Inspection on 28/11/06 for Snydale Care Home

This inspection was carried out on 28th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Snydale Care Home 03/07/06

Snydale Care Home 07/02/06

Snydale Care Home 18/07/05

Snydale Care Home 11/10/04

Snydale Care Home 30/07/04

Snydale Care Home 10/02/04

Similar services:

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Snydale Care Home New Road Old Snydale Pontefract West Yorks WF7 6HD Lead Inspector Mr Tony Brindle Key Unannounced Inspection 28th November 2006 10:00 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 Snydale Care Home DS0000006217.V322687.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. Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Snydale Care Home Address New Road Old Snydale Pontefract West Yorks WF7 6HD 01924 895517 01924 897482 traceyholroyd@aol.com 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) Mr S Holroyd Tracey Holroyd Mrs Diane S Rose Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability over 65 years of age of places (52) Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Can accommodate two named service users with physical disabilities under 65 years. Can accommodate one named service user under category Terminally Ill (TI(E)) Can accommodate up to two service users with physical disabilities who are aged 60 years or over on admission. Date of last inspection Brief Description of the Service: Snydale Nursing Home is registered as a care home to provide care, including nursing, for up to fifty-two older people. It is located in the small village of Old Snydale which is between Normanton and Featherstone. The accommodation is set out on two floors. The main sitting room and dining facilities are located on the ground floor. There is level access at the main entrance and hydraulic passenger lifts allows easy access to the first floor accommodation. The home provides well furnished and comfortable accommodation. Snydale Nursing Home is situated of the main road and is accessed via a long drive that leads up to the care home. There are off street parking facilities for visitors and a large garden at the back of the home provides a pleasant environment for service users to sit out in good weather. A local bus service passes right by the front entrance at the bottom of the drive every hour. Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this full inspection, a visit to the home took place Whilst at the home, key documents such as care assessments, care plans, daily records and the home’s policies were looked at, and so were the rooms and garden. Seven service users were spoken with. Five members of staff were spoken with, along with the acting manager. Comment cards were sent to all the service users, their relatives, 4 visiting professionals and 2 GPs. Four comment cards were returned to the Commission prior to the visit taking place. Comments received included: • ‘Mum very happy at Snydale Nursing home. Appears to be a happy atmosphere.’ • ‘I have some small complaints but overall care satisfactory.’ • ‘The staff are nice and help me. They make sure I am comfortable.’ What the service does well: Each person considering moving to Snydale has their needs assessed, and is given information about the home by the manager, before admission. The admission process ensures that those new to the home know what to expect of the service from the outset. Individual care needs are set out in individual care plans. The ethos of the home is to make sure that residents’ needs comes first, resulting in residents feeling they are treated with respect and their right to privacy and dignity is upheld. Service users enjoy getting out into the local community. The meals provided at the home are of a very high standard. The home’s policies and procedures for dealing with complaints or suspected abuse were found to be satisfactory with appropriate record keeping. The home is well maintained and people like the décor and surroundings. The home is keep clean. Service users needs are met by sufficient numbers of staff. The home’s recruitment policies and procedures safeguard people living in the home. Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 6 There are good systems in place that are to be used to monitor the quality of the care provided by the acting manager and staff. Service users financial interests are promoted by good systems. The health and welfare of people living and working at the home are promoted. 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. Snydale Care Home DS0000006217.V322687.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 Snydale Care Home DS0000006217.V322687.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): 3. Snydale does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person considering moving to Snydale has their needs assessed, and is given information about the home by the manager, before admission. The admission process ensures that those new to the home know what to expect of the service from the outset. EVIDENCE: The acting manager described the admission process, stating that she visits each prospective resident to assess their needs. The manager considers the available information from the social worker, talks to the prospective resident and completes assessment documentation. If the prospective resident is privately funded, the acting manager said that most of the information is gained through liaison with family members. She added that the resident or their relatives could visit the home at any time to have a look around. The acting manager said that prospective residents are offered an introductory visit, may stay for a meal or come in for a full day to be assessed. She added Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 9 the resident and their relatives are given a copy of Statement of Purpose and Service Users’ Guide. Discussions took place with one resident new to the home. They said that they had been admitted two days before and was beginning to adapt and said, The staff are nice and help me. They make sure I am comfortable. Records showed that a pre-admission assessment form is completed that contains the headings of basic details, medication, physical health, allergies, eyesight, hearing, sleep pattern, mental health and religion. Snydale Care Home DS0000006217.V322687.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ wellbeing could be further promoted through attention to psychological health matters. Individual care needs are set out in individual care plans. The ethos of the home is to make sure that residents’ needs comes first, resulting in residents feeling they are treated with respect and their right to privacy and dignity is upheld. The home’s medication policies and procedures promote and support the best interests and healthcare needs of service user. EVIDENCE: The records show that care plans reflect the needs of residents, and along with good communication systems ensure that those needs are met. the acting manager said each person has a plan that has been agreed with them. She added that residents have right of access to health and remedial services and the home’s policies, procedures and practice guidance strongly support this. The records show that the health care needs of those people too frail to leave the home are managed by visits from local health care services. The acting manager said that residents have individual health care plans that give an Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 11 overview of their general health and acts as an indicator to changing health needs. The records show that induction training covers privacy and dignity. The home has clear and robust practices for the care of residents who are dying. The records show that staff in the home support the family and the home’s other residents during the bereavement process. One service user talked to an inspector about moving rooms. This person appeared to be very distressed about that. On two occasions this person indicated that they were very unhappy. The acting manager spoke with this person, and gave them satisfactory explains to why they could not change rooms, but reassured the person that when a room becomes available, they will be offered it. The care plan for this person did not included any information about their mental health, and the way in which the staff should work with this person to ensure their mental health does not deteriorate. A selection of medication was checked and found to be correct. The acting manager manager said that she had recently checked the medication and found some discrepancies and was working towards ensuring errors do not arise in the future. Snydale Care Home DS0000006217.V322687.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are happy living in the home, but would benefit from the development of an activities programme based on their interests and hobbies. Service users enjoy getting out into the local community. The meals provided at the home are of a very high standard. EVIDENCE: Discussion with some of the staff showed that they are aware of the need to plan the routines and activities of the home in a way which meets the choice and wishes of the people living there. Observation of care practices, and the way people are supported shows that the staff are flexible and attempts to provide a service which is as individual. Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 13 People living in the home say that are spoken with as to how they would like to spend their time, and how they would like to be cared for. It was noted through observation and through discussion with the manager and some people living in the home that people are not given the opportunity to take part in a variety of activities within the home. This was also noted at the previous inspection. The acting manager said outings are organised, and people do get the opportunity to get out and about. The records confirmed this. The home has open visiting arrangements and one person said that they could entertain their family/or friends in their own room. The records confirmed this. The acting manager and owner do not manage the personal monies of the people living at the home. The records show that many service users have bank accounts and are supported by family members to manage their finances. It is clear from visiting people’s bedrooms, that people are able to have personal possessions in their room. It was noted through observation and through discussion with the manager and some people living in the home that the food in the home is of good quality, well presented and meets the dietary needs of the people living at the home. Staff were observed to be assisting people when eating. While helping a service user to eat their lunch, one staff member spent the first minute of this activity, talking to another staff member, rather than concentrating on the service user. A discussion took place with the acting manager regarding these observations. She said that she had noticed the poor practice and would be dealing with it with the staff team through training, meetings and individualised discussion. Snydale Care Home DS0000006217.V322687.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 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s policies and procedures for dealing with complaints or suspected abuse were found to be satisfactory with appropriate record keeping. Some staff are in need of abuse awareness training. EVIDENCE: The records show that the service has a complaints procedure which is available within the home. 3 people were spoken with who all said that they understood how to make a complaint and who to go to. Since the last inspection the Registered Manager had received 2 complaints. The first related to laundry that had gone missing. The records show that this complaint was resolved. The second related to a service user not being given their dentures to wear, and some personal hygiene concerns. The records show that these complaints were resolved. The policies and procedures regarding the safeguarding of residents are satisfactory. Within the policy there is clear information as to when incidents need external input and who to refer the incident to. Discussion with 2 staff members showed that they had an awareness of the content of the policy and would know what immediate action to take and when and who to refer any incident on to. The records show that no adult protection referrals have been Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 15 made in the past 12 months. A group of people living at the home said that they feel safe. The training records show that the staff team have not fully received training in the area of safeguarding vulnerable adults from abuse. The acting manager explained that she had already identified this as a short fall, and had made arrangements from staff to attend training in January 2007. Snydale Care Home DS0000006217.V322687.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 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and people like the décor and surroundings. The home is keep clean EVIDENCE: Observations of the home found that building has a well-maintained environment, which provides aids and equipment to meet the care needs of the residents. New carpets are to be laid in the entrance and lounge. Many of the bedroom carpets are to be refitted. 2 bedrooms were being redecorated at the time of the visit, and the manager explained that when a bedroom does become vacant then it is redecorated almost immediately. Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 17 It was noted that the shared areas provide a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. Two people living at the home said that there is a choice of bathing facilities, both assisted and unassisted, showers and baths and there are a number of toilets strategically placed around the home. Many rooms have ensuite facilities. The records show that the management has a good infection control policy, and observations made on the day found this policy being put into practice. Snydale Care Home DS0000006217.V322687.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ needs are met by sufficient numbers of staff. The home’s recruitment policies and procedures safeguard people living in the home. Attention should be paid to ensuring that staff receive the right level of periodic training. EVIDENCE: Discussion with people living at the home shows that they have confidence in the staff that care for them. The records show that the service clearly defines the roles and responsibilities of staff through accurate job descriptions and specifications. The training records show that there are some gaps in the training received by staff. The rota showed that there is a satisfactory mix of qualified and unqualified staff working at the home, appropriate to the assessed needs of the service users, the size, layout and purpose of the home. The records show that domestic and catering staff are employed in sufficient numbers to ensure that standards relating to food, meals and nutrition are fully met, and the home is maintained in a clean and hygienic state. Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 19 The records show that two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. The acting manager said that new staff are confirmed in post only following completion of a satisfactory CRB check, and satisfactory check of the Protection of Vulnerable Adults and NMC registers (where appropriate). The records confirmed this. The records show that at the present time, less than 50 of the care staff are at least NVQ II qualified. Snydale Care Home DS0000006217.V322687.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 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems in place that are to be used to monitor the quality of the care provided by the acting manager and staff. Service users financial interests are promoted by good systems. The health and welfare of people living and working at the home are promoted. EVIDENCE: The management arrangements are currently under review. The home now has a new acting manager, who has applied to be registered with the Commission. Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 21 The records show that the acting manager and staff make sure that so far as is reasonably practicable, the health, safety and welfare of service users and staff is promoted. The records show that this is done by way of staff training, fire safety system testing, risk assessment and safety system monitoring. Staff explained that they take part in fire drills, and have received fire safety training, along with health and safety training. The records supported this. The records show that the home has satisfactory insurance cover, with certificates on display. The systems relating to the safekeeping of people’s monies and valuables were found to be in good order. The home’s administrator said the home does not hold any monies for service users. She added that all finances are dealt with via family members. The staff said that they receive formal supervision, and the records confirmed this. The company has developed a quality assurance scheme. This involves obtaining feedback from service users, their families and professionals. Once feedback is received, than a report on the quality of care will be published with an accompanying action plan (if required). The Commission awaits this. Snydale Care Home DS0000006217.V322687.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 X X 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP12 Regulation 16(2)(n) Requirement The registered person shall having regard to the size of the care home and the number and needs of service users, consult service users about the programme of activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of service users, activities in relation to recreation, fitness and training. Outstanding from previous inspection. Previous timescale – 03/09/06 Timescale for action 28/02/07 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 OP7 Good Practice Recommendations The service user’s plan sets out in detail the action which needs to be taken by care staff to ensure that all aspects DS0000006217.V322687.R01.S.doc Version 5.2 Page 24 Snydale Care Home OP8 2 3 4 5 OP12 OP28 OP30 OP33 of the health, personal and social care needs of the service user are met. Service user’s psychological health should be monitored regularly and preventive and or/ appropriate care provided. The registered person should consider employing an activities co coordinator. NVQ training should continue so that at least 50 of the staff are at least NVQ II qualified. The responsible person should ensure that all staff receive a satisfactory and adequate level of training. The registered person should ensure the quality assurance scheme is implemented over the next 12 months. Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Snydale Care Home DS0000006217.V322687.R01.S.doc Version 5.2 Page 26 - 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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