Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: St Mary`s Nursing Home Margaret Street Stone Staffordshire ST15 8EJ The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Yvonne Allen Date: 2 3 1 0 2 0 0 8 Information about the care home
Name of care home: Address: St Mary`s Nursing Home Margaret Street Stone Staffordshire ST15 8EJ 01785813894 01785819474 anne-clarke@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: English Dominican Congregation (Stone) Charitable Trust care home 54 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability 0 54 Over 65 54 0 Conditions of registration: The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical disability (PD) 54 Old age, not falling within any other category (OP) 54 The maximum number of service users who can be accommodated is: 54 Date of last inspection Brief description of the care home St Marys Home is a 54-bedded Care Home offering Nursing Care situated in Stone. It comprises of a three-storey purpose built building, built in early 1976. The current Proprietors The English Dominican Congregation has run the home since 1976. There is a new Registered Manager in place at the home, Anne Clark who registered in January 2008. Ann previously worked as Deputy Manager at the home. The home is set in a Care Homes for Older People
Page 2 of 8 town location, however service users benefit from extensive views of large and beautiful gardens, which lead down to the fenced area alongside the canal. The home has 55 single bedrooms and one double bedroom. Some bedrooms have en-suite WC facilities. Facilities/services include a hairdressing salon, laundry services, social activities, library and religious services. There is a summerhouse in the grounds and all areas of the home have access via stairs, ramps and passenger lifts. The visiting GPs attend weekly or as required, and access is offered to the visiting dentist and chiropodist. The main emphasis of the home is to create a Christian environment, where every opportunity is given for the enhancement of the spiritual, physical and social well being of each individual. The Nursing staff and care staff encourage all of the people who live in the home to remain as independent as possible respecting individuality, autonomy and personal privacy. Care Homes for Older People Page 3 of 8 What we found:
We had received information which included concerns about the care of a person who lives in this home. As a result of this, we decided to carry out an unannounced Random Inspection at the home in order to assess whether the needs of this person are being met at the home. We spoke with the Registered Manager and Responsible Individual about the care of this person. They told us about the persons individual plan of care. We looked at this plan of care including documentation relating to the intake of fluids and diet. It was identified that the person is receiving regular fluids and diet and where the diet is poor the person is offered dietary supplements which have been prescribed by her doctor. There is also a dietary assessment tool in place in the care plan which is current and up to date. Regular changes of position take place and the person is now sitting out of bed for short spells. Pressure area care is good and the person is nursed on a special mattress and cushion. On 21/10/08 it was noted that there was a gap in the recording of care of 5 hours and this was discussed with the manager at the time. The manager explained that the person has a problem with her swallowing reflex sometimes and has been assessed by the Speech And Language Therapist (SALT). There is no record of this assessment in the care plan and there is no plan of care in place relating directly to this problem. This was discussed with the manager at the time of the inspection visit. It was also identified that there is little evidence of reviews taking place with the persons representative present. This was also discussed with the manager at the time. Also the monthly evaluations of the care plan are not very detailed and do not give us much information. These evaluations/reviews would benefit from being made more detailed. This was also discussed with the manager. We visited the person who is living in the home and discussed her care with her. She is generally happy with the care provided by the staff at the home and appears comfortable and well cared for. She did say that she had not had her teeth cleaned that day and was waiting for this. We asked the manager to address this at the time of the visit. The person receives visits from her GP as necessary. The persons next of kin (representative) is documented as her brother. The manager and responsible individual identified that one visitor had been requested to ring the home and only visit with prior consent and that the homes Solicitor has sent a letter to this visitor with details of visiting arrangements. Care Homes for Older People Page 4 of 8 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 7 A plan of care should be developed for each identified problem. This is to ensure that all needs are monitored and met. Care plan reviews should contain adequate detail so as to inform the care team about any changes. People who live in the home and/or their representatives should be given the opportunity of participating in reviews of care plans. This is to help keep people informed about their care. Records of care should demonstrate that care is delivered at regular intervals and without any lengthy delays. This is to ensure that care is delivered as per care plan and needs are met. 2 3 7 7 4 8 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
