Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Shawe House Nursing Home Ltd Pennybridge Lane Flixton Manchester M41 5DX The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Joseph Kenny Date: 3 0 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Shawe House Nursing Home Ltd Pennybridge Lane Flixton Manchester M41 5DX 01617487867 01617487920 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Shawe House Nursing Home Ltd care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 0 Over 65 33 Conditions of registration: A maximum of 33 older people requiring nursing care as a result of an organic mental illness can be accommodated. Service users shall not be subject to detention under the terms of the Mental Health Act 1983. Staffing levels as specified in the Section 13 Notice dated 30 December 2002 shall be maintained. Date of last inspection Brief description of the care home Shawe House is a nursing home providing care for 33 older people with dementia. It is a large Victorian house that has been appropriately converted and extended. The home is located in Flixton in an area that is close to Flixton gold course. There are good bus links to nearby towns. There are 27 rooms of which 6 are shared rooms; 12 bedrooms have en suite toilets. The rooms are situated on the ground floor and first floor and a passenger lift is available for the residents to use. Shawe House has two lounges, one Care Homes for Older People Page 2 of 9 of which is used as a lounge/dining area and the other for quieter pursuits. There are 3 bathrooms with toilets, a shower room with toilet and 3 single toilets. There is a large and well-maintained garden that overlooks green open space and a large parking area at the front of the house. Fees charged by the home were £499. 50 per week. Care Homes for Older People Page 3 of 9 What we found:
An unannounced Random inspection visit was carried out to Shawe House on the 30 January 2009. The purpose of the visit was to look at issues relating to compliance in repsect of maintining an odour free environment, supervision of people living at the home and their general appearence. A concern had also been raised that staff were witnessed eating service users food. On arrival at 11:15 hours, a significant number of staff were present and disccussions were held with the senior on duty to explain the purpose of the visit. The registered manager returned to the home following a planned appointment. The staffing arrangments were two qualified staff and six carers on duty in the morning. This reduced to two qualified staff and four carers from 16:00 hours to 21:00 hours. The night hours are covered by one RGN on duty 21:00 to 08:00 hours, supported by two care assistants. The rotas for the period covering the period of the visit were seen and the indications were that the planned deployment of staff is maintained throughout the week and at weekends. The service is registered as a Dementia nursing service. The information from staff and from observations on the visit were that the needs of people were significantly high. People being supported requried hands on care in all aspects of daily living. Ten people required one to one support at meal times to ensure they received an approporate diet. The manager said that 90 of people recieved planned support through continence management programmes. The manager was advised that a review of all clients needs should be undertaken to ensure they have the correct support and continence aids. Staff supported people with personal hygiene programmes, assistance to dress and supervision throughout the day to ensure they were safe. An activity organiser had recently been appointed to have specific responsibility for the development of social care programmes to ensure peopel are engaged with and their interests are responded to. Advice was given to use the resources of the activity person and key workers to develop individual social care programmes as key worker staff could develop contacts with relatives and audit existing information to support peoples personal interests and develop a knowlegde of their previous life experiences. Relatives meetings are also held to involve family in planned care, intervention and social care programmes. On entering the home there was a noted odour of urine in the entrance area and throughout the home. The current lay out of facilities may contribute to this and a complete review of domestic and continence management issues is needed to support the management of such odours. On entering the home there are two toilet facilities within immediate view of the entrance area. Within the facilities, continence waste bins are located. The manager was advised to contact the supplying company to see if alternative bins with sealed lids could be provided. In addition, as there are designated sluicing areas, it was recommended that the bins should be relocated to these areas and that there should be procedures to have them emptied more regularly to the external waste container area. Toilet faciliities should be Care Homes for Older People Page 4 of 9 regularly checked by staff to ensure they are clean and well managed, for example programmes of regular flushing of facilities such as the wet room. A programmes of renewal of floor coverings and some furnishing is also advised as carpets and armchairs were found to be stained. The manager did confirm that carpets are regularly deep cleaned, however, this practice did not appear to improve the appearence of existing floor coverings. The home employs designated ancillary staff for domestic duties, with two to three staff on duty each day working to 16:00 hours each day. On examination of the sluicing areas there was a noted amount of odor management products for cleaning and aerosols of varying fragrance and deoderisers in lounges. There was ample evidence of systems and personnel in post to assit in maintaining cleaning standards in the home. However procedures need to be reviewed to manage malodours in the home. Staff were advised to liaise with the company supplying cleaning products to maximise use of products and review procedures. On inspection of the toilet facilities and the sluicing areas it was noted that the extractor fans were not working. This required attention to assist in odour extraction and keep areas appropriately ventilated. The manager denied that staff ate service users food. During discussion with staff they said they took their dinner breaks and would have dinner in the staff room. There was no evidence to indicate the allegation was substantiated. There were ten people sitting in the lounge with a tray in front of them. The indications were they took their meals on the tray. This raises concerns that people may remain in the same position or in the same seat throughout the day. Many service users presented with behaviours which required staff intervention and support, such as constant crying out and wishing to move about where it was necessary for them to be supervised to prevent risk of falls. Some people were sat in recliner chairs and others were sat in large chairs on casters/wheels. The manager said that peoples care plans reflected the use of such chairs. This again raised concerns that people may remain in the same chair throughout the day. The manager did say a review and renewal of furniture was being looked at to meet peoples needs. Some of the chairs did need renewing as the fabric was torn and appeared unsightly. In one room the bed was positioned in a wasy that restricted the persons use of the call system. This needs to be reviewed so that people can use the call system at all times. Staff said no person they supported would have the capacity in an informed manner to say what they wished to wear on a daily basis. Staff indicated they would offer people options and alternatives to wear when supporting them in the morning. The clothing on people at the time of visit was clean but well worn. There was not evidence of people wearing stained, dirty cloths. Peoples general personal hygiene appeared to be well maintained. Observations on staff interaction were initially that staff numbers were well maintained Care Homes for Older People Page 5 of 9 however, staff need to interact more with people on an induvidual basis. The manager had been in post for three months and the service has recently been registered in name of its new provider. There is a deputy manager who has been at the home for over four years. The manager said she had a good professional working relationship with the owner and meets regularly with his representative or in person when they visit the home. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 9 The use of large portable chairs and people remaining in their seats for rest and at meal times, should be reviewed in the interest of peoples care. A review of resources such as teh key worker system and activity organiser shoud be set in place to ensure personal and social care needs of people are being met. The positioning of call points in bedrooms should be reviewed to ensure people have access to the call system. Internal domestic procedures should be reviewed and managed through more appropriate cleaning and domestic arrangements. Programmes of refurbishment and replacement of carpets and some furniture shoud be undertaken and and audit all fans and extractors should be undertaken to ensure they are functioning. It is advised that relatives are consulted on procedures for accessing or renewing the garments and footwear for service users. 2 9 3 4 19 19 5 31 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
