Care Home: Gorton Parks Nursing Home

What the care home does well The home provides detailed information to people thinking about moving in. Assessments of peoples needs are carried out before people move in to make sure the home can meet their needs. Recruitment is robust and makes sure that staff are safe to work with vulnerable residents. They have good working relationships with community nurses and GP`s. They carry out customer satisfaction surveys both internally and externally.They carry out resident and relative meetings to make sure the care they provide is right for the individual. Prospective residents who are unsure are given the option of a trial in the home to make sure it is the most appropriate place for them. They carry out monthly audits to make sure systems are working correctly. They have a `Nite Bite` menu. This means that residents can choose to eat later in the evening if they want to. There is always food available through the night if needed. They have a structured activities programme, with a dedicated activities organiser. What has improved since the last inspection? Since the last inspection visit medication practices and resident`s care plans have been improved and identify the individual needs of residents and how those needs are to be met. The interactions between residents and staff have improved and staff. Staff seemed kind, patient and friendly with people. A more detailed record of activities within the home has been developed to ensure that the activities provided are varied and suit the residents living there. The home has been substantially refurbished and redecorated which provides a clean and safe environment for the residents living there. Carpets have been professionally cleaned or replaced to provide a clean and pleasant environment. Residents have been re-assessed and where necessary transferred to a more suitable unit within the home to ensure that there individual needs can be met. Management of the home has improved and unit managers re-allocated to different units within the home to ensure that the home is being managed in the best interests of the people living there. A new chef has been employed and menus have improved. The menus are varied and nutritionally balanced. CRB disclosure numbers are being held in staff files to show they have been obtained.A system of monitoring POVA and CRB checks has been introduced to ensure that staff are safe to work with people living at the home. Supervision is provided on a regular basis to ensure that staff are supported and any training needs are identified. Training in relation to the implementation of the Mental Capacity Act has been planned. What the care home could do better: A recommendation was made that daily records be more detailed to show the actual care delivered by care staff. A recommendation was made that when medication is prescribed to be given an hour before food a record of the time it is given be recorded on the Medication Administration sheets. This is to ensure that medication is given as prescribed by the General Practitioners (GP). A recommendation was made that the unit managers liaise with the General Practitioners to make sure medication is not prescribed `as directed`. This is to ensure that medication is given as intended by the GP. CARE HOMES FOR OLDER PEOPLE Gorton Parks Nursing Home 121 Taylor Street Gorton Manchester M18 8DF Lead Inspector Sue Jennings Unannounced Inspection 10th March 2009 09:00 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 Gorton Parks Nursing Home DS0000021678.V374136.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. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gorton Parks Nursing Home Address 121 Taylor Street Gorton Manchester M18 8DF 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) 0161 220 9243 0161 230 7439 www.bupa.com BUPA Care Homes (CFHCare) Ltd Manager post vacant Care Home 148 Category(ies) of Dementia - over 65 years of age (90), Old age, registration, with number not falling within any other category (43), of places Physical disability (15) Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of older people requiring nursing care at any one time shall not exceed 43 patients of either sex aged 60 years or over. There are three named service users requiring care by reason of physical disability. Should these service users no longer require the accommodation offered the places will revert to the category of old age (OP). This accommodation is in Sunny Brow and Debdale Houses. In addition a maximum of 12 places are designated for use as intermediate care beds for service users aged 55 and over requiring intensive rehabilitation by reason of physical disability following discharge from hospital care. The rooms are located in Debdale House and equipped with appropriate specialist facilities, equipment and staffing. The length of stay should not normally exceed 6 weeks. A maximum of 60 places in Delamere House and Melland House are registered for older people with dementia who require personal care only. A maximum number of 30 places in Abbey Hey House are registered for either sex aged 60 years or over for people with dementia assessed as requiring nursing care. Minimum nursing staffing levels as specified in the Staffing Notice issued under Section 13 of the Care Standards Act 2000 on 15 February 2006, will be maintained for Sunny Brow and Debdale Houses. The service provider will keep the needs of all service users living in Debdale House under continuing review and ensure that the numbers and skills of staff deployed in that unit are adequate to meet their differing assessed needs. All staff employed in Debdale House will be trained in techniques for rehabilitation as detailed in National Minimum Standard 6.3 (National Minimum Standards, Care Homes for Older People) and this training will be maintained on an ongoing basis. Minimum nursing staffing levels as specified in the Staffing Notice issued under Section 13 of The Care Standards Act 2000 on 15 February 2006, will be maintained in Abbey Hey House. All staff employed in Abbey Hey House must receive accredited training in dementia care by 31st March 2006 and this level of training will be maintained on an ongoing basis. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care DS0000021678.V374136.R01.S.doc Version 5.2 Page 5 2. 3. 4. 5. 6. 7. 8. 9. 10. Gorton Parks Nursing Home Inspection. Date of last inspection 21st April 2008 Brief Description of the Service: Gorton Parks Nursing Home is owned by BUPA Care Homes. The home is a purpose built building and consists of five, 30 bedded units. The home can provide accommodation for residents assessed as requiring intermediate care, nursing and personal care and Dementia care. Each unit is a single storey building with a lounge, dining area, a conservatory, a smoke room and a kitchenette. All bedrooms are single and all rooms provide a wash hand basin and a mirror. There are no en-suite facilities available. Accessible toilets and bathrooms, with aids and adaptations for those residents who are wheelchair users or with poor mobility are located near to bedrooms and living rooms. The home is located in the residential area of West Gorton in the North of Manchester. Local amenities, including a market, banks and shops are all within easy walking distance. Public transport is accessible. There are ample parking facilities at the front of the building. An administration building houses the main kitchen, hairdressing salon, laundry and offices. The charges for fees range from £373.54 to £639.73 per week. Additional charges are made for hairdressing, trips and newspapers. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Commission for Social Care Inspection) in relation to this home prior to the site visit. References to we or us represent the Commission for Social Care Inspection. Two inspectors carried out the site visit it was unannounced and took place over the course of 8 hours on Tuesday 10th March 2009. During the course of the site visit we spent time talking to residents the manager and care staff to find out their views of the home. We spent time looking at records and the residents and staff files. We also walked round the home and looked at communal areas and a sample of bedrooms. This visit was just one part of the inspection process. Other information received was also looked at. Some weeks before the visit the manager was asked to complete a questionnaire called an Annual Quality Assurance Assessment (AQAA) telling us what they thought they did well, what they needed to do better and what they had improved upon since the last visit, to provide up to date information about the service provided. This helps us to 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 homeowners or managers. What the service does well: The home provides detailed information to people thinking about moving in. Assessments of peoples needs are carried out before people move in to make sure the home can meet their needs. Recruitment is robust and makes sure that staff are safe to work with vulnerable residents. They have good working relationships with community nurses and GP’s. They carry out customer satisfaction surveys both internally and externally. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 7 They carry out resident and relative meetings to make sure the care they provide is right for the individual. Prospective residents who are unsure are given the option of a trial in the home to make sure it is the most appropriate place for them. They carry out monthly audits to make sure systems are working correctly. They have a ‘Nite Bite’ menu. This means that residents can choose to eat later in the evening if they want to. There is always food available through the night if needed. They have a structured activities programme, with a dedicated activities organiser. What has improved since the last inspection? Since the last inspection visit medication practices and resident’s care plans have been improved and identify the individual needs of residents and how those needs are to be met. The interactions between residents and staff have improved and staff. Staff seemed kind, patient and friendly with people. A more detailed record of activities within the home has been developed to ensure that the activities provided are varied and suit the residents living there. The home has been substantially refurbished and redecorated which provides a clean and safe environment for the residents living there. Carpets have been professionally cleaned or replaced to provide a clean and pleasant environment. Residents have been re-assessed and where necessary transferred to a more suitable unit within the home to ensure that there individual needs can be met. Management of the home has improved and unit managers re-allocated to different units within the home to ensure that the home is being managed in the best interests of the people living there. A new chef has been employed and menus have improved. The menus are varied and nutritionally balanced. CRB disclosure numbers are being held in staff files to show they have been obtained. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 8 A system of monitoring POVA and CRB checks has been introduced to ensure that staff are safe to work with people living at the home. Supervision is provided on a regular basis to ensure that staff are supported and any training needs are identified. Training in relation to the implementation of the Mental Capacity Act has been planned. 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. Gorton Parks Nursing Home DS0000021678.V374136.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 Gorton Parks Nursing Home DS0000021678.V374136.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given information, and have their needs assessed before deciding to move into the home so they know that their needs can be met. EVIDENCE: There was a service user guide that gave detailed information. This is given to prospective residents’ and gave enough information for people to make an informed decision about moving in. This document had been reviewed to include the details of the newly registered manager. The information was available in large print and would be translated into other languages if the need arose. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 11 The manager told us that assessments of peoples needs are carried out before admission. She also told us that before admission they have a copy of the care manager’s or nursing needs assessment. This is done to make sure the staff at the home could meet the person’s needs. At the time of this visit the manger said she or one of the unit managers carry out the pre admission assessments. We spoke to a visitor who told us that they were given an opportunity to visit the home before making a decision about their relative moving in. Where possible a care manager’s assessment was obtained. A care plan was written using the information gathered during these assessments. As stated in the last report they used the ‘Quest’ assessment booklet and these were seen in the care plans. This booklet is completed by a unit manager and consists of a tick box system. Depending on the scores, the assessment document guides staff to which parts of the care plan/risk assessments need to be completed. This is carried out to make sure that they are able to meet people’s needs. The booklet identifies whether the person needs a Mental Capacity Assessment/Advocate. We saw a sample of care plans that had pre-admission assessments. These were detailed and gave enough information to write the care plan. The home provides 12 intermediate care places on Debdale house. This is to provide rehabilitation for people following discharge from hospital in preparation for their return home. Gorton Parks Nursing Home DS0000021678.V374136.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were detailed and addressed individual health, personal and social care needs and medication practices safeguarded residents. EVIDENCE: We looked at a sample of care plans. We saw that some good information was recorded. It was clear that managers and staff have worked hard to improve the quality of the care plans since the last inspection. We saw that care plans were being reviewed regularly. Risk assessments in relation to falls, pressure areas and nutrition had been carried out. We saw that temporary care plans were still in the Quest booklet even though they were no longer needed. We recommended that to avoid confusion temporary care plans that are no longer current be filed away. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 13 Daily records that were kept with the care plan were repetitive and did not reflect the actual care given to residents. The daily records should contain detailed information which can then be used to evaluate and review the care being provided. We recommended that daily records describe fully the care being delivered to residents. The care provided to people at the home is reviewed each month to make sure people’s needs are being met. They told us that a 10 sample of care plans and medication systems are audited every month. They had records of the audits and of where shortfalls had been identified these were addressed with staff. We saw some good care practice on all the units we visited. We saw that residents were relaxed and the atmosphere was calm and supportive. We saw staff observing residents and offering assistance in a way that most suited the resident. Staff chatted to residents as they passed them in the corridor or when they walked past residents sitting in chairs. We saw staff just sitting and chatting to residents. Staff seemed kind, patient and friendly with everybody. We saw one resident throw her bowl of soup across the lounge and then walk out of the lounge. We saw staff responded quietly and without fuss to clean up the mess. We spoke to visitors who told us that they had been asked to provide information about their relative. This was used when writing their relatives care plan. Medication was generally well managed, stored correctly and records were maintained to a good standard. They told us that staff received training in the administration of medication to reduce the risk of medication errors. We saw that one resident was prescribed medication that should be taken a half an hour to an hour before food. It was not clear if this was being given in line with the GPs instructions. The Medication records indicated that the medication had been given at 10:00 each day. A recommendation was made that a more accurate record is kept of the actual time medication is given. We also saw that some medication was labelled take ‘as directed’. There should be clear directions on how they should be taken. A recommendation was made that they liaise with the GP to make sure clear directions are given. They told us that staff are trained in manual handling and satisfactory numbers of hoists are available. The slings are available in different sizes within each unit and these are kept clean. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 14 Residents and visitors told us that staff were polite and treated them with respect. Comments included “they are very good” and “all very polite and helpful”. Gorton Parks Nursing Home DS0000021678.V374136.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a good range of activities and a variety of home cooked food. EVIDENCE: People’s spiritual needs are recorded so they can be given the opportunity and any help they need to continue to follow their faith if they wish. We saw lunch being served in Meland unit. The dining room was bright and airy. Menus were displayed at the entry to the lounge/dining rooms. Menus gave a choice of meals. We spoke to one resident who told us ‘it is soup and Welsh rarebit for lunch and we have a big meal at tea time’. Another resident told us ’the food is really nice’. We saw that extra portions were offered and choices of meals were available. One male resident asked for some toast and a member of staff made it for him. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 16 One member of staff told us “there is always a choice of meals and the chef will do alternatives on request”. They said the food was very good and the chef looked after the residents. We saw that dining tables were set with tablecloths, cutlery and condiments. This created a pleasant and comfortable environment for the residents to enjoy their meal. We spoke to one person’s family. They told us that because of a swallowing difficulty all the person’s drinks had to be thickened. They told us that they were confident that staff made sure the thickener was added to all drinks. The manager stated that they had made activities a priority in 2008 and worked very hard on improving activities since the last visit. They had 2 posts for activity coordinators. One was currently off sick but the post was due to be advertised. Since the last visit the home had increased local community contact. Posters were on display on the units looked at advertising activities. There were photo albums with pictures of recent events such as the Chinese New Year, an Elvis concert. They take residents out to Gorton Monastery for tea dances. The activity organiser arranges pottery painting, flower arranging and arts and crafts sessions. The manager told us that they had numerous 1:1 activities, which included shopping trips. They told us that they arrange pub lunches, arts and crafts flower arranging and card making. We spoke to residents that told us they had a choice of whether they took part. We saw people doing jigsaws and some of the resident’s artwork. One visitor told us they were always made to feel welcome and were able visit at any time. Ministers from local churches visited the home on a regular basis. The manager told us that arrangements would be made to support residents from other religious backgrounds as and when required. A hairdressing salon was provided. They told us that this was only used twice a week. They told us that there are plans to utilise the room at other times by making it into a social room. Residents would be able to come from the various units and play dominoes or cards or just chat and have a drink. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 17 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and are confident that their concerns will be listened to. EVIDENCE: We saw that the complaints policy and procedure was readily available to residents and their visitors. The procedure gave information about how to make a complaint. We saw that there had been eight complaints since the last inspection. The complaint log gave details about the complaint, the investigation and the outcome. We saw that complaints were dealt with appropriately. They told us that concerns and complaints were used to improve the service. We spoke to residents and visitors who told us that they would speak to the manager if they had a concern. One visitor told us ‘if we have any concerns we would speak to the manager or matron’. One resident told us that if they had a complaint they would “tell matron”. A friend or relative told us “I have no complaints but if I did I would speak to the one of the seniors or the matron”. Another resident told us “I have never complained but would tell them if I was not happy”. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 18 They told us that care staff have training that teaches them how to recognise abuse and report poor practice. There is an organisational procedure for staff to follow in the event of any allegations being made. There was a copy of the Manchester Multi-Agency Policy on the Protection of Vulnerable Adults available for staff to reference. There had been no adult protection referrals made. We spoke to staff that were aware of the action to be taken in the event of an allegation of abuse being made. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in suitably adapted, clean, comfortable and very pleasant surroundings. EVIDENCE: We saw that there had been a major programme of redecoration and refurbishment of the home. All units had been redecorated. Some had new curtains and carpets and pictures on the walls. New baths had been fitted. Bathroom doors had been colour coded and had signs on door to make them easy for residents to recognise. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 20 There was enough domestic staff to keep the home clean and we noted that there were no unpleasant odours during the tour of the home. Sanitising hand gel dispensers were seen throughout the home to minimise the risks of cross infection. Residents were seen relaxing after lunch in the small lounges either listening to music or watching television. There are small kitchens on each unit so that visitors can make a drink. Each unit has a designated smoking room. We saw that old sepia pictures of the local area had been hung on the walls of the dementia care units. For example photographs of Belle View Zoo and amusement park and local shopping areas. As many of the residents were from the local area these were images that were familiar to them. We saw a sample of bedrooms and people told us “I like my room I spend a lot of time in here”, “it is clean and tidy they work very hard” and “I am really happy here”. We saw that bedrooms had views across the gardens and the car park where residents could watch people come and go. They were all bright and airy and furniture was of a good standard. One visitor told us “mum is in bed all the time now and they asked if we minded if they moved her so that she could be close to the office, the room is nice and they hung all the photographs before they moved her so that all her familiar things were around”. One visitor told us “we are very happy with the care and attention, the girls are marvellous” and “they keep us informed if mum has the GP or if her treatment changes in fact they tell us about the slightest thing mum had a new mattress and they phoned to let us know”. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 21 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff was sufficient to meet the needs of the residents accommodated and staff have access to a wide range of training. EVIDENCE: We saw a sample of staff files. We saw that these were well maintained and contained all the necessary checks including Nurses registration being checked with the Nursing and Midwifery Council (NMC). All staff have an enhanced Criminal Records Bureau (CRB) check and checks had been made against the Protection of Vulnerable Adults list (POVA). The manager reported that regular staff supervision was provided and all staff completed an induction period. They told us that staff had been reallocated to work in other areas of the home. This is to make sure that the skill mix and experience of staff is linked to residents needs. We saw that staff had a structured induction and there were copies of training certificates on staff files. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 22 We spoke to staff. They told us that they had good access to training. We saw that training in relation to manual handling, medication, fire safety, first Aid, and Protection of Vulnerable Adults had been provided. The manager told us that training in relation to infection control medication and dementia care was planned. They also told us that training in relation to control and restraint is planned. One of the unit managers is an expert in dementia care. They told us that Short Observational Framework for Inspection (SOFI) training is being planned. SOFI is a method of observing interactions between staff and residents for people who have dementia. There is a training matrix that identifies the training needs of staff. All mandatory training for example moving and handling is up-to-date. One member of staff told us that since the last inspection visit there had been some staff changes. They told us that they “felt supported by management and felt they have a good and caring staff team”. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 23 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 and 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 so that it is run in the best interest of the people who live there. EVIDENCE: The manager had the necessary skills qualifications and experience needed to manage a care home. We saw that policies and procedures were in place with regard to managing residents finances. We saw a sample of financial records. These showed us that the financial interest of the residents is safeguarded. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 24 We saw that a health and safety policy was in place and risk assessments of the premises and safe working practices had been carried out. This was to ensure that both residents and staff had relevant information to enable them to live and work in a safe environment. Information given in the Annual Quality Assurance Assessment (AQAA) showed that fixed Gas and Electricty appliances had been regularly maintained. They also carried out a periodic test of portable appliences and lifting equipment. These checks mean that the safety of residents, staff and visitors was given priority. They carried out a quality audit and some of the comments made about the home were; excellent, they seem to take a lot of care with him, very good needs are catered for”, I wish I was still in my own home and quite good settled well and seems happy. As stated in the last report money is withdrawn each week from the BUPA account and an invoice made up that is taken with the cash to the resident where they sign that they have received the money. A senior financial administrator from BUPA audited the resident’s financial records on a regular basis and a yearly audit is carried out independently of all the home’s finances. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 25 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 X 3 X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 3 X 3 X X 3 Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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. 2. Refer to Standard OP7 OP9 Good Practice Recommendations It was recommended that the daily records contain more information to evidence the care being delivered to residents. It was recommended that when medication is prescribed to be given an hour before food a record of the time it is given be recorded on the Medication Administration sheets, to ensure that the General Practitioners instructions are followed. It was recommended that the unit managers liaise with the General Practitioners to make sure medication is not prescribed ‘as directed’ to ensure that medication is given as intended by the GP. Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court Port 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 Gorton Parks Nursing Home DS0000021678.V374136.R01.S.doc Version 5.2 Page 28 - 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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