Care Home: Cornmill Nursing Home

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What the care home does well The plans of care were extremely well written documents, providing staff with clear guidance about how the assessed needs of people living at the home were to be met and how people were to be supported to maintain their privacy and dignity. Residents had been involved in the care planning process and a review of care provided was conducted regularly to ensure that current needs were accurately reflected in the plan of care. A variety of external professionals had been involved in the care of people living at Cornmill Nursing Home to ensure that their health care needs were being appropriately met. Medications were being managed well so that those living at Cornmill were protected from any possible medication errors or misuse. A wide range of assessments were in place to ensure that any potential health and personal care risks were identified and strategies implemented to minimise them as much as possible, so that those living at the home were kept safe. A lot of training had been provided for all staff so that they were kept up to date with current policies, procedures and legislation and so that they were sufficiently trained to meet people`s assessed needs. No complaints had been received by the home since 2006. However, a system was in place so that complaints could be recorded and followed through and this formed part of the auditing process for monitoring purposes. The policies, procedures and practices adopted at the home protected the vulnerable adults living there from possible abusive situations so that they were kept safe. When asked what the service does well commentswe received from those who took part in our survey and who lived at the home included: `I am happy with everything`; `I am very happy here. Everyone is very good and kind`; `Cornmill staff give wonderful care and attention. The atmosphere is always friendly and caring. The food is excellent and the furnishings comfortable. The availability of physiotherapy, podiatry, manicure and hairdressing are of great benefit to all of us`; `Cornmill is pleasant and friendly with capable staff throughout, including domestic staff and nurses. The management are always available when needed. The food is excellent, of hotel standard and a homely atmosphere prevails throughout`. One staff member told us, `The home respects each resident`s individuality and strives to meet their needs with flexibility. The standards of care within the home is, on the whole, very good, helped by access to equipment and aids to help those living at Cornmill`. What the care home could do better: Although Cornmill have achieved a quality rating of excellent, they strive to continuously improve the quality of service provided so that the outcomes for the people living at the home are of a high standard. There were no requirements or recommendations made at the last inspection and none were issued on this occasion, which is commendable. Random inspection report Care homes for older people Name: Address: Cornmill Nursing Home Cornmill Nursing Home Bonds Lane Garstang Nr Preston Lancashire PR3 1RA three star excellent service 30/05/2007 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: Vivienne Morris Date: 2 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: Cornmill Nursing Home Cornmill Nursing Home Bonds Lane Garstang Nr Preston Lancashire PR3 1RA 01995606446 01995606447 ghill@cornmill.com www.cornmill.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Bernadette Villers Type of registration: Number of places registered: Conditions of registration: Category(ies) : G Hill Limited care home 48 Number of places (if applicable): Under 65 Over 65 48 0 old age, not falling within any other category physical disability Conditions of registration: 0 48 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 - Code OP Physical disability - Code PD The maximum number of service users who can be accommodated is: 48 Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home The Cornmill Nursing Home is situated within its own grounds very close to the town centre of Garstang. The home can accomodate up to 48 older people or those with a physical disability, requiring personal or nursing care. There are two lounges, a sun lounge and dining rooms, all of which are furnished to a high standard. Bedrooms are individually personalised and residents are given a full choice of daily routines and activities. The registered providers are fully committed to staff training and development, so that people living at the home receive the care and support they need. There is adequate car parking space to the front of the home. A separate private physiotherapy room is accessed through a side door to the home. Residents can benefit from this service if they require. At the time of this visit the fees for the home ranged from £438 to £740 (fully funded continuing care), with additional costs for hairdressing and chiropody. Mrs and Mrs G Hill own the home and Mrs B Villers is the registered manager. Care Homes for Older People Page 3 of 10 What we found: This Random inspection was conducted during April 2010 to check that the home continued to be compliant with the Care Homes Regulations. It was unannounced, which means that the managers, staff and people living at the home did not know it was going to take place. During our visit to Cornmill we assessed standards of health and personal care as well as how complaints were being managed and if people living at the home were being sufficiently protected. The last key inspection of Cornmill took place on 30th May 2007. The quality rating for this service is three star. This means that people who use this service experience excellent quality outcomes. During the course of the site visit, discussions took place with those living at the home, staff and managers. Relevant records and documents were examined and a tour of the premises took place, when a random selection of private accommodation and all communal areas were seen. Every year the provider completes a self assessment, known as an AQAA, which gives information to the Commission about how the service is meeting outcomes for the people living at the home and how the quality of service provided is monitored. It also gives us some numerical information about the service. Some of the information from the AQAA is incorporated in this report. The random inspection process focused on the outcomes for people living at the home in relation to health and personal care, complaints and protection and involved gathering information about the service over a period of time from a variety of sources. The Care Quality Commission had not received any complaints about this service during the last twelve months. We tracked the care of three people living at the home during our visit to this service. The care records were very well organised, making information really easy to find. The plans of care had been generated from information gathered about people before they were admitted to the home. Any changes in needs had been reflected well, so that staff were given up to date details about each individual they supported. Care plans had been reviewed at least every month and had been developed with the involvement of those using the service and this was confirmed by people spoken to. One person told us, All my needs are being met. I have a care plan, which tells staff how and when I want to be assisted. I make the decisions about the care I receive. All three plans of care were very well written, person centered documents, providing staff with clear guidance about how peoples needs were to be accurately met, showing that individualised care was a priority at Cornmill. A wide range of assessments had been conducted, so that any potential risks were identified and strategies had been implemented in order to keep those living at the home safe. Records showed that a variety of external professionals were involved in the care and treatment of people living at the home to ensure that their health care needs were being fully met. This included an on site physiotherapist, who provided support to all those Care Homes for Older People Page 4 of 10 living at the home, which was considered to be very good practice. There were several younger adults living at the home, who due to their physical disabilities required a lot of equipment for their needs to be met and to promote their independence. We looked at the bedrooms of these people and found that furniture was arranged to allow sufficient space for easy manouvre of electric wheelchairs, hoists and other necessary equipment. It was pleasing to see that everyone living at the home had been provided with specialised mattresses, so that people were comfortable and less likely to develop pressure wounds. Medications were being managed well so that the possibility of errors or misuse was minimised. The registered manager showed us new documentation, which was to be implemented imminently. This was clear, easy to follow and provided staff with more space to enter important information. It was pleasing to note that the majority of prescribed medications were retained in locked cabinets within peoples bedrooms in order to promote individualised health care. During the course of our inspection we observed the activity within the home. We saw staff talking to people in a respectful manner, treating them as individuals and knocking on bedroom doors before entering in order to maintain their privacy and dignity. The policies, procedures and practices of the home ensured that the privacy and dignity of those living at Cornmill was consistently maintained. People spoken to told us that staff always respected them and were very discreet when providing personal care. We received 11 comment cards from people using the service who told us that, in general, they were provided with the care and support they needed and that the home made sure they got the medical care required. When asked what the service does well one of these people wrote, It provides wonderful medical care immediately when it is needed. Seven staff members sent us comment cards and all said that they are always given up to date information about the needs of people they supported or cared for. When asked what the home does well one of these people wrote on the comment card, Cornmill offers a high standard of care to the individuals we support by having qualified staff. It provides staff with regular and up to date training to make us competent. Equipment and practices are regularly checked. The homes self assessment was extremely comprehensive and contained a lot of detailed information about what the service does well, how they have improved and areas which could be better. We spoke with several people living at the home and some of their comments included, Cornmill is distinctively five star, The staff are superb, This place is just perfect and It is wonderful at Cornmill. There is no better place. The staff are all kind and caring. The complaints policy was up to date and widely advertised, so that people involved with the service were aware of how to make a formal complaint should they wish to do so. The home had not received any complaints during the last twelve months and neither had the Care Quality Commission. However, a system was in place so that any complaints received could be recorded and followed through in accordance with the policy adopted Care Homes for Older People Page 5 of 10 by the home. All those we consulted with, either by survey or face to face told us that the staff listen to them and act on what they say and that there was someone they could speak to informally if they were not happy. All these people also said that they would know how to make a formal complaint should they need to do so. Robust policies and procedures were in place in relation to the protection of vulnerable adults. Records showed that relevant training was provided on induction for new staff, so that they were able to recognise signs of abuse and were aware of their responsibilities in reporting any concerns. All staff were provided with safeguard training annually so that they were kept up to date with any changes in legislation and guidelines. We were told of various methods of training introduced and this was confirmed by staff spoken to. Safeguarding trainers were available at the home so that if anyone was unsure of anything they could easily seek further help and advice, which was considered very good practice. All seven staff members who sent us comment cards told us that they would know what to do if they had concerns about the protection of someone living at home. The homes self assessment provided us with a lot of good information about how complaints are managed and what processes are in place to protect those living at Cornmill. When asked what the service could do better the self assessment told us, To identify any further training needs which may be necessary and when asked how the service had improved within the last twelve months it was written, We have organised training and Staff Supervision meetings covering a variety of clinical and personal care issues. What the care home does well: The plans of care were extremely well written documents, providing staff with clear guidance about how the assessed needs of people living at the home were to be met and how people were to be supported to maintain their privacy and dignity. Residents had been involved in the care planning process and a review of care provided was conducted regularly to ensure that current needs were accurately reflected in the plan of care. A variety of external professionals had been involved in the care of people living at Cornmill Nursing Home to ensure that their health care needs were being appropriately met. Medications were being managed well so that those living at Cornmill were protected from any possible medication errors or misuse. A wide range of assessments were in place to ensure that any potential health and personal care risks were identified and strategies implemented to minimise them as much as possible, so that those living at the home were kept safe. A lot of training had been provided for all staff so that they were kept up to date with current policies, procedures and legislation and so that they were sufficiently trained to meet peoples assessed needs. No complaints had been received by the home since 2006. However, a system was in place so that complaints could be recorded and followed through and this formed part of the auditing process for monitoring purposes. The policies, procedures and practices adopted at the home protected the vulnerable adults living there from possible abusive situations so that they were kept safe. When asked what the service does well comments Care Homes for Older People Page 6 of 10 we received from those who took part in our survey and who lived at the home included: I am happy with everything; I am very happy here. Everyone is very good and kind; Cornmill staff give wonderful care and attention. The atmosphere is always friendly and caring. The food is excellent and the furnishings comfortable. The availability of physiotherapy, podiatry, manicure and hairdressing are of great benefit to all of us; Cornmill is pleasant and friendly with capable staff throughout, including domestic staff and nurses. The management are always available when needed. The food is excellent, of hotel standard and a homely atmosphere prevails throughout. One staff member told us, The home respects each residents individuality and strives to meet their needs with flexibility. The standards of care within the home is, on the whole, very good, helped by access to equipment and aids to help those living at Cornmill. 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 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. 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