Inspection on 23/04/07 for Sandycroft Nursing Home

This inspection was carried out on 23rd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Sandycroft Nursing Home 06/11/08

Sandycroft Nursing Home 20/12/05

Sandycroft Nursing Home 12/10/04

Sandycroft Nursing Home 11/06/04

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 Sandycroft Nursing Home 366-368 Lytham Road Blackpool Lancashire FY4 1DW Lead Inspector Pauline Caulfield Unannounced Inspection 23 April 2007 10:30 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 Sandycroft Nursing Home DS0000006080.V330990.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. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandycroft Nursing Home Address 366-368 Lytham Road Blackpool Lancashire FY4 1DW 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) 01253 349400 Taskers (Blackpool) Limited Mrs Jennifer Norma Brooks Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37), Physical disability (2) of places Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service is registered for a maximum of 37 service users in the category OP (Old Age, not falling within any other category) Two named service users in the category PD (Physical Disability) who are below the age of 65 years may be accommodated within the maximum number of registered places. 20th December 2005 Date of last inspection Brief Description of the Service: Sandycroft Nursing Home provides nursing and residential care for 37 service users over the age of 65 and two named people who under 65 years of age. The home is situated within a residential area of South Shore and is close to local amenities, the promenade and bus and tram routes are situated close-by. Accommodation within the home is situated on the ground, first and second floors in single and double rooms, some of these are en-suite. There is a Statement of Purpose/Service User Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are, and what the resident can expect if he or she decides to live at the home. Information received prior to this visit (9/3/07) showed that the fees for care at the home are from £360.34 to £470.45 per week, with added expenses for: Hairdressing, transport to appointments and newspapers all at actual cost of item. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home, which commenced at 10:30am for six and a half hours. Prior to the visit the manager completed a pre-inspection questionnaire and comments cards were received from eleven residents, with support from relatives, six relatives and three health care professionals. The Registered Manager, deputy manager and three care/support staff were spoken to. Two residents were spoken to individually. Conversation with residents was very much dependent on their ability or wishes to speak to the Inspector. The inspection involved case tracking three residents as a means of assessing some of the National Minimum Standards. This process allows the inspectors to focus on a small group of people living at the home. All records relating to these people are inspected along with the rooms they occupy in the home. They are invited to discuss their experience of the home with the inspector, however this is not to the exclusion of other people living at the home. A tour of the home was carried out and a selection of staff, residents and administrative records were examined. From the observations made, comments received and written documentation seen, the information has been put together to form this report. What the service does well: The residents in this home are well cared for. Staff are caring and supportive, and look after the residents well. The staff team have worked together for a long time and understand the needs of the people living there. One resident said, “I didn’t want to come in and now I don’t want to leave. The staff are wonderful really caring. They treat us so well.” A health care professional said, “All care needs are met by staff. There are few care homes who reach such a good standard of care as Sandycroft offers.” There is a good admission and assessment process and residents and/or their relatives are encouraged to visit the home. They can learn about the home and meet some residents and staff before the move. One relative said, “The matron at sandycroft gave a comprehensive tour of the home following our enquiry.” Each resident has a detailed plan of care that is followed by staff. It is regularly checked to make sure that it still reflects their needs. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 6 Religious services are held in the home for any residents who wish to attend and staff support residents in their religious beliefs and observances ensuring that their spiritual needs are met. Residents are encouraged to get involved in social activities. Residents who returned the comment cards said that the activities in the home were usually good. A relative said that the home provided good entertainment and activities for residents. Routines in the home are generally flexible and residents spoken to said that they are free to get up and go to bed when they choose and join activities, or not as they wish. Residents have a choice of breakfast times to suit the time they choose to rise. This flexibility enables residents to make their own choices about daily living activities. One member of staff said, “This is like the residents own home – like it should be.” Residents said through the comment cards that meals were very good. One resident said, “The chef is always very helpful and thoughtful.” Another said, “There is a good choice of food on offer.” Relatives and friends are welcomed into the home ensuring that residents’ relationships are maintained. All relatives/friends said that the home always meets the needs of their friend or relative. Medication is stored, given, recorded and disposed of safely and correctly. A health care professional said, “Staff ensure medicine is given correctly, on time and as required.” This ensures that residents get maximum benefit from any medication. Residents and relatives feel that the home is clean and fresh smelling so that residents live in pleasant surroundings. One relative said through the comment card “The home is very clean and maintained to a high standard.” Staff recruitment is safe and robust and makes sure that residents are protected from people who should not work with vulnerable people. Staff training is good. There are always trained nurses in the home and many of the care staff have qualifications in care. There are frequent opportunities for other training. Staff feel that this helps them to give good care to residents. The manager has a good approach to managing the home. She is enthusiastic and knowledgeable about supporting older people and this is passed onto the staff. Residents and staff say that the manager is approachable and listens to them. The manager and owners regularly check that the quality of care is satisfactory by looking around the home, sending out questionnaires and asking residents, relatives and staff their views of the care in the home. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 8 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 Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 9 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, 2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives have the information needed to choose a home, which will meet their needs. EVIDENCE: Sandycroft has a detailed admission policy which tells staff the correct information to give and the correct procedures to follow during the admission process. All new and prospective residents are given a copy of the Service User Guide. This gives residents information about the routines and practices in the home. This is discussed with them again soon after admission to give them the opportunity to ask questions about the home. Prospective residents and relatives are encouraged and welcomed to visit the home prior to admission. However in practice residents are often ill in hospital and too ill to visit and their relatives or friends usually visit on their behalf. The manager shows them around the home and visits the resident at their Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 10 home or hospital to see if Sandycroft is able to meet their needs. She informs residents in writing if the home can or cannot meet their needs. Residents, relatives and friends said through the comment cards that they received enough information about Sandycroft to help them make decisions about whether to move to the home. One relative said, “The matron at Sandycroft gave a comprehensive tour of the home following our enquiry.” The manager said that residents or their relatives are given the service user guide when they visit but if they are interested in the person moving in, she makes sure that they have all the information about charges and terms and conditions well before they are admitted. Most residents said through the comment cards that they had received contracts and the residents files checked had signed contracts in them that confirmed this. The records of three residents were examined. All of the records contained an assessments of needs that had been carried out by the manager of the home and where funded by health or social services prior to admission. The home does not provide intermediate care. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 11 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, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and welfare is monitored to ensure health and personal needs, respect and privacy are met. EVIDENCE: The records of three residents were looked at. Each resident has a plan of care which sets out the care needed to ensure all aspects of health, personal care, spiritual, social and leisure needs and safety needs are met. There are also risk assessments to measure risks in all areas of care which look at how these risks can be reduced, while still allowing residents choice and independence. The care plans and risk assessments are regularly reviewed with the residents, so that they are aware of their care and support needs in the home. However the plan uses many medical terms and being changed into plain English would enable residents to understand the information easier. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 12 Daily resident records are completed to provide details of any health or support needs or concerns that staff need to be aware of. This gives a more informative picture of residents,. All relatives/friends said that they are kept informed of important issues regarding their friend or relative. Most care practices in the home are safe and promote good practice but the inspector observed four members of staff, in pairs, moving two non weight bearing residents and one resident who was partially weight bearing in an unsafe and potentially dangerous manner. Both pairs of staff were lifting two residents from an armchair into another chair or wheelchair by putting their arm under the resident’s shoulder/underarm and lifting from the chair. It looked uncomfortable for the resident, could easily cause an injury to the resident and was unsafe for all involved. The resident was partially weight bearing was being encouraged to walk a little way around the home. Two staff were walking with her with their arms high under her arms. This did not look comfortable or safe and the manager said that she would contact the appropriate health professionals for advice on appropriate moving and handling of this resident. The manager dealt with this matter quickly and effectively with this to ensure that no one else is moved in this way. The manager also said that she would arrange an in house training session within a few days of the visit for all staff, in addition to the planned annual refresher which had already been arranged for June 2007. Residents have access to health care services that meet their needs. All health professionals said that the health needs of individuals are met by the home. There is good contact with the continence advisor, palliative care nurses and other health professionals. This ensures that with the exception of the poor moving and handling seen, appropriate support is given to residents and staff. All health professionals said that the home seeks advice and acts upon it to manage and improve individuals’ health care needs. A health care professional said of the home, “They have excellent standards of individualised care.” Staff members are aware of the healthcare and personal needs of residents and their likes and dislikes. Residents said through the comment cards that they receive the care and support they need and that that staff usually listen and act on what they say. One health care professional said, “The staff are totally focussed on the care needs of the patient. They always act professionally and promptly on any advice given”. Residents said that staff are available when needed and medical support is available when needed. All relatives/friends said that the home gives their friend or relative the support they expect or agreed and the home always meets the needs of their friend or relative. Staff understand the importance of supporting residents to make their own decisions and make their own choices. Relatives and friends and health professionals said through the comment cards that the home supports people to live the life they choose. Residents cultural and religious needs are met. All current resident are nominally Christian or have no religious beliefs but staff Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 13 are enthusiastic about supporting residents with other spiritual beliefs. There are frequent visits to the home from local vicar’s, priests and ministers. Residents dietary, cultural and spiritual needs are met and residents have the aids and appliances that they need as part of their care. Staff said that they are encouraged to discuss appropriate ways of meeting residents diverse needs including those relating to sexuality and maintaining residents dignity and privacy. Relatives/friends said the home meets the different (diverse) needs of people. A health care professional said, “ All diverse, religious, spiritual and psychological care needs are met by staff. There are few care homes who reach such a good standard of care as Sandycroft offers.” Staff work well to promote good care practice for residents at the end of their life and support them and their family and friends sensitively. Staff monitor pain and distress closely and observe for any unpleasant symptoms alleviate them as soon as possible. Senior staff support other staff through the death of residents in order for staff to provide effective support for relatives and other residents during this time. Medication administration was checked. This was safely stored, administered, recorded and disposed of. There were no residents who administered their own medication. All health professionals said that the home supports individuals’ to administer their own medication or manages it correctly where this is not possible. One health care professional added, “staff ensure medicine is given correctly, on time and as required and ensure good symptom management for patients when needed.” Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 14 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 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Cultural, religious, social and recreational activities meet resident’s expectations, needs and choices and residents receive a healthy varied diet. EVIDENCE: Staff were observed throughout the visit. Staff interactions with residents were, caring and supportive. One health care professional said, “Staff encourage a home from home environment, patients are encouraged and enabled to live as individually requested.” Activities are varied and residents who returned the comment cards said that the activities in the home were usually good. One resident said, “I can’t always join in activities because of limited communication but I enjoy the singers.” A relative said that the home provided good entertainment and activities for residents. Another relative added that “the staff make a good effort to entertain the residents with games, puzzles and periodically entertainers visit the home. It is up to the residents whether they join in. ” There are some indoor leisure activities in place such as, bingo sessions, card and board games, dominoes and reminiscence sessions and watching videos. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 15 Some residents said they enjoyed simply sitting and chatting to staff. Some residents listen to talking books. Entertainers come to the home every two weeks and there are frequent short trips out. There is a hairdresser who visits the home regularly. One activity ‘crossword corner’ has escalated from a couple of residents and staff sitting together to a group of residents and staff sitting around a huge copy of the daily newspapers crosswords to attempt to complete them as a group, checking them the following morning to see if they were correct. Conversation has increased greatly with residents chatting together about topics highlighted by crossword clues. The practices in the home ensure that residents are treated with respect and their right to privacy is upheld. Residents spend their time in their rooms or the lounges as they wish. Those spoken to said that staff knock on their door before entering and they are treated with respect. This was confirmed during the visit. All health professionals said that the home respects individuals’ privacy and rights to being treated with dignity. Relatives/friends said through the comment cards that the home helps their friend or relative keep in touch with them. Relatives and friends spoken to said that staff are always welcoming and helpful when they visit. Routines in the home are generally flexible and residents spoken to said that they are free to get up and go to bed when they choose and join activities, or not as they wish. Residents have a choice of breakfast times to suit the time they choose to rise. One member of staff said, “This is like the residents own home – like it should be.” The main meal is at lunchtime but a few residents prefer their main meal in the evening and this is accommodated. The cook prepares and cook special diets as required including diabetic diets and blended food. Residents said through the comment cards that they like the meals. One resident said, “The chef is always very helpful and thoughtful.” Another added, “The meals are very good.” Another relative said there was a good choice of food. Resident’s enjoy an alcoholic drink if they wish, although occasionally a resident is advised for health reasons to abstain from alcohol. The residents themselves or relatives of residents at the home handle their financial affairs. The home does not currently look after personal monies for any residents but have looked after small amounts in the past if needed. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints and safeguarding adults ensure that people feel confident that their complaints will be listened to and taken seriously and they are adequately protected. EVIDENCE: Minor concerns are dealt with effectively. There has been one minor complaint received by the home since the last visit. This has been thoroughly investigated by the home and dealt with appropriately. One resident said, “ If everyone in homes were looked after like I am there would be no complaints.” Residents said through the comment cards that they usually know who to speak to if they are not happy and most know how to complain. A resident said “I am very happy here.” Another resident said “I would say, if I needed to make a complaint. Two people said that their relatives were unable to communicate well. Staff are aware of this and check things with relatives as well as the residents. They also have information on advocacy services available. The home has a procedure in place for dealing with safeguarding adults. Staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff had covered Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 17 safeguarding adults training on In house training and on National Vocational Qualifications (NVQ) training in care. Relatives/friends said through the comment cards that they know how to make a complaint and that the home has responded appropriately if they or their friend or relative have raised concerns about the care. One relative said, “ Any small problem that arises is soon resolved by matron and staff.” Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 18 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, 22, 23,24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good, providing residents with a comfortable and homely place to live. EVIDENCE: A tour of the home showed that the environment was good. Communal areas were homely and comfortable, clean and tidy. All residents who returned the comment cards say the home is always clean and fresh. This was confirmed during the visit. Continence is managed well. There was initially a slight odour in one area. This was dealt with during the visit. A health care professional said, Sandycroft maintains a lovely environment.” One relative said through the comment card “The home is very clean and maintained to a high standard. “ another said, “ I am very impressed with the atmosphere and cleanliness of the bedroom, dining room and lounge. She added, “In the kitchen, everything is in order and clean.” This was observed during the visit, the kitchen is Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 19 maintained to a high standard and ensures a good standard of hygiene and food safety. The laundry system was efficient, and the laundry room well run, clean and tidy. One relative said through the comment card “The laundry is very good.” Aids and adaptations were in place to help the residents’ mobility, personal toilet and bathing needs. However a toilet rail around an upstairs toilet seat was showing signs of wear with paint flaking off and uneven metal underneath. This could scratch a resident’s leg and cause an injury if not repaired. The manager agreed to arrange a repair quickly. There is an ongoing refurbishment programme to ensure the building is maintained to a good standard. Bedrooms are well personalised and those residents spoken to said that they were happy with their bedroom. Several bedrooms have been redecorated and recarpeted and look very pleasant and comfortable. Two of the double bedrooms have been changed to single bedrooms giving the resident more privacy. There is a large enclosed patio and garden at the rear of the house, which allows residents to stroll safely around and sit in the warm weather. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 20 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, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and selection procedures, sufficient staff numbers and training ensure the wellbeing and safety of residents. EVIDENCE: Residents spoken to and residents and relative who returned the comment cards said staff were very good. One resident said, “Staff are extremely helpful and caring and willing to please.” A relative said, “The staff are excellent.” Another said, “I find the staff very good.” Many of the staff have worked in the home for a long time. Staff know the residents well and are familiar with their care. They also work effectively together. Staff rotas were studied. The rota showed satisfactory numbers of staff on duty and sufficient staff were on duty during the visits. Although there has been lower than usual occupancy lately staffing levels have remained the same. This has allowed additional time to be spent chatting to and socialising with residents. There is a substantial handover period each afternoon to provide sufficient staff for socialising with and providing activities for residents. Where agency staff are used, the home always attempts to use the same staff for shifts so that residents are familiar with them. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 21 Staff spoken to felt that they were in sufficient numbers to provide good care. Residents spoken said that staff came to assist them promptly when they called them and were willing to sit and chat with them. Relatives/friends and health professionals said through the comment cards that care staff have the right skills and experience to look after people properly. A relative said through the comment card “The staff look after my husband in a very caring way.” Another relative added “ I think the staff do everything well” and a health care professional said, “Staff are very respectful, polite and courteous to all their patients, families and friends and health professionals who visit.” The records of three members of staff were checked. Recruitment documentation is accurately recorded but work history only covers the last ten years. The manager should make sure that she has a full work history for all prospective employees, covering all their working lives. This allows any gaps in employment to be clearly shown and reasons recorded. And followed up if needed. All other details and all documentation is received before the member of staff starts work. This ensures residents are protected from people who should not work with vulnerable adults. Ten of the seventeen care staff (59 ) have completed National Vocational Qualifications (NVQ). This is a national, practical and theoretical qualification in care. It assists staff in providing good quality care to residents. This meets the 50 of staff required to have the qualification. Two other staff are working through NVQ. A health care professional said, “ The home has an experienced team of staff. The newer team members are all encouraged to develop their skills and all staff continue to update theirs.” Staff supervision and staff meetings are held regularly to keep staff up to date on care of residents and plans for the home. The manager has a detailed record of courses each member of staff has completed, those to be completed and dates for refresher courses if needed. This ensures that all staff receive appropriate training. Training includes moving and handling, safeguarding adults and food handling on a regular basis. The manager noted that some staff needed further training on moving and handling and she was arranging to bring this forward as well as an immediate short in house training session to ensure correct moving and handling techniques were used. Staff spoken said that the manager encouraged them to attend training to improve their knowledge and skills and that this improved the care of residents. One member of staff said, “I really enjoy learning about how to do things correctly ”. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 22 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): 32, 32, 33 & 38 Quality in this area is excellent This judgement has been made using available evidence including a visit to the service. The manager is providing clear direction in the home. It is effectively managed, with good quality assurance systems that support and protect residents and staff and enable residents, relatives and staff have a voice. EVIDENCE: The Manager, Jennifer Brookes is a registered Nurse with many years experience of managing Nursing Homes. She undertakes periodic training to update her skills and has the Registered Managers award, a NEBS management diploma, ENB 931 in palliative care and is an NVQ assessor. She continues to update her skills and researches good practice, passing this onto the staff team. She is providing clear leadership and focus in the home and is Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 23 enthusiastic and knowledgeable about supporting older people. The home is well managed and residents and staff say they feel well supported. Residents, relatives and staff spoken to said that the manager is very capable, supportive and caring. A relative said, “Matron and all the staff are very approachable.” A member of staff said “Senior staff are all helpful and always willing to show you and help you to do things if you need a hand or you are not sure what to do.” Systems are in place for quality assurance. The home has received the Investors in People award which has recently been renewed until April 2010. This is an external award which recognises the owners commitment to staff training and development. There are regular staff meetings and residents meetings and views of residents and their relatives are regularly sought informally and through written surveys. Completed surveys and the collated information from the homes survey was seen during the visit. This information had been fed back to residents and relatives so that they had information about the views of all those who had completed the survey. All the views were very positive about all aspects of care in the home. Staff training and good care practice were observed in the home and protect the health and welfare of residents, relatives and staff. Where the manager and inspector saw poor moving and handling, the manager immediately arranged reminders of appropriate moving and handling techniques. Refresher training both in house and external was also arranged for soon after the visit, for all staff. The appropriate management of this poor practice ensures that residents are now moved safely and according to residents care plans. Working practices are safe and any accidents that occur are reviewed to see if future ones can be prevented. The home has a written fire risk assessment, good fire safety checks, regular training for residents and staff, and all staff are knowledgeable about what to do in the event of a fire. Health and safety systems are updated regularly. These measures increase the safety of residents, staff and visitors to the home. Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 24 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 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 3 3 X 3 STAFFING Standard No Score 27 4 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X X X X 3 Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP8 Regulation 13(5) Requirement The manager must ensure that staff know and use the correct moving and handling techniques to ensure that they move residents safely and comfortably. Timescale for action 31/05/07 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 OP7 OP22 Good Practice Recommendations Staff should use plain English when writing care plans to make it easier for residents to understand. The manager should ensure the toilet aid in one toilet is replaced or repaired to ensure that it does not cause anyone a minor injury. The manager should ensure staff complete a full working history when applying for employment in the home to confirm previous posts and explore any gaps in employment 3 OP29 Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, 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@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 Sandycroft Nursing Home DS0000006080.V330990.R01.S.doc Version 5.2 Page 27 - 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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