Inspection on 17/10/05 for Station Court

This inspection was carried out on 17th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Station Court 30/10/06

Station Court 23/05/05

Station Court 13/12/04

Station Court 28/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Station Court Station Road Ashington Northumberland NE63 8HE Lead Inspector Jim Lamb Announced Inspection 17th October 2005 09:30 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 Station Court DS0000055020.V259562.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. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Station Court Address Station Road Ashington Northumberland NE63 8HE 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) 01670 817 222 01670 817 555 stationcourt@barchester.com Barchester Healthcare Homes Limited Mrs Vivienne Morris Care Home 63 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (31), Old age, not falling within any other of places category (30) Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two service users under 65 years of age are to be accommodated in the DE category. No further admissions can take place in this category without the agreement of CSCI. 23rd May 2005 Date of last inspection Brief Description of the Service: Station Court provides personal care and accommodation for older people. The home is located in a residential area close to local amenities and the town centre. The home is on two floors and there is a passenger lift. There are a variety of aids and adaptations around the building to allow service users to move about more independently. All the bedrooms are single and have en-suite facilities. The grounds are landscaped and there are seating areas for service users. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours during the morning and early afternoon. This was the homes annual announced inspection visit. Time was spent with the manager examining the homes policies and procedures and the service users care records. Nine of the homes service users; ten staff and two visitors were spoken to. What the service does well: What has improved since the last inspection? What they could do better: 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. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 6 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 Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 7 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): 134 The service users needs are assessed prior to moving into the home. On completion the revised statement of purpose and service users guide must be forwarded to the CSCI. EVIDENCE: The homes Statement of Purpose and the Service Users Guide both contained the full range of information required; the company is currently revising both documents. It is recommended that both are produced in a range of formats e.g. on audiotape, and large print. Three service users’ files were checked and on each were a copy of a full needs assessment. These were carried out by the referring social worker and for those self-funding by the registered manager. They contained a range of appropriate information and service users interviewed confirmed they were involved in drawing up both these initial assessments and the home’s subsequent service user plans. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 8 The 3 service user plans checked were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The service users interviewed said their needs were met and they were happy with the care offered to them. Three care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. All service users are invited to visit the home prior to admission to meet other service users and staff. Station Court DS0000055020.V259562.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): 7 8 9 11 The health, personal and social care needs of service users are identified and met. Robust medication procedures are now in place. Staff require care of the dying training. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. It is recommended that all service users risk assessments are agreed and signed by each individual or their representatives. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 10 Each service user receives support from staff to manage their finances. Service users’ all stated that they are able to make decisions for themselves. Comment cards were received from three service users who expressed concern about their privacy not being protected, they were concerned about other service users wandering into their bedrooms. All bedrooms have privacy locks; the manager will remind service users to keep their bedroom doors locked. The home has detailed policies and procedures for the care and comfort to be given to service users who are dying. Care staff has not received any formal training, therefore it is recommended that the company organise staff training that will cover; Palliative care, practical assistance, and bereavement. This will ensure that the homes policies and procedures for handling death and dying are fully understood and observed by staff. The homes medication systems are well managed. Regular internal audits take place and all senior staff has received accredited medication training. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 11 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): 12 13 15 The service users social activities are well managed. All are supported to maintain links with their relatives and friends. Meals are well managed and a choice is available. EVIDENCE: The service users have access to a range of community-based services, which promote and provide opportunities to maintain links with the local community. Comment cards were received from four service users who said that they would like the opportunity to go out on trips more often. Twelve others said that they were happy with the level of social activities within the home. There was evidence that service users have the opportunity to attend outings and visit local places of interest, at least twice monthly. The homes activities co-ordinator maintains very good social activities records. All service users interviewed said that they are supported to maintain very close links with their families. All are able to choose who they want to see and when. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 12 There was evidence that daily routines promote independence, choice and freedom of movement. The inspector observed staff interacting in a sensitive and respectful manner with service users. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. The service users said that the food was very good. Nutritional assessments are completed A range of special diets can be catered for. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 13 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): 16 17 18 The service users were confident that their concerns will be listened to and acted upon. Procedures are in place to safeguard and protect service users. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It contains details of how to contact the CSCI to make a complaint that complaints would be responded to in 28 days. Two service users interviewed confirmed that they had been given copies of the procedure and that staff listened to their complaints and dealt with them fairly. In the last year there have been 4 complaints received, all were investigated and appropriately resolved. The home does keep a record of complaints. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 14 There was evidence of personal spending and receipts are kept. Service users confirmed that their legal rights are protected, and that they have the option of voting in elections. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed during this inspection visit. All standards were met at the last inspection visit on 23. 5. 05. EVIDENCE: Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 16 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 28 29 30 The deployment and number of staff is currently sufficient to meet the needs of the service users. Staff induction training is well organised. Robust recruitment procedures are in place. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Samples of 4 weeks’ rotas were checked and these stated the required numbers of staff were on duty. Staff spoken to and service users interviewed said that staffing levels were appropriate. The inspector checked staff records and found that 57 of the home’s staff has an NVQ level 2. Two staff files were checked. The home has a thorough recruitment process which includes obtaining two written references, obtaining full employment histories and checking gaps in these, a criminal records check, medical checks, obtaining proof of ID and of any qualifications. All new staff members receive induction within 6 weeks. The manager confirmed the programme meets National Training Organisation Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 17 requirements, she said it covered such things as safe working practices, the organisation and workers role and the needs of the service user group. Training needs of staff are identified via supervision and appraisal sessions. The training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. Staff interviewed confirmed they receive three days paid training. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 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 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): 31 32 33 35 36 38 The home is well managed. There has been a low turnover of staff in the last six months; all staff receives regular supervision sessions. An effective quality assurance system is in place. Procedures are in place to promote the health, safety and welfare of the service users. EVIDENCE: The registered manager has many years experience in senior management and has a level 4 National Vocational Qualification in management and care. Staff interviewed were clear about the their responsibilities. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 19 Staff and service users interviewed spoke positively about the manager saying she had encouraged both staff and service users to contribute to the development of the service. The home does have a quality assurance system, which seeks the views of service users, via meetings and questionnaires. Service user and relative’s meetings also take place regularly. The home has an annual development plan. Service users’ confirmed they felt involved in the process and that it had improved the quality of care offered. The manager said others are asked for their views of the home e.g. – GP’s, District Nurses, volunteers, advocates are sent questionnaires. Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are on display for relatives/others to see. The records that I inspected were found to be appropriately completed. There was Information which verified that appropriate maintenance contracts for the home are in place. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 Standard OP 7 Regulation 15 Requirement Service users or their representatives must sign risk assessments. Outstanding. Timescale for action 01/12/05 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 2 Refer to Standard OP 11 OP 1 Good Practice Recommendations Organise care of the dying training for care staff. On completion send a copy to CSCI of the homes revised Statement of Purpose and Service Users Guide. Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Station Court DS0000055020.V259562.R01.S.doc Version 5.0 Page 23 - 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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