Inspection on 29/01/06 for St Josephs Home

This inspection was carried out on 29th January 2006.

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 Josephs Home 30/05/07

St Josephs Home 08/09/05

St Josephs Home 10/02/05

St Josephs Home 09/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE St Josephs Home Westmorland Road Newcastle Upon Tyne Tyne & Wear NE4 7QA Lead Inspector Karena M Reed Unannounced Inspection 29th January 2006 10:00 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 DS0000000405.V273425.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. DS0000000405.V273425.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Josephs Home Address Westmorland Road Newcastle Upon Tyne Tyne & Wear NE4 7QA 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) 0191 273 1279 0191 272 2893 ispnew@aol.com The Little Sisters of the Poor Sister Joseph Christine Care Home 58 Category(ies) of Old age, not falling within any other category registration, with number (58) of places DS0000000405.V273425.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 15 residents to receive nursing care 44 residents to receive personal care One bedroom may be used to provide either nursing or personal care. The total number of service users accommodated at any one time must not exceed 58. 8th September 2005 Date of last inspection Brief Description of the Service: St Josephs is a large, purpose built home on the outskirts of Newcastle. The accommodation is located over four floors and the building also houses its own convent and church. Car parking is located at the front of the building. There are extensive landscaped gardens surrounding the home with many seating areas available. There are two passenger lifts in the home. All bedrooms are single en-suite and meet or exceed minimum room size requirements. St Josephs is registered to provide personal care and nursing care. DS0000000405.V273425.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over five hours. A partial tour of the premises took place and a sample of care records were inspected as well as other records. Records included: 2 care plans, 2 staff files, the fire log record, the accident book, admission/discharge register, complaints record, staffing rotas, The manager and six carers were spoken to during the inspection. Time was also spent with 11 service users during the inspection. What the service does well: What has improved since the last inspection? Menus are more accessible to service users. DS0000000405.V273425.R01.S.doc Version 5.0 Page 6 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. DS0000000405.V273425.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 DS0000000405.V273425.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): 1,3,4,5 The home ensures that potential service users are provided with details of the services the home provides which helps them to make an informed decision about coming to stay in the home. Detailed information is made available when a referral is made. The home carries out their own detailed assessment prior to agreeing to admit people into the home to ensure that the home can meet their needs. Staff are equipped with the necessary skills in order to meet the needs of the service users. An induction programme is in place for prospective service users. DS0000000405.V273425.R01.S.doc Version 5.0 Page 9 EVIDENCE: A Statement of Purpose has been produced by the home and is available to prospective services to outline the services provided by the home. The service user guide details information in an informal, interesting style to tell people who may be coming to live in the home about services available. The Statement of Purpose and service user guide are updated annually. Inspection of records for two service users showed that full assessments had been carried out prior to their admission. A service user said that they had visited the home and received information verbally and in writing about the way it was run before moving in for a trial stay. The service user was also very happy with the care and attention received. Service users have the opportunity to visit the home as many times as they like to decide if they wish to live there. This may involve tea- time visits, day and overnight stays and can be adjusted to the pace of the service user. DS0000000405.V273425.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): 7,8,10,11 There are excellent arrangements in place to ensure that service uses’ health and social care needs are met. Very detailed information is available to ensure that all health care needs are clearly addressed and to ensure that the staff team are fully informed and aware of the support they need to provide. There are sound systems in place to ensure service users are treated with respect and their right to privacy is upheld. Systems are in place to ensure service users that at the time of their death, staff will treat them and their family with respect and sensitivity. DS0000000405.V273425.R01.S.doc Version 5.0 Page 11 EVIDENCE: Inspection of the records showed that an assessment is carried out prior to a service user’s admission. This is combined with information received from the care manager’s assessment of the service user’s care needs. The resulting care plan recorded very detailed information about the health and medical needs of the service user and the amount of staff intervention required in order to provide support. Information on the file was up to date and included: nutritional risk assessment, dependency assessment, pressure area risk assessment, malnutrition tool, continence assessment, falls risk assessment, diabetic eating risk assessment, challenging behaviour assessment, assessments for fluids, moving and handling assessments, environmental safety assessment. Daily recordings about the care provided to service users are contained in the service users’ care records. Information is also collected in order that the home can make an assessment of the service users social needs. Service users have a choice of General Practitioner if they are unable to retain their own when they move into the Home. There was evidence that GPs were regularly consulted for advice and treatment. Records were available to show other health personnel visit the home as required and service users are assisted to access chiropody, dental and optical services at least annually or as often as required. All of service users spoken to, said that they were treated well by the staff and well cared for. It was apparent during the inspection that attention was paid to service users’ dignity and staff were seen to act respectfully at all times. Discussion with staff and policies and procedures provided evidence that the death of a service user would be dealt with sensitively. Staff have received training about bereavement and death and dying. Service users are provided with care and support to enable them to live at the home until their death. Facilities are available to enable relatives to stay with their dying relative. Care plans of service users indicate the spiritual preferences and who will be responsible for the funeral arrangements of the service user after their death. DS0000000405.V273425.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): These standards were not assessed at this inspection. EVIDENCE: DS0000000405.V273425.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The manager has an understanding of Adult Protection issues that protects service users from abuse. EVIDENCE: A procedure for responding to allegations of abuse is available. Records showed that staff have received training about Adult Protection. DS0000000405.V273425.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 The home is well maintained with good quality furnishings and décor in the communal areas, which creates a pleasant and homely environment for those living there. Service users have sufficient lavatories and washing facilities. There is a good range of specialist equipment for the use of service users. Service users’ own rooms are personalized and comfortable and suit their needs. There is an excellent standard of hygiene around the home. Systems are in place to provide a safe environment for service users and staff. DS0000000405.V273425.R01.S.doc Version 5.0 Page 15 EVIDENCE: A tour of the premises was undertaken and a small number of bedrooms viewed. The home is very large and spread over three floors. It is provides a busy stimulating environment and at the same time retains a feeling of warmth and tranquillity. It is very well maintained and there is an ongoing programme of decoration and refurbishment. The home is divided into four units over three floors, there are three lifts to access the different floors. There are three dining rooms, a large dining room on the ground floor and two others on the first floor, there are also six kitchenettes around the building where service users can make drinks and snacks for themselves and their families when the dining rooms are closed. A number of lounges are available over the first two floors some with balconies and also a coffee lounge. There is a chapel on the premises, a convent, a library and also a shop. The premises are very bright and airy. All bedrooms look over the landscaped gardens to the back and front of the building and some rooms to the top of the building have spectacular views over the River Tyne. Service users bedrooms are comfortable and well furnished and decorated and personalized to their tastes. All bedrooms have en suite facilities. There are an adequate number of bathrooms with equipment to help those with physical disabilities and some separate lavatories around the home. Service users care plans indicate the specialist needs of service users and assessments are carried out by the relevant people eg Occupational therapists, physiotherapists, speech therapists to ensure the specialist equipment meets the needs of service users and to assist staff at the home to provide the necessary levels of support. Equipment currently being used by the home includes: adjustable beds, specialist mattresses, adjustable chairs, wheelchairs, feeding cups, special cutlery, plate guards, hoists, slings, Parker Baths, etc. There are very good laundry facilities in place and staff receive training about infection control. DS0000000405.V273425.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 The necessary staffing levels are maintained to meet the needs of service users currently. The staff have a very good understanding of the service users support needs. This is evident from the positive relationships that have been formed between staff and service users. There are very good training arrangements in place, which means staff are given a knowledge of the needs of service users in order to provide care. DS0000000405.V273425.R01.S.doc Version 5.0 Page 17 EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team provided evidence that the numbers of staff are as follows: The home has four units staffed separately with a qualified general nurse on each shift. Examination of staff rotas and discussion with the person in charge and members of the staff team provided evidence that the numbers of staff are as follows: 8.00am-4.00pm 5 carers’ 1 Nurse 4.000 pm –9.00pm 4carers 1 nurse 9.00pm-8.00am3 carers 1nurse Other staff members are employed for duties such as catering, cleaning, administration, activities organization, maintenance, training, gardening, driving, laundry and pastoral work. The two staff files looked at contained all the information as required by the Care Standards Act 2000. There is a stable committed staff team and there is a low turnover of staff. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to service users. Staff stated that they receive induction training. At least twenty four of the forty member care staff team have now achieved National Vocational Qualifications at level 2 or three and staff confirmed that they also receive advice and /or training in other areas, such as dementia awareness, continence, risk assessments, palliative care, medication training, behaviour that may be challenging to work with, care planning, and the necessary statutory training. DS0000000405.V273425.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): 31,32,33,36,37,38 The manager is committed to ensuring the home is run for the benefit of service users. There is an excellent standard of record keeping which ensures service users needs can be met as individually as possible by the staff team. The necessary statutory health and safety checks were carried out within the required time scales. Systems are in place to ensure the health and safety of service users and staff as far as possible. DS0000000405.V273425.R01.S.doc Version 5.0 Page 19 EVIDENCE: The positive comments of service users and staff give confidence that the manager provides good leadership throughout the home and promotes a philosophy of individual care to service users. Discussions with the manager and the staff records viewed provided evidence that the staff are supported in their roles through regular supervision. Staff and service users meetings take place regularly. There is a system in place to ensure that staff are given training in moving and handling skills, fire safety, first aid, infection control and good hygiene. DS0000000405.V273425.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 x 3 3 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 x 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 3 3 DS0000000405.V273425.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. 1. Refer to Standard OP29op10 Good Practice Recommendations To consider the employment of a male carer. DS0000000405.V273425.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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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