Inspection on 09/11/05 for Partington Care Home

This inspection was carried out on 9th November 2005.

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 08/08/06

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 Stuart Hannay Unannounced Inspection 9th November 2005 10:30 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.V263301.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. Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 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.V263301.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A registered nurse to be on duty throughout 24 hours. The person in charge to be supernumerary for 20 hours per week and shall be a first level registered nurse. 17th August 2005 Date of last inspection 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 36 Older Peopleand links are maintained with the community health services. Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this inspection, the inspector interviewed 5 service users to ascertain their views about the home. The environment was checked and a number of records relating to the care of service users were checked. This report should be read in conjunction with the report of 17/8/05. What the service does well: What has improved since the last inspection? There has been a more consistent approach to care planning achieved in a relatively short time since the previous inspection. Some areas of the home have been re-carpeted and the home is attending to the décor in identified areas. The home has provided better storage for prescribed pads and other medical equipment, which are delivered in bulk to the home. Extra qualified nurse hours have been put in place in order to make more supernumerary time available for the manager and an activities co-ordinator has started at the home. Some changes have been implemented to the way service users’ monies are audited and how fire-training records are kept. Partington Care Home DS0000025449.V263301.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. Partington Care Home DS0000025449.V263301.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 Partington Care Home DS0000025449.V263301.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): 3 Assessments are completed to ensure the needs of the service users are fully assessed prior to them entering the home. EVIDENCE: Three care plans were checked in detail. These contained assessments of the service users’ needs when people were admitted to the home. The service users’ plans contained details of their medical care and their personal care needs. Progress had been reviewed by the relevant professionals who had arranged the placement. Partington Care Home DS0000025449.V263301.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): 7 8 10 The care plans checked generally demonstrated that personal and health care needs had been identified and addressed. Further work is needed to widen the scope of the plans to include emotional and social needs and all areas of the plans must be consistently completed. EVIDENCE: The service users interviewed generally felt that staff treated them with respect and paid attention to their dignity. Staff spoke politely to the service users using a friendly tone and relaxed manner. Four care plans were checked in detail. Improvements were noted in the non-nursing care plans checked – the health and personal care needs were identified and the prescribed staff action was identified. There were moving and handling assessments, skin integrity charts, weight charts and information about nursing interventions. The manager said in her written response to the previous report that the home has reviewed the frequency at which people would be weighed, however in the plans checked it still indicated that some service users should be weighed monthly and this had not been done, some people appear to have been weighed quarterly, one person was last recorded as having been weighed 5 months ago. There were risk assessments in all the plans checked and these Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 10 had been reviewed. Where service users were assessed as being ‘at risk’, for example from pressure sores, the care plan and prescribed treatment reflected this. One service user was assessed as needing bed-rails to ensure their safety in bed but there was no risk assessment completed for the potential problems associated with using these. As noted in the previous inspection, more information is needed about service users’ social, emotional and leisure needs and how they would be met. Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Service users said that the home encourages and supports their contact with family and friends. The level of activities has increased with the newly appointed activities co-ordinator in place but service users felt that there could still be more things to do. EVIDENCE: Four service users spoken with said that there were more activities than in previous months but that they would still like more opportunity to do things during the day. They confirmed that the activities co-ordinator has started to ask them what activities they would like to be involved with. Events took place at the home, including a singer on the day of the inspection and forthcoming religious and social events. Three service users said that they did not feel that there were sufficient activities at the home and that they felt ‘bored’ or ‘browned-off’ some of the time. 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. Most of the service users said that the food was good and there was plenty to eat; drinks were provided throughout the day. Partington Care Home DS0000025449.V263301.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): 16 There is a formal complaints procedure that most people were aware of. All those spoken with felt that they would have no hesitation in raising concerns. EVIDENCE: Service users spoken with said that they would have no hesitation in reporting concerns either to the manager or to the nurses at the home, for themselves, or on behalf of others. They were aware that there was a formal procedure for making complaints. Partington Care Home DS0000025449.V263301.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 23 24 26 There was a clean and tidy environment at the home. Service users’ bedrooms were clean and personalised to their taste. EVIDENCE: Ten bedrooms were seen during the inspection. They were clean and tidy and contained personal belongings, including pictures and photographs. There was storage space and bedding appeared to be in good condition. Mattresses appeared comfortable and pillows were in good condition. One service user’s room had a number of items on the floor – this seemed to be her personal preference and did not appear immediately hazardous, however staff need to be aware of potential problems with this. Some rooms have been re-carpeted and staff said that others are due to be done. The manager said in her written response to the previous report that scuffed woodwork would be repainted or re-varnished in forthcoming months. Service users said that they were very happy with their rooms and the levels of cleanliness at the home. Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 The staffing levels currently ensure that health care and personal care needs are being met at the home. EVIDENCE: Four week’s staffing rotas were checked. On the majority of shifts, there were generally 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. At night, there were 4 staff on duty, including the Registered Nurse. Service users felt that were adequate numbers of staff on duty to meet their health and personal care needs. The home appears to have maintained a good balance between the dependency levels of service users and the staffing levels. Agency staff were used to maintain staffing numbers during a recent period of sickness which affected several staff members. The owners have recently created an extra qualified nurse post in order to allow the manager to have more time to address management tasks – part of her time is spent at the home working as one of the registered nurses. This post was recruited to recently, however it is now vacant again and the home is trying to recruit another RGN. The home is working towards having 50 of the care staff trained to at least NVQ Level II. Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 35 38 The manager is experienced at senior level and the owners have endeavoured to increase the management hours available to her. The home was generally safe with no obvious hazards. EVIDENCE: The current manager is a Registered General Nurse and has experience of management at a senior level. Service users said that she was friendly and approachable. As noted above, more time has been made available to the manager in order to meet all the requirements of her role. In her written response to the previous requirements and recommendations, the manager said that monies held on behalf of the service users are now audited monthly and that fire drills are recorded separately. One service user’s door was held open using a cushion from a chair, which was a potential fire hazard. There was also oxygen stored in this room. Proper closing devices, which respond to the fire alarms, must be fitted to any fire doors which are held open. Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 16 Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 3 X X 3 X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X X X 2 Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 18 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 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. Regular weight checks must take place for all service users at the frequency 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. Fire doors must not be held open unless appropriate closure devices are fitted which close when the fire alarm sounds. Damaged walls and skirting DS0000025449.V263301.R01.S.doc Timescale for action 12/12/05 2 OP7 12 12/12/05 3 OP8 12 12/12/05 4 5 6 OP7 OP12 OP38 13(4)(a) (b)(c) 12(1)(2) (3) 13(4(a–e ) 23(4(a-e) 12/12/05 12/12/05 12/12/05 7 OP19 23(2)(b) 12/12/05 Page 19 Partington Care Home Version 5.0 boards should be repainted or revarnished. 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 OP20 Good Practice Recommendations The home should consider replacing the worn furniture in the upstairs lounge. Partington Care Home DS0000025449.V263301.R01.S.doc Version 5.0 Page 20 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.V263301.R01.S.doc Version 5.0 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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