Inspection on 03/02/06 for St Joseph`s Home

This inspection was carried out on 3rd February 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 Joseph`s Home 07/02/07

St Joseph`s Home 11/11/05

St Joseph`s Home 25/10/04

St Joseph`s Home 10/12/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE St Joseph`s Home 71 Queens Park Road Harborne Birmingham West Midlands B32 2BL Lead Inspector Kath Strong Unannounced Inspection 3rd February 2006 13:35 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 Joseph`s Home DS0000024894.V282363.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 Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Joseph`s Home Address 71 Queens Park Road Harborne Birmingham West Midlands B32 2BL 0121 427 2486 0121 428 3209 lspbirm@aol.com 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) Little Sisters of the poor Anne Laing Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide nursing care for up to 12 service users and personal care for up to 26 service users over the age of 65 years 11th November 2005 Date of last inspection Brief Description of the Service: The home is spread over three floors in a large, imposing building. The grounds are expansive and well maintained with their own graveyard for Sisters of the order. The home is run by a Roman Catholic order - The Little Sisters of the Poor. The home is part of this working order and Mass is said daily. Registration is for residential and nursing care for up to 38 persons of 65 years of age or above. Persons of any denomination are accepted; there is no spiritual coercion of residents. The standard of accommodation is exceptional with a large dining room and numerous other communal rooms situated on the ground floor. The spacious reception is regularly staffed. Smaller lounges and dining rooms are located on each floor. All bedrooms are en-suite, located on the two upper floors and there is a range of aids and adaptations for residents. There are 36 single bedrooms and one shared room. All rooms and communal areas are spacious and of a very high standard. The extensive grounds and garden are well established and maintained. St Joseph’s is conveniently situated for Harborne High St and is well served by main bus routes. There are a number of parking areas within the grounds to accommodate numerous vehicles. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the visit was to carry out an unannounced inspection; the outcome was determined by a variety of means. In depth discussions were held with the registered manager and the deputy manager, both persons assisted with the inspection process. Relevant documentation was examined including three care plans. Key standards not assessed at the last inspection were reviewed and the one minor requirement generated was checked. A partial tour of the premises was carried out and brief discussions held with some staff. Three residents were spoken with individually. Due to the high standards of service and accommodation this home provides this inspection constituted a lighter touch. In order to gain a full insight into the services provided it is recommended that this report should be read in conjunction with the report dated 11th November 2005. What the service does well: All aspects of the environment are spacious, of exceptional standard, well maintained, very hygienic and the premises offer interesting grounds and gardens for residents and visitors to frequent. There is a positive and homely atmosphere within a family culture. The home has a reputation for delivery of high standards of care and residents provide positive feedback. The home enjoys a low staff turnover resulting in a committed and loyal workforce thus ensuring continuity of care. There is a dedicated physiotherapy room and a GP consulting room situated on the ground floor. The recreational programme and facilities are superior with voluntary workers providing valuable assistance. Historically this home has complied well with the National Minimum Standards resulting in very few requirements being made. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 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 Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 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 Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 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): 2, 5 Residents are supplied with a contract of terms of residency that supplies all required information. All efforts are made to assist prospective residents in making a decision about the home. EVIDENCE: Since the last inspection the minor amendment has been made to the contract, which is issued to all residents irrespective of the funding arrangements. Prospective residents and their relatives are encouraged to visit the home as often as they wish before making a decision about the home. They are able to socialise with other residents and staff and to sample a meal. A trial period of four to six weeks is provided before a placement is confirmed. Standards 1, 3 and 4 were assessed at the last inspection and were fully met. St Joseph`s Home DS0000024894.V282363.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, 10 Care plans clearly document assessments and how needs should be met. The involvement of external professionals is encouraged. Observations revealed that staff practices ensure the privacy and dignity of residents is maintained. EVIDENCE: Care plans are maintained in a logical sequence for ease of access. Upon admission the pre-admission assessment tool is used as a framework for a more detailed assessment and collation of care plans that give clear instructions on how and when care should be delivered. Regular reviews are carried out. The daily recordings are comprehensive. The home adopts a proactive approach to the input of external professionals. Comments received from residents included, “Very happy, no problems, the standard of service and care is very good, treat me very well and take care of me if I’m ill”. Medication practices were noted to be satisfactory during the last visit. The system in place for residents who wish to self medicate are robust. Staff were observed being very courteous and discreet in offering assistance to residents. Standards 9 and 11 were assessed at the last inspection and were fully met. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 10 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): 15 The meals provided appear to be appetising and provide a balanced diet with good choices. EVIDENCE: The four week rolling menu seen was quite extensive. Breakfast offers two hot alternatives as well as cereals and toast. The main meal of the day is served at lunchtime and consists of three courses with a choice of two main courses. The evening meal offers two hot light meals or a salad and a dessert. Nighttime snacks are available upon request. Although serving of a meal was not observed positive feedback was given by residents such as, “Food on the whole is very good”. Another resident informed the inspector that he was on a low fat diet and that he has porridge each morning. The dining room is presented to a very high standard; tables are set in such a way as to encourage meals to be important social events. Standards 12 and 13 were assessed at the last inspection and found to be exceptional with a score of four being allocated to each one. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 11 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): None EVIDENCE: Standards 16, 17 and 18 were assessed at the last inspection and were fully met. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 12 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, 24, 26 The superior accommodation provides a warm, comfortable and safe environment for residents. EVIDENCE: The location and layout of the home is suitable for its intended purpose. The many communal areas are spacious and well appointed. The main dining room situated on the ground floor is especially well appointed and the furniture is age appropriate. There is a large activities room with facilities for cooking as well as a separate library and very large entertainments room. Each of the upper floors houses a lounge and dining room with kitchenette off. The size and layout of communal space and facilities far outweighs the minimum requirement. All bedrooms have en-suite facilities of toilet and wash hand basin; some include shower facilities. There is a full range of assisted bathing strategically located throughout the home. A sluicing room is available on each floor. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 13 Bedrooms visited are decorated and furnished to a high standard. There was evidence of personal items of furniture, ornaments and personal possessions. Residents spoken with expressed their satisfaction with their rooms. The home was warm, light and airy. The levels of hygiene throughout are excellent. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 14 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): 29, 30 The arrangements for the recruitment of staff are robust and protect residents from the risk of abuse. EVIDENCE: Reviewing of staff files revealed comprehensive documentation. Each file has an index of 42 headings making referral easy. Both reviews provided very detailed information and were found to be satisfactory. There was evidence that staff have received all mandatory and refresher training as well as any other training that is considered relevant to the needs of the current client group. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 15 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): 35, 33, 36, 38 There was evidence that senior staff carry out appropriate staff supervision. The arrangements for health and safety appeared to be sufficient to protect residents and staff from harm. EVIDENCE: The home carries out annual resident/relative/friend surveys and care plans are audited every two to three months. Advice was provided that the system requires further development to include departmental audits and staff opinions. A report needs to be compiled to include action plans and timescales collated for any deficits found. The report should be shared with residents and staff and a copy forwarded to CSCI. The system in place for the safe keeping and financial transactions of resident’s personal monies was satisfactory. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 16 The organisation has its own induction trainer; the induction is comprehensive and takes approximately six months to complete. Individual formal staff supervision meetings are held and documented regularly and an annual appraisal is also carried out. All aspects of checking and servicing of equipment are carried out as required. The homes maintenance operative carries out the checking of the fire alarm system and emergency lighting, both of which are recorded. No concerns were found regarding health and safety practices. Standards 31 and 32 were assessed at the last inspection and were fully met. St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 17 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 3 X X 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 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 4 X X X 3 X 4 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 3 X 3 St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 18 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 OP33 Regulation 24(1)ab (2) Requirement The registered person must further develop the quality assurance system and upon completion forward a copy to CSCI Timescale for action 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 19 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 Joseph`s Home DS0000024894.V282363.R01.S.doc Version 5.1 Page 20 - 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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