Inspection on 10/01/06 for Radbrook Nursing Home

This inspection was carried out on 10th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Radbrook Nursing Home 23/11/06

Radbrook Nursing Home 10/08/05

Radbrook Nursing Home 24/09/04

Radbrook Nursing Home 15/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Radbrook Nursing Home Stanhill Road, (Off Bank Farm Road) Radbrook Shrewsbury Shropshire SY3 6AL Lead Inspector Pat Scott Unannounced Inspection 10th January 2006 09:15 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 Radbrook Nursing Home DS0000022270.V268717.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. Radbrook Nursing Home DS0000022270.V268717.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Radbrook Nursing Home Address Stanhill Road, (Off Bank Farm Road) Radbrook Shrewsbury Shropshire SY3 6AL 01743 237800 01743 237813 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) Morris & Co Limited Mrs Jean Hannah Bidder Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (20), Terminally ill (3) of places Radbrook Nursing Home DS0000022270.V268717.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Home must comply with the Staffing Notice as issued by the Shropshire Area Health Authority dated 8th May 1990. The home may accommodate a maximum of 43 service users. The home may accommodate any balance of older persons requiring nursing care and younger physically disabled persons to the total of 43, including 3 terminally ill persons. 10th August 2005 Date of last inspection Brief Description of the Service: Radbrook Care Home is registered with the Commission for Social Care Inspection to provide accommodation with en-suite facilities for 43 people needing nursing care. Radbrook is one of a group of nursing homes run by Morris Company Care Division. The home is situated on the outskirts of Shrewsbury with local bus services close by. The home provides 5 sitting areas, which are located at the end of each wing, 1 dining room/conservatory, which is on the ground level and situated at the front of the building. There is a large sitting room upstairs. There is access to a garden and car parking is available. Radbrook Nursing Home DS0000022270.V268717.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 10th January 2006 commencing at 09.10am for a duration of one and a half hours by one inspector. The National Minimum Standards for Care Homes for Older People focus on achievable outcomes for service users – that is the impact on the individual of the facilities and services of the home. Evidence was looked for that the standards were being met and a good quality of life enjoyed by service users through: • Discussions with service users, families and friends, staff and managers. • Observation of daily life in the home • Scrutiny of written records The statement of purpose was used to assess how far the home’s objectives to be able to meet service user requirements and expectations were being met. Reports regarding an overview of the conduct of the home are sent to CSCI on a monthly basis by a representative of Morris Care. These, as well as the risk assessment from the last inspection were taken into account to determine the core standards focused on and depth of inspection. The Commission does not currently have any concerns regarding this home. What the service does well: Only qualified staff are involved in giving medication to service users. Procedures are in place to ensure the wrong drug is not administered. The manager recognises the importance of providing palliative care for service users in the terminal phase of their illness and aims to develop staff skills and expertise within this area. The manager and staff in working with other health care professionals have provided sensitive and professional palliative care for service users at the end of their life. It is the manager’s intention to participate in the nationally recognized approaches to palliative care as below, which would further enhance the quality of end of life care provided. • The Liverpool Care Pathway (LCP); and • Gold Standard Framework. The LCP format transfers the hospice model of care into the care home setting and will facilitate multi-professional communication. It provides guidance on the different aspects of care required, including comfort measures, anticipatory Radbrook Nursing Home DS0000022270.V268717.R01.S.doc Version 5.1 Page 6 prescribing of medicines and discontinuation of inappropriate interventions. Psychological, spiritual care and family support is included. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Radbrook Nursing Home DS0000022270.V268717.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 Radbrook Nursing Home DS0000022270.V268717.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): These standards were not assessed at this inspection EVIDENCE: Radbrook Nursing Home DS0000022270.V268717.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): 7,9,11 Through appropriate research, training and development the manager and staff at Radbrook are improving their skills to provide for service users’ needs for healthcare and support. EVIDENCE: The manager demonstrated her knowledge and intention to be more involved in the End of Life Initiative. A discussion was held regarding national frameworks as detailed in the summary. The home ensures that service users and their families have access to support through all stages of treatment. Medicines are kept safely with full records of their receipt, administration and disposal. Reviews of medication are conducted by the GP on a regular basis. The home stocks some non-prescribed remedies that are authorised by the GP. Wherever possible and depending on their capabilities, service users are enabled to take responsibility for their own medicines. Two service users who do this have appropriate storage provided and the relevant risk assessments in Radbrook Nursing Home DS0000022270.V268717.R01.S.doc Version 5.1 Page 10 place within the care plans. Care plans regarding medication issues with individuals are fully recorded and regularly reviewed. Service users stated that they receive their medication from staff at the correct times of the day. Radbrook Nursing Home DS0000022270.V268717.R01.S.doc Version 5.1 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): These standards were not assessed at this inspection EVIDENCE: Radbrook Nursing Home DS0000022270.V268717.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 Staff are provided with induction and on-going training regarding adult protection. This provides staff with the relevant knowledge to safeguard service users from many types of abuse. The home has a complaint procedure that ensures complaints are dealt with promptly and effectively. Service users and their friends can be assured that what they say will be heard and dealt with. EVIDENCE: There have been two complaints since the last inspection, made to the home, one of which was related to medication administration. This had been dealt with in the time scales of the homes’ procedure and responded to in full. The quality team carries out an audit trail of all complaints in the home to identify any trends and to address any failings. The Chief Executive of Morris Care records a comment on each complaint seen. Compliment letters were seen in a folder in the foyer. On the whole, all service users spoken with were very happy with life at Radbrook. They said they knew whom they could speak to if they were worried about anything. Staff induction and training contains information regarding adult protection. A member of staff was receiving her first day of induction during the inspection. Regulation 37 incident reports are sent to the CSCI as required by legislation. Radbrook Nursing Home DS0000022270.V268717.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): 26 The domestic services are organised to ensure that the home is hygienic and that service users clothes and bed linen are always clean and fresh. EVIDENCE: Domestic staff were on duty during the inspection and all areas had been maintained to a high degree of cleanliness and hygiene. Service users stated that their clothes are washed nicely and are always returned to them. The manager is developing a post of infection control link trainer to liaise with the infection control advisor post at Shropshire Partners in Care to share information and teaching expertise. Radbrook Nursing Home DS0000022270.V268717.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): 29 The home’s procedures provide a safe framework for the recruitment of staff that is followed consistently in order to protect service users. EVIDENCE: The staff recruitment files were seen of two the most recent employees. All required checks were in place that demonstrated the home’s vetting procedures were thorough. However, the two references recorded as having been received for one employee were not on file. CRB checks had been received after the start date but the induction process is very thorough ensuring that no member of staff is left to work unsupervised. The actual CRB forms are held at head office and could not be examined but the disclosure number is held on file. It is recommended that the home holds all CRBs for the purposes of inspection. Staff observed carrying out their duties were seen to be responsive and understanding of individuals wishes and needs. Radbrook Nursing Home DS0000022270.V268717.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): 31,35 The manager is experienced and competent and management systems and practices ensure that the home is well run for the benefit of the residents. Service users personal monies are well managed so that their financial interests are safeguarded. EVIDENCE: Discussions with the manager demonstrated that she continues to strive for excellence and find innovative ways to provide the service at Radbrook. She is committed to service improvement and does this in a manner that involves all levels of staff, encouraging them to work as a team to improve outcomes for service users. Service users were complimentary about her style of Radbrook Nursing Home DS0000022270.V268717.R01.S.doc Version 5.1 Page 16 management, being one of involving and encouraging according to their abilities. One service user stated that the staff were “top class”. Residents’ valuables and sums of money lodged with the home for safe keeping were accounted for satisfactorily. Radbrook Nursing Home DS0000022270.V268717.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Radbrook Nursing Home DS0000022270.V268717.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. Standard Regulation Requirement Timescale for action 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 OP29 OP29 Good Practice Recommendations To keep CRB records at the home for the purposes of inspection To ensure that references received are placed on individuals’ files. Radbrook Nursing Home DS0000022270.V268717.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Radbrook Nursing Home DS0000022270.V268717.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. 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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