Inspection on 23/05/05 for Station Court

This inspection was carried out on 23rd May 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

Station Court 30/10/06

Station Court 17/10/05

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 Unannounced 23rd May 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. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Station Court Address Station Road Ashington Northumberland NE63 8HE 01670 817 222 01670 817 555 stationcourt@barchester.com Barchester Healthcare Homes Limited 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) vacant CRH 63 Category(ies) of DE Dementia (2) registration, with number DE(E) Dementia - over 65 (31) of places OP Old Age (30) Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection Brief Description of the Service: Station Court is a residential care home providing personal care and accommodation for 63 older people. The home is in a residential area of Ashington with good access to public services and amenities. The home has been open for two years. All bedrooms are single with en-suite facilities, it is extemely well decorated throughout, there are a number of lounges and dining rooms. the gardens are landscaped and it has a large car park. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the homes first annual unannounced visit, which took place over a 6 hour period. Time was spent in the office talking to the homes new manager and examining records, policies and procedures. Time was spent talking to staff, service users and visitors. What the service does well: What has improved since the last inspection? What they could do better: Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 6 Those service users who smoke in the homes designated area, and particularly those who may pose a risk to themselves and others must be supervised during these periods. The service users social care plans need to be more detailed, they should state clearly each individual’s interests and hobbies. Service users risk assessments should be agreed and signed by their representatives. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 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 Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 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) 1 2 3 5 All service users had an appropriately detailed pre-admission assessment completed and they were invited to visit the home prior to admission. Each service user is provided with a written contract / statement of terms and condition. All are provided with the information they need to make an informed choice about where to live. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Four service users interviewed confirmed they had been given copies of the guide. These were available in large print. The inspector saw a copy of the standard contract used. It contained the range of information required by the standards. Two service users interviewed confirmed they had a copy of their individual contract. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 9 Three service users’ files were checked and on each were a copy of a full needs assessment. These were carried out by appropriately trained people eg - the referring social worker and for those self-funding by the registered manager. They did contain 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. The 3 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The residents 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. Overnight stays can also be arranged. Unplanned admissions are avoided where possible. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 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 The service users health and personal needs continue to be fully met these are reviewed and evaluated on a regular basis. The service users dignity and privacy is respected at all times, and selfadvocacy is promoted. It was agreed that the service users social care plans need to be more specific in order to meet their individual needs, and risk assessments need to be agreed and where possible signed by each service users representative. The manager will ensure that the homes medication procedures are strictly adhered to. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users, these should be agreed and signed by their representatives. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 11 Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. The manager has agreed to implement very detailed social care assessments for all service users. Each service user receives support from staff to manage their finances. Service users’ all indicated that they are able to make decisions for themselves. The homes medication systems were found to be robust for ordering, administration and disposal, all senior staff have undertaken accredited medication training. Controlled drugs were found to be appropriately stored and a controlled drugs register is kept. A recent incident occurred in the home re medication, the manager will ensure that staff are extra careful when dispensing medication. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 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 13 15 The home employs a very enthusiastic and creative activities co-ordinator, service users are supported to use community activities and maintain contact with their family and friends. The menus are varied and nutritional and a choice is available. EVIDENCE: I was informed that all service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. I observed that staff enter service users bedrooms with their permission. I also 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 that I spoke with said that the food was very good, and that there had been a big improvement in recent months. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 13 Nutritional assessments are completed following admission to the home. A range of special diets can be catered for. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 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 Complaints are handled objectively and the service users were confident that their complaints are taken seriously and acted upon. The home has very detailed complaint procedures. 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 within 72 hours and that complainants would not be victimised. 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. One service user spoken to who had made a complaint in the past said these had been dealt with fairly. 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 B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 15 There was evidence of personal spending and receipts are kept. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 16 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 20 21 22 23 24 25 26 The home is extremely well maintained, comfortable warm and safe. All bedrooms and communal space exceed the NMS. EVIDENCE: On the day of the inspection the home was clean,very well decorated and well maintained. The home, is in a residential location. Four service users interviewed said it was homely and comfortable. The grounds were tidy, attractive and accessible. Although service users are supervised when sitting in the garden during the summer months, in order to minimise risks, It is recommended that part of the garden is made secure in order to avoid service users who may have memory problems wandering off. The home does have an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 17 Service users can see visitors in private in their own rooms. The dining areas are large enough to cater for all service users. There is a designated smoking area, again it is recommended that service users are supervised at all times in this area. Outdoor space and all areas of the home are accessible to people in wheelchairs. Furnishings and fittings were domestic in design and in good condition. Lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Doors were labelled and had privacy locks. There were appropriate aids and adaptations – eg seat raisers, grip rails, bath hoists. Room sizes exceed the minimum required. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators were low surface temperature and pipes were guarded. Lighting levels were sufficient and there was emergency lighting throughout the home. The home was extremely clean and free from offensive odours. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 18 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) 27 28 The home had sufficient care staff employed to meet the needs of the service users. EVIDENCE: Staff levels on the day of the inspection did meet the agreed safe level. Samples of 4 weeks’ rotas were checked and these stated the required numbers of staff were on duty for the number of service users, currently 52, the home is registered for 63. Staffing levels were appropriate and that there were additional staff on duty at peak times of the day. All the staff were over 18 years of age and those left in charge were at least 21. Staffing; between 8am and 10pm ground floor 1 senior 3 carers. First floor 1 senior 4 carers. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 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 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) 31 34 35 37 There are systems in place to promote and safeguard the health and welfare of the service users. The new manager has a national vocational qualification in management and care. There are appropriately maintained finance records kept. The homes policies and procedures are inline with the MNS. EVIDENCE: The appointed manager is not yet registered and has only recently took up her post as manager. One week only. She 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. Staff and service users interviewed spoke positively about the new manager. Service users are informed when inspections take place and have access to inspection reports. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 20 Copies are on display for relatives/others to see. The Company has developed a range of new policies and procedures which have to some degree been linked to the National Minimum Standards. The records that I inspected were found to be appropriately completed, these included the fire log book, personal allowance records, Health and Safey manual, and I was provided with 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 B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x 3 3 x 3 x Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 22 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. 3. Standard 7 9 7 Regulation 15 13 (2) 15 © Requirement state clearly each service users social needs and interests within each individuals plans of care. Ensure that the homes medication procedures are strictly adhered to Service users who may pose a risk when smoking must be supervised by staff, risk assessments should be agreed and where possible signed by service users represenatives. Timescale for action 1.8.05. 1.6.05. 1.6.05. 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 Good Practice Recommendations No recommendations were identified. Station Court B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection 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 B53-B03 S55020 Station Court V220968 030505 Stage 4.doc Version 1.20 Page 24 - 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!