Inspection on 12/12/05 for Stanley House

This inspection was carried out on 12th December 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 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

Stanley House 05/09/07

Stanley House 02/10/06

Stanley House 25/08/05

Stanley House 13/10/04

Stanley House 21/07/04

Stanley House 11/11/02

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Stanley House 155 Duffield Road Derby DE22 1AH Lead Inspector Gail Meads Unannounced Inspection 12th December 2005 10.45 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 Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 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. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stanley House Address 155 Duffield Road Derby DE22 1AH 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) 01332 364734 01332 344481 Willover Limited Mrs Susan Mary Buckby Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2005 Brief Description of the Service: Stanley House is a 42 bedded Care home providing nursing care situated in a residential area of Derby and close to a range of shops and local amenities. The property was originally a private dwelling that has been converted and extended. Residents rooms are located over three floors, all floors are accessed via a passenger shaft lift or staircase. The home provides limited en-suite facilities. There are a variety of communal areas made available for use at all times. The gardens areas are landscaped and accessible to residents. The home provides 24 hour staff care three meals per day with drinks and snacks provided at regular times throughout the day, personal laundry and range of health services and social and leisure activities. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place at the home over a three and a half hour period. Additional time was spent in preparation for the visit, looking at previous reports and other documents. During the inspection process a number of documents were examined, including residents’ staff files and records, time was spent looking around the building and speaking to a number of residents, and to the manager and staff. What the service does well: What has improved since the last inspection? What they could do better: Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 6 The refurbishment of the sluice room still needs to be carried out. Doors and skirting boards must be decorated on a regular basis to address the paintwork damage incurred by wheelchairs. Medication must be administered according to the medication policy at all times. 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. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 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 Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 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): These Standards were not assessed during this inspection as they were found to be satisfactory at the last inspection dated 25/08/05. EVIDENCE: Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 9 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): 9. Standards 7.8.10.11.were not assessed during this inspection as they were found to be satisfactory at the last inspection dated 25/08/05. The administration of medication was not being carried out as required. EVIDENCE: The administration of medication was observed during the lunch period and a member of staff was taking medication to residents and leaving it with them the member of staff was not observing that the medication had been taken. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 10 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): 15. Standards 12.13.14.were not assessed during this inspection as they were found to be satisfactory at the last inspection dated 25/08/05. A new cook has been employed and this has changed residents views on the food provided. EVIDENCE: The food provided for lunch was well presented and according to menu. Alternative meals are provided if required. Residents spoken to said they had no complaints about the food and felt it had improved since the new cook had been in post. The dining area was warm light and clean, the atmosphere was calm and relaxed support was given to residents when required. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 11 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): 17.18 Residents’ legal rights are respected. Staff are in the process of attending Adult Protection courses. EVIDENCE: There are a number of Age Concern leaflets displayed at the home. Advocacy services would be requested in needed the manager stated that a solicitor would be found if a resident had legal matters to attend to. All the residents are encouraged to retain their right to vote. The manager stated that a number of staff had now received Adult Protection training but a small number had not. The manager is looking into obtaining Adult Protection training for a member of staff who can then offer training to staff as and when needed. Staff spoken to during the inspection stated that they were aware of the importance of Adult Protection issues and would have no problem reporting any such concerns to the manager who they felt confident would take the appropriate action. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 12 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): 22. Standards 19.20.21.23.24.25.26.were not assessed during this inspection as they were found to be satisfactory at the last inspection dated 25/08/05. The home provides a range of aids to enable staff to assist and support residents safely. EVIDENCE: The manager stated that there are 2 hoists used within the home, although the provider is intending to purchase a further hoist when the extension to the home is completed. The home has two shaft lifts available for use and there are hand rails fitted throughout the home. A range of toilet and bath aids is provided to enable residents to toilet safely. There is wheelchair access provided throughout the home. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27.29. Staffing levels are appropriate to meet residents assessed needs. The home has a recruitment policy in place, which is adhered to. EVIDENCE: The staff rotas were examined and staffing levels were found to be satisfactory. Two staff files were examined and were found to contain all the documentation as identified in Schedule 2. Residents spoken to during the inspection stated that staff were very kind and helpful, one resident said ”you cant fault them they are always helpful” Staff spoken to stated that they felt they had good training opportunities. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 14 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): The manager encourages open and supportive communication channels between residents, staff and herself. The homes records are generally well recorded. The home has yet to develop fully a Quality Assurance system. Servicing of the homes equipment had been carried out as required EVIDENCE: Regular staff meeting are held and staff have a handover session to pass on important information concerning residents. All the staff spoken to said they had no concerns about the manager or the providers and found them to be approachable and supportive. The home has a system in place for recording the financial transaction of all the residents this was examined and found to be satisfactory. Two staff files were assessed and evidence was found to demonstrate that staff supervision was taking place as required and the manager stated that the Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 15 format for staff supervision was being reviewed. Staff spoken to during the inspection confirmed that they received regular supervision. A number of the homes records were assessed during this inspection including menus; staff files, accidents and complaints all were found to meet requirements. The home has started to develop a Quality Assurance system questionnaires have been developed for residents/relatives this information is gathered and evaluated, however other areas of care e.g. complaints, accidents, staff training and feedback from professionals who visit the home should be included. The information should be evaluated and monitored A report must be published and made available for residents and inspection. A number of records were assed during this inspection including accidents and staffing rotas, the Statement of Purpose and residents Information Guide all were maintained as required. The home has a comprehensive Policies and Procedure manual in place. The servicing of fire equipment, hoists, call system, lift, gas and electrical appliances had been carried out and were in date. A number of recommendations made in the environmental Health officer report were still outstanding. Fire alarm tests had not been carried out for some considerable time. Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 16 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 3 18 2 x x x 3 x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 3 3 2 2 Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 17 No 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. Standard 1 OP26 Regulation 23(2(b) Requirement The registered person must refurbish the upstairs sluice area. This requirement is outstanding from the last inspection report 25/08/05 The registered person must ensure that all damaged paintwork to doors and skirting boards are repainted. This requirement is outstanding from the last inspection report 25/08/05 The registered person must ensure that fire alarm tests are carried out on a regular basis and recorded. The registered person must ensure that all members of staff receive Adult Protection training The registered provider must ensure that a Quality Assurance system is developed fully and is evaluated and monitored. A published report of the findings must be made available to residents. The registered person must ensure that staff administering DS0000002110.V268614.R01.S.doc Timescale for action 01/03/06 2 OP24 23(2)(d) 01/03/06 3 OP38 23(4)(c)(v) 01/01/06 4 5 OP28 OP33 18(1)(i) 24(1) and (2) 01/04/05 01/03/05 6 OP9 13(2) 01/01/06 Stanley House Version 5.0 Page 18 medication must observe the resident taking the medication at all times. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Stanley House DS0000002110.V268614.R01.S.doc Version 5.0 Page 20 - 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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