Inspection on 01/02/07 for Talbot House Nursing Home

This inspection was carried out on 1st February 2007.

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

Talbot House Nursing Home 10/03/09

Talbot House Nursing Home 05/10/05

Talbot House Nursing Home 03/05/05

Talbot House Nursing Home 15/10/04

Talbot House Nursing Home 17/05/04

Talbot House Nursing Home 26/01/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Talbot House Nursing Home 28-30 Talbot Street Rugeley Staffordshire WS15 2EG Lead Inspector Mrs Joanna Wooller Key Unannounced Inspection 1 February 2007 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 Talbot House Nursing Home DS0000042862.V328404.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. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Talbot House Nursing Home Address 28-30 Talbot Street Rugeley Staffordshire WS15 2EG 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) 01889 570527 F/P 01889 570527 Grov Ltd Mrs Margaret Rose Ford Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Minimum age 60 years on admission Date of last inspection Brief Description of the Service: Situated close to Rugeley town, Talbot House is a 25 bedded Care Home with Nursing care. It comprises of one building, built in 1880. The current Proprietor is Mr Gupta. Mrs Margaret Ford is the Manager and she is registered with the Commission for Social Care Inspection. The home comprises of 19 single bedrooms and three double bedrooms. Some rooms have en-suite facilities. There are three pleasant lounges and one dining room. Other facilities/services include a hairdressing salon and activities/craft room. All areas of the home have service users access via ramps, stairs or a passenger lift. The home is very homely and comfortable. The Philosophy of Care offers the acceptance that a service user who stays in the home involves a special relationship of intimate care from the staff and management. The holistic approach involves both service users and their families with assurances that staff will work to the best of their abilities in a homely and friendly environment for everyone involved. A social diary is maintained. Fees £355 to £475 Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Joanna Wooller Lead Inspector for Talbot House undertook this unannounced Key Inspection. The inspection included the following elements; a tour of the building, observation and inspection of records relating to provision of care, discussions with several Service Users, discussions with the staff members on duty, observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, quality assurance and health & safety. A group of Service Users in one of the lounges commented to the Inspector that they felt that “Talbot House was home and very comfortable”. One lady said she “enjoyed the company of other Service Users in the home and the activities.” “I am very happy with the way my friend is being looked after.” What the service does well: What has improved since the last inspection? What they could do better: No issues were identified at this visit. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Talbot House Nursing Home DS0000042862.V328404.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 Talbot House Nursing Home DS0000042862.V328404.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): Standard 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each Service Users admitted to the home is pre assessed prior to admission. EVIDENCE: Service Users records seen at this visit were established form a pre admission assessment prior to admission. All relevant information is gathered to ensure that the Service Users needs can be met whilst in the home and this is confirmed in writing. One lady told the inspector that her Daughter had chosen the home for her and she felt so pleased that her Daughter had chosen so well. She was made welcome form the first day and feels very settled. One relative commented, “ The staff at Talbot House are always welcoming and cheerful. They take a great deal of trouble to care for my Mother. We are both very grateful foe all their care and kindness.” Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 9 One gentleman when asked about moving into the home said, “He heard it was the best home in the area – which was good enough for him. He is very happy at Talbot House and wants to stay in the home.” “ The staff at Talbot House is always welcoming and cheerful. They take a great deal of trouble to care for my Mother. We are both very grateful foe all their care and kindness.” Talbot House Nursing Home DS0000042862.V328404.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): Standards 7 to 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users health, personal and social care needs are set out in individual care plans and updated to ensure that the needs are being met. Service Users are supported with medicine administration and the trained staff abide by the homes medication administration policy. Service Users are treated with respect and their right to privacy upheld at all times. EVIDENCE: Service Users records seen at this visit as part of case tracking were found to be in good order. Care plans had been updated monthly and some short-term care plans had been updated daily. Personal care was recorded and along with relevant risk assessments. Nutritional assessments and Waterlow assessments (for skin integrity) were completed, as were Service Users weights and GP visits. Activities of Daily Living were documented and evaluated, and hospital visits and investigations were recorded in an orderly file. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 11 The Service Users individual care plans and associated documentation was again as previously evidenced, it was meaningful and reflected the current condition of residents. The documentation seen at the visit and following discussions with both Service Users and staff members the inspector was able to evidence that health and personal care needs were being well met. Throughout the inspection it was observed that privacy and dignity were being afforded to Service Users, and there was again very good interaction with staff. Care staff was seen knocking on Service Users bedroom doors before entering. Daily records supported the care plans and this information was handed over to care staff at the start of each shift in the form of a handover. Named nurses and key workers were identifies in the individuals care records. The medication policy was followed b the trained nurses, stock and ordering were closely monitored. No issues or errors were identified with regards to the administration of medicines. The supplying pharmacy was being changed at the time of the visit. The new pharmacy had been to the home, discussed their ordering and supplying systems and trained the staff on the new product. Issues relating to privacy and respect were discussed with the Service Users and they all felt that the staff were very caring and thoughtful. The manager and senior staff are very visible in the home and supervise the care staff at all times, this ensures the staff are working to the policies and procedures of the home. Staff were witnessed putting blankets on Service Users knees prior to transfers and talking to them sympathetically. Staff spoken to was very keen to chat to the inspector and discuss the Service Users and their life styles. An abundance of ‘Thank You’ letters and cards were seen at the visit – most expressed their sincere gratitude for the care and attention shown to their relatives. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12 to 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users at Talbot House were encouraged to continue with their social interests and life style. Service users were served a well balanced diet from a varied menu, which is reviewed on a regular basis and based on the service users preferences. Contact with relatives and friend was maintained and the home has an open door policy for visiting. EVIDENCE: The activity organiser spends time with the Service Users doing sessions of craft, reminiscence and in house entertainment. Musical entertainment was arranged in house on a regular basis. The hairdresser attends the home as required. It was obvious during the inspection that the staff welcomed visitors at any time. From the two relatives spoken with, only positive comments were received. Each person was very satisfied with the care his or her particular Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 13 relative received. “The food was good and the home clean.” “Their relative was kept very smart and clean and the self-esteem recognised in their daily dress.” One lady commented that “Overall the daily diet is enjoyable and sufficient.” The inspector reviewed the menus and they provided a well balanced diet of choice and varied content. Several Service Users had chosen a different meal from the menu so the catering staff were preparing their personal choice. The kitchen had recently been inspected by the Environmental Health Department and three recommendations were made and these had been completed. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 14 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): Standards 16 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a robust complaints procedure and this was followed at all times. Service Users rights are protected and staff was trained to ensure that Service Users were protected from abuse. EVIDENCE: The inspector examined the complaints book and this was found to be satisfactorily completed. Relevant policy and procedure documentation is adhered to as required. Following a discussion with staff and Service Users the Inspector was able to evidence that any issues were listened to and dealt with in the correct manner. Since the last inspection no complaints had been recorded and none had been brought to the attention of this Commission For Social Care Inspection. ‘Thank you’ cards and complimentary greetings cards were seen displayed from appreciative relatives. Relevant vulnerable adults / abuse policy documentation was seen, and a discussion with staff confirmed that Service Users are protected from all forms of abuse. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 15 All issues relating to complaints and abuse are been discussed at length during staff induction, training and on-going supervision. Talbot House Nursing Home DS0000042862.V328404.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): Standards 19 and 16 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and appears safe for the Service Users. The maintenance of the home is well managed and the home is very clean, hygienic and very pleasant. EVIDENCE: The home is very well maintained and made safe for the Service Users and staff at the home. All safety checks are carried out on equipment and this is documented. The domestics take great pride in the duties and keep the home immaculate with the support of the staff working in the home. COSHH data was available for cleaning products in the home. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 17 Infection control systems were in place and policies and procedures were used to ensure compliance. The bathrooms and clinical areas were in good order and well maintained. The laundry had been identified by the manager to be in need of refurbishment as the tiles and flooring are showing signs of wear and tear. This is planned for the near future. Several bedrooms have been re-carpeted but several more are awaiting new carpets and curtains. The bathroom and toilet on the first floor had been upgraded and were much improved. Talbot House Nursing Home DS0000042862.V328404.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): Standards 27 to 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The assessed needs of service users had been met by an adequate number of suitably trained staff. Recruitment of new staff had followed the homes policies and procedures and had been correctly addressed which had then contributed to the protection of service users. Staff training continues to be given, monitored and recorded appropriately. EVIDENCE: Staffing levels were appropriate to meet the individual Service Users present needs. Staffing rosters were checked and were in order. Adequate ancillary staff had been provided each week. Service Users when asked by the inspector stated that staff was available when they wanted them for assistance and although they were busy all the staff in the home were caring. The homes recruitment policy, procedures and documentation remained the same as previously inspected and recruitment issues had been handled correctly. Staff files were checked and found in order. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 19 Staff had been subject to POVA/CRB checks, and these were seen recorded. Staff that were asked had stated that they had job descriptions and contracts of employment. Training had been given a priority in the home and the training records of individuals were seen. The records evidenced that staff had benefited from ‘in house’ and external training, which had covered the information necessary to meet the needs of the registered client group. Eight trained nurses and nineteen care staff supported the Service Users in the home. 52 of care staff had their NVQ 2 qualification and 2 staff had NVQ 3. No agency staff were being used at the home. Talbot House Nursing Home DS0000042862.V328404.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): Standards 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, closely follows the homes policies and procedures and quality assurance systems were in place. Financial aspects had been correctly addressed and recorded with safeguards to Service Users. Health and safety issues had been well managed and recorded as required. EVIDENCE: The manager is fully committed to the home and continues to make positive changes to the home. Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 21 The staff, Service Users and relatives appreciate her open door policy and the efforts she displays throughout the home. Quality systems are in place and internal audits are completed. Regulation 26 visits are made by the Provider to ensure acceptable standards are maintained. Financial systems were checked by the inspector including Service Users pocket monies and this was evidenced to be correct. Staff spoken with confirmed that they received supervision and relevant training and development. They also confirmed that the statutory training was current with more planned. Health and safety issues had all been addressed including all the necessary checks to ensure the health, welfare and safety of all the staff and Service Users is promoted and protected. The maintenance man ensure his well-maintained records are current to evidence his duties and ensure safety is maintained in the home. Talbot House Nursing Home DS0000042862.V328404.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 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Talbot House Nursing Home DS0000042862.V328404.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. 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. Refer to Standard Good Practice Recommendations Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Talbot House Nursing Home DS0000042862.V328404.R01.S.doc Version 5.2 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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