Inspection on 12/10/05 for Sherrington Nursing Home

This inspection was carried out on 12th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Sherrington Nursing Home 16/06/09

Sherrington Nursing Home 03/05/07

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Sherrington Nursing Home 13 Heaton Road Heaton Bradford West Yorkshire BD8 8RA Lead Inspector Sue Dunn Unannounced Inspection 12th October 2005 09:30 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 Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 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. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sherrington Nursing Home Address 13 Heaton Road Heaton Bradford West Yorkshire BD8 8RA 01274 494911 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) Lister House Limited Mrs Jacqueline Mitchell Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39), Physical disability (39), Terminally ill (6) of places Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2.08.05 Registration inspection Brief Description of the Service: Sherrington Nursing Home, which has been purpose built to meet current standards, was registered in August 2005. The home is close to a bus route to Bradford city centre and has off road parking. The nursing home is situated in the Heaton area of Bradford adjacent to Lister Nursing Home, which is managed and operated by the same company. The company is family run, all members taking an active part in the day-to-day management of the home. The home is built on three floors and all its rooms are en-suite. Each floor has a communal lounge with a conservatory room on the top floor providing additional space. Meals are provided from a central kitchen adjoining the dining room on the ground floor and provide a varied range of food to allow for individual tastes and dietary needs. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was unannounced, was undertaken by one inspector. This was the first inspection since the home was registered therefore the first inspection with people in occupancy. The inspection started at 12.30pm and finished at 5.00pm. The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents. Comment cards have been sent to the home since the inspection to give people the opportunity for anonymous feedback. The inspector spoke with all the residents, visitors, and several members of staff, the provider and the manager. A selection of care files was examined, and the building was briefly inspected. What the service does well: What has improved since the last inspection? Not applicable Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4,5 Service users are provided with information to enable them to make an informed choice about the home. The admission process is good and includes introductory visits by the prospective resident or their representative. EVIDENCE: The new contracts for service users are in clear simple language which states what people can expect to receive from the home and what their responsibilities will be. This has been done in a way which retains a feeling of warmth and welcome for valued ‘customers’. A copy of the complaints procedure is incorporated into the document. One signed copy is held on file and the other retained by the service users or their representative. The home has a new pre admission assessment pro forma. An assessment using the revised system gave a good picture of the person’s background, interests and health care needs and focussed on what the person could do without assistance. It was apparent when speaking to people that, where appropriate, pre admission visits by the person or a representative took place. One person who Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 9 was unable to visit from hospital was visited three times by the manager as part of the admission process. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 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): 7,8,9,10,11 The health care needs of residents are met and care plans provide clear and detailed instructions for staff to follow. Residents are treated with respect and their privacy is upheld. EVIDENCE: All the residents were spoken with and three care files were inspected. Each resident now has two files, one for nursing care and one which provides a care plan and guidance for care staff to follow. The quality of recording in the daily notes by the care staff was very good and an indication of their competence and increased confidence. The nursing files showed details of contact and support from other health professionals within the multi-disciplinary team. The nurse stated that the pre admission assessment is used as the basis for the initial nursing care plan therefore equipment is available at the point of admission to the home. Residents were clean, comfortable and said they felt well cared for by staff who were very kind. One person said the staff responded quickly to the call system when they were summoned. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 11 Bedroom doors were held open by automatic closing devices linked to the fire alarm system. This allowed residents the choice to keep their doors open to see and hear what was going on beyond their rooms. The manager had audited the medication system the day before the inspection. One person had been supported to manage his own medication and had made sufficient progress to be able to return home after major surgery. One care file showed that a nurse had spent time with a resident discussing his condition and giving assurances his wishes would be respected at the time of his death. A relative of an ex resident had appreciated the kindness and support from staff when she was bereaved. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 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): 12,13,14,15 Residents are encouraged to make choices regarding their own lifestyle. They are supported to maintain contact with family and friends and visitors are welcomed at the home. A good, varied and nutritious diet taking into account individual choices is provided at the home. The practical arrangements for meals in the dining room could be improved EVIDENCE: Most people said they chose to remain in their own rooms where they had books, magazines, newspapers and TV programme guides. Some of the reluctance to leave their rooms was said to be due to the small number of people currently living in the home. Contact with families and visitors is encouraged. The home offered one person the opportunity to bring a muchloved pet cat into the home. A coffee morning was recently organised which all residents were invited to attend. Only one person attended. An activities assessment in the care files showed the staff had tried to find out what interested each person and tried to accommodate their needs. An example of this was staff trying to arrange personal care to avoid interrupting a football game someone wanted to watch on the TV. The assessment form provides a good start but could be improved by comments to give a little more detailed information. The proprietors agreed and are to review the form. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 13 Several residents were having lunch in the dining room and said they had enjoyed the meal. The atmosphere was relaxed and tranquil and one person was being assisted to eat by a member of staff. This was done in a pleasant and unhurried way which was mindful of the person’s dignity. It was disappointing to see that people were taking their meals from trays rather than from a properly set dining table. The menu offers choice and the catering staff will try to accommodate any special requests. The catering staff go round the home with the menu speaking to each person. It was noted that some residents were not yet confident enough to ask for an alternative not listed on the menu. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 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): 16,17,18 The level of staff understanding gives assurance that complaints will be taken seriously and service users will be protected from abuse. EVIDENCE: A copy of the complaints procedure is to be found in the Contract of terms and conditions of occupancy. It is recommended that a copy of the procedure be made available in the entrance hall for anyone visiting the home to see. The manager of the home is an Adult Protection trainer. All staff have had in house training on Adult Protection. The manager is aware of the vulnerability of some people in her care and if necessary would involve an external advocate to ensure their views were represented. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 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): The home offers a safe, well-maintained environment in which residents have space for personal belongings and equipment is available for their nursing care needs. Bathing and toilet facilities are appropriate. EVIDENCE: The home has been built and equipped with current standards in mind. Each room has been pleasantly decorated and furnished. It was encouraging to see that some residents had brought pieces of furniture, pictures and items of personal significance into the home. The building was well lit, clean and warm with a tranquil atmosphere. Background music was of a type and level suitable to the environment. Equipment needed for the care needs of ill people was available and in use. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 16 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): 27,28,30 Staffing numbers and skills ensure that residents’ needs can be met. Staff behave in a professional manner whilst remaining pleasant and caring. EVIDENCE: There were three care staff and a nurse on duty for 10 residents on the day of the inspection. The people spoken with said staff were attentive and speedy to respond to the call system but wondered if this would continue as the home filled up. One person stated she felt under some pressure to be in bed by 10pm as staff kept asking her during the evening if she wanted assistance to go to bed. All the staff spoken with and observed were pleasant and professional. The relative of an ex resident in the home commented on the kind caring attitude of the staff when she was admitted to the home and when she died. The current training for staff includes Fire safety, adult protection and emergency first aid. The manager ensures staff receive the training needed to meet the health care needs of people admitted to the home. Nurses have recently had training on the management of tracheotomies. The home works in partnership with other health professionals to keep residents as comfortable and free from pain as possible. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 17 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): 31,32,33 The home is well managed and the manager is well able to discharge her responsibilities. She offers good leadership to the staff and ensures the residents are protected and cared for in a correct manner. EVIDENCE: The management arrangements and health and safety documentation was inspected at the time of the registration in August 2005. The manager provides clear leadership and the management team continues to take an active part in the care of residents. Residents are consulted about their care and kept informed. Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 18 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 4 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 4 3 4 3 4 STAFFING Standard No Score 27 3 28 3 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 x x x x x Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard 12.3 15.1 14.1 Good Practice Recommendations The activities assessment should include more detailed comments to guide staff towards conversation and activities applicable to each resident Staff should ensure that dining tables are properly set for meals. Night staff should ensure people do not receive assistance to go to bed before they are ready Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Sherrington Nursing Home DS0000059346.V257805.R01.S.doc Version 5.0 Page 21 - 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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