Latest Inspection
This is the latest available inspection report for this service, carried out on 18th June 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for James Hince Court.
What the care home does well Each person is encouraged and supported to be independent and take part in meaningfulactivities. They are also offered choices about what they wish to do and to make decisions about how they spend their lives. Staff communicate well with them and respect their choices and decisions. People living in the home are cared for and supported by a caring, educated and committed team of staff. The people live in comfortable, well maintained and clean accommodation There is a comprehensive and varied programme of education and training provided for staff, which ensures that staff know how to care and support the changing needs of the people who live at the home. This continues to be a well managed service. There are systems in place to check on the overall quality of the care and accommodation provided to ensure the positive outcomes are maintained and improved. What the care home could do better: Nottinghamshire County Council have very well established systems in place to monitor quality and seeking the views of the people. Regular detailed annual questionnaires are sent out to obtain their views of the service. Where improvements are required they are either planned or being addressed by the County Council or the manager and staff within the home. Random inspection report
Care homes for older people
Name: Address: James Hince Court Windsor Gardens Carlton-in-Lindrick Worksop Nottinghamshire S81 9BL 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: Tobias Payne Date: 1 8 0 6 2 0 1 0 Information about the care home
Name of care home: Address: James Hince Court Windsor Gardens Carlton-in-Lindrick Worksop Nottinghamshire S81 9BL 01909733821 01909735920 julie.bromilow@nottscc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Julie Ann Bromilow Type of registration: Number of places registered: Conditions of registration: Category(ies) : Nottinghamshire County Council care home 45 Number of places (if applicable): Under 65 Over 65 35 10 0 dementia old age, not falling within any other category physical disability Conditions of registration: 35 0 5 10 OP to include up to 5 PD 55 years and over to be accommodated in Thoresby. 35 DE - 55 years and over (to include 35 DE(E) to be accommodated in either Rufford, Carburton, Clumber or Welbeck. The total number of residents must not exceed 45 Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home James Hince Court is a purpose-built, single storey care home, providing personal care and accommodation for 45 people. It is owned and operated by Nottinghamshire County Council. The home was opened in 1986 and is located in the middle of a housing estate in the village of Carlton in Lindrick, 3 miles north of Worksop. A day centre is attached to the home and is jointly used by social services and the local NHS Trust as a specialist dementia assessment unit. The home is separated into five units each with its own kitchenette, dining and sitting areas, bathroom and toilet facilities. One of the units is designated to provide respite care The home is surrounded by gardens, which are fully enclosed by fencing and provide a safe area for people to walk and enjoy freely. The fee on the day of our inspection was £400 each week. Extra costs were for hairdressing which ranged from £4.50 to £25, chiropody £8.50, personal newspapers and toiletries. Information about these charges and the running of the home can be found in the statement of purpose and service users guide which, with a copy of the last inspection report, is available from the manager. A copy of our last inspection reports were also on the notice board outside the main office. Information about the home can be made available in large print, Braille and in other languages on request. The last key inspection took place on the 5/7/2007. Care Homes for Older People Page 3 of 9 What we found:
WHAT WE FOUND Where we or us is used throughout this report it refers to the Care Quality Commission This was an unannounced visit which formed a random inspection and took place over 3 hours and took into account previous information held by us including the previous inspection report, their service history and records of any incidents that we had been notified of since the last inspection. During this visit we spoke with 9 of the people living in the home to obtain their views about whether they felt their needs were being met and about their quality of life. We also spoke to 4 members of staff to learn their views about how they felt their training and development needs were being met. We also saw how staff cared and supported people living in the home. We also spoke with the manager who was present throughout our visit to learn of any changes which have taken place and if there were any risks to the people living in the home. All were very complimentary about the home and the care and support given. Feedback was given about the outcomes at the end of the visit to the manager. The manager told us that over the last year they have improved and developed the palliative care and the support to the people who choose to spend their end of their lives at the home. To do this they have established very close professional relationships with local doctors, community nurses and the MacMillan team. The staff skills have been developed further on all aspects of care in order to meet the changing needs of the people. They have renewed all the kitchens and replaced carpets, floor coverings and decorated areas of the home. To aid people who have dementia they have colour coded doors to help them find their way around the home. They have also further developed their care records and introduced a new person centred care plan using the first person I. These records cover each aspect of care and were seen to be very clear, personal with clear processes. We spoke to a visiting community nurse who commented we have a brilliant professional relationship with the home. Whenever I visit staff know what I have come for and always introduce me to the person and explain any changes which may have taken place which could affect my visit. On entry to the home we found it to be welcoming with information about the home and activities available. We saw people sat in lounges talking to one another or staff and staff sitting with those people who needed assistance. Everyone we saw was nicely dressed. The activity programme was clearly displayed outside the main office. The people told us that were happy with the service they receive. Comments included, it is brilliant here, they look after us so well and are so kind and helpful, I like the food, I have a room which is clean and comfortable and I am very happy here and I feel the home is fantastic. We spoke with 4 staff who told us,I love working here knowing I am doing a good job, there is always a relaxing and welcoming atmosphere, I am very pleased at the way we provide care, we are responsive to peoples needs, the manager is very supportive and empowers us to meet the peoples needs, we get a lot of training and support and we work well as a team. We saw during our visit all staff working with one
Care Homes for Older People Page 4 of 9 another and the relaxing and friendly atmosphere throughout the home. We saw the home was well maintained, clean, odour free and an attractive place to work and live in. There were comfortable seating areas throughout the home. We saw that the people were being treated in a dignified manner. Staff spoke to them in a kind and caring way that was appropriate to the individual. We saw people walking around the corridors talking to one another or to staff or going into the office to talk to staff. We saw staff stop what they were doing to have a chat or laugh with each person. We saw staff helping and reassuring those people who showed signs of distress in a calm and friendly manner again taking time to assist the person and find out what was causing their distress. The staff knew what they were doing and showed this by the way they talked and helped the people in the home. They spoke of the support they received from the manager who was actively involved in caring and supporting those in the home. The manager told us that all team leaders gave medication but before this occurred each person had been trained and was assessed before they were considered safe to give out medication. We saw the last pharmacy inspection on the 26/1/2010 with no concerns. We saw that since January 2010 the home had received 7 complaints. We saw that each one had been throughly investigated using their complaints procedure. We saw that no safeguarding adults referrals had been made. During our visit no person had any concerns about the care and support offered or about the home. Staff we spoke with told that us they were correctly recruited with a check by the Criminal Records Bureau and a supported comprehensive induction. We saw that staff had continued to receive a lot of training over the last year. This had included, moving and handling, fire safety, safeguarding adults, health and safety, mental capacity and deprivation of liberty, dementia awareness and management of actual potential aggression. In addition 80 of staff had obtained a qualification in care to national vocational qualifications standards level 2. In addition, 70 of staff had either achieved or were studying for NVQ level 3 and 5 staff had NVQ level 4. All staff we spoke with told us they received regular one to one supervision and there were monthly minuted meetings. We saw that monthly monitoring visits took place and reports of these visits were available with action plans where there were any concerns. Nottinghamshire County Council have very well established systems in place to monitor quality and seeking the views of the people. Regular detailed annual questionnaires are sent out to obtain their views of the service. There were regular meetings with the people and staff. There were also regular audits carried out over the last years with no concerns shown. We saw that they had a very positive infection control audit by Bassetlaw NHS Trust on the 14/12/2009. The manager told us that internal monthly audits are also carried out concerning care and medication records. We also saw a report by local councillors in December 2009 which commented, we are very happy with everything we have seen. What the care home does well:
Each person is encouraged and supported to be independent and take part in meaningful
Care Homes for Older People Page 5 of 9 activities. They are also offered choices about what they wish to do and to make decisions about how they spend their lives. Staff communicate well with them and respect their choices and decisions. People living in the home are cared for and supported by a caring, educated and committed team of staff. The people live in comfortable, well maintained and clean accommodation There is a comprehensive and varied programme of education and training provided for staff, which ensures that staff know how to care and support the changing needs of the people who live at the home. This continues to be a well managed service. There are systems in place to check on the overall quality of the care and accommodation provided to ensure the positive outcomes are maintained and improved. 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 9 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 9 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 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 8 of 9 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. Care Homes for Older People Page 9 of 9 - 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!
