Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/12/06 for St Edmund`s Nursing Home

Also see our care home review for St Edmund`s Nursing Home for more information

This inspection was carried out on 12th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents are cared for in a safe, well-maintained, homely environment by staff who are aware of their needs. Care plans identify residents` needs in detail and this helps staff to provide consistent care. People who use the service are happy with the care they receive.

What has improved since the last inspection?

The registered manager stated that she continues to work with the staff to improve the quality of services offered by the care home. The activity programme for the care home has been reviewed. A wider range of activities is now offered.

What the care home could do better:

The care home needs to consistently follow it`s is recruitment procedure.

CARE HOMES FOR OLDER PEOPLE St Edmund`s Nursing Home Worcester Road Off Barrowby Gate Grantham Lincs NG31 8SA Lead Inspector Mr Ken Hague Key Unannounced Inspection 13th December 2006 09:00 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 Edmund`s Nursing Home DS0000002598.V322198.R02.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 Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Edmund`s Nursing Home Address Worcester Road Off Barrowby Gate Grantham Lincs NG31 8SA 01476 576811 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) Lifeline Nursing Services Limited Ms Sally Gillian Harness Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability (4) of places St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No one falling within category OP to be admitted into St Edmunds Care Home where there are 48 persons already accommodated No one falling within category PD to be admitted into St Edmunds Care Home where there are 4 persons already accommodated The maximum number of persons to be accommodated at St Edmunds Care Home is 48 10th January 2006 Date of last inspection Brief Description of the Service: St Edmunds is situated in a residential area on the outskirts of Grantham and is approximately two miles from the town centre. Grantham is a market town, and contains a wide range of amenities. The home is close to a bus route; local shops and taxis are used to access the town centre. The home is a single story facility, arranged in four wings. Each wing has its own lounge and dining area, and there is a communal room at one end of the home, which is used for activities and entertainment. The home is built around a courtyard, which is fully enclosed, and laid to lawns, shrubs and patios with garden furniture. The home is registered for forty-six residents. Lifeline Nursing Services Ltd operates the home, and it is one of three homes operated by the company. There are adjoining warden - controlled bungalows operated by the same company. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5.5 hours. A tour of the premises was undertaken. The registered manager and proprietor were provided with feedback at the end of the inspection. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them and the staff, and where more appropriate observation of interaction between staff and residents. A sample of care records, were inspected. At the site visit two members of staff were interviewed and the opinions of four residents were sought. The registered manager makes available to all potential new residents a copy of the statement of purpose for the care home when they visit for the first time. A copy is displayed in the care home reception area. The home charges a range of fees from £475 to £650 per week for residential care. Residents who require nursing care pay within the same range of fees but an additional nursing care fee is claimed by the care home from the government. The care home supplied to the Commission for Social Care Inspection preinspection information. This included a Pre- inspection questionnaire completed by the registered manager and 12 “have your say documents” completed by residents. The “have your say document” is a quality assurance document completed by residents. It asks the residents to answer 12 questions and to give their opinion on the service being provided to them by the care home. It offers them the opportunity to state if they wish to meet the Inspector during the site visit. Resident’s opinions and comments stated in “the have your say” documents are included in the main inspection report. What the service does well: What has improved since the last inspection? The registered manager stated that she continues to work with the staff to improve the quality of services offered by the care home. The activity St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 6 programme for the care home has been reviewed. A wider range of activities is now offered. 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 Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 7 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 Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 8 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 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory procedures for the introduction and assessment of people to the service, ensuring that all of their personal care needs, health care and social needs are met. The home does not offer at this time a dedicated intermediate care service. EVIDENCE: The care records for three individual residents were inspected as part of the case tracking process. They all contained a detailed assessment completed before the resident admission to the home. The assessment set out the social care and health care needs of each resident. They contained the wishes and choices of residents in respect of the way services should be provided. The residents have signed the initial assessment forms. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 9 The registered manager stated that the assessment and care plans were reviewed on a monthly basis. The care records for all three resident substantiated this statement. The three residents being case tracked confirmed that they have been assessed before they were admitted to the care home. They confirmed that staff had recorded their opinions, wishes and choices in relation to the way care should be provided to them. The registered manager confirmed that specialised intermediate care facilities are not offered by the care home. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home identifies the health, personal and social cares needs of each resident and records them on their care plan. This enables staff to meet their needs in a manner, which is described within the individual’s care plan. The medication policy of the home is being followed. Staff respect the dignity and privacy of residents. EVIDENCE: Three individual resident’s care plans were inspected. They all contained the information obtained at the initial assessment .The care plans sets out the methods of providing safe care to each resident. Care files contained the resident’s choices of activities, health care needs, personal care needs and dietary needs. Where a risk had been identified the management of the risk had been balanced against the choices and wishes of the individual resident. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 11 The management strategy had been agreed with the resident and recorded in their individual file. Medical history was recorded. The input from community health care services, chiropodist, dental care and eye care were recorded on each care plan. The registered manager stated only trained nursing staff give out medication. Nurses and carers spoken to during the site visit confirmed this statement to be correct. The registered manager stated that she was satisfied that all staff are competent in the management and administration of medication. She stated all the nurses were being provided with an additional training course called the management and safe handling of medication between November 2006 and February 2007. The nursing staff spoken to as part of the site visit confirmed that they were following the medication policy of the home which meets the National Minimum Standard. Resident’s comments obtained during the site visit provided evidence that staff do respect the privacy and dignity of the resident. One Resident stated “staff are very kind and they respect our privacy. They are sensitive in the way they provider us with care. ” A second resident stated “ this care home is 100 you will not find any fault with it. The staff are excellent. The food is wonderful it is a 100 home, you could not find better.” A third resident stated staff are good here they dont rush their work they treat us very well. All three residents interviewed stated staff do not enter our rooms without knocking they are kind and helpful”. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to keep in contact with their family and friends. All visitors are made welcome by staff at the care home. Catering arrangements for the home reflects the service users choices, preferences and personal dietary needs. EVIDENCE: Care files contained details of the choice and wishes of the activities for individual residents. Observations were made during the site visit of activities taking place. The registered manager and proprietor stated that a regular activity programme is organised by the care home. Residents stated they were happy with the activities being provided by the care home. The registered manager stated that she had held discussions with staff and residents to ensure the activities were meeting the needs of all individual residents. It is her opinion that improvements have been made in this area since the last inspection. Details of activities, were displayed in the care St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 13 home. Residents were taking part in activity during the site visit. A written plan of the activities was given to the Inspector during the site visit. Residents decide their own routine each day including when they get up and go to bed. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 14 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home listens to resident’s views and wishes and acts on them. They are procedures in place to protect residents from any possible abuse. Staff have received appropriate training to protect residents from being harmed EVIDENCE: The registered manager stated that all staff have received training in the management and recognition of abuse. Staff confirmed in formal discussions that this statement was correct. Care records containing body maps, which are used to record any injury or bruise found on a resident. The manager uses these and accident records to monitored incidents and accidents. The care home has an abuse policy in place which staff were able to discuss. There is also a copy of the Lincolnshire county council vulnerable abuse procedures in the care home. Staff interviewed confirmed that they had read both documents. The “have your say” documents completed by residents provided evidence that they were aware of the homes complaints procedure. Complaints records were seen and discussed with the registered manager. All complaints are being investigated in line with the care homes complaints policy. Complainants have St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 15 been satisfied with the manner in which their complaints have been investigated. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 16 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 & 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, homely, clean environment with a choice of communal areas and personalised bedrooms. The infection control policy of the home is being followed. EVIDENCE: A tour was made of the care home. All areas were clean and smelt fresh. Ongoing maintenance has been carried out in the care home since the last inspection. Residence stated their satisfaction with the environment of the care home. A resident commented “ the home itself is nice I like my bedroom the lounges are comfortable.” There were no health and safety issues identified at this inspection. Staff stated that they felt safe working in the care home. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is staffed with appropriate numbers of care staff. Staff are trained to be able to answer the needs of residents who fit within the registration category of the care home. The managers of the care home have not consistently followed the home’s recruitment policy. This places residents at risk. EVIDENCE: Residents stated in the “have your say” documents that they are satisfied with the numbers of staff on duty. They confirmed that staff provide them with help if they press the call bell. Staff stated that they felt they could meet the needs of residents with present staffing levels. The registered manager stated that present staffing levels enable the needs of all residents to be met. There have been no complaints received by the care home or the Commission for Social Care Inspection in relation to staffing levels. The pre-inspection information provided evidence that staff have received training to ensure they can meet the needs of residents who fall within the registration category of the care home. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 18 Residents raised no concerns or made any complaints regarding the numbers of staff on duty in the home. They raised no concerns about the ability of staff to meet their individual needs. The registered manager stated that she was following the care homes recruitment policy, which meets the National Minimum Standard. The individual file of a new member of staff was inspected. The registered manager had not obtained all the appropriate documents set out in the Care Home Regulations before employing this member of staff. It is a requirement that two written references be obtained. The individual file inspected to check recruitment standards contained only one written reference. The registered manager stated she had obtained a verbal reference from the past employer, but no written references had been sent. The registered manager obtained a second written reference within 24 hours of the site inspection for this member of staff. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 19 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 31,33,33 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good leadership and guidance for staff, ensuring that residents receive consistent quality care. The environment is safe. The home is run in the best interest of residents. EVIDENCE: The care home has an experienced registered manager in post, who is a qualified nurse. She has worked for many years in providing community care. She demonstrated throughout the site visit a detailed understanding of the Care Home Regulations. This knowledge enables the care home to meet both the needs of residents and the care home regulations. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 20 The care home has a management structure, which is known to staff providing support and accountability. Staff spoken to during the inspection stated the management are very supportive. The registered manager stated that she speaks to residents almost daily to ensure they are satisfied with the services provided by the care home. Resident spoken to during the site visit confirmed that the manager is approachable and will listen to their views regarding the care home. The registered manager stated the care home has a policy of not taking responsibility in any circumstances for residents finances. Residents living in the home manage their own finances including their personal allowance. If they are not able to do this family, advocates or social services department manage the money on their behalf. The care home enables them to find someone to carry out this task. The registered manager stated that staff are supervised in accordance with the National Minimum Standards. Staff interviewed during the site inspection confirmed this statement to be correct. The “have your say” documents completed by residents, discussions with residents and observations provided evidence that the home is run in the best interest of the residents. There were no health and safety issues identified in care records or during the site visit. Residents stated they feel safe living in the care home. Staff stated that the care home is a safe place in which to work. Training records demonstrated that infection control training is being provided. Staff stated that they follow the infection control policy of the care home. St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 21 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 3 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 2 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 Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 22 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. 1 Standard OP29 Regulation Reg 19 Requirement the registered manager most obtain all of the documents listed in the care home regulations before employing new members of staff. Timescale for action 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Extracts may not be used or reproduced without the express permission of CSCI St Edmund`s Nursing Home DS0000002598.V322198.R02.S.doc Version 5.2 Page 24 - 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!