Inspection on 25/04/05 for Stoneswood

This inspection was carried out on 25th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Stoneswood 16/12/08

Stoneswood 31/01/08

Stoneswood 27/06/06

Stoneswood 29/09/05

Stoneswood 05/10/04

Stoneswood 19/05/04

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 Stoneswood Oldham Road Delph Oldham OL3 5EB Lead Inspector Carol Makin Unannounced 25th April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stoneswood Version 1.10 Page 3 SERVICE INFORMATION Name of service Stoneswood Address Oldham Road Delph Oldham OL3 5EB 01457 874300 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Northern Care Homes Limited Northern Care Homes Limited CRH 28 Category(ies) of DE(E) Dementia over 65 - 8 registration, with number OP Old age - 18 of places SI(E) Sensory Impairment over 65 - 2 Stoneswood Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 18 OP up to 8 DE(E) and up to 2 SI (E) Date of last inspection 5th October 2004 Brief Description of the Service: Stoneswood is a residential care home providing personal care and accommodation for up to 28 older people. It is owned by Northern Care Homes Limited which is a private company. The home, which is a large Victorian building, stands in its own grounds in a semi-rural location on the outskirts of Delph, approximately six miles from Oldham Town Centre. There is a public transport link to Oldham. The home provides 22 single and three double bedrooms. The proprietors have chosen to use the double rooms as singles, and use the remaining three registered places for day care. Accommodation for service users is provided on the ground and first floors of the building, with a passenger lift for ease of access. The basement area is used for storage and utility rooms. Stoneswood Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The registered manager retired in October 2004, and the deputy manager, Mrs Jan Cummins, had been appointed as the manager. Her application for registration was being processed at the time of the inspection. This unannounced inspection was carried out on 25th April 2005. Action had been taken in relation to many of the requirements, which were made as a result of previous inspections. Some had been fully addressed, but others required further improvement to meet the National Minimum Standards and the Regulations, and there were others for which no action had been taken. The inspector spoke with some of the residents, and members of staff, carried out a partial inspection of the premises, and examined records. Verbal feedback of the findings of the inspection was given to the manager, during, and at the end of the inspection. What the service does well: What has improved since the last inspection? Further training had been provided for management and staff, which included visual impairment, medication, and fire precautions. The staffing levels within the home had improved, and were sufficient to meet the needs of the residents. The procedures for recruiting new staff had also improved, and were satisfactory. Some maintenance work had been carried out to the premises. Stoneswood Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stoneswood Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Stoneswood Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,4. Assessments of residents care needs were completed before they moved into the home. Staff had not received the all of the necessary training to meet the particular needs of some residents. EVIDENCE: The files which were inspected contained assessments of residents needs, which had been completed before admission to the home took place. Staff had received training to assist them in caring for residents with a visual impairment, meeting a requirement made at the last inspection. However, issues about training in dementia care and challenging behaviour, which are noted in standards 27-30, have an impact on the home’s ability to meet the needs of some of the residents. Stoneswood Version 1.10 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 standard(s) 7,8,10 More work is needed to ensure that all of the health, personal and social care needs of residents are fully met. Residents rights to privacy and dignity were respected by staff in the home. EVIDENCE: Care plans contained some useful information, but more detail was needed and they must be dated. Residents or their representative must also be involved in drawing them up and sign the care plan to confirm that they agree to it. There had been an improvement in the frequency of the reviews of care plans, but they had not always been done every month, or more frequently to meet resident’s changing needs. Residents assessed needs did not always have a corresponding care plan, e.g. risks identified in relation to the unregulated hot water supply as noted in standard 25. Stoneswood Version 1.10 Page 10 Records showed that health professionals were involved in residents care, and there were facilities in the home to meet special needs. A loop system and adaptations to the telephone were provided to assist residents with hearing difficulties. Residents’ weights were not recorded at regular intervals. Residents said that staff treated them with respect, and their rights to privacy and dignity were maintained within the home. Stoneswood Version 1.10 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 standard(s) 12,13,14,15 Residents were able to maintain contact with relatives and friends. The daily routine within the home was flexible, and enabled residents to make choices in various aspects of their daily life within the home. Activities were not sufficient to suit resident’s preferences and capacities, and provide them with enough stimulation. Residents enjoyed the food provided at the home. EVIDENCE: There was general agreement from residents who spoke with the inspector that more activities were needed. This was also mentioned during interviews with staff. On discussing the matter with the manager, she said that action had been taken to fill the post of activities organiser, which had been vacant for several months, as there had been no response to the advertisement in the job centre. She added that she would continue to deal with this matter, and gave examples of some of the ideas she had for doing this. Stoneswood Version 1.10 Page 12 Residents confirmed that visiting was able to take place at any reasonable time, and said that visitors were made welcome by the staff. There was general satisfaction with the food at the home, with variety and choices available for each meal. Residents gave examples of how the daily routine within the home was flexible, and enabled them to make choices. They were also able to bring in furniture and other personal possessions of their choice to meet their needs. Stoneswood Version 1.10 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 standard(s) 18 Residents are not protected from abuse. EVIDENCE: A requirement made previously for staff to receive training regarding abuse had not been addressed. Without proper training, staff may fail to recognise an incident of abuse occurring in the home, and be unaware of the actions they would need to take should they witness, or be informed of, an incident of abuse occurring. Stoneswood Version 1.10 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 standard(s) 19,25,26 Residents were at risk of injury because the water temperature in washbasins, and bathing facilities was not regulated. The accommodation was clean and the laundry service met resident’s needs. EVIDENCE: The manager reported that work to enclose radiators had progressed since the last inspection, with all bedrooms being completed, and the radiators in the entrance hall, dining room and lounges, still to be enclosed. The pipe work in service users bedrooms had not been enclosed, and this must now be included in the programme of work for enclosing radiators. No action further action had been taken by the owner to regulate the water temperature in resident’s bedrooms, and washing/bathing facilities to prevent the risk of scalding. The continued failure of the owner to comply with requirements made by the Commission for Social Care Inspection within the given timescale, and eliminate the risk to residents, was of such concern that it was taken up with the owner by letter, ahead of this report. Stoneswood Version 1.10 Page 15 Risk assessments regarding the unregulated water and exposed pipes had been carried out by the manager, but she had not recorded the action which staff needed to take to assist in preventing injuries to residents. On discussing this with her, the manager was, however, able to give examples of the action which staff were taking in practice to ease the situation. The manager reported that the programme of installing safety film on bedroom windows had been completed. It was noted that a window opening restrictor had been fitted to the window in the first floor bathroom as required. The damaged area of the carpet outside the dining room had been repaired, pending a new carpet being fitted on the 5th May. The home was clean and free from unpleasant odours. New laundry equipment had been provided since the last inspection, and residents were satisfied with the laundry service in the home. Stoneswood Version 1.10 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29,30 The staffing levels within the home were sufficient to meet the needs of the residents, and procedures for recruiting new staff were satisfactory for the protection of the residents. Staff training in certain areas needed to be improved. EVIDENCE: The information which was obtained for the inspection, indicated that staffing levels within the home met the standards. The manager and senior carer’s had until recently, been covering a senior carer post (day duty), which had been vacant for several months. This had prevented the manager from fulfilling some of her management duties, as noted later in this report. The files of 2 members of staff were inspected. Criminal Records Bureau checks and 2 written references, which had been obtained prior to employment commencing, were in place on the files. The manager reported that an application had been made for induction training for staff, with ‘Learn Direct’, which was said to meet the National Minimum Standards. The home’s own induction programme was being provided for new staff until a date had been obtained for the training. Stoneswood Version 1.10 Page 17 The manager said that the home was in a training partnership with Social Services. Staff had received training regarding visual impairment, meeting a requirement made at the last inspection, but the training course, which she had arranged regarding dementia care and challenging behaviour had been cancelled by the trainer. The manager said that she was aware of the importance of this training and whilst the trainer had not yet arranged a new date for the course, she had offered the manager 2 places for a workshop about dementia, provided by Social Services, as an interim measure. Stoneswood Version 1.10 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,36,37, Supervision systems for staff need to be improved. Business and financial plans are needed to demonstrate the financial viability of the home. Record keeping could be improved to safeguard resident’s rights, and more opportunities were needed for residents and other interested parties to comment on the running of the home. Practices in the home do not protect the Health and Safety of residents. EVIDENCE: The manager said that no progress had been made in improving the systems for quality assurance and quality monitoring of the service provided at the home, since the last inspection. Stoneswood Version 1.10 Page 19 Recent surveys had not been carried out to obtain residents, their relatives, and other interested parties views of the service provided at the home. Regular meetings were, however held in the home, and were chaired by an advocate from Age Concern. As on previous inspections, there were no business or financial plans, despite requirements having been made at all previous inspections. The manager said she had not been able to provide structured, routine supervision for staff whilst helping to cover the vacant senior care assistant referred to previously in this report. She had, however devised a new system of more in depth supervision, which she intended to implement in the near future, as part of the home’s application for the Investors in People Award. The intended outcome being an increased level of support for staff and evaluation of their ability to meet resident’s needs. A requirement made previously regarding fire precautions had not been addressed. Records showed that tests and checks of fire precautions equipment and means of escape had not always been carried out as often as required. Staff had received training in fire precautions from an external trainer since the last inspection. The records, which are required by statute had improved, but some did not meet the standard, as noted previously in this report when reporting on standard 7,8. Stoneswood Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x 1 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 x x 2 1 x 1 2 2 Stoneswood Version 1.10 Page 21 Are there any outstanding requirements from the last inspection? yes,all of the requirements listed below. 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 4, 27 Regulation 18 Requirement The registered person must ensure that staff receive training to ensure that they have the necessary skills to meet the needs of the range of service users for which the home is registered. The registered person must ensure that care plans and risk assessments are provided and reviewed for all service users in accordance with the standards and the Regulations. The registered person must ensure that residents weight is recorded on admission and regularly recorded, monitored and any concerns investigated. The registered person must ensure that all members of staff are provided with training in relation to ‘Abuse’ and the protection of vulnerable adults. The registered person must ensure that remedial action is taken to prevent tripping hazards developing in the carpet on the main staircase. The registered person must ensure that, within a risk Version 1.10 Timescale for action 1/8/05 2. 7,37 13,15,17 schedule 3 immediate 3. 8, 37 12,13,14, 15 immediate 4. 18 23 1/8/05 5. 19 13,16,23 30/6/05 6. 25,38 13,23 1/7/05 Stoneswood Page 22 7. 25,38 13,23 8. 30,38 12,13,18 9. 33 24 10. 11. 34 36 25 18 12. 38 19 schedule 4 management framework, all radiators and areas of exposed pipe work are either guarded or fitted with guaranteed low temperature surfaces. The registered person must ensure that the water temperature in service users bedrooms, and bathing facilities is controlled to prevent the risk of scalding. The registered person must ensure that that a staff training and development programme is provided, which meets the National Training Organisation (NTO) workforce training targets, and that all members of staff receive training to meet the TOPSS specification on all safe working practice topics. The registered person must ensure that a quality assurance and monitoring systems are provided in line with the National Minimum Standards The registered person must ensure that business plans are available for inspection The registered person must ensure that supervision is provided for staff in accordance with the National Minimum Standards. The registered person must ensure that tests and checks in relation to fire precautions are carried out at the prescribed intervals. 1/6/05 1/6/05 1/8/05 immediate immediate immediate RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Stoneswood Version 1.10 Page 23 No. 1. Refer to Standard 12 Good Practice Recommendations The registered person should review the provision of activities and recreational opportunities for residents. Stoneswood Version 1.10 Page 24 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 OQD 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 Stoneswood Version 1.10 Page 25 - 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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