Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: St Catherines Residential Home 19-21 St Catherines Road Bitterne Park Southampton Hampshire SO18 1LL 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: Richard Slimm
Date: 2 2 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 32 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 32 Information about the care home
Name of care home: Address: St Catherines Residential Home 19-21 St Catherines Road Bitterne Park Southampton Hampshire SO18 1LL 02380672626 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Zamir Afghan Type of registration: Number of places registered: Mr Zamir Afghan,Mrs Parigul Afghan care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home St Catherines is a care home situated in Bitterne Park, as quiet residential area of Southampton. St Catherines is registered to accommodate up to 14 people within the old age, mental health and dementia categories. The home has a condition of registration to accommodate up to three people under the age of 65 years who have a mental health problem. The home is a large detached Victorian house that has a range of single and double bedrooms over two floors. Over 50 of beds are located in shared bedrooms. There is a shaft lift for access to disables persons to the upper floor, and Care Homes for Older People
Page 4 of 32 Over 65 14 14 14 0 3 0 Brief description of the care home other entrances have disabled access. St Catherines offers a large lounge diner, a small laundry area and a domestic style kitchen. There is level access to the garden area for people who may be wheelchair dependent. There are three communal bath/shower rooms with WC facilities, and additional communal WCs. One double bedroom offers en suite facilities, other rooms are provided with commodes on request. To the front of the property is a small off road parking area and to the rear is a well maintained garden. St Catherines is located near to local facilities and amenities and is a short journey from the main city centre. The home is one of three registered homes in the area and one domiciliary care agency owned by the owners. Please contact the home for up to date information regarding weekly fees. Care Homes for Older People Page 5 of 32 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: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection was an unannounced Key Inspection the service against the key National Minimum Standards, and outcomes for people using the service as part of a process known as Inspecting for Better Lives (IBL). This report incorporates information gained from people using the service and/or their advocates / relatives, staff, including managers and comments from external stakeholders who completed professional comment cards. Care Homes for Older People
Page 6 of 32 We were also provided with the services annual quality assurance assessment (AQAA) completed by the manager and other relevant information gained by the inspector via such processes as observations, interviews, inspection of documents and records and case tracking, during a site visit to the home. The visit to the home was undertaken by one inspector and lasted 5 hours. What the care home does well: There were many positive aspects found at the home in the interests of service users. People living at the home that were interviewed or spoken to more informally were found to be very happy with the quality of care and support they received on a daily basis. People were observed to have good relations with the staff team and the manager, and spoke highly of the staff in general. Residents choose the food they eat and are offered alternatives if the main menu options were not to their liking. On the day of our visit there were three options at main meal times. There was evidence of regular activities arranged. As far as possible these were planned and provided on the basis of each individuals assessed needs and wishes. It was evident that people were being supported to lead the lifestyles they chose, and that support also took account of the abilities and skills of the person concerned. The home was, clean and pleasantly presented providing a valuing environment for residents. The property has a high number of shared bedrooms but this was not an issue for 4 of the 8 existing residents in shared rooms spoken to who were happy sharing their bedroom. One couple were actively seeking a shared room when they moved to the home. The home continues to develop systems of assessment and care planning aimed at promoting good quality outcomes for people living at the home, as well ensuring there is good support and continuity of services. Each person benefits from an individualised plan of support and care, and from these documents the home plans service development that is in line with the needs and wishes of the people living at the home. People told us there are resident meetings where they are consulted about the running of their home. The deputy manager advised us that meetings usually happen about twice a year, but consultation is ongoing and happens on a daily basis informally, and that this is possible, due to the small size of the home. Residents said they felt they were listened to and action is taken on the basis of their feedback and/or comments. Staff members were found to engage well with residents, and there was a range of skills and experience in the team. Staff are supported in their training and development, and the home 60 of staff are trained and qualified, or training toward the national vocational qualification level as set out by Government benchmarks. In addition to this the manager is trained and qualified, and the deputy manager has the Registered Managers Award. The manager makes sure documentation provides information needed by staff members relevant to any specialist needs of service users and also provides staff with opportunities to attend more specialist courses. We were advised that any visitors are always made to feel welcome, and could visit at any reasonable time. There is a clear statement in respect of visitors available at the home. Three visitors interviewed said they could visit their loved ones when they wished and were always made welcome. A number of residents said they received visitors at any reasonable time. There was a good response to surveys nine being returned by the 14 service users, all Care Homes for Older People Page 8 of 32 of which were positive and included comments such as “I am happy. The staff are caring. Theres a good choice of food. There is a lovely garden to sit in which I help to look after. Activities are arranged if you want them. Theres a nice garden to sit in. The staff are very helpful with my sister. My power of attourney would deal with any concerns. We also received surveys back from three different GPs and comments included, Clients are always taken to a private room for any consultation. Most of my patients needs help with their medication and this is managed by the home. The home has disabled access. The home shows respect to clients, will always call at an early stage if there are any concerns about health, there is usually a senior member of staff present when asked to see the client, so the appropriate treatment plan can be followed. Most of these homes are quite variable, but St Catherines is about the best Ive been to in recent years. Staff always show me into a private room to examine/consult my patients.Excellent home that allows my patient freedom and support. Good home. Cares for their residents, excellent food, the day I went there, I would have genuinely wanted to eat the food on offer. Praise where praise is due, St Catherines appears to be a good home and my patients seem happy there. The staff seem sensible and interactions with me as a GP are always professional and polite. The residents always look smart and clean. We received 6 positive surveys from relatives with comments such as, I or my husband visit most days, and can be contacted by phone, our relative is not capable of contacting us herself now. We are kept advised of anything important by the home. The residents are all looked after very well. The home has a lovely atmosphere it feels like a very friendly guesthouse. Visitors are always welcome and the residents seem to be happy. The manageress always makes birthday cakes for parties and at Christmas. She is wonderful and very caring like all the staff at St Catherines. Overall the care given at St Catherines in excellent. All the staff are very caring under sometimes difficult circumstances. Staff who responded to our survey made comments such as, I think the home provides a homely environment where residents are treated as individuals. I think the home is run perfectly, and I cant think of anything to make it better. The home provides very good care for the people living at St Catherines. Staff have the right experience and knowledge about the needs of people they support and care for. The home proivides good choices, treats everyone as an individual, and we have a good team of staff who work well together. Im very happy working here. We spoke to three people visiting relatives at the home. They confirmed they were free to visit as and when they liked/needed. There was a person at the home during our visit that was on a trial visit. People said they felt confident that the registered manager would deal with any issues as they arose. What has improved since the last inspection? The homes annual quality assurance assessment (AQAA) tells us the following changes have been made following consultation with people using the service recently Resident meetings (we were advised twice a year) are maintained and questionaires are used to audit the quality of the service. We survey the views of people using the Care Homes for Older People Page 9 of 32 service, their families, friends and advocates as well as external professionals. We have increased outings, made changes to menus, introduced new activities and the layout of the garden as a result of listening to our residents. We are planning further changes including providing more varied opportunities for outings, activities and social interactions, following our ongoing consultations with our residents. We identified that much consultation is done informally, and that staff were listening to residents and acting on their wishes on a day to day basis. This was evident from feedback given to us during our visit, and from feedback in surveys, as well as observations made during the visit. 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 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 10 of 32 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 11 of 32 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 who may use the service and their representatives have the information needed to choose a home that will meet their needs. People are assessed by suitably trained staff before admission to the home. Evidence: We case tracked 3 people living at the home. We looked at the assessments of three people. We interviewed those three people plus another 8 people. We received 9 responses to surveys sent out to 14 service users. The information we received told us that people were being assessed and had been provided with the opportunity to make an informed choice about moving into St Catherines. We also interviewed two staff members, who confirmed they use assessment and care planing information as part of their daily interventions and their role at St Catherines. We received the homes Annual Quality Assurance Assessment (AQAA).
Care Homes for Older People Page 12 of 32 Evidence: From the above we found evidence that any new or prospective resident is fully assessed by a competent and suitably trained staff member. Assessment materials were seen and covered all relevant areas of daily living, key information; key contacts / networks; likes/dislikes; activity based risk assessments and this information was then used to inform a plan of care and support. People said their needs were known and met on a daily basis. Staff confirmed that they used the assessment and care planning information. We were advised of plans to introduce more person centred assessment and care planning. The deputy is usually the person who carries out the initial assessment. During our visit there was a lady visiting the home on a trial day to see how she might like to move into the home if a vacancy arose. We spoke and she seemed very impressed with what other residents had told her during her day. The AQAA tells us - The manager/senior carer completes fully a pre-assessment before any person is admitted to the home, they are invited to come and spend the day at the home and have lunch and meet other service users so they will be able to exercise some degree of informed choice. We gather as much information as possible via assessment so that we can develop an accurate care plan, and we also obtain any other assessments such as those carried out by local authorities where possible. We found evidence that Assessments provide information about needs and wishes, and take account of any risk issues. Assessments ensure that peoples needs can be met at the home before they are admitted. Assessments ensure that people are only admitted to the home within the legal categories of registration. Care Homes for Older People Page 13 of 32 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. Peoples health, personal and social care needs are set out in an individual plan of care and support. The way the needs and outcomes of service users are monitored, reviewed and recorded did not clearly identify outcomes for people in a person centred way. People make decisions about their lives with support when needed. People where appropriate and able are responsible for their own medication, are supported where ever needed, and are protected by the home practices and procedures for dealing with medications. People feel they are treated with dignity and respect and their rights to privacy upheld and promoted. Evidence: We case tracked 3 people living at the home. We looked at three plans of care and
Care Homes for Older People Page 14 of 32 Evidence: support. People told us their health and personal care needs were known and met at St Catherines. We viewed recording systems for monitoring and reviewing plans. There was evidence that these needed further development. We interviewed those three people we case tracked plus another 8 people living at the home. We received 9 responses to surveys sent out to 14 service users. This told us people were happy living at the home. We interviewed two staff members, who confirmed that they were well supported and trained to do their jobs. We received the St Catherines Annual Quality Assurance Assessment (AQAA). Care plans and daily notes were inspected for several people. Plans of care and support were individualised and in place. The home continues to develop systems of assessment and care planning aimed at promoting good quality outcomes for people living at the home, as well as ensuring there is good support and continuity of services. Each person benefits from an individualised plan of support and care, and from these documents the home plans service development that is in line with the needs and wishes of the people living at the home. We found that some records needed to be improved in detail, quality and content. Such repetitive notes as slept well were often noted but more detailed notes about what had happened and what outcomes were had not been recorded. Also monthly review records were in some instances incomplete with no comments about outcomes for the person concerned. Annual reviews were not detailed as there was no apparent system of feeding good quality information into this process. There was consequently evidence that staff members may benefit from increased training input in recording, monitoring and review of care planning in order to improve the quality and increase a more person centred approach across care and support planning at the home. We inspected medication records, and observed practices during the administration of medicines by staff. Medicines are stored safely, are appropriately recorded and handled. People interviewed said they were happy with the arrangements for their medicines at St Catherines. Staff told us they had been trained in how to use the medication systems at St Catherines. We were told by people living at St Catherines that staff treat them well, and always respect their privacy. Surveys from external professionals also confirmed that staff promote and protect peoples privacy, but ensuring consultations are carried out in private. Plans of care and support also contained evidence that staff are encouraged and reminded to promote privacy, dignity and respect. Mr Afghan advised us that St Catherines plans to introduce more person centred planning in the future, as was evident by an article displayed on the notice board in
Care Homes for Older People Page 15 of 32 Evidence: the home. Care Homes for Older People Page 16 of 32 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 lead the lifestyle they wish, that matched their skills and their expectations. Social, cultural, religious and recreational needs and interests are met. People are encouraged and supported to maintain contact with family and friends in the wider community as they wish. People are encouraged and supported to exercise choice and control over their lives. People receive a wholesome, appealing, balanced diet in pleasing surroundings at times convenient to them. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people as well as receiving 9 responses to surveys sent out to 14 service users. We were told that there were regular activities arranged. As far as possible these were planned and provided on the basis of each individuals assessed needs and wishes. It was evident that people were being supported to lead the lifestyles they chose, and that support also took account of the abilities and skills of the person
Care Homes for Older People Page 17 of 32 Evidence: concerned. We interviewed two staff members and observed practices of staff, and staff engaging with residents as well as completing records. We interviewed the manager, and received the homes AQAA. The AQAA tells us - We meet our service users needs, they and their families/other involved professionals are satisfied we are a good home. Service users are happy being here. We plan to continue to maintain our high standards, seek ways of encouraging our service users to have more input with regards to satisfying their social, cultural, religious and recreational interests and needs. We will work closely with family friends and other associated professional people, the community and voluntary services, we will continue to use local facilities, local shops, garden centres, the river. This works well for small groups or on a one to one basis and is very practical and cost effective. The home provides regular outings. People said they enjoyed the outings and looked forward to these events. People confirmed that there were other activities organised at the home that they enjoyed. Some people are more able and journey out alone to local shops and other facilities in the local community. Others find their own amusement and entertainment and were found to be happy with this approach. There are resident meetings held about twice each year where such topics are discussed. One person told us she liked the home because it was smaller. St Catherines has a visiting policy. There is a visitors book at the entrance to the home, and the policy places services users central to the arrangements. People interviewed confirmed that they can see their visitors at any reasonable time, and felt this would be possible at any time if requested. Three visitors were spoken to at the time of this site visit, who were visiting the home, and all confirmed they were made to feel welcome at the home. People said they kept in touch with whom they chose. Each persons case record contained information about key people in the residents life and wherever possible how to contact them. Surveys also confirmed that visiting arrangements were in place and were meeting the needs and wishes of residents. Case records outlined peoples wishes clearly, and there was evidence that peoples individual choices are respected wherever possible. People said they are supported to stay as independent as possible, and are encouraged and supported to make decisions about their lives and the running of their home. We had the opportunity to join people at lunch time. The meal offer three options, and
Care Homes for Older People Page 18 of 32 Evidence: people confirmed this was normal. People said that the food was good, and that their individual preferences were known and checked. Surveys also confirmed the food was to the liking of people living at St Catherines. Several people said the home does its best to make food as varied and interesting as possible, and acknowledged how difficult it must be to cater for the whole group of 14 people. A number of people who responded to our survey said they thought the quality of food was very good, and that their own relatives/patients enjoyed the food. People said the meals are at set times and are suitably spaced so you do not ever feel hungry. One person said that if you were ever hungry they would make you a sandwich or something. One staff member confirmed that she had received basic food hygiene training. One GP said he felt the food was very good. Care Homes for Older People Page 19 of 32 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 who live at the home, and their relatives / advocates are confident that any concerns of complaints will be listened to, taken seriously and acted upon. People are protected from abuse. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 9 responses to surveys sent out to 14 service users. We learnt that people knew who they could talk to at the home if they had any concerns. People said they felt they were listened to at St Catherines. We interviewed two staff members, who said they were trained in safeguarding. We also spoke to three visitors to the home who said they felt confident in the manager who would deal with any concerns in an open and honest way. We inspected policies and procedures and other relevant records, including complaints procedures and safeguarding guidance at St Catherines. We interviewed the manager, and received the homes AQAA. The homes AQAA tells us - Service users legal rights are protected at all times and we adhere to our simple and comprehensive complaints procedure and these are easily accessed. Any problem is resolved immediately before it becomes an issue. The complaints procedure is made available to all service users as we attach a copy to our contract given to all people using the service. Our staff are trained in safeguarding
Care Homes for Older People Page 20 of 32 Evidence: adults, and we have a whistle blowing policy. There had been no complaints at the home since the last inspection. There are clear systems to account for any monies handled at the home on behalf of any service users. People said they knew who to speak to if they had any concerns or wished to make a complaint. A complaints procedure is available in the home. Residents and visitors spoken to said they felt the manager was very approachable and would deal with any matters before it became more serious. The home ensures the complaints procedure is part of the homes contract. All respondents to surveys returned said they were aware of how to make a complaint. Residents indicated that staff listened to them and acted on what they said. Other survey respondents said they or their relatives/advocates know how to make a complaint. There had been no complaints about the home since the last inspection. The home has clear safeguarding vulnerable adults policies and procedures and these link to the local authority protocols. The home are aware of what to do in the event of identifying any safeguarding issues and refer accordingly to the relevant agencies. Staff had received safeguarding training and are able to demonstrate an awareness of what constituted abuse or vulnerable persons. People told us they felt safe living at the home. We confirmed that staff recruitment and selection took account of safeguarding, and all relevant checks were being undertaken at the home on any new staff. Care Homes for Older People Page 21 of 32 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 live in a safe well maintained environment. The home is clean, pleasant and hygienic. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users. This told us that people were happy with their home and the way it is presented and maintained. We interviewed the manager, and received the homes AQAA. We checked policies and procedures, and other relevant records. We carried out a tour of the premises inside and out. St Catherines is a well presented and maintained home. The environment was clean and tidy providing a valuing home for the resident group. People said they liked their home, and had been consulted about the decoration. People told us the home was always clean, and they were provided with a good laundry service and always had clean clothes. St Catherines AQAA told us, It is the homes policy and objective to continue to aspire to the improvement of the environment in size and design, which is service user
Care Homes for Older People Page 22 of 32 Evidence: focused. To provide a homely, safe and well maintained environment which is kept clean, odour and infection free. Staff are trained in infection control. We observed staff practices that promoted good infection control. Staff interviewed said they had been trained and were also able to explain how to reduce the risk of cross infection at the home. There are 4 shared bedrooms and 6 single bedrooms. One double bedroom has an en suite. We spoke to four people sharing rooms and they were happy with these arrangements. St Catherines provide good access to people with disabilities, including ramped access and a shaft lift, as well as manual handling aids and adaptations that promote independence. Staff told us they receive regular manual handling and moving training. The AQAA told us all necessary checks are carried out at the home to promote the health and safety of all concerned. In addition equipment and other systems such as the central heating boiler are all serviced in line with the manufacturers recommendations. Staff engaged in cleaning tasks are not expected to move across to care tasks, and additional staff are made available to support service users, when care staff are engaged in domestic duties. The home was cleaned to a good standard. Care Homes for Older People Page 23 of 32 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 know their needs will be met by the number and skill mix of the staff team. People feel they are in safe hands at all times. The safety of people using the service is promoted by the homes recruitment policies and practices. The staff team are trained and are competent to do their jobs. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 9 responses to surveys sent out to service users. This told us that people were happy with the staff team and confident that their needs would be met at St Catherines. We interviewed two staff members, who confirmed they felt well supported and had received good training for their role at St Catherines. We checked three staff files, and found evidence of good selection and recruitment, as well as a good standard of induction and training. We observed practice, and staff interventions with service users. We interviewed the manager, and received the homes AQAA. We checked policies and procedures, and other relevant records. Care Homes for Older People Page 24 of 32 Evidence: A staff member we interviewed told us she had NVQ level 2 and had also been provided with manual handling and moving, basic food hygiene, cross infection and first aid training. Staff spoken to confirmed that the manager was very supportive and that they received supervision and annual appraisals. The deputy manager confirmed that all staff received the minimum of 6 supervision session each year as needed. Staff also said they had regular staff team meetings and that the manager operated an open door approach so the manager was very accessible should they need guidance or support. One staff survey said she felt the staff team was very good at communicating. The homes AQAA tells us that diversity in the home is promoted and- We maintain a good skill mix of staff to meet the service users needs. Staff are trained and competent to do their jobs. A strict staff selection and recruitment process is in place that protects service users. Service users are in safe hands at all times. We carry out all checks and references needed on all new staff. All staff follow the skills for care induction. All new staff receive job descriptions, inductions and GSCC handbooks a long with Contracts. Three staff files were inspected and we found that all relevant checks had been carried out as part of the selection and recruitment process. This provided evidence that these processes followed best practice and also promote the protection of vulnerable adults. St Catherines has 60 of staff trained to NVQ level 2 and also provide staff with core training skills that are regularly updated. In addition the home provides more specialist training in such areas as dementia care, and other relevant mental health care areas such as schizophrenia. The staff team includes 12 permanent and 1 part time care staff, and 2 of these are the deputy and a head carer. Staffing levels were found to meet the needs of the current resident group. Residents said there are always staff available if needed. People spoke highly of the staff team, the manager and owners saying that they are very good. I get on well with the staff they are very helpful and kind. Other external professional said that staff were always available to help them, and made sure they were able to see their patients in private and where needed support the resident during the consultation. Staff interviewed were found to be aware of the core values for residents in the areas of privacy, dignity, respect, independent and rights. Care Homes for Older People Page 25 of 32 Care Homes for Older People Page 26 of 32 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. People live in a home that is run and managed by a person who is fit to be in charge, of good character and able to discharge his/her responsibilities fully. The home is run in the best interests of the people who live there. Peoples financial interests are safeguarded. The health, safety and welfare of people and staff are promoted and protected. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users, plus a number of surveys returned by external stakeholders. This told us the people feel their home is well run, and that the are consulted about things at St Catherines. We interviewed two staff members, who told us they felt well supported and the home was
Care Homes for Older People Page 27 of 32 Evidence: well managed. We observed practice, and staff interventions including the completion of records. We interviewed the manager, and received the homes AQAA. We validated staff understanding of operational policies and procedures, and inspected other relevant records. The homes AQAA tells us - The manager, deputy and carers are well experienced and competent to meet the home statement of purpose / aims and objectives. All staff are fully aware of the standards and ensure they are met, and that the home is run in the best interests of the service users. The registered provider has gained level 3 in Leadership skills, and is also working toward her A1 assessors course in adult care. Service users benefit from an open, positive and inclusive atmosphere. Good financial records are kept of any monies of service users in the home. The manager ensures the health, safety and welfare needs of service users, staff and others are promoted. The registered manager/provider work well with the deputy and senior staff in an excellent relationship to the benefit of service users and the staff team. We receive positive feedback from service users, families, friends and external professionals. We have achieved a good reputation and often get recommendations of new service users. There are clear and transparent systems to record any monies handled on behalf of service users. The home operates a quality assurance system that is based on consulting and involving service users. People told us they were regularly consulted via questionnaires and resident meetings. We were also told that changes happen based on the views and the wishes of people using the home, and we were also advised of this in the homes AQAA. We inspected a sample of personal allowances the home was holding on behalf of residents, and these were being managed appropriately and were well recorded. Systems are in place to ensure that the homes electrical circuits, portable electrical equipment; the shaft lift; fire equipment alarms and personal alarms; the heating systems and gas appliances are all serviced. Arrangements are in place for the control of substances hazardous to health (COSHH). In addition there are policies and procedures in place in respect to the safe running of the home to guide staff and inform quality induction systems. People said they felt safe living at the home. Staff confirmed that action is taken to promote safe practices in such areas as manual handling and moving, first aid, food hygiene and health and safety, including infection control. We observed good practices of staff during our site visit.
Care Homes for Older People Page 28 of 32 Evidence: Staff told us they felt well supported, and it was confirmed they were currently receiving at least six one to one supervisions in a year. Care Homes for Older People Page 29 of 32 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 30 of 32 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 7 Methods for monitoring care and support plans, and recording outcomes on a daily basis need to be developed further. Staff may benefit from some training input in person centred planning, with a specific focus on recording quality outcomes with people. These systems need to inform monthly reviews that will in turn feed quality and detailed information about outcomes, changes in independence etc. into the annual review processes. This in turn will enable plans of care and support to be updated in line with the changing needs and aspirations of people living at the home. Care Homes for Older People Page 31 of 32 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 32 of 32 - 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!
