Inspection on 10/08/05 for Staveley House Residential Care Home

This inspection was carried out on 10th August 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

Staveley House Residential Care... 16/12/09

Staveley House Residential Care... 17/09/07

Staveley House Residential Care... 14/12/06

Staveley House Residential Care... 21/11/05

Staveley House Residential Care... 12/01/05

Staveley House Residential Care... 02/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Staveley House Residential Care Home Greystone Lane Dalton in Furness Cumbria LA15 8QQ Lead Inspector Ray Mowat Announced 10 August 2005 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. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Staveley House Residential Care Home Address Greystone Lane Dalton in Furness Cumbria LA15 8QQ 01229 468210 01229 468210 abbeyfield@stavelyhouse.freeserve.co.uk Abbeyfield Furness Extra Care Society 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) Carmela McCullagh Care Home 31 Category(ies) of OP - Old Age registration, with number of places Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12 January 2005 Brief Description of the Service: Staveley House is registered to provide residential accommodation and personal care for up to 31 elderly persons. It is owned and managed by Abbeyfield Furness Extra Care Society Ltd, a member of the national Abbeyfield charity, through a volunteer Executive Committee. The registered manager is Carmela McCullagh. The home is situated on the edge of a residential housing estate, on the outskirts of Dalton-in-Furness, Cumbria. The home is a purpose built two storey building with two passenger lifts ensuring the building is fully accessible. All the rooms are single occupancy and have en-suite shower and toilet facilities. There are two large lounges, one on each floor, with a further four smaller lounges, one of which is a dedicated smoking area. In addition there is a spacious dining room and two bathrooms, with accessible bathing facilities. There is ample parking to the side of the home and a large, private, well kept garden area to the rear, with fully accessible seating and patio areas, which are used extensively in the summer months. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on the 10th August 05. The inspector met with many of the residents during the day, including the “case tracking” of three residents. This involves meeting the resident and the staff that support them and then examining their care plan files. There was a good response from resident’s comment cards and relative’s and visitors comment cards. During the course of the inspection, the inspector also spoke to families who were visiting the home. The inspector spent time in all areas of the home talking to residents and staff, in addition to formally interviewing four staff, which included two senior staff and two care staff. What the service does well: What has improved since the last inspection? What they could do better: The information contained in care plans should be more detailed, particularly in relation to health and medical conditions and how staff should be supporting residents. Pen pictures would also be beneficial to provide staff with an insight to individual needs. The storage of COSHH substances must be improved ensuring they are securely stored at all times and the safety of residents maintained. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 6 Although the home formally consults with residents on an annual basis, feedback regarding issues raised and how they will be responded to is not taking place. This can leave people wondering if their comments have been acknowledged and responded to. 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. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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 Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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) 1, 2, 3, 4, 5. The admission process is effective and provides prospective residents with clear information and the opportunity to make an informed choice, about moving into the home. EVIDENCE: Prospective or new residents are provided with comprehensive information packs and a resident’s handbook, which provides them with all the relevant information, relating to the management of the home and its policies and procedures. The home also provides respite care, which provides prospective residents with an opportunity to “test drive” the home, prior to making a decision about moving in. It was evident from discussions with residents and staff that prospective residents are encouraged to visit the home with their representatives, when information is shared and an application form can be completed. The application procedure is thorough and transparent and involves the home carrying out either home or hospital visits to complete an assessment of need. Thus ensuring the home is able to respond to individual Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 9 needs. If accommodation cannot be offered for any reason a full explanation is given and alternative services explored. Appropriate contracts of terms and conditions were issued and agreed with residents or their representatives. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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, 11. There was a high level of satisfaction from residents with the service they receive and how they are treated, however the content of care plans in specific areas must be strengthened. EVIDENCE: Prior to and soon after admission an assessment of resident’s needs is completed, to ensure individual needs can be met by the home. Based on this assessment and a social work assessment, if people have been referred by social services, the home develops a basic care plan. It is recommended the content of care plans are reviewed, with a view to strengthening the information relating to health needs and medical conditions. This should include strategies and guidance for staff to enable them to provide a continuity of care. Another area of the plan that could be strengthened is the development of individual pen pictures, providing staff with personal and historical information, giving them a holistic view of the person and an insight to individual life experiences and achievements. This will support staff in developing relationships but will also give staff a greater understanding of their individual needs and desires. It was evident from the inspector’s own observations and discussions with residents, staff and visitors to the home that staff respect individuals and Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 11 promote independence. Residents spoken to said “we are treated very well” another said “ I did not expect this, the staff are marvellous”. Staff were courteous at all times and obviously enjoyed good relationships with residents, with a healthy “banter” between them. Within the care plan files is a clear record of contact with all health professionals, both in the daily care notes and also on GP contact sheets. This provides staff with up to date information and ensures actions arising from an appointment are responded to consistently. Individual and family wishes upon illness and death were recorded, in addition to individual spiritual and cultural needs. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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, 13, 14, 15. Residents were enjoying independent and fulfilling lifestyles of their choosing. EVIDENCE: Through discussions with residents, relatives and staff and also based on feedback from resident’s comment cards, people were supported and encouraged to lead independent lifestyles of their choosing, in addition to participating in activities both in the home and in the community. A good example of this was two gentlemen who on the day of the inspection were going out in their car for a short trip and a visit to a pub. The home has an active group of volunteers who support activities both in the home and in the community. Through an annual review of the service there was evidence people were consulted about the activities they prefer and preferences responded to. Daily care records and the minutes of residents meetings confirmed that regular discussions were held in relation to activities, menus and the general routines of the home and that a good range of activities were being provided. The home has a hairdressing room where a regular hairdresser provides services on a weekly basis, in addition residents can arrange for their own hairdresser to visit them for appointments, which was appreciated by residents. Residents order their meal choices on a daily basis with staff collating meal choices each morning. Menus were sampled and the inspector joined residents Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 13 in the dining room for lunch. Based on discussions with residents, the choice and quality of meals was good and consistent. Special diets were catered for and individual requests responded to. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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) Resident’s are safeguarded and their rights protected by the home’s policies and practice. EVIDENCE: The home has a detailed complaints policy and procedure, which meets the requirements of the care home regulations. The policy was issued to residents or their representatives within the resident’s handbook, giving them clear information. Residents and visitors spoken to were aware of how to complain. The home manages small amounts of personal finances with clear records maintained of all transactions, with two staff signing both deposits and withdrawals. In addition the organisations bursar audits all financial records on a monthly basis. Based on discussions with staff they were aware of the policies of the home and their responsibilities in identifying and reporting abuse. Staff had completed appropriate training, which was being periodically refreshed. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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, 20, 21, 22, 23, 24, 25, 26. Staveley House is safe and well maintained and provides a comfortable living environment that meets the needs of the residents. EVIDENCE: Staveley House provides a safe and well-maintained environment that was decorated and furnished to a high standard. The home has adequate domestic staff to maintain a clean and hygienic environment. Robust cleaning regimes were in place and on the day of the inspection there were no malodours. All communal areas of the home were inspected and some resident’s rooms. These provide adequate space for people to enjoy the company of fellow residents for group activities and social occasions, or the privacy of their own rooms. They were all suitably furnished and maintained with a rolling programme of repairs and renewal in place. On the first floor there is a kitchenette where residents and their visitors can make drinks and snacks. There is also a staff room with secure storage and facilities for making refreshments. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 16 All rooms are en-suite with shower facilities, in addition there are two bathrooms with adapted bathing facilities and specialist equipment to meet individual needs. The exterior of the home and gardens were well maintained and accessible, providing a lot of enjoyment to residents. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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) 27, 28, 29, 30. Staveley House has an experienced and well trained staff team, who are able to meet the needs of residents and ensure their safety at all times. EVIDENCE: The home has a full compliment of staff on each shift to meet the needs of the current group of residents. It was evident staff were receiving core induction training within the required timescales. The home has a sound training infrastructure in place with 79 of staff with the NVQ 2 or 3 qualifications, which is above the 50 required by the NMS. The recruitment procedures in the home were in line with current good practice and safeguarded residents with all relevant checks in place. CRB disclosures for all new staff were examined and found to be in order. Through regular supervision and appraisal appropriate courses for staff are identified to maintain their professional development. Continuous professional development files have been introduced for all staff to record and monitor all training activity, these were examined by the inspector and found to be up to date and contained records of achievement. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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) 31, 32, 33, 34, 35, 36, 37, 38. The home has a committed management team, consisting of a professional House Committee, Executive Board and Registered Manager who ensure the home is run effectively and in the best interest of the residents. EVIDENCE: Based on the inspector’s observations and discussions with residents and staff, the manager provides good leadership skills and working closely with the staff team, ensures a consistent level of care is maintained. She is qualified to NVQ level 4 in management and has considerable experience in the care of older persons. She is also a qualified social worker. There was a mutual respect between the manager and staff team. The staff spoke of feeling “well supported” and said they “can speak about any issues as they arise and don’t have to wait for supervision”. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 19 Through regular residents and staff meetings there is regular consultation taking place. On an annual basis formal quality assurance questionnaires are issued, which were sampled by the inspector. Any issues arising had been collated, however there was no evidence of feedback to residents regarding actions taken. It is recommended the outcome of formal quality assurance consultation is fedback to residents, so they are aware their comments are being heard and responded to. As described previously, financial systems and safeguards are in place and maintained. Safety and maintenance records required for inspection were examined and found to be up to date and in order. During the inspection there was evidence of COSHH substances being stored in an unlocked cupboard in the laundry. This is subject to a requirement. Subsequent to the inspection the home manager has rectified this issue in a timely manner. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 4 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 2 3 3 3 x 2 Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.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. Standard 38 Regulation 13 Requirement COSHH substances must be securely stored at all times. Timescale for action 14.8.05 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 7 33 Good Practice Recommendations It is recommended the content of care plans are reviewed ensuring they contain relevant information relating to health care needs and conditions and pen pictures. It is recommended the results of residents surveys are published and made available to current and prospective residents or their representitives. Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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 Staveley House Residential Care Home F58 F10 s22661 staveley house v214023 100805 ai stage 4.doc Version 1.40 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. 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