Inspection on 23/02/06 for Strathmore Nursing Home

This inspection was carried out on 23rd February 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

Strathmore Nursing Home 01/05/07

Strathmore Nursing Home 02/08/05

Strathmore Nursing Home 15/03/05

Strathmore Nursing Home 28/07/04

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 Strathmore Nursing Home 51 Seymour Road Astley Bridge Bolton Lancashire BL1 8PT Lead Inspector Mike Murphy Unannounced Inspection 23rd February 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 Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 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. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Strathmore Nursing Home Address 51 Seymour Road Astley Bridge Bolton Lancashire BL1 8PT 01204 309795 01204 309796 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) Whitehill Homes Limited Mrs Karen Lesley Prescott Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (3), Terminally ill (3) of places Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 32 service users, to include: up to 32 service users in the category of OP (Older People). Up to 3 service users in the category of PD ( Physical Disabilities under 65 years of age) up to 3 service users in the category of TI (Terminal Illness under 65 years of age) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2nd August 2005 2. Date of last inspection Brief Description of the Service: Strathmore Nursing Home is a care home providing nursing and personal (residential) care for older people. It is a large, purpose built home on three floors (with a passenger lift). The main entrance and car park is to the rear of the home. There is a garden with lawns and mature borders to the front, and a roof terrace (accessed via the first floor), to the rear. The home has 32 places. There are eighteen single bedrooms and seven double bedrooms. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the home’s second of the two annual inspections for the inspection year 2005 to 2006. The inspection took place over four hours. The inspection included discussion with residents and their relatives, a tour of the premises, inspection of care and other records maintained at the home, and discussion with the registered manager and staff. What the service does well: What has improved since the last inspection? What they could do better: Discussion with the registered manager centred on how she envisaged the home moving forward and improving the services provided to residents by the home. These issues included continuing with an ongoing programme of refurbishment and further expanding the range of social and leisure activities available to residents. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 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. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 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 Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 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): 2,3,4,5. Standard 6 does not apply to this home. The home ensures that all prospective residents are appropriately assessed prior to admission to the home. This is essential to ensure that the home is able to meet the health and social care needs of prospective residents. Standards 1 and 2 were not inspected on this occasion. EVIDENCE: Inspection of 4 residents care records revealed that a pre admission assessment had been conducted on all 4. These assessments included consideration of prospective residents physical, psychological and social needs. These assessments had been conducted by the home manager who is a registered nurse. These assessments were supplemented by others conducted by various health and social care professionals such as doctors, nurses and social workers. Discussion with residents revealed indicated that they had been able to come to the home for trial visits to the home prior to their admission. They felt this Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 9 was a good thing because it made them more in control of their own lives as well as enabling them to make an informed choice regarding their future. Further discussion with residents also indicated that the home was meeting their needs appropriately. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. The health and personal care needs of residents at the home were being assessed and met appropriately. Resident’s medicines were being appropriately managed and staff interacted and assisted residents sensitively and appropriately during the inspection. These are all important measures that residents are receiving appropriate care and treatment. EVIDENCE: The health care records of four residents who live at the home were inspected on this occasion out of a total of 32 who were resident at the time of inspection. These were found to contain care plans that were initially based on the pre-admission assessment referred to earlier. Care plans addressed the health, personal and social care needs of residents and were evaluated at least monthly. Risk assessments, that seek to protect resident’s health and safety were also recorded in respect of residents skin integrity, mobility, and nutrition (including weight monitoring) and other relevant areas and were evaluated at least monthly. Where risk assessments indicate that a resident is at risk the risk assessment is supplemented by a care plan that seeks to minimise the risk Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 11 identified. The arrangements for resident’s medicines were secure and appropriately documented. Discussion with residents indicated that staff at the home treat them with respect and seek to maintain resident’s dignity and privacy particularly when personal care is being provided. Examples of such comments are ‘ the staff treat me nicely and help me properly’, ‘I think I am well looked after here’, ‘ I can go to bed and get up when I want to’. Residents confirmed and this was also evident in discussion with staff and inspection of care files, that they are able to receive health care services appropriately, this included access to specialist medical services, opticians, dentists, and chiropodists. This is important for resident’s to maintain as good health as possible. All residents were registered with a local GP. The type of care and support required by older people and younger adults is clearly very different. These differences were clearly reflected in the care records of each group of resident’s within the home. Care planning was based on the care and support individual resident’s required. Appropriate measures were in place to ensure that resident’s who are coming to the end of their lives are treated with dignity and compassion. The palliative care needs of residents are supervised by qualified nurses who have undergone special training in this sensitive area. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14. Residents spoke very positively in relation to being able to exert personal choices and retain as much independence as possible in their daily lives. This is important as residents need to retain their individuality and feel they have as much control as possible over their life. EVIDENCE: A programme of leisure activities was prominently displayed in the main lounge area of the home. The programme detailed the range of activities available. Residents were of the view that these were appropriate and stated they decided what was to be included (and excluded) at regular residents meetings held at the home, with bingo remaining a firm favourite!. Clearly social and leisure activities are a very important part of life at the home and relatives told the inspector they are actively encouraged to participate in these events. A holiday by the sea was being considered by residents, relatives and the staff at the time of inspection. The manager and staff are commended for ensuring that resident’s are able to enjoy such a varied programme of activities. Relatives and their families report no unreasonable restriction to visiting at the home. Residents are able to receive their visitors in the privacy of their own room. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 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): 16,18. Appropriate procedures are in place to ensure that residents and their relatives feel comfortable with making a complaint if necessary, and to prevent residents becoming victims of abuse. These are important areas that are essential to the protection of resident’s in a care home, many of whom are extremely vulnerable. EVIDENCE: Discussion with residents and their relatives indicated that there was a general awareness and information provided that enabled people to make a complaint if they desired. A detailed and accessible complaints procedure was in place and prominently displayed in the home, which included details of how complainants could contact the CSCI if desired. Resident’s and relatives spoken to felt comfortable and confident enough to raise a complaint if they felt it necessary to do so. Inspection of policies and procedures operated at the home, discussion with management indicated that staff were aware of the importance of protecting resident’s from potential abuse and how to communicate any concerns they may have in this area. Staff are provided with regular training in adult protection issues. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 14 Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,26. Residents are provided with a home that appears to be structurally well maintained and that provides a pleasant, clean, warm and comfortable environment. EVIDENCE: A brief tour of the premises was made on this occasion. Lounge and dining areas were clean, warm and comfortably/appropriately furnished. These areas provide ‘homely’ communal areas for residents to mix and participate in social and other leisure activities. 8 resident bedrooms were inspected on this occasion. These were clean, warm, very personalised, well decorated and comfortably/appropriately furnished and equipped to meet resident’s needs. Residents spoken to expressed their satisfaction with the accommodation provided. The home was very clean and free of malodour. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30. Standard 29 was inspected in August 2005 and found to be satisfactory. Staffing arrangements at the home appeared to be appropriately managed and suitable to meet the assessed needs of residents at the home. EVIDENCE: Inspection of staffing rotas provided by the home indicated that staffing provision at the home complied with the current minimum requirements that apply to care homes for older people. Discussion with the manager indicated that she was of the view that staffing levels were appropriate to meet the current dependency levels of resident’s at the time of inspection. Inspection of training records revealed that staff are provided with well organised and appropriate induction training at the commencement of employment, regular training in moving and handling, fire safety, basic food hygiene, protection of vulnerable adults and other appropriate care topics. 11 of the 18 care staff have obtained an NVQ2 qualification in care. And the remaining care staff are currently studying to secure the qualification. 2 Senior care staff have secured places to study for an NVQ3 qualification in care. Qualified nursing staff are provided with opportunities to update their skills and knowledge through accessing a variety of training courses. Training records were being maintained and a programme of training for the next 6 months was prominently displayed. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 17 Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,37,38. The home continues to be effectively and efficiently managed by the registered manager. This is important for resident’s, their relatives and staff need to have confidence in and access to competent managers. EVIDENCE: The registered home manager is a very experienced registered nurse manager and has completed an NVQ4 in management. Discussions with service users within the home, their relatives, and staff employed at the home indicated that the registered manager continues to employ a management style that is open, supportive, positive and inclusive. A robust and varied quality assurance system is operated that seeks to measure the satisfaction of residents and their relatives with the care and accommodation provided by the home. This includes the registered provider’s monitoring visits to the home, the registered manager’s monthly audit, Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 19 periodic resident’s and relative’s questionnaires and regular resident and staff meetings. In addition regular management meetings are held. Discussion with resident’s and their relatives indicated that they are consulted about their satisfaction with the care and services provided and feel that their views are valued. The following certificates of inspection/service records were found to be satisfactory on this occasion; electrical systems/equipment, fire fighting equipment and the fire alarm system, passenger lift/lifting equipment, gas safety, accident records/monitoring, monitoring of hot water temperatures, general and specific health and safety risk assessments, and control of clinical waste disposal. Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X 3 Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS; None on this occasion 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS; None on this occasion These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Strathmore Nursing Home DS0000005702.V283955.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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