Inspection on 10/11/05 for Urmston Cottage

This inspection was carried out on 10th November 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Urmston Cottage 25/03/10

Urmston Cottage 19/01/10

Urmston Cottage 07/05/09

Urmston Cottage 08/09/08

Urmston Cottage 07/04/08

Urmston Cottage 14/11/07

Urmston Cottage 16/10/06

Urmston Cottage 17/03/06

Urmston Cottage 23/09/04

Urmston Cottage 15/04/04

Urmston Cottage 21/10/03

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

CARE HOMES FOR OLDER PEOPLE Urmston Cottage Greenfield Avenue Urmston Manchester M41 0XN Lead Inspector Elizabeth Holt Unannounced Inspection 10th November 2005 12.30 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 Urmston Cottage DS0000006729.V262720.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. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Urmston Cottage Address Greenfield Avenue Urmston Manchester M41 0XN 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) 0161 747 3738 no fax Urmston Cottage (Mcr) Ltd Mrs Marguerite Wendy Thomas Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (1) of places Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users shall be aged over 60 years except for one named person who requires nursing care by reason of physical disability. A maximum of 25 service users who require general nursing care can be accommodated. Staffing levels as specified in the Section 13 (5) Notice dated 9 August 2005, shall be maintained. 23rd September 2004 Date of last inspection Brief Description of the Service: Urmston Cottage is a care home providing nursing care and accommodation for 45 residents. The home is a Victorian house with an extension. Bedrooms are on 2 floors with access to these by a passenger lift. The home had well-kept grounds. The home is near the centre of Urmston close to a number of shops. The outdoor market is close to the home. It is close to local bus routes and the Metro link. Parking space is at the side of the house. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and it took place on the 10 November 2005. During the inspection time was spent speaking to the residents and staff. At the time of the inspection there were 44 residents accommodated at Urmston Cottage. 1 resident had been admitted to hospital. Direct observations were made as to how the staff cared for and supported the residents. Time was spent with the manager examining staff and residents’ records. Other records kept at the home were also looked at. All the residents and the relatives that we spoke to said that the service being provided is good. All the improvements identified as needed at the last inspection had been met. Other areas for improvements were identified during this inspection. However since the inspection the manager has addressed the majority of the issues that needed improving. The Commission for Social Care Inspection did not look at all the standards during this inspection and this report should be read with previous reports to gain a full insight into the care being provided to the residents at Urmston Cottage. What the service does well: There was a warm and relaxed atmosphere during the inspection with the residents laughing and joking. The residents and their relatives are encouraged to participate in activities within the home and in the community. The residents are actively involved in their local community. The manager communicated well with the residents and their relatives. Regular meetings were organised including one meeting called ‘‘patients evenings’’ which encouraged residents and their relatives to talk about the care being provided and any other issues they may have. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 6 The manager liaised with other professionals such as the physiotherapist to help them meet the needs of the residents. Meals were prepared using fresh ingredients and all the residents said that the meals were always delicious. 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. Urmston Cottage DS0000006729.V262720.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 Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. Prospective residents receive all the necessary information to make a decision whether to use the services of Urmston Cottage. All residents were assessed before being offered a place. EVIDENCE: The manager visited all prospective residents to assess them and issue them with the Statement of Purpose and the Service User Guide. The home’s brochure has been updated since this inspection visit. The manager liaises with the General Practitioners, nurses and social workers when a new resident is being assessed. The prospective resident is encouraged to ‘test drive’ the home and choose the type of decoration they prefer for their room. The room will then be decorated before they move in. The home does not provide intermediate care. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. The health and social care needs of the residents were documented in the care plans that allowed staff to meet the assessed needs of the residents. The medication procedures were appropriate to meet the needs of the residents. The residents were treated with respect. EVIDENCE: A sample of the care plans examined was detailed. The care plans were divided into daytimes and nighttimes. The care plans were again colour coded to represent those who needed nursing care and those who required personal care. The home liaised well with the General Practitioners, community nurses, diabetes specialist, nutritional nurse specialist, and a physiotherapist when needed. The manager stated that there were no pressure sores at the time of the inspection visit. A new special bed was bought recently to meet the needs of one resident. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 10 There were policies and procedures in place for the recording and administering of medicines. A copy of the Safe Disposal of Waste Medicines from Care Homes issued by the Commission for Social Care Inspection was available. The medication sheets included photo identification. None of the residents managed their medication. The fridge used for the storage of medicines and the trolleys were in a satisfactory condition. The fridge temperatures were checked on a regular basis. All “surplus” medicines were securely stored away in boxes. Observations during the inspection indicated that the residents are treated with respect. One relative said, “The attitude of the staff is exceptional”. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. The home continues to support the residents to maintain contact with their relatives, friends and advocates. Individual lifestyles of the residents are met. The home provides a wholesome appealing balanced diet. EVIDENCE: The home organises leisure activities within the home and out in the community. These included, playing bingo, jigsaws, board games, giant ludo, giant snakes and ladders, large dominoes, music for health sessions, weekly day trips to parks, the use of the local church for activities such as BBQs, and going to concerts. One of the residents said, “ 6 of us went to see Annie last week. We went in a taxi with one of the staff. Staff are very kind and polite”. One resident goes to the local bingo every week. Some of the residents attended church services on a regular basis. 6 ministers visited the home at Easter. A minister visited the home to give Holy Communion. 4 residents had personal telephones located in their room. There is a payphone available for all residents to use. The residents visited the local shops to buy their toiletries, etc. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 12 Regular meetings are held for the residents to air their views with the support of their relatives. One of the meetings is called “Patients meeting”. The manager encouraged all the relatives to participate in these meetings. There was a menu on display in the lounge that included alternative choice of meals. Special diets are provided such as low fat diets, diets for those with diabetes, diets with extra nutrients, and soft diets. The opportunity was taken to taste the meals served at the home. The meal served was appealing and appetising. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 13 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, 18. Policies and procedures for dealing with complaints were in place. There are systems and arrangements in place to protect the residents from abuse. EVIDENCE: There was a procedure in place to deal with complaints. All residents had the procedure displayed at the back of their bedroom door. It was displayed at the entrance of the home as well. There was a complaints book in place. The Commission for Social Care Inspection had not received any complaints about the home since the last inspection. The home had policies and procedures in place for dealing with the Protection of Vulnerable Adults (POVA). A POVA video and a booklet were in place and all the staff had seen and read it respectively. Adult protection training was provided to the staff. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 14 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, 26. The home appeared safe and well maintained. It was clean and pleasantly decorated. EVIDENCE: The residents enjoyed a well maintained home and it was in good decorative order. The grounds were clean and tidy. The residents’ bedrooms were personalised and nicely decorated. Urmston cottage was being “Deep cleaned” on the day of the inspection. This was carried out on a regular basis and it involved a thorough cleaning of the carpets, lampshades, table clothes, and the paintwork. The lounges could be made more homely by upgrading them. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 15 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 residents are protected and supported by the home’s recruitment policies and procedures. EVIDENCE: The numbers and skill mix of staff appeared adequate to meet the needs of the residents accommodated at the home. The staff files examined contained staff photographs, job descriptions, performance appraisals, job contracts, training records and certificates, application forms, health questionnaires, and two references. The Criminal Records Bureau checks (CRB) were available on staff files. There was evidence of training being provided to the staff such as diabetes awareness, first aid, moving and handling, fire prevention, stoma care, POVA training, food hygiene, prevention of falls, and fractures in the elderly. 7 of the staff had completed NVQ Level 2 and 3 are yet to complete it. Although the staff received moving and handling training inappropriate moving of the residents was noticed during the inspection. A qualified trainer must be used to train the staff to ensure that the proper techniques are used. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 16 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, 33, 35, 38. The manager’s style promoted good running of the home. Health and safety policies and procedures were in place to ensure that the well being of both staff and residents are protected. Quality assurance procedures are in place and the financial interests of the residents are promoted. EVIDENCE: The manager spoke of plans to develop the staff team by delegating some responsibilities to them. Effort had been made by the manager to put all the necessary systems and arrangements in place to enable the home run smoothly. The manager had started NVQ Level 4. Questionnaires were sent to the residents and their families to find out if Urmston Cottage was providing a good quality care. The families of the residents had form a committee that met on a regular basis to discuss the Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 17 care being provided in Urmston Cottage. The records relating to the residents’ pocket monies were seen. Two people signed all entries. The hairdresser signed monies used for hairdressing. The home receives funds from donations and fund raising activities such as fairs. A member of the family committee was nominated to be responsible for the management of the funds raised. There was an accident book in place and the accidents were audited regularly. The certificate from the Environmental Health Services indicated that all the improvements identified at the last inspection by them had been acted upon. Equipment is tested regularly. There was a fire risk assessment in place to protect the staff, residents, and all visitors. Health and safety checks are carried out on a weekly basis. Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 18 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP30 Regulation 18 Requirement The registered person must ensure that staff receives training appropriate to the work they are to perform. The staff must receive moving and handling training from a qualified trainer. Timescale for action 02/01/06 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 Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Urmston Cottage DS0000006729.V262720.R01.S.doc Version 5.0 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. 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