Random inspection report
Care homes for older people
Name: Address: Stadium Court Nursing Home Stadium Court Nursing Home Greyhound Way Cobridge, Hanley Staffordshire ST6 3LL two star good service 16/03/2009 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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 2 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Stadium Court Nursing Home Stadium Court Nursing Home Greyhound Way Cobridge, Hanley Staffordshire ST6 3LL 01782207979 01782266027 bradbury@bupa.com www.bupa.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (CFHCare) Ltd care home 168 Number of places (if applicable): Under 65 Over 65 0 71 dementia old age, not falling within any other category Conditions of registration: 97 0 The maximum number of service users to be accommodated is 168. The registered person may provide the following categories 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: Old age not falling within any other category - OP 71 Dementia - DE 97 Date of last inspection Brief description of the care home Stadium Court Care Home is owned by BUPA Care Homes. The Registered Manager is Sandy Bradbury and she is supported by a Deputy Manager and unit managers. The home offers twenty-four hour nursing care. Wedgwood unit has a number of beds contracted for Assessment and Rehabilitation needs, taking individuals directly from
Care Homes for Older People Page 2 of 10 1 6 0 3 2 0 0 9 Brief description of the care home the hospital and assessing their needs for future placements. There are two units offering care to older people including nursing care and physical needs. These units have aids and adaptations to help individuals with physical limitations. All areas of the home and gardens are accessible to individuals who use wheelchairs. The other three units are adapted to meet the needs of older persons with varying degrees of mental health needs including dementia care. A senior sister/manager is responsible for managing each unit. Stadium Court is situated close to Hanley town centre, and it is on the main road, close to public transport. The home has ample parking facilities. All bedrooms are single occupancy and have en-suite facilities. Each one of the units has two lounge areas along with a dining area and a separate conservatory. Each of the units also has its own secure garden, which is accessible to individuals using wheelchairs. The amount of fees charged by the home ranges from 413.00 to 745.00 pounds per person per week. The fee includes the free nursing care allowance. The home accepts individuals who are funded by Social Services and other purchasers of care as well as those who are self-funding. Care Homes for Older People Page 3 of 10 What we found:
We carried out this unannounced Random Inspection of the service in order to ensure that the service has met the legal requirements we made at our Random Inspection held on 14th January 2010. We met with the Registered Manager Sandra Bradbury. We also met with the manager of Aynsley unit and other staff members. We met with some of the people who live on this unit and some visiting relatives. We looked at relevant records and documentation. This included records of accidents, incidents, records of staff training and the staff duty rota. The Registered Manager Sandra told us that the service has now improved the way in which it monitors accidents and injuries sustained by people who live in the home. A new protocol has been introduced where serious accidents and injuries are not only monitored by the unit managers but also by the Registered Manager or the deputy manager. In this way the managers can see what injuries have occurred and what action has been taken. They also ensure that, where necessary, CQC are sent a copy of these as per the Regulation 37 requirement. We spoke the manager of Aynsley unit and she is fully aware of this new protocol. We also saw some up to date records of accidents, where medical attention has been sought. Prior to this inspection visit we had received a copy of a complaint which had been sent to the service to investigate. The complaint contained issues of concern about the care of a person who had been accommodated on Aynsley unit but who had since moved from the home. We discussed the issues of concern with the registered manager, who told us that she will be carrying out an investigation of this, according to the services complaints procedure. The service has reviewed the provision of staff on Aynsley unit and has also looked at how they provide supervision of people in communal areas in order to ensure their safety. There was plenty of staff around the unit at the time of the visit. There were two nurses on duty, one of these being the unit manager. There were six care staff on duty with two doing 1:1 supervision. There was a total of 30 people living in the unit. The communal area was being supervised constantly whilst we were there. We asked a carer what she does if she is called away from the lounge and she told us that she calls one of the nurses to supervise whilst she is busy. She also told us that nurses usually write up their notes sitting in the lounge so that they can observe people. We looked at the current staff rota and this appears satisfactory in numbers. We discussed the deployment of staff with the registered manager. This includes the use of staff from other units to help out. We were told that all staff have been issued with a booklet on dementia care. The unit manager on Aynsley also told us that they only use staff from other dementia care units to help out, and usually these are regular staff who
Care Homes for Older People Page 4 of 10 know the people who live on the unit. The service has now ensured that all staff are up to date with manual handling. We looked at the training matrix and also spoke with some of the staff who work on the unit. One of the cares told us about the new techniques she had learned for assisting movement of people in bed and the unit manager confirmed this. One of the staff members discussed how peoples needs have changed on the unit over the years and how there are now more and more people living there with challenging behavior needs. She said that staff need more training in this area to be able to meet the needs of people. We discussed this with the registered manager Sandra who told us about two senior nurses who have attended courses on the management of challenging behavior. These two staff members have now received their certificates (we were shown these), and they will be rolling out this training to all staff delivering care to people with challenging behavior needs. We observed the serving of lunch on Aynsley unit. The meal appeared appetizing and an alternative to the main menu was also served. We noted that there were no tablecloths and dining tables appeared bare. We discussed this with the unit manager who told us that they had tried having tablecloths but that this did not work as people pulled them off almost immediately. What the care home does well: What they could do better:
The service could now be developed further in order to provide excellent dementia care for the people who live there. We discussed this at length with the unit manager, who has ideas and thoughts for developing the unit. We did not identify any further requirements or recommendations during this inspection.
Care Homes for Older People Page 5 of 10 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 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 8 12 12(1) The registered person 29/01/2010 shall ensure that the care home is conducted so as (a)to promote and make proper provision for the health and welfare of people who live in the home and (b) to make proper provision for the care and, where appropriate, treatment, education and supervision of people Where people receive a serious injury then the service must seek medical attention without delay 2 27 18 18(1) The registered person 29/01/2010 shall, having regard to the size of the care home, the statement of purpose and the number and needs of people living in the home (a) ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of people living there The service must ensure that, at all times there are sufficient staff on duty to Care Homes for Older People Page 7 of 10 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action ensure that people who live on Aynsley unit are kept safe and appropriately supervised 3 38 37 37(1) The registered person shall give notice to the Commission without delay (c) any serious injury to a person living in the home The service must report any incidents resulting in a serious injury to the Care Qulaity Commission in a Regulation 37 report 4 38 13 13(5) The registered person shall make suitable arrangements to provide a safe system for moving and handling people All staff delivering care must receive up to date training in Moving and Handling. Also staff must not move people inappropriately and there must be enough staff on duty at any one time to facilitate correct manual handling 29/01/2010 29/01/2010 Care Homes for Older People Page 8 of 10 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, 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 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!
