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Inspection on 30/07/09 for Stansfield Hall

Also see our care home review for Stansfield Hall for more information

This inspection was carried out on 30th July 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Stansfield Hall The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Sylvia Brown Date of this annual service review: 2 7 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Stansfield Hall Temple Lane Littleborough Lancashire OL15 9QH 01706370096 F/P01706370096 rajan630@hotmail.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Rajanikanth Selvanandan Number of places (if applicable): Under 65 Over 65 0 22 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 22 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Stansfield Hall is located approximately two miles from the centre of Littleborough. The home provides 14 single and 4 double bedrooms, all of which were let as singles at the time of the inspection. Access to the home is up two steps, although there is good ramped access to the side of the home via the conservatory. Grab rails are provided at each side of the steps. All accommodation is on ground floor level. For safety reasons there is limited access to gardens. A small patio area is provided and is used by residents in fine weather. Parking for approximately eight cars is provided, with further Annual Service Review Page 2 of 7 on-street parking available as needed. There are a number of shops nearby but they are not easily reached by residents. A regular bus service to Rochdale and Todmorden stops close to the home. At the time of the inspection, weekly fees were between £384 and £450.00. Additional charges are made for hairdressing, chiropody, newspapers, dry cleaning, private telephone line rental/calls, and external activities in the form of a small donation for transport. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Any relevant information from other organisation or the general public. What has this told us about the service? The Annual Quality Assurance Assessment (AQAA) was returned on time, it was sufficiently detailed, giving us the information we asked for. It identified that the registered manager had consulted with users of the service and completed her own assessment of the service with the outcome that she was clear about what the service did well and future developments which needed to take place in order to improve on service delivery. The manager states she considers that she ensures each service user has a full assessment of their needs before being admitted to the home, and that care plans are kept under review by senior members of the staff team and that weekly reports are completed by a service users key worker. She believes because of this system service users have their needs recognised, recorded and met in a way they prefer. We are told by the manager that since the last inspection staff have received training in the Mental Capacity Act and Deprivation of Liberty in order to ensure service users rights are known and respected. Looking at all the evidence available to us, our judgment is there may be reason to change the current rating of the service. The AQAA identifies that currently 50 of care staff have a National Vocational Qualification (NVQ) at level 2 or above which meets/exceeds the required standards. Annual Service Review Page 4 of 7 We have received a number of surveys from staff who when asked what the home does well stated maintains some good links with outside agencies such as GPs, district nurses and podiatrists which they say benefits the service users. Another staff member stated the service users are well cared for and get good meals which are home cooked the staff member also stated that I think there should be a wider choice on the menus. One staff member stated we care for people like we would like someone to care for our parents. We received extensive information from staff when we asked what could the home do better? and when given the opportunity to tell us about anything else, we were told there is no cleaner on duty at weekends. A member of staff felt this led to a reduction in standards.... when cleaners are not in, things get left or missed like the cleaning of commodes. Staffing surveys recorded that some staff are of the opinion that there are insufficient numbers of staff on duty during peak periods which culminates in service users being woken up early and rushed. One staff member stated I dont think some shifts are adequately covered....I do not agree with people being woken up at 6am because night staff have to get a certain number up. Of the 6 staffing surveys received 3 responded that there was sometimes enough staff and 2 usually enough staff on duty to meet the individual needs of service users. 1 staff member was specific in their response stating there was usually enough staff on duty in the afternoons but never in the mornings. 3 staff members identified that confidentiality was not maintained at the home, with 1 saying this was well known amongst staff. From the information we received it appears that if a staff member makes a complaint about the service to a person in management control confidentiality is not always maintained. We received mixed views from staff about their induction programme, when asked did your induction cover everything you needed to know to do your job 2 members of staff said very well, 2 said partly and 1 said not at all. From the information we have received from staff members there are some indicators that service users do not get the opportunity to join in regular activities or visits places of interest outside of the community, that maintenance of the building is not completed in a timely manner, and that there are significant delays when staff members ask for materials to do our job......lots of times you have to repeatedly ask and it could be three weeks later when you get them. We have received no issues of complaint within the previous year. The AQAA reports that one complaint has been received by the service which was investigated and upheld. We have not received any allegations of abuse relating to Stansfield Hall and the AQAA confirms none have been received at the service. What are we going to do as a result of this annual service review? We are going to change our inspection plan, and will do a key inspection by 26th October 2009. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service Annual Service Review Page 5 of 7 Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - 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!