Care Home: Hebburn Court Nursing Home

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What the care home does well The home continues to meet the other NMS. What the care home could do better: If all of the care plans had sufficient detail and all parts of the plan were completed, staff would know that the information in them was up to date and correct. This would mean that they would be sure they were providing the people at the home with the support and care they need. Robust recruitment procedures and records would show that all of the staff have been properly vetted and this would demonstrate that the organisation have made sure that they only employ suitable people to work at the home and therefore safeguard the people who use the service. If the manager seeks advice with regards to the ordering and disposal of medication this will improve efficiency in the home and therefore improve the service to the residents. If the bathrooms were improved this would make a more pleasant environment for the people who live there. Random inspection report Care homes for older people Name: Address: Hebburn Court Nursing Home The Old Vicarage Witty Avenue Hebburn Tyne and Wear NE31 2SE two star good 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: Hilary Stewart Date: 0 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: Hebburn Court Nursing Home The Old Vicarage Witty Avenue Hebburn Tyne and Wear NE31 2SE 01914281577 01914835555 hebburncourt@schealthcare.co.uk www.schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross Care Homes No 2 Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 55 Number of places (if applicable): Under 65 Over 65 0 28 0 dementia old age, not falling within any other category physical disability Conditions of registration: 27 0 15 The maximum number of service users who can be accommodated is: 55. 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, maximimum number of places: 28. Dementia - Code DE, maximum number of places: 27. Physical disability - Code PD, maximum number of places: 15. Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Hebburn Court Nursing Home is a purpose built home situated in a quiet and discreet residential area of Hebburn, at the site of an old vicarage. The rear of the building provides a pleasant garden view and ample privacy. The Home is registered to accommodate older people who require personal andor nursing care, including up to 15 people with physical disabilities. The home has been registered to care for up to 18 people who have dementia needs and who also require nursing care. A separate unit, named The Rivers, has been developed on the first floor of the home accessible by a passenger lift as well as stairs. The unit is divided in two parts, Tyne View and Wear View. In total throughout the home there are 44 single bedrooms, and 12 double bedrooms that are used for single occupancy. En-suite facilities are not provided but there are adequate toilets and bathroom facilities throughout the building. A large central reception area on the ground floor provides seating, in addition to the large loungedining areas, and is available to service users and visitors. There is a large patio with seating facilities to the rear of the ground floor lounge. Access for wheelchair users is available throughout the Home. The Home is within easy reach of public transport facilities, and the local shops and amenities. Fees for this service range between £355 and £482 per person per week. Care Homes for Older People Page 3 of 10 What we found: The reason for this inspection was to check the following. 1. That there are sufficient staff employed at the home who are trained and supported to provide the people who live there with good care. Also that all staff are thoroughly vetted before they start to work there. 2. That the home has arrangements in place to safeguard the people who live there. 3. That the care plans are clear, accurate and contain enough detail to inform staff about how they must meet the needs of the residents and provide them with good care. 4.The home has adequate arrangements in place to protect the health and safety of the people who live there. 5. To check that any requirements made at the last inspection have been met. The outcome was as follows: 1. Staff said that they receive training, which helps them with their work. The manager said that all staff receive the training and support they need. Staff said and records showed that they all have mandatory training such as first aid, food hygiene and safeguarding adults training. The manager said that there is always a qualified first aider on every shift. Nursing staff have refresher first aid training every year. Sufficient staff were on duty at the time of the visit. Staff said and records showed that sufficient staff had been on duty in the home the previous week. The manager said that there are enough staff to cover sickness and holidays. All staff go through a recruitment process and they cannot start to work at the home until this is completed. The manager said that all staff have been (CRB) Criminal Records Bureau checked at an enhanced level to make sure they are suitable people to work at the home. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records showed that most of the checks had been carried out. However a reference in one persons file had not been completed in full. Other peoples records did not show that gaps in their work history had been explored during the recruitment process. One member of staff had been transferred from another home and the manager had not seen their file, the records were collected from another home later that day. It was also found that some staff members nurse registration was out of date. 2. Copies of the homes complaints procedure are in the information about the home. The manager and staff said that the people who live there and their relatives know how to make a complaint. There had been two complaints made to the home since the last inspection visit and they had both been resolved. The manager said that all staff have had training in how to safeguard the people they care for. There is a copy of the Local Authority procedures and the home has copies of their own adult protection procedures for staff. The manager said that the safeguarding Care Homes for Older People Page 4 of 10 procedures are always followed if there are any issues. All staff have had training on the homes whistle blowing policy and procedure. 3. The manager said and records showed that each person who lives at the home has an individual care plan. Three care plans were looked at and they generally identified how each individual service users health and welfare needs were to be met. Also the plans had been reviewed at least monthly or sooner as dictated by changes in individual service users needs. Health professionals, such as dietitians, speech and language therapists, tissue viability nurses psychiatrists and GPs, contributed to the planning of care and these contributions were clearly recorded. Risk assessments had been carried out for pressure prevention, nutrition and hydration, falls, moving and assisting, dependency and dealing with challenging behaviours. The specific and complex care needs of service users who were at risk of weight loss, who required specialist diets and who were at risk of aspirations and choking were detailed in care plans. However one service user had been recently been reassessed by a speech and language therapist but the recommendations regarding changes from soft to pureed diet had not been updated in the care plan. Staff were unable to weigh one service user as they were confined to bed. They had not used alternative methods of monitoring this persons weight such as measuring their mid upper arm circumference which would indicate to staff whether this person had weight loss or gain. Staff had completed a care plan for a service user who had pressure damage. Although the care plan was detailed, the ongoing wound assessment had not been completed and the photographs of the wound were not dated or signed. Risk assessments are completed for a selection of areas including falls, nutrition and deterioration in skin condition, most of them looked complete and up to date. However one persons monthly pressure risk assessment had not been completed since the 23rd March 2010. In the rest of the care plans looked at, the records were good, they showed that the residents skin was being observed and any bruising or damage was being recorded. 4. Safety checks have been carried out on the equipment in the home such as testing electrical equipment and servicing the central heating boiler. Fire safety risk assessments had been completed. The manager said that they have frequent fire drills and staff receive training so they know how to keep people safe if there is a fire. This training is repeated regularly. The manager said that the medical equipment in the home is serviced regularly and they can buy new equipment through the organisations head office whenever it is needed. They also said that the company has risk assessments and procedures for the use of suction equipment. The home has medication procedures and only staff assessed as competent administer medication. At present the practice is to return all medication unused at the end of each month which means none is carried forward. Records showed the amount of medication returned for various reasons, for example tablets wasted or refused. One service user did not require their medication for a while, this medication was not carried forward on the medication records to the following month but returned and the home received another months supply. This was brought to the attention of the manager who agreed to seek advice from the pharmacist and GP with regards to effective stock control and control of repeat prescriptions. Care Homes for Older People Page 5 of 10 Generally the home was clean and comfortable. The lounge and dining room downstairs had recently been decorated and new curtains were on order. In the dementia unit the maintenance person was decorating the corridors. There is a laundry in the home which was clean and organised.The laundry assistant said she had training in infection control and COSHH. None of the bedrooms have en-suite facilities, however there were toilets and bathrooms close to all service users areas. Some of the bathrooms and toilets had stained walls and the grouting looked dirty. The light cords were dirty and could cause cross infection. For those who were receiving nursing care there were suitable profiling beds. The manager said that they always notify the Commission of anything that adversely affects the well being of the service users at the home. They keep a copy of all notifications in the office. 5. The manager is continuing to develop social care plans in a person centered way so people can take part in meaningful activities and have interesting experiences. Also they are looking into how to constantly improve how they support people with dementia to exercise choices and control over their daily lives. The dining rooms had been improved and parts of the home have been decorated. The manager said that they make sure that all staff are up to date with fire training. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 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 7 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 15 Care plans must contain 31/08/2010 sufficient detail to provide staff with up to date and accurate information about how they meet each persons needs and provide them with good care. This will make sure that staff are following consistent practices. 2 8 12 The manager must make sure that all changes in residents health care regarding nutrition and wound care are recorded, updated and signed by the author. This will sure that staff have accurate and up to date information about how to provide the people with good care. 30/07/2010 3 26 13 All light cords must be replaced and be able to be easily cleaned. This is to prevent the spread 30/07/2010 Care Homes for Older People Page 8 of 10 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 of infection. 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 9 The manager should seek advice from the pharmacist and GP in regards to effective stock control and control of repeat prescriptions. Bathrooms and toilets should be refurbished and redecorated as part of the ongoing plan of redecoration 2 21 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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