Inspection on 08/09/05 for St Josephs Home

This inspection was carried out on 8th September 2005.

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 29/01/06

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 NE4 7QA Lead Inspector Janet Thompson Announced 8 September 2005: 10:00 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 Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Josephs Home Address Westmorland Road Newcastle upon Tyne NE4 7QA 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) 0191 273 1279 0191 272 2893 lspnew@aol.com The Little Sisters of the Poor Sister Joseph Christine CRH 58 Category(ies) of OP Old age - 58 registration, with number of places St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 15 residents to receive nursing care. Imposed 05/08/04 2. 44 residents to receive personal care. Imposed 05/08/04 3. One bedroom may be used to provide either nursing or personal care. Imposed 05/08/04 4. The total number of service users accommodated at any one time must not exceed 58. Imposed 05/08/04 Date of last inspection 10 February 2005 Brief Description of the Service: St Josephs is a large, purpose built home on the outskirts of Newcastle. The accomodation 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 can frail elderly people some of who need nursing care. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place through the week. The Manager was present at the inspection and had already provided the inspector with some information regarding management of the home. Thirty-one comment cards were received from relatives or visitors to the home. These were posted directly to the inspector without the knowledge of the home. Twenty-nine comment cards were received from residents themselves, most of these were collected from the home by the inspector during the visit. During the inspection the inspector spoke to nine residents in the privacy of their own rooms and a further six residents throughout the building. Two visitors, a community nurse, one volunteer and one relative were also spoken to in private. The inspection focused on the lifestyle of residents in the home. The inspector did walk around the premises but did not conduct an in depth inspection of the environment. What the service does well: Of the relatives comment cards received thirty were very positive and praised the food, premises and staff. Some comments stated: “St Josephs is the best care home around” “we couldn’t ask for more” Staff were described as “superb” and “very caring”. Relatives said that they felt “very welcome” in the home. Residents comment cards were all very positive and all residents spoken to praised the care given to them at St Josephs. There were a lot of varied activities that residents could join in with. It was very evident that the home was run for the convenience of the residents, they were very able to voice their opinion and all said that staff listened to them. All residents said that they had a lot of choice in their lives. The food was good. The menu choices were extensive and varied to suit residents. The Catering Manager was very receptive to suggestions for improvement. Everywhere was clean and tidy. There were no offensive smells. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 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 Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 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 Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 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) 3 and 5. Standard 6 does not apply. All service users moving into the home have had their needs met and are assured that they would be met. EVIDENCE: Six service users spoken to confirmed that they had been visited by a representative of St Josephs before admission. One visitor described how the manager of the home had visited her friend in hospital to assess her suitability for St Josephs. This person also stated that her friend had visited St Josephs and been invited to stay for a period of respite. The pre-admission assessment for St Josephs does cover all aspects of daily living and need. The manager of the home or a registered nurse usually carries out the assessment. Residents also confirmed that they were able to view the room on offer before made their decision. One resident had stayed for a meal. Another resident knew the home through visiting a family member some years previous. All residents confirmed that staff had helped them to settle in to the home very quickly. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 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 standard(s) 8, 10 and 11 Service users health care needs were met. All service users felt that they were treated with respect and their privacy maintained. Service users were confident that, at the time of their death they and their family would be treated with care and sensitivity. EVIDENCE: All residents looked well cared for. Residents spoken to confirm that medical attention was provided for them immediately they needed it. A variety of doctors visit the home, one local surgery holds a clinic within the home. The frequency of the surgeries has reduced in latter months. The nurses requested a meeting with the inspector to discuss the decreasing support given by the surgery. Whilst this is not within the inspectors remit some advice was given. It was very pleasing to see that nurses were prepared to argue on behalf of the residents and seek the very best of care for the people in the home. The nurses confirmed that there are a number of residents who see the Doctor alone when he visits. A good practice recommendation has been made suggesting that all residents are asked if they want to be alone every time a Doctor visits. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 10 A visiting community nurse confirmed that staff take appropriate action to promote residents health care and general well being. The death of residents is a subject that is approached in an open and inclusive manner. Services to remember lost residents are held and announced in the weekly schedule. Some funerals are held at the home. Residents are involved in these if they wish. Four residents commented that it was comforting to witness the care given to their friends both before and after death. One lady stated that she knew she would be well looked after in her last days and that this had taken away her fear of the future. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 11 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 and 15. Service users lifestyle in the home matched their expectations and satisfied their needs. Contact with family and friends were maintained. Service users were encouraged to exercise choice and control in their lives. Service users received a wholesome diet in good surroundings. EVIDENCE: The activities diary is posted in the passenger lifts and on notice boards on a weekly basis. The activities for the week of the inspection were as follows: Monday: Talk on the Life and Work of Jean Jugan. Tuesday: Hairdressing, Pat-a-dog, Indoor Bowls, Scripture sharing. Wednesday: Painting. Thursday: Meet the Inspector. Friday: Gymnastics The diaries of the previous few weeks included visitors from France and Poland, services for the deceased, name that tune, surprise baking and surprise on the balcony. Some residents had just been on holiday to Jersey. As well as the organised activities there is an occupational therapy room which is very well equipped. Residents were busy making tapestries, decoupage cards, knitted items, jam and marmalade. Three residents help in the shop on a weekly basis. There is also a well-equipped library. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 12 The inspector spoke to one resident who did not want to join in the main activities but was kept busy with crafts in her room. She had been out with a carer to join the local library and was deciding whether to join in an outing to the theatre. During the inspection a number of visitors were seen throughout the home. They were all greeted in a friendly manner by staff. The inspector spoke to three visitors who confirmed that they were made welcome in St Josephs and kept informed of events in the home. Food menus were examined and found to contain an adequate amount of nutritional variation. The catering is supplied by an independent catering firm form the home’s own kitchen. The inspector spoke to the catering manager. He described how the residents at the Residents Council Meeting, to which he is occasionally invited, had developed the menus. A food comment book is kept which documents which meals were enjoyed by residents and highlights any problems with the meals. This was examined and showed that problems were minor, the majority of people enjoyed the food. One person visited the home specifically to speak to the inspector, he and his wife had been residents for a short period of time. He described the care and food at St Josephs as “excellent” and equivalent to the best hotels that he had stayed at. One relatives comment card commented that the menu did not always offer a healthy option and that the salt content appeared to be high. The catering manager confirmed that salt and its substitutes were not used in cooking. The menu did offer healthy options, however the catering manager agreed to use a logo to identify these to residents. There are small kitchens throughout the home, these are equipped with food to make snacks for residents when the main kitchen is closed. Residents spoken to confirmed that these were available. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 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 standard(s) 16. Service users are confident that their complaints will be listened to and acted upon. EVIDENCE: The complaints procedure is available in the service user guide. All residents spoken to say that they did not have any complaints but if they did they would feel happy to tell someone. This was usually the Sister in charge of the unit or Reverent Mother. The complaints record was examined. There has been one complaint since the last inspection. It was dealt with promptly to the satisfaction of the complainant. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed at this inspection. EVIDENCE: St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 15 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) These standards were not assessed at this inspection. EVIDENCE: St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 16 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) 33, 36 and 37. The home is run in the best interests of service users. Staff are appropriately supervised. The homes record keeping safeguards Service users interests. EVIDENCE: Residents confirmed that they are able to make all decisions regarding their lifestyle. None of the residents could think of any area of their life that they felt was out of their control. A quality assurance survey was carried out in August 2005. 14 responses were received, all of which were positive. One of the comments was “the best thing about St Josephs is the kindness and freedom to do your own thing” Staff supervisions are now taking place every two months. The content of these was examined and found to be very good. Staff comments indicate that they find the supervisory process very helpful. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 17 Records were examined relating to Complaints, Fire Prevention, Water Safety, Quality Assurance and Nursing and Midwifery Council checks. All records were up to date, easy to read and well presented. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 18 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 x x 4 x 4 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 4 x x 4 3 x St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 19 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. 2. Refer to Standard op10 op15 Good Practice Recommendations All residents to be asked if they wish to see the Doctor in private at each visit. Highlight the healthy options on the menu to help residents to choose. St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI St Josephs Home B53-B03 S405 St Josephs Home V235945 080905 Stage 4.doc Version 1.40 Page 21 - 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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