Inspection on 05/10/05 for Talbot House Nursing Home

This inspection was carried out on 5th October 2005.

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 01/02/07

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 Announced Inspection 5th October 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 Talbot House Nursing Home DS0000042862.V250406.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. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 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 01889 586099 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.V250406.R01.S.doc Version 5.0 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 Mr Gupta has run the home for 12 months. Mrs Margaret Ford is the registered manager 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. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine announced visit was made on the 6th October 2005 @ 09.15hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 9hrs. The registered care manager was in the home accompanied the provider, Mr Gupta and the deputy Manager. On duty in the home was One Registered nurse, two senior carers and three carers. Also in the home were a cook, a catering assistant, 2 domestic staff and one laundry person. The maintenance person was on annual leave. These staffing levels were evidenced as adequate to meet the needs of current 25 residents in the home. The inspection included the following elements; a tour of the building, observation and inspection of records relating to provision of care, discussions with several residents, 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. Since the last inspection on 3rd May 2005; there had been no changes to the management of the home, no complaints had been received and no additional visits had been necessitated. It was evident to the inspector that aspects of personal and health care, had been addressed well, with residents able to choose the home following an assessment and invitation to visit the home. Service user plans had been well written, some being based on the community care plans completed by social workers. Health, personal and social care needs had been met and well documented. Privacy, dignity and choice aspects for residents were being upheld. No complaints, incidents or reports of abuse of any kind had been received since the last inspection, and policies and procedures seen covered these issues. The home was found generally fit for purpose and provided a safe environment for the residents and staff. A very homely atmosphere had been created, and the premises were clean and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Services and facilities, including catering and laundry, were also adequately provided. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 6 Health and safety aspects had been given a high priority and no shortfalls were noted. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Recruitment and retention of staff aspects were good with little staff turnover. Staff training had been given a high priority, with induction training being followed by NVQ training, and staff had received regular supervision. The home appeared to be managed well by a qualified and competent care manager. General management aspects were good with quality assurance taking place. Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that suitable accounting/business procedures are adopted. The home is now in need of major upgrading regarding décor, carpets and fixtures and fittings. What the service does well: 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. Talbot House Nursing Home DS0000042862.V250406.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 Talbot House Nursing Home DS0000042862.V250406.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 to 5 Residents are given the information they need to make an informed choice about moving into the home. Individual health, personal and social cares needs had been established and were being met by staff, which individually and collectively had the necessary skills and experience. EVIDENCE: The documentation seen, and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been enabled to make a choice about the home. All involved had the opportunity to visit the home prior to choosing to stay. Several residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 9 Residents asked confirmed that they had been fully involved and were in agreement with the assessments. From the records seen and a discussion with the staff evidenced that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 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 to 10 The assessed health and personal care needs of residents had been well documented and were being met, with good standards of care being delivered. There was a safe system for the receipt, storage, administration and disposal of medicines. Residents were treated with respect, privacy and dignity, during the caring process. EVIDENCE: The service user plans and associated documentation was well written, meaningful and reflected the current condition of residents. The documentation seen and a discussion with both residents and staff members evidenced that health and personal care needs were being well met. NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. A local GP practice and a local pharmacist service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 11 The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all in order. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. No resident was ‘self medicating’, but locked facilities were available. A pharmacy audit had been completed in July ’05 and no issues were raised. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 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 to 15 Residents were extremely satisfied with their lifestyle in the home, and they had been able to exercise choice and influence decisions affecting them. Contact had been maintained with relatives and friends of residents. Opportunities to access the local community had been made available. Catering aspects were very good with balanced nutritious meals being served, along with resident consultation and choice. EVIDENCE: Several residents told the inspector that mealtimes and menu choice was a chance for them to air their views. Choice of diet and had been documented in care records and feed back from the resident/relatives questionnaires relating to dietary needs had been acted upon. Personal contacts had been maintained, where possible, with relatives and friends and this was seen documented. Residents spoke of their visitors and their involvement with the home. Several visitors attended the home during this inspection and spoke with the inspector, they felt the communication in the home was excellent and the warmth from the staff was welcoming and comforting. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 13 Trips out to the community had been well organised and transport provided. The staff showed the inspector the activities folder, which evidenced the activities both inside and outside the home. Residents spoke of the places visited and also the entertainment within the home. Several residents spoke of their satisfaction with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of residents were met. The records evidenced that there were residents with diabetes in the home, and some special diets were being organised. The cook when asked said that fresh good quality food from local suppliers was delivered on a weekly basis, the records seen confirmed this. The cook was seen baking and preparing pastry, fresh vegetables and fruit were also seen. The mid day meal seen was well presented and met all nutritional requirements. The cook spoke to each resident on a daily basis to establish his or her choice of food for the day, and this was seen documented. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 to 18 It was evident that complaints were listened to and resolved. The home policies, procedures and staff training, protected residents from aspects of abuse. EVIDENCE: An examination of the complaints book, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and concerns were listened to and dealt with in the correct manner. Since the last inspection no complaints had been recorded or brought to the attention of this commission. Many heartfelt ‘thank you’ and complimentary cards were seen from appreciative relatives. No incidents of neglect or abuse of any kind has been reported. The policy documentation seen, and a discussion with staff confirmed that residents are protected from all forms of abuse. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 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 to 26 The home provides a safe and adequately maintained environment for residents. The home was clean, warm and tidy, and had a very comfortable atmosphere. There is a need to commence refurbishment of the home with regard to fixtures, fittings, decor and carpets. EVIDENCE: A tour of the building, and a check on the maintenance documentation, verified that the premises were fit for purpose, clean warm and tidy. The duty rosters evidenced that adequate ancillary staff were employed. Staff when asked told the inspector of their knowledge on infection control, and showed him the relevant documentation. Adequate hand washing facilities were available throughout the home. The laundry facilities were seen to be fully compliant. The records evidence that maintenance of the premises is ongoing. Hot water temperature checks, and emergency lighting/fire alarm testes were seen up to date and correct. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 16 There are no outstanding issues known from the Fire Prevention or Environmental health departments. Bedrooms were individually personalised and suited the needs of the residents. The inspector identified that the home was looking tired and in need of major upgrade. This must include décor, fixtures, fittings and carpets. A planned refurbishment programme must be organised and forwarded to the CSCI. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 17 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 to 30 The assessed needs of service users had been met by an adequate number of suitably trained staff. Recruitment procedures had been correctly addressed which had contributed to the protection of service users. Staff training had been given a high priority. EVIDENCE: The duty rosters seen, and a discussion with the care manager and the staff, evidenced that adequate numbers of staff had been on duty to meet the needs of the existing service users. Staffing levels were being maintained as at 1st April 2002 and following a discussion with the manager and her staff it was agreed that the shift cover was adequate for the existing residents needs. All staffing rosters were checked and were in order. Adequate ancillary staff had been provided each week. Several residents stated that staff were available when they wanted them, and that the staff were capable of their duties. The records seen evidenced that in addition to the manager the home employed 9 first level nurses and 18 care assistants, of which 7 (45 ) were trained to NVQ level 2 or above. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 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 to 38 The home appeared to be well managed and quality assurance was in place. Financial aspects were correctly addressed and recorded with safeguards to residents. Health and safety issues had been given a high priority and managed well. EVIDENCE: From observations made, discussion with residents, and discussions with the manager and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 19 A check on the records and a discussion with both residents and representatives evidenced that all service users had the opportunity to handle their own finances and all residents and families had chosen to do so. Day to day monies of residents were checked and money held reconciled with the ledger. Inventories of valuables and belongings brought into the home were seen recorded. Policies and procedures were updated as required and used within the home. No health and safety issues were noted during this inspection, including a tour of the home. The documentation seen for checks and examination of plant and equipment was all correct and up to date. The manager and staff spoken to confirmed that health and safety issues are given a high priority. Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 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 4 4 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 4 4 4 3 4 3 2 3 4 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 4 4 4 4 4 4 4 Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 Page 21 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 Standard OP24 Regulation 16 Requirement Refurbishment of the home is to be drawn into a plan with timescales and submitted to the CSCI Timescale for action 03/12/05 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.V250406.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Talbot House Nursing Home DS0000042862.V250406.R01.S.doc Version 5.0 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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