Inspection on 19/12/05 for St Bennetts Care Home

This inspection was carried out on 19th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Bennetts Care Home 18/11/08

St Bennetts Care Home 28/11/07

St Bennetts Care Home 31/01/07

St Bennetts Care Home 26/07/05

St Bennetts Care Home 22/02/05

St Bennetts Care Home 15/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE St Bennetts Care Home 346-348 London Road Leicester Leicestershire LE2 2PL Lead Inspector Keith Charlton Unannounced Inspection 19th December 2005 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 Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 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 Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Bennetts Care Home Address 346-348 London Road Leicester Leicestershire LE2 2PL 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) 0116 2745959 Mr M A Mapara Mrs Karen Margaret Hulbert Care Home 27 Category(ies) of Dementia - over 65 years of age (10), Learning registration, with number disability over 65 years of age (10), Old age, not of places falling within any other category (27), Sensory Impairment over 65 years of age (10) St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person to be admitted to the Home in category SI(E) when there are 10 persons in total of this category already accommodated in the Home. No person to be admitted to the Home in category DE(E) when there are 10 persons in total of this category already accommodated in the Home. 26/7/05 Date of last inspection Brief Description of the Service: This is a centrally located home on the London Road of Leicester, which offers a service to older people. The location is convenient for transport links.There are four lounge areas and one dining room on the ground floor.A large number of bedrooms are well over the National Minimum Standards size requirements.There are a majority of single bedrooms. Service users have a ramped way to the rear garden and a patio where they can sit. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Home’s Registered Manager was on duty, who assisted with the inspection process. Planning for the Inspection included assessing notifications of significant events sent to the Commission for Social Care Inspection by the Registered Manager and correspondence between the Registered Provider and the Commission for Social Care Inspection. There have been no complaints regarding the service since the last inspection. The Inspection took place between 9.35 and 16.30 and included a tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke with twelve residents and two members of staff. What the service does well: Service users again reported that staff are kind, attentive and helpful, staff welcome visitors to the Home and service users liked the food provided to them. Staff purchase Christmas presents for service users from their own wages. The last Inspection Report is available to service users and visitors in the hallway. The Registered Manager keeps up to date Care Plans for service users, which are reviewed on a monthly basis. Staff understand how to act if abuse occurs or is suspected. If service users complain the Registered Manager has taken up issues and resolved them. Facilities are kept in a generally clean and tidy condition. The majority of staff have completed the National Vocational Qualification level 2 course to increase their knowledge of the job. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: A number of Requirements from the last Inspection Report have again not yet been actioned as there has been a failure to deal with maintenance issues for some time in a number of areas – heavily stained carpets to the lounges and dining room still need to be replaced, a number of areas of the home are still in need of repainting – e.g. chipped skirting and paintwork still needs to be attended to on skirting, pipes and doorways where required, and WC F, where there are signs of damp that need to be eradicated. Three bedrooms were odouress, and needed their carpets intensively cleaned. It is recommended that appropriate equipment is purchased that can effectively deal with such carpets. Some service users suggested having a menu displayed and having more green vegetables. It was also noted that the Registered Manager still does not have a maintenance budget – it is again strongly recommended that this be set up, as then facility issues should then receive swift attention. For reasons of staff recruitment it is strongly recommended that new staff do not have to pay for their own Criminal Records Bureau checks. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 7 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 Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 8 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 Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 9 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): None of these National Standards were inspected. Please refer to the last Inspection Report for relevant details. EVIDENCE: N/A St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The individual needs and choices of clients living in the home are generally well met, staff are seen as efficient and caring and medication systems are generally robust. EVIDENCE: A service user said her Care Plan had discussed with her. The Care Plan covers all aspects of the national standard regarding health, personal and social care needs e.g. behaviour, skin care, speech, hygiene, medication, medical checks, food preferences, Risk Assessment s on Health and Safety issues etc. There were some sections that were not detailed, e.g. last dental appointment, the frequency of chiropody visits etc. The Registered Manager said that they would be reviewed and this information added. Plans are reviewed monthly. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 11 Records of medication administration were generally detailed and up to date – only senior staff issue medication and they have all received proper training. It is the home’s policy to promote self-medication where possible and there is a risk assessment form to evaluate this. Three service users self medicate – other service users were satisfied staff gave them their medication. Service users said if they were ill then the GP would be called. This was also evident from service users files. All service users asked said that staff were very good: ‘They could not be kinder’. ‘Staff are wonderful. They help me when I need it’. ‘This home is built around the staff. They make it a place worth living in’. ‘I was worried before I came here but the staff have been so nice I don’t worry now’. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 Service users have a good lifestyle. EVIDENCE: Service users and staff said that there were no rules apart from smoking confined to a designated room. If someone wanted to have a lie in or go to bed late then this would be their choice. There is an opt out choice if service users do not wish to join in activities and some service users stay in their bedrooms all day if they wish. The Registered Manager stated that if extra bathing is wanted then this would be arranged. There was a comment regarding the infrequency of activities. The Registered Manager will look into carrying out a service users survey regarding this and then arrange extra activities as requested. Service users said that they were generally satisfied with the food with only suggestions to display the day’s menu and have more green vegetables. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 13 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): 16,18 Service users are confident their concerns will be acted upon and staff know how to protect them from abuse. EVIDENCE: Service users said that they thought that if they had any concerns then the Registered Manager would follow these up with proper action taken. Staff were asked what they would do in case of abuse and were aware of the proper steps to take regarding reporting this to outside agencies if not properly handled by the Management. A staff member has recently followed the whistle blowing procedure and this is being investigated to ensure that the service always protects service users from any form of abuse. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 14 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): 19,26 Facilities are beginning to look dated and worn and some required improvements have not been made, with odour still a problem in three bedrooms. EVIDENCE: St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 15 A number of facility issues have been attended to - rotten window frames to some bedrooms have been replaced, a bathrooms has been retiled, two dormer windows have received repairs and a bathroom, used as a storeroom, has been locked to protect the Health and Safety of service users. However it was disappointing to note that there continue to be a number of maintenance issues which have not been attended to by the Registered Provider, e.g. communal carpets in the lounge/dining room and ground floor corridors were still heavily stained in parts and have been for some considerable time. The Registered Provider has previously given written reassurances that this would be rectified but, to date, this has not occurred, although the Registered Manager stated that quotes have been presently obtained for carpet replacement. A number of areas of the home are in still in need of repainting – chipped skirting, pipes and doorways, and WC F where there are also signs of damp that need to be eradicated. Windows in room 11 do not open and need to be freed to allow fresh air into the room. Three bedrooms were slightly odouress and needed their carpets cleaned. It was also again noted that the Registered Manager still does not have a maintenance budget – it is still strongly recommended that this be set up, as then issues should then receive swift attention. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 16 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): 27,29,30 Clients benefit from a dedicated staff group, and staff checks are generally in place to protect service users welfare. EVIDENCE: This inspection has taken into consideration the number of staff/hours recommended by the Department of Health as detailed above. The home complies with the previous registration authority’s staffing requirement of care hours. The Registered Manager said that there are a minimum of three Care Assistants and a Senior Care Assistant on each shift with two waking staff at night. The rota evidenced this. The Registered Manager tries to ensure that staff have two written references and these are received before employment commences, criminal records bureau checks applications are completed as soon as possible - this was reflected in the Criminal Records Bureau checks on file, though a Protection of Vulnerable Adults check for an overseas worker employed by the Registered Provider was missing. The Registered Manager said this would be chased up. Training has been organised on a number of issues since the last inspection and nine staff are in the process of completing their National Vocational Qualification level 2 courses. The Registered Manager has produced an index of training needs and is to book training for some staff on a number of care issues – first aid, Food Hygiene, Moving and Handling, dementia etc. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 17 St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 18 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): 31,35 Service users on the whole, benefit well from the management of the home. EVIDENCE: The Registered Manager was commended by service users and staff for her efficiency and openness to new ideas – this situation is commended. Service user monies records were found to be properly kept with running balances, two signatures and receipt. Two service users amounts of monies were checked and found to be in order. St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 19 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 X 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 X 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X 3 X X X St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 20 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 2 3 4 Standard OP26 OP30 OP19 OP19 Regulation 16 18 23 23 Requirement All areas of the premises must be kept odour free. Further staff training is needed on a number of care issues. A number of areas of the home are still in need of repainting Facilities need to be improved in regard to carpet replacement in the lounge/dining areas. Windows in one room do not open and need to be freed. Timescale for action 20/12/05 19/06/06 19/04/06 19/02/06 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 OP27 OP24 Good Practice Recommendations For reasons of staff recruitment it is strongly recommended that new staff do not have to pay for their own Criminal Records Bureau checks. The Registered Manager still does not have a maintenance budget – it is again strongly recommended that this be set up, as then facility issues should then receive swift attention. DS0000006381.V273872.R01.S.doc Version 5.0 Page 21 St Bennetts Care Home St Bennetts Care Home DS0000006381.V273872.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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