Care Home: Aughton Park Residential Home

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What the care home does well People that use services live in a welcoming and comfortable homelike care home, which has been improved to offer people more opportunity to maintain their independence, health and personal care. People that live at the home made positive comments about living at Aughton Park and one said, "I feel safe and well, this is a lovely place to live`. The personal care and health needs of people that use services are met to an excellent standard so they are supported to maintain their personal appearance and hygiene. Complaints are listened to and taken seriously so prompt action is taken to rectify mistakes or unacceptable practise so people living at the home are protected by the complaints and safeguarding procedures in place. The home provides staff with a training programme so staff were provided with training and support to do their jobs. There is a stable staff group who have positive attitudes to the people that live there so staff treat people with dignity and respect. Appropriate staffing levels are provided so people that use services were supported around their needs. What the care home could do better: The home needs to improve how it records how people are involved in the decision making process. Random inspection report Care homes for older people Name: Address: Aughton Park Residential Home Aughton Park Drive Aughton Ormskirk Lancashire L39 5QE 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: Anthony Cliffe Date: 0 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Aughton Park Residential Home Aughton Park Drive Aughton Ormskirk Lancashire L39 5QE 01695576996 01695570170 michelle.morris@mha.org.uk www.mha.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Michelle Morris Type of registration: Number of places registered: Conditions of registration: Category(ies) : Methodist Homes for the Aged care home 48 Number of places (if applicable): Under 65 Over 65 0 48 dementia old age, not falling within any other category Conditions of registration: 48 0 The registered person may provide the following category of service only: Care home only - Code PC. 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 - Code OP, Dementia - Code DE. The maximum number of service users who can be accommodated is: 48. Date of last inspection Brief description of the care home Aughton Park Care Home is a purpose built home providing 24-hour personal care for up to 48 older people. The home is situated in a residential area of Aughton, West Care Homes for Older People Page 2 of 10 Brief description of the care home Lancashire, and provides accommodation on two floors. The dementia unit is self -contained within one wing on the ground floor. All of the bedrooms have a shower en-suite facility and are for single occupancy. The home has four lounge areas, which are situated throughout the two floors. There is one main dining area and the dementia unit has its own small dining area. Access to the first floor of the home is by a passenger lift. The home has private grounds to the rear with the dementia unit having its own secure garden. Information about the facilities and fees for the range of services can bo obtained by contacting the manager or administrator directly. Care Homes for Older People Page 3 of 10 What we found: This random visit took place on the 7th May 2010 and lasted three and a half hours. One inspector carried out the visit. We did this random visit which is a short focused visit to check compliance against The Care Standards Act 2000 and Care Homes Regulations 2001 to see if our judgement about the service made at the last key inspection is still correct. This helps us determine if the management of the home see the service they provide in the same way we do and if our judgements are consistent with home owners or managers. In the last two years we have completed annual service reviews which which told us the home was still providing an excellent service. An annual service review is a summary of our knowledge about how a service that has not had a visit in the last year is still performing. It is also how we decide if a service is still as good as we thought it was since out last visit or annual service review. During the visit various records were looked at as well as the premises. We spoke to people living at the home and staff and they gave us their views about living and working there. At this visit we focused on the standards for health and personal care and complaints and protection. We looked at information gathered about the health needs of people living at the home to see how this was used to plan and provide the right care and support for people so their health was promoted and they received the right health care. We saw that information gathered about the needs of people that lived there was transferred into care or support plans. We could see that the home used a person centred approach and care and support plans demonstrated that people were included in their care or support plans so staff had information on which to provide individual care so their care is based around their needs and choices. Person centred planning is a really good way for people that use services to take control of their lives. Person centred thinking helps staff that care and support people that use services to listen to them and then to get what they want. A person centred plan contains information on what is positive about people that use services for example what people like and admire about them and their gifts and talents. Information should be included about what and who is important to people that use services from their viewpoint, as well as what people want for their future. A person centred plan should have information about how people that use services want to be supported, so stay healthy, safe and well. This is called a support plan but may be called a care plan. This should be detailed enough to provide a living description of how people that use services want to be supported, how they make decisions and says who will do what by when. The care or support plans we saw were individual to people using the service and included information about their personal routines and choices about personal care or if they could help themselves. The care plans we saw said where people needed care and support and told us how people wanted their care to be arranged and how staff would provide support or care to help them to care for themselves or if care was arranged or planned around their daily routines. So care based on their personal preferences was Care Homes for Older People Page 4 of 10 provided. We saw information in care and support plans that guided staff about the health needs of people using the service. We saw positive outcomes when staff had requested help and advice from medical professionals. We saw that a person who had a heart condition was prescribed water tablets to reduce fluid retention. Staff had noticed that the persons legs were swollen and spoke to the persons family. Staff discovered the person was not prescribed all the medication they should have been and informed the persons doctor so the right medication was prescribed. As a result of the fluid retention the person had developed a pressure ulcer which the staff noticed early on so the district nurse was informed and the right treatment and care for this provided so staff observing the persons health prevented it getting worse. The home also provides care for people living with dementia. We saw that a person living with dementia was seen by the mental health services as well as having other health conditions requiring treatment. We saw that the home used a health action plan which is a plan which helps keep people involved and informed about decisions about their health care, the health professionals accountable and responsible for providing advice, guidance, information and treatment on health related matters and guides staff at the home on their roles in providing care and support on health and personal care to people that use services. So staff at the home know who is responsible for providing advice, guidance, information and treatment on health related matters so they know who to contact if people need help. Surveys returned to us by people living at the home before the visits said they always received the health care support they needed. Reviews of care were very good and told us people living at the home received the care and support they needed and was planned around their changing needs. We saw that staff treated people that use services with courtesy, dignity and respect and sought their views about how they wanted to be supported by asking them questions and saw staff help them make decisions. We saw that care and support plans referred to how people made decisions about their daily routines and choices or how people that use services made decisions for themselves so were confident that people made decisions that were important to them. We did not see information that told us where people could make their own decisions, so staff would understand and know when people needed help with decision making and showed who helped people that live at the home in the decision making process so we could see who would be the best person to make decisions on the persons behalf if necessary and showed how people would continue to be involved in influencing decisions so would have choice and control over their lives. Medication policies were detailed so staff had guidance on how to receive, store, administer, record and dispose of medicines safely. The home had a storage area for the safekeeping of medicines. The storage area contained the policies and procedures for medicine administration with specimen signatures for the staff responsible for the management and administration of medicines so staff were aware of their responsibility and accountability for managing and administering medicines. Storage included controlled drugs storage. We looked at how controlled drugs were received, recorded, stored and administered and found them to be managed safely so the policies and procedures of the home were followed. People that use services were able to manage their own medicines so could take them independently. We saw that the home had completed information on peoples capabilities to manage their own medicines , which included information on their understanding of why medication was prescribed, what it was prescribed for and how to take it so people could manage their own medicines safely. Care Homes for Older People Page 5 of 10 During the visit we saw the complaints policy was available to people using the service and displayed for people using the service to see so they had access to it. The records we saw also contained a copy of the complaints procedure. We had not received any complaints about the home since our last visit and the home told us they had received one complaint. Before the visit people living at the home returned surveys to us and said they knew who to speak to if they were unhappy and how to make a complaint. The records for complaints recorded one complaint was received and the complainant received an acknowledgement of their complaint from the manager who had fully investigated the complaint. The complaint had been agreed as valid and the manager ensured the complainant received an apology from the pharmacy responsible for the mistake which led to the complaint. We could see where action had been taken by the manager when policies and procedures were not followed. An example of this was that a staff member received a written warning for not following medicine administration procedures. Policies and procedures were in place to protect vulnerable adults called the safeguarding adults procedures. The safeguarding adults procedure is how we, the local council, police and other agencies respond to and manage allegations or suspicions of abuse against vulnerable adults. In 2009 the home told us about a safeguarding adults event which they had reported to and cooperated with the local council and Primary Care Trust in responding to urgently so protected the people living at the home form distress. We saw training records for the home and all staff had received safeguarding training in 2009 and 2010 with training arranged for April 2010 and beyond. The home had a copy of the Lancashire County Council safeguarding adults procedure. We spoke with two senior carers about the safeguarding adults procedure in the home and were able to say how this would be used should allegtaions of abuse or neglect be made so could protect people from further distress. We spoke with people about the personal and health care support they received while living at Aughton Park. as person said about living at the home, I feel safe and well, this is a lovely place to live. I see a doctor when I need and am seeing one on Monday as I have an inhaler as my breathing is bad, which I keep in my bedroom. My breathing was so bad they sent me for X rays to check on me. We also received comments from people in surveys returned to us before the visit. Comments received were, It makes me feel safe and that I am cared for. Carers smile and greet me everyday as well as my family at all times. When I am unwell they show concern. The involve everyone in activities and there are a good variety of them now and I love going out. The home is always clean and mostly smell free. I enjoy the garden the most, Excellent provision of all mums needs. Homely comforts in pleasant surroundings. Physical and mental stimuli supplied by all staff and the activity leader. A varied menu in provided in pleasant surroundings. The availability of outings have increased in recent months as a result of mums cognitive power has noticeably improved largely due to surroundings and care provided. We also received comments from staff in surveys returned to us before the visit. Staff said that recruitment was thorough and induction was very well done. Staff said the manager met with them regularly to provide them with support and they also received information and training to be able to meet the health care needs of people living at the home, which included training on medical conditions and medicine administration so they could provide help and personal care. Comments received were Look after residents and Care Homes for Older People Page 6 of 10 their family to a very high standard. This is expected in every department. Staff respect residents wishes and choices and assist them in their daily living. We have very good communication with all relatives, Staff training is always ongoing. Good communication between management, staff, residents, relatives and health professionals. Creates a good atmosphere, residents feel valued and they are always given choice, privacy treated with dignity and Independence is promoted. The activity programme provides a chance for creativity, outings, music and much more so residents feel fulfilment and well being, Residents needs are always attended to. Communication is good, training is always ongoing and readily available, I feel the home does very well in all areas of the job. The residents very well cared for and the home is well managed and Good communication, all training ongoing. looks after the needs of all service users extremely well and staff communicate and work well together. What the care home does well: What they could do better: 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 7 of 10 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 8 of 10 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 1 7 The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care understand how important peoples daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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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