Inspection on 23/01/07 for The Poplars Nursing Home

This inspection was carried out on 23rd January 2007.

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

The Poplars Nursing Home 03/10/07

The Poplars Nursing Home 24/06/06

The Poplars Nursing Home 10/01/06

The Poplars Nursing Home 02/08/05

The Poplars Nursing Home 09/03/05

The Poplars Nursing Home 22/09/04

The Poplars Nursing Home 01/12/03

The Poplars Nursing Home 09/07/03

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 The Poplars Nursing Home Rolleston Road Burton On Trent DE13 1JT Lead Inspector Mrs Sue Mullin Key Announced Inspection 23 January 2007 10:15 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 Poplars Nursing Home DS0000022360.V330744.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. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Poplars Nursing Home Address Rolleston Road Burton On Trent DE13 1JT 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) 01283 562842 01283 564642 Tawnylodge Limited Mrs Deborah Jane Watson Care Home 60 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (25), of places Physical disability (60), Physical disability over 65 years of age (60) The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. PD Minimum age 60 years Date of last inspection 24 June 2006 Brief Description of the Service: The home is comprised of an extended two-storey building situated near to the town of Burton on Trent. The establishment provides personal and nursing care for elderly people with a bed capacity of 60. The home may also admit up to 5 people suffering with Dementia. There are forty-eight single and six shared bedrooms; however, currently two of the double rooms are occupied on a single basis. Nineteen rooms have en suite facilities. The home has spacious accommodation, including 4 lounges on the ground floor and a further two upstairs. There is a bus service nearby and shops are nearby. The grounds and gardens are well maintained and provide easy access for wheelchairs. Weekly fees are from £280 up to £460 The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This second key inspection of The Poplars was undertaken in one day, the registered manager and regional manager were present throughout the course of the inspection. The methodologies used to examine the quality of care and the general service delivery, involved the inspection of records and systems. A sample tour of the premises was undertaken to ensure that the environment was conducive in meeting the needs of the service user group. The inspection process also included informal interviews with service users and staff members of all disciplines, to establish their views and opinion with regards to the service provided at the home. What the service does well: What has improved since the last inspection? There was an improved emphasis focused on social activities within the home. New carpets have been laid in some areas of the home. A new floor cleaner has been purchased. 3 domestics are undertaking their NVQ Level 2. Some new bedside tables have been purchased. Some Gas pipe work has been replaced. A new blender, cutlery trays and an upright fridge have been purchased for the kitchen. A new dishwasher is on order for the kitchen area. A new lock has been installed on the front doorway. More bibs/protective coverings have been purchased. New suction equipment has been installed in the clinical room. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. The Poplars Nursing Home DS0000022360.V330744.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 The Poplars Nursing Home DS0000022360.V330744.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): 1,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose provided sufficient information to enable prospective service users to establish whether the home would be suitably equipped to meet their identified needs. EVIDENCE: The homes Statement of Purpose was reviewed on the last inspection and provides up to date information relating to the service and provisions available at the home. Information contained within this document was in compliance to Schedule 1, of the Care Homes Regulations. The homes admission procedure incorporated a pre admission assessment, to establish whether the home would have the capacity to meet the individual’s identified health care and social needs. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 9 Discussions with the staff confirmed that prospective service users were able to visit the home prior to admission, having the opportunity to view the premises and meet the staff team. Information derived from the pre admission assessment provided the foundation for the development of a care plan and a risk assessment. Discussions with the staff identified that there were no service users within residence with any specific cultural or religious needs. Service users would be able to continue to practice their religious faith if they so wished. The Poplars do not provided intermediate care. The Poplars Nursing Home DS0000022360.V330744.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): 7,8,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes policies, procedures and care practices ensured that all service users had access to relevant healthcare services when required. EVIDENCE: As previously identified within the contents of this report, information derived from the pre admission assessment provided the foundation for the development of a care plan. This is the third inspection of this service since April 2006 and care plans have been previously scrutinised with no shortfalls noted. Care plans are pertinent to the specific care, physical and social needs of the individual service user, providing information with regards to the degree of support and assistance required to enable the individual to live a fulfilled lifestyle. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 11 Discussions with the registered manager and care staff confirmed, that the plan of care was reviewed on a monthly basis to reflect the changing needs of the individual service user. Records were maintained of all healthcare professional intervention, service users had access to relevant healthcare services for routine health screening. All service users were registered with a General Practitioner and where possible, they were able to maintain their own General Practitioner. Comment received from the relatives included ‘ At present mum is receiving better care than provided by Social Services’. ‘ Mum is a new resident are we are very pleased with her progress’. ‘My sister could not speak highly enough of the staff at the Poplars nursing home’. With reference to the homes medication system, the home operated the monitored dosage system. Records relating to the recording, storage and administration of medicines were not seen on this inspection. With reference to promoting the privacy of service users, staff were observed during the process of the inspection knocking on bedroom doors prior to entering. Discussions with the service users confirmed that the staff were very pleasant and respected their privacy. Systems within the laundry ensured that service users were re issued with their own clothing at all times. The Poplars Nursing Home DS0000022360.V330744.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): 12,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some in house activities were available during the week. Service users had freedom of movement throughout the home with limited restrictions with regards to health and safety. Service users were provided with the necessary support to ensure that they were able to maintain contact with their family and friends. EVIDENCE: The examination of staff rotas and discussions with the Registered Manager confirmed that sufficient staffing was provided to ensure that service users were provided with the necessary support and assistance in relation to their care and social needs. Service users meetings were undertaken giving the individual the opportunity to discuss the general service delivery and to obtain information relating to forthcoming social events. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 13 Information gathered from staff confirmed that social activities included, shopping trips, visits the garden centre and visits to local areas. Service users were able to maintain contact with their family and friends of who were able to visit the home at any time within reason. Service users were able to entertain their guests within the privacy of their bedrooms or utilise the communal areas. With reference to meals and mealtimes, all meals were prepared and cooked within the home; catering staff were employed to ensure that the dietary needs were met in accordance to service users likes, dislikes and special dietary requirements. The home operated a four-week menu; meals provided were varied but did contain such items as jumbo fish fingers, minced beef meals and Haslet sandwiches. A roast dinner was available at least once a week. The inspector was informed that the residents liked the menus and had a say in what was included in them. Only one or two negative comments were made on the service user surveys and those residents spoken to stated that they were happy with the choices on offer. There were no special dietary requirements in relation to cultural and religious needs. The Poplars Nursing Home DS0000022360.V330744.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints procedure was in place of which was accessible to all service users and their representatives. The homes procedures, policies and recruitment process ensured that service users were protected from abuse, neglect and self-harm. EVIDENCE: There was a clear complaints procedure in place of which, was located by the main entrance to the home. The document identified that any complaints would be addressed within 28 days. The complaint procedure also provided information relating to the Commission For Social Care Inspection, in compliance with regulation 22(6)(a), of the Care Homes Regulations. The homes Statement of Purpose also contained information relating to the complaints procedure. The Registered Manager informed the Inspector that there had been several staff recruited since the last inspection visit to the home. The examination of records relating to the two most recently employed staff identified that two written references, a POVA 1st clearance and a Criminal Record Bureau check was undertaken prior to the appointment of staff. All staff have received POVA training and were aware of the appropriate actions to take in the event or suspicion of abusive practices. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22, 23,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment was generally conducive in meeting the needs of the service user group, the installation of appropriate aids and adaptations promoted the independence of service users. Regular servicing and safety checks of equipments were undertaken to ensure the health, safety and welfare of both the service users and the staff group. EVIDENCE: Bedrooms were located on both the ground and first floor; bedrooms that were in use were equipped with essential furnishings and items to provide a comfortable area. Several empty rooms did not contain the fixtures and fittings required by assurance was given to the inspector that prior to these rooms being used again they would be refurbished. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 16 Efforts had been made to personalise bedrooms to reflect the individual’s personality and interests. Nurse call alarms were installed in all bedrooms and service users had access to a telephone facility. Two passenger lifts were in place allowing access to all facilities within the home; the corridors and doorframes were of a suitable width to accommodate wheelchair access and to facilitate the use of a hoist. Grab rails were situated throughout the home. Ramp access was available at all external entrances. The examination of records relating to the servicing of appliances identified that lifting appliances were serviced/checked on a six monthly basis. A member of staff that was interviewed confirmed that she had received training in the appropriate of all lifting appliances. Lounges provided in the home were equipped with suitable furnishings, adequate lighting, ventilation and heating was provided throughout the home. The kitchen area was seen and kitchen staff engaged in conversation. Essential catering appliances were provided and systems were in place with regards to the appropriate storage of food. A cleaning schedule and appropriate systems were in operation to reduce/eliminate the risk of food contamination. A laundry was also provided; the washing machines were equipped with a sluicing programme. Systems were in place to ensure that service users were distributed their own clothing. Appropriate hand washing facilities and the necessary personal protective equipment was provided. Flat linen goes out to external agencies for cleaning. Staff spoken to stated that stocks and supplies were readily available and this had improved over the last year or so. The garden was well maintained and was accessible to all service users; car parking was available at the front and side of the property. The general cleanliness and hygiene of the home was of an adequate standard. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The flexibility of the staff rota ensured that service users were provided with the necessary support and assistance on a 24-hour basis. The homes procedures and practices with regards to staff recruitment ensured the protection of service users. EVIDENCE: There were 38 residents in the home on the day of the inspection and 18 of those required nursing care. Staffing was provided on a 24-hour basis to ensure the continued supervision and support of service users. Discussions with the Registered Manager and the examination of staff rotas evidenced that sufficient staff and skill mix was deployed throughout the day. Kitchen, domestic and laundry staff were employed in sufficient numbers to meet the service users needs. The newly appointed activity organiser works 15 hours a week. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 18 The registered manager informed the Inspector that 55 of the workforce had obtained the National Vocation Qualification. Discussions with several care staff confirmed that the home had a positive approach to staff development and training. The inspector looked at the files of the two most recently recruited staff since the last inspection visit to the home. All requirements of this standard were met. Staff spoken to stated that the best things about the home were ‘the residents, we love them’. ‘We all get on well together’. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 19 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): 31,33,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management style within the home was open and transparent and promoted the welfare, choice and independence of the individual service user. Appropriate safety checks relating to the environment and systems were undertaken to ensure the health, safety and welfare of both the service users and the staff group. EVIDENCE: During the process of the inspection the registered manager, demonstrated a sound knowledge, with regards to the care needs of the individual service user within her care. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 20 There was a positive emphasis focused on providing a high standard of care and a service that was diverse in meeting the specific needs of the individual service user. A member of staff informed the Inspector that the management team were supportive, and regular formal supervision sessions were undertaken to ensure that staff were provided with the necessary support and training to undertake their respective roles and responsibilities. The registered manager was observed throughout the course of the inspection to interact and communicate with both the service users and the staff group in a respectful and professional manner. To ascertain the views and opinions of the service the registered manager held frequent staff meetings. These meeting were documented and several members of staff confirmed to the inspector that since these had been put into place they felt their views were listened to and acted upon. With reference to systems and policies promoting the health, safety and the welfare of both service users and the staff group the following were identified: Portable appliance testing (PAT) was ongoing. A CORGI registered engineer is called to service/repair gas appliances and systems when required. Passenger lifts are serviced yearly. Hoists were serviced/checked 28/11/06. Electrical installation certificate dated 28/10/02. Certificate of maintenance of fire extinguishers 30/01/06 Records relating to fire systems and the emergency lighting identified that they were checked on a regular basis. The maintenance man stated that the two boilers were working very well and that the hot water supply throughout the home was in line with the national minimum standards. Care staff confirmed this when talking to the inspector. The home had three fire marshals identified. The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 21 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 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 3 3 3 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 3 X X 3 X 2 The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 22 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 OP38 Regulation 23(4)(e) Requirement Night staff must undergo 4 fire drills per year in line with the Fire Authorities Regulations Timescale for action 23/02/07 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 The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 23 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 The Poplars Nursing Home DS0000022360.V330744.R01.S.doc Version 5.2 Page 24 - 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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