Inspection on 11/04/08 for St Catherines Nursing Home

This inspection was carried out on 11th April 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 Catherines Nursing Home 27/04/10

St Catherines Nursing Home 18/04/07

St Catherines Nursing Home 23/05/06

St Catherines Nursing Home 10/01/06

St Catherines Nursing Home 14/06/05

St Catherines Nursing Home 11/01/05

St Catherines Nursing Home 12/05/04

Similar services:

Snydale Care Home

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Whiteley House

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Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

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

CARE HOMES FOR OLDER PEOPLE St Catherines Nursing Home 152 Burngreave Road Sheffield South Yorkshire S3 9DH Lead Inspector Ivan Barker Key Unannounced Inspection 11th April 2008 09:50 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 Catherines Nursing Home DS0000021809.V361788.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 Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Catherines Nursing Home Address 152 Burngreave Road Sheffield South Yorkshire S3 9DH 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) 0114 272 3523 0114 279 6094 none None Regal Care Homes (Sheffield) Limited Ms Kathleen Margaret Winstanley Care Home 70 Category(ies) of Dementia (39), Mental disorder, excluding registration, with number learning disability or dementia (31), Old age, of places not falling within any other category (39) St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP; Dementia - Code DE and Mental Disorder - Code MD The maximum number of service users who can be accommodated is: 70 18th April 2007 2. Date of last inspection Brief Description of the Service: St Catherines consists of two large units. Both are three-storey buildings consisting of a converted existing building and a purpose built. The home has single and double rooms, each provided with en-suite facilities. Each unit has a lift, communal lounge and dining areas. The home is set in pleasant gardens and has a car park. The home provides nursing care for Older people, People with Dementia and Mental Disorders. The home is situated in the Pitsmoor area of Sheffield, within easy reach of the city centre and close to local amenities. As of 11th April 08 fees range from a minimum of £360 up to people being assessed on an individual basis and fees set according to their needs. A Service User Guide was provided within each bedroom. The Inspection report was located at the entrance to the service. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is ‘2 star’. This means that the people who use this service experience good quality outcomes. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The person present at the inspection was: Kate Winstanley, manager. Within this site visit, which occurred over a six hour period, we toured the building, examined requirements relating to the previous inspection, case tracked 3 people (Case tracked means looking at the care and service provided to specific people who use the service living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the specific people who use the service; viewing their personal accommodation as well as communal living areas). Spoke with other people, relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the AQAA (Annual Quality assurance Assessment) a Self-assessment document, telephone contacts, letters, and notifications. People who use the service will be referred to within this report as ‘people’. What the service does well: People’s needs were known to the service prior to admission. The two assessments ensured that the service have sufficient information to assess if the service was able to meet the person’s needs. People benefit from the provision of accurate care plans and were satisfied with the care and service being delivered. People and relatives expressed their views, during the inspection: ‘The care is very good here’. ‘We like it here’. ‘We think mum is well looked after by the staff’. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 6 Activities were very well organised and people were able to exercise their rights of choice within the service, therefore this provided stimulation and enhanced their quality of life. On discussing the activities with the people, and relatives their opinions were that; ‘We are entertained very well’. ‘He (activities co-ordinators) is very good and we do lots of things’. ‘I’ve been in there this morning’. (Referring to the activities session) ‘Its very good’. Positive comments were received from people regarding the food provision. The general comments were that; ‘The food is ‘very good’ ‘They always give me a choice, and if I don’t like that they will give me something else’. ‘There is always plenty of food’. ‘The quality of food is good’. People live in an environment that had been well maintained to a good standard to provide a safe, homely environment. The general comments were that; ‘The home is clean and tidy’. ‘Its clean and well maintained’. ‘They do a good job in here (lounge) and in my room’. The manager was able to provide evidence that staff had received all necessary training, which reflected on the quality of care being delivered to the people who use the service. The staff recruitment process should provide protection for the people. The comments from people and relatives were; ‘The staff are good and kind’. ‘Very good’. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 7 The activities co-ordinator was commended for his work. An experienced registered manager is in post. This contributed to the effective organisation and operation of the service. 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. The summary of this inspection report can be made available in other formats on request. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 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 Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6. People who use 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’s needs were known to the service prior to admission. The two assessments ensured that the service have sufficient information to assess if the service was able to meet the person’s needs. EVIDENCE: On examination of the care management assessments within three care plans, it was established that there were assessments from care management and the staff from the hospital. These assessments were comprehensive and detailed the person’s social and health needs. The manager or deputy manager undertook assessments prior to the admission of any persons who wished to use the service. These assessments were also comprehensive. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 10 The information provided within both these documents assisted in providing sufficient information for the staff to decide if the service could meet the person’s needs. It also provided sufficient information for care plans to be drawn up. The manager advised that intermediate care was not provided within the service. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 11 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): Standards 7, 8, 9 and 10. People who use 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 benefit from the provision of accurate care plans and were satisfied with the care and service being delivered. EVIDENCE: On examination of the care plans, from three people, it was established that all three care plans were up to date. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis, and the plans had been evaluated on a monthly basis, except for one care plan file that had not been evaluated in February 08. This plan had been evaluated in March 08, so was up to date. On discussing this with the manager, three more care plans were examined. In total six care plans were examined and five were fully up to date. It was agreed that one individual member of staff had created the shortfall for one St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 12 month. The manager advised that she would discuss this omission with the member of staff. Comprehensive risk assessments were included within the documentation. These risk assessments had been reviewed. People and relatives expressed their views, during the inspection: ‘The care is very good here’. ‘We like it here’. ‘We think mum is well looked after by the staff’. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. There was a signature-checking document, which contained the initials as written on the medication administration document and the member of staff’s signature. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 13 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): Standards 12, 13, 14 and 15. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were very well organised and people were able to exercise their rights of choice within the service, therefore this provided stimulation and enhanced their quality of life. EVIDENCE: The manager advised that an activities co-ordinators was now in post, and had started just after the last inspection. There was a programme of planned social events displayed and included activities within the service and outings. The manager requested that the activities co-ordinator join us in the office to discuss the activities. On speaking with the activities person, it was established that he was a very enthusiastic and committed individual who took pride in his work and his achievements. He provided evidence, relating to activities from a file. These records showed when a person had participated in an activity, had a short period of one to one time or went out into the community. He advised St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 14 that the sessions consisted of various activities, but were led by the requests of the people. The activities included newspaper discussions, relaxation, reminiscence, painting, and gardening. He explained that people had identified that the fish tank needed a collage and the people had produced one with his guidance. A similar situation had occurred regarding the floral decorations. The people had made hanging baskets for the home. Trips to gardens centres were a popular part of the outings. When touring the building it was observed that a notice of ‘Do not disturb’ was displayed on one of the doors. Within the room people were undertaking a discussion on the contents of the daily newspaper. On discussing the sign with the activities co-ordinator he advised that the notice had been displayed, as staff had ‘just popped their heads in for a word, but that had interrupted the session and it was not fair to the residents, particularly when doing the relaxation session’. On discussing the activities with the people, and relatives their opinions were that; ‘We are entertained very well’. ‘He (activities co-ordinators) is very good and we do lots of things’. ‘I’ve been in there this morning’. (Referring to the activities session) ‘Its very good’. Regarding the meals, the manager advised that the care staff asked the people for their order for dinner and tea, on the previous day. Breakfast consisted of the option of a cooked breakfast or continental. Dinner consisted of a choice of two cooked meals or a salad. Tea consisted of the choice of a light cooked meal or a sandwich. Copies of four weekly menus were seen, within the kitchen, and the food on the date of the visit was being prepared according to this menu. The kitchen had been inspected by the Environment Health services of Sheffield City Council, and following the inspection they had awarded the kitchen a 5 star rating, which was the highest award. This rating was evidence by the letter from the Environment Health services. Positive comments were received from the people and the relatives regarding the food provision. The general comments were that; ‘The food is ‘very good’ St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 15 ‘They always give me a choice, and if I don’t like that they will give me something else’. ‘There is always plenty of food’. ‘The quality of food is good’. There was a query raised from the head cook regarding how other care services gave good standards of food provision, and how she could improve services at St Catherines. It was discussed that clearly they had received recognition for the Environmental Health services with the 5 stars, however she may wish to consider the options of increasing choices. It was accepted that a choice was available, however it was identified that some services had built on this and offered three or four choices. The head cook advised that she and her staff could achieve this and would discuss this with the manager, after the inspection. There was variety of activities being delivered, which were supported by documented evidence. The activities were lead by and clearly being enjoyed by the people. The quality of the kitchen services was recognised by the Environmental Health services. The head cook is continuing to strive to improve the quality within the provision of meals. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 16 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): Standards 16 and 18. People who use 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 service had a complaints procedure and it was operating according to the company policy, this should provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made staff aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The complaints procedure was displayed, and the information had been amended as required from the last inspection. On discussing complaints with the manager, she produced the complaints book that showed that there had been complaints but there was no record of recent complaints. She also identified that she was of the opinion that as she had been in post for over a year, relatives were comfortable in stopping her anytime and having a ‘chat’. We had not received any complaints. Regarding safeguarding adults, the service had policies and procedures which were available to staff. Staff had undertaken safeguarding adults training, and the manager was able to evidence this by showing training records and certificates. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 17 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): Standards 19 and 26. People who use 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 live in an environment that had been well maintained to a good standard to provide a safe, homely environment. EVIDENCE: On touring the building, the home was found to be clean, tidy, well maintained and decorated and furbished to a good standard. The lounge area, which had been created just prior to the last inspection, was discussed with the manager. She advised that it was working well as some residents liked the security of being close to their rooms. The discussion with the people supported the manager’s comment. Positive comments were received from the people and the relatives regarding the home. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 18 The general comments were that; ‘The home is clean and tidy’. ‘Its clean and well maintained’. ‘They do a good job in here (lounge) and in my room’. The people’s rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. The second unit for people who have mental disorder needs was not inspected on this visit as it had just been registered and both inspectors from registration and inspection had been involved in the process. There were no persons in the building at the time of inspection. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 19 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): Standards 27, 28, 29 and 30. People who use 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 manager was able to provide evidence that staff had received all necessary training, which reflected on the quality of care being delivered to the people who use the service. The staff recruitment process provided protection for the people. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established. Am shift Pm shift Night shift 1 qualified nurse and 5 care staff. 1 qualified nurse and 4 care staff 1 qualified nurse and 3 care staff. Plus. A manager, a deputy manager, and an activities co-ordinator. Ancillary staff included; domestics, and catering staff. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 20 Caring for a present occupancy of 37 people. A full assessment of the dependency levels of the people was not undertaken and compared with the indicated staffing levels. However it was noted that the inspection was interrupted on numerous occasions for the manager to answer the phone. On discussing this with the manager she advised that the service did not employ an administrator, the deputy manager was not on duty and she did not wish to detract care staff from the duty of caring for the people. She also advised that when the other unit started to operate then an administrator might be appointed. On examination of the three staff files, all contained the required documentation, including Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks. On examination of the staff training records there were records that indicated all staff had received moving and handling, fire training and other relevant training. The comments from people and relatives were; ‘The staff are good and kind’. ‘Very good’. The activities co-ordinator was commended for his work. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 21 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): Standards 31,33,35 and 38. People who use 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. An experienced registered manager is in post. This contributed to the effective organisation and operation of the service. Basic quality assurance systems were in place that assisted the managers and company to measure the service against expected outcomes. EVIDENCE: The manager advised that she had been a registered manager for this and other similar services for 14 years and had 36 years experience in care. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 22 On examination of the staff supervision records it was established that supervision did occur and was planned to be ongoing for the year. Regarding Quality Assurance, the manager advised that she had implemented several new practices within the service. These had been introduced from suggestion made by people, relatives, staff and from her own observations. She also advised that she had sent out and received back surveys to relatives, staff and other professionals i.e. community nurses GP’s etc. The practice of sending out surveys had now become part of the annual quality assurance. Further analysis of the quality service was discussed and it was agreed that the manager would explore some quality tools for her to measure the service. Regulation 26 documentations, which are a record of the registered person’s monthly visits, were up to date except the record relating to February 08 could not be located. The record from March 08 was on file. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). The information showed that appropriate action had been taken. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 23 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 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 24 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. 1 Refer to Standard OP33 Good Practice Recommendations There should be further development of the quality assurance system and audit trail. St Catherines Nursing Home DS0000021809.V361788.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. 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