Inspection on 24/01/08 for Strawberry Bank

This inspection was carried out on 24th January 2008.

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

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

Strawberry Bank 04/02/10

Strawberry Bank 17/09/09

Strawberry Bank 07/08/09

Strawberry Bank 08/07/09

Strawberry Bank 16/01/09

Strawberry Bank 26/09/07

Strawberry Bank 15/05/07

Strawberry Bank 04/07/06

Strawberry Bank 19/10/05

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Strawberry Bank 17 Strawberry Bank Liversedge West Yorkshire WF15 6JT Lead Inspector Lynda Jones Key Unannounced Inspection 24th January 2008 10:00 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 Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 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. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strawberry Bank Address 17 Strawberry Bank Liversedge West Yorkshire WF15 6JT 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) 01924 410471 01924 405070 info@strawberrybankcarehome.co.uk www.strawberrybankcarehome.co.uk Prince Edward Anojan Joseph Miss Claire L Allen Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To forward a Statement of Purpose and Service User Guide within three months of becoming the registered provider. To complete Schedule 1 of the Fire Safety Officers report Date of last inspection 26th September 2007 Brief Description of the Service: Strawberry Bank provides personal care and support for 24 older people. The home is located at the head of a quiet cul-de-sac, off the main Halifax road into Liversedge. Accommodation is on three floors, with a lounge, and a dining area on the middle floor. A passenger lift serves all floors. There is a mixture of both single and shared bedrooms. There is also a patio to the rear of the property, where can sit out in the warmer months of the year. The fees range from £356.34 to £368.12 per week. There are additional charges for hairdressing, newspapers, and magazines. Information about the home and the services provided is available from the home in the statement of purpose and service user’s guide. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection took place to assess the quality of care provided to people living at the home. The inspection process included looking at the information we have received about the home since the last key inspection, as well as an unannounced visit to the home, which was carried out by two inspectors between 10.00am and 3.45pm. We talked to people who live there and the manager and staff on duty. We observed care practice, looked at various records and looked round the home. What the service does well: People are always assessed before they move into the home to make sure that all of their needs can be met and it is the right place for them. The staff know people very well, they have a good understanding of their needs and preferred daily routines. People look well cared for and they are treated with dignity and respect. People said the food is good and they get a good variety of meals. The staff interact well with people, there is time for them to chat to people. A range of activities and entertainment takes place, which suit people’s interests, and keeps them stimulated. Staff have received adult protection training and are aware of their responsibility to make sure that people are safe. Complaints are taken seriously and acted upon speedily this means that people can be confident that their complaints will be dealt with effectively. The training opportunities for staff are good which helps them to keep their care practice up to date. Staff recruitment procedures are good, all staff are checked before starting work to ensure that they are suitable and people who live there are safe. People are consulted about the way the home is managed and run. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 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 Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 (standard 6 does not apply) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People receive information about the home before they move in and they can visit to see if they think the service can meet their needs. People are always assessed before they move in. This is to make sure that all their needs can be met at the home. EVIDENCE: The statement of purpose and service user guide is available from the home. These documents give people lots of information about the home. We saw some of them in the bedrooms we looked at. We looked at care records relating to three people living in the home. Each one had a community care assessment, these are carried out by Social Services Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 9 prior to admission and they provide important information that is needed about each person. People are also assessed by staff from the home before they move in. This is done to make sure that the home is the right place for them and that all of their needs can be met. There are contracts for people who are funded by the Local Authority but individuals are not provided with any terms and conditions of residence by the home. These documents are important because they tell people about their rights and responsibilities and those of the homeowners. This needs to be addressed. We talked to the manager about this at the end of our visit. The home does not provide intermediate care. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Some of the care plans are not up to date and instructions in the plans are not always followed. This means there is a risk that staff may not fully or consistently meet health and personal care needs. EVIDENCE: We looked at a selection of care plans because we wanted to see what individual needs had been identified and what action staff are expected to take to meet these needs. We could see from the plans that people are receiving health care from a range of people such as doctors, district nurses, chiropodist and opticians. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 11 People living at the home look well cared for, comfortable and relaxed, and it is evident from observing and talking to staff that they know each individual’s likes, dislikes, and needs. Evidence indicates that the plans are not always being followed and that some plans are not up to date. This means that some people may not be receiving the care and support that they require. These are some of the points that we fed back to the manager at the end of the inspection: • One person has lost a lot of weight over a relatively short period of time. The care plan instructs staff to weigh this person twice weekly, but we could find no evidence to show that this is being done. The nutritional screening tool is not being completed frequently enough; we noted a gap of four months on the records. There were gaps on the food intake chart, which should be completed 5 times each day. The pressure ulcer risk assessment tells staff to “turn as advised by the district nurse” but we could not find this advice in the care plan. Another care plan instructs staff to weigh one person weekly but this had not been carried out for 7 weeks. We looked at two risk assessments which told us about one person who is at risk of falling and also of leaving the building unaccompanied. When we talked to staff we were told that these risk assessments are no longer relevant. One person is catheterised, but this is not in the care plan. The daily records are repetitive; they say very little about the quality of care provided and little about the lives of the people living there. Many of them simply say “personal hygiene maintained” “oral care fine” “feet fine” “hair care fine”. These same comments are often repeated day after day. Staff are not paying attention to what is in the plan. The care plans are divided into several different sections and each section is numbered. On two of the plans we looked at, staff had written comments against Section 13. The records read, “safety maintained”. In one of the plans, section 13 is about shaving, in the other plan there is no section 13. • • • • • The manager is aware that report writing skills and the content of care plans need to be improved. The care plan format is under review and all staff are about to begin a ten-week report writing and communication skills course. More care must be taken with the storage of medication to make sure that it is kept safely. There is a lockable medicines’ trolley that is kept in a lockable office. At the time of the visit, the room was open. There is no facility to chain the trolley to the wall. Medication that was waiting to be returned to the pharmacy was left on a window ledge and was clearly visible from outside the building. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 12 An audit of current stock and records showed that some medication had been signed for but not given. We also found some gaps on the records where medication had been given but not been signed for. We found some discrepancies in the amount of medication in stock and the balance of medication recorded on the record sheets. This means that people may not always be receiving their medication as it is prescribed for them. We provided the manager with this information at the end of the inspection and asked her to investigate. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit. The staff have plenty of contact with people and they respect their preferred routines. EVIDENCE: People we talked to gave positive feedback about their experience at the home. They said the staff are always kind and helpful. Throughout the day, the staff were on hand, they chatted to people and exchanged some goodhumoured banter. The staff know people well, they know about individual likes and dislikes and about the sort of daily routine people prefer. In the morning, people spent their time watching TV, reading and chatting to each other. In the afternoon a sing a long took place. Throughout the day, the manager’s dog and the resident budgerigars received lots of attention and are obviously much loved by everyone. The brochure states that there is a lively social programme. Activities include motivational classes; quiz nights, arts and crafts and bingo. Karaoke sessions Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 14 take place and an accordionist visits the home regularly. There are also weekly visits from the hairdresser and aromatherapist. Visitors are welcome at any time. Mid morning, the cook asks everyone what they would like to choose from the menu for their lunch. People told us they enjoyed the food, they said there was plenty of choice. Most people eat in the dining room; a couple of people chose to have their meals on a tray in the lounge. Drinks are available throughout the day. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their complaint will be dealt with effectively. People are protected by the procedures and practices in the home; the staff understand and promote Adult Protection Procedures. This makes sure that people living at the home are safe. EVIDENCE: All staff have received adult protection training and are aware of their responsibility to make sure that people are safe. We checked this out by talking to the staff. We looked at the complaints log and talked to the manager about the procedure. The information that we saw indicates that complaints are taken seriously and acted upon speedily. Details are logged, and complainants receive a written response to any issues raised. The manager has an open and positive attitude about complaints and sees them as a means to amend and improve practice. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 23, 25 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The shared areas of the home are comfortable and the fittings and décor are adequate. People have comfortable personalised bedrooms. The kitchen and bathroom improvements that are underway will improve the facilities for everyone. EVIDENCE: Since the last inspection a passenger lift has been installed and the stair lifts have been removed. The lift is not easy to operate; to call the lift and to move between floors, the call button has to be fully depressed. This is not easy for anyone who is frail or has a disability. Letting go of the button causes the lift to Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 17 stop between floors, which would be very distressing for many people. We talked to the manager about this and she told us that two people manage to use the lift independently; others are unable to use it. The kitchen remains in a poor state of repair with collapsed cupboards, door fronts missing and split floor covering. Work is underway on a new extension and the kitchen is to be moved as soon as the first phase of the building work is complete. We were told this should be by the end of March 08.There are also plans to create additional bedrooms. Generally, the home was clean although there was an odour in one of the bedrooms. We talked to the manager about this and she told us how this was being dealt with. All bedrooms are personalised, everyone has lots of their prized possessions around them. New radiator covers have been fitted to protect people; the covers now need painting. Some of the rooms on the lower ground floor were cold; they were not in use, but they would not be comfortable to sit in during the day. In some rooms we found the water temperature was quite hot. We talked to the manager about this and she told us the temperatures are regularly monitored at all outlets and records of the temperatures are kept. We asked her to look into this. In one of the bathrooms the plaster is bubbled and crumbling and it looks unsightly. The manager told us this room is soon to be refurbished and a new bath will be fitted. Some of the carpets in the house have been replaced recently but the lounge and dining room carpet are badly stained. Some of the chairs in the lounge are worn round the headrests. The carpet in one of the bedrooms is raised and creased by the side of the bed. This needs to be removed, as it could be a trip hazard to the occupant of this room, who is blind. The small door at the top of the stairs that opens into the eaves needs to be locked so that people are kept safe. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Recruitment procedures are good; all new staff are checked before they take up post to make sure they are suitable to work with older people. Staff training opportunities are good; this means that staff can keep their care practices up to date. EVIDENCE: We looked at a sample of staff records to see what checks are carried out before new staff start work. Recruitment practice is good, references are always taken up and checks are carried out with the Criminal Records Bureau to make sure that staff are suitable to care for the people that live there. The home is adequately staffed to meet people’s needs. During the day there are three staff on duty and a team leader, there are two staff on duty throughout the night. In addition the home employs domestic and catering staff. The manager is at the home Monday to Friday and the home’s administrator is there for three days each week. Throughout the day there seemed to be enough staff available and they were always friendly and helpful in their dealings with people. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 19 A range of training is provided for staff so that they can keep their care practice up to date. 72 of staff have completed NVQ (National Vocational Qualification) level 2. Three staff are currently working towards the qualification. The manager told us that courses on moving and handling, health and safety and food hygiene were booked to take place in February 2008. Staff confirmed that they had received induction training and that they had worked alongside experienced members of the team when they first started work at the home. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is managed and run in the best interests of the people living there. People are consulted about the service and asked if it can be improved in any way. EVIDENCE: The registered manager told us she is currently working towards achieving the Registered Managers Award. Monthly management visits by the provider are documented and were available for inspection. The last one took place on 23 January 2008. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 21 People are regularly consulted about the way the home is run. Regular meetings of the people who live at the home take place, the last one was on 2 January 2008. Quality assurance questionnaires are sent out to relatives twice a year asking people for their opinion on various aspects of the service provided. The last survey was conducted in July 07; once the results are collated they are displayed. We saw the results of the last one; the comments received were constructive and positive. Family comment sheets have recently been placed in each bedroom for people to record anything they want to communicate to staff. This could be about care; the way the room looks; the way people’s clothes are laundered and stored, for example. The team leaders will be regularly monitoring the comments made. This is a new development; it is too early to evaluate how effective it is. The manager said she hope’s this will enable people to tell staff when they think things need to be improved so that any matters can be placed on record and dealt with promptly. The home holds small amounts of money for residents. Relatives usually deposit the funds. People are safeguarded by the accounting practices in the home. The records include a balance of all money held, details of expenditure and receipts for any purchases made on behalf of residents. The records we checked balanced with the money held. Equipment in the home is regularly maintained so that it is safe to use. Fire safety records are up to date and show that staff receive regular training in this area. Accidents are always recorded; they are monitored each month to see if there are any patterns to where and how they are occurring. They are discussed at staff meetings to see if any preventative measures need to be taken or if there are any practice issues involved. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 22 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 3 2 3 X 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x 2 x 2 x 3 x 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 12 13 14 15 Score 3 3 3 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X 3 X 3 X X 3 Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 OP2 Standard Regulation 5 Requirement Timescale for action 24/03/08 2 OP7 15 3 OP8 Schedule 4 (13) 4. OP9 13 (2) People must be issued with a contract/terms and conditions of residence document before or on the day of admission. This will provide them with information about their rights and responsibilities and those of the provider. Care plans and individual risk 14/03/08 assessments must be kept up to date and reviewed regularly. This is to make sure that people receive the care and support that they require. People must be weighed 29/02/08 regularly and nutritional assessments and food and fluid intake must be and monitored regularly. This is prevent the risk of people being malnourished. Medication must be stored 29/02/08 securely. This reduces the risk of medication being tampered with or removed and makes sure it is safe to use. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 4 Refer to Standard OP19 OP19 OP24 OP19 Good Practice Recommendations The lounge chairs should be cleaned/replaced. The lounge and dining room carpets should be cleaned/replaced with a more serviceable carpet. The raised and creased carpet in the bedroom should be refitted so that no one trips over it. The door to the eaves should have a lock fitting on it to make sure that people are kept safe. Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Strawberry Bank DS0000063274.V358325.R01.S.doc Version 5.2 Page 26 - 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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