Inspection on 07/10/08 for Sheraton Court

This inspection was carried out on 7th October 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

Sheraton Court 28/07/09

Sheraton Court 13/07/09

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 20/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sheraton Court Warren Road Hartlepool Co Cleveland TS24 9DR     The quality rating for this care home is:   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. Lead inspector: Jane Bassett     Date: 0 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Sheraton Court Warren Road Hartlepool Co Cleveland TS24 9DR 01429277365 Telephone number: Fax number: Email address: Provider web address: carolet@helenmcardle.net Name of registered provider(s): Name of registered manager (if applicable) Carole Ann Thomson Type of registration: Number of places registered: Helen McArdle Care Ltd care home 80 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 80 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE, maximum number of places 80 Old age, not falling within any other category Code OP, maximum number of places 80 Date of last inspection Brief description of the care home Sheraton Court is a purpose built three storey building that has recently opened. All bedrooms are single accommodation and offer ensuite toilet facilities. There are dining and lounge facilities on all floors. There is a passenger lift allowing those with disabilities access to all areas.The home is set in pleasant grounds, a number of ground floor bedrooms have patio doors giving direct access to the gardens. Care Homes for Older People Page 4 of 23 Over 65 0 80 80 0 Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was a key inspection. As a key inspection, all of the key standards were looked at or discussed. This was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. Care Homes for Older People Page 6 of 23 In future, if a requirement is repeated, it is likely that enforcement action will be taken. The inspection was carried out by one inspector. The inspection lasted a total of six and a half hours. During this time the inspector looked at a range of documentation including, service user and staff files. The inspector spoke to nine service users, four staff members, the manager and the area operations manager. Five service users, five relatives and six staff returned surveys to CSCI. The manager of the service completed an Annual Quality Assurance Assessment (AQAA). At the time of the inspection the home was providing services to twenty one service users. Fees at the home range from 424 to 499 per week. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has procedures that should ensure that prospective residents have their needs assessed. Evidence: During the visit the inspector examined the files for of six service users. Each was found to contain evidence of information gathered by the home prior to that person’s admission. During discussion with the manager she was able to describe the process that is followed to obtain information about a prospective service users needs including, an assessment from the care manager if that person if funded by a local authority. Service users or their representatives are encouraged to visit the home prior to moving in. One service user who spoke to the inspector confirmed this. The home does not offer intermediate care. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual need. The principles of respect, dignity and privacy are put into practice. Evidence: During the visit the inspector examined the files of six service users. These were seen to be well organised. Each file contained records of assessments and reviews including activities of daily living, moving and handling, falls risk, and risk of pressure damage. The inspector was told continence assessments are carried out by district nursing staff. Other information recorded included social and family history. Files were seen to contain plans of care in relation to physical health care needs. These contained information regarding the care needed and were reviewed on a regular basis. Plans would benefit from the inclusion of further detail of the service users abilities and preferences. Service users or family are asked to sign plans of care to confirm agreement to how care is given. Plans of care seen were all signed by the service user. One file seen Care Homes for Older People Page 11 of 23 Evidence: contain blank plans of care that the service user had signed. Records in one service users file contained information that had not been transferred to the appropriate care plan. All files seen contained records of daily activities. All files seen contained information that indicated service users have access to GP’s and other health professionals as needed. Staff who spoke to the inspector were able to demonstrate a good knowledge of individuals needs and how these are met. Staff spoke of promoting individual’s privacy, dignity and independence. Service users who spent time with the inspector confirmed they were happy with how the care is given. One person said ‘staff are very good’ another said ‘ staff are smashing, they are always helpful’. The inspector observed good interactions between staff and service users. Requests were seen to be dealt with in a friendly but respectful manner. During the visit two members of the community nurse team spoke to the inspector. Both commented on the good standard of care they had observed and the proactive approach of the staff. Comments in surveys returned to CSCI by service users and their representatives included Sheraton Court gives excellent care, all staff are helpful and pleasant, another person stated the staff are happy and caring. Information in the AQAA returned to CSCI indicated the home has a policy and procedure in relation to safe handling of medication. A sample audit of medication found no major concerns regarding the ordering, storage, administration, and disposal of medications. The inspector was told staff who administer medication have all completed safe handling of medication training with previous employers. All have completed competency checks since employment at Sheraton Court. A sample audit of Medication Administration Records (MAR) were seen to be completed with no gaps in entries. However one hand written entry of details of medication and method of administration did not contain the signature of the person making the entry or the signature of a second person confirming the accuracy of detail. A recent audit carried out by a PCT pharmacist found no major concerns. The manager carries out regular audits of medication and systems. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The food at the home is of a good quality, well presented and meets the dietary needs of the people who use the service. People who use the service are able to make choices about their lifestyles. Social, cultural and recreational activities meet individual’s expectations. Evidence: Service users who spent time with the inspector all expressed satisfaction with the support they receive from the staff and their lifestyles within the home. People said they were given choice in daily activities and could spend their time how they wished. One service user told the inspector staff ‘know what I like and dislike’. Comments in surveys returned to CSCI by service users and their representatives included individual needs are identified and catered for by skilled and caring staff. Care staff are currently carrying out activities. The manager told the inspector that she is actively trying to recruit an activities coordinator. Records seen indicated the service users are offered a variety of one to one and group activities. People spoke of dominoes, bingo, games, entertainers and quizzes. Service users and relatives who spent time with the inspector told her that visitors were always made welcome, staff are friendly and approachable. Care Homes for Older People Page 13 of 23 Evidence: All who spoke to the inspector said the meals were of a good standard and there was a good variety. One service users said ‘ the food is good’, another said ‘ the meals are very good I enjoy them’. The inspector observed part of the lunchtime meal. Menus were seen to be available on each table. The meal well presented, served in pleasant surroundings and unrushed. Staff were observed to give assistance as required. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and have access to a complaints procedure, are protected from abuse and have their rights protected. Evidence: The home has a policy and procedure in relation to handling complaints. This was seen to be available. Service users and relatives who spoke to the inspector confirmed they were aware of how to raise any issues. All service users who spent time with the inspector said they felt safe and comfortable and had no concerns. Information contained in the AQAA indicated the home has received no complaints since opening. The inspector was shown documentation to record any complaints received. Staff who spoke to the inspector confirmed they had received training in relation to protection of vulnerable adults. Staff were able to demonstrate through response to questions the action they would take if they became aware of a concern. All demonstrated a commitment to protecting service users from abuse. The home has a policy in relation to prevention of abuse. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence. Evidence: The building is newly commissioned and purpose built. It offers an open, bright and warm environment that promotes service user independency. There is a lift to both first and second floors allowing those with disabilities access to all areas. Service users have access to lounge and dining rooms on each floor. Bedrooms have ensuite facilities. A number of ground floor bedrooms have patio doors giving access to the garden areas. The home is neutrally and pleasantly decorated and service users are encouraged to personalise their own bedrooms. The manager has recently purchased a fish tank which is located in the first floor lounge and there are plans to improve the gardens. Care Homes for Older People Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are satisfied with the care they receive. The home has a recruitment procedure that promotes the safety and wellbeing of service users. Evidence: On the day of the inspection the home was accommodating 21 service users, on the ground and first floor. The second floor was not in use. The inspector was informed that there are currently 4 care staff (including senior care staff) during the day and 3 care staff (including seniors) overnight. Service users who spoke to the inspector told her there were sufficient staff on duty to meet their current care needs. Service users who spoke to the inspector told her they were satisfied with the care they receive. One person stated ‘the staff are very good, really nice’ another stated ‘the staff are smashing’. Staff who spoke to the inspector told her there were sufficient staff to meet service users needs. The inspector examined the files for four staff members who were recently recruited. These were found to contain evidence of application with complete employment history, two written references and PoVA first /CRB (Criminal Record Bureau) check obtained prior to employment. Discussion took place between the inspector and the manager for the need to record any risk assessment process followed should any concerns be identified during recruitment. The files seen by the inspector contained evidence that staff have received induction training including Moving & handling, fire safety, and prevention of abuse. Staff had also received half Care Homes for Older People Page 17 of 23 Evidence: day training in dementia awareness and medication awareness. Staff who spoke to the inspector confirmed this. The manager told the inspector further more in depth training was planned for both dementia awareness and safe handling of medication. Information in the AQAA returned to CSCI indicated 11 of care staff had successfully completed NVQ at level 2 or above and a further 3 staff were undertaking the training. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has quality assurance systems that should promote the safety and well being of service users. Evidence: The manager is suitably qualified and experienced. Staff who spoke to the inspector told her communication is good and they have regular supervision. The inspector saw evidence of regular Regulation 26 visits and reports. The manager carries out monthly audits of care plans, medications, and accidents. Service users and relatives who spoke to the inspector all said they were satisfied with the care and support they receive. All said that the manager and staff were approachable and any issues raised are acted upon. Comments in surveys returned to CSCI by service users and their representatives included The staff create a happy homely environment, they give first class care and communication is good. Care Homes for Older People Page 19 of 23 Evidence: Records seen indicated that accidents to service users are recorded appropriately and analysis takes place. A sample audit of monies held by the home on behalf of service users found no discrepancies between amounts recorded and money held. Records seen contained two signatures and receipts. Information contained in the AQAA returned to CSCI indicated the home has a range of policies and procedures that should promote the safety and well being of service users. Other information indicates the home and equipment are maintained as required. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 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 2 3 7 7 9 Service user should only be asked to sign completed plans of care. Plans of care would benefit from the inclusion of detail of the service users abilities and preferences. Hand written entries on MAR charts should include the signature of the person making the entry and the signature of a second person confirming the accuracy of details to promote the safety and wellbeing of service users. The manager should record any risk assessment process followed should any concerns be identified during recruitment. 4 30 Care Homes for Older People Page 22 of 23 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 © (2008) 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 23 of 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. 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!