Care Home: Cowlersley Court

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What the care home does well People who use the service are protected by the homes policies and procedures on recruitment and selection of staff. When people were asked, "What do you feel the home does well?" Comments include: "People help if needed and don`t interfere. I am very happy and I like my house. I don`t want anything to change. I have no complaints." "The cooking is well done and always hot. My bed is always clean. I enjoy activities that are available. I enjoy having my hair done once a week." "I`m free to go to my room when I please or to join in activities. I feel I have the freedom in the home." "Look after me and meet my needs. I enjoy the trips out that have been arranged." What the care home could do better: The care plan and risk assessments must cover all areas of care which includes the person`s psychological wellbeing where appropriate. This is to ensure that people`s needs are met and that they are kept safe. As agreed with the fire safety officer fire alarms should be tested weekly and recorded. This is to ensure that equipment is in working order and therefore be able to alert people in the event of a fire. Fire drills should also be recorded. This is to show that people know the procedure to follow if there was a fire. When people were asked, "What could the home do better?" Comments include: "Could arrange the seating better in the conservatory." "Nothing.""Nothing, I am very happy living here." "Serve hot food on hot plates. Sharpen the cutlery knives and forks." The manager confirmed that replacement cutlery and crockery have been ordered. Random inspection report Care homes for older people Name: Address: Cowlersley Court 156 Cowlersley Lane Cowlersley Huddersfield West Yorkshire HD4 5UX one star adequate 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: Karen Summers Date: 1 3 0 4 2 0 1 0 Information about the care home Name of care home: Address: Cowlersley Court 156 Cowlersley Lane Cowlersley Huddersfield West Yorkshire HD4 5UX 01484538989 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Eldercare (Halifax) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 38 Number of places (if applicable): Under 65 Over 65 38 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 38 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 maximum number of places, 38 Date of last inspection Brief description of the care home Cowlersley Court provides twenty-four hour nursing and personal care for up to thirty seven older people. Accommodation is provided on two floors, the upper floor being accessed by either a passenger lift, or a stair lift. Although the single rooms do not Care Homes for Older People Page 2 of 10 Brief description of the care home have en-suite facilities, they are situated close to bathrooms and toilets. There are three seating areas within the home; a large dining room, a smaller dining area and a spacious lounge. There are patio areas around the property where people can sit out when the weather permits. There is wheelchair access to the main building and there is a car park to the front of the property. Cowlersley Court is situated approximately three miles from Huddersfield centre and there are community facilities nearby including local shops and a church. The provider informed the Care Quality Commission on 13th April 2010 that fees range from £420 to £600 per week. Additional charges include hairdressing, private chiropody, and newspapers. Information about the home and the services provided are available from the home in the statement of purpose and service user s guide. Care Homes for Older People Page 3 of 10 What we found: This report refers to a random inspection visit by one inspector, to Cowlersley Court Care Home, on the 13th April 2010. As part of the inspection in order to provide information to help us form judgments about the quality of the service, the manager was asked to complete an annual quality assessment (AQAA) document. This she did, and the document provided the Care Quality Commission (CQC) with a lot of information about the way the home is run, and what they hope to achieve in the future. To enable people who use the service to comment on the care it provides, we sent surveys to ten people, nine of which were returned, and three out of ten surveys were returned from staff. Comments from these surveys have been included in this report During the visit we spoke with four members of staff including the manager, and three people who use the service to obtain their views of how the service is run and the care provided. Samples of records were looked at and included care plans and activities records, Induction training, training files, and health and safety records. This is what we found: Health and Personal Care: Care Records - Two care plans were looked at and the problems/ needs of those people had been identified and there was information as to how those needs would be met. The care plans also included risk assessments and there was evidence that people are able to access health care services, such as the dentist, chiropodist, optician, and people confirmed that they receive the medical care that they need. However, in one of the records there was information that the person had been to hospital for specialised investigations whilst living at the home but there was no record to show why. We discussed that the care records should have some reference as to why the person had to have the investigation and what implication it may or may not have had in relation to their physical or psychological wellbeing. In the second care plan there was reference to the person having a past mental health issues which put them at risk. The nurse said that the person was no longer at risk; however the records did not reflect this. A requirement was made on this occasion that the care plan and risk assessments cover all areas of care which includes the persons psychological wellbeing where appropriate. This is to ensure that their needs are met and that they are kept safe. Dignity: At the last inspection it was observed that a number of gentlemen were unshaven and several people were wearing stained or soiled clothing. This has now been addressed and people looked well presented. All staff were seen to speak to people in a kind and respectful manner. Care Homes for Older People Page 4 of 10 Daily Life and Social Activities: The activities person who is also the hairdresser, said that she works Monday to Friday and that her time is split so that in the mornings she does hairdressing and in the afternoons activities. Since the last inspection the documentation for this area of care has improved and each time the activities person carries out an activity she now records what the activity was and the persons enjoyment. We discussed at the time with the manager that the records should also reflect when the care staff have carried out an activity i.e. nail care, as at the present time this is not recorded. The manager said that she would in future make sure that this information was recorded. At the time of the visit people were sat in various parts of the home watching television, chatting to staff and other people, having nail care, and reading the news paper. A Biblio therapist visits the home every other Tuesdays and he had come to read poetry to those who wished to listen and participate. People who were spoken with said that they enjoyed the visit from this person. Records show that people do have a variety of activities that take place on a regular basis. Environment: The decorative condition of the home has greatly improved making it a pleasant environment for the people who live at Cowlersley Court. Since the last inspection the majority of the home has been refurbished and new furniture and fittings purchased. The dining room has also been redecorated with new curtains, carpet and furniture and it is now a pleasant place for people to have their meals and socialise. Staffing: Induction training - The Induction records were looked at and there was information to suggest that staff have induction training when starting work at the home and this was also confirmed by the staff that were spoken with. National Vocational Training Level 2 - There are nineteen care staff in total, and records showed that eight staff have an NVQ level 2 qualification in care and a further eight staff have nearly completed the training, and this was also confirmed by the manager. Qualified staff have a better understanding of the needs of people in their care. Management and Administration: Infection Control - Following the last inspection the staff who were working at the time received infection control training to ensure they were aware of, and maintained satisfactory standards of hygiene within the home. At this inspection evidence suggested that sixteen staff have had the training, and fifteen staff had not. These fifteen people were a mixture of new starters and people who were on maternity leave. The manager said that the new starters had received the training when they had gone through their induction and all staff who were spoken with on the day of the visit said that they had attended infection control training. Fire Safety - In relation to fire safety, the staff confirmed that they had attended a fire lecture in the last six months and records showed that one took place earlier this year. Staff also said that they were having regular fire drills and the manager confirmed this however, the drills had not been recorded. Care Homes for Older People Page 5 of 10 The person who is responsible for recording the fire alarm testing and drills is also the handyman and when spoken with said that on occasion he had forgotten to test the fire alarm. Records showed that the fire alarm was tested weekly until the 9th December 2009, and then on the 6/01/2010, 03/02/2010, 22/03/2010 and 06/04/2010. The manager said that she would ensure that the alarm is tested on a weekly basis and recorded. She also said that she would ensure that the nominated person attended a fire facilitators course and make sure that staff also have fire drills at regular intervals and that they are recorded. Fire alarms must be tested at suitable intervals as agreed with the fire safety officer. This is to ensure that equipment is in working order and therefore be able to alert people in the event of a fire. What the care home does well: What they could do better: The care plan and risk assessments must cover all areas of care which includes the persons psychological wellbeing where appropriate. This is to ensure that peoples needs are met and that they are kept safe. As agreed with the fire safety officer fire alarms should be tested weekly and recorded. This is to ensure that equipment is in working order and therefore be able to alert people in the event of a fire. Fire drills should also be recorded. This is to show that people know the procedure to follow if there was a fire. When people were asked, What could the home do better? Comments include: Could arrange the seating better in the conservatory. Nothing. Care Homes for Older People Page 6 of 10 Nothing, I am very happy living here. Serve hot food on hot plates. Sharpen the cutlery knives and forks. The manager confirmed that replacement cutlery and crockery have been ordered. 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 1 7 14 The care plan and risk 15/05/2010 assessments must cover all areas of care which includes the persons psychological wellbeing where appropriate. This is to ensure that their needs are met and that they are kept safe. 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 38 Also as agreed with the fire safety officer, fire alarms should be tested weekly and recorded. This is to ensure that equipment is in working order and therefore be able to alert people in the event of a fire. 2 38 Fire drills should be recorded. This is to show that people know the procedure to follow if there was a fire. 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. 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