Care Home: Aldridge Court Nursing Home

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What the care home does well The home provides a clean, well furnished and comfortable environment in which to live. The home is well managed and staff say they have the necessary training and support to help them to do their job well. People`s needs are well assessed and planned for. People living at the home enjoy excellent catering facilities, where they have a choice in what they eat. People living at the home have said: "They have been excellent in every respect." "Excellent care provided I have been in previous homes, care here is excellent compared to them." "The food is excellent and we have choices. The staff are very kind and they work very hard." What the care home could do better: One person we spoke to said: "I don`t feel it`s value for money. If you ring the buzzer you have to wait 10 minutes. Feel staff haven`t got the time, don`t feel I am being lookedafter as well as I should be." The provider told us after the inspection that there are monitoring systems in place to verify that no one has to wait for the buzzer to be answered. We were not shown this system during our visit. We made no requirements from this visit. The home should investigate through it`s quality assurance process if there are more than one person living there who do not feel they are getting value for money and the reasons why. Random inspection report Care homes for older people Name: Address: Aldridge Court Nursing Home Little Aston Road Aldridge Court Walsall West Midlands WS9 0NN three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Loraine Dunkley Date: 1 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: Aldridge Court Nursing Home Little Aston Road Aldridge Court Walsall West Midlands WS9 0NN 01922455731 01922455731 judy.neadle@aldridgecourt.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Amarjit Kaur Purewal Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Jatinder Singh Wasu care home 57 Number of places (if applicable): Under 65 Over 65 1 57 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 57 The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 57 Dementia - over 65 years of age (DE(E)) 1 Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Aldridge Court is a privately owned two-storey Victorian house situated on the outskirts of Aldridge. Set in large grounds, among mature gardens and trees, the Home enjoys extensive views over open countryside with ample car parking. The Home has recently been extended and now provides a Home for up to 57 older people requiring nursing care. Refurbished to a very high standard the accommodation comprises mainly single rooms, with a small number of shared double rooms located in the original building, and five communal lounge/dining areas. Rooms on the first floor are accessed via a shaft lift and services including laundry, catering, housekeeping and maintenance are all provided in-house. Weekly fees for the service range from 650.00 - 850.00 pounds. Information about the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised and are readily available. Care Homes for Older People Page 3 of 9 What we found: We did the last key inspection of this service on 27th June 2007, this was followed by a random visit 12th September 2008, which was a specialist Inspection to look at medication process in the home. Since the last inspection there has been a change of registered manager. We visited the home on 10th June 2010 this was a random inspection visit, which was unannounced. The purpose of the visit was to ascertain if there have been significant changes in how the home is being managed since our last visit. Before the visit we asked the manager to send us an Annual Quality Assurance Assessment (AQAA), which is their assessment of what the home does well, what improvements they have made in the previous twelve months and what improvements they are planning for the next twelve months. This was sent to us when we asked for it and gave us the information we asked for. During the visit we looked at the records of one person who recently moved into the home to see how their care was assessed, planed and provided. We found there were comprehensive assessment and care plans in place for all aspect of the persons needs. These were backed up by detailed risk assessments and management plans for each area of need identified. There were detailed plans in place for managing nutrition, pressure area care , specific health needs such as dementia, weight and pain management. A record is kept of health professionals visits. The home does a map of life with each person which takes into account their personal history. Where people are unable to give full details of their lives they are supported to do so by family members who completes the documents on their behalf. This gives the home full details of the persons likes and dislikes, diversity, social and relationship history. We looked at a sample of the persons medication record and found these to be in order. We did not do a full audit of the medication process, but a tour of the home showed that the home has two rooms for the storage of medication, these were observed to be clean and orderly with the appropriate facilities for the safe keeping of medicines. During the visit we also looked at the records of two care workers recruited since our last visit. We found the recruitment process to be robust with all key checks as required by regulations being done before commencement of employment. We spoke to two staff members who confirmed they were given the required training and support to help them do their job well. We discussed the staffing levels with the person in charge of the home at the time of the visit and we spoke to staff about the staffing levels in the home. Currently the home has 41 residents. The home calculates the staffing levels based on the occupancy levels and needs of the people living there. The current staffing levels usually consists of 8 care workers, 2 trained nurses on each day shift as well as the manager. There are also 2 trained nurses on each night shifts. The home also employs a team of laundry, kitchen, domestic and hospitality staff. The staff we spoke with confirmed that the staffing levels were stable and consistent, although they felt that they would benefit from having an extra care staff during the morning periods. The home said they do not use agency staff. This means that people living at the home are supported by staff that know them well. Care Homes for Older People Page 4 of 9 We looked at the procedures for handling concerns complaints and safeguarding. These were found to be in order. Staff spoken with said they have had safeguarding training, when asked they knew the procedures for reporting any concerns. The person in charge of the home at the time of the visit said, they try to deal with any grumbles as they arise to prevent these escalating into complaints. We spoke to a number of residents who said they had no complaints and there were a number of thank you cards on display in the home. Although one person said they had raised a concern and it had not been acted upon. We asked the persons permission to address this with the home. The person in charge said this would be looked into with immediate effect. A tour of the home found the home to be cleaned to a high standard, fresh and in good order. The home is currently undertaking building works, this was being managed with no ill effects to the residents. The home told us in their AQAA that they have purchased new chairs for the lounge, with a replacement programme in place. There are new carpets in the lounge, entrance and staircase. The kitchen area has been re-tiled and bedrooms are redecorated as necessary. All private and communal rooms seen were decorated and furnished to a high standard. People were able to have personal items of furnishings in their own rooms as they wish. The environment health officer last visited November 2009 and the kitchen was awarded the clean food premises award 2009. Most people we spoke to commented on the high standard of food in the home. We spoke to a number of residents in the lounge area, all seemed comfortable, well dressed and well cared for. With the exception of one person the comments made by the people we spoke with were very complimentary and felt they were receiving excellent care. We found that the quality of the service provided remains consistent and outcomes for most people who use the service in the main remains at a high standard. What the care home does well: What they could do better: One person we spoke to said: I dont feel its value for money. If you ring the buzzer you have to wait 10 minutes. Feel staff havent got the time, dont feel I am being looked Care Homes for Older People Page 5 of 9 after as well as I should be. The provider told us after the inspection that there are monitoring systems in place to verify that no one has to wait for the buzzer to be answered. We were not shown this system during our visit. We made no requirements from this visit. The home should investigate through its quality assurance process if there are more than one person living there who do not feel they are getting value for money and the reasons why. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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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