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Inspection on 24/01/06 for South Quay Nursing Home

Also see our care home review for South Quay Nursing Home for more information

This inspection was carried out on 24th January 2006.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

CARE HOMES FOR OLDER PEOPLE South Quay Nursing Home Cowpen Road Blyth Northumberland NE24 5TT Lead Inspector Suzanne McKean Unannounced Inspection 24th January 2006 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 South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service South Quay Nursing Home Address Cowpen Road Blyth Northumberland NE24 5TT 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) 01670 351831 01670 540253 south.quay@fshc.co.uk Ringdane Ltd Ms Pamela Towers Care Home 79 Category(ies) of Old age, not falling within any other category registration, with number (79) of places South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is able to provide two places to named residents under the age of 65. Should either of these residents leave the home, the Commission for Social Care Inspection must be notified. 28th September 2005 Date of last inspection Brief Description of the Service: South Quay is a purpose built two-storey building of traditional brick built and tiled roof construction. It is situated on a large corner site on the outskirts of the town of Blyth. The home is within walking distance of the main shopping area of the town and the local amenities situated in that area. It is on the main bus route. The surrounding area is predominantly domestic housing with a small number of commercial properties. The home is registered to provide places for 79 service users all of which can be accommodated in single rooms. The home is registered as a care home, which is able to, provided nursing care and as such the Manager is a Registered Nurse. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over two visits lasting 4 hours and 2 hours. It is the second unannounced inspection the home has had in this year. All of the core standards have been examined over the two inspections. It is therefore suggested that both reports are looked at to get the full picture of the home. Twelve residents and three staff were spoken to directly although more were chatted to briefly. Four care plans, training records and the records for medication were examined as well as staff and training files and health and safety records. There were no requirements identified during the last inspection. The one for the provision of a hot was disinfector for bed cleaning of bedpans was not met. However, following discussion with the company representative it was agreed that an external report would be sought to give advice of the need for this. What the service does well: 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. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 6 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 South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 7 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): Standard 3 was examined at the last inspection and was met. The home is not registered for and therefore does not provide intermediate care. EVIDENCE: South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 8 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): 9 Standards 7, 8 and 10 were examined at the last inspection and was met. The care plans were viewed at this inspection to look at particular standards for this report and the standards had been maintained. The residents receive their prescribed medication in line with safe working practices. The medicines in the home are well managed and recorded and are safely disposed of as necessary. EVIDENCE: The systems for managing medicines in the home were found to be appropriate, the staff record the medicines being ordered, the prescriptions are then checked on receipt from the General Practitioners and are then sent to the Chemist for dispensing. The medicines are then again checked against the records when received into the home so that any errors can be picked up. The home has a contract with a Pharmacist, which included giving advice as necessary. No residents are currently managing their own medication in the home. There were no gaps in the recordings and there is evidence that the staff continuously review the medication in relation to their effectiveness and adverse reactions and then seek medical advice to address any problems. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 9 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 Residents are satisfied with the flexibility of their routines for daily living and activities, which are appropriate to meet their cultural, social, religious and recreational interests and needs. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. It was a recommendation at the last inspection that the cook and the deputy cook be offered additional catering training, this has not yet been undertaken. EVIDENCE: The residents described the ways they are encouraged to take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. Staff confirmed that they encourage resident to make choices about how they spend their day. The home employs an activities co-ordinator working 30 hours per week, who is interested in offering the resident differing opportunities. There are also 2 volunteers who visit the home who also spend time with the residents on a one to one basis up to three times per week. The activities offered include visits to the pantomime, trips to Tynemouth for fish and chips or the local ice cream parlour as well as in house activities. The home has a mini bus, which is really well used. Bingo and dominoes are particularly popular with the current South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 10 relatives. Two residents asked said “there is always something going on” and “the entertainer yesterday was very good, he has been before and we are going to have him back again” this suggested that the residents have choice as to the visiting acts that are asked to return. The records of the activities provided is detailed, and the “detailed social assessment was completed in all of the four care plans examined. The staff confirmed that residents are able to choose whether or not they are involved, however due to the dependency level of some of the residents a number of the activities offered are less active and provided on a more one to one basis. The outside areas were significantly improved last summer and remains very pleasant there are ongoing plans to include the residents this year in the gardening tasks and ensure that they are able to use the area effectively once the better weather arrives. Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Relatives are given information during the residents’ meetings for which minutes are available. Residents said they were satisfied with the arrangements for visitors and that staff welcome them. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 were judged as having been met since the last inspection. The Commission for Social Care Inspection has not received any complaints regarding the home since the last inspection. EVIDENCE: South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 Standards 20, 21, 22, and 26 were assessed at the last inspection as having been met. The home is and decorated and maintained to a good standard and the bedroom areas are pleasantly decorated according to the wishes of the residents. Only the replacement of faulty double-glazing units must be undertaken as planned. The home is clean, tidy and there was no unpleasant odour during the either of the visits. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 13 EVIDENCE: The service user bedrooms observed during the inspection visits were pleasantly furnished and were personalised to the taste of the occupant, and in line with the National Minimum Standards. The lounge has been redecorated and there is a programme of redecoration being followed. This was organised to take into account the priority of the residents who are moving over from the Crofton Unit, which is soon to close. There are a number of sealed unit double glazed windows, which have become faulty and as a result there is water vapour inside of the gap, this reduces the ability of residents to see clearly outside for that portion of the window. The Manager has planned for this to be undertaken as part of the refurbishment of the Crofton Unit. Mrs Towers, the home staff and some relatives worked very hard last year to improve the garden area at the rear of the premises to give the residents a very pleasant accessible area to enjoy when the weather permits, this can be viewed from inside the home and a number of resident again expressed their enjoyment of it. The on suites are not equipped with disposable paper towels, liquid soap, and waste bins which would assist in control of infection and the Manager agreed that this would be beneficial. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 14 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): 28, 29, 30 Standard 27 was examined during the last inspection and was met. The staff in the home are recruited in line with the companies policies and procedures and are being provided with a good range of both statutory and clinical training. The staff are encouraged to take National Vocational Qualifications and there are approximately 75 of the staff who have either level 2 or 3 in care. EVIDENCE: The staff receive training in line with the company policy and statutory requirements for fire training, moving and handling, first aid, food handling and hygiene and a plan is in place to address this on an ongoing basis. Any additional training opportunities are allocated depending upon the individual staff member’s role, previous experience and qualifications. These records show that the Manager maintains the training programme to ensure that the staff are equipped with the skills and competencies necessary to care for the residents in the home. The staff recruitment and selection records all contained a completed application form, two written references, a completed CRB check and contained the evidence of the equal opportunities policy being followed. All staff commence employment on a trial basis and undertake an induction period depending upon their previous experience and qualifications. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 Standards 31 and 38 were examined at the last inspection and were met. The Manager, Mrs Towers, ensures that there are systems in place to make sure that the home is managed effectively taking into account the needs and wishes of the residents. The resients personal allowances are being managed effectively and in detail. EVIDENCE: Mrs Towers and the senior staff of the home are continually monitoring the views and wishes of the residents by speaking to them on a daily basis. The manager is continuing to arrange resident and relevant meetings although these not always well attended. The record of the last one arranged suggested that the contents of the meeting are varied and for those who do attend can offer them the chance not only to discuss any changes occurring but to become involved in the planning of the social activities. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 16 Records were examined of the staff meetings, which take place regularly, and the contents of these suggest that there is a broad spectrum of relevant issues discussed. Regular reviews are arranged either by the Social Services departments or by the home and these offer the opportunity to have seek the resident and relative views. Questionnaires have been used in the recent past to find out the resident and relative views and these are to be repeated in the near future. The personal records kept in the home of residents who are receiving assistance to manage their finances were examined and are detailed, logical and appropriate. Receipts were in place for purchases made on behalf of residents and signatures of either two staff or one and the service user were in place. The company undertakes internal audits and this includes the resident’s personal finances. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X 3 X X STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 18 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. 1. Standard OP19 Regulation 23(2)(b) (d) Requirement The damaged sealed unit windows must be replaced as planned. Timescale for action 01/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP15 OP26 Good Practice Recommendations It is recommended that training of the cook and deputy be reviewed to ensure that they remain confident and competent to undertake the role as planned. It is recommended that liquid soap be provided in the on suite areas of the resident’s bedroom. South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 South Quay Nursing Home DS0000000664.V275981.R01.S.doc Version 5.1 Page 20 - 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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