Inspection on 08/08/06 for Partington Care Home

This inspection was carried out on 8th August 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

Partington Care Home 09/11/05

Partington Care Home 17/08/05

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 Denise Bate Unannounced Inspection 8th August 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 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. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Partington Care Home Address North Road Glossop Derbyshire SK13 9AX 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) 01457 856397 Partington Care Home Limited Mrs Alison Winter Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th November 2005 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. The current scale of charges ranges from £370 to £470 per week. Additional charges are made for hairdressing, chiropody, newspapers and toiletries. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over seven and a half hours. During the inspection four service users, and four staff members were spoken with. The manager was present during the inspection and provided assistance and information. Written information was provided by the manager prior to the inspection. Some service user surveys were also received A number of records were examined, including risk assessments and care plans, health and safety documentation, staff files, medication records of case tracked service users and the Statement of Purpose and Service User Guide. An assessment was also made of the progress by the registered persons to address requirements made at previous inspections. Four service users were case tracked. A tour of the part of the building took place. What the service does well: What has improved since the last inspection? The manager is now supernumerary, enabling her to concentrate on management tasks. The home is consistently ensuring that qualified nursed are on duty 24 hours per day. Conditions to registration regarding these two issues have now been removed as they have been complied with. Improvements have been made to care plans. Some routine decoration has taken place. The activities organiser is providing activities on a regular basis. Some new furniture has been obtained in the upstairs lounge. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 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. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 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 Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 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): 1, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and relatives are provided with the information they need to help them make decisions about the home. The home has a system for assessing service users’ needs to ensure that the care provided can meet service users’ needs appropriately. EVIDENCE: A copy of the Statement of Purpose and Service User Guide was made available to the inspector. These documents are clearly written and contain relevant information about the home and detailed statements on the home’s philosophy of care, which emphasises equal opportunities and service users’ rights. The care planning records of four service users were seen and all contained an initial assessment, sometimes including information from a variety of health Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 9 professionals. The manager informed the inspector that she does her own full assessment if the service user does not have a care manager or social worker. The home does not provide intermediate care so standard 6 does not apply. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans relating to personal and social care needs of service users are completed in sufficient detail to direct and inform staff on how individual needs should be met. Service users are encouraged and supported to be independent and to exercise choice in all aspects of the home and are treated with dignity and respect. This contributes to the enhancement of service users’ everyday lives. EVIDENCE: All case tracked service users had detailed care plans covering each aspect of care and there was evidence that these were reviewed and updated regularly and when there were changes in the service users needs. Also included in the care planning documentation were assessment forms for nutrition and tissue viability and management plans when these were appropriate, weight monitoring forms, risk assessments and records of health professional visits. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 11 Information was recorded in detailed daily logs and there appeared to be a good system of communication between staff on ensuring that service users day to day needs known about and were met appropriately. There were some minor inconsistencies, and some assessments were not signed and dated, and there was not always evidence that the care plan had been discussed with the service user. The manager indicated that she would rectify this and that she does her own audit of care planning documentation to encourage consistency. It was reported that a good relationship exists with local GPs and with District Nurses. The administration of medication was inspected and records of case tracked residents found to be satisfactory. A very detailed inspection had been carried out last year and the manager said that recommendations had been implemented as far as possible. However, the current medication room is very small for such a large home and some alternatives to the current arrangements are being considered. A copy of the latest advice from the Royal Pharmaceutical Society was available for further consideration of this matter. Service users spoken to said that the staff are excellent and they have ‘no complaints’. They are given choice and are treated with dignity and respect. Staff were observed interacting positively with service users as they carried out routine tasks. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are provided that suit the expressed preferences of service users. Regular outside contacts are encouraged and supported. This assists in contributing to a pleasant atmosphere and the overall high level of satisfaction for service users. Dietary needs of service users are catered for with a balanced and varied selection of food available that meets service users’ tastes and choices. EVIDENCE: Service users said that the home encourages and supports their contact with family and friends, who are welcome to visit the home. All service users confirmed that they could have visitors when they wanted and were encouraged to keep up contact with friends and family in the community, and one service user had chosen the home so she could be near friends. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 13 The level of activities has increased with the newly appointed activities coordinator in place and activities were taking place on the day of inspection. The inspector was told that the home do have some entertainment and that religious service also take place. An outing had taken place the previous week. Service users said that the food was good and there was plenty to eat and drinks were provided throughout the day. One service user said that she was consulted when she didn’t like what was on the menu so that she could choose an alternative. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 14 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, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place which promote the Safeguarding Adults from abuse. A clear and accessible complaints procedure is in place ensuring service users can be confident that any issues raised would be acted on effectively and promptly. EVIDENCE: There is a formal complaints procedure in place, although most relatives and service users prefer to raise issues on a more informal basis. Service users said that they have no complaints about the home, but if they had concerns they would feel confident discussing them with a member of staff or the manager, who is viewed as approachable and responsive. The complaints procedure is clearly displayed in the foyer and is referred to in the Statement of Purpose and the Service User Guide. There have been no formal complaints recorded. Minor issues, e.g. lost laundry, and not noted and the home may wish to keep a record of minor issues as a quality assurance measure. The home have a Safeguarding Adults policy which contains clear procedures for dealing with the safety of service users and protecting them from harm. Most staff had undertaken formal training in adult protection issues and staff spoken to showed an awareness of adult protection issues and would pass any concerns on to their line manager. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 15 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, 21, 23, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment within the home is generally reasonably maintained and provides service users with a homely place to live. EVIDENCE: During the inspection the communal areas, and some bedrooms, bathrooms and toilets were seen. The décor is kept in character to the building, which is a substantial and attractive stone building with a small communal garden. Generally the building was well maintained although there are still areas that require decoration, e.g. upstairs toilet, and the upstairs corridor carpet needs cleaning. The use of wheelchairs and hoists inevitably means that some paintwork gets scuffed, and this is usually dealt with on an ongoing basis. Two bathrooms and three toilets were seen. The bath and hoist in the downstairs bathroom are quite old and the hoist has worn the enamel off the Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 16 bath giving it a rather unattractive appearance. It is recommended that consideration be given to replacing the bath and/or hoist. Four service user bedrooms were seen. Most of the bedrooms are individual although there are some shared bedrooms. All bedrooms seen were of a good size and had been personalised. One service user described how his bedroom was laid out precisely to his needs and this contributed to his satisfaction with his quality of life within the home. Some of the furniture and the commodes seen in bedrooms was rather worn and could be replaced or upgraded. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A trained and competent workforce are in place which meet the dependency needs of service users currently accommodated within the home. EVIDENCE: Staffing rotas were made available. On the majority of shifts, there have been 7 staff on shift in the morning and 5 in the afternoon for up to 36 service users. These numbers include the Registered Nurse deployed on each shift. An extra care shift is being planned to meet the increased dependency needs of current residents. At night, there were 4 staff on duty, including the Registered Nurse. Service users felt that there were adequate numbers of staff on duty to meet their health and personal care needs, and said staff were always there to help them when needed. The home appears to have maintained a good balance between the dependency levels of service users and the staffing levels. There is a stable and long standing staff team, and this continuity was appreciated and commented on by service users. There is a positive working relationship between care and professional nursing staff and it is felt that communication is good and that nursing staff and managers respond positively to requests for advice or help. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 18 Thorough induction training has taken place, including shadowing more experienced staff, and this was seen as helpful and contributing to staff job satisfaction. Staff confirmed that they were given training opportunities, and all staff spoken to were keen to make use of these. The home have a comprehensive training plan in place and records are kept. Over 50 of care staff have NVQ2. Staff have appraisals, and records of these were seen on staff files. Three staff files were seen and there was evidence of CRB checks (or evidence was held on the home’s electronic records) copies of contracts, application forms and references. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager provides clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities, contributing to the good quality of care provided to service users on a day to day basis. The lack of quality assurance systems means the home cannot provide evidence that the home is run in the best interests of the service users. EVIDENCE: The manager is an experienced and qualified nurse and has also attained the Registered Managers Award. As mentioned earlier in this report, service users and staff spoke positively about the manager and the nursing team. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 20 The home is visited regularly by a representative of the registered person but no Regulation 26 visit reports are done. Thus there is no evidence to indicate that matters of day to day management are dealt with, and service users and staff spoken to on a regular basis by the proprietor or his representative. There has been no quality assurance exercise to indicate how the service provided by the home has been rated by service users and/or relatives. At present service users monies are kept in the safe and manual records kept, which appears to work satisfactorily. One service users record was checked and found to be satisfactory. Information was available in the foyer about an advocacy service which can be used by service users when they have no family or friend to advocate for them. Information on maintenance and health and safety records was provided by the manager in the pre-inspection questionnaire and some health and safety records were seen on the day of inspection, e.g. fire safety, gas safety certificate. These indicate that, apart from the electrical hard wiring certificate, matters pertaining to maintenance and health and safety are satisfactory. The electrical hard wiring certificate is now out of date and a new survey is due to be carried out. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 21 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 3 X 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 x 3 X x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 1 X 3 X X 2 Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 22 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 OP33 Regulation 26 Requirement The providers or their representative must complete Regulation 26 reports and forward them to the CSCI. The home must implement a quality assurance programme to ascertain the views of service users and relatives/friends on the quality of care provided by the home. The planned electrical hard wiring survey must be carried out. Timescale for action 30/10/06 2 OP33 24 30/11/06 3 OP38 23 (2) (b) 30/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000025449.V305997.R01.S.doc Version 5.2 Page 23 Partington Care Home 1 2 3 4 Standard OP16 OP21 OP21 OP24 A record should be kept of minor complaints to contribute to the home’s quality assurance monitoring. The upstairs toilet should be decorated. The bath and hoist in the downstairs bathroom should be replaced or refurbished. Worn commodes and worn bedroom furniture should be replaced. Partington Care Home DS0000025449.V305997.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office 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 DS0000025449.V305997.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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