Inspection on 24/02/09 for Stoneleigh Care Home

This inspection was carried out on 24th February 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stoneleigh Care Home 27/02/07

Stoneleigh Care Home 14/12/05

Stoneleigh Care Home 09/08/05

Stoneleigh Care Home 07/03/05

Stoneleigh Care Home 28/06/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

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Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stoneleigh Care Home Durham Road Annfield Plain County Durham DH9 7XD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tom Moody     Date: 2 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 03000 616161 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Stoneleigh Care Home Durham Road Annfield Plain County Durham DH9 7XD 01207290214 01207299559 stoneleigh@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Care Homes Limited care home 36 Number of places (if applicable): Under 65 Over 65 36 0 old age, not falling within any other category physical disability Additional conditions: 0 4 The home may accommodate a named individual as set out in a letter to the registered person dated 1st August 2006 which establishes the basis on which the indivudual`s needs will be met by the home. Where necessary the home`s Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else, other than the named individual, who falls outside the registered category. The home may accommodate a named individual: As set out in a letter to the registered person dated 6 July 2005 which establishes the basis on which the individual`s needs will be met by the home. Where necessary the home`s statement of purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else other than the named individual who falls outside the registered category. Up to 4 persons with a physical disability over the age of 50 may be accommodated, commensurate with the home`s Statement of Purpose. Date of last inspection Care Homes for Older People Page 4 of 27 Brief description of the care home Stoneleigh is a registered care home with nursing, providing personal care and accommodation, plus continuous nursing care in some instances, for up to 36 older persons. It may also accommodate up to 4 people with physical disability over the age of 50. It is located in the centre of Annfield Plain, close to all local amenities. Southern Cross Homes Properties Ltd. is the registered provider. The home is a two-storey building, situated in its own grounds, with enclosed garden area and car parking at the rear. Personal accommodation and communal space is located on all floors. Service areas (e.g. kitchen and laundry) are located on the ground floor. There are 36 single bedrooms, all with wash hand basins, but none with en suite facilities. Most bedrooms are suitable for wheelchair users and are fairly spacious. The weekly fees vary between #390.50 and #628.54. The fee covers all accommodation, meals and personal care (plus continuous nursing care in certain instances). Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay will depend upon their individual circumstances. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection visit took place on the 24 February 2009, over a period of approximately 6 hours. The inspection included: discussion with staff, a tour of the premises, examination of relevant documents, reading survey forms from staff, service users and visiting professionals such as doctors and social workers. The inspector met with the people that lived in the home and talked to their relatives and other visitors. The Manager was present throughout most of the inspection and both showed a good understanding of the care needs of the people that live at Stoneleigh. Although there are some problems with access, the service provides a safe and comfortable home, staffed by people that the residents who live there have confidence in. Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –03000 616161. Care Homes for Older People Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are thoroughly assessed and the home can meet those needs. People are given contracts and they are given the information they need when choosing to come into the home. People can make trial visits and stay to see if they like the home. Evidence: Care plans were read and they show that a wide ranging and comprehensive assessment is carried out, by care managers, and the home staff, to ensure service users needs are met. Care plans contain information from care specialists from many different disciplines. Service users and their relatives are able to help with this and care plans have examples of information from both. Comments from relatives, and replies to surveys, confirmed this happened. Records in the care plan indicate service users have access to health services such as hospital specialists, doctors, dentists and other practitioners. Care Homes for Older People Page 10 of 27 Evidence: Staff who were spoken to know about the service users history and condition and they confirmed they had had training and induction. Relatives also said this. One said, They know all about my wifes condition; they know how to care for her. This was also seen when staff were looking after service users. The home has a good service users guide that contains all of the necessary information. It contains information about staff and key workers. There are photographs that identify service users key worker. Unfortunately some of the information about contact with the regulator is out of date and will need to be revised. Service users have contracts from the authorities that are responsible for arranging their placement in the home. Service users and relatives told me that trial visits are available and they had spoken to relatives of people who were considering coming into the home. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person has a detailed plan, which explains how their care they will be given and peoples health care needs are met. The homes policies and procedures for dealing with medication protect service users. Service users feel that they are treated with respect by the staff but access routes to the home may adversely effect this. Evidence: The care plans in the home contained a good assessment of the service users needs. This included nutritional needs, falls assessment and other risk assessments. The assessment also includes information about how people want to be cared for at the end of their life. Records show that service users have access to health services such as Hospital Consultants, Doctors, Speech and Language Therapists and other practitioners. Care plans had been regularly updated and revised when necessary. Service users and their relatives are able to help with the care plans and the examples seen had information from both groups. The home has the right equipment available to meet the needs of service users. Care Homes for Older People Page 12 of 27 Evidence: Clear medication records are kept. This includes controlled drug recording. Medicines are disposed of safely when they are no longer needed but the storage cabinet for controlled drugs is not up to British Standard. Staff were seen giving out medicines and this was done correctly and safely. Staff respect service users privacy and dignity, They were seen and heard addressing service users in a respectful and sympathetic manner. Staff who were spoken to said this was part of their induction and ongoing training. Service users were wearing their own clothes and looked neat and tidy. Unfortunately the access route from the car-park takes visitors to the home close to bedroom and bathroom windows. Bathroom windows were partly open, for ventilation, and users of these facilities would be able to be seen from outside the home. This would greatly effect the privacy and dignity of people spending time in their bedrooms and using bathrooms and toilets. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Judgment The homes provision matches service users recreational, social and cultural needs, and helps them maintain contact with the surrounding community. They are able to exercise choice and control over most aspects of their lives and they enjoy nutritious and appetizing food. Evidence: Visitors were seen coming into the home throughout the day and visiting times are not restricted. One person from the local community who acts as a befriender visits, and talks, to most of the people in the home on a daily basis. Visitors coming into the home during the site visit, spoke highly of the home, saying the home was, Two hundred percent, and My wife is safe and happy. Relatives who had replied to questionnaires were equally positive. One said that when they asked if their relative could listen to music in their room, staff provided a cassette recorder and appropriate music straight away. Service users rooms contained personal items that reflected their choices, lifestyles and interest. Staff engaged in small scale activities with service users. A quiz was taking place on Care Homes for Older People Page 14 of 27 Evidence: the morning of the site visit and people were making Easter cards in the afternoon. One visiting relative spoke of people enjoying a game of dominoes the evening before. Menus show that service users have a choice of hot meals at lunchtime and in the evening. Staff also spoke of this and I saw them offering menu choices during the day. The cook is experience and she confirmed she has attended the training on Nutmeg which is a system to ensure nutritionally balanced meals. The kitchen is well equipped and it is stocked with a variety of foodstuffs and ingredients. The meal that was seen was appetising and of a traditional type, appropriate to the age and experience of the service users. Service users were supported appropriately by staff when they needed help to eat. Service users said they enjoyed the food. One said, Oh I enjoy my meals, they know what I like. Care Homes for Older People Page 15 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users and relatives know how to raise issues and they are confident staff and managers will act on their concerns. Training and procedures ensure service users are protected and that their rights are upheld. Evidence: Relatives and service users said they would be happy to approach the manager or staff if they had any concerns. One relative said, of the Manager, Shes available all the time. Relatives answers to questionnaires show that they know how to raise issues if they have concerns. Staff said they had received training in Protecting Vulnerable Adults (POVA) and they had a good awareness of these issues. This was confirmed by training records. Guidelines were available from the local authority and CSCI. Recruitment records indicate all pre-employment checks are carried out including Criminal Records Bureau, POVA list and previous employers references. Care Homes for Older People Page 16 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable environment that is largely safe although access is problematic. The home is very well equipped in almost every respect, although some furnishing and fittings need attention. It is spacious, clean and meets the service users needs Evidence: Although the home is generally well designed there are some problems with the layout. One of these is that the sluice opens onto the Laundry entrance lobby. This poses a potential cross infection hazard. Another problem is that of access and that is detailed below. The home is well ventilated and warm. There was no excessive noise and the atmosphere was calm. There were no bad odours apparent during the time of the site visit and the home was clean and tidy in all areas. The home has generous communal space with wide corridors and ample lounge space, including a quiet lounge. Showers toilets and bathrooms are of appropriate size and fitted with rails and hoists. Thermostatic mixer valves are fitted to bath and shower outlets and water temperatures are recorded. Unfortunately the sealant around some fittings was untidy Care Homes for Older People Page 17 of 27 Evidence: and some bath trims had suffered from impact damage. These should be replaced because the surfaces cannot be properly cleaned and the sharp edges are potentially hazardous. There is a good standard of equipment, such as mobile and fixed hoists. A suitable call system has been installed. However, the home does not have a loop induction system to help hearing-aid users. The bedrooms are a good size and they are well decorated and furnished to the service users taste. Some bedroom furniture looked a little worn and damaged. Relatives have commented on this in survey forms. One said, The home is kept clean and tidy but it could do with some modernisation, particularly the furniture in the bedrooms. One bed-table was very unstable because of loose joints and items like this should be replaced or refurbished to prevent accidents. The grounds are pleasantly landscaped. There is ample parking space at the back of the home but access from this area, to the main entrance of home is problematic. There is a raised kerb which makes access difficult for people with restricted mobility. The path from the car park passes close by bedrooms and bathrooms. The impact of this, on service users privacy and dignity, was pointed out in section 2 of the report. This path is too narrow and has a number of right-angled turns because it follows the wall of the building. This is unsuitable for wheelchair users or anyone else with mobility problems. This problem has been known by the company for some time but it has not yet acted upon this. Care Homes for Older People Page 18 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing of the home meets service users needs. They are supported in a safe manner, by staff who are properly recruited, and have the appropriate training. Evidence: There were a suitable amount of staff on duty at the time of the site visit. Service users needs were met, call buzzers were answered within a reasonable time and care was given in an unhurried manner. Staff who were spoken to confirmed they held NVQ qualifications. Staff also said they received an induction and training, and records confirmed this. Staff records indicate all pre-employment checks are carried out including Criminal Records Bureau, Protection Of Vulnerable Adults list and previous employer references. Records also show that staff are interviewed and they receive terms and conditions. Service users said staff knew how to look after them. Comments such as, Theyve always been there for me, They know what I like, Its fantastic here, and The lady helps me out were typical. Relatives expressed confidence in the staff. They made comments such as; My mind is at rest when she is in here, The staff are happy, cheerful and helpful, The staff are friendly and efficient, and that, They always spend a lot of time talking about the needs and progress of my mother. Care Homes for Older People Page 19 of 27 Care Homes for Older People Page 20 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by an experienced person who has service user,s interests at heart. The home is run in the best interests of service users. They are kept safe and their welfare and rights are protected by good record keeping and the promotion of good practice Evidence: The registered manager is an experienced nurse and is suitably qualified. Although she has held the post of deputy for some time this is her first full management post. She has completed a Palliative Care course and attends regular training sessions both within the company and with external providers. Discussions with the manager reveal that they are knowledgeable about the client group and well motivated. Relatives were equally positive and hold her in high regard. Relatives said they would be happy to approach the manager if they had problems. Staff and relatives are aware that the manager has an open door policy. Service users personal allowance is kept on an appropriate system. The money is kept Care Homes for Older People Page 21 of 27 Evidence: in one account but interest is distributed in proportion to each service users balance. Record keeping is good with computer records and paper copies of each persons details. Receipts are kept and the system is audited by the company on a regular basis. There are monthly audits on every aspect of the running of the home carried out by the company and the records confirm this. The home has proper insurance and the certificate is displayed. Records of maintenance were available, as was the fire log. The manager said that supervision takes place for all staff, and records confirmed this. Care Homes for Older People Page 22 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 10 23 Foot access to the home, from the car-park, should not be by a route that takes passers-bye close to service users bedroom and bathroom windows. The present route infringes upon their dignity and privacy when they are in these areas and another means of access should be created. Access to the home should not be by a route that takes passers-bye close to service users bedroom and bathroom windows as this can easily infringe upon their dignity and privacy. 01/09/2009 2 21 13 Damaged bath panels should 30/04/2009 replaced to avoid hazards from damaged adges. All parts of the home accessible by service users should be free of hazards to ensure the continued well Care Homes for Older People Page 24 of 27 being and safety of service users. 3 22 23 A loop induction system should be available to help hearing-aid users. Suitable adaptations and support should be provided for people with sensory loss to ensure their continued well being 4 22 23 The route to the home, from 01/09/2009 the car park, must allow access for people with mobility restrictions. The physical layout of the home must allow access to meet the needs of service users 5 24 16 Worn or damaged furniture should be replaced or refurbished. Rooms should have adequate furnishings and fittings to meet the needs of service users. 28/05/2009 28/05/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 3 1 9 26 Information, provided in the service users guide, must be kept up to date. The current, none standard, controlled drugs cabinet should be replaced with one that meets British Standards. The entrance to the sluice and the laundry share a common lobby. There is a potential for cross contamination in this area. Operational strategies should be put in place minimise this and any future refurbishment of the home Page 25 of 27 Care Homes for Older People should consider revising this layout. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!