Inspection on 27/02/06 for The Allenbrook Nursing Home

This inspection was carried out on 27th February 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Allenbrook Nursing Home 29/05/07

The Allenbrook Nursing Home 17/08/06

The Allenbrook Nursing Home 15/02/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Allenbrook Nursing Home Ltd 209 Spies Lane Halesowen West Midlands B62 9SJ Lead Inspector Mrs Amanda Hennessy Unannounced Inspection 27th February 2006 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 The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 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. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Allenbrook Nursing Home Ltd Address 209 Spies Lane Halesowen West Midlands B62 9SJ 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) 0121 422 5844 0121 423 2837 The Allenbrook Nursing Home Ltd Harriet Caffrey Care Home 36 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (36), of places Physical disability (6), Terminally ill (6) The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 28th June 2005 Brief Description of the Service: Allenbrook Nursing Home is situated close to the Halesowen and Quinton border and is a few minutes walk from local shops, churches and amenities. The home is accessible by public transport and offers a small parking area at the front of the property for visitors. Service user accommodation is on two floors, which is serviced by a passenger lift. Bedrooms offer 4 shared, (all ensuite) and 28 single occupancy rooms, (27 of which are en-suite). There is a large long/ dining romm with a pleasnt conservatiorty off one end of the lounge. Meal times are flexible and service users may choose to eat in their respective rooms or in the communal dining area. An open visiting policy is in operation and relatives and friends may call at any reasonable time. A range of activities are on offer and a regular church service is held at the home. Visiting healthcare professionals are utilised including dentist, optician, chiropody and an occupational therapist. A hairdresser visits fortnightly and complimentary medicine may be arranged on request. Allenbrook Nursing Home aims to provide its service users with a secure, relaxed, and homely environment in which their care, well being, and comfort is of prime importance. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken by one Inspector. The inspection was undertaken between 09.30 and 15.00hrs. The inspection included a review of records, talking to service users and staff. Allenbrook Nursing Home is privately owned. Mrs Jayne Franklin is the Manager. Sixteen of the previous twenty-two requirements were found to have been fully addressed, no new requirement were made as a result of this inspection. 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. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 6 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 The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 7 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 Prospective service users have comprehensive information and a full assessment of their needs which give them assurance that the home is able to meet their needs. EVIDENCE: The home has a statement of purpose and service user guide that provides comprehensive information about Allenbrook. Prospective service users have a detailed assessment of their needs by either the Manager or a senior nurse before they had been admitted to Allenbrook Nursing Home. Staff try to ensure that the prospective resident and or their representative is included in the assessment of their needs prior but a record of this is not available. The Home Manager writes to the prospective resident confirming that the home is able to meet their needs should they wish to come and live at Allenbrook Nursing Home. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 8 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): 7,9 Service users have detailed plans of care giving assurance that there needs are identified and met. Procedures in relation to medicines are generally satisfactory and safeguard service users. EVIDENCE: All service users have a detailed care plan and required care risk assessments. Care plans and risk assessments are reviewed at least monthly. The service user or their representative is involved in the review and evaluation of their plan of care and this is recorded. Service users are all weighed monthly with appropriate actions should their weight and health give reason for concern. The home has appropriate policies and procedures for the safe handling and administration of medicines. Requirements made at the last inspection are being addressed although staff do always record the administration of creams and lotions. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 9 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): 14,15 Service users are helped to exercise choice and control over their lives. Food served is nutritious and well balanced and offers a healthy and varied diet for service users. EVIDENCE: Service users are able to chose when they go to bed, get up and where they have their meals. The Manager has undertaken a survey of service users leisure and social interests and has asked families assistance in identifying service users “life history” to ensure that activities in the home meet service users needs and choices. The home has a four weekly menu which offers choice tasty and nutritious food. The head cook has also produced a pictoral menu. The lunchtime menu identified one choice although staff said that they are aware of service users likes and dislikes and an alternative choice is always available with additional choices being lamb and pork chops, meat pie, omelettes and a variety of salads. Staff are advised to ensure that the additional choice menu is also made available to the service users. The Head Chef has developed the tea time menu with at least three choices available, with at least one hot option available. The home cooks pride themselves on producing home made meals, cakes and pies which the service users enjoy. Service users also enjoy special The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 10 meals to celebrate a range of days such as Chinese New Year, Burns Night, St Patrick’s day, Valentines Day, St George’s Day and St David’s Day. The home offers three main meals with hot and cold drinks and snacks available throughout the day and whenever service users require drinks and snacks. Special diets such as diabetic, soft and pureed are available. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 11 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): No standards were assessed in this section during this inspection. EVIDENCE: The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 12 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): 26 The home is clean, pleasant and hygienic. EVIDENCE: The home is clean, homely and free from any offensive odour. The home has satisfactory infection control procedures to safeguard the service users. Staff training in infection control is ongoing. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 13 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): 27,28,29,30 The home has sufficient and appropriately skilled staff to meet residents’ needs. Recruitment and selection procedures are robust and safeguard residents. EVIDENCE: Staffing levels meet service users needs and is as follows: 07.30-14.00 2 trained nurses and 7 care staff ( Monday to Friday) and usually 1 trained nurse and 8 care staff on duty at the weekend). 14.00-20.00 1 trained nurse and 6 care staff 20.00-08.00 1 trained nurse and 3 care staff Additional domestic, catering and laundry staff are also available. The home has nineteen of the twenty-eight-seven care staff with National Vocational Qualification (NVQ) level two ( 68 of care staff with an NVQ qualification). A further five care staff are scheduled to complete their NVQ in the July 2006 at which time all care staff will have an NVQ qualification which is an excellent achievement . Recruitment and selection procedures are robust and protect service users. Staff do receive induction training and when completed are enrolled to undertake National Vocational training. Records seen show that staff have at least three training days each year. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 14 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): 31,35 Service users live in a home that is well managed by an experienced Manager. Service users financial interests are safeguarded. EVIDENCE: Mrs Jayne Franklin who was previously the Deputy Manager has over as Home Manager with the forthcoming retirement of Mrs Caffrey the previous Manager. Mrs Franklin is a registered nurse experienced in caring for the elderly. Mrs Franklin’s application to be the Registered Manager has been received by the Commission for Social Care Inspection. Mrs Franklin is a highly experienced nurse and Manager and has already made a big impact in the management of the home. The majority of service users money is managed by their families, although service users can manage their own finances if they wish to. Secure facilities are available for the safe keeping of service users personal money and valuables. Written records are available for all transactions which detail the The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 15 reason for the withdrawal and two signatures, receipts are available as proof of purchases. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x x The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 OP2 Regulation 5(1)(b) Requirement To ensure that the statement of the terms and conditions includes all the elements of standard 2. Partly met- New terms and conditions are available but still need to include the service users room number. The home must ensure that service users and/or their representatives are involved in the pre-admission assessment and that this is recorded. Partially met. The home must ensure that:Staff sign for all medication on receipt to the home- this was met. There are no gaps on the medication administration record- this was not met as creams and lotions are not signed for. Minimum and maximum fridge temperatures are recorded.- this was met. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 18 Timescale for action 31/03/06 2 OP3 14(1) 31/03/06 3 OP9 13(2) 31/03/06 All care staff sign when they have administered lotions, creams etc to allow for tracking in cases of infection- this is not met. The medication policy references retaining a deceased service users medication for seven days, in case of a coroners inquestNot assessed. This requirement was partially met and should have been addressed by the 31/10/04. To remove all door wedges 31/03/06 Consult with the local fire officer regarding magnetic door closures that are linked to the fire alarm system. A recorded assessment of the 30/04/06 entire home by a suitably qualified person with specialist knowledge of the client groups catered for is undertaken. To provide up to date training for 30/04/06 all staff commensurate with their duties, and to include the following areas:Food Hygiene, Fire safety, Health and Safety, First Aid, To ensure that induction (within 6 weeks of commencement) and foundation training (within 6 months of commencement) is delivered, and is in accordance with guidance issued by the Training Organisation Personal Social Services (TOPSS). This requirement was partially met- A programme of statutory training is ongoing, and all new staff undertake induction training and are enrolled to undertake their National Vocational level 2 qualification. 4 OP19 23(4) 5 OP19 23(4) 6 OP38 13,23 The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 19 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 OP15 Good Practice Recommendations The additional choice menu is made available to the service users. The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 The Allenbrook Nursing Home Ltd DS0000062764.V280535.R01.S.doc Version 5.1 Page 21 - 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!