Inspection on 06/09/06 for St Giles Private Nursing Home

This inspection was carried out on 6th September 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 Giles Private Nursing Home 25/04/08

St Giles Private Nursing Home 27/01/06

St Giles Private Nursing Home 13/07/05

St Giles Private Nursing Home 08/02/05

St Giles Private Nursing Home 16/07/04

St Giles Private Nursing Home 16/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE St Giles Private Nursing Home Tile Cross Road Garretts Green Birmingham West Midlands B33 0LT Lead Inspector Sara Gibson Unannounced Inspection 6th September 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 Giles Private Nursing Home DS0000024893.V293330.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 Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Giles Private Nursing Home Address Tile Cross Road Garretts Green Birmingham West Midlands B33 0LT 0121 770 8531 0121 770 8146 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) St Giles Care Limited Sibongile Malevu Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered to accommodate 48 adults over the age of 65 who are in need of nursing care for reasons of old age and will include one named individual, who is 48 years of age and is in need of nursing care whilst alternative private housing is arranged. One named individual who was 48 years of age at the time of admission and in need of nursing care can be accommodated and cared for. Up to five service users between the ages of 55 and 65 years who are in need of nursing care can also be accommodated and care for in this home. 27th January 2006 2. 3. Date of last inspection Brief Description of the Service: St Giles is registered for 48 older people, who require nursing care. The home is also registered to accommodate up to five people between the ages of 55-65 who are in need of nursing care. St Giles is situated in Garrets Green, close to public transport links and has facility for off road parking. The home is purpose built and the accommodation is spread over two floors. All bathrooms are on suite with toilet and washbasin. Bathing facilities are shared, with a mixture of assisted baths and floor draining showers on both floors of the building. Dining facilities and lounges are communal and the home also has a hairdressing salon. Kitchen and laundry facilities are based on site. The home is a non-smoking environment and a shelter is provided outside for this purpose. St Giles employs an activities coordinator and a wide range of activities are on offer. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process took place over a number of weeks, gathering evidence and information via questionnaires from residents and their relatives, spending time at the home talking to residents, staff and the manager, examining a number of documents including staff files, residents care plans, training and supervision records, health & safety records, and carrying out a full tour of the premises. What the service does well: 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 Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 6 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 Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 7 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): 3 and 4 The quality outcome for this area is excellent. The judgement is based on available evidence including a visit to the service. All new residents receive a full comprehensive needs assessment before admission. Assessments are carried out by staff with skill and sensitivity taking into account the individuals cultural, religious and social preferences. Staff are well briefed on the needs of new residents, and significant time and effort is spent making admissions to the home personal and well-managed. EVIDENCE: Prior to prospective residents being admitted to St Giles, a thorough and comprehensive pre-admission assessment is completed. This enables the home to ensure they can fully meet the needs of the resident, and the resident has all the relevant information about the home prior to admission. The assessment tool used by St Giles is excellent. The information gained helps to inform the individuals care plan and their risk assessments. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 8 Area’s looked at in the assessment include personal details, past medical history, current medications, allergies, general appearance, communication needs, safety, skin integrity, diet, personal care, hobbies and interests, daily routines, spiritual needs, mental health, sleep patterns, death & dignity, equipment, aids and adaptations needed. Once this assessment is complete it provides the home with an excellent picture of the resident and allows them to start planning for admission, installing necessary equipment and planning staffing rota’s. Residents and their families have all the necessary information needed to allow them to make an informed choice about living at St Giles. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 9 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): 7,8,9 and 10 The quality outcome for this area is excellent. The judgement is based on available evidence including a visit to the service. Health care provision and general care delivery is very good. Care plans are comprehensive, thorough and detailed enabling all staff to provide individualised “person-centred” care. Medication practices are thorough and safe. Staff are well trained in medication administration procedures. Residents are cared for in a respectful manner ensuring that their dignity and self-esteem are maintained EVIDENCE: Care plans examined during the inspection were of a very high standard. They were comprehensive, thorough, detailed and reflected the current needs of the residents. Specific care plans are in place for acute medical conditions and these are updated when changes occur. Care plans give a full holistic picture of each individual resident covering everything from personal hygiene needs to skin integrity, sleep patterns, individuality and cognitive functions. The care plans are well written and enable all staff to provide individual “person-centred” care. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 10 Health care provision and general care delivery is very good. Residents seen looked well, were comfortably dressed and happy. The atmosphere in the home was relaxed and happy. Good interaction was observed between staff and residents, and residents confirmed they are always treated with respect and dignity. Medication practices are much improved. Medications are stored appropriately and internal audits take place regularly to ensure policies and procedures are followed. Staff have received training in medication administration, and this is reflected in the improved practice. St Giles Private Nursing Home DS0000024893.V293330.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, 14 and 15 The quality outcome for this area is good. The judgement is based on evidence available including a visit to the service. The activities on offer meet the expectations, interests and abilities of the residents. Residents are supported to maintain contacts with their families and friends. Residents are given the choice and freedom to make decisions about their daily lives and this ensures their independence and individuality is maintained. The choice of wholesome and well-presented meals meet any special dietary needs of residents for reasons of health or cultural/religious beliefs. EVIDENCE: The home has a dedicated Activity Co-ordinator who provides an activity programme for all the residents, taking into account their individual needs and preferences. Activities include progressive mobility sessions, church services, games, karaoke, quizzes and arts & crafts. Residents birthdays are celebrated with parties, and family and friends are welcomed to join in. The home has an open visiting policy, and contact with family and friends is encouraged and supported by staff. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 12 Residents are offered choice and control, and encouraged to maintain their independence by personalising their bedrooms, choosing what to do each day with activities, what clothes to wear and meal choices. A mealtime was observed during the inspection. Dining rooms are spacious, the tables are nicely laid and staff assist discreetly where necessary. Menu’s are varied and offer choices from bread type to sandwich filling to hot or cold meals to vegetarian options. A choice of hot/cold drinks are available throughout the day. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 13 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): 16 and 18 The quality outcome for this area is good. The judgement is based on available evidence including a visit to the service. The complaints procedure is accessible to residents and their visitors should they need to make a complaint. Complaints are investigated in a timely and appropriate manner. The home has adult protection policies and procedures in place, and staff have a good understanding of adult protection and receive regular training. EVIDENCE: The home has a comprehensive complaints procedure. The procedure is accessible to residents and their visitors should they wish to complain. Since 31/10/05 nine complaints have been received on various issues from laundry problems to staffing. All complaints were responded to quickly, investigations and outcomes are documented, and all complainants were satisfied with the responses received. Adult protection policies and procedures are in place, and staff have a good understanding of adult protection issues. The manager has received formal training in adult protection and has cascaded the information down to the staff. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 14 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): 19, 20, 21, 22, 23, 24, 25 and 26 The quality outcome for this area is good. The judgement is based on available evidence including a visit to the service. Residents live in a homely, comfortable, clean environment. There are appropriate aids and adaptations available for residents use and this ensures that their comfort and independence is maintained. EVIDENCE: A full tour of the home was undertaken during the inspection. The home is well decorated, carpets are in good order and the communal areas such as the lounges and dining rooms are spacious and comfortable. Bedrooms are personalised to the individuals taste and all have call bells to summon assistance if required. Bathrooms and shower rooms were in good order although the bath hoists require general cleaning underneath to ensure infection control practices are maintained. A wheelchair cushion was left on the floor of the shower room, St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 15 again staff must ensure that bathrooms are left clean and tidy to maintain infection control practices. Infection control audits are regularly carried out by the manager. Liquid soap and paper towels are in place where required. The home has a number of aids and adaptations for residents use including hoists, wheelchairs, air mattresses, and pressure relieving equipment. All these were found to be in good order and well maintained. In general the home is well maintained, in good decorative order and odour free. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 16 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): 27, 28, 29 and 30 The quality outcome for this area is good. The judgement is based on available evidence including a visit to the service. There is a stable permanent workforce and this ensures that residents receive continuity of care. Staff recruitment procedures are thorough and robust. Supervision takes place regularly and is well documented. Staff training ensures that staff acquire the appropriate knowledge to support residents in a competent and safe manner. EVIDENCE: The home is well staffed with a stable permanent workforce and this ensures that residents receive continuity of care. Staff receive regular supervision sessions, attend staff meetings and receive regular training to ensure that they are competent and skilled, and that residents are safe and well cared for. Recruitment policies are robust, and staff files examined contained all the relevant information required such as references, CRB checks and work histories. All staff carry out an induction at the start of their employment which covers all aspects of care, mandatory training, social and cultural needs, diet and nutrition, housekeeping, communication and residents rights. Staff receive regular training, topics covered this year include tissue viability, palliative care, diabetes care, CPR and 1st aid. Future training includes St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 17 medication training, continence care, information sessions from the GP and the local pharmacist, health & safety, and NVQ for carers and housekeeping staff. Annual appraisals are carried out on all staff to evaluate their performance, competence, skills and to identify future training and development needs. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 18 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, 32, 33, 35, 36, 37 and 38 The quality outcome for this area is good. The judgement is based on available evidence including a visit to the service. This is a well-managed home and systems for resident consultation are good ensuring that they are able to put their views forward about the services provided at the home. Staff are trained in health & safety issues in order to safeguard residents. All equipment used at the home is regularly checked and maintained, and appropriate records are kept. EVIDENCE: The home is well-managed, and the manager has recently completed her Registered Managers Award. Management meetings regularly take place with the homes owners who are very supportive, and the manager is very proactive and interacts well with all staff and residents. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 19 The home has a very good quality assurance system and were recently awarded ISO9001:2000 for quality. Regular audits take place by the owners, external pharmacy audits and infection control audits. Residents and their representatives are regularly consulted about the service they receive via questionnaires, face to face meetings and informal discussions. Residents finances are well-managed, documented and regularly audited. Staff are regularly supervised and issues raised are followed through. Training and development needs are identified and planned for. All records and documents in the home are well maintained, in good order, regularly reviewed and updated. The homes health & safety practices are excellent. Generic risk assessments are in place, there is good accident recording and analysis of trends, all aids and equipment are in good order, regularly checked and maintained. The home is safe, well maintained and in good order. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 20 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 4 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 3 4 St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 21 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 OP21 Regulation 16 Requirement The bath hoists require a general clean, particularly underneath to ensure standards of hygiene are maintained. Bathrooms to be free from personal items such as the wheelchair cushion to maintain infection control practices. Timescale for action 01/10/06 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. Refer to Standard OP29 Good Practice Recommendations It is recommended that CRB checks are stored separately from staff personnel files. St Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Giles Private Nursing Home DS0000024893.V293330.R01.S.doc Version 5.1 Page 23 - 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. 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