Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 05/10/07 for St Benedict`s Nursing Home

Also see our care home review for St Benedict`s Nursing Home for more information

This inspection was carried out on 5th October 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.

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

What the care home does well

People living in the home said that all the staff were nice and caring. Staff are well trained. They are well supported from the time of induction. Staff are enthusiastic and understand the strengths and weaknesses of the home.

What has improved since the last inspection?

The environment continues to be improved with ongoing decoration.

What the care home could do better:

The homes statement of purpose and service user guide need to be updated so that people know what to expect from day to day life at St Benedict`s. The homes certificate of registration consists of two pages. Both pages should be displayed. Information in risk assessments and monthly reviews should cross reference with current information in care plans. The manager should ensure that suitable activities are offered/provided on a regular basis for all people being cared for at the home. The programme of continuing improvement should continue in a timely manner to improve the environment. The manager should ensure that the recruitment procedure is followed in line with the national minimum standards to ensure the safety of people in the home. The manager should ensure that the health and safety of people in the home is protected. This includes ensuring that hot water temperatures are within safe limits.

CARE HOMES FOR OLDER PEOPLE St Benedict`s Nursing Home 22 - 23 St George`s Terrace Herne Bay Kent CT6 8RH Lead Inspector Tina Thomas Key Unannounced Inspection 5th October 2007 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 St Benedict`s Nursing Home DS0000026118.V349676.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. St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Benedict`s Nursing Home Address 22 - 23 St George`s Terrace Herne Bay Kent CT6 8RH 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) 01227 362398 Macari Homes Limited Mrs Gillian Dawn Wren Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Of the 25 nursing beds 8 are also registered for the admission of residential clients From time to time the service may admit service users under 65 years of age. 10th January 2007 Date of last inspection Brief Description of the Service: St Benedicts Nursing Home is situated in a residential area of Herne Bay overlooking the sea, and is close to local amenities including local pubs, shops and churches. It is owned by Macari Homes Limited, and the Provider, Mr. Macari is often on the premises, and takes an active role in overseeing the service. The building is a large detached house, which has been extended and converted. There is a car park at the rear of the building, accessed from the front by a driveway to one side of the building, which can accommodate up to eight vehicles. Most bedrooms are for single use, and some have en-suite facilities. There are four communal areas, and the rear lounge leads into a conservatory and on into a paved patio area in the garden. Access to the first floor is facilitated by a passenger lift, and to the garden via a ramp. These provide wheelchair access to most areas in the home. Each bedroom is fitted with a call bell and a TV point. While the home is primarily for nursing clients, 8 beds can be used for residential service users. This can enable married service users to stay in the same home, where one needs nursing care but the other does not. Fees for the service are set at £300 - £310 for residential service users, and £460 - £560 for nursing service users. The exact amount depends on the needs of the service user, and the rooms available. This information was included on pre-inspection documentation in June 2006, and was supplied by the Manager. St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process took place over a period of time, information was gathered, and it concluded with an unannounced site visit. This means that people at the home including the staff did not know the inspection was going to take place. The inspection looked at key standards. Judgements were made by taking into account evidence from a range of documentation including a tour of the home, views of people living at the home, the staff and the Manager. The Homes AQAA (annual quality assurance assessment) had not been received by the Commission within the required timescale and therefore the homes quality assurance information could not be included in this report. Two immediate requirements were issued at the site visit. One was in regard to the communal use of hoist slings. The other was regarding hot water temperatures which exceeded acceptable limits. What the service does well: What has improved since the last inspection? The environment continues to be improved with ongoing decoration. St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Benedict`s Nursing Home DS0000026118.V349676.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 St Benedict`s Nursing Home DS0000026118.V349676.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): 1,3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Failure to comply with regulations may mean that people do not receive adequate information regarding the home before choosing to live there. Pre-admission assessments are always conducted prior to admission to the home. EVIDENCE: The homes statement of purpose and service user guide have not been recently updated. This means that people choosing to use the home may not have suitable information. St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 9 The Statement of Purpose and service user guide that is currently being used does not address that there are people living in the home with cognitive impairment. The manager should address this. At inspection there was not a copy of the last inspection report on the premises for viewing as is required by regulation. (It should be included in the homes service user guide.) The homes certificate of registration that is required by regulation to be displayed in the home contains two pages of text. Only one was displayed. The manager should address this. The manager undertakes a pre-admission assessment for each person choosing to come and live at the home. This is to ensure that the home can meet all their needs. This includes their health care, physical and psychological needs. Pre-admission assessments, which were viewed, were in-depth. People living at the home discussed their pre-admission assessments and their discussion with the manager at that time and reflected that they were given a clear picture of what the home could provide for them. The home does not offer recuperative care as described in Standard 6 of the National Minimum Standards. St Benedict`s Nursing Home DS0000026118.V349676.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 using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The planning of care gives staff suitable information to deliver care safely. People’s health care needs are generally well met and the home works well with other health care professionals. Medication practices are sound. People feel they are treated with privacy and dignity. EVIDENCE: St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 11 Each person living at the home has their own plan of care. Care plans are generally well written and give staff good instruction as to how to best meet peoples needs in the way people prefer. Each care plan has risk assessments to ensure peoples safety. Care plans are reviewed monthly. On occasions the information in the risk assessments and the information in the reviews contradicts the current information in the care plans. The manager should ensure that this is addressed. People that spoke with us felt that their health care needs were being met. Care plans showed that when necessary the home called in specialist help, for example dieticians, psychiatric nurse, district nurse. The home had pressure reliving equipment and other aids. Staff believed that the home and people living in the home would benefit from additional hoists so that people did not have to wait for one to become available. Some people have the use of their own hoist sling, but for others usage is communal. The manager should ensure that people are not at risk from cross infection and if necessary ensure adequate numbers of hoist slings. Some people that required the use of a hoist and were being nursed in their beds did not all have their beds best placed to ensure safe practices in manual handling. For example the bed was against the wall so staff had only access from one side. The manager should ensure that the staff can safely use equipment and that staff and people living in the home are protected by safe systems of work for manual handling. Medication is only given to people by the trained nurses. The homes medication procedures were viewed and found to be safe at the time of inspection. People in the home said that they thought that they were treated with privacy and dignity. All the people spoken with said that staff were nice and kind. Observation showed consistently good interaction between people living in the home and the staff. St Benedict`s Nursing Home DS0000026118.V349676.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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The activities of daily living are flexible to accommodate the wants and needs of people living there. The home is not always conducted so as to provide suitable recreational activities for people, particularly those with cognitive impairment and those being cared for in bed. EVIDENCE: Routines of daily living are flexible. For example, People can go to bed and get up when they want. They can have meals in their rooms or in the dining area. Visitors are welcome at any time and people can see them in the communal areas of the home or the privacy of their own home if they choose. St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 13 The home has a part time activities lady. On the day of inspection there was no evidence of any activities occurring. People that are nursed in their own rooms do not have activities, which meet their needs. There are no activities that are specific to the needs of people with dementia. The manager should address this. People are encouraged to go to the dining room for lunch. People at the home and staff confirmed that the food is nice, and of good quality with plenty of choice. St Benedict`s Nursing Home DS0000026118.V349676.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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home know that they are able to complain and believe that their complaints would be taken seriously. Staff have training regarding the safeguarding of adults. EVIDENCE: People living at the home said that if they had any concerns they would feel happy to approach the manager or one of the trained staff. If people want to complain formally there is a complaints procedure that is on display on the notice board area of the home. There is also a copy of it in each person’s brochure or service user guide. The home keeps records of any complaints and how they have been dealt with. Staff have undertaken prevention of abuse training, which covers how to recognise abuse and how to report perceived incidents. The home has suitable policies and procedures in place. This helps to keep people in the home safe. St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 15 Staff demonstrated a clear understanding of the reporting in regard to safe guarding adults. St Benedict`s Nursing Home DS0000026118.V349676.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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an ongoing programme of redecoration within the home. The home is generally clean and free from odour. EVIDENCE: The home has been undergoing a programme of improvement. There are still areas of the home that need attention. Discussion with the manager and staff demonstrated that they knew the homes strengths and weaknesses and where improvements need to be made, for example the bathrooms. St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 17 The manager should address these matters in the homes Annual Quality Assurance Assessment (AQAA). The home is generally clean and free from odours. St Benedict`s Nursing Home DS0000026118.V349676.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 using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are generally satisfied with the care they receive. Staff are well inducted and trained. The recruitment procedures are not always followed and this may put people at risk. EVIDENCE: The home has suitable numbers of staff to meet the needs of the current residents. Staff are well trained. They have a suitable induction. New staff described how they were given support from colleagues. They described how they were allowed to be super nummery and to shadow colleagues until they felt confident to conduct tasks on their own. They had spent considerable time on their induction books so that they understood the principles of good care. The home has recruitment procedures but the viewing of staff files showed that these were not always followed. One staff member had been employed without St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 19 a suitable current criminal records bureau check. The home did not have suitable evidence that one member of trained staff had renewed their registration with the Nurses and Midwifery Council. One person did not have any references. Some references were not from previous employers as is required by regulation. Suitable care had not been taken to ensure that staff from abroad were permitted to work in the home. The manager should address these matters so as to keep people in the home safe. Staff confirmed that they receive mandatory training. St Benedict`s Nursing Home DS0000026118.V349676.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 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally well run with enthusiastic staff. People living there feel valued. Some areas of health and safety need addressing to ensure that people are kept safe. St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager and senior staff demonstrated that they had a good understanding of the needs of people living in the home. Senior staff who assisted with the inspection also demonstrated a good understanding of the national minimum standards and regulations. The manager and staff demonstrated that they knew the homes strengths and weaknesses. The homes AQAA has not been received by the Commission. The manager has stated that she has sent it, but unfortunately has not kept a copy. The manager should ensure that she returns the AQAA in a timely manner as the required 28 days timescale for its return has expired. Some service users have pocket money provided by relatives, which is available for use as wished, and is kept in a secure place. The manager keeps detailed records of all income and debits, and checks the accounts regularly. She also ensures that her deputy checks the accounts from time to time, as verification that the records are accurate. All receipts are retained. Some service users do not wish to have their own money, and the manager then pays for any items they want from petty cash – including hairdressing, newspapers etc. and invoices the amount to the person responsible for payment. Service users have a lockable facility in their own rooms for any money/valuables they wish to keep with them. There are some risk assessments in place within the home. However, the health and safety of people at the home is not always well protected. Some doors were found to be pinned back inappropriately, one with a chair. Communal use of hoist slings may cause cross infection, beds are not always well placed for staff to deliver personal care, or safely use a hoist. Staff recruitment needs to be in line with the homes policies. Hot water temperatures need to be within safe limits. St Benedict`s Nursing Home DS0000026118.V349676.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 2 x 3 x x 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 St Benedict`s Nursing Home DS0000026118.V349676.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. Refer to Standard Good Practice Recommendations St Benedict`s Nursing Home DS0000026118.V349676.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 St Benedict`s Nursing Home DS0000026118.V349676.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!