Inspection on 08/06/05 for Stamford Court

This inspection was carried out on 8th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stamford Court 15/10/08

Stamford Court 21/11/06

Stamford Court 14/12/05

Stamford Court 08/03/05

Stamford Court 05/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Stamford Court Astley Road Stalybridge Tameside SK15 1RA Lead Inspector Tracey Rasmussen Unannounced 8th June 2005 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 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. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stamford Court Address Astley Road Stalybridge Tameside SK15 1RA 0161 368 9099 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Tameside Care Limited Care Home 40 Category(ies) of Dementia (10), Old Age, not falling within any registration, with number other category (40), Physical Disability (40), of places Physical Disability over 65 years of age (5), Terminally ill (2). Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The maximum number of service users requiring nuring care must be 35. No more than 7 service users must be accommodated between the ages of 60 and 64. The manager must be supernumary at all times. A minimum of two registered nurses must be on duty at all times. Date of last inspection 8 March 2005 Brief Description of the Service: Stamford Court Nursing and Care Centre is a purpose built care home which was first registered with the Commission for Social Care Inspection in May 2004. The home is owned by Tameside Care Limited. The home is registered to provide nursing care and personal care to 40 people, primarily to older people with various disabilities. The home is situated in Ashton approximately two miles away from Ashton town centre and the centre of Stalybridge. Local amenities and access to local bus services are readily available. Stamford Park is situated very close to the home. Outside the home, there are car parking facilities and small garden areas. Accommodation is provided over two floors. Each floor accommodates twenty service users. All bedrooms are spacious single rooms providing en-suite facilities. A choice of bathroom or shower is available on each floor. Each floor has lounges and dining areas including kitchen areas to prepare snacks and drinks. Smoking is not allowed in any area of the home. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over almost seven hours on the 8th June 2005 by two inspectors. One further visit has been made to the home since the last inspection in March 2005. This was to check that the home was making progress in improving the areas of concern identified at the last inspection for which a new action plan was agreed; and to investigate a complaint regarding the quality of care received by one resident. One part of the complaint was unproven, one part of the complaint was not up held and one part of the complaint in relation to communication with family was up held. The home provides a ‘transitional’ care service, which means residents who need further nursing or residential care, but not necessarily hospital care may be placed at the home for a short period of time. This may be provided following a stay in hospital. A tour of the two floors in the home took place and care and staff records were seen. Nine of the 33 residents, four visitors (close relatives) and five staff were spoken to. Ten resident and visitors questionnaires were left at the home none have been returned at the time of writing this report. Since the last visit to the home progress has been made in improving the areas of concern identified previously. The home had recently recruited a new manager to the home, who was on leave at this visit. A senior manager from within Tameside Care Ltd was managing the home in the interim period. Verbal feedback of the findings from the inspection was given to the senior manager at the end of the visit. What the service does well: The home is purpose built and provides tastefully furnished and decorated private and shared spaces. Residents said they liked living in the home and were complimentary about the staff. Care staff were described as ‘caring’ and willing to do anything to help. One visitor said she was made welcome at the home. Residents said that they enjoyed their meals. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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 standard(s) 1,3,4 Residents are supplied with information about the services the home offers. The home can confirm they can meet the needs of the resident on admission. EVIDENCE: Information about the home in the forms of a service guide and statement of purpose were readily available at the main entrance to the home along with copies of previous inspection reports. A copy of the service guide was also provided to each resident. Residents said they had seen the information guide. Two residents said that they did not visit the home before being admission because they were not well enough. The resident’s also said they were not offered a choice of care home; one said, “it’s something to do with Tameside”. A range of care records was inspected. There was a marked improvement in the quality of information recorded in the resident’s care files. All the care records viewed had copies of the home’s pre-admission assessments that did identify the needs of the new resident and community care assessments were also available on the files viewed. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 9 Residents and relatives were complimentary about the care provided. Resident’s said the staff ‘looked after them how they wanted to be looked after’. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10 The care planning documentation was insufficient to meet the health, personal and social care needs of residents. Residents stated they were treated with respect and dignity. Medication practices did pose a potential risk to residents and staff. EVIDENCE: Significant progress has been made in the up grading the care plans of residents. Most of the files seen had risk assessments, which were linked to a relevant care plan. One resident’s care file seen on previous visits in the home was now recorded in detail, identifying the resident’s specific care needs. A number of the requirements identified the inspection in March 2005 had been reviewed at a visit in May 2005 and a new timescale agreed with the home. The senior manager in the home confirmed that that the updating process of care plans was not complete but progress continued. One resident said that she and her family were kept informed of any concerns or changes in planned care but written evidence of agreement to this was not available Residents were well presented and attention had been paid to nails and hair. Residents said that they felt that their rights to privacy were respected in the home and staff spoke to them in a respectful manner. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 11 Catheter bags were visible on some of the residents sitting in the lounge on the first floor. Privacy and dignity of the resident was not promoted as the inspector noted that knee blankets were not provided to residents in the lounge as catheter bags were visible. Records of visits from GPs, tissue viability nurse and podiatry were recorded. The home’s medication practices had improved in some areas since the last inspection however medication was still being crushed before administration for one resident without written authorisation from the resident’s GP. The nurse did say they had sought a written consent from the GP to crush medication for the resident but this had not been provided. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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 standard(s) 12,13,15 Residents social needs are not met on a daily basis. Life style choices are available and resident’s family and friends are welcome in the home at any time. The quality of food provided to residents is good. EVIDENCE: Care plan records did not have detailed social history or care plan. The care plan records focused on the physical aspects of care and did not provide a full picture of the resident as a person. Residents did say that there was entertainment on ‘sometimes’ but daily activities were not provided. One resident and one resident said that there was limited stimulation or activities provided. Two residents did say they would not be interested in planned activities. Visitors were seen coming and going all day. Residents bedrooms were made personal with possessions and mementos. Residents were complimentary about the meals provided in the home and said they could request alternatives. Compliments such as ‘the foods very good’ and ‘food is lovely’ were heard frequently. Residents said supper was offered each evening. A brief tour of the kitchen identified that fresh produce – potatoes and vegetables were used. Residents were provided with assistance at mealtimes in a discreet manner. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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 standard(s) 16,18 Residents rights to complain are protected and promoted. Despite some training, residents are not fully protected from potential abuse. EVIDENCE: Residents were clear who they could complain to if the need arose. A copy of the complaints procedure was available to each resident and the complaints the home had received were documented in detail. A number of staff had NVQ accreditation and understood what abuse was. However dedicated training by the home on abuse and the home’s policy’s and procedure in relation had not been provided. The senior manager did confirm that training was planned in the future. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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 standard(s) 19,20,21,22,24,26 Residents live in a clean, smartly decorated, well-maintained and comfortable home which has suitable aids and adaptations to meet their needs. EVIDENCE: Stamford Court is a purpose built care home that is furnished and decorated to a high standard. Communal lounges and dining areas are provided on each floor. Residents were complimentary about the quality of the furnishings and fittings and two residents were proud to show off their bedrooms. Toileting and bathing facilities are accessible. Outdoors the home has benches to sit out and resident’s have access to the gardens attached to the neighbouring care home. Equipment including hoists was available on all floors in the home, Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 15 The home was clean, although the home was struggling to recruit sufficient domestics for the home. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 Staff were vetted appropriately prior to employment. Staffing levels met the minimum required. EVIDENCE: Since the last inspection, the home has been through a period of instability, whereby a permanent manager has not been in post for some time. A permanent manager had recently been recruited into the home and she had been reviewing the home’s strengths and weaknesses with a senior manager from the company. Rotas indicated that some staff were working a lot of overtime to ensure that staffing levels were met. The senior manager said that a staff recruitment drive for care assistants and domestic staff had been implemented. The senior manager had reviewed all staff files to ensure the relevant employment documents were held by home. The files of three newer staff members were inspected. Criminal Records Bureau checks and two written references had been obtained. Work permits where required had been applied for. The care staff on duty demonstrated a good insight to the needs of the residents and some training in health and safety had been provided. The senior manager said a training programme had been developed for the home, however training records were not examined at this inspection. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,36 Management of the home is improving, although residents do not have a say in the way the home is run and quality monitoring has not been undertaken. EVIDENCE: The service has lacked stable leadership and management and staff have not received regular supervision. A new manager had recently been recruited to the home and the senior management of Tameside Care Ltd had been actively involved in monitoring the home. The manager had recommenced supervision for staff to address immediate concerns regarding care practices. A staff meeting was planned although a resident’s meeting was not planned and quality assurance and monitoring had not been undertaken Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 18 Residents were complimentary about the staff. One relative stated, that the staff “worked hard within the resources they had to hand” Residents and relatives stated that the home had improved recently and they were happier with these improvements. Not all aspects of health and safety were reviewed at this inspection. Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 x 3 STAFFING Standard No Score 27 2 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x 2 2 x x 3 x x Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 20 Yes 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 17 Regulation 12 14 15 Requirement The registered person must ensure that care plans accurately reflect service user’s needs identified in their community care assessments and through the home’s assessment process. The registered person must ensure that service user plans provide sufficient information to enable staff to deliver care to service users in line with their needs and assessed risks. The registered person must ensure that service users and their representatives agree and acknowledge the plan of care to be delivered. The registered person must ensure that medication is not crushed until the written authorisation of the prescriber has been obtained and that authorisation is held with the medication administration record. (Timescale of 7/4/05 not met). The registered person must ensure that care practices promote the privacy and dignity of the service user. The registered person must F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Timescale for action 12/07/05 2. 7 12 14 15 12/07/05 3. 7 12 14 15 13 12/07/05 4. 9 12/07/05 5. 10 12 30/06/05 6. 12 16 30/07/05 Page 21 Stamford Court Version 1.40 7. 18 13 8. 27 18 9. 33 26 assess the social care needs of the service users accommodated at the home and develop and implement person centred activities for each service user maintaining records of activities undertaken. The registered person must ensure that all staff receive training on abuse to ensure understanding of the different types of abuse and to ensure staff respond appropriately according to policy and procedure when abuse is suspected. (Timescale of 08/03/05 not met). The registered person must continue to ensure that the staffing levels are kept under constant review to ensure that service users needs are met in a timely manner. The registered person must ensure quality assurance monitoring is undertaken in the home. 30/07/05 30/07/05 30/07/05 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 32 36 Good Practice Recommendations The registered person should undertake service users meetings to provide a forum for service users to contribute to the home environment. The registered person should ensure that staff supervision develops to include one-to-one support meetings Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Place Ashton under Lyne OL7 0QD 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 Stamford Court F54-F04 Stamford Court S60723 V227619 080605 Stage 4.doc Version 1.40 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!