Inspection on 03/03/06 for Overton House

This inspection was carried out on 3rd March 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Overton House 14/11/07

Overton House 15/11/06

Overton House 08/06/05

Overton House 24/02/05

Overton House 19/08/04

Overton House 16/02/04

Similar services:

Dystlegh Grange

Thornton Lodge

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Overton House 2 Newton Avenue Longsight Manchester M12 4EW Lead Inspector John Oliver Unannounced Inspection 10:00 3 March 2006 rd 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 Overton House DS0000021573.V279285.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. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Overton House Address 2 Newton Avenue Longsight Manchester M12 4EW 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) 0161 273 2555 Mrs Angela Asomaning Michael Newton Asomaning Mrs Angela Asomaning Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a maximum of 19 service users who require personal care only by reason of old age (OP). 8th June 2005 Date of last inspection Brief Description of the Service: Overton House is a privately owned residential care home providing personal care and accommodation for 19 older people. The home is located in the Longsight district of Manchester. Longsight is a multicultural residential area, which is close to the city centre and is within reach of good transport links to Stockport and surrounding areas. The home is a large Victoria style property. It is located on a corner plot by a busy junction of the A6.Bedroom accommodation is on the ground and first floors. There are 3 single and 8 shared bedrooms. All rooms have a wash hand basin and basic furnishings are provided. None of the rooms have en-suite facilities. There is a passenger lift. Accessible toilets and bathrooms are located on both floors near to bedrooms and living rooms. There are two lounge facilities on the ground floor, one of which is the designated smoking area. A separate dining room is available. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 3 March 2006 over a three-hour period. The inspection involved spending time talking with the deputy manager and staff of the home who were on duty at the time. Some time was also spent talking with a number of residents who wanted to say how they found living in the home. Some time was spent looking at files, records and the home’s policies and procedures. However, the registered manager was on holiday at the time of this inspection and the deputy manager did not have access to staff files so these could not be checked. The inspector also had a look around the inside of the home as well as having a walk around the outside of the building. At the last inspection, which was done in June 2005, a number of improvements were identified that needed to be carried out. Most of these had been completed when they were checked at this inspection. However, where these improvements had still not been done they have been included again in this report. Not all standards were checked at this inspection and it is strongly advised that this report should be read together with the last inspection report to get a fuller picture of how the service is meeting the needs of the residents living there. What the service does well: Watching staff interacting with residents gave a good indication of their commitment to supporting residents in meeting their needs in the most appropriate way. Residents spoken to during the inspection said things like: “plenty of food”, “If I’m worried I go to A… (Staff)”, “I go out when I want – go shopping to market”, “I’m keeping very well”. A lot of time has been spent in making sure that individual residents get support in the way that is most important to them. One particular area of support the home does well in maintaining is making sure that other healthcare people such as G.P’s, district nurses and community psychiatric nurses are involved in maintaining the health of the individual. Staffing levels are kept to a very good level in the home to make sure there is always enough staff available to help residents when needed. A number of staff said that the management of the home was very good and that all staff worked at part of a team. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 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. Overton House DS0000021573.V279285.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 Overton House DS0000021573.V279285.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): None of these standards were inspected on this occasion. EVIDENCE: Overton House DS0000021573.V279285.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): 7 and 9 Residents identified health and social care needs were being met. Medication policies and procedures were not being fully adhered to. EVIDENCE: Care plans and risk assessments had been completed for each resident living in the home. These were comprehensive in content and gave clear guidelines to staff in how to support the resident to meet their identified needs and goals. Since the inspection conducted in June 05, care plans had been further developed to include details of the persons preferred choice with regard to bathing. Evidence was available, in most cases, to show that both care plans and risk assessments had been reviewed on a monthly basis. Medication was administered via a Monitored Dosage System (MDS). All medication was stored in a locked metal cabinet that was anchored to the wall. However, the cabinet was overstocked with medication not in the MDS making it difficult to assess what medication related to which resident. It was also difficult to track medication that was prescribed to be given ‘as and when required’. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 10 The medication trolley was not only being used for the storage of medication but was also acting as a ‘safe’ in which was stored envelopes containing the wages for three members of staff. When this was pointed out to the manager on duty these envelopes were immediately removed. To ensure the manager and staff in the home are very clear about medication administration the Pharmacist Inspector from the Commission for Social Care Inspection will be asked to visit the home to conduct an inspection of medication procedures and practices and to produce a report on her findings. Overton House DS0000021573.V279285.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): 13,14 and 15 Residents are helped to maintained contact with people they wish to keep in touch with and are offered opportunities to exercise choice and control over their lives including what types of food they like and want. EVIDENCE: On the day of the inspection the routine of the home was relaxed and informal. Discussion with a number of residents confirmed that they regularly had visitors, both family members and friends. Residents stated that they were able to go out of the home to shop and attend church whenever they wished to. One particular resident said that he goes to market every week to do ‘his shopping’ and shopping for anyone else who cannot get out. The care plan for this person confirmed this. Regular meetings with residents are held and cover many issues relating to the lifestyle in the home and any concerns residents may have about the staffing and management of the home. Menus are planned over a 4 week period and include various choices as an alternative to the main meal of the day. All food stocks are freshly purchased from local community stores and, on the day of the inspection, ample stocks of Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 12 tinned and fresh food was available. Menus included the preparation of culturally appropriate types of food. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 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): None of these standards were inspected on this occasion. EVIDENCE: An outstanding requirement under the National Minimum Standard 18 had been addressed since the last inspection. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 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 and 26 There was a need for some maintenance and repairs to be carried out in order to maintain the safety of residents and staff. Parts of the home needed a more ‘thorough’ cleaning. EVIDENCE: A tour of the inside of the home was carried out and a number of requirements were identified regarding repairs and cleanliness of the premises. Although it is acknowledged that on the day of the inspection no domestic assistant was on duty, parts of the home were quite ‘dusty’ and required ‘deeper’ cleaning. The manager on duty said that this would be dealt with over the weekend. This must be done to ensure the comfort of the residents living in the home. A number of window frames were showing signs of ‘rotting’ and in need of repainting. A full audit of all window frames must be completed and repairs/replacement and repainting must be carried out where required. This must be done to ensure the comfort and safety of residents living in the home. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 15 In room 6 & 7 the UPVC window frames were particularly discoloured and required a thorough cleaning. In the bedroom identified to the manager on duty there was a strong odour of stale urine. This room must be thoroughly cleaned for the health and comfort of the resident whose room it is. A number of fire doors were not closing into their rebates effectively. An audit of all doors must be undertaken and adjustments made to those doors where this problem occurs. This is to ensure the safety of residents living in the home. The bare concrete strip outside room 2 must be covered with appropriate floor covering to minimise the risk to both residents and staff entering and leaving that room from slips, trips and falls. Old furniture being stored at the side of the building must be appropriately disposed of. This is to ensure there is no risk to residents accessing this part of the grounds. A previous requirement that the pathways leading through and around the front garden and up to the front door are repaired due to their unevenness and the risk to residents and staff from slips, trips and falls had still not been met. This requirement has been reiterated in this report. The stair carpet identified to the manager on duty was in need of a good cleaning but was also showing signs of wear. It is recommended that this carpet be replaced sooner rather than later as part of the rolling programme of repairs and maintenance. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 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): 29 and 30 Recruitment procedures had improved and some evidence was available to show that staff training is taking place. EVIDENCE: Although staff files were not accessible on the day of the inspection, the deputy manager confirmed that all staff employed in the home had received a clear Criminal Record Bureau check. Evidence was seen that two Protection of Vulnerable Adults (POVA) First checks had been received from the Criminal Record Bureau for two members of staff recently employed by the home. All staff files will be examined on the next inspection of the home. Although each member of the staff team had an individual recording sheet that identified any training they had been involved in, these had not all been fully completed so it was therefore difficult to clarify the training each person had actually received. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 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): 33,35,37 and 38 Although there was some evidence that the home is run in the best interests of residents the manager of duty was unsure if any quality monitoring processes were used by the home. EVIDENCE: Discussion with a number of residents during the course of the inspection confirmed that resident meetings were taking place and people were being asked for their opinions about the management of the home. However, the manager on duty was unsure of any ‘quality monitoring’ processes that may be used in the home to gather relevant information together about peoples thoughts and opinions regarding the service provided by Overton House. Where the home managed the personal allowance for any resident individual records are kept and were available for examination on the day of the inspection. All were found to be appropriately kept and up to date. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 18 Most records seen were throughout the inspection were found to be up to date and securely held. However, staff files were not available for inspection and could not be checked to clarify if all the required information had been obtained on each member of the staff team. A requirement from the last inspection conducted in June 2005 was that hot water temperatures throughout the home accessible and used by residents must be checked on a regular basis and maintained at 43° C with a record being kept. Evidence was available to show that this was now being done on a regular basis. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 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 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X 2 STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X 2 X Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13 Timescale for action The registered person shall make 14/04/06 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. Pathways around the premises 26/05/06 must be checked and re-laid/resurfaced where the concrete has cracked and become uneven. (Timescale 26/07/05 not met) The lounge chairs must be 30/06/06 assessed and be replaced in order of priority and a record of replacement kept (Previous timescale 30/09/05 not met) A full audit of all window frames 27/10/06 must be carried out and repairs/replacement and repainting of these frames carried out where required. An audit of all doors must be 12/05/06 undertaken and adjustments made to those that do not effectively close into their rebates. The bare concrete strip outside 14/04/06 room 2 must be covered with appropriate floor covering. DS0000021573.V279285.R01.S.doc Version 5.1 Page 21 Requirement 2. OP19 23 3. OP19 23 4. OP19 23 5. OP19 23 6. OP19 13 Overton House 7. 8. OP19 OP26 23 16 9. OP30 12 & 18 10. OP33 24 11. OP37 17 The old furniture being stored at the side of the building must be properly disposed of. An audit of the premises must be carried out and deeper cleaning take place where identified in this report. A training and development programme must be available for all staff and records kept of training individual staff attend. An effective quality assurance and quality monitoring system must be developed and put in place. Records required by Regulation 17 of The Care Homes Regulations 2001 must be kept up to date and accurate and constructed and maintained in an appropriate format. 14/04/06 14/04/06 14/04/06 26/05/06 14/04/06 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 It is recommended that the stair carpet identified to the manager be replaced sooner rather than later as part of the rolling programme of repairs and maintenance. Overton House DS0000021573.V279285.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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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