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Inspection on 23/02/06 for Polefield Nursing Home

Also see our care home review for Polefield Nursing Home for more information

This inspection was carried out on 23rd February 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents who were spoken to during the inspection were pleased with the care they received at the home. One of the relatives said, " I cannot fault the care the home provide and the staff are very approachable". The home had a good planned programme of activities in place to entertain the residents.

What has improved since the last inspection?

Arrangements had been made for the disposal of clinical waste from the home. The home has improved the administration of medication procedure by ensuring individual residents` pictures are available with the medication administration records.

What the care home could do better:

The home must ensure that records required in care homes are available at all times for inspection. The home must ensure that all staff receive Protection of Vulnerable Adults (POVA) training. The home should ensure that all residents and relatives are aware of how to make a complaint or raise concerns to the Commission for Social Care Inspection. The home should ensure that surveys are carried out and records kept for inspection. The home must ensure that there is no presence of offensive urine odour in the home.

CARE HOMES FOR OLDER PEOPLE Polefield Nursing Home 77 Polefield Road Blackley Manchester M9 7EN Lead Inspector Richard Dankwa Unannounced Inspection 13:30 23 February 2006 th 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 Polefield Nursing Home DS0000021655.V278870.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. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Polefield Nursing Home Address 77 Polefield Road Blackley Manchester M9 7EN 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 795 4102 0161 740 4903 Rosewood Care Services Limited Ms Kay Rooney Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (38), Physical disability (2) of places Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users requiring nursing care shall be 37 and the maximum number of service users requiring personal care only shall be 3. All service users are aged 60 years and over except two named service users requiring care by reason of physical disability. Registration is subject to compliance with the minimum nursing staffing levels indicated in the Notice previously served in accordance with Section 25 (3) of the Registered Homes Act 1984 issued on 20 December 2000. 17th October 2005 Date of last inspection Brief Description of the Service: Polefield Nursing Home is a care home providing nursing care and accommodation for a maximum of 40 older people. The home is able to accommodate 37 older people assessed as requiring nursing care in addition to 3 older people assessed as requiring personal care only. The home is situated in a residential area in the Blackley district in the North of the City of Manchester. The home is well served by public transport links and within easy reach of Manchester, Rochdale and Oldham Centres. The home is close to local facilities, shops, Boggart Hole Clough Park and other cultural and recreational facilities. The home is a purpose built care home that provides accommodation on two floors. The home’s second floor offered office accommodation and storage. The home has an off road parking for a number of vehicles. The main entrance to the home has low ramp access and was accessible to wheelchair users. A passenger lift provides access to all levels of the home. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 23 March 2006. The manager of the home was not present during the inspection however the senior nurse was present. The opportunity was taken to talk to some of the residents and their relatives. The general state of the home was inspected. The paperwork kept at the home was also looked at. Staff members were directly observed as to how they supported the residents. The areas identified during the last inspection as needing improvements had been met. Other areas requiring improvements were identified at this inspection visit. The Commission for Social Care Inspection did not look at all the standards during this inspection so this report should be read together with the previous one to get a better picture of the care being provided at Polefield Nursing Home. What the service does well: What has improved since the last inspection? Arrangements had been made for the disposal of clinical waste from the home. The home has improved the administration of medication procedure by ensuring individual residents’ pictures are available with the medication administration records. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 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. Polefield Nursing Home DS0000021655.V278870.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 Polefield Nursing Home DS0000021655.V278870.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): 3 & 5. All prospective residents are assessed before an offer of a place is confirmed. Prospective residents and their relatives or representatives have the opportunity to visit the home to help them make a decision whether to use their services. EVIDENCE: The senior nurse in charge, that was present during the inspection visit, said that the manager or the deputy manager visits prospective residents to assess them using the Pre-assessment Admission form. Completed forms are kept on individual residents’ files. The outcome of the assessments are then discussed with the prospective residents and their relatives. If their needs could not be met the home would inform the prospective residents and support them to find other alternatives. The home has an open policy for visiting the home. Relatives and friends are able to visit till 7 o’clock. For security reasons those who wish to visit after this time have to inform the home before they do so. Polefield Nursing Home DS0000021655.V278870.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): 10. The residents were treated as individuals and the staff team promoted their independence. EVIDENCE: During the inspection it was observed that the staff spoke to the residents politely and respectfully. The residents and relatives that were spoken to said that the staff supported them in a dignified way and respected their wishes at all times. All the residents had individualised care plans in place. The shared bedrooms had screens in place to promote and maintain privacy and dignity. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. The individual lifestyles of the residents are met. The home continues to support the residents to maintain contacts with their relatives. The residents are supported to pursue social and leisure activities. The home provides a wholesome and appealing balanced diet. EVIDENCE: There was an entertainer present during the inspection visit who visited the home on a monthly basis. The home organised card games, bingo, jigsaws, puzzles, art and craft, manicures and film shows. A catholic nun, a pastor from the Methodist church and a vicar from the Church of England visited the residents on a regular basis. The home encourages the residents to participate in the community and some of the residents regularly use the local shops to buy personal items. The majority of the residents have regular contacts with their families and friends. Several relatives visited during the inspection visit. The residents are supported by their relatives and friends to exercise choice and control over their lives. A number of residents are represented by solicitors to help them make decisions and exercise their rights. Some of the residents use advocacy services. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 11 The home provides good quality wholesome meals. Specialist diets are provided to suit the personal preferences and health needs of the residents. There was a menu in place that offered choice to the residents. There are care plans in place for special diets such as low salt, low fat and low sugar diets. The chef had copies of the care plans. The residents eat in a clean and bright dinning area. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 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 & 18. There were policies and procedures in place for dealing with complaints. The policies and practices of the home ensured that residents are safeguarded from harm or abuse. EVIDENCE: Policies and procedures were in place for dealing with complaints. However, some of the relatives spoken were not aware that they could make a complaint or raise concerns to the Commission for Social Care Inspection. The home should ensure that all relatives and representatives are aware of this fact. The complaints policy that was displayed was not on a prominent place and should be addressed. The Commission for Social Care Inspection had not received any complaints since the last inspection. There were policies and procedures in place regarding the Protection of Vulnerable Adults and Whistle Blowing. The staff members who were spoken to were aware of how to deal with an allegation of abuse. The staff receive POVA training during NVQ training. Although this might be the case the home must ensure that all staff receive formal POVA training. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 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): 20, 21, 25 & 26. The residents live in clean, safe and comfortable environment. There were sufficient and suitable lavatories and washing basins. EVIDENCE: The home had comfortable indoor and outdoor communal areas for the residents to enjoy. There was a terrace upstairs for the residents to use during summer. The home has a garden for the residents to use when the weather permits. There were sufficient and adequate baths and toilets for the residents to use. Each resident bedroom had a washing basin. The home appeared safe and clean. However, some areas of the home had offensive urine odour and must be addressed. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 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, 28, 29 & 30. The home ensures that the right staff are employed to look after vulnerable people. It means that the residents are safeguarded by the robust employment procedures of the home. EVIDENCE: The duty rosters showed that the numbers and skill mix of the staff would be adequate to meet the needs of the residents residing at Polefield Nursing Home. The staff files were not available at the time of the inspection as they were locked away. The home must ensure that staff files are available at all times for inspection. The senior nurse on duty said that the majority of the staff possesses NVQ Level 2 or 3. The home had a robust recruitment procedure, which ensured that the staff were suitable to work with vulnerable residents. Training records examined indicated that the staff receive training such as oral hygiene, peg feeding, First Aid and moving and handling. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 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, 33 & 35. A fit person runs the home and the financial interest of the residents is safeguarded by the home’s policies and procedures. The home is run in the interest of the residents. EVIDENCE: Discussions with the staff revealed that the manager is approachable to both staff and residents. The discussions also indicated that the manager is well respected and leads the team well. The home has adequate policies and procedures in place to safeguard the financial interest of the residents. The financial administrator said that the relatives supported the residents to manage their finances. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 16 There was a questionnaire that was displayed in the hallway encouraging the residents and relatives to use. However, there was no record of completed questionnaires. The home should ensure that surveys are carried out and records kept for inspection. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 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 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 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 2 17 X 18 2 X 3 3 X X X 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X X Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP18 OP29 Regulation 18 19 Requirement The registered person must ensure that all staff receive POVA training. The registered person must ensure that records required to be kept regarding persons working in a care home are available for inspection at all times. The registered person must ensure that the home is free of offensive urine odour. Timescale for action 01/06/06 01/05/06 3. OP26 23 01/06/06 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. 2. Refer to Standard OP16 OP33 Good Practice Recommendations The home should display the complaints policy in a prominent place and ensure that the residents and their relatives are aware of the policy. The home should ensure that surveys are carried out and records kept for inspection. Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Polefield Nursing Home DS0000021655.V278870.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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