Care Home: Ingwood Nursing Home

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What the care home does well Ingwood Nursing Home has a relaxed and warm and welcoming atmosphere, people living at the home and visiting relatives and friends confirmed this is always the case. The home is well maintained and furnished and fitted to a good standard. People told us that they were satisfied with their private accommodation and one person told us "we have everything we need". There is a wide range of activities available for the people using the service to join in if they choose to do so. It is clear that staff work as a team to meet the physical, personal and emotional needs of people who live at the home. People said that the staff are kind and attend to their needs promptly. The meals provided are of a very high standard. People said that the food is "very good". The kitchen hygiene practices have been assessed by officers from the environmental health department as five stars which means that hygiene standards are `excellent`. The home is well managed and run in the best interests of the people who live there. People say that the manager is very approachable and listens to and acts on what people say. There are sufficient staff employed to meet the needs of the people living at the home. The staff are well trained and provide a high standard of care and attention to people. People living at the home and visiting relatives described the staff as "kind and caring". People`s care records are accurately completed and the care plans clearly show how people`s care needs are to be met. This makes sure that people received care in a consistent manner and in accordance with their preferences. What has improved since the last inspection? Since the last inspection additional staff have been recruited and the use of agency staff have decreased. This makes sure that people are cared for by familiar staff. The domestic staff have received training in the Control of Substances Hazardous to Health (COSHH) regulations. This makes sure that any cleaning materials containing chemicals are handled safely. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ingwood Nursing Home Stainland Road Greetland Halifax West Yorkshire HX4 8BQ     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Cheryl Stovin     Date: 2 7 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2010) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Ingwood Nursing Home Stainland Road Greetland Halifax West Yorkshire HX4 8BQ 01422374410 01422375671 newco.ingwood@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Philip Bennett (NewCo) Ltd care home 34 Number of places (if applicable): Under 65 Over 65 0 21 dementia old age, not falling within any other category Additional conditions: 13 0 The maximum number of service users who can be accommodated is: 34 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 category: Old age, not falling within any other category - Code OP, maximum number of places: 21 Dementia - Code DE, maximum number of places 13 Date of last inspection Brief description of the care home Ingwood Nursing Home combines the conversion of a period building with a substantial new accommodation block. The accommodation is over two floors. The home provides both personal care and nursing care to men and women aged sixty-five and over. There is a choice of single or shared bedrooms. Ingwood is situated in West Vale, about ten minutes drive from Halifax and twenty Care Homes for Older People Page 4 of 26 Brief description of the care home minutes drive from Huddersfield. There is ample car parking and the home is on a bus route. The main entrance to the home is approached by a steep driveway and a flight of steps; however there is a level entrance to the rear of the building. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This report brings together evidence gathered during the Key Inspection of Ingwood Nursing Home. This included a visit made to the home on 27th May 2009. The visit was undertaken by one person and a total of six hours were spent on the visit. During this visit we looked round the building looked at records and talked to people living at the home and to management and staff. The purpose of the inspection is to make sure that people receive the care and support they need and that they and their families are satisfied with the service. The home completed their Annual Quality Assurance Assessment which was returned Care Homes for Older People Page 6 of 26 promptly. This gave useful information about the facilities provided by the home and about the people who live and work there. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly charges made by the home range from five hundred and thirty five pounds to six hundred and twenty pounds. The amount is determined by the room occupied and the amount of health and personal care needs people require. Additional charges are made for hairdressing and personal toiletries and newspapers. (This information was correct in May 2009). What the care home does well: What has improved since the last inspection? 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 4. Care Homes for Older People Page 8 of 26 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before moving into the home to make sure that the home is suitable for them. Evidence: The care records of six people were seen which confirmed that peoples needs are fully assessed before they move into Ingwood Nursing Home. This assessment makes sure that the home can meet their needs and that the facilities will be suitable for them. The manager obtains very detailed information about people as part of the admission process including any cultural or religious needs. People are encouraged to visit the home before making a decision to move in. This gives them the opportunity to meet the staff and other people living there and to sample the daily routine at the home. Care Homes for Older People Page 11 of 26 Evidence: People are given written information about the services and facilities provided by the home. This makes sure that people know what to expect from the home. The care records seen confirmed that people are provided with a written contract. This states clearly what is and is not included in the weekly charge. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health care needs are met and personal care is given in accordance with their preferences. Evidence: The care records of six people living at the home were looked at. The records contained assessments of peoples needs and abilities and they were reviewed and updated on a regular basis. Everybody living in the home has a care plan which shows what support people need and how the support and care is to be given. There are risk assessments in place to make sure that people are kept safe and that any potential risks to health are minimised. The care plans contained plenty of information about peoples past lives, interests and people that are important to them. This information is useful to help the staff understand the person as a whole, and to help people to continue to follow their interests and hobbies. Help and advice is sought from health care professionals to make sure that people get Care Homes for Older People Page 13 of 26 Evidence: the special help they need to maintain their health. People are escorted to appointments or health care professionals such as tissue viability nurses, attend the home as required. Records are kept to make sure peoples health needs are monitored. People living at the home are all registered with a local dental practice, the dentist can visit people in the home if necessary. Three people said that they are treated with dignity and that they receive the personal and health care support that they need. People said that the staff attend to their needs in a prompt and sensitive manner. One visiting relative said that the home is fine and provides a good standard of care. People look well cared for clean, tidy and well groomed. Attention had been paid to detail. People had their hair styled, wore jewellery and make-up if they wished. Staff were patient, gentle and kind when interacting with people. They were discreet and respectful of peoples dignity when attending to any personal care needs. They gave reassurance and explanations for any tasks that they needed to support people with, for example moving and handling. Four staff were spoken to and they demonstrated a good understanding of peoples needs and we observed a handover between staff where important information about people was shared. Any medication held in the home is securely stored. The registered nurses are responsible for administering medication and have received training which makes sure that drugs are handled safely. Medication Administration Records were accurately completed and stocks held reconciled with records kept. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to access a range of activities inside and outside of the home, and to maintain contact with family and friends. Evidence: There is a warm and welcoming atmosphere in the home and people said that this is always the case. One person said its homely and everybody is very kind. People can choose where and with whom to spend their time. Some people prefer to spend time in their own rooms and others like to sit in the communal areas. Visiting relatives said that they are made to feel welcome when they visit the home and that they are kept informed of important matters affecting their relative or friend. One visitor said The staff are very good at letting us know things. Regular residents meetings are held which help to influence the way the home is run. Relatives and friends are encouraged to attend these meetings to have their say. Minutes of these meeting are taken and displayed on the notice board to keep everybody up to date with what was discussed and what suggestions were made. Care Homes for Older People Page 15 of 26 Evidence: People said that they enjoy the meals served at the home. One person said the food is good, you can have what you like. The main meal of the day is served at lunchtime and on the day of the visit was: chicken and broccoli bake or meat and potato pie, served with seasonal vegetables. An alternative is always available if anybody does not want what is on the menu. The mealtime was seen to be a relaxed and social occasion with the tables attractively set. The kitchen of the home has recently been inspected by officers from the environmental health department and was assessed as five stars. This means that the kitchen hygiene and food handling standards are of an excellent standard. There are a wide range of activities available in the home and during the week of the visit an entertainer was visiting. People said that they enjoy the weekly movement and music session. People who like dogs particularly enjoy the weekly visit of the PAT dog who comes into the home every Sunday. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures are in place to make sure that people are protected from abuse and that their welfare is safeguarded. Evidence: The home has a complaints procedure and people spoken to during the visit knew who to speak to if they were unhappy about anything in the home. One relative said I spoke to the manager about a minor niggle and it was sorted out on the spot. A record is kept of any complaints received. There have been seven complaints received by the home since the last inspection all had been investigated thoroughly and the issues resolved. No complaints have been sent directly to the Commission. The staff have all received adult protection training and are aware of what to do if they suspect that an incident of abuse or poor practice has occurred. The home policies and procedures are up to date and the staff are aware of the procedures and guidance they contain. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and hygienic environment. Evidence: The home is situated in a residential area with easy access by public transport to the town centre of Halifax. The home is well maintained throughout and furnished and fitted to a good standard. Some bedrooms have recently been redecorated and are bright and cheerful. People said that they were happy with the facilities provided in their bedrooms. People are encouraged to being personal items into the home which makes sure that bedrooms reflect peoples interests and tastes, and make them feel at home. Communal areas are spacious and comfortable with plenty of space for social activities to take place. There are well maintained garden areas for people to use in the warmer weather and plenty of car parking space for staff and visitors. There are infection control systems in place and all staff are provided with protective Care Homes for Older People Page 18 of 26 Evidence: clothing to prevent any possible cross infection. The domestic staff have received training in the Control of Substances Hazardous to Health (COSHH) regulations. This makes sure that any cleaning materials containing chemicals are handled safely. The laundry facilities are well equipped and peoples clothing looked well cared for. People are encouraged to maintain their independence and equipment such as hand and grab rails and raised toilet seats are provided to make sure that people maintain their mobility. The home was seen to be clean and hygienic throughout. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by a well trained and motivated staff team, and are protected by the rigorous recruitment practices which make sure that only suitable people are employed at the home. Evidence: There are sufficient staff on duty at all times to make sure that peoples needs are met. There is always a registered nurse on duty. During the day there are a nurse and three care assistants and the manager on duty. At night there is one nurse and three care staff on duty. The home has recently recruited more staff and the use of agency staff has decreased. This makes sure that people are cared for by familiar people. There are also sufficient catering, housekeeping and maintenance staff. Staff spoken to during the visit confirmed that, in their opinion, the numbers of staff on duty was sufficient to give them time to sit and talk to the people living there. There is a programme of National Vocational Training (NVQ) in place and the home is working towards at least half of the care staff completing their award. This will mean that the workforce are qualified and competent to meet peoples needs. Staff spoken to said that they always welcome training opportunities. Care Homes for Older People Page 20 of 26 Evidence: People are protected by the rigorous and safe recruitment practices that the home adheres to. Four Staff recruitment files seen confirmed that all staff have a Criminal Records Bureau (CRB) disclosure before being employed as well as two written references. This makes sure that people are protected and only suitable people are employed at the home. People living at the home said that the staff were kind and attentive and met their needs promptly. People described the staff team as very caring, first class staff and they are so kind. Staff said that they liked working at the home one member of staff said we work well as a team, another said Its the best job I have ever had, and another said coming to work is a pleasure. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the people living there. Evidence: The homes manager is a qualified nurse and has achieved the Registered Managers Award. The manager has sufficient experience to manage the home effectively. Staff told us that the manager is approachable and listens to what they say with ideas and suggestions taken on board. One visiting relative told us that the management of the home is very good. Regular quality assurance questionnaires are sent to the relatives of the people who live at Ingwood Nursing Home and to health and social care professionals. The results are analysed, and the information helps the manager to plan further improvements to the home. Care Homes for Older People Page 22 of 26 Evidence: Currently, all the staff have regular one to one supervision with the homes manager. This gives staff the opportunity to discuss any issues in a confidential setting. The home does not handle any finances for the people who live at the home. The homes policies and procedures and regular health and safety checks are all up to date. Staff are encouraged to familiarise themselves with the policies and procedures so that they understand how different situations are to be managed. Regular fire safety testing is carried out. The home completed their Annual Quality Assurance Assessment (AQAA). This document contained useful information about the home and the people living and working there. At present there are no people living at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. Care Homes for Older People Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2010) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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