Inspection on 31/01/07 for Stanley Place Residential Home

This inspection was carried out on 31st January 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

Stanley Place Residential Home 22/11/05

Stanley Place Residential Home 17/05/05

Stanley Place Residential Home 24/11/04

Stanley Place Residential Home 09/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Stanley Place Residential Home 4 Stanley Place Salop Road Oswestry Shropshire SY11 2RG Lead Inspector Karen Powell Key Unannounced Inspection 31st January 2007 10:00 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 Place Residential Home DS0000020734.V297105.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. Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanley Place Residential Home Address 4 Stanley Place Salop Road Oswestry Shropshire SY11 2RG 01691 650343 NONE 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) Mrs Pauline Edwards *** Post Vacant *** Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Heatherdene is a private care home situated on a main road near to Oswestry town centre and has convenient access to local amenities and services. The home has been converted from a large detached house and provides accommodation and personal care for up to 16 older people. The main house has a mixture of single and double rooms and there is further single accommodation in the coach house. There are two communal lounges and a large dining room and outside, towards the rear of the property, is a small covered terrace and a screened patio area with seating. All of these are accessible to Residents. The manager of Heatherdene is Mrs Pauline Edwards who owns the establishment jointly with her husband. Heatherdene is also able to offer day care for older people. Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection. One inspector carried out the inspection. The visit lasted four hours. It included talking with service users, visitors the deputy manager and members of staff on duty, case tracking service users, observing work practices, looking at a number of records and a tour of the home. All 22 key national minimum standards for older people were assessed and in addition standard 1 and 37 and a quality rating provided based on each outcome area for service users. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. The service users, deputy manager and staff on duty were welcoming and cooperated fully throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 6 The home must review the statement of purpose and ensure that the stated aims and objectives are accurate. The issue of smoking must be reviewed and must not conflict what is stated in the homes smoking policy. The staff team must ensure that the principles of privacy and dignity are practiced at all times. A CRB disclosure must be carried out before staff are deployed. An effective quality monitoring system must be developed to ensure all interested parties, including visitors, staff and other interested stakeholders in the community (eg GP’s etc) are sought on how the home is achieving goals for service users. There are some matters pertaining to health and safety that the home must address, these are ensuring emergency lighting is checked weekly and all incidents that affect the health, safety and welfare of service users are notified to the Commission for Social Care Inspection under regulation 37 without delay. 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. Stanley Place Residential Home DS0000020734.V297105.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 Stanley Place Residential Home DS0000020734.V297105.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): 1&3 Service users are given information about the home, however, this information is in need of reviewing. All service users are assessed prior to being admitted to the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides a statement of purpose setting out the aims and objectives of the service. It was observed during the inspection that the home does not follow what is stated in the document with regard to smoking. It clearly states, “For the benefit of all residents and staff the communal areas of the home are designated non smoking. Residents who may wish to smoke may smoke in the Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 9 garden area or at the rear door exit”. Furthermore there is a smoking policy in place which states “No staff or visitors are allowed to smoke within the home” the policy then continues to be contradictory in that it states “Residents are allowed to smoke in the communal lounge to the rear of the home under supervision”. The home must review the policy and statement of purpose and the implications for non-smoking service users and those who are clearly unable to remove themselves from the smoke within the environment in which they live. Each service user is assessed prior to being admitted into the home. The files of the two most recent admissions to the home were seen to contain assessments. For self funding service users an assessment is carried out by an experienced member of the care team. Stanley Place Residential Home DS0000020734.V297105.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): 7, 8, 9 & 10 The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a care plan that has been agreed with them. The care plan covers all areas of the individual’s life including health, personal and social care needs. The care plan also includes risk assessments in nutritional screening and manual handling. Care Plans include a record of visits by multi health care professionals, which demonstrates that the home accesses professional support for individuals when required. Service users confirmed that they have access to their GP, dentists, opticians and other professionals Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 11 when required. The care plans of two service users were audited and found to be satisfactory. All care plans had been reviewed regularly. A medication policy is in place. All staff that handle medication are trained. The lunch time medicine administration was observed and staff were observed to carry out safe practice. Matters pertaining to storage and recording were satisfactory. Controlled drugs were audited as part of the medication audit. The records of one service user taking controlled drugs were audited. Storage and stock in place were seen to be satisfactory. The recording was not being documented in the appropriate records. However the deputy manager located a CD register, which she agreed to put into use at the next administration. Service users spoken to were complimentary with regard to the staff respecting the principles of privacy and dignity during the delivery of personal care. On a tour of the home it was observed that placed on each chair is a protective ‘kylie’ sheet, this issue was discussed with the deputy manager. It was established that this is routinely done and not necessarily done due to an assessed continence need. This practice should be reviewed as it is considered to compromise service users’ dignity. Stanley Place Residential Home DS0000020734.V297105.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): 11, 12, 13, 14 & 15 Service users are able to choose their life style, social activity and keep in contact with family and friends. Service users receive a healthy, varied diet according to their assessed requirement and choice. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users who were happy to talk to the inspector spoke about daily life at the home, it was clear through discussion that service users are encouraged to choose their lifestyle. Service users are encouraged to personalise their own bedrooms. There are no restrictions on visiting times and individuals are encouraged to maintain contact with their family and friends. One visitor to the home told the inspector that they can visit at anytime and that they are always welcomed. They felt that their relative was looked after very well, the home was clean and the food always looked appetising and varied in choices. One service user spoke of their trips into the local town, others spoke about their Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 13 enjoyment of a trip organised by the home to the zoo, albeit this was some time ago. Three service users told the inspector that they enjoy a daily game of dominoes, one individual said it’s nice from the ‘friendship’ aspect of getting together every day. Service users are encouraged to take responsibility for their own financial affairs and to use their money as they wish. One service spoke of visits to the bank to manage their financial affairs. All service users spoken to were pleased with the menu, quality of food and variety offered. The lunchtime meal was seen to be relaxed and enjoyed by all. The meal looked appetising and was well presented. Stanley Place Residential Home DS0000020734.V297105.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): 16 & 18 There is a clear and accessible complaints procedure. Policies, procedures and staff training are in place to ensure that individuals are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a clear complaints procedure in place. This information is given to service users before they move into the home. Reference to the NCSC must be updated to CSCI. It was stated by the deputy manager that there have been no complaints since the last inspection. There have been none received at the Commission for Social Care Inspection. There were no complaints raised by service users on the day of the inspection. There are clear policies and procedures in place relating to the protection of vulnerable adults. It was stated by the deputy manager that all staff receive training in adult protection. Two files were audited as part of the inspection process, evidence of training was seen on file. Discussion with staff confirmed they are clear on action to be taken should they have to. Stanley Place Residential Home DS0000020734.V297105.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): 19 & 26 Service users live in a safe, well-maintained and comfortable environment, which encourages independence. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well-maintained, aids and equipment are provided to meet the care needs of the service users. All areas were observed to be clean and tidy. There is a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. Gardens and grounds are well maintained and were seen to have winter flowering tubs at the front and rear of the home. Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 16 Matters relating to fire safety following the last fire officer visit on 19th May 2006 were reported to have been completed. This was evidenced during the home tour. Records relating to fire safety were satisfactory with the exception of the emergency lighting checks, the manager must ensure that these are carried out weekly. Matters relating to the last environmental health officer visit just before Christmas are in hand and will be looked at during the next inspection. Re decoration of several parts of the home including the first floor hall, stairs and landing, some bedrooms, two bathrooms and the downstairs toilet have been completed since the last inspection and new carpet has been fitted in the hallway. The standard of cleanliness and hygiene was observed to be good at the time of the inspection. Stanley Place Residential Home DS0000020734.V297105.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): 27, 28, 29 & 30 Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of service users. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff are supported to undertake training relevant to their role. Evidence of staff training was seen on individual staff training files. It was stated by the deputy manager that there are eleven care staff employed at the home excluding the manager. Five staff are qualified to NVQ level 2/3 and two staff are currently undertaking NVQ training. It was reported that two staff are just commencing NVQ level 4. Training for those staff in need of first aid and basic food hygiene is hand. All staff receive induction training and records of induction training were evidenced in staff files. There is a clear recruitment procedure in place, however during case tracking the files of two of the newest recruits to the home were assessed to monitor Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 18 recruitment practice. One file was seen not to contain an enhanced CRB disclosure, although the individual had worked at another care home and the CRB for that home was seen, CRB’s are not portable and therefore a new CRB must be obtained before an individual commences employment. Stanley Place Residential Home DS0000020734.V297105.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): 31, 33, 35 37 & 38 The home is managed by an experienced individual and there is a clear management structure. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home is experienced and has managed the service for over twenty years. She is supported by a deputy manager Jackie Roberts who met the inspector and fully co-operated throughout the inspection. Mrs Edwards if fully involved in the day to day running of the home. Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 20 Currently quality assurance is done on an informal basis mainly because of the size of the home and the fact that Mrs Edwards provides a very hands on role. The deputy stated that anonymous surveys are carried out, however these have not been carried out for sometime. This is an area that the home must develop to ensure all interested parties, including visitors, staff and other interested stakeholders in the community (eg GP’s etc) are sought on how the home is achieving goals for service users. The requirement made at the last inspection with regard to a first aider being on duty at all times has been addressed. Service users are encouraged to handle their own finances. The records of one service user who has assistance to manage their finances were checked and found to be satisfactory. Evidence was seen that so far as reasonably practicable, the health, safety and welfare of service user and staff are maintained with the exception of emergency lighting tests, which must be checked weekly. Examination of accident records showed incidents recorded. In one case the date of the incident was not documented on the accident record. In a second accident and one other incident neither had been reported to the Commission for Social Care Inspection as required under regulation 37. As stated earlier in this report there is a requirement that the home reviews the smoking policy. Stanley Place Residential Home DS0000020734.V297105.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 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 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 3 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 3 x 2 x 3 x x 2 Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 22 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 2 Standard OP1 OP10 Regulation 4 Schedule 1 12(4)(a) Requirement The statement of purpose must be reviewed. The registered manager must ensure that the privacy and dignity of service users is maintained at all times. A CRB disclosure or a POVA 1st check followed by a CRB disclosure must be obtained before deploying staff. The registered provider must establish an effective quality monitoring system. The registered manager must notify the Commission of all incidents required by regulation without delay. Emergency lighting tests must be carried out at the required frequency. The smoking policy must be reviewed. Timescale for action 30/04/07 31/03/07 3 OP29 4 5 OP33 OP38 19(1)(a)( b)(c) schedule 2 24(1)(a) (b)(2)(3) 37(1)(a) (b)(c)(d) (e)(f)(g) 2 23(4) 12(1)(a) 28/02/07 30/04/07 28/02/07 6 7 OP38 OP38 28/02/07 28/02/07 Stanley Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 23 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 Place Residential Home DS0000020734.V297105.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Stanley Place Residential Home DS0000020734.V297105.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. 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!