Inspection on 04/07/05 for St John`s Home

This inspection was carried out on 4th July 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 10/10/05

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 JOHNS HOME Wellingborough Road Weston Favell Northampton NN3 3JF Lead Inspector Pat Harte Unannounced 4th July 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 JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St JohnsHome Address Wellingborough Road, Weston Favell, Northampton, NN3 3JF 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) 01604 401243 01604 414722 admin@stjohnsreshome.co.uk www.stjohnsreshome.co.uk Mr Eric Watson, St Johns Home, Weston Favell, Northampton, NN3 3JF Mrs Helen Love CRH 42 Category(ies) of OP Old Age - 42 places registration, with number of places St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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. Date of last inspection 4. 8. 2004 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 Manager is Mrs. Helen Love and the Board of Trustees oversee and monitor the service. 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 type building with an extension, set in its own grounds and providing accommodation on two floors. The Home has a passenger lift. Because of the layout of the building People with severe mobility problems, on admission, cannot be accomodated. All Residents are offered single bedroom accomodation, which is over two floors. All rooms have en suites facilities except 1 where its own bathroom is immediately adjacent, those that do not are close to bathing and toilet facilities. The communal facilties include lounges and a dining room. 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 by the Community Nursing services. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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. The primary method of inspection used was ‘case tracking’ which involved selecting three Residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. In addition discussions were held with the Manager, four staff and three other Residents. Written comments were also received from twenty-two Residents, twenty-nine Relatives and fifteen visiting Professionals. Comments on the care provided by the Home were very positive. A partial tour of the premises took place and a selection of records was inspected. The Inspection was unannounced and took place during the late morning and afternoon over a period of six hours. What the service does well: The Manager or senior staff from the Home carry out a through assessment of all prospective Residents and only those people who’s needs can be met in full are admitted to the Home. Care is taken to ensure Residents’ needs are constantly monitored and reviewed and that staff are kept fully briefed on any changes. The Home has a committed and caring staff group who work together as a team. Staff turnover is low and this provides Residents with continuity and consistency of care. Residents spoken with felt that their relationships with staff were very good and that staff provided them with good care, support and encouragement. Residents are given choices in the daily menu and they felt that their likes and dislikes and special dietary needs were known and respected by the catering staff. Routines in the Home are relaxed and flexible and Residents confirmed that they were free to choose how and where they wished to spend their time. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 6 Residents are encouraged, supported and enabled to be as independent as possible and staff take ensure that they carry out personal care tasks in private to protect their privacy and dignity. The general and domestic maintenance of the Home was good, providing the Residents with comfortable, safe and homely surroundings. 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 JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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 JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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) 1, 2, 3, 4, & 5 Prospective Residents are provided with information on the Home to enable them to make informed choices regarding their placement. The pre-admission assessment is thorough and effective EVIDENCE: Individual records are kept for each of the Residents and inspection of the records showed that the assessment process was thorough with senior staff visiting all prospective Residents in order to make a preliminary assessment of their needs. Where it is assessed that needs can be met Prospective Residents and their Relatives are then asked to visit the Home, view the potential accommodation, meet with staff and other Residents and discuss further their individual requirements with Senior Staff. Residents spoken with felt that they had been given good information on the Home’s services and facilities. They felt that pre-admission visits to the Home had really helped them to make to make up their minds as to whether they wished to move into the Home. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 9 Staff spoken with felt that they were provided with good information on new Residents needs and were prepared to receive and care for them. Specific assessment tools were used to identify any risk factors such as the need for special diets or pressure care. Assessments were carefully documented and showed that Residents had been consulted on their preferred routines and that their wishes had been respected. Records showed that all residents are provided with a written contract/Residents agreement. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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, & 11 Residents care needs are met and staff ensure careful monitoring of any changes with prompt referrals made, where necessary to relevant Health Care and other Professionals. EVIDENCE: Residents stated that care staff took account of their personal preferences for the timings of the care routines and how they wished the care to be carried out. They stated that they felt staff respected them as individuals and enabled them to retain their independence as much as possible by allowing them to do things for themselves. They confirmed that staff protected their dignity and privacy when carrying out personal care tasks. Three care plans were inspected; the plans identified Residents needs and provided guidance to staff on the how the care was to be provided. The timings for the routines and areas such as hair or denture care were not always stated although it was clear from discussions with staff that they were fully aware of the routines and support needed. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 11 Records showed that staff monitor and record Residents health care needs carefully and are quick to refer any concerns to the Community Medical services and to other relevant specialists such as the Continence Advisor. Arrangements are made for Residents to undertake routine screening and health checks. Discussions with the Manager and the review of records showed that care can be provided for Residents who are ill or dying so long as needs can be met with the support of the Community Medical and Nursing services. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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, 14 &15 Residents are enabled to control their own lives. The meals in the Home offer a good choice, variety and cater for special dietary needs and individual likes and dislikes. EVIDENCE: Residents stated that account was taken of their personal lifestyle preferences and that they could spend their time as they wished. They said that staff provided them with support and encouragement but respected their rights to exercise choice and control over their own lives. They stated that the Home had an activities programme including trips out. They felt that they were supported and encouraged by staff to maintain and pursue their individual interests. The Home has an open visiting policy and Residents confirmed that they were able to receive their visitors in private. Records and discussions with the Manager and staff showed that relatives are encouraged to be involved in the care of their Residents and are kept fully informed of any changes in their condition. Overall Residents were positive in their comments on the food provision. They felt that their likes and dislikes were known to and respected by staff. They St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 13 were provided with choices and further alternatives were made available if requested. They felt able to raise any concerns on the quality of the food and confirmed that their opinions were constantly sort and every effort made to address any issues Residents are encouraged to take their meals in the main dining room to promote social interaction but may also take their meals in the lounges or their rooms. The serving of the mid day meal was efficient and the food was nicely presented. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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, 17 & 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 information on how to complain and felt that they were able to raise any issues with the staff or Manager. The Commission has not received any complaints in the last year and the Manager demonstrated that any “grumbles” or complaints were taken very seriously, investigated and a resolution sought. Procedures are in place to protect Residents from abuse. Staff demonstrated their understanding of the overall procedures. Senior staff have the responsibility of making notifications to the relevant Authorities. No allegations have been made. Staff ensure that Resident legal rights are protected and arrangements are made for them to exercise their civil rights to vote. Information on Independent Advocacy services is available to Residents. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26 The Home was safely maintained, clean and comfortable and suitable for the needs of the Residents. EVIDENCE: Standards of domestic and hygiene maintenance were viewed as good. Residents stated that domestic routines were carefully carried through to prevent any disruption to them. The general upkeep of the building was viewed as good. Standards of décor and furnishings were of good quality, homely and comfortable. Thermostatic control valves are fitted to all hot water outlets used by Residents to ensure safe water management and prevent the risk of scalding. Standards of hygiene maintenance in bathing and toilet facilities were good. Specialist equipment, such as mobility aids are obtained for Residents where necessary. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 16 Residents confirmed that their rooms were suitable for their needs and they were enabled to personalise them and have their belongings and furniture around them. Residents have access to substantial, pleasant and safely maintained garden area. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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 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, 28, 29 & 30 Procedures for the recruitment of staff were robust and provided safeguards to offer protection to people living in the Home. Staffing levels were sufficient to meet the needs of the Residents. EVIDENCE: Residents praised the staff group highly and stated that they were sensitive and caring and responded promptly to their needs. . Discussions with two staff members, the Manager and Residents confirmed that current staffing levels are sufficient to meet Residents needs as the dependency levels of Residents admitted are generally low. There are 6 to 7 care staff on each daytime shift week days, 5 on Saturdays, 4 on Sundays and 2 waking plus 1 sleeping in carers on duty at night. The Home also employs catering, administrative and domestic staff. The dependency levels of Residents are closely monitored and adjustments to the staffing levels can be made if necessary. The records relating to 2 staff members were inspected and showed that the appropriate checks and references had been obtained. Records and discussions with staff confirmed that new staff receive induction and on going training is provided to all staff on both core and specialist areas. On the day of Inspection a number of staff were receiving training on St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 18 understanding the needs of People with Dementia. 77.8 of the care staff group have attained a National Vocation Qualification. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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) 31, 32, 33, 35 & 38 The Management of the Home is overall effective, accessible and responsive to the needs of both the Residents and staff. EVIDENCE: The Manager demonstrated, through discussions, her commitment to the well being of the Residents. Staff spoken with felt that the Manager was easily accessible to them and was willing to discuss any issues and guide them in practice. Supervisions systems were in place to ensure that staff receive guidance and support. Residents felt the Manager was readily available to them. They commented that regular Residents meetings were held and that the Manager also sought their individual views on almost a daily basis. Residents felt that their opinions were listened to, valued and acted upon and that they were consulted and St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 20 involved in the running of the Home. They stated that they had trust and confidence in the staff group as a whole. The recording systems for the safekeeping of Resident’s moneys were inspected. The records were well maintained but receipts for services such as chiropody or hairdressing were not available. The Manager has agreed to address this area to ensure that all transactions made by staff on a Resident’s behalf are verified. The overall approach to the health and safety of Residents and staff was good. Records showed that staff receive regular updates in core training areas such as Fire Safety and Movement and Handling Training. There are systems in place for the reporting and addressing of any health and safety issues or risk areas. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 x x 3 St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 22 No 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 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 35 Good Practice Recommendations Where services such as Chirpody and Hairdressing are paid by staff from moneys held for safekeeping individual receipts should be maintained to verify the transactions. St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Newland House, First Floor 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. Extracts may not be used or reproduced without the express permission of CSCI St JOHNS HOME D C08 C51 S31661 St Johns Home V223467 040705 stage 4.doc Version 1.30 Page 24 - 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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