Care Home: Jalna Care Home

Similar services:

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

What the care home does well Residents praised the staff for their care and kindness. One resident said, "The staff are all very nice, always willing and if you press a buzzer somebody comes." Another resident said, "It`s lovely here, we all like it. We get well looked after." The varied programme of activities ensured residents had a fulfilling lifestyle. One resident said, "we do exercises and games, sometimes we go out in the minibus, we go round into the country and we`ve been to the seaside." Another resident said, "There`s things to do if you want to join in." One visitor said her mother had played snakes and ladders and made her an Easter card; she also had her hair and nails done every week. Outside entertainers visited the home every two weeks and local clergy visited the home regularly. Residents said the daily routine was flexible and they could get up and go to bed when they wanted to do. One lady said, "If I get up early and go downstairs someone always makes me a cup of tea." Visitors were welcomed into the home at anytime. One visitor said she was always offered refreshments. All the residents asked said the meals were good. One resident said, "They come round every day and ask what you want." What has improved since the last inspection? Care plans identify the care needs of each resident and provide some information for members of staff about how to meet individual needs. Care plans were also dated, signed and reviewed monthly. To prevent medication error a record of all medication received into the home is kept. Members of staff have received training in safeguarding vulnerable adults. Two care workers were questioned about this during the inspection. They both knew the procedure to follow if allegations of abuse were made. Members of staff have also received training in fire safety and first aid. This helps to ensure appropriate action will be taken in the event of a fire, accident or medical emergency. What the care home could do better: It is important for care plans to provide clear and detailed instructions for staff to follow in order to ensure all the care needs of individual residents are fully met. To help prevent mistakes and ensure medication can be accurately audited the amount of medication left over from the previous month should be carried forward onto the new medication administration record. In order to safeguard residents from abuse it is essential that a full employment history for all applicants be obtained along with a satisfactory written explanation of any gaps in employment. The application form should also be amended to include a declaration of any previous convictions. CARE HOMES FOR OLDER PEOPLE Jalna Care Home 285b Manchester Road Burnley Lancashire BB11 4HL Lead Inspector Mrs Susan Hargreaves Unannounced Inspection 13th May 2008 10:15 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 Jalna Care Home DS0000054471.V364695.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. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jalna Care Home Address 285b Manchester Road Burnley Lancashire BB11 4HL 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) 01282 431182 01282 416119 www.jalna.co.uk Botany House Limited Mrs Margaret Simpson Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for to up to 22 people in the category Old age, not falling within any other - OP. 3rd July 2007 Date of last inspection Brief Description of the Service: Jalna is registered to accommodate 22 older people over the age of 65 who require help with personal care. The home is a semi-detached Victorian property, with surrounding gardens and paved areas. There are 18 single bedrooms, 10 with en-suite toilets and 2 shared bedrooms, 1 with en-suite toilet. Various adaptations to assist with self-help and mobility are provided. The upper floors are accessed by a chair lift. There is a large lounge/dining room with adjoining conservatory, a separate dining area and a small quiet/visitors lounge area. The residents have access to the paved area to the front of the home, with garden furniture being provided. There is car parking space available at the front of the building. Jalna is approximately 1 mile from Burnley town centre and is on a bus route. There are some shops, public houses, churches and a post office quite close to the home. A local park is within reasonable walking distance. Various activities are available including mini bus trips. Jalna is a non-smoking residence. At the time of this inspection visit the range of fees was £346 to £402. Additional charges are payable for hairdressing and personal newspapers. A statement of purpose and service user guide is available to prospective residents and their relatives on request. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A key unannounced inspection, which included a visit to the home, was conducted at Jalna on the 13 May 2008. No additional visits have been made since the last inspection. Three completed surveys were received from residents and one from the relative of a resident. At the time of this inspection 20 residents were living at the home. A tour of the premises took place and staff files and care records were inspected. Members of staff on duty, residents and visitors were spoken to. Discussions also took place with the manager and the area manager regarding issues raised during the inspection. What the service does well: Residents praised the staff for their care and kindness. One resident said, “The staff are all very nice, always willing and if you press a buzzer somebody comes.” Another resident said, “It’s lovely here, we all like it. We get well looked after.” The varied programme of activities ensured residents had a fulfilling lifestyle. One resident said, “we do exercises and games, sometimes we go out in the minibus, we go round into the country and we’ve been to the seaside.” Another resident said, “There’s things to do if you want to join in.” One visitor said her mother had played snakes and ladders and made her an Easter card; she also had her hair and nails done every week. Outside entertainers visited the home every two weeks and local clergy visited the home regularly. Residents said the daily routine was flexible and they could get up and go to bed when they wanted to do. One lady said, “If I get up early and go downstairs someone always makes me a cup of tea.” Visitors were welcomed into the home at anytime. One visitor said she was always offered refreshments. All the residents asked said the meals were good. One resident said, “They come round every day and ask what you want.” Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 7 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 Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A thorough admissions procedure ensured sufficient information was obtained in order to identify the needs of each resident. EVIDENCE: A copy of the statement of purpose and service user guide is available to prospective residents and their relatives on request. These provide information about the care and facilities provided at the home. The manager explained that prospective residents were invited to Jalna for an afternoon to meet other residents and discuss their care needs with the manager. If this was not possible the manager or a senior member of staff visited and assessed prospective residents in hospital or their own home prior to admission. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 9 Information about the care needs of a resident recently admitted from another part of the country had been obtained from social services and the resident’s relatives. This information enabled the manager to confirm that the resident’s needs could be met at the home. The assessment completed by the social worker was seen in the care records of this resident and provided useful information for the care plan. Standard 6 is not applicable to this service. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 10 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. Residents individual care needs were identified and their privacy and dignity promoted. Medication was managed safely. EVIDENCE: The individual care plans of two residents were inspected. These care plans identified the personal and healthcare needs of each resident and gave directions for staff to follow to ensure their individual needs were met. However, several care plans would benefit from more detailed guidance for staff to follow. The care plans about pressure relief to help prevent the formation of pressure sores did not provide information about how often the resident should be encouraged or assisted to change their position. The care plans about continence mentioned ‘the home’s toileting programme’ instead of giving clear guidance about how continence was promoted for each individual resident. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 11 Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. Information for staff about how to manage identified risks was also included in the care plans. A written report about the care given to individual residents was completed during each shift. Care plans and risk assessments were reviewed monthly and updated when the needs of the resident changed. The review sheets were signed by the resident or a relative to confirm their agreement with the care provided. There were records of the involvement of GP’s and other healthcare professionals in the care of the residents. These included the chiropodist and district nurses. Medication was stored correctly and administered by appropriately trained members of staff. Records relating to the management of medication were in place. However, the manager was advised to record the amount of medication left over from the previous month on the new medication administration record. This will ensure medication can be accurately audited, which helps to prevent mistakes. The medication administration records inspected indicated residents had received the correct medication at the right time. Personal care was carried out in the privacy of the resident’s own room or the bathroom. Members of staff were observed attending to residents in a polite and friendly manner. One resident said, “We get well looked after, I love it.” Another resident said, “The staff are all very nice.” Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 12 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 excellent. This judgement has been made using available evidence including a visit to this service. Resident’s decisions were respected and they were supported to have a fulfilling lifestyle. Meals were wholesome and appetising and residents enjoyed them. EVIDENCE: Discussion with residents and members of staff confirmed that a variety of leisure activities were organised at the home. These included bingo, exercise to music, skittles, memory cards, dominoes, card games, weekly praise and worship in the conservatory. An arts and crafts session was organised weekly, artwork was displayed in the dining room and several residents were currently making rugs. Although the regular weekly activities were advertised on a notice board in the dining room a member of staff said at other times it depended on what the residents wanted to do. The daughter of one resident said her mother had made her an Easter card. Outside entertainers regularly visited the home. These included a singer and bell ringer. Residents were also taken for trips out in the home’s minibus to Fleetwood, St Anne’s and local beauty spots. One resident said, “Sometimes Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 13 we go out in the minibus, we go into the country and we’ve been to the seaside.” One resident said she liked to pursue her own interests and didn’t join in with the organised activities. Local clergy regularly visited the home to administer communion for residents who chose to practice their faith in this way. Regular contact for residents with their family and friends was considered to be an important part of their life. Residents said their family and friends could visit at anytime. One visitor said she was always offered refreshments and invited to stay for a meal. The daily routine was flexible in order to meet the needs and preferences of residents. One resident said, “If I get up early and go downstairs someone always makes me a cup of tea.” The care plan for one resident stated that meals were to be served in the room of her choice and she chose to remain in her room. The meal served at lunchtime on the day of this inspection was wholesome and appetising. All the residents asked said the meals were good. One resident said, “They come round every day and ask what you want.” Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 14 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. Complaints were taken seriously and investigated. Staff had the training necessary to ensure residents were protected from abuse. EVIDENCE: A copy of the complaints procedure was displayed in the home and included in the service user guide. One visitor said she knew how to complain and any problems were dealt with. The three residents who completed the survey indicated they knew how to make a complaint. Records of any complaints were kept including information about the investigation and action taken. Since the last inspection the manager has investigated and resolved five complaints. No complaints have been made directly to the Commission. Policies and procedures about the safeguarding of vulnerable adults were in place. Discussion with two members of staff confirmed they had received training in safeguarding vulnerable adults. They also knew what to do if allegations of abuse were made. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 15 Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 16 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. The premises were well maintained and provided a comfortable and ‘homely’ environment for the residents. EVIDENCE: At the time of the inspection the home was clean, tidy and well maintained. One resident said, “I like my room.” A visitor said, “It’s always clean and fresh.” Two of the residents who completed the survey put the home was always clean. Residents were encouraged to bring personal items for their bedrooms to make them more homely. These included, ornaments, photographs etc. A new stair lift has been fitted within the last year to enable residents to access the second floor of the home. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 17 The grounds and gardens were well kept and accessible to residents if they wished to sit outside when the weather permitted. All the laundry was done at the home. A suitably equipped laundry room ensured clothes were washed promptly and returned to the residents. Plastic gloves and aprons were available for staff to protect them and the residents from infection. Members of staff also received training in infection control. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 18 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. Members of staff had the skills and knowledge necessary in order to meet the needs of the residents. Recruitment procedures did not fully protect residents. EVIDENCE: The duty rota provided information about the grades and numbers of staff on duty for each shift. The two members of staff who completed the survey indicated there was always enough staff on duty. One resident said, “ If you press a buzzer somebody always comes.” It was evident from discussion with members of staff and the manager that training was encouraged. This included induction training for new employees, moving and handling, basic food hygiene, health and safety, fire prevention, first aid, management of medication and safeguarding vulnerable adults. To ensure members of staff remained up to date and increased their knowledge a programme of training was in place for this year. This included, moving and handling, Alzheimer’s and dementia and the Mental Capacity Act and safeguarding. Nine members of staff have NVQ qualifications at level 2 or above. In addition to this a further two members of staff were working towards NVQ level 3 and one towards level 2. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 19 The files of three members of staff appointed since the last inspection were examined. Two of these files indicated that all the required pre-employment checks to ensure protection of the residents had been completed prior to appointment. However, from the records available in the third file and discussion with the manager it was revealed that a gap in the employment history for this member of staff had not been explored. The manager was also advised to amend the application form to include a declaration of any previous convictions. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 20 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 has a competent manager. The views of residents are considered when decisions about the care and facilities provided at the home are made. EVIDENCE: The registered manager has many years experience of caring for older people and has completed the NVQ level 4 ‘Registered Manager’s award’. She maintains an up to date knowledge of current practice by attending relevant training and reading appropriate journals. The home has achieved the nationally accredited Investors in People award. Residents were asked to complete satisfaction questionnaires annually in February. These were then evaluated by management and areas for Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 21 improvement identified. One resident had written on their questionnaire that they would like a shelf in their bedroom. Records confirmed one had been fitted in March 2008. Residents were encouraged to express their views about the home informally at anytime and at the resident’s meetings, which were held twice a year. At these meetings menus and leisure activities were discussed. The provider also gave each resident the opportunity to express any concerns. Policies and procedures for safe working practices were in place. These help to make sure the home is a safe place for residents to live. Fire alarms and emergency lighting were tested regularly. Fire drills took place monthly and a staff attendance record was kept. An up to date fire risk assessment was in place. Records of the routine servicing of equipment were seen. These included up to date gas safety and electrical installation certificates and evidence that the testing of small electrical appliances had taken place in April 2008. Records maintained in the kitchen included fridge, freezer and food temperatures and a cleaning schedule. This ensures food is stored correctly and handled safely. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 22 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 OP29 Standard Regulation 19(1)(a) Schedule 2 Requirement In order to safeguard residents from abuse a full employment history for all applicants must be obtained and a satisfactory written explanation of any gaps in employment. Timescale for action 30/05/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 OP7 2 OP9 3 OP27 Refer to Standard Good Practice Recommendations To ensure the care needs of each resident are fully met care plans should give more detailed guidance for staff to follow including how to promote continence and manage pressure relief. To help prevent mistakes and ensure medication can be accurately audited the amount of medication left over from the previous month should be carried forward onto the new medication administration record The application form should be amended to include a declaration of any previous convictions. Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Jalna Care Home DS0000054471.V364695.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!