Inspection on 08/08/06 for Stanfield House

This inspection was carried out on 8th August 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

Stanfield House 14/02/06

Stanfield House 04/11/05

Stanfield House 18/01/05

Stanfield House 23/06/04

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 Stanfield House Stanfield House Joicey Square Stanley Co Durham DH9 0PG Lead Inspector Mr Leonard Hird Unannounced Inspection 8th August 2006 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 Stanfield House DS0000031245.V300997.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. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanfield House Address Stanfield House Joicey Square Stanley Co Durham DH9 0PG 01207 232 546 01207 232 546 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) Durham County Council Mrs Florence Anne Bennett Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 Brief Description of the Service: Stanfield House provides residential care services for up to 21 people in the Category of Older Persons (OP). The home is owned by Durham County Council and managed on their behalf by Adult and Community Services. Stanfield House is located in a residential area of Stanley, close to local amenities. It is a large two-storey building with the benefit of a passenger lift to the firstfloor. All bedrooms are single accommodation without the benefit of en suite facilities. There are a number of different communal lounges and dining areas throughout the home. The home has a well-kept and well-used garden area for use by residents and visitors at the front of the building. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection of Stanfield House took place on the 8th August 2006 between 10 00 and 1430 hrs and the 25th August 2006 between 0930 and 1300 hrs. The inspection process considered all of the Key standard areas as identified by the Commission for Social Care Inspection within the Care Homes for Older People National Minimum Standards as well as Choice of Home (NMS1). The Key standards are: Choice of Home (NMS 3), Health and Personal Care (NMS 7, 8, 9 and 10), Daily Life and Social Activities (NMS 12, 13, 14 and 15) Complaints and Protection (NMS 16 and 18), Environment (NMS 19 and 26), Staffing (NMS 27, 28, 29, 30,) and Management and Administration (NMS 30, 31, 33, 35 and 38). The Commission for Social Care Inspection received some 3 written responses from residents in response to the Commission for Social Care Inspections survey ‘Have your say about Stanfield House’. Verbal comments were received on the days of inspection from residents, relatives, social workers and visitors. Comments were also received from members of the care and ancilliary staff, the Registered Manager and the team manager from Adult and Community Services. What the service does well: Stanfield House provides a comfortable, safe and caring environment for its residents. One resident commented that, ‘itwas a friendly and caring home, and the staff were always helpful and friendly another commented that, it was like a home from home. A relative commented that, they felt their family member was safe and well looked after at Stanfield House. A visiting social worker commented that, the home was always clean, tidy and free from odour. Residents were satisfied that they could make choices about what they did there in their lives and one commented that, ‘ i choose what i want to do’. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 6 The health and safety of residents was being well managed and staff had received appropriate training to enable them to look after the residents. 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. Stanfield House DS0000031245.V300997.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 Stanfield House DS0000031245.V300997.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): NMS 1 and NMS 3 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Stanfield House provide prospective residents, with a Service Users Guide enabling them to make informed choices about the home. Stanfield House had ensured that prior to admission, an assessment of the needs of the prospective resident seeking to be admitted to the home had been undertaken by suitably qualified staff. EVIDENCE: Information about Stanfield House was made available to all prospective residents and their families prior to admission in a Service User’s Guide. This service user guide was being displayed within the entrance to the home and copies were readily available for residents and visitors to use. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 9 A relative spoken withduring the inspection commented that, ‘they had received sufficient information for them to assist their relative in coming to live at Stanfield House’. The Registered Manager confirmed that the Service Users Guide was being reviewed and following this review information about the levels of fees and charges being used at the home would be included. Evidence was being maintained on residents’ files that before coming to live at Stanfield House there had been assessments of needs undertaken by suitably qualified staff. Both the Local Authority and the home had carried out assessments of needs. Where the Local Authority had undertaken an assessment of need a copy of the documentation was being maintained on the residents file. From discussions with visiting social workers on the days of inspection, it was confirmed that a Single Assessment Process had been undertaken on residents prior to admission. Residents spoken with confirmed that the home was meeting their current needs. Stanfield House DS0000031245.V300997.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): NMS 7 NMS 8 NMS 9 and NMS 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Individual residents health, personal and social care needs were being set out in their care plan. The homes medications policies, procedures, guidance and training programme enabled care staff to dispense medication to residents safely. Residents were able to make decisions about how they could lead their lives and were being treated with respect and dignity. EVIDENCE: Residents living at Stanfield House had individual plans of care in place and information had been maintained about individual residents health and personal care needs. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 11 Care plans reviewed during the inspection-contained information about personal care, mobility and health requirements. Assessments of risk were included in the plans and took account of the individual residents views e.g. whether to self-medicate or not. It was confirmed by a Residential Supervisor that no residents were selfmedicating at the time of the inspection. Staff had regularly reviewed the care plans and reviews had also being undertaken by the local authorities reviewing team. Where any changes had been identified during these reviews they had been responded to by the home. Records were maintained by the home of the individual residents health needs as well as when GPs and other health professionals had visited their patients. Stanfield House used the corporate medication policies and procedures of Durham County Council and a copy of this was available in the home. Medication was being stored appropriately and securely. The home recorded the use of controlled medication in a booklet that was not tamper proof. The homes Registered Manager agreed to replace this booklet with the proper recording document. Care staff had undergone training in the safe handling and administration of medication and first aid Records of training were being maintained on the individual member of staffs files. A verbal comment received from a resident indicated that, ‘they saw the nurse when they needed to’ another resident, indicated that, ‘the home made sure I got to the hospital for my appointments’. A relative commented that, ‘the staff at the home always kept them informed about the health of their relative’ another relative, commented that, ‘the care staff at home had responded extremely quickly to a life threatening situation involving their relative and that their relatives life had been saved because of this intervention’. It was observed that residents were treated in a respectful and dignified manner by staff, and that staff had very caring and positive working relationships with the residents. Stanfield House DS0000031245.V300997.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): NMS 12 NMS 13 NMS 14 and NMS 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The routines of daily living and activities available at Stanfield House were varied and flexible and meeting the needs of the residents. Stanfield House operated an open visiting policy, with visitors able to visit relatives or clients whenever it was convenient. The independence and personal choices of residents at Stanfield House were being encouraged by the home and residents were exercising choice and control over their daily lives. Stanfield House provided a balanced and varied diet for its residents, including ingredients that had been purchased locally. EVIDENCE: It was observed that the daily routines of living were extremley flexible and meeting the needs of the residents. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 13 Residents confirmed that they were able to get up in the morning, when it suited them and that they could take their baths when they wanted. Activities were arranged for residents within the home and residents had been consulted as to the type of activities being offered. Records were being maintained of activities undertaken by residents in the home as well as of those organised and supported by the local authorities CREATE programme. Residents spoken with during inspection confirmed that they could do ‘there own thing’ if they wanted to and they could also opt out of any activities if they wished. Relatives and social workers visiting the home spoke highly of the homes visiting policy and commented that, ‘the staff were helpful, friendly and cheerful whenever they visited the home’. A resident commented that, ‘When my family come to see me I see them in my room’. A relative visiting the home also commented that, they saw their relative in their relatives room. Menus were being displayed in the home of the choices of food available and special diets were catered for as and when required. The cook confirmed it was the homes policy to purchase local produce, whenever possible. Positive comments were received from residents, relatives and staff about the meals and dining areas at the home. Comments ranged from the food is first-class here’; ‘you couldnt get a better food anywhere’ to it couldnt be bettered even in a restaurant. Residents confirmed that there was a choice of different meals at lunchtime and that alternatives were always available. Records were being maintained of the choice of food being made by residents as well as records of the homes Menus. Regular residents meetings were held and minutes of these meetings were kept. Stanfield House DS0000031245.V300997.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): NMS16 and NMS 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service The complaints and adult protection policies and procedures currently being used in Stanfield House provide for a safe environment for residents to live in. EVIDENCE: Stanfield House had the appropriate policies and procedures for the Protection of Vulnerable Adults in place. Durham County Council provided these corporate policies, and a copy of this multi-agency document was available in the home for use by staff. From discussions with staff it was confirmed that they were aware of the importance of responding quickly in cases of suspected abuse and that they would follow the local authorities policy and procedures. Staff confirmed that they had received training on dealing with the Protection of Vulnerable Adults in a care home environment, and records were being maintained of this training. Stanfield House also had Durham County Councils corporate policies and procedures in place for residents and their families on how and who to complain to. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 15 The home maintained a book for recording compliments; comments and complaints for residents to comment upon events in the home and residents had made use of this. Where action had been required to be taken by staff they had recorded the outcomes of their actions. Information on how to complain was being displayed on the notice boards in the home as well as being contained in the residents guide to the home. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 16 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): NMS 19 and NMS 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Stanfield House is clean, pleasant and hygienic and provides a safe and comfortable environment for its residents to live in. EVIDENCE: Stanfield House had a generally well-maintained environment, providing aids and equipment to meet the needs of the residents. There were a small number of doors and skirting boards within the home, where due to day-to-day use needed painting. The layout and design of Stanfield House is suitable to meet the current needs of the residents living there. Stanfield House meets the requirements of the Disability Discrimination Act. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 17 Residents, relatives and other visitors commented that the home was always spotlessly clean and free from unpleasant odours. Maintenance work undertaken on the homes equipment and facilities by the handyman as well as by Durham County Councils Service Direct had been recorded appropriately. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 18 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): NMS 27 NMS 28 NMS 29 and NMS 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Stanfield House through Durham County Councils corporate recruitment, employment and training procedures had ensured that only suitably qualified care staff were employed at the home. Staffing levels at the home were sufficient to meet the current assessed needs of residents. EVIDENCE: From a review of the staff rota provided it was noted that care staff were being deployed in sufficient numbers as to ensure that the needs of residents were being met. From written information provided by the home to the Commission for Social Care Inspection it was noted that the home were currently providing an extra 151 care hours for its 17 residents, these extra hours had been achieved by not reducing staffing levels during a period of low occupancy. There was a commitment to training for care and ancillary staff at the home with over 66 of the care staff qualified at NVQ level 2 in care or above. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 19 Staff had received appropriate induction training and there were ongoing training programmes operating in the home e.g. moving and handling, safe handling and administration of medication, first aid, food hygiene, diversity and equality, infection control and fire awareness. Records were being maintained of all training given to staff in the home. Staff spoke positively of the different types and levels of training being offered to them by Durham County Council. All care and ancillary staff employed at the home had being recruited in accordance with the homes policies procedures and that of Durham County Councils. Appropriate employment checks including an enhanced level Criminal Records Bureau check had been undertaken on staff employed by Durham County Council before starting to work at the home. This confidential information had been recorded on the individuals personnel file and the files were being kept securely. There was, however, a number of visiting professional staff to the home that either worked with or directly came into contact with the residents at the home. It was confirmed by the Registered Manager that Durham County Council did not directly employ these visiting staff and that it could not be confirmed that all of the appropriate employment and Criminal Records Bureau checks had been undertaken on these staff. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 20 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): NMS 31, NMS 33 NMS 35 and NMS 38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Stanfield House had an established management structure ensuring that the home was promoting the health, welfare and safety of residents and staff. EVIDENCE: The Registered Manager, who is also a Registered Nurse, had the required qualifications and experience to run the home. Residents and relatives spoken with confirmed that the staff team were resident focused and that the staff and the manager tried to ensure that all residents received a good level of care at the home. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 21 Formal supervision sessions were being given to all members of the care staff, ancillary staff and management team. Records of staff supervision sessions were being maintained securely. Staff confirmed that they had received copies of their formal supervision sessions. From discussions with staff it was confirmed that they were aware of the management structure within the home and that of the Local Authorities Adult and Community Team. Comments received verbally from residents, relatives, social workers and visitors during the inspection were all very positive about the delivery of care at the home. The home, however, had yet to fully develop a questionnaire for residents, visitors and visiting professionals that fully took account of their views about the levels of care being provided at Stanfield House. Records and receipts are kept of all financial transactions made by residents and two members of staff signed these records. Stanfield House is the subject of regular financial audits undertaken by the Durham County Council’s internal audit team. From the last audit undertaken it was determined that, ‘the systems in operation displayed sound principles of control and were well operated in practice’. Stanfield House is the subject of a regular monthly audit visit by a senior member of the Adult and Community management team. Regular fire training, fire alarm tests and fire drills had been undertaken at the home with both day and night staff and records were being maintained of this. Checks are regularly undertaken to ensure the building is safe, included in these checks are; checks of portable electrical appliances, water temperatures and assisted bathing equipment. Records were being maintained of when equipment had been serviced and who had undertaken and completed the work e.g. the handyman or service direct. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation Regulation 19 Schedule 2 Requirement The Registered Manager must be able to confirm that those staff not employed by Durham County Council and who have regular contact with residents living at Stanfield House have the appropriate employment and Criminal Records Bureau checks in place. Timescale for action 30/11/06 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 OP19 Good Practice Recommendations The Registered Manager should undertake a regular audit of the physical environment of the home inclusive of decorations and carpets. Stanfield House DS0000031245.V300997.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Stanfield House DS0000031245.V300997.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. 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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