Inspection on 21/11/05 for Staveley House Residential Care Home

This inspection was carried out on 21st November 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... 10/08/05

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 Unannounced Inspection 21st November 2005 16.00 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 Staveley House Residential Care Home DS0000022661.V264576.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. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Staveley House Residential Care Home Address Greystone Lane Dalton-in-Furness Cumbria LA15 8QQ 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) 01229 468210 Abbeyfield Furness Extra Care Society Limited Mrs Carmela McCullagh Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: Staveley House is registered to provide residential accommodation and personal care for up to 31 older people. It is owned and operated by the Abbeyfield Furness Extra Care Society Limited, through a volunteer executive committee and is member of the national Abbeyfield charity. The home is situated on the edge of a residential housing estate, on the outskirts of Dalton-in-Furness, Cumbria. It is a purpose built two storey building, with two passenger lifts giving access to the first floor. All the rooms are single occupancy and have en-suite shower and toilet facilities. There are also two communal bathrooms with accessible bathing 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. There is ample parking to the side of the home and a large, private well-kept garden area to the rear, which is fully accessible, with seating and patio areas, which are used extensively in the summer months. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place at 16.00hrs on 21st November 05, to enable me to experience the home during the evening shift and meet different staff. I spent time with residents, either in the communal lounges or in the privacy of their rooms. I also joined a group of residents for tea. On arriving at the home I spoke with the manager and deputy manager, in addition to talking to the five staff on duty for the evening shift. What the service does well: What has improved since the last inspection? What they could do better: The major concern for the home at present, is to ensure staffing levels are adequate, to appropriately meet the needs of the current group of residents. This has become an issue due to the increased dependency of both permanent residents and people staying in the short term care beds. Also the home is required to complete detailed manual handling assessments, for people coming into the home on short-term care. The level of care required can then be accurately assessed. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 6 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 DS0000022661.V264576.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 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 the following standard(s): 3, 4, The assessments completed prior to admission to the home, were not adequate to ensure appropriate staff and resources are allocated. EVIDENCE: Staveley house has two respite care beds within the overall figure of 31 residents. It was evident from my discussions and observations on this inspection that the staff time taken up in responding to the complex needs of the respite residents, was impacting on the rest of the home. During the inspection two care staff were attending to the needs of one resident for 45 minutes. At this time the senior carer was completing the medication round, which left one care staff to deal with the remaining residents. Although the manager and deputy manager had completed a pre-admission assessment for the respite residents, there was not a manual handling risk assessment or strategy in place for them. One resident in particular had complex manual handling needs, which was very time consuming for the staff. The home must ensure detailed assessments are in place for residents coming to the home on respite care, prior to or at admission to the home. This will Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 9 ensure the home is able to meet the assessed needs and the necessary resources are available. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9, 10. The home’s care plans were improving, ensuring individual needs and preferences are recorded and responded to. EVIDENCE: The home’s manager and deputy complete an assessment prior to admitting people to the home. For people who are funded through social services this will be in addition to a social work assessment. Although aspects of the assessment were now more detailed, the information relating to manual handling needs was not adequate, to identify the support needs accurately. Information relating to other needs and desires was more detailed. The home was in the process of reviewing the content and format of care plans, to ensure they reflected all aspects of people’s care needs, as well as their social and emotional needs. This will provide staff with the necessary information to respond to people in an appropriate manner. There was evidence that care plans were being periodically reviewed on a monthly basis, which was recorded and signed. Permanent residents also had manual handling risk assessments in place, which guide and support staff in assisting individuals in their preferred manner, this also included a risk assessment for falls. These were also reviewed on a monthly basis. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 11 The home maintains a detailed record of GP appointments and contact with other specialist health care professionals, which included the date, type of contact and outcomes. This ensures all staff are aware of relevant information. One resident I spoke to talked about how night time checks would disturb him, however the home had completed a request form for people to sign if they did not wish to have night time checks. Respecting people’s rights in this way is good practice and was appreciated by the resident. I spent some time with the senior staff on duty as she completed the medication round. Good practice was observed with medication signed for on administration. I also spot-checked the medical record sheets against the medication held, which was in order. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14, 15. The home provides a good variety of activities to meet the varied needs of the residents. EVIDENCE: The home continues to provide a good range of activities both in the home and in the community. There were notices of forthcoming events displayed in the home, as well as the home producing a newsletter each month to keep people updated. Resident’s meetings and resident’s surveys were also used to get feedback from them about the type of activities they preferred. Independence is promoted, with individuals pursuing their own interests and hobbies as well as joining in the planned group activities. Christmas activities had been planned, with residents looking forward to a forthcoming Christmas bazaar and Christmas concert, to be held in the home and a Christmas meal at a local hotel. A thank you letter from the local mayor was displayed in the home, which was thanking them for the recent strawberry tea they had attended. Church services are held in the home in addition to residents going out to church. There was a record of activities, which included trips out, bar meals, music and movement exercise groups and visits to the local theatre. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 13 The home has an active group of volunteers who support activities in the home and in the community. I joined a group of residents for tea, which was served in the dining room. The people I spoke to said the meals were “always nice”. The menus displayed for that week reflected a good choice and were well balanced with alternatives available. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 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 the following standard(s): Residents are safeguarded and their rights protected by the home’s policies and procedures. EVIDENCE: These standards were all assessed at the last inspection and met. There have been no recorded complaints or issues of concern raised. Staveley House Residential Care Home DS0000022661.V264576.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): 19, 20, 21, 22, 23, 24, 25, 26. Staveley House provides a comfortable and safe living environment that is suitable for the needs of the residents. It is maintained and decorated to a high standard. EVIDENCE: Only the interior of the home was inspected on this occasion, as the inspection was carried out in the evening. The home is maintained to a high standard and all communal areas inspected on this occasion, were found to be clean and hygienic and decorated to a high standard. An ongoing programme of repairs and renewals ensures these standards are maintained. Access within the home is good, with appropriate aids and adaptations provided throughout. There is ample communal space provided, which meets the varied needs of residents, providing them with an alternative to the main lounge, which is the hub of the home. There is also a dedicated smoking lounge, which meets the needs of residents who smoke, without encroaching onto other non-smoking residents. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 16 When I talked to residents and their visitors during the inspection they said, “It’s a lovely home” and “I feel safe and comfortable”. The communal bathrooms were also well equipped with suitable aids and adaptations in place. Residents told me how they had “brought their own furniture in”, which was important to them and made them feel “more at home”. The home was clean and hygienic throughout. Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 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 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, 30. The staffing levels in the home were low, making it difficult to meet the assessed needs of the current group of residents. EVIDENCE: There are increased demands placed on staff because of the complex needs of the residents in the respite care beds, therefore the home must review their staffing levels and increase them accordingly. This is subject to a requirement. The increased dependency of the residents currently in the home was also discussed with the manager, who is monitoring the situation closely. The home benefits from having a stable staff team who receive suitable training as required. Based on discussions with staff the “training and support” from the supervisors and management was good. However the demands on their time, caused by the respite situation, was an “area of concern”, which they were finding “frustrating”. It was evident the staff were very committed and had developed positive relationships with residents. They were knowledgeable about individual needs and were seen to be working effectively as a team. Staveley House Residential Care Home DS0000022661.V264576.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, 36, 37, 38. There are good systems in place to ensure residents and staff can contribute to the effective management of the home. EVIDENCE: The manager formally supervises the supervisory team, who in turn are responsible for the supervision of care staff. Staff spoken to felt this worked well and said “we get good supervision and it is regular”. Staff said they were able to discuss, “any issues of concern, practice issues, training or problem solving”. The manager also arranges staff meetings on a quarterly basis or sooner if a specific issue needs to addressed. She also meets with the supervisors on a regular basis, approximately every five to six weeks to maintain the smooth running of the home. As well as meeting many of the residents I also met with visitors to the home. I discussed with them their opinions of the home. They said the “care and facilities are good” and that “it meets my mother’s needs”. One of them also Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 19 shared with me a resident’s survey the home was conducting, which asked for feedback on all aspects of life in the home. A thank you card from relatives was on display, which explained how they had visited the home on a very regular basis and said they had experienced “wonderful care” they went onto talk about a “lovely atmosphere and the patience and friendliness of staff”. Residents meetings were also held on a regular basis and I examined the minutes from these. It was evident issues raised by residents were recorded and responded to accordingly. A good example of this was some food on the menu, (fish fingers and fish cakes) had been complained about and action was taken. Consulting with residents and responding to their comments is good practice. Two residents raised the issue with me of having Sky television fitted in their rooms and were under the impression this would not be possible. When I discussed this with the manager she felt there was a misunderstanding and agreed to look into the matter. The home has sound systems in place to maintain the safety of the home and residents and there were no obvious hazards noted. Staveley House Residential Care Home DS0000022661.V264576.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 X X 2 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 4 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 Page 21 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 OP3 Regulation 14 Requirement The home must ensure people’s needs are fully assessed prior to admission. The home must ensure there are sufficient numbers of suitably trained staff on duty at all times. Timescale for action 01/01/06 2 OP27 18(1) a 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Staveley House Residential Care Home DS0000022661.V264576.R01.S.doc Version 5.0 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 DS0000022661.V264576.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. 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