Inspection on 03/10/05 for Stones Place

This inspection was carried out on 3rd October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stones Place 31/01/07

Stones Place 19/06/06

Stones Place 15/02/05

Stones Place 29/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Stones Place Skellingthorpe Road Lincoln Lincs LN6 0PA Lead Inspector Mr Doug Tunmore Unannounced Inspection 3rd October 2005 09:20 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 Stones Place DS0000002426.V251504.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. Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stones Place Address Skellingthorpe Road Lincoln Lincs LN6 0PA 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) 01522 684325 Methodist Homes for the Aged Mrs Marion Warner Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Condition of Registration The home is registered to provider personal care for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) (42) The maximum number of service users to be accommodated is 42. 2. Date of last inspection 13th June 2005 Brief Description of the Service: Stones Place is situated to the southwest of the City of Lincoln close to a main road where a regular bus service is available. This home is a two storey, purpose built care home offering accommodation in 42 single bedrooms some of which can be converted to double rooms if required. A recent extension has been completed which includes 6 new bedrooms with the total of 42 and a first floor communal area plus an extension to the dining room. The home has well maintained gardens to the front and rear of the property, with a large car park at the front of the building. There are community facilities in the vicinity. The home is registered to provide personal care for up to 42 residents. Nursing care is not provided. The aims and objectives outlined in the Service Users Guide states that the home aims to offer a safe, secure, homely environment and to enhance the quality of life for the residents. There is a Christian ethos to the home but there are people of varying denominations cared for within the home. The home is owned by The Methodist Homes for the Aged. Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.20 am. The main method of inspection used was called case tracking, which involved looking at policies and procedures relating to maintaining the safety and general welfare of residents. Residents were spoken to, as well as visitors, two community nurses, the manager and care staff and observations were made of care practices. A partial tour of the home took place. What the service does well: What has improved since the last inspection? What they could do better: Files seen showed that only one member of care staff has undertaken supervision which needs to be formalised, addressing all those aspect required for the supervision and recording of this process. National Vocational training must be made available for staff to ensure that adequate numbers of trained care workers are available in the home. The home must carry out risk assessments on those residents who use walking aids and have had falls. Stones Place DS0000002426.V251504.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. Stones Place DS0000002426.V251504.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 Stones Place DS0000002426.V251504.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 The home undertakes a full care needs assessment and writes to prospective residents informing them whether the home can meet their needs or not. EVIDENCE: The home has a detailed admissions procedure, which identifies the needs of residents coming into the home. Two resident’s file showed that the home had visited and carried out a care assessment of their needs and in one case social workers had carried out an ‘Easy Care Assessment’. Files seen showed that residents had been written to confirming that the home could meet their needs. A resident stated that the home had carried out an assessment of her care needs, which is she said ‘is ongoing due to my needs changing’. Stones Place DS0000002426.V251504.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): 7,8 & 9 There is good care planning in this home, which helps ensure that the general health and welfare of residents is addressed. Senior care staff are trained and proficient in administering medication. EVIDENCE: The inspector observed during the inspection that staff gave support to residents and were sensitive in maintaining their dignity. One resident stated that ‘ staff are very kind and help me to be more independent’. Files seen showed that care plans, admission assessments and monthly reviews had been signed by residents, their representatives, or the manager and care workers charged with this task. Individual care plans evidenced that accidents are recorded in the homes’ accident book and in the resident’s daily notes. However, one accident to a resident who uses a walking aid had not resulted in a risk assessment being undertaken. A senior carer administering medication stated that she is mindful of maintaining accurate records when giving medication to residents and observes them taking their medication before signing their medication sheet. The pharmacist inspected the home on the 27/06/05 and recorded that the storage and administration records of medication is carried out appropriately Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 10 and no recommendations were made. Two community nurses made positive comments about the home stating that there was good communication between the home and themselves and that staff were helpful and could follow instructions given to them regarding the care of residents. Stones Place DS0000002426.V251504.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): The key outcomes were assessed at the last inspection. EVIDENCE: Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 12 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): The key outcomes were assessed at the last inspection. EVIDENCE: Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 13 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 & 26 The home is well maintained, the standard of the environment and its facilities are appropriate and safe for the needs of residents. The home is clean and tidy with a pleasant smell throughout the home. EVIDENCE: The home has a rolling maintenance programme, which shows forthcoming maintenance and decoration to be carried out externally and internally at the home. A tour of the environment found that the home was decorated to a high standard. Quotes have been obtained to replace the ground floor carpet leading to the dining room, which was looking faded and worn. The home employs three cleaners and a maintenance man who carries out the cleaning of carpets and decoration of the home. All cleaners have undertaken basic hygiene courses and fire training. The manager stated that the home is to employ another cleaner when her application has been processed. Two visitors commented that they have not detected any unpleasant odours in the Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 14 home during their visits. One resident stated that the home is always kept clean and tidy. A partial tour of the home by the inspector found it to be clean and it smelt fresh. Stones Place DS0000002426.V251504.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): 27,28 & 29 &30 Recruitment practices need to be more robust to protect residents. Residents benefit from a staff team who are well trained and work well together and compliment each others skills. EVIDENCE: Two personnel files seen contained CRB checks (Criminal Record Bureau), references (are not always available in files for those workers who have been employed for many years) and application forms. Current photographs or identification are not always available in care workers files. Those workers who have been employed in the past without references can use the homes appraisals, supervision and training undertaken as their references. All care workers have been given The General Social Care Council Codes of Practice, which sets out their responsibilities as care workers looking after vulnerable adults. The homes training record was seen which showed that, ten care workers had NVQ (National Vocational Qualifications) level 2, five of these having NVQ 3. No workers are currently undertaking NVQ level 2 training. The acting manager has completed a Diploma in Health & Social Welfare and also has a Certificate in Management Studies. Statutory training such as fire training, moving and handling and first aid are undertaken at this home. Other training undertaken included; administration of medication, food hygiene, bereavement counselling and death and dying. Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 16 One care worker demonstrated a clear understanding of her role and responsibilities. She confirmed that she has nearly completed NVQ training level 2. The home does not meet the standard for 50 of staff to be trained to NVQ level 2 by 2005. Comments received by the community nurses were ‘ we are not aware of a high turnover of care staff at this home’ and ‘very impressed with the home it’s a lovely place and very calm’. A resident stated that ‘they (the staff) made me very welcome and the manager is so nice’. The duty rota showed that adequate staff numbers are on duty to meet the needs of residents in this home. There are three waking night staff, with a senior who can be contacted if required. Visitors stated that they feel ‘that there are enough staff on duty and has not seen anybody not attended to’. Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 17 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, 36 & 38 Records seen show that residents’ health and general welfare and safety are promoted. The home ensures that that the residents have the opportunity to voice their views and opinions. Accurate records are kept of residents’ monies. All care workers have not had regular supervision, annual appraisals have been undertaken. EVIDENCE: The acting manager is qualified and experienced in running homes for the older people. A ‘fit person’ application is pending from the manager which will be processed as soon as possible. Comments made by residents, visitors and staff showed that she seen in a very positive light and is currently making changes in the home to meet current standards. Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 18 The home conducts an in-house quality assurance report and an independent survey carried out by Methodists Homes. Questionnaires have gone out to residents and relatives, which are sent directly to those conducting the survey. The survey was seen by the inspector, which covers many aspects relating to the running of the home and the conduct of care workers. An internal audit is being undertaken on 14/10/05. The manager stated that all audits/surveys are posted on the notice board for the information of residents and relatives and discussed at residents meetings. The minutes of the last residents meeting held in 04/08/05 showed that residents are encouraged to voice their views and are actively involved in issues relating to the running of the home. Residents seen at lunchtime said that the manager is very approachable and they see her in the home every day. The home only deals with personal allowances of residents, which are kept at the home. All other monies relating to funding are paid into the homes bank account on a standing order by relatives. Residents’ personal allowances were seen and it was found that an accurate record is kept and receipts are available for any monies spent, with signatures made by those senior workers or from the hairdresser or the visiting chiropodist. Visitors commented that they dealt with their relatives monies. One resident confirmed that her son manages her monies. Supervision of care staff has only been carried out with three care workers, with all workers having had their annual appraisals. One carer confirmed that appraisals are undertaken with the care manager, senior carer and that her appraisal has been completed. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence that fire alarm, fire drills and emergency lighting checks and testing of hot water have been undertaken. Care staff also receive fire training as part of the homes initial training and as a regular training event. Certificates were available showing that the shaft lift and bath hoists had been serviced. All wheelchairs seen on the day of the inspection had footplates, which were in use. Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 19 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 4 x 3 2 x 3 Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? yes 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 OP8 Regulation 12(a) Requirement The home must undertake risk assessment on those residents who use walking aids and have had a fall so as to map any changing needs relating to their mobility. The home must not employ a person unless; they have proof of their identity, including a birth certificate, a recent photograph, two written references. The home must carryout appropriate formal supervision of all care workers at least six times a year. Timescale for action 12/12/05 2 OP29 19 12/12/05 3 OP36 18(2) 15/02/06 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 Refer to Standard OP19 Good Practice Recommendations The corridor carpet that leads to the dining room is looking faded, it should be included in the refurbishment budget DS0000002426.V251504.R01.S.doc Version 5.0 Page 21 Stones Place 1 OP28 for 2005/6. The home should meet the ratio of 50 trained members of care staff with National Vocational training level 2 by 2005.(Timescale of 13/06/05 not met) However, quotes have been obtained to replace this carpet. Stones Place DS0000002426.V251504.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Stones Place DS0000002426.V251504.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. 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!