Inspection on 16/04/07 for St John`s Home

This inspection was carried out on 16th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 10/10/05

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 Ms Sarah Jenkins Key Unannounced Inspection 16th April 2007 08:00 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 John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St John`s Home Address Wellingborough Road Weston Favell Northampton Northants NN3 3JF 01604 401243 01604 414722 admin@stjohnsreshome.co.uk 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.V334156.R01.S.doc Version 5.2 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 10th October 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. The range of fees at the home is £371 - £555 with additional charges for hairdressing, chiropody and newspapers. Information about the home can be obtained from the Statement of Purpose and Service Users Guide available from the Registered Manager. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 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 (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 3 service users and tracking the care they receive through meeting with the service users, a review of their records, discussions with the care staff and observation of care practices. The Inspector spent two hours preparing for the inspection and just over six hours in the home. The visit was undertaken in the morning to observe practices by staff and to meet with service users. The pre-inspection questionnaire was filled in by the Registered Manager prior to the inspection and informed the inspection. The Commission for Social Care Inspection received twenty-two feedback comment cards from friends and relatives, and twenty from residents. Feedback was almost exclusively very complementary and showed that residents and their relatives were fully satisfied with the care at the home. What the service does well: What has improved since the last inspection? St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 6 The Manager and staff have continued to work hard and develop the service in consultation with their Residents. They continue to develop and explore the homes practices and plans for the future. Much consideration is going into the necessary changes to support the opening of the new wing that is being built, and to ensure that the next phase of the development goes well with proper consideration to a smooth transition and any extra training that staff may need. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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: Two recently admitted residents and a relative both complemented the home on the comprehensive admission procedure and the way in which the home explored all aspects of need prior to admission. They complimented the staff on their efforts to enable residents to continue precious social arrangements. Detailed information on the home is provided to prospective service users in a package including the Service Users Guide. Residents said they were very happy with the information that they received. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 9 Residents stated that they had been provided with written contracts and were aware of the terms and conditions of residency. As part of the full assessment process undertaken, specific and recognised assessment tools are used to identify risk areas. This ensures that the residents admitted to the home can be confident that their needs will be met. The homes’ current Statement of Purpose does not include the full detail as described in Schedule 1 of the Care Home Regulations. The Registered Manager informed the Inspector that this is to be rewritten and fully updated shortly, when the Trustees formally confirm the future changes in the home. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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: Residents expressed general satisfaction with the health care at the home, and the ways in which they were supported to access care. The Inspector observed a member of staff discussing a planned General Practitioner appointment with a resident and ensuring that the residents’ choices were fully taken into account. Records showed that staff support residents promptly with their healthcare needs, and monitor and overview progress. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 11 Each resident had a care plan that sets out the support they need and how this should be provided. Residents felt that staff kept their care needs under constant review and made changes where necessary and in consultation with them. Residents 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. The Inspector observed the administration of medicines, which was properly undertaken by trained staff. Service users are enabled to maintain independence in the management of their own medications where appropriate although the documentation demonstrating how such judgements are reached lacked detail. The senior staff member responsible for medication was reminded of the importance of ensuring all PRN (as required) medicines are held at the home. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are respected as individuals with individual needs and wishes. This understanding is central to the ethos of the home. Residents are enabled to continue with their preferred lifestyle routines and to exercise control over their lives. Staff understand their needs and, where necessary, give sensitive practical support. EVIDENCE: Of the residents who responded to the feedback questionnaire all but one expressed full satisfaction with the activities provided by the home, stating that there were always some arranged activities that they could take part in. Relatives confirmed that this was an area that the home “does well”. They said that in addition to arranged activities, residents were also encouraged to retain a degree of independence and there were opportunities for them follow their own interests. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 13 Staff at the home commended the activities program and there was evidence of the sensitivity and understanding of the home about the importance of this area in written information and instruction for staff. The relative of a service user who has now moved commented “the management and staff have been nothing but admirable in every aspect always caring, helpful and considerate to both residents and families.” Several relatives mentioned in the feedback questionnaires how good the support for and liaison with families was, particularly during “difficult times”. Staff and Residents stated that the food provided was very good, that they had choice, and their likes and dislikes were respected. They confirmed that alternatives were always available to tempt their appetites. Residents were particularly complimentary throughout about the ways in which the staff at the home enabled them to retain their preferred lifestyles. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that the procedures and systems, and the good communication between staff and residents protect them from abuse. EVIDENCE: The home has a good record for taking any allegation of any kind of abuse seriously, responding appropriately and undertaking a proper investigation. Staff have all have received relevant training in this area. Staff were observed to have very good relationships with service users. The quality of the communication is likely to pre-empt formal complaints as staff were clearly closely in tune with residents individual needs and likes and dislikes. Feedback forms confirmed that residents and their relatives were aware of the complaints procedure in the main. Some had forgotten the formal procedure but all were fully confident that they could approach the Registered Manager or Senior staff and receive a good response. The Commission for Social Care Inspection has received no complaints about the home since the last inspection. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 15 St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home is well maintained, safe, warm, clean and comfortable and provides Residents with an attractive and homely environment. EVIDENCE: The Inspector undertook a tour of all communal spaces and some bedrooms. The home was found to be clean homely and well maintained. Residents have a variety of spaces use within the home and pleasant grounds, courtyard and garden areas. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 17 Building work is currently being undertaken to extend the home but this is being well managed and residents did not report any concerns or problems in respect of this. Service users reported that the recent improvement work to the homes lift was well managed to cause minimum disruption. Maintenance of the home was seen to be promptly undertaken by maintenance staff on duty responding properly to any issues raised. Residents 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 as good. They said that the laundry arrangements were efficient, care was taken with their clothing and items did not go missing. Observations and records confirmed that appropriate aids and equipment were obtained for residents as needed. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and experienced and responsive to residents individual needs. They are kind, committed and caring and residents feel safe in their hands. 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. There were appropriate numbers of staff on duty at the time of the inspection to meet service users needs and rotas showed there were staff on duty regularly to this level. Discussions with staff and observations of practice showed that staff knew 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. There was evidence of a good overview St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 19 of staff training and update training is undertaken promptly when due. Over 85 of the care staff group have attained a National Vocational Qualification. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Management of the Home is effective and efficient and the home is run in the best interests of the Residents. EVIDENCE: The Registered Manager has many years of relevant experience and training and is committed to ensuring the continued development of the home is undertaken in a manner that doesn’t compromise the quality of care. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 21 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 showed that they had trust and confidence in both the Manager and the staff group as a whole and were confident that the Home was run in their best interests. Due attention was paid to Health and Safety and no hazards were observed. Quality Audit processes are in place and there is evidence that service users views are heard and responded to. A regular newsletter and notice board near the entrance to the home keeps residents appropriately informed of developments. Advice was given on the general organization of staff records and the quality of some records pertaining to residents care plans. The quality of records whilst generally very good, does not always do credit to the quality of care provision observed. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x 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 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x x 3 St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 23 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. 1 Refer to Standard OP9 Good Practice Recommendations PRN (as required) prescribed medicines should be available for use in the home at all times. St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St John`s Home DS0000031661.V334156.R01.S.doc Version 5.2 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. 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