Inspection on 17/08/05 for Partington Care Home

This inspection was carried out on 17th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Partington Care Home 08/08/06

Partington Care Home 09/11/05

Partington Care Home 30/03/05

Partington Care Home 12/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Partington Care Home North Road Glossop Derbyshire SK13 9AX Lead Inspector Stuart Hannay Unannounced Inspection on the 17th August 2005 at 9:30am 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 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. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Partington Care Home Address North Road, Glossop, Derbyshire, SK13 9AX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01457 856397 Partington Care Home Limited Mrs Alison Winter Care Home 36 Category(ies) of Olg age, not falling within any other category registration, with number (36) of places Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. A registered nurse to be on duty throughout 24 hours. 2. The person in charge to be supernumerary for 20 hours per week and shall be a first level registered nurse. Date of last inspection 30/3/05 Brief Description of the Service: Partington Care Home is located on the outskirts of Glossop and is accessible for local amenities. Accommodation is spread over 2 floors with a passenger lift in place. There are 24 single rooms and 6 double rooms. A lounge/dining area is situated on each floor. There are 2 small garden/patio areas, which are accessible from the ground floor. Qualified nursing staff and care workers provide 24 hour support to residents and links are maintained with the community health services. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Six service users and two relatives were interviewed on the day of the inspection. Four care plans were checked in detail and a check was made of the medication system and the environment. Fire safety records, fire training and staff recruitment records were seen. Records were checked for monies held on behalf of service users. What the service does well: The service users and relatives interviewed said that they were generally very happy with the service provided at the home. All said that their health and physical needs were met by attentive and friendly staff. Relatives confirmed that they were able to visit at any reasonable time and that staff kept them informed of how the service users were getting on at the home and of any concerns. Some of the service users were unable to express their opinion about the home but they looked clean and well-cared for. Attention had been paid to ensure that the service users were dressed appropriately, that the women wore make-up if they wished and that the men had shaved or been given assistance to do so. Staff had taken time to ensure that glasses, hearing-aids and dentures were clean and in good working order. The service users felt that the staff were extremely hardworking and committed to the service. Those asked thought that the food was varied and usually good. They all confirmed that there was plenty to eat and that regular drinks were provided throughout the day. The environment had been generally wellmaintained and the home was clean and tidy on the day of the inspection. Records relating to fire safety, fire training, staff recruitment and service users’ monies had been well-managed. The care plans for the service users receiving nursing care comprehensively covered their physical and healthcare needs. There was a warm and friendly atmosphere at the home. Staffing levels appeared to be sufficient for the number of service users but this needs to be monitored closely in relation to their dependency levels. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 standard(s) 3 Assessments are completed to ensure the needs of the service users are fully assessed prior to them entering the home. EVIDENCE: Four care plans were checked in detail and each of these contained assessments about the full range of needs of the people admitted to the home. There were details of medical and nursing needs in the plans seen. Assessments had been completed by professionals who were placing service users at the home and these had been regularly reviewed. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 standard(s) 7 8 9 10 The care plans do not demonstrate that the home is meeting the health and personal care needs of all the service users. The service users said that they are treated with dignity and respect by the staff. EVIDENCE: The service users spoken with stated that staff treat them with respect and in a dignified way. They each had a care plan. 4 of these, 2 nursing and 2 nonnursing care plans were checked in detail. The 2 non-nursing care plans did not provide adequate detail about what staff needed to do to meet all the service users’ needs. One of the care plans seen did not have any information on how the service user’s personal or health care needs would be met – although the daily notes did show that a range of assistance was being provided and the service user was interviewed by the inspector and looked well-cared for, despite not being able to communicate very easily. There were moving and handling assessments, skin integrity charts, weight charts and information about nursing interventions. However, these had not always been signed and dated or completed up-to-date on a regular basis. Risk assessments had not been completed in the care plans seen. In one of these, a service user’s daily records and accident sheets showed that she had fallen at least three times since admission and, in another, a service user told me in Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 Page 10 interview that there had been problems around their smoking in their bedroom. This was also identified in the daily notes in the care plan but no risk assessment had been completed to show how this risk would be managed or eliminated. All 4 care plans did not contain enough information about service users social, emotional and leisure needs and how they would be met. The storage of medication and records of administration were seen. There were no obvious problems with this and the system had been checked by an external pharmacist. Service users interviewed said that they were happy for the home to manage their medication for them. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 standard(s) 12 13 15 Links with friends and family in the community is promoted and supported by the home. The range of activities needs to be increased and the post of leisure activities co-ordinator needs to be filled. EVIDENCE: Three of the service users spoken with were generally satisfied with the range of activities at the home. Some said that they preferred to stay in their rooms for most of the time and did not wish to join in with organised activities. Two service users said that they did not feel that there were sufficient activities at the home and that they felt bored some of the time. The manager stated that the activities co-ordinator post was currently vacant and due to be filled in the next few months. Service users said that they could have visitors when they wanted and were encouraged to keep up contact with friends and family in the community. Visitors spoken with said that they were made to feel welcome in the home. Service users who were able to say said that they could get up, go to bed and spend their day how they wished. They said that they were able to arrange with their key-workers when to have a bath. All of the service users who could clearly describe the service said that they thought the food was of a good standard, there was a good choice and the cook consulted them about their likes and dislikes. They said that they were regularly offered drinks throughout the day. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 standard(s) 16 18 There is a formal complaints system at the home. Service users felt that they could make complaints, that they will be taken seriously and complaints would be acted upon. Staff are trained in the recognition of abuse. EVIDENCE: The home had a complaints procedure which had timescales for resolution. Service users and relatives interviewed said that they would have no hesitation in putting any concerns to the staff or the manager and felt that they would be taken seriously. There was evidence that staff are undertaking training by Derbyshire Social Services on the recognition and reporting of abuse and the multi-agency procedures. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 standard(s) 19 20 23 The home generally provides a clean, homely, tidy and safe environment for service users. Attention needs to be given to ensuring that large amounts of medical and nursing supplies are not stored openly in service user’s rooms. EVIDENCE: The communal areas of the home were generally well maintained and pleasantly decorated. There was some scuffing to the woodwork - door frames and skirting boards – caused by wheelchair damage. The furniture in the upstairs lounge, which had been redecorated in the previous 12 months, was starting to look worn in contrast with the upgraded surroundings. Eight service users’ bedrooms were checked. Most were well-decorated and furnished with a high level of personalisation by service users. One bedroom was noticeably less homely with large amounts of pads, catheters and other items relating to the care of the service user stored openly in the room. The carpet in one bedroom was badly fitted and stained and was a potential tripping hazard. The home was clean and tidy on the day of the inspection. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 29 The staffing levels currently ensure that health care and personal care needs are being met at the home. The staffing levels are being maintained but staffing levels need to be monitored in relation to the dependency levels of service users. EVIDENCE: Three weeks rotas were checked and staff were being deployed at the following levels. There were generally 6 staff on shift in the morning and 6 in the afternoon for up to 36 service users. These numbers include the Registered Nurse deployed on each shift. At night, there were 4 staff on duty, including the Registered Nurse. Service users spoken with felt that there were enough staff on duty to help them to meet their needs but some said they would like staff to be able to spend more time talking with them. The care plans indicate that the levels of dependency at the home of both the nursing and non-nursing service users are high, therefore staffing levels should be kept under review and the dependency levels of new admissions needs to be considered in line with the needs of the current service users. The recruitment records of the two most recently recruited care staff were checked. They had completed application forms, full employment histories, two satisfactory references and had completed health questionnaires. POVA (Protection of Vulnerable Adults list which identifies people unsuitable to work with vulnerable adults) checks had been done and there was evidence on file that the people were not on these lists. Criminal Records Bureau checks had been applied for but had not yet been received by the home. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 32 34 38 The manager is experienced and skilled in running the service, however the numbers of hours in which she is employed as nurse need to be reviewed to ensure her management responsibilities can be fully met. Fire safety and training was well maintained. EVIDENCE: The current manager has experience of management at a senior level. Service users and relatives spoken with said that she was approachable and they would have no hesitations in raising concerns with her. The Company Directors need to review the number of hours she is employed as a Registered Nurse and how this is balanced with her need to undertake management tasks such as ensuring care records are kept regularly updated and consistently filled in. A check was made of the records kept for monies held on behalf of service users. These had been audited by the home’s manager and administrator, however Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 Page 16 this was not done on a regular basis. Fire training records were of a good standard and records of fire drills and alarm testing were of a good standard. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 x x 3 x x x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 3 x 3 x x x 3 Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 Page 18 Yes Are there any outstanding requirements from the last inspection? 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 OP7 Regulation 12 Requirement Care plans must demonstrate that specific needs of service users have been identified and met Care plans must contain all of the information outlined in standard 3, and must be fully completed.Care plans must detail the action required and taken by staff to ensure identified needs are met.Daily recordings must be a comprehensive reflection of the service users day, and the care given. Service user plans must be reviewed monthly. Regular weight checks must take place for all service users if identified in their care plan. Risk assessments must be undertaken for all service users. All entries in care plans must be signed and dated by the person making the entry. The range of activities at the home must be increased for service users. Damaged or stained carpets must be replaced. Timescale for action 12/12/05 2. OP7 15 12/12/05 3. 4. 5. 6. 7. 8. OP7 OP8 OP7 OP7 OP12 OP19 15 (2) (c) 12 13 (4) (a) (b)and (c) 15 12 (1) (2) (3) 16 (2) (c) and 23 (2) (b) 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 Page 19 9. OP23 23 (l) and (m) 10. 11. OP19 OP31 23 (2) (b) 18 (1) (a) The home must not store large amounts of pads and other nursing or medical equipment openly in service users bedrooms. Damaged walls and skirting boards should be repainted or revarnished. The Company Directors must review the number of supernumerary hours available to the manager in order to ensure that they are adequate to carry out her managerial duties. 12/12/05 12/12/05 12/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP20 OP34 Good Practice Recommendations The home should consider replacing the worn furniture in the upstairs lounge. The records of monies held on behalf of service users should be audited on a regualr basis to ensure accuracy. Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection South Point Cardinal Square Nottingham Road Derby, DE1 3QT 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 Partington Care Home C52 C02 S25449 Partington Care Home V243761 170805 Stage 4.doc Version 1.40 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. 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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