Care Home: Corona House

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well People who are thinking of moving in are given information about the home and their needs are properly assessed so that they can be sure that it is the right home for them. Available at the home was a care plan for each resident, which clearly set out how staff need to meet the persons health, personal, and social care needs. Care plans were signed to show that they were put together with the full involvement of the resident and or their representative. There was also evidence to show that care plans are being regularly reviewed and they are being updated when a persons needs have changed. Residents are encouraged and supported to live enjoyable and active lives. There is an excellent range of activities made available to residents including pamper days (hairdressing and manicures), arts and crafts, flower arranging bingo, singing and dancing. Residents also enjoy gentle chair exercises. Church services and Holy Communion are regularly held at the home for those residents who choose to take part. During the inspection visit residents said: "I enjoy the entertainment". "I have my nails and hair done each week". "There are plenty of activities". "I have my hair done each week". The quality of the food is excellent and mealtimes are made pleasant for residents. Residents spoken with made the following comments supported this: "The food is excellent, I have put on two stone since living here and feel well for it, never felt so well". "Food is very good". "The food is very nice there is enough and it is of good quality". "The cook is really good". "The food is fabulous". "The food is beautifully cooked". "I never go hungry". "We get plenty of drinks and snacks including biscuits". "The table is always nicely set". "There are always fresh flowers on the table and it is nicely laid"Staff showed a good understanding of their roles and responsibilities, were very knowledgeable about the needs of the residents and showed a real commitment to ensuring that they are well cared for and have a good qualityCorona HouseDS0000018879.V342711.R01.S.docVersion 5.2Page 7of life. During the inspection visit they were observed talking to residents in a polite manner and treating them with respect. Residents spoken with said that staff are always polite and treat them well they made the following comments to support this: "Top grade, I am always treated well here by everybody" "The staff treat me very well" "The staff are very gentle" "The staff are obliging, they treat me very well, they are kind, caring and gentle, couldn`t get any better" "People knock before they come into my room". The home had in place appropriate procedures for responding to concerns complaints and for ensuring that residents are safe from abuse, harm or neglect. The commission have not received any complaints about the home since the last inspection. Everybody spoken with during the inspection said that they had been given information about how to make a complaint if they needed to. People were confident that their complaints would be listened to and dealt with in the correct way. The home was comfortable, well maintained and free from hazards making it a pleasant and safe place for people to live in. More than half of the staff team have achieved or are working towards a National Vocational Qualification in Care level 2 or above and they have all completed or are planning to complete training linked to the aims and objectives of the home and the needs of the residents. People were complimentary of the manger and the way she runs the home, they said: "She is lovely, approachable understanding". "Debbie and the staff are out of this world". "Couldn`t get any nicer than Debbie, can always talk to her if I have a problem and know it will be dealt with". "She is very supportive". "Debbie is very approachable and flexible". What has improved since the last inspection? The homes Statement of Purpose and Service User Guide have been reviewed and updated. They included all the information that is required so that people know about the services and facilities available at the home. Residents care plans have been developed and now include all the information as to how their health and social care needs are to be met. Care plans are now reviewed and updated each month as required and were possible with the involvement of the resident and/or their family/representative. All medicines that are delivered to the home are checked and signed for so to ensure residents health and safety. A risk assessment has been developed for residents who are self-administering their own medicines. All staff that administer medicines are now trained to do so. All records required by regulation are better maintained to ensure the best interests of the residents. Radiators in resident`s bedrooms have been covered with appropriate covers to ensure their health and safety. All staff receive one-to-one supervision at the required intervals and a record of the matters discussed is kept for future reference to show that they receive the appropriate supervision. What the care home could do better: Records should be kept to show that new staff have completed induction training with in the first 6 weeks of starting work. As part of the homes quality monitoring systems the home must be visited each month in accordance with regulation 26 of the Care Homes Regulations to ensure the best interests of the residents. CARE HOMES FOR OLDER PEOPLE Corona House 1 Osmaston Road Prenton Birkenhead Wirral CH42 8PY Lead Inspector Janet Marshall Key Unannounced Inspection 26th March 2008 09:30 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 Corona House DS0000018879.V342711.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. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Corona House Address 1 Osmaston Road Prenton Birkenhead Wirral CH42 8PY 0151 608 3536 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) Mrs Deborah Elaine Jane Wallace Mr John Wallace Mrs Deborah Elaine Jane Wallace Care Home 15 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (14) Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2007 Brief Description of the Service: Corona House was registered to the present owners in January 2000 and provides accommodation and care for fifteen residents. There are six shared and three single bedrooms, on the ground and first floors. Special facilities include a stair lift on the main staircase and bath-lifts in the two bathrooms. Communal accommodation comprises a lounge with attached conservatory, a dining room and a hairdressing/visitors’ room. The home is by the main shopping area in Prenton and has good local transport links to other areas in Wirral. Fees for the home are £338 per week. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good outcomes. This was a key inspection. The Commission considers 22 standards for Care Homes for Older People as Key Standards, which have to be inspected during a Key Inspection. The report has been put together using information gathered from a number of sources including information that the commission have received about the service since the last inspection and details provided in the Annual Quality Assurance Assessment (AQAA). The AQAA, which is in two parts, a selfassessment and dataset, has replaced the pre-inspection questionnaire. The document, which was sent out to the service was completed and returned to the commission before the site visit took place. A number of surveys were given out to people as part of the inspection. Responses and comments from those that were completed have been used to as part of this report to help support the judgements, which have been made in the outcome areas. The inspection also involved an unannounced visit to the home (site visit). This was carried out with the Registered manager Mrs Deborah Wallace who was on duty at the time. Records that were examined, staff comments and observations made during the visit have also been used as evidence for the report. A number of residents and relatives were spoken with during the site visit and their views and opinions about the service are reflected within the report. A number of residents were case tracked. This process involved talking to staff, looking at the environment and a selection of residents records such as assessments, care plans and daily notes to get an idea about peoples experiences and to find out if they are receiving the care and support that they need and which have been agreed by their representatives. What the service does well: Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 6 People who are thinking of moving in are given information about the home and their needs are properly assessed so that they can be sure that it is the right home for them. Available at the home was a care plan for each resident, which clearly set out how staff need to meet the persons health, personal, and social care needs. Care plans were signed to show that they were put together with the full involvement of the resident and or their representative. There was also evidence to show that care plans are being regularly reviewed and they are being updated when a persons needs have changed. Residents are encouraged and supported to live enjoyable and active lives. There is an excellent range of activities made available to residents including pamper days (hairdressing and manicures), arts and crafts, flower arranging bingo, singing and dancing. Residents also enjoy gentle chair exercises. Church services and Holy Communion are regularly held at the home for those residents who choose to take part. During the inspection visit residents said: “I enjoy the entertainment”. “I have my nails and hair done each week”. “There are plenty of activities”. “I have my hair done each week”. The quality of the food is excellent and mealtimes are made pleasant for residents. Residents spoken with made the following comments supported this: “The food is excellent, I have put on two stone since living here and feel well for it, never felt so well”. “Food is very good”. “The food is very nice there is enough and it is of good quality”. “The cook is really good”. “The food is fabulous”. “The food is beautifully cooked”. “I never go hungry”. “We get plenty of drinks and snacks including biscuits”. “The table is always nicely set”. “There are always fresh flowers on the table and it is nicely laid” Staff showed a good understanding of their roles and responsibilities, were very knowledgeable about the needs of the residents and showed a real commitment to ensuring that they are well cared for and have a good quality Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 7 of life. During the inspection visit they were observed talking to residents in a polite manner and treating them with respect. Residents spoken with said that staff are always polite and treat them well they made the following comments to support this: “Top grade, I am always treated well here by everybody” “The staff treat me very well” “The staff are very gentle” “The staff are obliging, they treat me very well, they are kind, caring and gentle, couldn’t get any better” “People knock before they come into my room”. The home had in place appropriate procedures for responding to concerns complaints and for ensuring that residents are safe from abuse, harm or neglect. The commission have not received any complaints about the home since the last inspection. Everybody spoken with during the inspection said that they had been given information about how to make a complaint if they needed to. People were confident that their complaints would be listened to and dealt with in the correct way. The home was comfortable, well maintained and free from hazards making it a pleasant and safe place for people to live in. More than half of the staff team have achieved or are working towards a National Vocational Qualification in Care level 2 or above and they have all completed or are planning to complete training linked to the aims and objectives of the home and the needs of the residents. People were complimentary of the manger and the way she runs the home, they said: “She is lovely, approachable understanding”. “Debbie and the staff are out of this world”. “Couldn’t get any nicer than Debbie, can always talk to her if I have a problem and know it will be dealt with”. “She is very supportive”. “Debbie is very approachable and flexible”. What has improved since the last inspection? The homes Statement of Purpose and Service User Guide have been reviewed and updated. They included all the information that is required so that people know about the services and facilities available at the home. Residents care plans have been developed and now include all the information as to how their health and social care needs are to be met. Care plans are now reviewed and updated each month as required and were possible with the involvement of the resident and/or their family/representative. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 8 All medicines that are delivered to the home are checked and signed for so to ensure residents health and safety. A risk assessment has been developed for residents who are self-administering their own medicines. All staff that administer medicines are now trained to do so. All records required by regulation are better maintained to ensure the best interests of the residents. Radiators in resident’s bedrooms have been covered with appropriate covers to ensure their health and safety. All staff receive one-to-one supervision at the required intervals and a record of the matters discussed is kept for future reference to show that they receive the appropriate supervision. 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. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 9 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 Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 10 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&2 Standard 6 does not apply, as intermediate care is not provided at the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given up to date information about the home and their needs are assessed before they move in so that they can be sure it is the right place for them to live. EVIDENCE: A requirement was given as part of the last inspection report for the manager to update the homes Statement of Purpose and Service User Guide. This was because the documents did not include all the information, which, people need about the home before choosing to live there. For example information about the facilities and services that the home has available. Details provided in the AQAA and given by the manager showed that since the last inspection she has updated the Homes Statement of Purpose and Service User Guide. They were both looked at during the inspection showing that they now contain all the Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 11 information, which is required. The AQAA showed that all future and current residents are given copies of these documents. A relative of a newly admitted resident said, “I was given a lot of good information about the home before mum moved in”. Other comments made by resident’s relatives spoken with at the time of the inspection visit included: “We were able to visit the home before mum decided to move in and we were given information about the home”. “We brought mum to look around and she had a trial visit”. “My son looked around, as soon as my son saw the place he knew it was the best place for me to live”. A number of residents have moved into the home since the last key inspection. The manager confirmed that she carries out a pre-admission assessment for each person before a decision about them moving into the home is made. The manager also confirmed that she obtains assessments from social workers for those residents who are funded by the local Authority. Pre-admission assessments for three of the most recent admissions were looked at in detail. They were fully complete and covered relevant information about the person’s personal, health and social care needs. Information in the assessments showed that they were carried out before the people moved into the home. In the case of an emergency admission the manager confirmed that the assessment would take place within the first few days of admission. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 12 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, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are treated well and they each have a care plan with information about how to their personal and health care needs should be met. EVIDENCE: Each of the residents had a care plan which was safety stored in the home. Care plans for three residents were looked at in detail as part of the case tracking process. They clearly set out the persons personal and healthcare needs as well as giving staff clear guidance about how best to support those needs. Case tracking showed that the care plans have been put together using information taken from the pre-admission assessments. A requirement was given as part of the last inspection report to ensure that residents care plans are reviewed monthly. This was because at the time there was little evidence to show that residents care plans were being reviewed at the required intervals putting them at risk of not having their needs fully met. The manager confirmed that monthly reviews now take place for each of the residents. Records of reviews were in place showing that residents care plans are being reviewed at monthly intervals or sooner if a persons needs change. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 13 The manager confirmed that residents families/representatives are being fully involved in the planning and reviewing of their relatives care and their signatures are now being obtained on documentation to evidence this. Discussion with the manager and staff, examination of care plans and details provided in the AQAA evidenced that resident’s health and personal care is promoted and properly monitored to ensure that they stay well. Case tracking showed that residents are receiving appropriate health care checks from services such as GPs, district nurses, chiropodists and dentists. Specialist health care is also arranged for people who have conditions such as diabetes. Records, which were seen, showed that all health care checks are appropriately documented. Comments made by residents and their relatives included: “I see an optician and dentist and a chiropodist visits”. “They always call out mums GP when needed” “The care is well monitored” “Mum can see any healthcare professional, a chiropodist visits the home”. On the day of the inspection residents were attractively dressed and they all looked clean. One resident said, “I always choose what clothes I wear each day”. Comments made by residents and relatives included: “Mum always looks nice, she is always clean”. “The residents always look clean and tidy”. A requirement was given as part of the last inspection report to improve the method of confirming the receipt of medicines delivered to the home. This was because at the time there was little evidence to show that medicines received into the home were being correctly recorded putting the health and safety of residents at risk. The manager confirmed that this has been done by introducing a four weekly delivery of medicines, which are blister packed, checked and signed for by two members of staff. Records, which were seen, evidenced this. A requirement was also given to ensure that risk assessments are carried out for residents who are self-administering their own medicines. This was because appropriate risk assessments were not in place for a resident who at the time was responsible for taking her own medicines, putting her health and safety at risk. The manager said that at the moment there are no residents that administer their own medication but she has in place a risk assessment tool, which would be used to carry out such a risk assessment. Available at the home were policies and procedures for dealing with medication. Discussion with staff and examination of staff records showed that medication training has been provided for all staff that administer medication to residents. A member of staff was seen giving out medication following the correct procedures. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 14 Medication administration records (MAR) were kept for each of the residents that have medicines. MARs which were looked at were fully complete and in good order. Residents were observed being treated with dignity and respect and staff observed their privacy at all times during the inspection visit. The home has a number of shared bedrooms, rooms, which are shared, have screens, which are put, in place to ensure peoples privacy. Staff spoken with were fully understanding of the main principles of care, they gave the following examples, which showed this: “I always knock on doors before entering residents bedrooms” “Doors must always be shut when helping somebody with personal care” “Screens are always used in shared rooms for privacy” “It is important to talk to the person and reassure them when helping them” All of the residents spoken with were complimentary of the way they are treated. They made the following comment to support this: “Top grade, I am always treated well here by everybody” “The staff treat me very well” “The staff are very gentle” “The staff are obliging, they treat me very well, they are kind, caring and gentle, couldn’t get any better” “People knock before they come into my room”. The activities coordinator and a number of residents relative who were at the home at the time of the visit all agreed that the residents are always treated well and with respect. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 15 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, 13, 14, & 15 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to live enjoyable and active lives. EVIDENCE: Pre- admission assessments and care plans detailed peoples social preferences and lifestyles. Information about their past lives, social interests and hobbies were recorded to enable staff to appropriately support these needs. The AQAA showed that resident’s routines and daily lives are varied and flexible to suit the individual needs of the person. A weekly activities programme was on display at the home, the information was clearly displayed in a way that was understood by the residents. There are two activity co-ordinators employed at the home. On different days of the week they facilitate a variety of activities to meet the needs of the residents. Activities, which are offered at the home, were described by residents and detailed in the AQAA. They included pamper days (hairdressing and manicures), arts and crafts, flower arranging bingo, singing and dancing. Several residents proudly showed off Easter bonnets, which they made and wore to celebrate Easter. Residents also enjoy gentle chair exercises. Church services and Holy Communion are regularly held at the home for those residents who choose to take part. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 16 During the inspection visit residents said: “I enjoy the entertainment”. “I have my nails and hair done each week”. “There are plenty of activities”. “I have my hair done each week”. A visitor’s book, which was seen at the home, showed that residents receive regular visits from friends and family members. There were lots of visitors at the home at intervals throughout the inspection visit. They were welcomed by the manager and staff and offered drinks on arrival. Residents spent time with their visitors in the privacy of their own rooms, the conservatory and within the company of others. Discussion took place with a number of visitors, they all said that they are always made to feel welcome at the home by both the manager and staff. One relative said, “I can come and see mum at any time, I avoid coming at meal times but I haven’t been told I can’t” Another relative said, “I am always offered a drink. There is always somewhere private to go”. A resident said, “my son is offered a drink and biscuits as soon as he arrives”. During the inspection visit residents were seen making choices for themselves, others were seen being encouraged by staff to make choices. Residents spoken with confirmed that they choose what clothes they were each day and decide what time they get up and go to bed. A member of staff said, “It is important to let people do as much as they can for themselves to help them stay independent”. Assessments and care plans detailed daily tasks and activities, which residents can and should be encouraged to carry out independently. The dining room is located near to the main lounge and kitchen. It was decorated and furnished to a high standard. There were a number of small dining tables, which were attractively set with table clothes, napkins and cutlery. Each table displayed a vase of fresh flowers. The lunchtime meal was spent with residents and the food was sampled. Staff served residents individually with their choice of meal. The main choice of meal on the day was home made chips, battered fish and mushy peas the main choice of dessert was home made fruit pie and custard. The meal was hot, tasty and well presented. Staff assisted residents in a sensitive and unrushed way. Residents were given time to eat their meal at a pace that suited them. Hot and cold drinks were served and residents were offered seconds. Food stores were well stocked with a variety of fresh, frozen, tinned and dried foods. It was equipped with appliances such as a microwave fridge, freezer and had a good supply of cooking utensils. A menu, which was viewed, included a variety of well-balanced and nutritious meals. Residents spoken with were complimentary of the meal and meal times. The following comments supported this: “The food is excellent, I have put on two stone since living here and feel well for it, never felt so well”. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 17 “Food is very good”. “The food is very nice there is enough and it is of good quality”. “The cook is really good”. “The food is fabulous”. “The food is beautifully cooked”. “I never go hungry”. “We get plenty of drinks and snacks including biscuits”. “The table is always nicely set”. “There are always fresh flowers on the table and it is nicely laid” Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 18 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. People are protected by the homes complaints and protection policies and procedures. EVIDENCE: The commission have not received any complaints about the home since the last inspection. There were no recorded complaints at the home at the time of the visit. Surveys completed by residents indicated that they always know who to speak to if they were unhappy and that they know how to make a compalint. Comments made by residents and relatives during the inspection included: “I have nothing to complain about”. “I know who to complaint to”. “I am not worried about anything, if I was I would tell someone”. Available at the home were a number of policies and procedures, which aim to ensure the protection of both residents and staff. They included, complaints whistle blowing, and protection of vulnerable adults procedures. Also available at the home was a ‘No Secrets Document’ this is information to help people understand what they need to report and how to go about it. Easily read versions of complaints and protection procedures were Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 19 available at the home. Staff spoken with were familiar with all of procedures and said they were confident about using them if they needed to. The AQAA told us that all new staff signs the procedures to show that they have read and understand them. The manager confirmed that in 2007 all staff attended Protection of Vulnerable Adults (POVA0 Training. This was also confirmed by a number of staff that were spoken with during the inspection visit. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 20 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable home, which is fitted and furnished to a good standard. EVIDENCE: Corona house is two large semi detached houses knocked into one. It occupies a large corner position in a popular residential area of Prenton, Wirral, and Merseyside. The home is close to a main shopping centre and has good local transport links to other areas in Wirral. Community services and facilities including churches, shops, cafes and community health centres are within close distance of the home. The home has a large drive way and well maintained gardens at the front, side and back of the building. The home is registered to provide accommodation and care for fifteen residents. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 21 There are six shared and three single bedrooms, which are situated on both the ground and first floors. Specialist equipment was in place to assist residents with mobility include a stair lift on the main staircase and bath-lifts in the two bathrooms. Both the inside and the outside of the home were maintained to a good standard. The home has a good amount of shared rooms for resident’s use, which are all situated, on the ground floor. They include a large lounge with attached conservatory, a dining room and a hairdressing/visitors room. All parts of the home were furnished and decorated to a good standard. The AQAA detailed a number of improvements carried out at the home since the last inspection. They included the replacement of the bath in a downstairs bathroom, the replacement of all chairs in the lounge, dining room and residents bedrooms and the replacement of some carpets throughout the home. The improvements were checked and appeared to have been carried out to a good standard. The AQAA told us that an ongoing maintenance programme is in place detailing the plans for further improvements including the replacement of the lounge carpet. There was a warm and friendly atmosphere at the home. All parts of the home were clean, peasant and hygienic and there were no hazards identified at the time of the inspection. Residents spoken with said that their rooms and other parts of the home are always clean and tidy. They made the following comments: Surveys from residents showed that the home is always fresh and clean. The laundry, which is located on the ground floor, although quite small it was equipped with sufficient washing and drying machines and ironing facilities. The laundry was clean and well organised. Detailed in AQAA and available at the home were a number of policies and procedures, which aim to ensure a clean and safe environment, they include infection control and disposal of soiled waste. Since the last inspection liquid soap dispensers and disposable hand towels have been provided in all bathrooms and toilets which helps to minimise the risk of cross infection. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 22 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. Resident’s needs are met by a competent and qualified staff team. EVIDENCE: The staffing rota, which was examined as part of the inspection showed that there are three, sometimes four care staff on duty throughout the day and two staff at night. The manager is on duty most days and is supernumerary to care staff. Discussion with the manager and information provided in the AQAA showed that the turn over of staff is low and agency staff have not been used at the home in since the last inspection. Four members of staff were interviewed during the inspection. General discussion also took place with a number of other staff at intervals throughout the visit. They said that there are always enough staff on duty to meet the needs of the residents. Staff interviewed showed a good understanding of their roles and responsibilities, were very knowledgeable about the needs of the residents and showed a real commitment to ensuring that they are well cared for and have a good quality of life. Residents and their relatives spoken with during the inspection visit made many positive comments about the staff, comments included: Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 23 “The staff are very obliging, I can’t find any fault with them”. “They are very kind, caring and gentle”. “The staff communicate well”. “I have nothing but praise for the staff”. “The staff are very good”. “Staff are always gentle”. “The staff are wonderful”. “They are very good to mum”. “The staff are all well trained”. “All the staff talk to me”. “They always work hard”. A residents survey showed that staff always listen and act on what residents say and are always available when needed. Available at the home was evidence to show that staff complete training to update their knowledge and skills and that the training is linked to the aims and objectives of the home and the needs of the residents. Staff spoken with said that they have completed a lot of training and gave the following examples, health and safety, medication awareness, dementia care and first aid. A selection of staff records showed they have completed the required training and other specialist training to enable them fully meet the needs of the residents. The AQAA and staff training records held at the home evidenced that 82 of the staff team have achieved a National Vocational Qualification (NVQ) in care level 2 or above. This is an increase of 32 since the last inspection and well exceeds the current requirement of 50 of the staff team. Training planned for the future includes NVQ level 2 and above Lifting and Handling and refresher courses in all subjects of mandatory training courses. The AQAA told us that a number of new staff have started work at the home since the last inspection. The new staff have been recruited to increase the staffing levels and to replace 2 staff that have moved on to further their career. An equal opportunities policy and procedure was available at the home. The AQAA showed that the home employs people of various ages, gender and of different backgrounds. Recruitment and selection procedures for a number of new staff were examined. They showed that all the required checks and processes were carried out before the person was allowed to start work at the home. Discussion with staff and records seen showed that all new staff take part in an induction programme during the first part of their employment. Induction records for one member of staff were not available at the home. The manager was advised to ensure that these records are kept at the home to show that induction training took place. The manager explained that the homes induction is now provided by Wirral College and in line with the National Training Organisation for Social Care. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 24 Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 25 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, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed to the benefit of the residents and staff. EVIDENCE: The registered manager Mrs Wallace the required qualification NVQ Level 4 in care has 8yrs years experience of working in the field of care. Records and discussion with the manager showed that she to undertakes regular training to update her knowledge, skills and competence whilst managing the home. This inspection evidenced that the manager ensures high standards of care for residents in a home, which had an atmosphere of openness and respect for residents, their friends, relatives and staff. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 26 All the people spoken with during the inspection were complimentary of the manager and said that the home is run very well. Comments to support this included: “She is lovely, approachable understanding”. “Debbie and the staff are out of this world”. “Couldn’t get any nicer than Debbie, can always talk to her if I have a problem and know it will be dealt with”. “She is very supportive”. “Debbie is very approachable and flexible”. Information provided in the AQAA and discussion with the manager showed that none of the resident’s personal financial affairs are managed at the home and a chartered accountant is employed to protect both the residents and the business. As part of the services quality monitoring process questionaires are given out at regular intervals to residents and relatives to seek their views about the home. the result of the questionaire are used to plan for the future and were necessary make improvements for residents. A selection of completed questionaires were viewed during the visit. A number of residents and relatives spoken with during the inspection said that they are asked their views about the home. As part of the homes quality monitoring the home must be visited each month in accordance with Regulation 26 of The Care Homes Regulations. the manager explained that these visits are not taking place, she was advised that they must take place by law to ensure the best interest of the residents. A recommendation was given as part of the last inspection report for all radiators in the home to be risk assessed or appropriately covered. this was because radiators around the home which were uncovered posed a risk to the health and safety of residents. Since the last inspection all radiators have been appropriately covered minimising this risk. The health safety and welfare of residents are well protected this was supported by a comprehensive set of policies and procedures, which were detailed in the AQAA and available at the home. Information provided in the AQAA and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. Staff and residents spoken with confirmed that they hear the fire alarm system regularly being tested. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 27 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 28 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 OP33 Regulation 26 Requirement As part of the homes quality monitoring systems the home must be visited each month in accordance with this regulation to ensure the best interests of the residents. Timescale for action 28/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations Records should be kept to show that new staff have completed induction training with in the first 6 weeks of starting work. Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Pot Way Preston PR2 2YQ 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 Corona House DS0000018879.V342711.R01.S.doc Version 5.2 Page 30 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!