Inspection on 03/05/07 for Sherrington Nursing Home

This inspection was carried out on 3rd May 2007.

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

Sherrington Nursing Home 16/06/09

Sherrington Nursing Home 12/10/05

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 Mary Bentley Unannounced Inspection 3 May 2007 09:15 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.V335087.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 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) enquiries@lhnh.co.uk 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.V335087.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: Sherrington Nursing Home was purpose built and registered in August 2005. It provides personal and nursing care for up to 39 people. The home is situated in the Heaton area of Bradford adjacent to Lister Nursing Home, which is managed and operated by the same company. It is close to a bus route to Bradford city centre and has off road parking. 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. The home has a no smoking policy. In April 2007 the weekly fees ranged from £497.00 to £757.52. Additional services such as hairdressing, chiropody, and physiotherapy are available at an extra cost. The fees are reviewed every year in November. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I did this unannounced inspection in one day and spent approximately 9 hours in the home. The purpose of the visit was to look at how the needs of people using the service are being met. During the visit I spoke to people who live in the home, visitors, staff and management. I looked at various records relating to care, staff, and maintenance and I looked at some parts of the home. The home completed a pre-inspection questionnaire and the information provided was used during the inspection. Before the visit we sent comment cards to 27 people, (11 to people who live in the home, 13 to relatives and 3 to GPs). Comment cards give people the opportunity to tell us what they think about the service. The information we get is shared with the home but we do not identify who has provided it. Seventeen comment cards were returned and the information provided has been included in this report. Overall people were satisfied with the service. What the service does well: The home is pleasant, comfortable, and well equipped to meet the needs of the people who live there. There is easy access for people with physical disabilities and inside the home wide corridors and spacious lifts make it easy for people to move around. One person said the home “Always smells nice and clean and is nice and clean”. People said the care is very good, one person said, “Residents are treated individually with love and caring. It is like a big family in many ways. Birthdays and special event are celebrated; the chef makes beautiful decorated cakes for each and every one. The staff sing happy birthday to them even if they are in bed and make the day special.” Another person said, “The standards we have experienced in Sherrington House are exceptional”. People spoke highly of the staff describing them as caring, helpful and kind. One person said, “The staff are very well trained. Smiling, happy, and always willing to help the carers are absolutely wonderful.” People living in the home said the food was good and there was always a choice. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 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.V335087.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. Standard 6 does not apply to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are given good information about the service and every effort is made to make sure that the home will be able to meet their needs before they move in. EVIDENCE: Eight people who live in the home said they had been given enough information before they moved in. Five people said they had contracts, three others said they didn’t know about contracts because family dealt with their affairs. The contracts are in large print and give people clear information about the terms and conditions of residency. They include information on the fees, the room number, and the complaints’ procedure. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 9 The records showed that the home carries out detailed pre admission assessments. They visit people and get information from relatives and other professionals to help them decide if they will be able to meet people’s needs before a place is offered. The home encourages people to visit before making a decision about moving in. One person said her sister had looked at the home for her before she moved in. Another person said she had looked at several homes before choosing Sherrington for her relative; she said the home had exceeded her expectations. Staff said they get information about new people before they move into the home so they have some understanding of what their care needs will be at the point of admission. They said people’s needs are assessed again when they move in and this information is used to develop the care plans. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health and personal care needs are met in a way that respects their privacy and dignity and takes account of their wishes. EVIDENCE: I looked at four people’s care records. Each person has two files, one for nursing care, and one that provides a care plan and guidance for care staff to follow. The records show how people’s health and personal care needs will be met. The nursing files showed details of contact and support from other health professionals within the multi-disciplinary team, such as GPs, speech therapists, and the epilepsy nurse specialist. Risk assessments are done in relation to falls, nutrition, moving and handling and the risk of developing pressure sores. Where necessary care plans are in place showing how the risk will be dealt with. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 11 Decisions to use bed rails are supported by risk assessments and whenever possible the agreement of the person involved or their representative is recorded. Weights are recorded and monitored and where necessary advice is sought from dieticians. Most people said they were kept well informed by the home and consulted about how care needs would be met; there was evidence of this in the care records. One person said they were “Very happy with the care here” and another said they had peace of mind knowing that the home would contact them if there were a problem. There are suitable systems in place to make sure that medicines are managed safely. None of the people living in the home manage their own medicines. There is a policy in place to deal with this should anyone wish to. People’s privacy and dignity is respected, one person said, “ -- --- is still a young man all the staff treat him with the care and respect he needs”. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home offers a range of activities; however this needs to be developed further to meet the needs and expectations of all the people living in the home, young and old. People are encouraged to exercise choice and control over their lives and to keep in contact with their family and friends. EVIDENCE: Daily routines are flexible and people can spend their time either in their rooms or in one of the communal areas. A range of activities is offered including bingo, crafts, exercise sessions, and aromatherapy. Information about planned activities is displayed in the home. There are records showing which activities people have taken part in. During the morning some people were watching a DVD in the lounge on the ground floor and a librarian visited one resident. People said a hairdresser visits the home. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 13 Eight people who live in the home filled in comment cards, six of them said the activities provided were not always appropriate to their needs. Some people said they would like more outings and some of the younger people said they would like more opportunities to socialise with people of their own age group. One person was going to a day centre but this proved unsuitable. Additional funding has now been secured which will make it possible for him/her to go out for four hours a week with staff support. This person’s relatives feel that more could be done to meet his/her social needs. Like its sister home Sherrington has some people from eastern European backgrounds and has employed staff with similar backgrounds to help meet people’s cultural needs. One relative commented on this and said it was good that “There are staff that can speak his language”. The social care assessments record details of people’s past lives, interests, hobbies, and cultural and religious needs. Staff are aware of this, I heard staff asking one person if he had finished his prayers before they started to help him with his meal. Church of England and Roman Catholic communion services are held in the home for people who want to attend and some people go out to church. Visitors said they are always welcome and offered refreshments. One person said, “From the moment we enter through the front door of Sherrington House we are made welcome. The staff are warm and friendly and we are greeted on arrival”. The majority of people were happy with the food, they said it was good and there was always a choice. One person said that more could be done to encourage people to eat more fruit. During the morning I heard people being asked what they would like for lunch. The meal at lunchtime was nicely presented and looked appetising. People had their meals in the dining room or in their bedrooms. The tables in the dining room were set; condiments and cold drinks were provided. A hot drink was offered after the meal. The mealtime was unhurried and people were given plenty of time to enjoy their food. Aids such as plate guards were available to help people eat independently. Staff provided help discreetly when necessary. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Complaints are taken seriously and acted on, people are protected from abuse, and their rights are respected. EVIDENCE: The home has had 7 complaints since the last inspection and these were dealt with within the 28-day timescale. We received one complaint and this was sent to the home to deal with. Five of the seven relatives who completed comment cards said they were aware of the complaints’ procedure. One relative said, “The staff at Sherrington House keep me well informed on anything I should know. I have never had the need to complain and quite honestly cannot even begin to think I ever will.” Six of the eight people living in the home who completed comment cards said they knew who to speak to if they were unhappy and knew how to make a complaint. One person said they thought it was very stressful for everyone involved to have to make a formal complaint and thought a suggestions box might help. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 15 The manager is an accredited adult protection trainer and provides training in the home for staff. Staff have a good understanding of what abuse is and know how to report any concerns they might have. Several of the staff are doing Equality and Diversity training and they explained how this is helping them to make sure that people’s rights as individuals are recognised and respected. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Sherrington House provides a pleasant, comfortable, and safe place for people to live. It is suitably equipped to meet the needs of the people who live there. EVIDENCE: The home was clean and there were no unpleasant odours, most people said the home is always clean and fresh. There are communal areas on each floor, they are light and airy and decorated to a good standard. There is a conservatory on the top floor, which provides a quiet place for people to sit, and a private place for people to see their visitors if they do not want to use their bedrooms. There is a small courtyard at the back of the home and on the day of the visit one person was sitting outside enjoying the afternoon sunshine. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 17 The bedrooms are spacious and comfortable. In many rooms people had personal belongings around them such as pictures, photographs or items of furniture. The home is well equipped to make it easy for people with physical disabilities to get around, for example there are wide corridors and two passenger lifts. People have easy access to assisted bathing facilities, including walk in showers, and communal toilets throughout the home. There is a small kitchen on each floor where people can help themselves to drinks or snacks. People said the standard of laundry was very good, one person said clothes were returned in “pristine” condition and always put away neatly. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staffing levels are reviewed and changed to take account of the needs of people living in the home. Staff are supported in developing the skills and knowledge they need to meet people’s needs. EVIDENCE: The duty rotas showed that there are one or two nurses on duty in the morning and one in the afternoon and overnight. The numbers of care staff on duty vary; usually there are 6 or 7 care assistants in the morning and 5 or 6 in the afternoon. Overnight there are 5 or 6 care assistants on duty. The manager said staffing levels vary depending on the needs of people living in the home. Some people have one to one care and this is reflected in the numbers of staff on duty. The home employs separate staff for housekeeping and catering duties and has a maintenance man and a receptionist. Overall people were satisfied that there were enough staff available to meet their needs in a timely way. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 19 People spoke highly of the staff, one person said, “All staff are marvellous and always polite and helpful to us” and another described one of the senior carers as “first class”. The staff files showed that the home has good recruitment procedures and the required checks are carried out before new staff start work. The records showed that all new staff are given induction training and staff confirmed this. The manager is looking at introducing the Skills for Care induction standards. These are nationally recognised standards designed to make sure the new staff are given the training they need to be able to understand and meet people’s needs. The staff are well trained and competent, 99 of care staff have an NVQ (National Vocational Qualification) at level 2 or above. Staff said they are given lots of opportunities to do training. The majority of relatives felt the staff had the right skills, knowledge, and experience to meet people’s needs. The home is in the process of implementing a new system for recording training which, when completed, will show exactly what training each member of staff has done. The records showed that as well as mandatory training such as moving and handling and infection control, there has been training on falls prevention, palliative care, epilepsy, continence, communication, and mouth care. Staff have appraisals every year and the home is in the process of setting up a staff supervision programme. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 & 38 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management team provide strong leadership and work hard to create an open and inclusive atmosphere where people are encouraged to make decisions, exercise choice, and express their views of the service. EVIDENCE: The home is owned and managed as a family concern and all members of the group are actively involved in the day-to-day running of the home. Staff said they felt supported, found the management team approachable and enjoyed working in the home. The home sends questionnaires to people once a year, usually in December. The results are looked at and feedback is given to people either individually or Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 21 in meetings. There is an internal auditing system, which means that different aspects of the service are looked at on a regular basis. The manager said they try very hard to promote an open culture where people are consulted and kept informed. Evidence of this was seen in the care records. People have a high regard for the management team. One person said “The manager/owner is knowledgeable, capable and in control. We have experience of one badly run and neglectful home that made us suspicious and uneasy of the care provided in any home but Sherrington House has banished our fears”. The home does not get involved in dealing with people’s financial affairs. Some people deal with this themselves and family or advocates help others. The home does hold small amounts of personal money for some people. There are records of all transactions and receipts are kept. The maintenance records were up to date and showed that equipment is maintained and serviced at the required intervals. There is system in place for recording and monitoring accidents. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 4 3 X 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 4 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 X X 3 Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 23 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. 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 Refer to Standard OP38 Good Practice Recommendations To comply with Data Protection law accident records should be filed with the individual’s records rather than being kept in a bound book. Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sherrington Nursing Home DS0000059346.V335087.R01.S.doc Version 5.2 Page 25 - 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. 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