Inspection on 22/11/05 for Queensgate Residential Home

This inspection was carried out on 22nd 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Queensgate Residential Home 22/06/06

Queensgate Residential Home 16/06/05

Queensgate Residential Home 02/12/04

Queensgate Residential Home 08/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Queensgate Residential Home Boulevard Hull East Yorkshire HU3 2TA Lead Inspector Simon Morley Unannounced Inspection 22nd November 2005 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 Queensgate Residential Home DS0000000868.V263671.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. Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Queensgate Residential Home Address Boulevard Hull East Yorkshire HU3 2TA 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) 01482 211112 01482 585980 Mr Frank Colin Swain (Director HLAS Care Ltd) Dr Awan, HLAS Care Ltd Lesley Denise Swain Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40) of places Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one named person under 65 years of age. Date of last inspection 16th June 2005 Brief Description of the Service: Queensgate is owned by a partnership, some of the partners have interests in other care homes in the area. The home is registered to provide personal care and accommodation for 40 service users over the age of 65, of either gender, some of whom may suffer from dementia. The home is a short walk from the bustling community of Hessle Road. There are a variety of local amenities very close by including shops, pubs, community centres and churches. Queensgate was purpose built and has 24 single and 8 double bedrooms spread over two floors. There is a passenger lift for residents unable to use the stairs. There is a very large open plan lounge and dining room on the ground floor. There is also a quiet lounge downstairs and one upstairs. To the rear of the building there is a tarmac parking area and a small garden area to the front. The home is close to major bus routes. Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted for 6 hours and included talking to the residents and staff and looking at the home’s records. Care records were looked at for three residents two of these and two other residents were also asked their views of the home. At the time there were 31 residents living at Queensgate. Feedback about the home’s performance was given verbally to the manager at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The care planning arrangements must still improve to ensure that all residents receive the care they need. Medication procedures must improve to ensure residents receive their medication safely. Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 6 Training for staff must improve to help make sure they are all competent at their jobs. 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. Queensgate Residential Home DS0000000868.V263671.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 Queensgate Residential Home DS0000000868.V263671.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): 2 and 3. The home have improved the admission procedure ensuring all residents have their needs assessed before moving in and get a copy of the written contract agreed with the manager. EVIDENCE: Residents spoken to were happy with their care and said that their needs were being met. Three sets of care records were looked at. All contained evidence of people’s needs being assessed before they moved in so that the home could assure them they would be well looked after. The manager has started to agree a written contract / statement of terms and conditions with residents at the time they move in. She reported that for those residents whom this had not been done, a written contract would be agreed at their next care review. Queensgate Residential Home DS0000000868.V263671.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 and 9. The arrangements for safe guarding residents health and personal care still need improving. EVIDENCE: Residents said that staff treat them well and respect them as individuals. They said they were happy with how their personal care, e.g. help to wash, use the toilet, get dressed, was provided. Individual plans of care are part of the care records for each resident. Of the three sets of records looked at, two residents had an individual plan of care. For another resident, the home had not produce its own care plan. The manager’s reason for this was that the person came for respite care and a permanent stay had not yet been decided. At the time the resident had been there over two months. Staff spoken to were able to talk about people’s individual needs. But without a clearly recorded plan of care detailing all a person’s care needs, the care given will rely on the memory of, and good communication between staff. So, Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 10 any resident - even those staying for respite - without a care plan is more at risk of not having all their care needs met. Residents have the opportunity to look after their own medication if they are able and choose to do so. The storage of medication was safe but there needed to be improvements to some of the records. Queensgate Residential Home DS0000000868.V263671.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 and 15. The arrangements for providing activities, visiting, meals and supporting residents to make choices met with the expectations of the residents. EVIDENCE: Residents spoken to said they were happy with the arrangements for social activities and made positive comments about the quality of food. Visitors said they were made to feel welcome. Residents also said that they felt able to make their own choices about how they spend their time. Since the last inspection more staff have been employed. Residents now have more opportunities for making use of local community facilities with support from staff. Some of the residents have been making Christmas decorations, which were on display around the home and residents were looking forward to celebrating the occasion. Staff now tell residents what is on the menu and residents have an opportunity to choose an alternative. They can also choose where to eat their meals. There were records of residents’ likes and dislikes. Queensgate Residential Home DS0000000868.V263671.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): The key standards were assessed at the last inspection. EVIDENCE: Queensgate Residential Home DS0000000868.V263671.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 and 26 Queensgate is well kept, clean, comfortable and smells fresh. EVIDENCE: The home is clean and smells fresh; there are no malodours. There were good procedures for managing clinical waste to help promote a healthy environment. Furniture is comfortable and homely. Residents were pleased with the home and it’s surroundings. A pleasant garden area is being created at the back of the home with potted plants and hanging baskets. There is already a similar larger area at the front. The home is well maintained and maintenance certificates were available. Queensgate Residential Home DS0000000868.V263671.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, 28, 29 and 30. The staffing arrangements in the home were generally good; plans for staff training could be improved. EVIDENCE: The number of care hours staff work, according to the rota added up to 497 a week the recommended guidance says there must be 543. That’s another 46 hours needed each week to meet the guidance. This is an improvement since the last inspection. The home is not currently required to meet this guidance unless it became clear there were not enough staff to care for the residents properly. This was not the case at this inspection. The home also employs a range of ancillary staff to help in the smooth running of the home. The manager reported that six staff have the required care qualification and five more are working towards it. Once these five have finished the home will meet the required target of 50 of care staff that are qualified. New staff had been appointed since the last inspection. Inspection of their recruitment records showed that all the required checks were made before they started work. This is to make sure they were suitable for the job and not put residents at risk from harm. Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 15 Training records were available for inspection. A number of staff still have not completed all the required basic training. Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 16 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 and 38. There are suitable arrangements for the management and administration of the home. EVIDENCE: The current manager is experienced and qualified, she also undertakes regular training to keep up to date with good practice? Residents are able to make their views known about the service in several ways. The manager is approachable, there are regular residents meetings, and residents are also given satisfaction surveys to complete. Staff also are able to make their views known in the same ways. The home only looks after some of the residents’ finances and there were accurate and up to date records kept. Residents spoken to were all happy that Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 17 they received their full personal allowance or were happy for their relatives to look after their money. The home was physically safe and well maintained and maintenance certificates were available for inspection. Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 18 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 2 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 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 X 17 X 18 X 3 X X X X 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 3 X 3 X X 3 Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 19 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 OP2 Regulation 5 Requirement The action plan to agree the statement of terms and conditions with residents or their representatives at care reviews must be completed. All service users must have an individual plan of care detailing all their health, social and personal care needs and the actions required by staff to meet these needs. (Target dates of 31.10.04, 31.03.05, and 30/09/05 not met). The registered person must ensure that all residents have their medication at appropriate time intervals. Handwritten instructions on MAR charts regarding resident’s medication should be checked and countersigned by two staff. (Target date of 30/09/05 not met). Specific instructions regarding the administration of medication (e.g. with food; which eye for eye drops) must be clear and accurate. Timescale for action 30/11/06 2. OP7 15 28/02/06 3 OP9 13 28/02/06 4 OP9 13 28/02/06 5 OP12 15 28/02/06 Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 20 .6 OP30 18 7 8 OP30 OP30 18 18 9 OP30 18 All existing care staff that have not already be trained in the following areas must receive training in first aid, basic food hygiene, moving and handling, fire safety and health and safety. New staff must receive the above training within 3 months of starting their employment All staff must receive regular refresher training in the above according to health and safety guidance. There must be a qualified first aider on duty at all times. 31/03/06 31/03/06 31/03/06 31/03/06 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 OP3 OP27 Good Practice Recommendations The assessment form used by the home should be developed to meet the requirements of this standard for service users that are self-funding. The home should increase the staffing levels to meet the recommended guidance. Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Queensgate Residential Home DS0000000868.V263671.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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