Inspection on 16/06/06 for St Michael`s View

This inspection was carried out on 16th June 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 Michael`s View 15/07/10

St Michael`s View 17/06/10

St Michael`s View 02/06/10

St Michael`s View 13/04/10

St Michael`s View 01/03/10

St Michael`s View 13/07/09

St Michael`s View 23/07/08

St Michael`s View 31/07/07

St Michael`s View 15/09/05

St Michael`s View 19/05/05

St Michael`s View 20/01/05

St Michael`s View 28/07/04

St Michael`s View 26/02/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Bamburgh Court Nursing Home St. Michaels Avenue North South Shields Tyne And Wear NE33 3BP Lead Inspector Mr Tom Moody Key Unannounced Inspection 16th June 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 Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bamburgh Court Nursing Home Address St. Michaels Avenue North South Shields Tyne And Wear NE33 3BP 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 455 1215 0191 455 1238 Ashbourne Homes Limited Care Home 64 Category(ies) of Dementia (32), Dementia - over 65 years of age registration, with number (32), Old age, not falling within any other of places category (33), Physical disability (2), Physical disability over 65 years of age (16) Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The additional 1 OP service user category relates to one service user and is specific to the duration of the placement. 15th September 2005 Date of last inspection Brief Description of the Service: Bamburgh Court Care Centre is owned by the Ashbourne Homes Limited, which was first registered in November 1994 and now accommodates 32 older people of mix gender for general nursing care and another 32 persons with mental ill health, 16 of who may also have a physical disability. The home does not provide intermediate care services. It is situated in a residential area and convenient for the town centre of South Shields. It is close to local train and bus transport. The seaside, shopping outlets, local theatres and social amenities are close by. The local shops and a post office are within easy walking distance of the care home. Bamburgh Court is a modern single storey care home, custom designed and built to provide facilities and services in 2 distinct separate units. There are in total 4 lounges, 2 dining areas and bedrooms with en-suite facilities. There are 2 internal courtyards both with easy wheel-chair access. The home is decorated and furnished to a good standard, and in keeping with the age, character and style of the building. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit for this inspection took place over one day on 16 June 2006. One inspector carried out the inspection. The manager of the service was present during the site visit. The views of people living at the home were gathered by using comment cards and, during the day of inspection, by talking to them, their visitors and by reading documents. Positive feedback was received from all of those whom the inspector spoke to. The manager was interviewed and documents were examined, including care plans. A tour of the home took place. A mealtime was observed but the inspector did not sample the food at this inspection What the service does well: The home provides good clinical care and there is good liaison with clinical specialist and other health professionals. Service users feel that they are well looked after by the staff and speak highly of the care they receive. Staff members engage service users in conversation when carrying out care and staff members put elderly service users at their ease. The manager and her staff are flexible in relation to service user’s individual needs and wishes and try to ensure the service responds to the individual’s needs and wishes. Lifestyles are tailored to service users preferences as well as possible taking into account the service users capacity and abilities. The activities available to service users are tailored to individuals requirements and there is a wide ranging social and activities programme. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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 Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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, 2, 3, 5 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. All service users entering the home have their needs accurately assessed by social care and health service staff. The home makes it’s own assessment in addition to this. Most service users and their family have the opportunity to visit the home before they come to stay, unless there are exceptional circumstances. This allows them to make an informed choice about staying in the home. EVIDENCE: Contracts are present in the office and the manager and administrator told the inspector that each service user receives one. These include terms and conditions. Newly admitted servcice users sometimes have to wait for Social Services to issue their contract. Care plans show that an assessment is made by specialist nurses and socialwork staff, as well as the home manager. Assessments are comprehensive. New care plans are being introduced and these have a very clear layout. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 9 Discussions with service users confirmed that they receive infromation about the home and those service users relatives commented positively on how well they had been dealt with during this process. Qualified staff were observed giving clear and accurate information to service users relatives. One relative said she found the service users guide very useful when making a choice about placing her relative in the home. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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, 9, 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Service users have access to all healthcare services and staff are clinically competant. This ensures their health care needs met. The home has appropriate policies and procedures to ensure service users receive their medication in a safe way but staff must adhere to this guidance and stay within professional guidelines. EVIDENCE: The service works with a number of different health care agencies. This includes the involvment of local falls coordinator. A system of Key Workers is in place to ensure service users healthcare needs are met. While the last inspection report indicated that some care practice compromised the dignity of service users who had mental health problems. However, discussions with manager and Comment cards indicate that Service users are treated with respect by staff and, practice and procedures in the home ensure their privacy Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 11 The practices observed in the home indicated service users were treated with respect and their dignity was preserved. For example, one service users did not wish to get up at the time of inspection and stated that he did not wish to talk to the inspector. Staff respect his wishes when he wants to be left to his own devices, although he looked well nourished and was dressed appropriately in clean clothes. Staff were adopting a startegy that still met his needs while allowing him some personal autonomy. Staff ensured they informed him of what was happening and they were polite and respectful when adressing the service user. The service user’s care plans are detailed and indicate that their healthcare needs are assessed. There is evidence from self-assessment of a number of health-care specialists being involved in service users care, as well as GP’s dentists and opticians. The manager confirms this and spoke of recent involvement of the falls assessor. There is a good level of risk assessments. The home has appropriate policies, storage and practice to ensure service users receive their medication in an appropriate way. Storage and recording of medication is safe and carried out , in the main, satisfactorily. There was evidence that procedures were not always observed and some Temazepam had not been entered into the Controled Drug record book. in addition the clinical area in the Ceadon unit was cluttered and untidy. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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): 12, 13, 14, 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home endeavours to provide a lifestyle that matches service users needs and preferences.Meals are of good quality and the timing and choice can be varied to meet service users needs. EVIDENCE: All of the staff that were spoken to had appproriate language skills as well as training and induction. The home has a committed activities organiser who works hard to enable service users to reach their potential. Photographs of past activities are dislplayed in the home. Staff spoke of service users going on outings from the home and service uesrs recollections confirmed this. There is a local art project outreach scheme that has worked with the home for some time. The results of service users participation are displayed on the walls in the home. Many service users rooms contained their own treasured items and evidence of recreational interests such as books and video tapes. Staff confirmed that visiting is unrestricted and relatives were observed, visiting the home during the day Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 13 Care plans contain good clinical information, information about social care and service user’s life history. All service users who were spoken to confirmed that the food was good. Service users nutritional state was assessed as part of their care planning and records indicate they were all weighed on a regular basis. Menus were available illustrating choice of meals available. The meals served to service users was palatable and service users were supported approriately. The manager confirmed that dieticians were involved in the care of servcie users who had problems with their diet. . Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 14 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): 16, 17, 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The homes policy on adult protection reflects the multi agency approach to adult protection, and local procedures and staff know how to use it. This should ensure the protection of service users. Service users and their relatives are confident in the process and how staff will operate it. EVIDENCE: The home has appropriate policies and procedures. Discussions with the staff and manger confirm that they are aware of local authorities role in adult protection. Complaints are appropriately recorded and outcomes are also written down. Staff have an awareness of what to do when handling complaints. The manager stated she had an open door policy and this was observed to be true during the inspection. The manager is also aware of service user’s legal rights and ensures they are preserved and that service users are not disadvantaged. Relatives confirmed that they found the staff very helpful and felt that the manager was very pleasant, very approachable” . Written comments from relative indicate that communications had improved in recent months. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The environment is well maintained and safe. The home is quite well equipped. Rooms are comfortable, furnished to service users tastes, and the home is kept clean. EVIDENCE: The home has acted on fire officer’s report and redecoration is carried out when rooms need this. All fire precautions were being observed during the time of the inspection. Regular maintenance takes place and this is certificated. The home was pleasantly heated and lighting was at appropriate levels. Moving and handling equipment was available and there were fixed handrails in toilets, bathrooms and showers. Variable height beds were avaialble and one bed rail, that was abserved to be fitted to a divan base, was secure and correctly fitted. The home still does not have an induction loop system for hearing aid users. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 16 There was no discernable odour in either unit even though it was the time of day when bed linen was being changed. The home is clean and tidy in all areas used by service users. The Cleadon unit has beend transformed by a series of murals and pictures depicting varoious themes. The entrance area is a conservatory, other corridors heve been named after local streets and shop fronts have been created to enhance this idea. Staff have produced a brick” effect that is very convinving and would do credit to a professional stage designer. There is a wide variety of communal space including wide corridors and rest areas. One lounge in the Cleadon unit has been transformed into a period public house and service users were observed to be responding to this environment. There is open access to a sheltered courtyard that has raised beds that have been nicely planted Rooms were well furnished and clean. Many had personal items and usefull prompts such as wall mounted clocks. A variety of wall decorations are displayed and these have differing textured surfaces to encourage tactile exploration by service users. The Marsden unit has many examples of art work created by service users in conjunction with a local Art Outreach scheme. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 17 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, 29, 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The manager ensures that the home operates safely and sufficient numbers of staff, who are appropriately trained, are available to meet service users needs. EVIDENCE: One service user who was case tracked felt that staff are hard pressed at times. Discussions with manager indicated staffing levels were appropriate and that she endeavoured to maintain a good skill mix and gender balance in the staff. She felt that the service users comments seems to be reflection fears about their increasing disability and capacity to cope. Duty rotas indicated a good level of staff. The call system was answered promptly. Other service users said they were Looked after well and had no concerns about gender care. Recruitment policies and procedures are appropriate and records indicated all checks were carried out on new recruits. Staff felt well supported and stated they had good training and induction. Training records indicated this was the case, but a number of different subjects were covered in a short space of time. Staff felt that this was not too much to cope with because they had a period of mentorship with experienced staff and could ask for clarification at any time. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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, 34, 35, 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The manager is professional and diligent in her approach and service users benefit from the way she carries out her duties. EVIDENCE: The last report indicated that the home was suffering some instabiltiy due to the lack of a permanent manager. A permanent manager is now in place. The home manager was present at this inspection. She is a registered nurse and although she does not have many years of experience she has had management experience in other roles. Discussion with the manager indicates the home has become more stable and staff are enthusiastic about their work. She feels there has been an improvement in performance and atmosphere. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 19 Discussion with the manager also reveal she holds appropriate views and values and this should safeguard service users. The manager is aware of her statutory responsibilities, including health and safety, and record keeping is good. There is a good record of service users personal allowance although this is still banked in a “pooled.” The manager spoke of the home having appropriate quality assurance systems and stated that she carried out regular audits of clinical and other systems. Service users relatives are surveyed twice yearly and the records of this were examined. Dicsussions with staff indicate the moral in the home is good and staff feel motivated and enthusiastic. Service users and relatives say that the manager is approachable and written comments indicate communications have improved. The manager confirmed she has an open door policy. The manager spoke of not managing to complete all staff supervision. The importance of delegation was discussed at this stage. Senior management were at the home for a short period at the start of the day and discussions indicated they were aware of the homes performance. The manager confirmed she felt well supported in her role by the senior management team. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 X x 3 Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 21 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 OP22 Regulation 16, 23 Requirement The home must provide equipment suitable for service users with physical or sensory deficit. All staff must adhere to local policies and professional guidelines when administering medication. Timescale for action 15/08/06 2. OP9 13 15/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP36 Good Practice Recommendations Staff should be regularly supervised. Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Bamburgh Court Nursing Home DS0000000270.V299107.R01.S.doc Version 5.2 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. 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