Inspection on 09/01/06 for St Euphrasia`s

This inspection was carried out on 9th January 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.

Other inspections for this house

St Euphrasia`s 30/04/07

St Euphrasia`s 24/05/05

St Euphrasia`s 21/12/04

St Euphrasia`s 24/05/04

St Euphrasia`s 07/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE St Euphrasia`s Chain Road Blackley Manchester M9 6GN Lead Inspector Geraldine Blow Unannounced Inspection 9th January 2006 09:30 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 Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 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 Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Euphrasia`s Address Chain Road Blackley Manchester M9 6GN 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) 0161 653 2010 0161 653 8564 The Trustees of the Congregation of our Lady of Charity of the Good Shepherd Ann German Hosie Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Care will be provided to those who belong to the Good Shepherd order. The maximum number of service users requiring personal care only shall be 9. The maximum number of service users requiring nursing care shall be 5. Minimum nursing staffing levels specified in the Notice served in accordance with Section 25(3) of the Registered Homes Act 1984 on 31 January 2002 must be maintained. 24th May 2005 Date of last inspection Brief Description of the Service: St Euphrasias is a purpose built single storey building situated in the extensive grounds of the convent with ample car parking facilities. The home is situated in Blackley in the North of the City and provides care for the older Sisters of the Good Shepherd. The home is close to local amenities and transport links into Manchester City Centre. Admission to the home is restricted to the Sisters who belong to the Order of The Good Shepherd. The home provides accommodation for up to 14 Sisters, 5 of whom have been assessed as requiring nursing care and 9 Sisters assessed as requiring personal care only. Accommodation is offered in single bedrooms. Three bedrooms have en-suite facilities. A variety of bathing facilities are available. Toilets and bathrooms are located close to bedrooms and communal areas. There is a main lounge and a separate dining room. A conservatory is situated off the main lounge. The need for privacy and the facilities for prayer are important for the Sisters and a small chapel is available within the home, alternatively the Sisters can access the chapel in the convent via a corridor from the home. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on 9th January 2006. During the inspection time was spent talking to the manager, several of the sisters, some members of staff to find out their views of the home and some relevant documentation was examined. Since the last inspection the Commission for Social Care Inspection (CSCI) has not received any complaints about the service. The previous inspection looked at the majority of the standards. As this inspection only looked at a very limited number of standards the report will be brief and should be read together with any previous reports to gain a full picture of how the home is meeting the needs of the people living there. What the service does well: The home continued to provide a high standard of décor, furnishing and facilities. The standard of cleanliness throughout the home continued to be high. As identified at the last inspection the atmosphere of the home felt warm, welcoming and tranquil. Staff were again observed to have good relationships with the sisters. All the Sisters spoke to appeared happy and chatty. The home provides a wide variety of activities and celebrations. On the day of inspection the Sisters were seen celebrating one of the Sisters feast day. The manager said that the Sisters are regularly consulted about what activities and outings they would like and that the routines of the home are flexible to accommodate the Sisters wishes. For example supper was served to the Sisters in the lounge the previous evening because the Sisters wanted to watch Songs of Praise and then a wildlife programme that followed it. The home had access to a people carrier to facilitate outings. The home has open visiting policy and the manager said that all visitors are made welcome in the home. The home encourages visitors and overnight accommodation can be provided if needed. The home has a system where each Sister has a ‘Pastoral Care Sister’ from the convent. This means that the Pastoral Care Sisters comes into the home on a daily basis to visit the Sisters and weather permitting will take them out into the grounds or over to the main convent. The home encourages and support carers to undertake National Vocational Qualification (NVQ) level 2 and level 3 training. The home employed 6 care St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 6 staff, 5 of those staff have successfully completed level 2 and 1 has almost completed it. Also 2 members of the care staff are currently undertaking NVQ level 3. Also 2 of the housekeepers have successfully completed NVQ level 2 in Housekeeping and Hotel Standards. Staff training is seen as a high priority in the home. Each member of staff had an individual training and development programme. The home has a structured induction programme that all new members of staff are required to complete. Each new member of staff has an identified Registered General Nurse (RGN) who will work through the induction with them. In addition the home accesses the Learndirect Induction. Through observations and discussions with the manager it appeared that the home was well run and effectively managed. The manager demonstrated a commitment to providing a high quality service that was focused on the individual needs of the Sisters. Evidence was seen that systems were in place, which safeguards and protects the Sisters financial interests. What has improved since the last inspection? What they could do better: St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 7 Of the National Minimum Standards inspected on this occasion there were no identified areas of improvement required. 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. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 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 Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were assessed during the previous inspection. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were assessed during the previous inspection. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 13 The home provided a good environment for the Sisters who live there with a wide range of activities and the Sisters were able to maintain contact with family and friends. EVIDENCE: The Sisters were regularly consulted on a 1:1 basis regarding activities and outings arranged on their behalf. The manager said that Sister Rosemary, the Business Manager, had the responsibility of organising the activities and records were kept to demonstrate that the Sisters were consulted regarding the activity programme. Activities and outings were advertised in poster format and the Sisters were also individually informed. The home encouraged visiting and had an open visiting policy. To respect the privacy of the Sister’s visiting after 9pm would be made via a prior arrangement. The remaining core standards were assessed during the previous inspection. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were assessed during the previous inspection. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were assessed during the previous inspection. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 30 Staff appeared to be trained and competent to do their jobs. Appropriate NVQ training is being provided EVIDENCE: It was commendable that all care staff were supported and encouraged to undertake appropriate training. As already stated in this report all care staff had successfully achieved NVQ level 2 with the exception of 1 member of staff that had almost completed it and 2 members of staff had gone on to undertake NVQ level 3. Evidence was seen of a structured induction programme and individual training and development plans were available for inspection. The remaining core standards were assessed during the previous inspection. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 & 35 The management of the home ensures that the Sisters benefit from a well run home. The home had systems and procedures in place, which safeguards and protects the Sisters financial interests. EVIDENCE: The registered manager is an experienced RGN who has recently successfully completed the Registered Managers Award. Where possible the Sisters have control of their own money. For the Sisters who are unable to do this, a liaison Sister from the convent has this responsibility. Evidence was seen that records and receipts are kept of all transactions. Secure facilities are provided for safekeeping of money and valuables on behalf of the Sisters. Receipts are given if any possessions are handed over for safekeeping. The remaining core standards were assessed during the previous inspection. St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations St Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 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 Euphrasia`s DS0000021659.V275781.R01.S.doc Version 5.1 Page 19 - 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!