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 11 residents. Currently a referral to the GP may be made and build up drinks may be prescribed (this was evident). However, the chef could develop her knowledge and skills further regarding fortifying food, using moulded foods and ensuring the appropriate amount of nutrients are in pureed food as non-pureed food. This area was also discussed with the manager who was keen to obtain further information. The kitchen area was inspected which was found to be clean and tidy. The surfaces and walls had easy to clean material, and clearly the staff took pride in their work. The probing of food took place to ensure it was the correct temperatures and the chef spoken with had previously undertaken a food hygiene course. The chef was aware that any food which had expired needs to be destroyed. Food was stored correctly in the fridges and evidence of home cooked food was available. The catering staff had developed a Christmas and New Year menu for the residents, this was excellent. There was a wide variety of food on offer which included wine/sherry, mince pies, turkey, Christmas pudding, plenty of vegetables, morning coffee and afternoon tea. All the staff in the home are keen to ensure that the residents have an enjoyable and memorable time. Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 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): None of these Standards were assessed on this occasion. EVIDENCE: Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 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): 19 & 26 Residents live in a safe, clean and well maintained home. EVIDENCE: The environment is pleasant and well maintained. The home have a policy in place on the environmental facilities and a programme of routine maintenance and redecoration is in place. There are sufficient communal areas and residents spoken with stated they feel safe in the environment and enjoy living here. Areas inspected were all clean with no unpleasant odours. Some of the home had been refurbished, the carpets, curtains and furniture were of a good standard. It was observed that the entrance area could benefit from been repainted. As the home was previously used as a school this area has been kept as it was originally. However, it must be noted that residents and staff spoken with were happy with the environment and no negative comments were made. The home have an infection control policy in place which staff were observed adhering to. Training in this area has been given which staff confirmed. The laundry area was examined and this was well maintained. Staff were Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 14 knowledgeable in the process when soiled linen comes in and how the clean linen is taken out to residents rooms. The floor was non-permeable and two washing machines and a tumble drier were available, this was adequate to meet the residents needs. Two domestic staff maintain the cleanliness of the home, and a contract carpet cleaner is used when required. Handwashing areas were available throughout the home and staff were aware of how to prevent cross contamination. At lunchtime staff wore protective white coat and hat when entering the kitchen and blue aprons were used for serving meals. Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 15 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 & 30 Resident’s benefit from the staffs positive attitude and high competency levels, which are underpinned by appropriate training. EVIDENCE: The home has a robust recruitment procedure in place. Four staff files were inspected, these all contained enhanced CRB checks. Two written references, application forms and personal information including photographs, birth certificates and financial details. The manager discussed the recruitment process from the initial phone call that the potential employee makes to the offer of employment and the induction process. The manager offers a ‘taster’ session where the home is viewed and issues can be discussed prior to employment commencing. The manager is extremely clear about the calibre of staff required and the skills and experience needed to fulfil the particular role. The staff who were observed throughout the inspection were professional and courteous with skills and knowledge appropriate to meet individual needs. This is partly due to the excellent induction and training programme which is offered. A three day induction is given which includes the home’s philosophy, aims and objectives, moving and handling, health and safety and fire training. Care practice issues are discussed, for example how to give assistance at mealtimes (this was evident when practice was observed at lunchtime). Following the induction programme staff complete learning objectives meeting a range of standards, this may take up to six months and is equivalent to Skills for Care (previously TOPSS). Staff were spoken with who had completed Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 16 induction training, this was deemed to be extremely beneficial and helped to prepare them for their new role. Records of training were kept in individual files, these were inspected and confirmed that training had taken place. A training matrix was on display in the office which clearly highlighted the training which had taken place and which was due. Old School House And Courtyard Nursing Home DS0000000945.V267980.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): 33,25 & 38 Resident’s health and safety needs are met, their finances are dealt with in an appropriate manner and views and opinions regarding the home are consistently sought using a robust quality assurance system. EVIDENCE: The home has developed a robust quality assurance system. An end of year review has taken place which highlights a range of areas which were audited. These include residents and relatives views, practices in relation to meals, medication, staff and environment. A full quality improvement policy was available which discussed the areas to be covered. The home have regular staff and residents meetings where issues are raised. The manager collates the information and devises an action plan to ensure all areas are dealt with appropriately. The home has progressed well, and is aware of how to self audit in a robust manner. Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 18 Resident’s finances were inspected. The home have a financial management policy in place. Currently the home deals only with ‘pocket money’ for residents. Individual envelopes are available and well maintained record of transactions were in place. Three residents finances were checked and these were all correct. One relative was observed bringing some money into the home for her relative. This was documented and placed in the relevant envelope. Details of the system are explained to the resident when they enter the home. The home is well maintained, all areas of the home inspected were safe and in good order. A selection of certificates were viewed which included water temperatures, these were taken routinely and were kept at approximately 43 degrees centigrade. The gas safety records, legionnella testing, portable appliance testing, emergency lighting and fire alarm testing information was all maintained. Staff in the home receive mandatory training which incorporates fire safety, moving and handling, health and safety, first aid and protection of vulnerable adults. As discussed in Standard 30, records confirm that this training has taken place. The manager is committed to developing staff and ensuring their practices are safe and in the best interests of the service users. Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 2 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 3 Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Consideration should be given to re-painting the entrance door and window area. Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Old School House And Courtyard Nursing Home DS0000000945.V267980.R01.S.doc Version 5.0 Page 22 - 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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