Inspection on 30/10/05 for Stanton Court

This inspection was carried out on 30th October 2005.

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

Stanton Court 04/05/07

Stanton Court 26/09/06

Stanton Court 20/02/06

Stanton Court 29/03/05

Stanton Court 20/07/04

Stanton Court 21/11/03

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Stanton Court Stanton Drew Bath & N E Somerset BS39 4ER Lead Inspector Melanie Edwards Unannounced 30 October 2005 09:30 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. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stanton Court Address Stanton Drew Bath & N E Somerset BS39 4ER 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) 01275 332410 01275 333510 Brightwell Care Limited Mrs Celia Williams Care home with nursing 36 Category(ies) of OP Old age (36) registration, with number of places Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 36 persons aged 50 years and over requiring nursing care. May accommodate up to 3 persons aged 65 years and over requiring personal care. Staffing Notice dated 22/02/2000 applies. Managers must be a RN on parts 1 or 12 of the NMC register. Date of last inspection 29-Mar-2005 Brief Description of the Service: Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Sixteen residents and a number of relatives were consulted to find out their views of the home and the service provided. Mr and Mrs Townsend who own the home, the manager, the cook, one registered nurse, and one care assistant were also consulted about what their roles and responsibilities are, their training needs, and how they assist and support residents. A selection of records relating to the running and management of the Home were inspected. A range of residents’ records and care plans were also inspected, and staff were observed carrying out their duties. The majority of the environment was inspected: the only area not viewed were a small number of resident’s rooms. What the service does well: What has improved since the last inspection? What they could do better: The safety of residents would be better maintained if the record of kitchen fridge and freezer and temperatures were kept up to date, to demonstrate temperatures are being monitored to ensure they are within food safety guidance levels. Residents would benefit if staff ceased using `tippex’ whitener fluid on medication charts, as the use of this means it is not possible to check if medication has been omitted, or an error has been made. It would also be beneficial to residents if there were information included in their records to demonstrate skin vulnerability is being monitored. This would Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 6 ensure an accurate record of the person’s current skin condition and demonstrate it is being monitored and reviewed. 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. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.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 Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.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) 3, 4 The home is meeting residents’ assessed needs. EVIDENCE: Four care records were inspected to find out how residents needs are assessed. Generally records were reasonably informative, and showed residents had been consulted about their physical mental and social needs. Registered nurses are reviewing residents assessed needs on a monthly basis. Currently the information that has been written by the nurses does not always refer to the person’s skin vulnerability and any risk of developing pressure sores. Where this is an identified need it would be beneficial if this information were formally reviewed and updated on a regular basis, to ensure changing needs are being kept under review. There were many comments of satisfaction expressed by all of the residents and relatives who were consulted about the care they receive. Examples of comments made included, ‘the service is very good no complaints whatsoever’, ‘the staff are very caring and helpful,’ ‘the staff are very nice and are really very kind.’ Several relatives also commented about the home, examples of comments made by relatives included, `the staff are very humane Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 9 and so much is organised for residents to do,’ and, `it’s a lovely home ,it’s small and the care is absolutely wonderful’. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.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 Residents’ nursing care needs are met, and the system for dealing with residents’ medication is generally safe. EVIDENCE: Three resident’s care plans were inspected to monitor how residents are supported to meet their care needs. Care plans addressed residents physical, psychological and social care needs. There was detailed information included stating how to assist residents with their needs. Care plans had been reviewed and updated on a regular basis by registered nurses, demonstrating that residents’ health care needs were being monitored and kept under review. Care plans had been written based on an initial assessment that had been completed for each resident identifying what their needs were. Medication procedures and practises were inspected and demonstrated the home operate a generally safe system of administration, and disposal of resident’s medication. However three residents’ administration charts included entries that had been corrected by the registered nurse with whitener fluid. The use of whitener fluid to correct administration charts may mean that a drug error or an omission of medication cannot be traced. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 11 The room used to store residents’ medication, does not have a thermometer in to ensure the temperature does not exceed safe guideline maximum levels. The manager said she would be purchasing the required thermometer as a priority. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.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, 15 A varied range of social and therapeutic activities is provided. Residents are offered a well-balanced diet. EVIDENCE: A copy of the monthly timetable of social activities is circulated to each resident to ensure they are aware of planned activities. Residents take part in a range of social activities as well as trips out into the local community. The home also has a mobile shop and residents can buy a range of useful day to day items, including toiletries at a reasonable price. A number of residents said that there are regular musical afternoons that take place, with different singers and entertainers. Several residents also said that an arts and crafts afternoon had taken place the day before, and they had been making Christmas calendars, they said this had been an enjoyable activity. On the afternoon of the inspection a `sing-along’ afternoon took place involving residents and staff, residents looked as if they were enjoying this activity. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 13 There is also a pantomime outing planned in the New Year to the Bath Theatre Royal, as well as a trip to a local garden centre that is planned to take place in the very near future. To find out what type of food is offered to residents a portion of the lunchtime meal was tasted. This was a dish of roast chicken with stuffing, roast potatoes and seasonal fresh vegetables. There was a choice of homemade chocolate sponge with custard, or an alternative dessert. The meal was tasty and well cooked.. The home operates a rotating menu, and menu choices were well balanced and varied. All of the residents who were asked expressed positive comments about the quality of food. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 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 standard(s) 16,18 The systems in place help to protect residents from abuse and ensure complaints are responded to promptly. EVIDENCE: A copy of the complaints procedure is on display in a well-frequented part of the home, which means people will know how to obtain the required information if they want to make a complaint. There had been no complaints received since before the last inspection. There are procedures as well as a range of guidance information on the topic of `protection of vulnerable adults from abuse’. The availability of this information should increase staffs awareness and understanding of their role in protecting vulnerable adults who live at the home. A number of staff are undertaking the National Vocational Qualification in care award, and a component of the award addresses issues around the topic of the protection of vulnerable adults from abuse. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-26 The home is clean safe, and looks well maintained. EVIDENCE: Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 16 The home is set in landscaped gardens in a quiet area, near to a church and village pub. The property is located a car ride away from the village of Chew Magna, where there are shops, services and amenities. The home is also a short drive away from nearby motorway access, and a large shopping mall. The building is an older spacious converted property, built over three floors, with a range of suitable adaptations in place throughout the home to assist people who may have limited mobility. There is lift access to each floor. The inspector walked around the inside of the home and viewed all of the communal living areas and the majority of bedrooms. Rooms sizes are generally adequate for their stated purposes. A number of rooms have en suite facilities provided. The remaining rooms are not ensure ,but have hand washbasins in them, and communal toilets are located in close proximity to all bedrooms. A number of residents said how much they liked the views of the countryside from their bedroom windows. The environment was very clean tidy looks well maintained. All residents have a television in their rooms and a number of residents have their own telephone line, this should help enhance the quality of life for residents. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 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 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) , 28, 30 Staff are skilled and competent to meet residents needs. EVIDENCE: Training records demonstrated staff attended training and updating in subjects that are relevant to the home and to the needs of residents. The inspector spent some time sitting in the communal areas observing staff carrying out their duties, assisting residents. Staff assisted residents in a calm and very courteous way. Residents and relatives expressed very positive views about staff, examples of comments made about staff and the care they provide included, `the care is absolutely wonderful nothing is too much trouble’, the home is first rate and the staff are very caring’, and, `it’s a first class home and the staff are clinically very aware’. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 18 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, 37, 38 Residents’ needs and best interests are central to the management approach in the home, and generally the health and safety of residents, staff, and visitors is protected. EVIDENCE: Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 19 The environment looked satisfactorily maintained throughout. The kitchen was tidy and organised when viewed during the inspection, and staff demonstrated an understanding of safe food handling practices. There was a record of fridge and freezer temperatures to demonstrate these were being monitored by the catering staff , however the records were not up to date and temperatures had not been checked for nearly four weeks. There are health and safety policies and procedures in place for staff to follow to ensure the health and safety of themselves and residents is maintained. The fire logbook was checked and showed fire safety testes are being carried out; helping to demonstrate the safety of people who are in the building is maintained. There was a record that showed staff had attended fire safety update training in the last twelve months, to ensure they were aware of fire safety procedures in the home. As has already been referred to previously in this report there was a very high degree of satisfaction expressed by all of the residents and all of the resident’s relatives who were consulted during the inspection. Based on the comments made it is evident residents feel that the home is run in their best interests and to ensure their needs are being met. Examples of comments made by residents and relatives included, Diane, the matron gives first class leadership’, and, `nothing is too much trouble for Diane she’s very kind’. A number of residents and relatives also commented very positively about the attitude of the owners who they described as very helpful, and always willing to listen. Residents care records are stored securely in the home when not in use, thereby helping to protect residents’ confidentiality. Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 20 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 x x 3 3 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 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 x x x x 3 3 Stanton Court D05 D56 S20291 StantonCourt 238844 301005 Stage4.doc Version 1.40 Page 21 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. 1. 2. Standard 38 9 Regulation 16.2(g) 13.(2) Requirement The kitchen fridges and freezer temperatures must be monitored on a regular basis. Cease using whitener fluid on residents medication adminstration charts. Timescale for action 31/10/05 30/10/05 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. Refer to Standard 4 Good Practice Recommendations When registered nurses review residents assessed needs there should be evidence included that demonstates residents skin vunerablity is being monitored . 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