Inspection on 11/01/06 for Stoneleigh Care Home

This inspection was carried out on 11th January 2006.

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

Stoneleigh Care Home 18/03/08

Stoneleigh Care Home 07/11/06

Stoneleigh Care Home 31/01/05

Stoneleigh Care Home 06/07/04

Stoneleigh Care Home 22/03/04

Stoneleigh Care Home 16/09/03

Stoneleigh Care Home 11/12/02

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

CARE HOMES FOR OLDER PEOPLE Stoneleigh Care Home Station Road Gunness Scunthorpe North Lincolnshire DN15 8SU Lead Inspector Eileen Engelmann Unannounced Inspection 11th January 2006 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 Stoneleigh Care Home DS0000002806.V263878.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. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stoneleigh Care Home Address Station Road Gunness Scunthorpe North Lincolnshire DN15 8SU 01724 784019 01724 782585 lesleybatten@prime-life.co.uk 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) Prime Life Limited Mrs Lesley Batten Care Home 42 Category(ies) of Dementia - over 65 years of age (42), Mental registration, with number disorder, excluding learning disability or of places dementia (10), Physical disability (10) Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Stoneleigh is registered as a nursing home. The service category is DE (E) Dementia over 65, MD Mental Disorder, and PD Physical Disability. The home is registered for 42 service users. Stoneleigh is an old adapted building that was originally a private home. The home is owned and managed by Prime Life Ltd. The future plans for the home is to transfer the home and its services to a purpose built, single storey home in the Scunthorpe area. Land continues to be sought for this purpose. Nursing care is provided in the home, and the home provides RMHN staff. The accommodation is provided over two floors, and there is a passenger lift to the first floor, as well as stairways. Stoneleigh is in the village of Gunness, close to Scunthorpe. There is a bus service to the town centre, but this is not regular. The home is close to the junction of the M181, and links to the MI80, the M62, and the M18. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out with the registered manager, staff and residents of Stoneleigh. The inspection took 3 hours and included a tour of the premises, examination of staff and resident files and records relating to the service. 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. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stoneleigh Care Home DS0000002806.V263878.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 Stoneleigh Care Home DS0000002806.V263878.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. All residents undergo a full needs assessment and are given sufficient information about the home and its facilities prior to admission, to enable them to be confident that their needs can be met by the service. EVIDENCE: The home continues to meet the criteria of standard 3. All residents at the home have their own personal file and the two looked at were for fairly new residents. Each individual had a need assessment completed by the funding authority and the home has also completed its own needs assessment before a placement was offered to the resident. The home develops a comprehensive care plan from the assessments, identifying the individual’s problems, needs and abilities using the information gathered from the resident and family. Those residents at the home who receive nursing care have undergone an assessment by a NHS registered nurse from the Health Authority, to determine the level of nursing input required by each individual. Stoneleigh Care Home DS0000002806.V263878.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 and 9. The health, personal and social care needs of the residents are clearly documented and are being met by the service and staff. EVIDENCE: The home continues to produce and keep clear and well-written care plans for the residents. Individual care plans are in place for all residents and clearly set out the health, personal and social care needs identified for each person. Risk assessments are carried out for all individuals and where needed behaviour management charts are in place. Two of the plans looked at have been evaluated on a monthly basis and any changes to the care being given is documented and implemented by the staff. One resident is receiving 1-1 care from the staff, and the individual on duty who is responsible for this care ensures that an up to date record of activities completed and time spent with the resident is maintained. Discussion with the manager indicated that the home is moving to Boots the Chemist for their medication supplies. The home is aware of the new legislation about disposal of medications in a nursing home and has arranged Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 10 for a waste management company to remove (on a monthly basis) all medication no longer needed at the home. The medication policy for the home says that individuals can self-medicate if they want to and after a risk assessment has been completed and agreed. At the moment no one living at the home is able to do so and all of the residents spoken to prefer to have staff administer their medication. Checks of the medication records and the system used showed that these are not as good as at the last inspection. There are some missing signatures for medication administered by the staff and where antibiotics have been given there are some inaccuracies, as the number of signed administrated doses does not correspond to the amount of medication issued by the pharmacy. This needs monitoring by the manager. Medication received into the home is printed or handwritten onto the medication charts and should be signed by staff to indicate that the amount was checked and okay on receipt. This is not always happening and staff must make sure they follow the home’s medication procedure around this practice. A good practice measure that the home should implement is that of having two staff initial the transcription of medication (where staff hand write medication onto the chart) to show it has been double-checked and the information written onto the chart is correct. Stoneleigh Care Home DS0000002806.V263878.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. Residents are provided with choice and diversity in the activities provided by the home, enabling them to meet their social and recreational interests and needs. EVIDENCE: Residents at the home continue to be offered a choice and diversity of activities arranged by the homes activity co-ordinator and staff. The manager said that the home sent out its Christmas newsletter to relatives and friends. This has generated a lot of positive feedback from the individuals who received it and the home is hoping to continue this line of communication by sending out regular satisfaction questionnaires to these respondents. The home has employed a new activities co-ordinator who is contracted for twenty hours a week. This individual was spoken to and is enthusiastic about her job. She said she is looking forward to developing new ways of interaction with the residents. One project being carried out at the moment is a large collage depicting a sea view and is based on the recent trip with the residents to the Deep. Resident activities in recent months included a trip to the Pantomime and to the theatre at Scunthorpe, and were thoroughly enjoyed by those who participated. The home has use of a minibus twice a month and the activity co-ordinator is busy planning future outings, using opinions given by the Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 12 residents at their monthly meetings to decide where to go. Minutes of the meetings indicate that these group sessions are well attended and lively discussions are held about all aspects of life within the home. Stoneleigh Care Home DS0000002806.V263878.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 and 18. The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. Staff and residents are confident about reporting any concerns and the manager acts quickly on any issues raised. EVIDENCE: The home has made one referral to the Protection of Vulnerable Adults (POVA) team in the past year. The POVA team and the police investigated the incident, but no further action was needed and the issue was resolved. The home has a clear and simple complaints procedure that residents, relatives and staff are aware of and are confident of using if needed. There have been no complaints since the last inspection. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 14 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. The standard of the environment within this home is satisfactory, providing residents with a comfortable and homely place to live. EVIDENCE: Stoneleigh is an old house that requires constant maintenance from the company; plans are in place to build a new home for the service once suitable land is purchased within the Scunthorpe area. All areas looked at during the inspection were clean, tidy and odour free. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 15 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. Sufficient staff are employed to ensure there is a good match of well-qualified staff offering consistency of care within the home. EVIDENCE: The home continues to employ sufficient staff to meet the needs of the residents. Information in the staffing rotas shows that there are two nurses and six care staff on duty during the day shift and one nurse and three care staff at night. Two full time staff are employed to cover the twelve hours 1-1 time needed by one resident, these are in addition to the staffing for the rest of the home. Ancillary staff are employed for the kitchen, laundry and domestic posts within the home and the activity co-ordinator is also additional to the care staff. Residents and relatives spoken to are very happy with the amount of staff on duty and said ‘they are always helpful and available to see to anything you need doing and nothing is too much bother’. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 16 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, 33, 35 and 38. The management of the home is satisfactory overall, but the lack of an electrical wiring certificate could potentially place residents at risk. EVIDENCE: The registered manager for the home said that she has achieved her Registered Managers Award and is a qualified Mental Health nurse with an active PIN. She has been the manager of the home for twelve years and has a good understanding of the needs of this specific client group. Resident meetings are held on a regular basis and minutes are circulated to people living in the home. Staff have meetings with the manager and everyone is encouraged to join in with discussions and voice their opinions. Residents and staff agreed that they are able to express ideas; criticisms and concerns without prejudice and the management team will take action where necessary to bring about positive change. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 17 The home has achieved the North Lincolnshire Council’s Gold Star Award for Quality Assurance and also has Investors In People status. The home has a Prime Life Limited Quality Assurance system in place and audits of the service are carried out on a regular basis. No annual development plan has been created from the results of these audits and time was spent discussing this with the manager. The residents have completed satisfaction questionnaires and the head office publishes the results of these. Policies and procedures are up dated and reviewed as an ongoing practice and action is being taken to ensure the requirements of the inspection reports are met. Discussion with the manager indicated that staff and residents are able to discuss the home’s policies and procedures through attending meetings, reading newsletters and as part of the supervision process for staff. Checks of the financial systems found that these are computerised, up to date and maintained on a daily basis by the administrator of the home. All residents have their own personal allowance account, and personnel from the Company’s Head Office (regularly throughout the year) independently audit these. Information given to the inspector indicated that some residents have chosen to have their state benefits paid directly into the Prime Life Account at Head Office, their personal allowance is then sent on to the home. Other individuals have their families looking after their finances and relatives who are unable to visit very often are asked to send spending money for the residents as and when their personal allowance accounts show their monies are low. These requests from the home are accompanied by a print out of the resident’s account. The home only keeps a limited amount of money within the safe, surplus monies are kept in a communal resident account, which does not pay individuals any interest. The inspector recommended that this information is put into the Service User Guide so all those coming into the home are aware of the homes arrangement, and can decide if they wish to make their own. No progress has been made since the last inspection to have the electrical wiring checked at the home. The provider has been asked by the Commission to provide written evidence that his insurance company are aware that the home does not have an electrical wiring certificate, and that this does not affect the insurance cover for the home. No progress has been made to change the accident book format since the last inspection. Accident books are filled in appropriately, but the format currently in use does not comply with date protection legislation. The manager should consider getting a more up to date version that has tear off paperwork that can be filed away and kept confidential. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 18 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X 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 3 X 2 X 3 X X 2 Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No. 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 OP9 Regulation 17 Requirement Staff must keep up to date and accurate records of all medications received, administered and leaving the home, or disposed of to ensure there is no mishandling. There must be an annual development plan for the home, based on a systematic cycle of planning, action and review. Timescale for action 10/04/06 2. OP33 24 10/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP9 OP24 OP35 Good Practice Recommendations Two staff should initial the transcription of medication to show it has been double-checked and the information written onto the chart is correct. All bedroom doors should be fitted with a suitable lock to ensure resident’s belongings are kept safe, and those residents who are assessed as able should be given a key. The manager should put information, about how resident’s monies are held in an non-interest bearing account, within DS0000002806.V263878.R01.S.doc Version 5.0 Page 20 Stoneleigh Care Home 4. 5. OP38 OP38 the Service User Guide. Accident books should be purchased, which meet the Data Protection Legislation. The provider should provide the Commission with written evidence that the home’s insurers are aware that the home does not have an electrical wiring certificate and that this does not affect the insurance status of the home. Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Stoneleigh Care Home DS0000002806.V263878.R01.S.doc Version 5.0 Page 22 - 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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