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Inspection on 07/10/08 for Stapleton House

Also see our care home review for Stapleton House for more information

This inspection was carried out on 7th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What the care home does well

The home has a pleasant atmosphere and the staff are welcoming to visitors. Residents were positive about living in the home and the way they are supported by the staff. One said "the staff are helpful and kind" another said "it`s nice here". The food being served is nutritious and well presented and there is choice and variety for the people living in the home. People moving into the home are supported to bring in items to make their bedrooms more personalised and comfortable for the individual resident.

What the care home could do better:

There are only two outstanding requirements remaining from the last inspection. The home must offer a more varied social programme so that residents are offered the opportunity to make choices regarding their social activities and can therefore live more active and fulfilling lives. Also, the specialist bath in the dementia care unit must be either repaired or replaced so that sufficient numbers of bathing facilities are available for residents living in that unit.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Stapleton House Back Borough Road Jarrow Tyne And Wear NE32 5XW 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Suzanne McKean Date: 0 7 1 0 2 0 0 8 Information about the care home Name of care home: Address: Stapleton House Back Borough Road Jarrow Tyne And Wear NE32 5XW 01914300179 01914833294 stapletonhouse@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Exceler Healthcare Services Limited care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability 12 0 10 Over 65 0 31 0 Conditions of registration: The registered person may provide the following categories of service only: To service users of the following gender: Either Whose primary needs on admission to the Home are within the following categories: Old Age, not falling within any other category Code OP, maximum number of places 31 Dementia - Code DE, maximum number of places 12 Physical Disability - Code PD, maximum number of places 10 The maximum number of service users who can be accommodated is 45 Date of last inspection Brief description of the care home Stapleton House is a purpose built home providing both personal, nursing and dementia care for older people. It is a two storey building serviced by two passenger lifts. All bedrooms except one are en-suite, and there are lounges, one with an Care Homes for Older People Page 2 of 8 adjoining conservatory, and separate dining rooms. The corridors and doors are wide and allow access for people using wheelchairs. There is a 12-bedded dementia care unit situated on the first floor. This is a self-contained unit with individual bedrooms, dining room and lounge. There are adapted bathrooms, showers and toilets close to all resident areas. The home is located in a quiet, discreet area with well-laid gardens to the rear overlooking a green belt area, which offers a picturesque view from some bedrooms and the communal areas. The home is close to the town centre of Jarrow, to all amenities, and public transport, including the Metro railway system. Car parking facilities are available. Care Homes for Older People Page 3 of 8 What we found: The random inspection was carried out to look at the way the home has responded to the requirements made at the last key inspection and to look at the areas identified in a concern which was raised with the Commission for Social Care Inspections about the standards in the home. The visit was undertaken on Tuesday 7th October 2008 and during the visit the deputy manager was available to assist with collecting the information needed. The Manager also arrived later in the day and assisted with the visit. Care plans were examined including for those people who have pressure damage. The home has four residents with wounds, only one of which had been acquired when the resident was living in the home. The records for the management of these wounds were detailed and up to date. They showed that they were being managed effectively and that the staff were getting appropriate advice if necessary from the Tissue Viability Nurse. All residents were being cared for using appropriate equipment and the records are in place for the care being given. Good medication records are in place and audits are carried out to make sure that they continue to be managed safely. The results of these audits are displayed in the treatment room to show the staff their achievement. There have been two activities co-ordinators employed since last inspection. Unfortunately they did not continue in the post. However a replacement has now been recruited and once the appropriate process has been completed they will commence in the role. The home is currently following the programme that is in place. The manager and deputy agree that this could be improved further. The records of the management of complaints and concerns since the last inspection were examined. These were detailed and contained the information necessary to make sure that the residents are safeguarded and that any concerns can be investigated effectively. There have been no safeguarding incidents since the last inspection. The staff are receiving training in safeguarding adults from the local hospital. The standard of cleanliness is good. A housekeeper has been employed who is responsible for organising the domestic team and for monitoring standards. There was no unpleasant odours in the home. Changes to shift patterns have meant that there are domestic staff on duty at different times so that they can provide a more effective service. There has been a significant amount of re-decoration which has improved the the way the home looks. The training programme is up to date and the home is using both internal and external opportunities to make sure that the staff have the skills to carry out their roles. This includes general areas of infection control, fire training and food, handling and hygiene but also more specific clinical areas for the client group including Yesterday, today, tomorrow training, a dementia care package and diabetic management training. Care Homes for Older People Page 4 of 8 The home is now working with the end of life link nurse from the Primary Health Care team to provide training in the clinical pathways for those people who have reached the end of their lives. Staffing levels have been recently increased to take into account the numbers and dependencies of the residents in the home. During the inspection there were sufficient numbers of staff on duty to meet the needs of the residents. There are a series of audits being carried out as part of the quality assurance programme which can give the manager a good indicator of the standards and areas where improvements can be made. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 12 16 The registered persons must 01/07/2008 ensure that people are able to have the opportunity to choose their leisure activities and routines of daily living at all times. The registered persons must 01/08/2008 ensure that the specialist bath on the dementia care unit is repaired. Timescale of 01/07/07 not met The registered persons must clean or repair the flooring and shower in bathroom 29 2 21 23 Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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