Inspection on 21/06/05 for St Armand`s Court

This inspection was carried out on 21st June 2005.

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

St Armand`s Court 04/02/09

St Armand`s Court 27/02/07

St Armand`s Court 27/01/06

St Armand`s Court 09/11/04

St Armand`s Court 25/05/04

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE St Armands Court 25 Church Court 25 Church Lane Garforth LS25 1NW Lead Inspector Paul Newman Unannounced 21 June 2005 9.00am. 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 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. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Armands Court Address 25 Church Lane Garforth Leeds LS25 1NW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0113 2874505 0113 2875591 Garforth Residential Homes Ltd Mrs J Hobman Care home 40 Category(ies) of Old age (40) registration, with number of places St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NONE. Date of last inspection 09/11/04 Brief Description of the Service: St. Armand’s Court is a care home owned by Garforth Residential Homes Limited, and is situated in Garforth, a suburb of Leeds. The manager is one of the Directors of the Company. The home provides personal care and support to forty older people. Nursing care is not provided but the home is supported by local healthcare services. The home is purpose built, all rooms are single occupancy, and the grounds include gardens, car parking and the company’s sister home, The Hollies. The home has two passenger lifts and communal facilities include a conservatory, two lounges and dining room. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, regulated care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was announced and took place on the 9 November 2004. There have been no further inspections until this unannounced visit. The people who live in the home prefer the term resident, and this is the term that will be used throughout this report. This was this inspector’s first visit to the home and the purpose of this inspection was to gain an overview of the care, services and facilities provided and also to assess progress in the way the home is dealing with issues that were raised in the last inspection report. During the inspection records were looked at, some parts of the home were seen, such as bedrooms, lounges and bathrooms; care staff were seen carrying out their work; conversations were held with the manager, seven members of staff, two relatives and a community nurse visiting the home and four residents. Survey cards were left at the home for residents, relatives or visitors to complete and return to the Commission for Social Care Inspection (CSCI). These cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way will be shared with the provider without revealing the identity of those who replied. At the time of writing this report fourteen have been received from residents, this representing two thirds of the residents present on the day of inspection. The inspection started at 9.00 and lasted for six hours, in addition time was spent preparing for the inspection and checking the survey responses that were received. What the service does well: The home is well managed and the interests of the residents are the main concern of the manager and staff. The staff are well organised. They are experienced, well trained, know what they are doing and have a good knowledge of the residents they care for. They have good relationships with residents and relatives who like the staff and are confident in them. Relatives feel welcome at the home and together with the residents, feel there is a warm and homely atmosphere. Residents feel safe and they and relatives feel able to raise ‘the smallest of things’. Record keeping is clear and up to date. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 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. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 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 standard(s) 3, 4 and 5 The admission process is good and includes introductory visits. Residents’ needs are properly assessed and needs are met by well-informed and knowledgeable staff. EVIDENCE: The residents and relative spoken with said that they had visited the home before they decided to live at the home. They all said that the staff were good and very caring and observations during the day showed relationships to be warm and good humoured. The three pre-admission assessments that were looked at were clear and had involved the resident and/or relative when they were being prepared. The residents were confident in the staffs’ abilities and both relatives said that the home kept her informed about changes in health and care needs. Conversations with all the staff found them knowledgeable about individual residents needs, their daily lifestyle preferences. Systems of communication are well established to make sure that the right information is passed on a daily basis. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 9 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 standard(s) 7, 8, 9 and 10. Care plans provide staff with clear, and up to date information and guidance to follow. Health care needs are identified and monitored with good support from local health care services. Medication procedures and practices are safe. Staff are aware of residents’ needs and treat residents with dignity and respect. EVIDENCE: Three care plans were seen. These provided staff with clear information about the care needs of individual residents and guidance about the way to deliver the care. The plans are evaluated each month and changes are recorded. Risk assessments are also included and these were also subject to review and were up to date. Liaison with doctors, nurses, dentists, the optician and dentists was recorded. A community nurse who was visiting was spoken with and said that the home communicated well, called for advice and treatment at an early stage and were particularly good where pressure area care was concerned. Medication policies and procedures were discussed and practice observed. This was safe and the recording of the administration of medicine was error free. Care practices that were observed showed staff giving sensitive care that made sure that the residents were treated with respect and dignity. Residents said that staff gave them good support, gave assistance when they needed it and respected their privacy like knocking bedroom doors before entering. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 10 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 standard(s) 12, 13, 14 and 15. Residents are encouraged to make their own decisions about their lifestyle. Family, friends and visitors are welcomed at the home. Social and leisure activities are offered that most people are happy with. Good wholesome food is provided that most residents like. EVIDENCE: Nine of the survey questionnaires returned by residents said that they thought the home provided suitable activities, two said sometimes and five said not. Staff spoken with said that activities were offered but some residents were difficult to motivate. Of the four residents spoken with there were mixed feelings about activities. One was very independent and went out with his daughter, visited a friend in the sister home, The Hollies, next door and his friend visits him at St Almonds Court. He uses local shops. For the other two residents it was more a question of the type of activities that were offered and they generally chose not to join in. There are contacts with local churches and communion services are provided. All the written information provided by the home encourages contact with family and friends and it was clear from the conversations and survey results that people are happy with visiting arrangements. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 11 Residents enjoy a large degree of freedom and choice about their daily routines like getting up and going to bed times. Some have telephones to keep in more regular contact with family and friends. They choose whether to join in activities, how to spend their time during the day, with some preferring to spend time in their rooms reading, listening to the radio and watching TV. Of the fourteen survey results returned, none were unhappy with the food provided, but six said they ‘sometimes’ liked the food. Ten were quite happy. Three of the residents spoken with said they thought the food was good and that staff tried hard to make sure they were happy. The fourth said that considering the numbers catered for and different likes, dislikes and tastes, the food was adequate, but looked forward to regular pub lunches. The menus seen were balanced and there are systems that offer choice at all mealtimes and during the day drinks and refreshments were offered regularly. The lunchtime meal looked tasty and residents in the dining room said it was good and there was plenty of it. The relatives who visit regularly said that they thought the food was consistently good. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 12 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 standard(s) 16. Residents and relatives understand that they can raise concerns and feel confident in doing this. They feel staff listen and respond quickly to put things right. EVIDENCE: The complaints procedure is in the service user guide that is given to all service users. It is also posted on notice boards around the home. All of the residents spoken with said that they felt comfortable in raising concerns with staff and that when they did, staff acted quickly to put things right. The community nurse said that she had never heard residents grumbling about the home. The two relatives were aware of the complaints procedure, confident in approaching staff ‘for the smallest of things’ and said that anything raised would be sorted out. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 13 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 standard(s) 19 and 26. The home is safe and well maintained and offers comfortable communal lounge areas. Bedrooms suit personal needs, can be personalised with your own possessions and made private. The home has aids that make things like bathing and toileting easier. EVIDENCE: All the communal areas, the kitchen, laundry and some bedrooms were seen. No health and safety hazards were noted and staff were seen doing their work properly dressed and equipped, and their practices make sure the home is clean, free from unpleasant smells and hygienic. The re-carpeting of communal areas that was mentioned in the last inspection report has not been done. The owners have not been able to do this and explained that they are in dispute with the Local Authority about money owed. This has gone on so long they are taking the matter to court. The owners like to keep the home in top condition and when the matter is resolved, will be able to do the things that have been agreed with the Commission. If not new agreements will be made. Even so, it is a very acceptable place to live. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30. The staff are experienced, well trained and know what they are doing. They have good relationships with the residents and care for them well. EVIDENCE: Seven members of staff were spoken with during the inspection. They are well organised and there are well established systems of shift handovers, staff meetings that mean information about the residents is up to date. The numbers of residents living at the home is about half the full occupancy and staff said this meant that they could spend more time with individuals. The staff knew each of the residents well and the relationships were good with a lot of warmth and humour. All of the residents and the two relatives spoken with said the staff are ‘caring’, ‘great’ or ‘very good’. The Company has a training coordinator and from the records seen and what the staff said, this makes sure that the staffs’ training is up to date and in line with the National Minimum Standards that are set. This is very good and should give people confidence that staff know what they are doing. The staff are committed to this because they know it helps them and they said it makes them feel more confident in their work. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32, 33 and 38. The home is well managed and the interests of the residents are the main concern of the manager and staff. Record keeping, safety checks and systems of communication make sure that the home is a safe place to live. EVIDENCE: The manager, who is also a Director of the Company, was having a working session with her ‘mentor’ to complete the Registered Manager Award qualification during the inspection. This was her last piece of work and has now successfully finished. She is very experienced and the staff and residents like the way she manages. She likes things right for the residents and personally checks that they are. On top of this there are other more formal ways of checking the standards of care like satisfaction surveys. The record keeping in the home is good. The information about residents is clear and up to date including risk assessments, and regular safety checks are made on equipment and are recorded to make sure the building is safe. The St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 16 atmosphere in the home is warm and friendly and the residents and relatives said that they like this. They said that the manager and staff are easy to talk to and you can ‘go to them for the smallest of things’. Residents said that staff responded to the emergency call system very quickly and this made them feel safe. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 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 2 x x x x x x 3 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 Standard No 16 17 18 Score 3 x x 3 3 3 x x x x 3 St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 18 YES 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 19 Regulation 23 Requirement Carpets in communal areas must be replaced. This matter is outstanding from the inspection of November 2004. The Commission is extending the timescale because of unusual circumstances. Targets for 50 ratios of staff with a minimum NVQ level 2 must be acheived. Timescale for action When disputes with the Local Authority are resolved. 30 December 2005 2. 28 18 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 12 Good Practice Recommendations Further efforts should be made to introduce a range of activities that suits all residents living in the home. When finance permits, the recruitment of a person to specifically organise activities should be considered. St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley 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 St Armands Court 20050621 St Armands Court UN Stage 4 S1497 V233836 J52.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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