Care Home: Nazareth House

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What the care home does well Nazareth house is a welcoming, calm and relaxed home. The manager and the staff team pride themselves on ` knowing people, their likes and dislikes very well.` People described the care as `very good` and say they were `very happy` at the home. People described the staff as generally `kind`, `gentle`, `hard-working`, and `beyond kindness itself`. The admission procedure is good, and shows that staff make sure they can meet the person`s needs before they are admitted. People tell us that they were involved in the admission process, and were attracted to the home because of the Catholic ethos. People receive a very good standard of nursing and personal care. Communication with healthcare professionals in the community is good. The care people receive is provided in a safe way and medicines are well-managed by the nursing staff. Staff at the home make sure people access healthcare services when they need to. The care planning and documentation at home is good, and mean that staff know how to care for people in a safe way, that meet their individual needs and preferences. In addition to this, the stable staff group have a detailed knowledge and understanding of the people, their health needs and preferences at the home. People have access to a range of activities and are able to maintain contact with their community, family and friends. The spiritual aspect of the home is sensitively managed, in that, people are encouraged and supported to maintain Catholic religious beliefs, whilst welcoming people from other denominations and religions into the home. People tell us that the food is `exceptionally good` `smashing` `very good or `lovely`. Anyissues regarding dietary requirements, preferences or weight issues are sensitively, but effectively, managed. People say there is plenty of food and staff know what they like and don`t like. People feel able to complain and feel that any complaints would be managed effectively. Nazareth house is a safe and clean place to live and work. Maintenance systems are very well managed and a good level of decor and furnishings is provided at the home, despite the imminent move to alternative premises. The staff group have suitable qualifications and experience to care for people who require nursing and personal care. The home is well-managed by the organisation staff and supporting team. The organisation, to which the home belongs, have effective quality assurance programmes in place, which identify shortfalls and changes that are needed to take place. The organisation are receptive to criticism and recommendations to change and improve services within the home. What the care home could do better: Staff should be reminded to ensure they continually assess their care practices, to ensure that they still meet the needs and preferences of people in the home, and do not become institutionalised, assuming they always think they know what the wishes and feelings of people may be. Staff should ensure that out of date and inaccurate assessments and care plans are removed from peoples files to avoid confusion and reduce risks of errors being made. Staff in the home should ensure that all people, including people being nursed in bed, or less receptive, have access to a wide and varied programme of activities and stimulation. The activities programme should also be reviewed to ensure it continues to fulfill the needs of people in the home. Responsible individual should ensure that the home has clear leadership and management to ensure that this service is effective and meet the needs of individuals living at the home. Auditing procedures should continue to monitor practices and procedures at the home and implement any changes that are needed. Random inspection report Care homes for older people Name: Address: Nazareth House Durnford Street Stonehouse Plymouth Devon PL1 3QR two star good service 19/03/2009 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: Clare Medlock Date: 2 2 0 6 2 0 1 0 Information about the care home Name of care home: Address: Nazareth House Durnford Street Stonehouse Plymouth Devon PL1 3QR 01752660943 01752256842 Telephone number: Fax number: Email address: Provider web address: www.sistersofnazareth.com Name of registered provider(s): Name of registered manager (if applicable) The Congregation of the Sisters of Nazareth Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 42 Number of places (if applicable): Under 65 Over 65 42 old age, not falling within any other category Conditions of registration: 0 Service users may include up to 17 older people with nursing needs, accommodated in designated rooms. Date of last inspection Brief description of the care home Nazareth House is a care home providing accommodation and personal care for up to forty-two older people, and nursing care with accommodation and personal care for up to seventeen people. The home is owned by The Congregation of the Sisters of Nazareth. It is a purposeCare Homes for Older People Page 2 of 8 1 9 0 3 2 0 0 9 Brief description of the care home built, two-storey, detached building situated in large grounds in the residential area of Stonehouse, approximately a mile from Plymouth city centre. Nazareth House has thirty-nine single bedrooms, thirty-five of which have en suite toilets; there is a oneperson flat with a bedroom, lounge room and bathroom; and one shared room with an en-suite toilet. The 1st floor of the home can be reached by stairs or by using the shaft lift. Communal rooms are on both floors and consist of two lounges and two dining rooms, as well as a large reception area and a chapel. The home has extensive grounds and gardens with access to the sea front and many rooms in the home have good views over Plymouth Sound. Nazareth House is within walking distance of local shops and a church. It is on a bus stop and the railway station is easily reached by public transport. Nazareth House has plenty of parking space inside the grounds and there is on street parking available outside, although a permit is required to park there at certain times. Information about the home, including copies of inspection reports, can be obtained from the reception area. Fees currently range between GBP 660 and GBP 345.44 depending upon need and assessments. Care Homes for Older People Page 3 of 8 What we found: This was a random inspection performed to ensure compliance before the transition to the Essential Standards of Quality and Safety used under the Health and Social Care Act 2008. The unannounced site visit took place on Tuesday, 22nd June 2010. The last key inspection, performed in March 2008 awarded the home a good rating. During this inspection there were no indications to change this rating. During the inspection we spoke to the regional development manager, deputy manager, ten members of staff, six people who live in the home and one visitor. We looked at care plans, three staff recruitment records, training records, medication processes and policies and procedures. We did this because we wanted to understand how well the recruitment and safeguarding systems work and what this means the people who use the service. All this information helps us to develop a picture of how the home is managed and what it is like to live at Nazareth House. What the care home does well: Nazareth house is a welcoming, calm and relaxed home. The manager and the staff team pride themselves on knowing people, their likes and dislikes very well. People described the care as very good and say they were very happy at the home. People described the staff as generally kind, gentle, hard-working, and beyond kindness itself. The admission procedure is good, and shows that staff make sure they can meet the persons needs before they are admitted. People tell us that they were involved in the admission process, and were attracted to the home because of the Catholic ethos. People receive a very good standard of nursing and personal care. Communication with healthcare professionals in the community is good. The care people receive is provided in a safe way and medicines are well-managed by the nursing staff. Staff at the home make sure people access healthcare services when they need to. The care planning and documentation at home is good, and mean that staff know how to care for people in a safe way, that meet their individual needs and preferences. In addition to this, the stable staff group have a detailed knowledge and understanding of the people, their health needs and preferences at the home. People have access to a range of activities and are able to maintain contact with their community, family and friends. The spiritual aspect of the home is sensitively managed, in that, people are encouraged and supported to maintain Catholic religious beliefs, whilst welcoming people from other denominations and religions into the home. People tell us that the food is exceptionally good smashing very good or lovely. Any Care Homes for Older People Page 4 of 8 issues regarding dietary requirements, preferences or weight issues are sensitively, but effectively, managed. People say there is plenty of food and staff know what they like and dont like. People feel able to complain and feel that any complaints would be managed effectively. Nazareth house is a safe and clean place to live and work. Maintenance systems are very well managed and a good level of decor and furnishings is provided at the home, despite the imminent move to alternative premises. The staff group have suitable qualifications and experience to care for people who require nursing and personal care. The home is well-managed by the organisation staff and supporting team. The organisation, to which the home belongs, have effective quality assurance programmes in place, which identify shortfalls and changes that are needed to take place. The organisation are receptive to criticism and recommendations to change and improve services within the home. 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 5 of 8 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 6 of 8 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 1 7 Staff should ensure that out of date and inaccurate assessments and care plans are removed from peoples files to avoid confusion and reduce risks of errors being made. Staff in the home should ensure that all people, including people being nursed in bed, or less receptive, have access to a wide and varied programme of activities and stimulation. Responsible individual should ensure that the home has clear leadership and management to ensure that this service is effective and meet the needs of individuals living at the home. Auditing procedures should continue to monitor practices and procedures at the home and implement any changes that are needed. 2 12 3 31 4 33 Care Homes for Older People Page 7 of 8 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. 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