Inspection on 22/12/05 for Symphony House

This inspection was carried out on 22nd December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Symphony House 28/10/08

Symphony House 04/10/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Symphony House 43 / 45 Queens Park Parade Northampton Northants NN2 6LP Lead Inspector Mrs Linda Preen Unannounced Inspection 22nd December 2005 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 Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Symphony House Address 43 / 45 Queens Park Parade Northampton Northants NN2 6LP 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) 01604 722772 Symphony Care Ltd Mr Darren Stephen Weeks Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Terminally ill over 65 years of age (6) of places Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. A total number of 25 service users of either sex may be accommodated in the home. A total of 25 service users in the category of OP may be accommodated in the home. No one in the category of OP may be admitted to the home when there are already 25 service users accommodated in the home. No one in the category of TI over 65 years may be admitted to the home when there are already 6 service users in this category accommodated in the hom e. Only the named service user under the age of 65 named on variation number 26543 may be accommodated in the home. This was the first inspection of this new service. 5. Date of last inspection Brief Description of the Service: The home is situated in a residential area of Northampton, close to local shops and amenities. Accommodation is provided in a Victorian house that has been extended and has recently been refurbished by its new owners to a very high standard. All rooms have ensuite facilities and are single occupancy. It provides facilities for the elderly frail and for the terminally ill. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of this new facility and therefore there were no previous requirements made. The inspection took place over a period of 3 hours, during which two residents were chosen to case track. This involved looking at their records, talking to them and to the staff providing their care. In addition to this, residents and care staff were spoken to and a tour of the environment was undertaken. What the service does well: What has improved since the last inspection? What they could do better: Residents have comprehensive care plans in place that are regularly reviewed, but the care plan for one resident with specialist feeding needs to be modified to ensure that staff have all the required information to enable them to care for this resident. It is acknowledged that the correct procedures are being followed by the current staff group who are familiar with the routine, but new staff may be unaware of the required procedure. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5 Residents have the information required for them to make an informed choice about living in the home. EVIDENCE: A Statement of Purpose is available that sets out the details of the service to be provided. This is regularly updated to reflect any changes in the home. Residents are assessed by a qualified nurse prior to admission to ensure that their needs may be met in the home. A comprehensive assessment tool is used for this that includes all aspects of physical, mental and social needs, and records individual choices of lifestyle. Prospective residents and their relatives are invited to visit the home prior to admission to view the facilities and chose their room. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 11 Residents have individual care plans to guide staff on their care. Systems are in place to ensure that the control of medication in the home is safe. Residents who are dying are treated with dignity and respect. EVIDENCE: A selection of care plans were seen. These demonstrated that individual plans had been formulated following a comprehensive assessment of need. These plans were regularly reviewed and updated as the resident’s condition changed. In one case however, details of the required turning of a PEG feeding tube were not recorded. Discussions with the deputy manager confirmed that this procedure was being carried out, but advice was given to include this in the care plan for any staff unfamiliar with the regime. Systems for the ordering, administration and disposal of medication were seen and found to be satisfactory. The home has specially trained staff to care for the needs of the terminally ill. Good relationships have been formed with the local palliative care team for specialist advice. An emphasis is placed on providing individual comfort for this Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 10 group of residents, with staff spending time sitting and talking to them and providing delicacies to tempt their appetite. Residents spoken to were very complimentary concerning the care and attention received and all appeared well groomed and cared for. Those residents who were being nursed in bed appeared comfortable and had drinks available in their rooms. Records were available of General practitioner and other health care professionals visits to the residents. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 Activities and meals are provided in a way that enables residents to have daily variety and interest according to individual preference. EVIDENCE: Records of residents preferred times of rising and retiring, food and hobbies and interests were seen in the files monitored. Residents were sitting in one of the lounge areas or in their individual room according to personal choice .A programme of activities is provided. For example a Christmas party had been held for the residents and relatives at which a lady had played accordion for carol singing. The residents who are bed bound had been included by the music being taken to them in their rooms. Two of the ladies stated that they had had a manicure, and one lady reported that it had been her Birthday on the previous day and that she had had a birthday cake with candles. Menus are provided in discussion with residents and special diets catered for. Choice is offered at all meals and further alternatives offered if neither of the main choices is liked. Residents spoken to complimented the cook on the standard of food provided. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25 and 26 Residents are provided with a homely environment that is maintained to a high standard. EVIDENCE: This newly registered home is decorated and furnished to a high standard. All rooms are single occupancy and have ensuite facilities. Resident’s rooms showed evidence of personalisation with pictures, ornaments and personal television/music systems seen. All areas of the home are clean and maintained to a high standard by separate housekeeping staff. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 14 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 Staffing is provided in sufficient numbers to meet resident needs. EVIDENCE: Duty rotas demonstrated that there is one trained nurse and three carers during the day and one trained nurse with two carers at night, which is sufficient to meet the needs of the current resident group. The Registered provider stated that four members of the care staff are due to commence NVQ level 2 training in January. The deputy manager is a Qualified Nurse who has also completed a Care of the Dying course. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 15 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 and 33 The home is managed in a way that promotes the residents interests. EVIDENCE: The Registered Manager is a First Level Registered Nurse with many years experience of caring for this resident group. He is currently working towards the Registered Managers award. Staff confirmed that both the Registered Manager and the Provider were supportive and available for advice and to listen to suggestions. Evidence was seen in al aspects of care, that resident needs are the foremost consideration, with emphasis being placed on the individual. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 16 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 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 4 4 X X 3 3 4 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X X Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations The care plan for the resident with a PEG feed should be expanded to ensure unfamiliar staff are able to fully care for this equipment. Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Symphony House DS0000064503.V268337.R01.S.doc Version 5.0 Page 19 - 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. 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