Inspection on 05/01/06 for Shawside Nursing Home

This inspection was carried out on 5th January 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Shawside Nursing Home 13/12/07

Shawside Nursing Home 25/07/07

Shawside Nursing Home 07/11/06

Shawside Nursing Home 21/06/05

Shawside Nursing Home 09/12/04

Shawside Nursing Home 17/05/04

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 Shawside Nursing Home 77 Oldham Road Shaw Oldham Lancashire OL2 8SP Lead Inspector Tracey Rasmussen Unannounced Inspection 5th January 2006 09:10 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 Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Shawside Nursing Home Address 77 Oldham Road Shaw Oldham Lancashire OL2 8SP 01706 882290 01788 816940 taylorve@bupa.com www.bupa.com BUPA Care Homes (CFHCare) Limited 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) Mrs Verity Taylor Care Home 150 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (57), of places Physical disability (120), Physical disability over 65 years of age (120) Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. The manager to be supernumerary at all times. No more than 90 places to be used for nursing care. No service users under 55 years of age to be accommodated into the home. One named service user above 39 years of age may be accommodated in the home. A minimum of 630 nursing staff hours must be provided each week. A minimum of 630 care hours must be provided on Beech House each week. One named service user under the age of 65 years to be admitted to Beech house in the category DE(E). The home is registered for a maximum of 150 service users to include: *up to 57 service users in the category of OP (Old age not falling within any other category). *up to 120 service users in the category of PD (Physical disability under 65 years of age). *up to 120 service users in the category of PD(E) (Physical disability over 65 years of age). *up to 30 service users in the category of DE(E) (Dementia over 65 years of age). 21st June 2005 Date of last inspection Brief Description of the Service: Shawside is a care home that provides 24 hour residential and nursing care for up to 150 service users. Care First Health Care Limited, a part of BUPA, owns the home. Shawside is situated on the outskirts of Shaw and is approximately three miles from Oldham town centre. Local shops, libraries, GP surgeries and pubs are available in Shaw centre, which is about a ten minute walk away. Bus services are available close by. The home provides accommodation in five separate units or houses. Car parking facilities are provided close to each house and garden areas are accessible both at the front of the home and at the rear of each house. All Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 5 bedrooms are single, none have en-suite facilities. Accessible toilets are situated close to bedrooms and communal areas. Some of the bedrooms have patio windows that open onto the garden areas, all bedrooms overlook the grounds. Each house has its own assisted bathing facilities and walk-in showers are also available. Communal lounge and dining areas and a small servery are available in each house. Kitchen facilities and laundry facilities are located within the main reception buildings. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over almost seven hours on Thursday, 5th January 2006, carried out by two inspectors. Not all the standards were assessed at this visit. A tour of the home took place and care records, staff employment records and staff training records were seen. Six residents, four visitors, and a number of staff were spoken to. Fifteen comment cards for residents and visitors were provided in the home. Since the last inspection, there has been a significant incident that resulted in the successful implementation of the home’s emergency plan. Procedures to protect residents and the ongoing management of the incident had been implemented appropriately. A short verbal feedback of the findings from the inspection was given to the manager of the home. The home continues to improve the service it provides. The manager at the home has been in post for over two years and each inspection in the last two years has identified a consistent and sustained improvement in the services provided. The requirements identified at the last inspection have been addressed and two of the three recommendations made at this inspection are not within the manager’s control to address directly. What the service does well: A calm and pleasant atmosphere was noted in each ‘House’. Residents and relatives spoken too from different parts of the home were complimentary and full of praise for the service provided at Shawside. One resident said it was “wonderful living at the home”, another resident said “the staff are very kind and caring”. Relatives were very complimentary about the end of life care their loved one received and emphasised that the night staff were “just as kind as the day staff”. Residents were complimentary about the meals provided in the home. Christmas Day and New Year’s Day were praised by one resident, another resident said “the food was marvellous, and if you don’t like it you can have something else”. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 7 Activities are provided in the home, although each house does not have a dedicated ‘Hobby Therapist’. Care planning records were detailed and reviewed regularly. Staff were positive about working in the home and listed the training they had had since the last inspection. 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. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 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 Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Residents’ needs are assessed before they move into the home. The home can confirm they can meet the needs of the resident on admission. EVIDENCE: A sample of resident care files were viewed in each of the ‘houses’ and these contained detailed information about the residents’ needs. Each file had a community care and/or nursing assessment, which detailed clearly the specific care needs of the resident. This was supported by the home’s own assessment. Staff spoken to stated that the ‘house manager’ usually visited prospective admissions to undertake an assessment. Residents spoken to were satisfied with the service they received. One resident said she was offered a place in another care home but preferred Shawside. She also said “it’s wonderful here”. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Residents were treated with respect and dignity and end of life care is provided sensitively. The care planning documentation was sufficient to meet personal and health care needs of residents. Medication practices are safe. EVIDENCE: Each ‘house’ was calm and peaceful. Residents were presentable and dressed according to preference; clothing co-ordinated and attention had been paid to grooming. Residents in bedrooms or in bed appeared very comfortable. The home provides nursing, care and support across a range of needs, including residential, nursing and dementia care. All the residents spoken to offered positive feedback about living in the home. One resident stated, “nothing was too much trouble for the staff and this included the domestics.” A relative, on Royton House, said, “it felt like home, not an institution”. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 11 Staff were respectful, attentive and caring in their approaches and interactions with residents. Staff spoken to were cheerful about working in the home. Relatives of a recently deceased resident sought out the inspector to praise the quality of care and comfort provided to their loved one and to them during the difficult time. They said that their loved one “was provided with all possible consideration”, she was “treated with respect” and they (the relatives) were kept informed of everything. Care plans viewed contained assessment information based on the activities of daily living, moving and handling, nutritional, falls, skin assessments. Where a risk or need was identified, then a care plan was recorded. The resident or their nominated next of kin had signed agreement to the care plans. Monthly observations had been undertaken and care plans had been reviewed. The quality of care planning and recording for pressure area and wound care, was good and provided comprehensive information about ‘the wound’ or ‘pressure area’. Records of contact with community health services such as GP, district nursing, tissue viability and optical support were available. Medication records were sampled in four out of the five ‘houses’ and these were safe. Records for the receipt, administration and disposal of medications were maintained and controlled drug records were accurate. Stocks of medications did not appear to be excessive and the medication storage area was clean and tidy. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 Lifestyle choices are available and residents’ families and friends are welcome in the home at any time. Residents’ social needs are met and the quality of food provided is good. EVIDENCE: Menus were available to residents to choose at mealtimes. Miller House had a recent resident and relatives’ meeting where views were shared about the meals provided at the home. One resident stated for the minutes that he was always offered a choice at meal times. One resident spoken to said she enjoyed her breakfast of grapefruit, cornflakes followed by poached egg on toast. Another resident said the food was “very good” and “the Christmas Day meal and New Year’s Day meal were wonderful” Residents said supper was offered each evening and one resident said she “looked forward to her supper of tea and toast”. Dining tables were presentable, staff provided assistance with meals appropriately and residents were encouraged and prompted gently to eat. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 13 The home employs three ‘Hobby Therapists’, one of who works mainly on Beech House. The other two Hobby Therapists split their time between two houses. This ensures that activities are offered in each house each week. The manager stated that there was now a budget for entertainment, so outside entertainers can be brought into the home. Residents spoken to said they were either not interested in the activities or they enjoyed them. Residents had access to newspapers, library books and gardens. Visitors were seen coming and going throughout the inspection. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not assessed at this inspection EVIDENCE: Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 and 26 Residents live in a safe, clean and comfortable home, which has aids and adaptations to meet their needs. EVIDENCE: The home was clean and no unpleasant odours were detected. Since the last inspection, the manager has recruited a senior housekeeper who has addressed the issues identified at the last inspection. One resident commented that her room was now much cleaner. Residents’ bedrooms had been made homely with their possessions. Garden areas were pleasant. Beech House has a secure and pleasant garden with raised beds. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 16 Refurbishment was reported to be ongoing and a business plan setting out a three year plan for ongoing refurbishment had been submitted to head office. Pipe work in bathrooms was exposed and unsightly. These would benefit from being boxed in. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Staff are correctly vetted, employed in sufficient numbers and are trained to meet residents’ needs. EVIDENCE: Staffing levels were maintained in the home at a level appropriate to meet residents’ needs. Staff listed the various training they had undertaken. Records and certificates were available of the training undertaken. Comprehensive induction training is provided and this is supported with various other training. Training to manage challenging behaviour had been provided to the house manager of Beech who was in the process of cascading this training to the Beech staff. It was anticipated that this would be completed by March 2006. NVQ training is also being provided, although at this time only 34 of care staff had achieved their NVQ. Twelve care staff had recently commenced NVQ training and four care staff were awaiting the confirmation of completion for level 3 NVQ. Employment records were maintained appropriately, documentation such as application form, references, health check, disclosures and Pova Firsts were all obtained before the commencement of employment. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 36 Residents do have a say in how the home is run. Residents’ personal money is safe. Staff are supervised. EVIDENCE: The company holds residents’ personal monies in an interest paying account and computerised records are maintained. Each resident living at the home who allows the home to hold their personal monies has access to a computerised record of their account. This account ledger details all credits and debits and is cross-referenced with invoices. The company ensures that interest accrued on the account is shared out on a monthly basis between the residents, proportional to their bank balance. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 19 Residents can request cash or deposit money at the main reception office at Shawside. Auditing systems are in place to ensure any discrepancies are identified quickly. Quality assurance systems are in place and these include auditing of various aspects of the service in the home. Resident questionnaires have been sent out recently, however the manager has not received feedback from the company about the results of this survey. Residents and relatives’ meetings have been undertaken and complaints are responded to appropriately. Staff spoken to said they had had supervision regularly and records were available. It was noted that some of the supervision recording could be developed further and include more detail about the actual aspects of service or personal development discussed. Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 3 x x Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 21 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 OP28 Regulation 18 Requirement The registered person must ensure that care staff are trained to NVQ level 2 or equivalent Timescale for action 01/10/06 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 OP19 OP25 OP36 Good Practice Recommendations The registered person should ensure that the home is continued. The registered person should ensure that work is covered and refurbishment of the toilets is completed. The registered person should ensure that records are recorded in more detail. refurbishment of all exposed pipe bathrooms and supervision Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Shawside Nursing Home DS0000025453.V273576.R01.S.doc Version 5.1 Page 23 - 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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