Inspection on 25/07/05 for Roberttown Nursing Home

This inspection was carried out on 25th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Roberttown Nursing Home 11/11/09

Roberttown Nursing Home 19/12/08

Roberttown Nursing Home 07/11/06

Roberttown Nursing Home 30/11/05

Roberttown Nursing Home 02/02/05

Roberttown Nursing Home 03/09/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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 Roberttown Nursing Home Church Road Roberttown Liversedge WF15 8BE Lead Inspector Bronwynn Bennett Stephen French Unannounced 25 July 2005 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 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. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Roberttown Nursing Home Address Church Road Roberttown Liversedge WF15 8BE 01924 411600 01924 408395 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) CSS Investments Limited Ms Julie Ward Care Home with Nursing 29 Category(ies) of Old age, over 65 - 29 places registration, with number Terminally ill, over 65 - 4 places of places Terminalli ill, under 65 - 4 places Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 2 February 2005 Brief Description of the Service: Robertown Nursing Home is purpose built and registered to provide nursing and personal care for up to twenty nine older people. The home is also registered to provide nursing and personal care for four adults under the compassionate care sheme. The home is located in its own grounds and there are adequate car parking facilities to the front of the home. The home is situated close to the facilites and shops in the village of Robertown. The home is staffed twenty-four hours a day and there are wakeful night staff on duty. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over a seven hour period by two inspectors. Eleven residents and seven staff were spoken to and records kept by the home were looked at in detail. What the service does well: 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. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 7 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 standard(s) None Not assessed during this inspection. EVIDENCE: Not assessed during this inspection. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 8 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 standard(s) 7,8,9. While there is evidence that some resident’s health care needs are met, some health care needs are not fully met. The home’s policy and procedure for medication must be followed in order to protect the residents. EVIDENCE: The residents spoken with said that staff are helpful and supportive. Staff were seen interacting well with the residents during this inspection. The care records for four residents were looked at in detail. These plans of care did not give sufficient details to staff in order that healthcare needs can be met. Where there was an assessed need identified a separate plan of care had not been completed. One resident did not have a nutritional assessment in place and two residents did not have a care plan in place for pressure area care. Pressure area care, its treatment, and outcome should be recorded in the individual’s care records. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 9 Care plans should reflect the changing needs of the resident, and should be reviewed to updated. Although staff stated that residents, or their relatives are involved in the monthly review of care plans, this was not evidenced in the care records inspected. The medication was checked for four residents. All the medication sampled reconciled with the written records kept. The home has a policy and procedure in place for the administration, disposal and storage of medication. The home’s policy for the disposal of drugs has been recently updated and this was seen by the inspector. The inspectors noted that the medication room was left unlocked and unattended and this was discussed with the Responsible Individual, Ms Joanne Sykes. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 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 standard(s) 12,15. The residents are supported to experience a lifestyle that meets their needs. The residents receive a varied diet and specialist diets are catered for. EVIDENCE: Where possible the residents are supported to choose their preferred lifestyle. The home does have a residents’ liaison officer who is responsible for the provision of activities that are provided by the home. There are regular activities organised in the home and residents meetings are carried out on a monthly basis. The residents’ interests and social activities are recorded in the individual plans of care. Consideration is given to individual residents needs with some activities being provided on a one to one basis. The inspectors had lunch with the residents and the meal was well presented. The home offers a varied, seasonal menu. The residents are offered three full meals a day and a snack meal for supper. There is a choice of diet for all meals and specialist diets are catered for. The cook said that the home presently caters for diabetic and soft diets. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 11 Some of the residents said that the food was nice and that they were always given a choice of menu. The meal was served in a relaxed and unhurried way with staff appropriately supporting the residents. During an inspection of the kitchen food was seen left uncovered in the refrigerator and large amounts of cleaning products were seen to be stored in the kitchen area, this was discussed with the Ms Sykes. The kitchen is in need of some new catering equipment. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 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 standard(s) 16,18. The home has a complaints procedure in place and staff have a good understanding of adult protection issues. EVIDENCE: The home has a complaints procedure and a record is kept of all complaints made in the home. The residents spoken with said they would speak to the nurse in charge if they had a complaint. There is a whistle blowing policy and an adult protection policy in place. Staff have received adult protection training as part of the home’s induction process. The inspectors spoke with some of the staff who all had a good understanding of adult protection issues, and the necessary action to be taken should there be any allegation of abuse. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 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 standard(s) 19,26. The residents live in a home that is clean, hygienic and well maintained. EVIDENCE: The home does have a maintenance programme and any repairs carried out are recorded. The grounds of the home are well maintained with access available to the residents. The laundry facilities are located outside the main building. There is an allocated laundry person working in the home seven days a week. On the day of this inspection the laundry facilities were clean and well organised. The home has the policies and procedures in place for infection control and clinical waste. Evidence was seen that the home complies with the Water Supply (Water Fittings) Regulations 1999. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29. The home has experienced and qualified staff on duty to ensure that the resident’s needs are met. The home’s recruitment procedure needs to improve to support and protect the residents. EVIDENCE: The home has a recorded rota for all staff who work in the home. There is a qualified member of staff on each shift. There are three waking night staff one of which is qualified. There are six care staff with the NVQ certificate in care. The home operates an induction programme for all new staff. The employment records for four staff were looked at in detail. One member of staff did not have a full employment history and this was discussed with the Ms Sykes. The employment histories for all staff should be completed in full. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38. The home works well to promote the health and safety of the residents and the staff, however greater care needs to be given to the safe storage of food and kitchen detergents. EVIDENCE: Fire alarm testing is conducted in the home on a weekly basis with emergency lighting checks completed at the same time. Fire safety procedures were seen displayed throughout the home for the action to be taken in the event of a fire. The inspector saw evidence of gas, electrical and water testing and certificates. The home has recently had the lift and hoists serviced. The inspector saw food stored incorrectly with no labelling or date and this was discussed with the Ms Sykes. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 16 One qualified member of staff had not received an update in moving and handling practices. This needs to be addressed in order to protect the residents and staff against injury. The home should make arrangements for the safe storage of kitchen detergents. Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x 3 x STAFFING Standard No Score 27 3 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 2 Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 18 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 7&8 Regulation 15(1) & 15(2) Requirement The registered person shall prepare a written plan for each individual resident in respect of meeting health and welfare needs. Where there is an assessed need, or a high risk is identified for a resident, a specific care plan for these issues must be devised, complete with measurable outcomes. Timescale for action 30/8/05 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. 3. Refer to Standard 9 29 38 Good Practice Recommendations Greater care needs to be taken with the safe storage of medication. The employment histories for all staff should be completed in full with any gaps in employment explored by the manager. Staff should be updated in movement and handling training. Greater care needs to be taken with the correct storage, labelling and dating of food. J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 19 Roberttown Nursing Home Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse. HD6 4AB 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 Roberttown Nursing Home J51J01_s1095_Roberttown Nursing Home_v236694_250705.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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