Inspection on 16/01/06 for St Matthews Unit

This inspection was carried out on 16th January 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 Matthews Unit 20/06/07

St Matthews Unit 20/07/05

St Matthews Unit 21/10/04

St Matthews Unit 13/04/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

Brain Injury Services, 51 The Drive

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

CARE HOMES FOR OLDER PEOPLE St Matthews Nursing Home St Matthews Parade Northampton Northants NN2 7HF Lead Inspector Mrs Diane Butler Unannounced Inspection 16th January 2006 10:30 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 Matthews Nursing Home DS0000012645.V278202.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 Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Matthews Nursing Home Address St Matthews Parade Northampton Northants NN2 7HF 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) 01604 711222 01604 791099 Mr Nisharn Sidhu-Brar Mr Jasbinder Singh Care Home 54 Category(ies) of Dementia (34), Dementia - over 65 years of age registration, with number (54), Mental disorder, excluding learning of places disability or dementia (34), Mental Disorder, excluding learning disability or dementia - over 65 years of age (54), Old age, not falling within any other category (54) St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person may be admitted to the home who falls within the category/combined categories DE/MD when 34 persons who fall within those categories are already accommodated within the home. No person under 40 years of age who falls within category DE, or MD may be admitted to the home. Service users who fall within categories DE, DE(E) are to be accommodated on the first floor. Service users who fall within categories MD, MD(E) are to be accommodated on the ground floor. 20th July 2005 2. 3. 4. Date of last inspection Brief Description of the Service: St Mathews is registered as a care home providing nursing and personal care for fifty four persons over the age of forty who have mental health needs or a dementia related illness. The home is situated in a residential area of Northampton and is close to local amenities. The accommodation, which can be found on two floors, is accessed by two shaft lifts. There are four lounge/diners on the ground floor and a further three lounge/diners on the first floor of the building. There are forty two single rooms in the home and six double rooms, all rooms offer ensuite facilities. There are two enclosed garden areas for residents use and ample off road parking is available St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over four hours and commenced at 10.30 am on the 16th January 2006. The main method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with the residents, discussion with the staff and observation of care practices. The registered manager was most helpful during the inspection process. What the service does well: What has improved since the last inspection? A nutritional risk assessment document has been developed as recommended at the last inspection. This document, which also enables the staff to keep a record of the resident’s weight, was found in all three care plans checked. The registered manager explained that the tiling in the newly refurbished bathrooms has been completed since the last inspection. The downstairs corridor has been redecorated and a down stairs bathroom has been adapted to enable a hoist to be used if necessary. All resident’s bedrooms are now ensuite. St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 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. St Matthews Nursing Home DS0000012645.V278202.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 Matthews Nursing Home DS0000012645.V278202.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): 1,3,6 The admission process is well managed with all prospective residents having their needs assessed before entering the home. EVIDENCE: • • The Registered Manager confirmed that a Statement of Purpose document is available to all prospective and current residents. Three residents files were checked during the inspection. All three files looked at included an assessment of need completed by the registered manager prior to the resident’s admission into the home. Prospective residents and/or their relatives/advocates are invited to look around the home before moving in. This enables them to see the facilities that are offered and reassure them that their individual needs could be met. • St Matthews Nursing Home DS0000012645.V278202.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 Residents are looked after well in respect of their health and personal care needs. EVIDENCE: • Care plans belonging to three residents were checked during the inspection. All three were up to date, had been reviewed on a regular basis and included the identified care/support needs of the individual residents. An admission sheet is also included in the care plan documentation. This gives a clear picture of the resident’s history and current support needs. The Registered Manager explained that he was currently in the process of further developing the care plan documentation. Relevant assessments were included in the care plans checked; these included a mental health needs assessments, moving and handling assessments, waterlow assessments and nutritional risk assessments. Evidence was seen to confirm that residents have full access to health care services. These include local GP’s and the local mental health team. DS0000012645.V278202.R01.S.doc Version 5.1 Page 10 • • • St Matthews Nursing Home • The home employs its own Occupational Therapy (OT) team to assist in the Care Programme Approach to mental health needs and review, and OT assessments were evident in the three care plans checked. The procedures for the administration of medication were checked during the inspection. All records checked on this occasion were in order. Observations during the inspection showed that the staff had a good awareness of the residents individual care/support needs and how to ensure that a resident’s privacy and dignity are maintained at all times. Residents spoken with confirmed that they were well cared for. • • St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15 A wide range of activities are offered enabling residents to exercise choices on a daily basis. EVIDENCE: • • A wide range of activities are offered on a daily basis both in the home and in the day centre which is adjacent to the home. The OT manager has produced individual activity plans for all the residents living in the home. These show which activities each individual prefers and enjoys and the OT manager explained that these plans would ensure that all residents have access to activities throughout the week. Activity programmes are displayed throughout the home and residents were seen enjoying a game of scrabble and joining in a baking session during the inspection. The day centre, which is adjacent to the home, offers facilities for the residents to play pool, cook, take part in art and craft sessions and meet socially with other residents, family and friends. • • St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 Page 12 • Family and friends are encouraged to visit. One relative spoken with stated “Its like your own home” • • Choices are offered on a daily basis. Choices include when to get up or go to bed, what to wear, where to eat meals and whether to join in activities. A varied menu is offered and a choice of meal is available on a daily basis. The food is served to suit the resident’s individual needs, whether this is in soft form, pureed form, or as a normal meal. The meal seen on the day of the inspection was well presented and enjoyed by the residents. St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 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 Staff awareness of actions to take should any form of abuse be suspected ensures the protection of the residents in their care. EVIDENCE: • • Training on abuse awareness has been provided to all staff in the home. Staff spoken with during the inspection were aware of what to do should they suspect any act of abuse and the Registered Manager is aware of his responsibilities with regard to adult protection. St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 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): 19,20,22,25,26 The standard of the accommodation within this home is good providing residents with a safe, clean and comfortable place to live. EVIDENCE: • • • • • The home is well maintained both internally and externally and the decoration and furnishings are presented in a comfortable and homely way. The day centre facilities are of a high standard. The furnishings within this building are domestic in character and in very good condition. The home is currently undergoing building work which will provide a further four ensuite bedrooms. Resident’s rooms seen on this occasion were clean, comfortable and included the resident’s personal belongings. All areas of the home seen on this occasion were clean and fresh. DS0000012645.V278202.R01.S.doc Version 5.1 Page 15 St Matthews Nursing Home St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 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): 27,30 Staff are employed in sufficient numbers to meet the current needs of the residents. EVIDENCE: • The registered manager explained that there is a minimum of two qualified nurses and ten care workers on, on the morning shift, two qualified nurses and eight care workers on, on the afternoon shift and one qualified nurse and five carers on, on a night shift. There are also three OT staff available between the hours of 9am and 5pm. On the day of the inspection a relaxed atmosphere was evident with staff going about their work in an unhurried and professional manner. An induction programme, which encompasses the standards set out by Training Organisation for Personal Social Services Training (TOPSS) is in place and is used for all new care workers. Training is provided each Saturday by an external tutor. Sessions provided recently have included, Principles of care, management of violence and aggression, Abuse awareness and Care of the mentally ill. All mandatory training, including moving and handling and first aid, is covered by a rolling rota to ensure all staff complete/refresh themselves in the required areas. • • • St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 Page 17 • Training on infection control was being provided on the day of the inspection and the Registered Manager explained that five staff members were due to complete a learn direct course on care the following day. St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 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): 31,32,33,35,36 Resident’s benefit from the ethos, leadership and management approach of the home. EVIDENCE: • The Registered Manager has fourteen years experience as a Registered Mental Nurse and has completed his NVQ (National Vocational Qualification) level four and Registered Managers Award. It was evident that he continues to update his clinical practice and is currently working towards a nursing degree. It was evident during the inspection that the residents benefited from the ethos, leadership and management that the registered manager provides. All staff spoken with during the inspection stated that the manager was approachable, supportive and always available. • St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 Page 19 • • • • Positive relationships between staff and residents were evident throughout the inspection. Evidence was seen of staff supervision sessions and staff spoken with confirmed that these sessions take place on a regular basis. The Registered Manager stated that the home does not keep money on resident’s behalf. A comprehensive quality assurance survey carried out by an external consultant was completed in October 2005. A copy of the completed survey was supplied to the Commission for Social Care Inspection. On inspection of this document it was evident that there were many positive features surrounding the provision of services at St Matthews. St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 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 X X 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 4 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X 3 X X 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X X St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 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. x Standard x Regulation x NONE Requirement Timescale for action 16/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. x x Refer to Standard NONE Good Practice Recommendations St Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Matthews Nursing Home DS0000012645.V278202.R01.S.doc Version 5.1 Page 23 - 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!