Inspection on 28/10/08 for St Catherine`s Residential Home

This inspection was carried out on 28th October 2008.

CSCI found this care home to be providing an Good service.

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.

Other inspections for this house

St Catherine`s Residential Home 11/07/07

St Catherine`s Residential Home 01/06/06

St Catherine`s Residential Home 02/02/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Catherine`s Residential Home 328 Boldmere Road Boldmere Sutton Coldfield Birmingham B73 5EU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mandy Brassington     Date: 2 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: St Catherine`s Residential Home 328 Boldmere Road Boldmere Sutton Coldfield Birmingham B73 5EU 01213778178 F/P01213778178 kathline@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Pearl Goss Type of registration: Number of places registered: Ms Pearl Goss care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Any of the four rooms used for double occupancy must be in excess of 16sqm so each occupant has adequate space for furtniture and belongings. Fit bedroom door locks (which are suited) within twelve months of registration. Provide all items of furniture as detailed within the National Minimum Standards within twelve months of registration. Provide assisted bathing/showering facilities in ground and first floors within eighteen months of registration. Date of last inspection Brief description of the care home St Catherines is a large detached Victorian property that is situated on the Boldmere Road, Sutton Coldfield. It is within easy reach of shops and local facilities. The home is registered to provide accommodation to 22 people. Accommodation is provided over three floors in single and double rooms. Six rooms have en-suite facilities and all Care Homes for Older People Page 4 of 28 0 Over 65 22 Brief description of the care home eighteen rooms are currently occupied as single rooms. People have decorated their room to reflect their interests and bring personal items of furniture to the home. A shaft lift gives access to the first floor and second floors. Communal accommodation consists of a lounge, dining room and a conservatory that looks out onto an enclosed well-maintained garden. There is a range of bathing facilities on each floor including assisted bathing facilities. Parking is available at the front of the property and there is ramped access to side entrances. Individuals are able to maintain close relationships with family and friends and can join in a variety of activities in the home each day, and there is an entertainment night once a month. Health needs are met by community health professionals and people are registered with a local General Practitioner. The Service User Guide includes the fees, which vary according to needs and support required. The reader may wish to approach the care provider for up to date details of the fees payable. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This visit was an unannounced key inspection and therefore covered the core standards. The inspection took place over 6.5 hours by one inspector who used the National Minimum Standards for Older Persons as the basis for the inspection. Prior to the inspection, the manager completed an Annual Quality Assurance Audit (AQAA) for us. There were questionnaires sent to people who use the service, professionals and staff members. No completed surveys were returned to us. On the day of the inspection, the home was accommodating eighteen people. Care Homes for Older People Page 6 of 28 We, the commission examined records, carried out indirect observation of seven people who used the service, and three staff on duty. Four plans of care and three staff records were examined and observation of daily events took place. We looked at five bedrooms, the two communal lounge areas, the dining room, the kitchen and laundry areas and bathing facilities on all floors. We Inspected the storage system and medication procedures. What the care home does well: What has improved since the last inspection? What they could do better: The home has developed good systems for the storage and dispensing of medication; this could be improved in how the medication is received and written onto Medication Administration sheets. Where hand written entries are required, to ensure accuracy, Care Homes for Older People Page 8 of 28 two people should make each entry. Prescriptions received into the home should be clear and record all administration details. During the visit, the manager made arrangements to improve the cold storage of medicines, to record daily maximum and minimum temperatures to ensure any medicine is suitable to administer. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 have information about the home and the service provided and can spend time in the home before deciding whether they would like to move in. Evidence: People living in the home have a copy of the Statement of Purpose and Service User Guide, which provides details of the service provided, and the terms and conditions of occupancy. We examined four records including two people who had recently moved to the home. Each person had been given a Service User Guide and had a contract with the fees payable. A Care Manager had carried out a single assessment identifying support needs and preferred outcomes for people, for people funded through the local authority. Care Homes for Older People Page 11 of 28 Evidence: Prior to moving in to the home, an assessment is completed with the individual and family members, to determine whether the home is able to meet peoples needs. The assessment includes personal details, a history, personal preferences and interests and support required. The manager reported that wherever possible individuals visit the home and meet other people and have lunch at the home. A member of the staff team is able to spend time with the person and continue the assessment process. Staff reported that the time spent with the person in the home is useful, as staff gain information about peoples likes and dislikes, and preferences for care and support. Individuals confirmed they were involved in the assessment process and were also able to look around the home and view vacant rooms. One person who used the service reported that its nice to meet the others here, its important that you get on with people. The home does not provide intermediate care. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 who use service are able to continue to see health care professionals to make sure their health needs are met. Evidence: We examined four plans of care, which demonstrated that people had information recorded about the support they require with personal and health care. Two plans for people who had lived in the home for a significant period of time, included information about the support people wanted for bathing, eating and drinking, personal hygiene and mobility personal safety and health needs. The two plans recorded a short life story with information about why the person had moved to the home, a personal history and family details. The plan included a history of any health concerns and how individuals are able to see and hear. This information means that all staff are aware of how to support people, and risk assessments are completed for any identified concern and mobility. Care Homes for Older People Page 13 of 28 Evidence: One plan included an assessment of risk for going out independently in the community. The plan identified concerns and how to minimise risk, including the use of Ring and Ride transport. Discussion with staff and the manager revealed that people were aware of the risks and had taken a responsible approach to risk management to support the person to retain their independence. Discussion took place with the manager about developing the plans to incorporate the new legislation for the Mental Capacity Act, and how information about decisions and capacity should be included in the plans. Each person has a Key Worker who reviews the plan with individuals each month. The review evidences where people have agreed with the information and any comments. A six monthly review includes family members. Two plans were for people who had recently moved to the home. A pre-admission assessment had been carried out and a basic plan recording preferences for daily support had been completed. The plan had not been developed to include new detailed information about support and assessments of risk. Discussion with the staff revealed that they were aware of how to consistently give support as people were able to tell staff. People who used the service confirmed that staff asked how they wanted to be supported and listened and acted on what was said. Information about health care visits and any appointments were recorded along with details of any relevant information. People who use the service commented that they prefer to be supported by family members with health visits, but where this was not possible, staff at the home would accompany them. During discussion, staff demonstrated a good knowledge of peoples needs and were observed providing sensitive care throughout the visit, including talking to people about what was happening, and giving choices. People in the home were well presented, wearing their own clothes, which were ironed and clean. One person commented I always like to look nice, its nice to look good. Medication was stored appropriately in the home and observation of medication practices revealed that people were offered a drink with medicines and given time to take them at their pace. Medication Administration Records (MAR) were completed appropriately for dispensing medication. There were a large number of entries hand written on the MAR Sheets, it is recommended that these be written and signed for by two people to ensure accuracy. One medication was amended due to the prescription being unclear. This was discussed with the manager and staff to ensure that all Care Homes for Older People Page 14 of 28 Evidence: prescriptions clearly record all administration details. A small number of medicines were stored within a secure fridge. A record of the maximum and minimum temperatures had not been recorded daily, and the service could not ensure the integrity of the medicine. The manager sought advice during the visit from the dispensing pharmacy who advised new medication be ordered and the current medicines destroyed. New equipment was ordered to ensure new medication would be stored appropriately. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 are involved in daytime activities of their own choice in the home and the local community. Individuals can welcome family and friends into the home throughout the day, who can join any activity or event. Evidence: The AQAA recorded that the home provides a varied programme of activities and people are able to choose whether to participate. On the day of the visit exercise games were organised in the morning. Pictures are displayed in the home of activities. Any planned activity is recorded on the chalk board in the dining room. People who used the service stated we decide what we want to do, most of us tend to join in, we choose to do what we like. People who use the service and staff revealed that other regular activities include quizzes, bingo and people can do individual activities like completing a jigsaw. Further discussion revealed two people are knitting blankets for premature babies, I like to knit and its doing something worthwhile. There are two lounge areas; one has a large wide screen television for people to Care Homes for Older People Page 16 of 28 Evidence: watch. The other seating area is within a large conservatory and people reported we sit and talk in here, or maybe listen to the radio. We may watch television at night but we like it here in the day, we have a laugh here, we get on really well, theres always something to do. Visitors were observed coming to the home throughout the day and discussion with people confirmed they are able to have visitors at any time. Many people spoke about going out with family and friends to visit places of interest. One person chooses to go out independently in the community and other people attend a local church. The home uses the services of community transport to support people to retain their independence. A church service is conducted by a representative of the United Reform Church each month, for those who wish to attend. People reported that this is a service only and those wishing to receive communion attend a local church. Each week there is an exercise session and each month an entertainer visits the home. People said that this is often a singer or musician and is good event. On the day of the visit, an award winning Dancing Dog came to the home. People were able to watch the handler demonstrate how the dog was trained and the dog and handler performed a dance routine. Lunch was shared with people who use the service. A menu is displayed on a large chalk board in the dining. On the day of the visit, lunch was beef and onion pie with vegetables and potatoes, and dessert was syrup sponge and custard, an alternative was available upon request. People spoke highly of the meals served. Comments included, the food is always good, the chef is a great cook and you just cant fault the food. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this 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 are given information to make a complaint so that where any concern is identified they are confident this will be acted upon. Evidence: The home has a Complaints Procedure, which is displayed in the home and within the Service User Guide. There have been no complaints made since the last visit to us. Discussion with people who use the service revealed they would report any concerns to the staff or manager. One person commented, the manager is wonderful, you can go to her about anything. The home has policies and procedures for safeguarding people in the home. The previous visit identified that these need to reflect the current agreed safeguarding guidelines. The manager has secured training for in November to update staff skills and knowledge and to review the current policies. This will be reviewed on our next visit. Discussion with staff revealed they would have no hesitation reporting any concerns and discussion took place regarding the safeguarding procedure and roles. The service is not responsible for maintaining personal finances. Small amounts of money can be surely held and a record of monies or valuable would be maintained. Care Homes for Older People Page 18 of 28 Evidence: The manager reported that for all additional expenses occurred in the home such as hairdressing and chiropody, an invoice is sent to the person responsible for managing finances. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this 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 are able to decorate their room with personal possessions so that it is comfortable and pleasing to each person. People are confident that the home is a safe place to live. Evidence: Since the last visit, the registered person has continued to upgrade the property. The ground floor has new double-glazing, a new boiler has been fitted, and the bathrooms have been improved to provide assisted equipment, and rooms have been adapted to provide en-suite equipment. The manager reported that further improvements are planned including renovating one very large double room to individual rooms with ensuite facilities. The home is registered to accommodate twenty two people within eighteen rooms. The manager has decided that unless people have demonstrated a positive choice to share, all rooms will be occupied on a single basis. The alterations to the home will not affect the number of people registered, as it is an upgrade to the existing building. The manager reported that new plans would be sent to the home and we would be formally notified of the changes as required. Care Homes for Older People Page 20 of 28 Evidence: We examined five bedrooms and found all areas to be clean and tidy and all rooms had been individually furnished according to the interests of people using the service. Staff reported that when a room is vacant, it is redecorated to maintain good standards. The home has been subject to a recent Environmental Health inspection and was awarded four Hs (hygiene standards), this is very good. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 are able to have confidence in the service provided as staff receive on-going training needed to support people. There is a good recruitment procedure to ensure that people are suitable to work in the home. Evidence: On the day of the visit there were two staff on duty on each shift and the manager works across the shifts. There were eighteen people residing at the home, and the manager reported that the peoples needs could be met within the current staff group. Discussion took place about reviewing staffing for any changes within the home or to reflect changes in dependency levels. We examined three staff files that demonstrated the homes recruitment procedures were of a good standard. All individuals completed an application form, two written references were obtained along with a copy of identity, a PoVA First (Protection of Vulnerable Adults) and a Criminal Records Bureau Check (CRB) were obtained. Within the AQAA the manager reported that following a three month induction and probation staff are able to register to complete an National Vocational Qualification (NVQ); Seventy eight percent of the current staff have a national qualification in care. Care Homes for Older People Page 22 of 28 Evidence: Discussion with staff and from observation of daily events revealed that people were sensitively supported. People using the service spoke very highly of the staff and the support provided. Comments included, Staff do listen, theyre very nice and we all have a laugh, they can never do enough for you, theres always someone to help if you need them. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this 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 manager has a clear understanding of the key principles and focus of the service and people who use the service are able to benefit from a professional management approach and a supported team. Evidence: It is evident from observation and discussion with staff, that the manager is enthusiastic and committed to promoting peoples rights and providing a good service. The manager is open and transparent in all areas of managing the home. Staff and people who use the service commented they would have no hesitation approaching the manager. Prior to the Inspection, the manager completed an Annual Quality Assurance Audit (AQAA) for us. The AQAA contained clear, relevant information that was supported by a wide range of evidence. The AQAA identified the changes that had been made since the last visit, and where they still need to make improvements. Evidence within the Care Homes for Older People Page 24 of 28 Evidence: AQAA was sampled and found to be accurate. The service has a quality assurance programme which includes a quality review of the premises, medication, food and the general service. The manager reported that a particular topic is chosen and people who use the service are consulted about that topic. The most recent quality review involved the quality of food and meals provided. Questionnaires are also provided for professionals and relatives to comment on the service. The manager and staff are promoting positive beliefs for equality and diversity issues, especially in relation to gender and religion. Staff are aware of how peoples beliefs can impact on care and support, and are working closely as a team to act as a positive role model. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 9 9 Where Medication Administration Records are handwritten two people should record each entry to ensure accuracy. Prescriptions need to clearly record all dispensing details to ensure medication is administered in line with the prescribers instructions. Care Homes for Older People Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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