Inspection on 10/10/05 for St John`s Home

This inspection was carried out on 10th October 2005.

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 John`s Home 16/04/07

St John`s Home 04/07/05

St John`s Home 04/08/04

St John`s Home 25/05/04

St John`s Home 13/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE St John`s Home Wellingborough Road Weston Favell Northampton Northants NN3 3JF Lead Inspector Mrs Pat Harte Unannounced Inspection 10th November 2005 11:15 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 John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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 John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St John`s Home Address Wellingborough Road Weston Favell Northampton Northants NN3 3JF 01604 401243 01604 414722 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 Johns Home Ms Helen Love Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. By agreement there is one (1) female service user who is currently accommodated in the home with needs within the personal care category of DE(E) Dementia 04/07/2005 Date of last inspection Brief Description of the Service: St Johns Home is Care Home for older People run by a Charitable Trust that has been in existence for 850 years and which received a Royal Charter from King Charles 1st. The Board of Trustees oversees and monitors the service. The Manager is Mrs. H. Love. The Home provides places for up to 42 permanent Residents and is situated in the Weston Favell suburb of Northampton, easily accessible by public transport. The premises consist of a large Manor House styled building with an extension set in its own grounds. The accommodation is on two floors, there is a passenger lift for ease of access to the first floor. Because of the layout of the building People with severe mobility problems applying for a place cannot be accommodated. All Residents are offered single bedroom accommodation. All rooms have en suites facilities except 1 where its own bathroom is immediately adjacent. The communal facilities include lounges and a dining room. Residents have the use of very pleasant ground. It is important to note that qualified nurses are employed on the management team by the Home for historic reasons. The Home is not registered as a nursing home and nursing care is provided to Residents by the Community Nursing services. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for Service Users and their views of the service provided. Inspection planning took one hour and consisted of a review of the last inspection report and recommendations made together with the Home’s service history including notifications and events. The primary method of inspection used was to talking with eight of the Residents to obtain their views and opinions on the service. Observations were made on routines and care practices; a selection of records and areas of the premises were inspected. Discussions were held with 3 members of care staff and the Manager and senior staff. Feedback on the Inspection outcome was given to the Manager The Inspection took place during the late morning and afternoon over a period of four and a half hours and was carried out on an unannounced basis What the service does well: Residents said St. John’s House was a good place to live. They felt that they had control of their lives, were supported to exercise their rights and make decisions for themselves. Residents viewed the Staff group as committed and caring. They spoke of very good relationships and stated that staff provided them with good care and support. Routines were relaxed and flexible. Residents said they had free choice in how and where they wished to spend their time and took account of Residents’ preferred lifestyles. Residents felt that they were valued and respected by staff and treated as individuals. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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 John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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 John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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 the following standard(s): 1, 2, 3, 4 & 5 There is a thorough process for assessing the needs of prospective Residents that is supported by written information. This ensures that the Residents admitted to the home know their needs will be met. EVIDENCE: Residents stated that before they came to live at St. John’s House they and their Relatives had visited the Home to view the facilities and discuss the service in order to determine whether they wished to place their name on the waiting list. They were provided with written information on the Home and its services. They stated that when a place became available they were visited by the Manager or Senior Staff who carried out an assessment of their needs to ensure they could be met. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 9 They and their Relatives were then able to visit the Home again and view the bedroom accommodation offered, meet with staff and other Residents. They felt that this process was very good and gave them plenty of opportunity to discuss any queries or worries. Specific and recognised assessment tools are used to identify risk areas. Residents stated that they had been provided with written contracts and were aware of the terms and conditions of residency. It was evident, through discussions with staff, that staff were well prepared to receive new residents and had been given information on their needs, preferred routines and the tasks to be carried out. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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): 7, 8, 9 & 10 Residents are consulted and involved in the development of their care plans with agreement reached on how the care is to be provided. Residents are encouraged to maintain their independence as much as is possible. EVIDENCE: Each Resident has a care plan that sets out the support they need and how this will be provided. A new format is being developed for care plans. One new care plan was viewed and discussed with the Manager. This was found to be very thorough covering all areas of need. The level of guidance and instruction provided to staff on how the care is to be carried through has been increased to a good level. Residents felt that staff kept their care needs under constant review and made changes where necessary and in consultation with them. Residents stated that staff closely monitored their health care needs and took prompt action to make arrangements for them to see their General Practitioners and other health care professionals. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 11 They felt that they were encouraged to maintain as much independence as possible and were allowed to do things for themselves. Residents commented and staff demonstrated that each Resident is respected and valued as an individual. Where possible Residents are encouraged to maintain control over their medication. The Home’s systems, policies and procedures records and medication storage arrangements were in good order. Medication was safely and effectively managed. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 & 15 Residents are enabled to continue with their preferred lifestyle routines and exercise control over their lives. EVIDENCE: Residents stated that they were supported to continue with their preferred lifestyle routines and had choice in how and where they wished to spend their time. They stated that they were encouraged to pursue their interests and hobbies being given support and help by staff. The Home has a programme of activities devised in consultation with the Residents who stated that they had free choice as to whether or not they wished to join in. The Home has an open visiting policy and family and friends are encouraged to take an active interest in their Resident’s lives. The Home extends hospitality to all visitors. Discussions with the Manager confirmed that Residents would be supported and protected where they expressed a wish not to receive visitors. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 13 Residents stated that the food provided was good, that they had choice and their likes and dislikes were respected. They confirmed that alternatives were always available to tempt their appetites. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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 the following standard(s): 16 & 18 Systems are in place to protect Residents from abuse and to ensure that complaints are listened to and acted upon. Resident’s rights are protected. EVIDENCE: Residents confirmed that they had received written information on the Home’s complaints procedure and stated that they had confidence to raise any issues or concerns with staff. The Complaint record showed that prompt attention is paid to investigating and resolving any issues whether Residents, Relatives or Visitors to the Home raise these. The Commission has received no complaints in the last year. Robust procedures are in place to protect Residents from abuse and staff receive training in this area. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 15 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 & 26 The Home is well maintained, safe, warm, clean and comfortable and provides Residents with an attractive and homely environment. EVIDENCE: The Home has programmes for ongoing maintenance and refurbishment. Physical standards were good. Residents stated that they found their surrounding comfortable and homely. They are enabled to personalise their bedrooms as they wish and arrange their furniture to their liking. They are enabled and encouraged to have their own possessions around them. Residents stated that domestic routines were flexible and not disruptive to their lifestyles. Standards of domestic and hygiene maintenance were viewed St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 16 as good. They said that the laundry arrangements were efficient, care was taken with their clothing and items did not go missing. Observations and Residents comments confirmed that appropriate aids were obtained for them and equipment such as hoists were provided. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 29 The Home provides staff with good access to training in order to develop their understanding, skills and competencies. Staffing levels are sufficient to meet the needs of the Residents. EVIDENCE: Residents spoken with said that all the staff, including ancillary staff, were very kind, committed and caring. They felt and observations confirmed that staff responded promptly to their needs. Staffing levels are kept under review and can be adjusted where necessary to meet changing dependency levels. Staff were viewed as very committed and caring and Residents spoke of good relationships and interaction. Discussions with staff showed that they knew their Residents well and had knowledge and understanding of their needs and conditions. Staff felt that they were provided with good levels of training in order to develop their skills and competencies. Over 80 of the care staff group have attained a National Vocational Qualification. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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, & 38 The Management of the Home is effective and efficient and the home is run in the best interests of the Residents. EVIDENCE: Staff spoken with felt that the Manager was easily accessible to them and was willing to discuss any issues, guide them in practice and offer support and supervision. Residents felt the Manager was readily available to them. They commented that she met regularly with them to seek their individual views and opinions of the service always seeking to improve the service. Residents felt that they had trust and confidence in both the Manager and the staff group as a whole and that the Home was run in their best interests. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 19 Due attention was paid to Health and Safety and no hazards were observed. The Manager has reviewed the provision of Movement and Handling training for staff. Senior staff have undertaken Instructors training and now provide in house training to the staff group which is both convenient and less disruptive to the maintenance of staffing rotas. St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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 3 3 3 3 3 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 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X 3 St John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 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. 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 John`s Home DS0000031661.V253106.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. 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