Inspection on 26/02/07 for Stainton Way Care Home

This inspection was carried out on 26th February 2007.

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

Stainton Way Care Home 15/03/10

Stainton Way Care Home 02/11/09

Stainton Way Care Home 19/02/09

Stainton Way Care Home 10/03/08

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 Stainton Way Care Home Stainton Way Hemlington Middlesbrough TS8 9LX Lead Inspector Jane Bassett Key Unannounced Inspection 26th February 2007 09:30 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 Stainton Way Care Home DS0000068538.V331148.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. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stainton Way Care Home Address Stainton Way Hemlington Middlesbrough TS8 9LX 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) 01642 599157 01642 596481 North East Care Homes Ltd Miss Karen Baker Care Home 67 Category(ies) of Dementia (7), Dementia - over 65 years of age registration, with number (27), Old age, not falling within any other of places category (33) Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection No previous inspection. Brief Description of the Service: Stainton Way is a purpose built home. The home offers single room accommodation, which meets with the national minimum standards as to size. All rooms have en-suite toilet facilities. The home is operated as two specific units; on the ground floor the home provides care for 33 older people with physical health needs; on the first floor care is provided for 27 older people with dementia and 7 younger adults with dementia care needs. Both units offer a range of communal areas for dining and socialising. The home is situated on Stainton Way close to local amenities such as a public house. Information received by the inspector indicated the home charges a fee of £338 per week. There are additional charges for hairdressing and chiropody. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection report includes information obtained from a pre inspection questionnaire, three resident and four relative / visitor comment cards received by CSCI. The inspection took place over two days, the first visit was unannounced. During this time the inspector carried out a tour of the environment, an audit of documentation including staff records and residents files, and spoke to five residents, one family member, six staff members, the training manager and the registered manager. The home has been registered since November 2006. At the time of this inspection the home had 22 residents on the ground floor and 6 residents on the first floor. A total of eight hours was spent at the home. What the service does well: What has improved since the last inspection? There has been no previous inspection. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Stainton Way Care Home DS0000068538.V331148.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 Stainton Way Care Home DS0000068538.V331148.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standard 1, 2 & 3 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. Residents are provided with information including the service provided, the facilities and cost. EVIDENCE: During the inspection the documentation for four of the residents was examined. These were found to contain pre admission assessments including information from social workers that contained sufficient detail to begin to plan the individual’s care. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 9 A copy of the Service User Guide and brochure were seen to be available in entrance and the manager told the inspector that copies were given to each prospective resident and/ or relative. Residents and families are encouraged to visit the home prior to admission. Those who spoke to the inspector confirmed this. Evidence was seen of residents contracts / terms and conditions, however the element in relation to complaints referred to the National Care Standards Commission and not to CSCI. Comments received directly to the inspector and in questionnaires received confirmed people had been given appropriate information. The home does not offer intermediate care. Stainton Way Care Home DS0000068538.V331148.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 7, 8, 9, & 10. were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that each residents plan is reviewed regularly and involves the resident and where agreed the family. All members of staff regard the plan as a working tool. Residents have right of access to health and remedial services. The home has a policy and procedure in relation to medication that should promote the safety and well being of residents. EVIDENCE: The documentation for four residents were examined. These were found to contain assessments based on activities of daily living, risk assessments, and falls risk assessments. Details recorded included residents preferences as to usual times they got up and went to bed. Assessment documentation also included a personal information sheet where past social and family history could be documented. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 11 There was evidence of discussion and agreement with residents, families and other professionals where necessary. Residents who spoke to the inspector confirmed staff talk to them about how their care is given. Plans of care were seen to be in a pre set format with areas for details such as residents name. These would benefit from further development to give a more individual approach and include details of what the resident could do for themselves, what assistance they required and any preferences as to how care is given. Evidence was seen that showed information was reviewed and evaluated on a regular basis. Daily records are maintained including details of GP, District Nurse and other professional’s involvement. The documentation was found to be well organised with a clear pathway from assessment to care plan. The home has a good system of written communication between staff. A key worker system is to be developed. Staff who spoke to the inspector were able to demonstrate through response to questions a good awareness of individuals preferences and care needs. Residents who spoke to the inspector said they were satisfied with the care they receive, staff respect peoples privacy and dignity and treat people as individuals. One resident spoke of this being ‘ home from home’ another said ‘ the staff are always friendly and helpful’. A comment received from a relative stated ‘ the approach and service at Stainton Way has been exemplary and indicates how good a care facility can be’. A sample audit of medication found no major issues with ordering, storage administration, recording and disposal of medication. It was seen that there had been a number of hand written entries of medication instruction added to the MAR sheets. Practice would be enhanced if this included two signatures as confirmation of the accuracy of detail. The inspector was told that it is only senior staff who administer medication, all of whom have received training and experience at previous homes. Further training is planned and the home is to develop a yearly review of practice / competency checks. Stainton Way Care Home DS0000068538.V331148.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 12, 13, 14, & 15 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Family and friends feel welcome and know they can visit at any time. Staff make time to talk to residents and visitors. The design of the home provides seating areas within the communal areas of the home where residents can entertain their visitors, in addition to the privacy of their own room. It is clear that the home is developing links with the local community. Residents enjoy flexible meal arrangements. EVIDENCE: The home has been registered since November 2006 and it was evident that staff at the home have made great efforts to promote and develop the activities. Contacts have been made with local churches, schools and mobile library. Each unit has a diary to record all activities that take place. These include a range of activities including bingo, music and quizzes. An entertainer was at the home on the second day of the inspection and it was seen that residents enjoyed the sing a long. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 13 The home produces a regular newsletter which gives details of planned events. The manager told the inspector that an activities coordinator is to be employed to continue to promote activities and offer a greater variety. One visitor who spoke to the inspector told her they were always made to feel welcome and could visit at any time. Visits can take place in either communal areas or in privacy of residents own rooms. Residents who spoke to the inspector told her they felt safe and comfortable, staff were friendly but respectful. All said they had choice in how they spent their day. One resident said ‘ the staff are very good, I am happy here’, another commented that this was ‘ home from home’. Other comments included ‘ it’s a lovely home’ and ‘ it’s a happy place to live’. One resident told the inspector that the food was ‘wonderful’ another said ‘ the food is glorious’. All the residents who spoke to the inspector said there was a good choice and variety, and the chef spends time talking to them about their likes and dislikes. The inspector observed lunch on the first day of the inspection. Residents were offered choice, the meal was unrushed and the surroundings were pleasant. Menus were seen to be available on tables and on display on the wall. Staff who spoke to the inspector demonstrated the importance of respecting individual’s privacy and dignity. All were able to describe how each person was treated as an individual, given choice and supported to be as independent as possible. Stainton Way Care Home DS0000068538.V331148.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 16 & 18 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and others associated with the service state they are satisfied with the service provision, feel safe and well supported by an organisation that has their protection and safety as a priority. EVIDENCE: Residents who spoke to the inspector confirmed they were aware of how to raise any concerns or complaints. All expressed confidence that any complaints they had would be taken seriously. No one spoken to had any cause for complaint. The policy and procedure in relation to complaints was seen to be available. This should be developed further to include details of those authorities funding care. The inspector was told the home has not received any complaints since registration. Staff who spoke to the inspector confirmed they had received training in relation to prevention of abuse and were aware of the ‘ no secrets’ guidance. They were able to demonstrate through response to question the action they would take if they had any concerns. Stainton Way Care Home DS0000068538.V331148.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 19 & 26 were looked at. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The rooms are well planned and have en suite facilities. The fixtures and fittings are of high quality, well maintained and meet the needs of the residents. The bathrooms are comfortable and easy to use. There are a selection of communal areas were residents may socialise if they wish. EVIDENCE: The home is purpose built and has been registered since November 2006. It offers an environment and facilities that meet the national minimum standards. All bedrooms have ensuite toilet facilities. There are a range of bathrooms and communal areas on both floors. The upper floor is accessible via a passenger lift. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 16 Residents are encouraged to make their rooms as personal as they choose. On the day of the inspection the home was found to be clean and odour free. Stainton Way Care Home DS0000068538.V331148.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 27, 28, 29, & 30 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have confidence in the staff that care for them. The service has a programme of training that is relevant and focussed on improving outcomes for residents. The service has a recruitment procedure, which is implemented to promote the protection of residents. EVIDENCE: Duty rotas examined during the inspection showed that both units in the home are staffed individually. Discussion with both staff and residents indicated that staffing levels were sufficient and can meet the current needs of residents. This should be evaluated as the number of residents increase to ensure levels continue to be adequate to meet needs. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 18 During the inspection an audit of seven staff files was carried out. These were found to contain the required documentation, including CRB in relation to recruitment, however it was noted that there were gaps in the employment history on a number of application forms. The information on further forms gave employment dates as years only, leaving it difficult to assess if a gap had occurred. The manager told the inspector that any gaps seen were explored at interview, however there was no documentation to evidence this. The reference request forms used by the home would benefit from further development to include dates of employment. The home employs a full time Training Manager, who is developing a programme of training for all staff. Staff files seen contained evidence of induction, fire safety, first aid, prevention of abuse and moving and handling training. Information in the pre inspection questionnaire indicated nine staff have NVQ level 2 or above and a further four are in the process of achieving this. The home should achieve over 50 of staff having the qualification on their completion. Staff who spoke to the inspector said that they felt well supported and they benefit from having daily access to the training manager. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 31, 33, 35, 36 & 38 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the required experience and is competent to run the home. She and the staff team work to improve the service and provide increased quality of life for the residents. The home has a range of policies and procedures that promote the safety and well being of the residents. EVIDENCE: The manager has an appropriate care background, a number of years experience and is to undertake the Registered Managers Award. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 20 Communication in the home is good. All residents, family and staff who spoke to the inspector said they were well supported, there is an open door policy and concerns are listened to and acted upon. The home produces a regular newsletter and has carried out a quality survey in January. The outcome of this has been made available to residents and relatives and includes details of actions taken in response to issues raised. A resident meeting took place in January, staff have a weekly forum and the Responsible Individual holds a weekly open meeting. Comments received by the inspector from residents and relatives included ‘ the approach and service at Stainton Way has been exemplary and indicated just how good a care facility can be’ and ‘this is home from home’. The manager carries out a monthly audit of medication, accidents and food served. Staff have access to policies and procedures, environmental risk assessments and CoSHH information. The inspector was told that a programme of staff supervision and appraisal is being developed. During the first day of the inspection a random sample of three residents personal allowances held by the home was carried out. It was seen that the home recorded all transactions, and retained receipts, however each transaction was verified by only one signature. It was noted on the second day of the inspection that the system of recording had been developed to include a second signature as confirmation. Information in the pre inspection questionnaire indicated the home and equipment are maintained as required. Records of weekly fire alarm testing, fire drills and hot water temperatures were seen by the inspector. Fire alarm records would benefit by inclusion of details of which fire point was used to activate the alarm. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 21 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x 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 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 3 Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 OP7 Regulation 15 Requirement Resident’s plans of care are developed to include further details in relation to assistance and preferences. The registered person must ensure any gaps in employment are explored prior to the commencement of employment. Timescale for action 01/08/07 2 OP29 19 01/06/07 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 OP2 OP9 Good Practice Recommendations Residents contracts / terms and conditions are altered to refer to CSCI instead of NCSC Hand written entries of medication instruction added to the MAR sheets would benefit from inclusion of two signatures as confirmation of the accuracy of detail. The complaints policy should be developed further to include contact details of those authorities funding care. Staff levels should be evaluated and altered to meet DS0000068538.V331148.R01.S.doc Version 5.2 Page 23 3 4 OP16 OP27 Stainton Way Care Home 5 6 7 8 OP29 OP31 OP36 OP30 OP38 increasing numbers and dependency levels. Reference request forms would benefit from development to include dates of employment. The registered manager should obtain the Registered Managers award. The programme of training including NVQ and supervision should continue to be developed and implemented. Fire alarm records would benefit by inclusion of details of which fire point was used to activate the alarm. Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 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 © 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 Stainton Way Care Home DS0000068538.V331148.R01.S.doc Version 5.2 Page 25 - 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. 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