Inspection on 13/03/08 for Sandrock Nursing Home

This inspection was carried out on 13th March 2008.

CSCI found this care home to be providing an Good service.

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

Sandrock Nursing Home 04/10/06

Sandrock Nursing Home 18/03/06

Sandrock Nursing Home 03/12/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sandrock Nursing Home 1-3 Sandrock Road New Brighton Wallasey Wirral CH45 5EG Lead Inspector Jeanette Fielding Key Unannounced Inspection 13th March 2008 10:00 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 Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 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. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandrock Nursing Home Address 1-3 Sandrock Road New Brighton Wallasey Wirral CH45 5EG 0151 630 3254 0151 6303254 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) Prasur Investments Limited Karen Dorothy Lea Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2006 Brief Description of the Service: Sandrock Nursing Home provides general nursing care for up to 28 people, and is situated in a quiet area of New Brighton, a popular seaside town. The home offers single and twin bedded rooms on all three floors, and has assisted bathing and toileting facilities with call alarm in all areas. The home has a large lounge, divided into two main areas, a dining room and a conservatory, which opens out onto a patio area in the back garden. Sandrock benefits from being close to all amenities and is a few minutes walk from local bus stops. The registered provider is Prasur Investments Ltd and the registered manager is Karen Lea. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection was conducted in one day over a period of six hours. This was the key unannounced inspection and was carried out as part of the regulatory process. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Discussion took place with the owner, the registered manager, nurses, care staff, maintenance staff, service users and visitors to the home. The manager had completed a pre-inspection questionnaire, which gave further insight into the home. What the service does well: What has improved since the last inspection? Improvements have been made to the care plans to provide clear instructions for the staff to enable them to meet the service users needs. Considerable improvements have been made to the fabric of the building through redecoration and refurbishment. The gardens are considerably improved to provide a pleasant area for service users. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 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 Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Full information regarding the facilities and services offered by the home are made available to prospective service users to enable them to make and informed decision regarding their care provider. Detailed pre-admission assessments are made on prospective service users to enable the home to ensure that they can meet the service users needs and prepare for their admission. EVIDENCE: Prospective service users are given full information regarding the home prior to their admission. This is to enable them to make an informed decision regarding their care provider. A brochure and service user guide is offered to all interested parties and copies are available from the home on request. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 9 Service user guides are placed in all bedrooms to enable service users and their visitors to have full information at any time. Plans are in place to review and update the service user guide, the statement of purpose and the brochure on an annual basis. A selection of pre-admission questionnaires were inspected, including service users who had recently been admitted to the home. The forms clearly show that the amount of information has increased over time, with the more recently completed forms containing detailed information regarding the service users health, care and social needs. Individual preferences are identified prior to admission to enable the home to make arrangements for those preferences to be met. Specific equipment required for the service user is also identified and it was evident that such equipment had been obtained and set up prior to the admission of a service user who was due to be admitted later on the day of the inspection. The home does not offer intermediate care. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and daily records are clear and informative and provide staff with full information regarding service users needs and preferences to ensure that their needs are met. Medications are dealt with appropriately and safely to promote service users health and well being. EVIDENCE: A selection of care plans were inspected. These were found to be detailed and provided sufficient information to enable the nurses and care staff to provide the specific care needs of each individual service user. Full information is recorded relating to washing and bathing, the ability of the service user to dress themselves, dietary needs, mobility and individual preferences with regard to daily living. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 11 Daily records completed by the staff are detailed and provide evidence of the actual care given. Records are held of all visits to and by GP’s and other health care professionals together with any recommended changes to the service users care needs. All care plans are reviewed on a monthly basis and whenever necessary. Medication Administration Record sheets were found to be accurately completed. Detailed records are held of all medications entering or leaving the home. A contract has been set up with a local pharmacist to dispose of unwanted or refused medications. Medications are securely stored and all storage areas were clean and organised. No controlled medications are currently held within the home. Discussion took place with the owner and manager regarding the medications room as consideration is currently being given to changing the room currently in use. Service users spoken to during the inspection confirmed that the staff were respectful towards them. Personal care is given in bedrooms or in bathrooms as appropriate to protect service users privacy. Staff were observed to knock on bedroom doors prior to entering. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities and social opportunities are provided, together with the opportunity to develop new skills, to enhance their lives. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets their tastes and choices. EVIDENCE: A good range of activities is arranged for service users. Service users spoken to during the inspection said that they were happier watching television but that a range of activities were always offered. The home has a selection of board and card games staff were observed to spend time with service users on a one to one basis. The owner stated that he was looking to recruit an activities co-ordinator as the previous one had recently left. One member of the care staff is allocated additional hours to provide activities for service users as an interim measure. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 13 Detailed records are held of the activities that service users participate in and these are held in a separate folder. The care files contain details of the activities that service users enjoyed prior to their admission together with details of the types of activities that they still enjoy. Many of the service users are very frail and are unable to participate in activities but one service user said that she enjoyed watching what others were doing. She confirmed that staff offered her the opportunity to participate in activities but that she always declined. Routines are very flexible and residents can make choices in major areas of their life. The routines, activities and plans are resident focused, regularly reviewed, and can be quickly changed to meet individuals changing needs, choices and wishes. Both Roman Catholic and Church of England ministers visit the home on a regular basis to provide services for those who which to participate. The service actively encourages and provides imaginative and varied opportunities for people using the service to develop and maintain social, emotional, communication and independent living skills where appropriate. The home has provided a lap-top computer for service users to use. Emails can be sent and received and service users are encouraged to learn how to use it. The home provides a wireless connection to the internet so that service users can send and read their messages in private. A password is required to enable the computer to be activated to ensure greater protection. Visitors are welcome at the home at any time and one visitor spoken to said that she visited at odd times during the day and always found the staff to be kind and caring and that the home was always clean and fresh. The menus show that a varied and balanced diet is offered to service users. A choice of meals is offered and the cook confirmed that almost any choice could be made available. A plentiful supply of fresh foods were available and a stock of tinned and frozen foods were available to enable choices to be met and to provide a selection of out of season foods to be offered. Meals are served in the dining room or in the service users own bedroom as they wish. Family members often join their relatives at mealtimes to enjoy a meal or to assist them if they wish. The kitchen is clean and organised and a good stock of food is held. Fresh goods are delivered throughout the week to ensure that a choice of meals with fresh foods can be prepared. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Training on adult protection, and of the action to be taken in the event of this being suspected, has been given to all staff to ensure that service users are protected. EVIDENCE: The home has a comprehensive complaints procedure and information regarding this, and how to make a complaint, is displayed in the hallway of the home and also detailed in the Statement of Purpose. Service uses spoken to confirmed that they knew who to speak to if they had any concerns and felt confident that appropriate action would be taken. None of the service users spoken to said that they had any problem with the home, the staff or the service. The records held in the home provide evidence that a recent complaint was fully investigated by the manager. The investigation findings show that the allegation was not substantiated. The home has a policy and procedure and procedure to be followed in the event of abuse being suspected. The manager was fully aware of the action to be taken and of the appropriate people to contact in the event of abuse being suspected. Staff have been given training on the Protection of Vulnerable Adults and the different types of abuse. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 15 Information on the action to be taken in the event of abuse being suspected, together with a copy of Wirral Borough Council Adult Protection book is held in the office. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is decorated, furnished and maintained to a good standard to provide service users with a pleasant environment in which to live. EVIDENCE: Information given by the manager in the Annual Quality Assurance Assessment form that was completed prior to the inspection, and from observation during a tour of the home, provides evidence that the home continues to develop and improve. Six bedrooms have been refurbished and fitted with new carpets. New flooring has been fitted in many areas of the home and plans are in place to replace the carpet on the stairs. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 17 Ten bedrooms have been provided with new beds and a further five beds have been ordered. Bedrooms are decorated to a good standard and the maintenance man gave details of the rooms that were identified as the next to be redecorated. Bedrooms are bright and homely and service users are encouraged to bring pictures, photographs and items of memorabilia into the home. Some of the curtains in bedrooms are becoming faded and consideration should be given to replacing these. Plans are in place to redecorate the lounge and to fit a new roof to the conservatory as this is an area which requires a high level of maintenance. The home is maintained to a very high standard. A hairdressing room has been established since the last inspection and service users personal hairdressing is attended to in a more dignified way. One floor of one ground floor bathroom is lifting and may present as a tripping hazard. The flooring in this bathroom would benefit from replacement with a more effective non slip surface which is raised around the edges to prevent water seeping underneath it. It was observed that incontinence pads were stored in this bathroom. The effectiveness of the absorbency of the pads is compromised if they are exposed to a damp atmosphere and an alternative storage area should be used. The pictures on the televisions in the lounges are of poor quality and so the owner is arranging for new aerials to be provided. Considerable work has taken place to improve the gardens at both the front and rear of the home. Paved pathways have been provided with a range of containers of shrubs and plants. Seating is provided in the gardens and service users are free to use these areas as they wish. All areas throughout the home were found to be clean and no unpleasant odours were evident. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected be a well-trained and committed staff team. EVIDENCE: The home employs and deploys staff in sufficient numbers to meet the needs of the service users. The files of new staff members were inspected and all were found to contain evidence that appropriate checks on them had been made prior to them commencing work at the home. CRB and POVA checks had been made and two references obtained as required. Some staff who were employed by the previous owners do not have two references on their files, however their supervision records provide evidence of competence. Regular supervision and appraisals are given to all staff to ensure that their work meets the required standard and that any training issues are identified. The owner is currently reviewing the recruitment procedure to provide more detailed pro-forma documents and reference request forms. The staff turnover is very low and there are no vacancies for staff at the home which will provide an opportunity for s more effective system to be in place for when staff recruitment takes place. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 19 Information on the training given to staff is held on two separate files, the training file and the staff file. Consideration is being given to developing a single system of recording training and for providing staff with certification of training given in house. A training matrix has not yet been fully developed to identify when mandatory training updates are due but the manager is working on this. The records show that training is given to staff but in house training evidence is mainly held in staff meeting records and other records. Staff spoken to during the inspection were able to confirm that training had been given and gave details of training opportunities that were forthcoming. Staff spoke positively about the manager, the home and the improvements that had taken place, both in the physical aspect of the home and the care that was given to service users. Staff were observed to interact well with service users and spent time listening to them when the service users had difficulty in communicating. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31. 33. 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust and supportive management structure in place to ensure that service users are protected. EVIDENCE: The manager at Sandrock is a qualified nurse and has considerable experience in managing a care home for elderly people. She was able to provide evidence that she continues to develop her knowledge and understanding through regular training and updates in practice. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 21 Observation of the manager in her interaction with staff and service users provides evidence that the home is run in the best interests of the service users. The registered owner visits the home on a regular basis and supports the manager as required. Records were inspected of Fire tests and drills, together with safety certificates in respect of the hot water, equipment used throughout the home, gas, electricity, portable appliances and service contracts. These records were clearly organised and easily accessible. This information provides evidence that the health and safety of both staff and service users is assured. Regular audits of all care plans and medications is undertaken by the manager to ensure that the staff are providing the level of care required by each service user. Questionnaires are sent to service users and their relatives to enable them to give their views of the home and to make comment if they wish. Family members or advocates deal with service users financial matters. Small amounts of money are held for some service users at their, or their family’s request, to cover the cost of items i.e. hairdressing and chiropody. Other families prefer to be invoiced for expenses. Detailed records are held of all transactions made on service users behalf and includes the retention of receipts. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 22 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 17 X 18 3 3 X X X X 3 3 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 Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 23 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 OP19 OP19 Good Practice Recommendations It is recommended that a written plan of redecoration is prepared in order that prioritised work is more easily identified. Consideration should be given to replacing worn or faded curtains. Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Sandrock Nursing Home DS0000064921.V350194.R01.S.doc Version 5.2 Page 25 - 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. 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