Inspection on 30/06/05 for St Georges

This inspection was carried out on 30th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Georges 25/09/07

St Georges 11/04/07

St Georges 26/02/07

St Georges 29/11/06

St Georges 28/02/06

St Georges 13/01/05

St Georges 25/08/04

St Georges 10/02/04

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 Georges Abbey Hey Lane Gorton Manchester M18 8RB Lead Inspector Sue Jennings Unannounced 30 June 2005 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 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 Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Georges Address Abbey Hey Lane Gorton Manchester M18 8RB 0161 220 8885 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Haile Kidane Mrs Margaret Beech Care home only (PC) 10 Category(ies) of Old age, not falling within any other category registration, with number (OP) (10) of places St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The overall maximum number of service users in the home is 10 places for service users requiring personal care only by reason of old age (OP). 2. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. Date of last inspection 13 January 2005 Brief Description of the Service: St Georges is a privately owned residential care home providing accommodation for up to 10 people aged 60 and above. The home is situated in the Gorton area close to public transport links into Manchester City Centre and Hyde. The home is a three-storey property previously used as a rectory. The accommodation is provided in one double bedroom and eight single bedrooms located on two floors. Access to the first floor is via a passenger lift and a central staircase. The third floor provides office space and a staff sleep-in room. None of the bedrooms have en-suite facilities. All bedrooms have a washbasin and vanity mirror. Accessible toilet and bathroom facilities are provided on the ground and first floors close to the living accommodation. There is a lounge on the ground floor with a separate dining room. A kitchen and laundry are also located on the ground floor. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over a 5-hour period on Thursday 30th June 2005. During the inspection time was spent talking to three residents and two members of staff. This was to find out what it was like to live at the home. Time was also spent looking at the home’s records, resident’s files, care plans and other documents. The manager was on holiday at the time of this inspection so information relating to some of the requirements made at the last inspection could not be fully assessed. These issues will be discussed with the manager at the next inspection. During this inspection only a selection of the National Minimum Standards were assessed in order to get a full picture of what it is like to live at this home this report should be read with the previous and any future reports. What the service does well: The home is small and has a friendly welcoming atmosphere and residents and staff appear to have developed a good relationship. Three of the residents were spoken to during the inspection and all said that the staff were kind and friendly. One resident said that they were able to go out every weekend to their son’s home. When asked if they had to ask the staff’s permission they said “no I ring him and make the arrangements and then tell them I will be going out, there is never a problem”. Visitors were welcomed into the home one resident said “my family visit every day”. One resident said “these girls are wonderful, I can’t go out on my own and they take me to the shops or the market, there is usually something going on but you don’t have to join in I like to sit outside”. Another said “the girls work hard but they never complain”. Residents all said that the meals were nice and that staff asked them each morning what they wanted for lunch. One resident said “we had sausage casserole for lunch it was lovely, the food is always nice”. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 5 The home undertakes an assessment of prospective residents care needs prior to their admission and they and their relatives/friends are able to visit the home before making the decision to stay. EVIDENCE: A pre assessment document had been developed, to ensure prospective residents were only admitted on the basis of a full assessment. There had been three admissions to the home since the last inspection and the deputy manager reported that the document had been used. The deputy manager stated that one of the manager’s would visit a prospective resident in his or her own home or in hospital prior to admission. There was evidence to show that the Care Management Assessment had been obtained prior to admission. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 9 From observations and discussions with residents it was evident that the home was able to meet the needs of the residents accommodated. Prospective residents and/or their representatives were encouraged to visit the home before making a decision to move in. One resident said that they had come to the home on a trial basis “to see if I liked it”. All placements were reviewed after 6-weeks as a matter of course. The review meeting consisted of the resident, relatives, the registered manager and the Care Manager. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10 The home continued to improve the care planning process and had arrangements in place to ensure that the health and personal care needs of the residents are identified and met. EVIDENCE: It was commendable that the home had continued its efforts to improve the standard of the care plans. Samples of care plans were inspected and were found to contain risk assessments. The daily recording had improved and referred to residents care plans. There was evidence to show that care plans were being reviewed, which made sure that any changes to the plan were recorded and appropriate action taken to meet needs. A number of residents spoken to said that staff treated them with respect and dignity and that when being given personal care, dignity were maintained. The residents said they were not made to feel uncomfortable when staff assisted them to have a bath. Medication was dispensed into a ‘blister pack’ monitored dosage system and stored in a metal trolley, which was secured to the wall. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 11 There were some concerns about items other than medication being stored in the medication trolley. This included a box of bandages and a boxed digital thermometer it was recommended that both of these items should instead be stored in a first aid box. There were also concerns that medication, which required cool storage were being stored in the food fridge. This posed a potential risk of cross infection and the home must provide a separate medication fridge of the type that will allow storage between 20C and 80 C. Once in place the temperature of the medication fridge must be recorded on a daily basis. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 The home provided a homely environment for the residents who live there with some activities available. Residents were able to exercise choice and control over their lives and were able to maintain contact with family and friends. The home provided a nutritious, well balanced and varied diet for residents. EVIDENCE: Residents spoken to said that they were able to have visitors when they wanted and one resident said, “my son visits every day they also said that “ I go and have my lunch with my son at weekends”. The residents spoken to all said that they were able to choose what time they get up and go to bed “there are no strict rules”. One resident was phoning their son to make arrangements to visit him that evening. The home had a policy relating to visiting. There were no restrictions on visiting unless previously requested by the resident. Residents were able to receive visitors at reasonable times. Residents could receive visitors in the privacy of their own room or in any of the communal areas within the home. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 13 Access to the office telephone was available for the residents to maintain contact with friends and family. The residents were offered three meals a day. Meals were served in the dining room adjacent to the kitchen. On the day of inspection the meal was sausage casserole, vegetables and potatoes. One resident said “the food is very nice we had sausage casserole it was beautiful very tasty”. A choice of meals was offered at lunchtime if residents did not like the meal an alternative would be provided this was confirmed in discussions with residents. Supper was provided in the evening and consisted of a selection of hot and cold drinks and a variety of sandwiches, cakes and biscuits were offered. Staff were observed to offer drinks throughout the inspection. The staff appeared to be aware of individual residents preferences and these were catered for. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home had a complaints procedure that was known to residents and they knew how to make a complaint. The home’s policies and procedures were designed to protect the residents from abuse however staff required training in relation to Adult Protection Procedures. EVIDENCE: The complaint procedure included the address and telephone number of the Commission for Social Care Inspection and the complainant’s right to refer their concerns to the Commission for Social Care Inspection at any stage. The complaint policy must be amended to include a time frame for the home to respond to the complainant. The manager maintained a complaint register, which contained details of all complaints received, their outcomes and the action taken. There had been no complaints since the last inspection. One resident spoken to said, “I have no complaints” another said “the staff here are brilliant but if I did have a complaint I would speak to the manager”. Other residents spoken to said that they would not feel uncomfortable making a complaint. The home had a copy of the Manchester Multi-Agency policy for the Protection of Vulnerable Adults from Abuse. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 15 During discussions with staff it was noted that they were not fully aware of the procedures to be followed in the event of an allegation of abuse. Staff must receive training in relation to local Adult Protection Procedures. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22 and 26 The premises are safe and the homes environment including the standard of hygiene was well maintained both internally and externally. Specialist equipment was made available as required by individual residents to meet their needs. EVIDENCE: The location and layout of the home was suitable for its stated purpose. At the time of inspection the home appeared to be clean, tidy and free from unpleasant odours. The home provided a passenger lift to enable residents’ access to all floors. Appropriate aids were fitted i.e. assisted baths, handrails and raised toilet seats for residents who required assistance. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 17 Privacy locks were fitted to bathroom and toilet doors and an emergency call system was available. Resident’s bedrooms were seen to be comfortable and personalised. One resident said “I have my own room here and I was able to bring a few bits with me I have brought in my own photographs and ornaments”. Residents’ bedrooms had been fitted with a privacy lock suited to their capabilities and accessible to staff in emergencies. Residents were provided with a key on request unless a risk assessment suggested otherwise. All rooms had a lockable storage space for medication, money or valuables. The owner had produced plans for an extension to the home. This would provide additional lounge and dining room space. The plans had been approved but at the time of this inspection the Commission for Social Care Inspection had not received an application to vary the homes conditions of registration in respect of the planned works. The laundry was located on the ground floor next to the kitchen. Plans to resite the laundry during the proposed alterations. The deputy manager reported that dirty laundry was not taken through the kitchen and dining area whilst food was being prepared or served. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 The numbers and skill mix of staff appeared sufficient to meet the needs of the residents accommodated. EVIDENCE: Staff undertook various training courses in relation to Health and Safety, Moving and Handling, Basic First Aid and Fire Safety. However some of the Basic Food Hygiene certificates were outdated and staff required updated training in order to reduce the risks to the health and safety of residents. It was commendable to note that all but one member of staff had achieved NVQ Level II Award. One member of staff was working towards the award. The manager was on holiday at the time of inspection and it was therefore not possible to examine the staff files. This will be addressed at the next inspection. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The management of the home created an open and inclusive atmosphere resulting in practices that promotes and safeguards the health, safety and welfare of the residents living there. EVIDENCE: There was evidence to show that staff had attended various short courses including, Health and Safety, Moving and Handling, First Aid, Basic Food Hygiene and Fire Safety. The home had a policy and procedure relating to fire safety. Controls of Substances Hazardous to Health data sheets were held on file. Window restrictors had been fitted to windows in order to reduce the risk to residents of falls from an open window. Electricity and gas safety certificates were available for inspection. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 20 The home had not yet developed an effective Quality Assurance monitoring system the requirement for this to be developed is reiterated in this report. There was no evidence to show that resident’s monies were being paid into an account in the individual’s name or that interest was paid. This matter was raised in the previous report is reiterated in this report. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 x x 2 x 2 x x 2 St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? 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 9 Regulation 13 Requirement The home must have a fridge for storing medication and record the temperatures on a daily basis. The home must devise a method of recording when food thickening substances had been added to fluids and meals. The complaints policy must be amended to include timescales for responding to a complaint. Staff must training in relation to local Adult Protection Procedures. The registered provider must visit the home at least once a month and produce a report of their findings. A copy of this report must be forwarded to the Commission for Social Care Inspection area office. The registered provider must provide evidence that; a) residents personal monies are paid into an account in the name of the resident, and if the account pays interest, b) interest is credited to the individuals account. Timescale for action 30.9.05 2. 9 13 30.9.05 3. 4. 5. 16 18 33 22 17 26 30.9.05 30.10.05 30.9.05 6. 35 17 30.9.05 St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 23 7. 38 13 Staff training in relation to Basic Food Hygiene must be updated. The home must identify a method of triggering updated mandatory training. 30.10.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 9 20 Good Practice Recommendations It was strongly recommended that the container of bandages and the digital thermometer was not stored in the medication trolley. The registered person should submit an application to vary the homes conditions of registration before any building work is carried out. St Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 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 Georges F55 F05 s21580 St Georges V236549 D300605 Stage 4.doc Version 1.40 Page 25 - 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!