Random inspection report
Care homes for older people
Name: Address: St Catherines Nursing Home 152 Burngreave Road Sheffield South Yorkshire S3 9DH two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sue Stephens Date: 2 7 0 4 2 0 1 0 Information about the care home
Name of care home: Address: St Catherines Nursing Home 152 Burngreave Road Sheffield South Yorkshire S3 9DH 01142723523 01142796094 none www.regalcarehomes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Kathleen Margaret Winstanley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Regal Care Homes (Sheffield) Limited care home 70 Number of places (if applicable): Under 65 Over 65 0 0 39 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 39 31 0 The maximum number of service users who can be accommodated is: 70 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 Date of last inspection
Care Homes for Older People Page 2 of 10 Brief description of the care home 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 27 April 2010, fees range from a minimum of £391, and £106 nursing top up fee, 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. Care Homes for Older People Page 3 of 10 What we found:
We carried this inspection out as a Random Unannounced Inspection. This means we visit the service and look at chosen areas concerned with the health, safety, and wellbeing of people who use the service. We will only change a star rating following a key inspection. Therefore, the rating for this service will stay the same following this random inspection. This inspection complies with our regulatory processes. The Care Quality Commission will conduct a further review under our new registration procedures before October 2010. The service had its last key inspection on 11 June 2008, and we gave them a 2 Star (good), rating. Before we visited the service we looked at any information we had received since the services last inspection. This included, The services AQAA (Annual Quality Assurance Assessment). This is information the service is required to provide us with about how well they are delivering care. The services previous report, and any information from other stakeholders, such as the local authority, relatives and staff, and feedback from any surveys we received. Notifications. These are notices of information a service must give us about any incidents that happen which may affect peoples wellbeing. Any safeguarding, concerns and complaints information. During the visit we spoke to people who live at St Catherines, two relatives, staff and the deputy manager. We observed some care practices and looked at some records and documents. The registered manager was not available at the time of our visit, and the deputy manager assisted us with this inspection. For the purpose of this random inspection we looked at how the home manages concerns, complaints and protection. (National Minimum Standards 16 and 18) This included, How well people can express their concerns. Access to a robust complaints procedure. How the service protects people from abuse. Care Homes for Older People Page 4 of 10 And how the service protects peoples rights. The service had no previous requirements. However, the managers were working with Sheffield Local Authority on an improvement plan, this follows a safeguarding incident. We looked at evidence which told us how well the home was responding to this. We spoke to three people who live at St Catherines. They told us their care was good, they feel safe and well protected, and they can raise concerns and complaints if they need to. People made positive comments, which included, Yes, they (staff) are alright, I cant grumble They (staff) are friendly. We observed peoples care. We found staff were available and they supervised areas where people needed support and attention. People looked clean and well dressed. We noted staff chatted to people and let them know what was happening. Some people were unable to communicate, and spent time in their chairs in communal areas. We noted that because staff were busy with others, these people tended to be left alone for longer periods of time. As a matter of good practice the managers and nurses should look out for this to make sure people who cannot communicate get reasonable times of interaction and attention as a regular occurrence. We spoke to two relatives, they told us they felt their family members were safe. They said, Yes, I feel mum is safe here I visit several times a week, staff are always friendly Staff here are marvelous This is not like a hospital, it is homely, and we can go out on the front Everybody is so friendly Very friendly attitude They are improving (just decorated) and they take good care of my wife We spoke to five members of staff. And we spoke to them in detail about their understanding of protecting people from harm, and protecting peoples rights. They understood what to look out for to identify if someone could be at risk of abuse, and they knew the right action to take to help people keep safe. The qualified nurses were
Care Homes for Older People Page 5 of 10 aware of The Mental Capacity Act and what this meant to people they cared for. There was clear guidance about Mental Capacity and Deprivation of Liberty on display in the managers office. Staff and relatives had access to this. Staff also understood how to whistle blow if they felt people were at risk, and action was not taken. We noted that managers had addressed this with staff in their supervisions, to make staff more aware. This shows that St Catherines is proactive in making sure they help to protect the people they care for. Staff were confident about what to do if an emergency occurred, and had a clear understanding of reporting and keeping people safe following an incident such as a fall. We saw evidence that staff had good access to training such as food hygiene and and infection control. The deputy manager was making arrangements to book staff on to the Sheffield Local Authority Adult Safeguarding training courses. This will help make sure staff keep up to date with local policy. Fire training was out of date. The deputy manager was aware of this and she confirmed she would organise the training quickly. A new member of staff told us he was completing an induction, and so far this had included safe working practices such as what to do when the fire alarm activates, and moving and handling. This helps make sure people are well protected from harm and poor practices. Care staff and Nurses said they felt they had good support, they said they could talk to the manager or deputy manager about any concerns they had. Relatives also commented how approachable and helpful the manager was, and that it was easy to go to her if they were concerned about their family members in the home. We looked at the homes complaints file. Although the process for following up complaints was correct, the file was old and tattered. This did not demonstrate dignity for dealing with peoples concerns, and did not keep confidential information safe. The Deputy manager agreed to set up a new clean file. We looked at a sample of documents that showed us the home had taken the correct action in following up safeguarding concerns, and had taken action to keep people safe from harm. The homes safeguarding procedures were available, however, staff could not find the Local Authority Policy and Procedure. As a matter of good practice managers should ensure this is always available as it explains what to look out for, what to do, and contact numbers if staff need to make a safeguarding alert, or need advice. We checked a sample of accident records, these were in order and recorded what action staff took, following the event, to to keep people safe.
Care Homes for Older People Page 6 of 10 We checked one persons care plan about their pressure care needs. The person had an informative care plan backed up by professional support such as tissue viability guidance. The home had suffered a fire in February 2009 due to an electrical fault. We checked a certificate which told us the home had a full electrical installation check following the incident. St Catherines had just completed a survey and had returns from relatives, staff, and professional visitors. This gave the home a good perspective on peoples satisfaction, and where they need to improve. What the care home does well: What they could do better: 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 2. Care Homes for Older People Page 7 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 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, 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 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!
