Random inspection report
Care homes for older people
Name: Address: Summerville Nursing Centre Hilltop Road Stockton Heath Warrington Cheshire WA4 2EF two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Joan Adam Date: 1 2 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Summerville Nursing Centre Hilltop Road Stockton Heath Warrington Cheshire WA4 2EF 01925265865 01925212620 livingno@bupa.com www.bupa.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (CFHCare) Ltd care home 45 Number of places (if applicable): Under 65 Over 65 45 0 old age, not falling within any other category physical disability Conditions of registration: 0 6 The registered person may provide the following category of service only: Care home with nursing: Code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP (maximum number of places: 45). Physical disability: Code PD (maximum number of places: 6). The maximum number of people who can be accommodated is: 45. Date of last inspection Brief description of the care home Summerville Nursing Home has recently been taken over by BUPA. It is situated on the border between the Stockton Heath and Grappenhall areas of south Warrington. There is ample care parking space and a good public transport network around the home. It is within easy reach of Warrington town centre, the M6 and M56 motorways.
Care Homes for Older People Page 2 of 8 Brief description of the care home The home is a large period house set in its own grounds by the Bridgewater canal. The original building has six large bedrooms, a bathroom, lounge, dining room, kitchen, laundry, staff facilities and office accommodation. A large purpose built extension houses thirty-seven bedrooms, two smaller lounges and bathrooms. All residents have access to the nurse call system. The charges range from #480 to per #620 week. Care Homes for Older People Page 3 of 8 What we found:
Two inspectors visited the home on 12th November 2009 in response to three complaints made to us. We looked at care plans for three people who live at the home who had complex needs. these were written in a person centered way, were detailed and contained information to guide staff as to how to meet the needs of the people. Fluid balance charts were looked at in the rooms of four people and these had been completed correctly on the day we were visiting. We spoke with a number of visitors and the staff on duty on the day of the visit. All were of the opinion that the numbers of staff on duty was insufficient to meet the needs of the people living at the home. Two people said that they felt that their complaints had not been resolved. A meeting had been held with relatives and issues they discussed were , staff shortages, people not getting drinks, fluid balance charts not being completed and call bells not being answered. Some relatives said that some of these issues had improved since the meeting. There were two nurses and seven care staff on duty on the day of the visit until PM. All staff appeared busy , however call bells were not being answered promptly. We observed a call bell ringing when we arrived at the home for an excess of fifteen minutes. The administrator asked staff to answer the call bell. During the feedback meeting with the manager and deputy manager a call bell was ringing for an excess of twelve minutes. Relatives spoken with said that call bells were not answered quickly. Staff spoken with said they could not respond quickly as they were too busy. One said we are trying to provide good care but it is difficult as people have high dependency another said we are always struggling,, the home is so busy Most of the people living at the home were highly dependent and two members of staff were needed to attend to the needs of the people. On speaking with the manager she said that eleven people at the home are nursed in bed at all times. Lunch was due to be served at 12 :30 , however, it was not served until 1:35 to people in the dining room as staff were moving people from the lounge to the dining tables using one hoist which took time. The home does have other hoists that can be used. Staff spoken with said that there is only room to use one. The people who were staying in their bedrooms for lunch were served later. Family members have been asked not to visit during mealtimes and some relatives spoken with said they were unhappy with this arrangement. Some relatives were in the home assisting people with their meal in their bedrooms. The staff appeared to be very busy but the home appeared disorganised. Although relatives felt that the home was short staffed they praisd the people working at the home and said the staff are very good but rushed off their feet the staff are lovely but there doesnt seem to enough of them the staff are fine but they are seriously overworked On the evening shift there were two nurses and five to six care staff on duty. At night from PM to AM there is one nurse and four care staff on duty which is not sufficient to meet the needs of the people living at the home. A full assessment of the number and dependency levels of the people living at the home should be made to enable adequate skill mix and numbers of staff to be on duty at all times to meet the needs of the people living there. The manager agreed to increase the staff at night as a matter of urgency. The home was clean and free from odours at the time of the visit. The complaints log was looked at and some complaints had been fully recorded with all appropriate letters in place so that an audit trail could be followed. However, the
Care Homes for Older People Page 4 of 8 complaints folder was confusing as not all complaints listed had full information present and it was unclear as to which complaints had been finalised and which were still being investigated. There have been twelve complaints made to the home since July 2009. The management from BUPA are addressing some of these issues. An open meeting is due to be held with all relatives by the Deputy Regional Director on the 17th November. A quality assurance audit is to be carried out at the home on 27th November. The managers office is at the back of the home and this may make it difficult for people to have access to see her. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 16 22 The complaints log needs to be more organised so an audit trail can be followed. So that the management is aware of which complaints have been actioned. 27/11/2009 2 27 18 The needs and dependency 27/11/2009 levels of all people living at the home must be assessed. Night time must be assessed as a priority. So that there is adequate staff on duty to fully meet the needs of the people living there at all times. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
