Care Home: Partington Care Home

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What the care home does well The home provides a comfortable, homely, relaxed environment for people to live in and provides a good standard of care. This is reflected in residents` positive comments about the home and the staff, the experience, knowledge and commitment of staff, and the home`s care plan records. The people spoken to confirmed that they can follow their own routines and decide when they get up or go to bed. They are able to take part in activities and go on outings if they wish, and are offered a choice of food. Those service users who were unable to verbally express how they felt looked clean, well-dressed and well cared for, and staff were observed treating them with dignity and respect. The manager is regarded as approachable and responsive by people living at the home and by staff, and the latter feel supported by the manager and that their training and induction is well organised. The home has been generally well maintained and there were satisfactory standards of cleanliness throughout. What has improved since the last inspection? Further improvements have been made to the look of the building with recarpeting and redecoration carried out in the ground floor communal areas. Improvements have also been made with the way the home`s management look at the quality of its care and facilities, and servicing of the home`s electrical systems have been carried out and has been assessed as being safe. These indicate compliance with the requirements of the last inspection. CARE HOMES FOR OLDER PEOPLE Partington Care Home North Road Glossop Derbyshire SK13 7AX Lead Inspector Brian Marks Unannounced Inspection 15th July 2008 09:00 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 Partington Care Home DS0000025449.V368383.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. Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Partington Care Home Address North Road Glossop Derbyshire SK13 7AX 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) 01457 856397 01457 856397 kathrine.maun@btconnect.com Partington Care Home Limited Mrs Alison Flaherty Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A registered nurse to be on duty throughout 24 hours. The person in charge to be supernumerary for 20 hours per week and shall be a first level registered nurse. 8th August 2006 Date of last inspection Brief Description of the Service: Partington Care Home is located on the outskirts of Glossop and is Close to local services and amenities. Accommodation is over 2 floors with a passenger lift in place and there are 24 single rooms and 6 double rooms. A lounge/dining area is situated on each floor and there are 2 small garden/patio areas, which are accessible from the ground floor. Qualified nursing staff and care workers provide 24-hour support to residents and links are maintained with the community health services. The range of charges for accommodation, given at the time of this inspection, is from £325 to £506 per week. Additional charges are made for hairdressing, chiropody, newspapers and toiletries. Partington Care Home DS0000025449.V368383.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 star. This means the people who use this service experience good quality outcomes. This was a Key unannounced inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us and the written Annual Quality Assurance Assessment document (AQAA), which was returned before the inspection. All of the above material assisted with the preparation of a structured plan for the inspection. For administrative reasons no written surveys were sent out to staff or people living at the home. At the home, apart from examining documents, care files and records, time was spent with the manager of the home, who was in charge during the visit, and we also talked to eight of the staff working on the day shifts. The care records of four people who live at the home were examined in detail and three were interviewed along with eight others. Four relatives who were at the home on the day of the inspection were also spoken to. No other inspection visits have been made to the home since the last Key unannounced inspection on 8 August 2006 and the assessment was made against the key National Minimum Standards (NMS) identified at the beginning of each section of this report, as well as other Standards that were felt to be most relevant What the service does well: What has improved since the last inspection? Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 6 Further improvements have been made to the look of the building with recarpeting and redecoration carried out in the ground floor communal areas. Improvements have also been made with the way the home’s management look at the quality of its care and facilities, and servicing of the home’s electrical systems have been carried out and has been assessed as being safe. These indicate compliance with the requirements of 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. Partington Care Home DS0000025449.V368383.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 Partington Care Home DS0000025449.V368383.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 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without the care they need being properly identified. EVIDENCE: The manager has continued to improve the care records in use at the home and all those looked at were completed to the same standard, including the file of somebody who came to live at the home during the previous month. They all contain an assessment completed by the manager, or supplied by outside professionals, before people move in, and this is then supplemented by further information obtained as they settle down. Additionally all files contain assessments of the general and specific areas of risk that are relevant to them individually, such as the use of bedrails, safe moving and handling, skin breakdown and pressure sores, falls and nutrition. The people spoken to said that their needs are met, that staff ‘attend to all my needs satisfactorily’ and that ‘this is the best thing for me at the moment’. The home does not provide intermediate care so Standard 6 does not apply. Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 9 Partington Care Home DS0000025449.V368383.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, 9and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home have care plans and risk assessment records that promote safety and consistency, and staff are encouraged to work in ways that respect individuality, privacy and dignity. EVIDENCE: The manager told us in the AQAA how staff work with the people who have come to live at the home and their relatives to generate a ‘person centred’ care plan which is regularly evaluated; there is a form in each of the care files looked at that confirms this. We were also told that people are encouraged to be involved in the management of their own healthcare, and how they involve other healthcare professionals for specialist advice. The care records looked at contain clear and comprehensive descriptions of the areas where people need help or where they experience risk as well as the areas in which they are independent, and the care and nursing activities to be carried out by staff are identified. However the description of social interests and life background is very brief, the expansion of which would allow the home’s staff to see the person in terms of their positive achievements rather Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 11 than just the problems they are facing at. All of the files looked at had an indication that the person or their representative had been involved in the process and the care plans are looked at regularly, but not monthly, to make sure that all information is correct and up-to-date. The staff spoken to described how the documentation is routinely used by them and also that ‘internal communication between different staff is important and we have the daily handover and diaries to make sure everything gets done properly’. The care records looked at confirmed that contact with external healthcare services is good, particularly the local doctors and district nurses and a number of specialist healthcare services, such as the diabetic clinic and podiatry. From the written records and direct comments from people, the staff at the home work hard to care in sensitive and dignified ways, and to keep them as independent as possible: The carers are very good with my privacy and dignity and they use all the equipment properly’. ‘Life here is comfortable and easy; I like to be independent’. ‘Staff are properly attentive and do their work with sensitivity’. Examination of the arrangements for the receipt, storage and administration of medicines indicated these are generally satisfactory and all entries in the written records had been made properly, apart from a small number of handwritten entries that had not been signed and dated. Medication is stored securely and the home uses a Monitored Dosage System for administration. There are a number of people living at the home who are using ‘controlled’ drugs and storage and administration arrangements for these are satisfactory. There are also a number of medicines for ‘occasional use’ (PRN) but specific instructions for their administration were not included in the records. Partington Care Home DS0000025449.V368383.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 good. This judgement has been made using available evidence including a visit to this service. People at the home enjoy lifestyles and routines that suit them and have the opportunity to take part in organised leisure and social activities. EVIDENCE: In the AQAA the manager told us how the home keeps daily routines as flexible as possible to allow the people living there to exercise their individual preferences and encourages them to access local activities, e.g. local community centre, library, local pubs and restaurants. The home has access to the community bus to transport residents into the community on trips and outings. The home employs an activities coordinator to plan and organise a range of social and leisure activities. The people spoken to confirmed that they are generally happy with life at the home and they are able to do very much what they like. They develop their own routines, including spending their time in their rooms or in the communal areas; this extends to a number who have their meals separately as well. We spoke to a small group in the main lounge and others in their rooms and they talked about their lives at the home: ‘Although I am in my room all day and have to use a wheelchair we have a regular outing to a local pub’. Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 13 ‘I can always find something to do and am very interested in the birds outside my window’. ‘There is an activities coordinator twice a week who arranged some structured things; mum doesn’t mix in very much’. The family members spoken to talked about the welcome they always receive from the staff: ‘The staff are always very pleasant and they keep me well informed on a dayto-day basis’. Information is available in the home about local advocacy services. A brief visit was made to the kitchen and the cook described current arrangements. Good standards in the catering service have continued, and a 4-week menu is being followed, which indicates a choice at the main meals of the day and a hot option available for breakfast, with generally a cold option available at teatime and supper. People spoken to confirmed that they enjoy their meals at the home although one lady was less satisfied about meals at the weekends when the regular cook is not working. Arrangements for purchase, storage and stock control are satisfactory. The cook routinely deals with people who have special dietary needs, and at the time of the inspection these included diabetic, weight reducing and softened. Partington Care Home DS0000025449.V368383.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. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect them from harm. EVIDENCE: The AQAA told us how the home has a simple, clear and accessible complaints procedure, which includes time scales for the process and is displayed in the home, how complaints are dealt with and that all service users are informed about how to make a complaint. Records indicated that there had been four complaints made about the home in the past year and, as they were of a relavely simple nature, were dealt with immediately by the manager. All the people spoken to were clear about getting problems resolved and confident that they would be listened to. Staff records and the AQAA indicate that the manager has arranged for staff to receive training in their responsibilities to safeguard the vulnerable people living at the home and only a small number of new staff have not attended the annual top-up training. The policies and procedures in place are in line with the statutory procedure on safeguarding adults, and the manager outlined the referral that had been made to Social Services last year to trigger the latter indicating a clear understanding of responsibilities. Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 15 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, 21 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment within the home has been improved and provides residents with a homely place to live. However, the improvement programme is incomplete and there is a problem within the laundry that has resulted in clothes regularly being misplaced or lost. EVIDENCE: The AQAA told us how the home has a programme of routine maintenance and refurbishment and that toilet and bathing facilities are available to meet the needs of people living there. We were also told that the home is adapted to meet the needs of people with mobility problems and that adapted equipment is provided e.g. bath hoists. From a brief tour of the building and visits to some of bedrooms we saw that in the ground floor most of the corridors and the communal areas have been redecorated, refurnished and fitted with new carpets. The manager also described how each bedroom is redecorated and fitted with new furniture and furnishings as they become vacant, and some bedrooms have already been Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 16 provided with modern furniture as part of the home’s improvement plan. There are still areas on the ground and first floors that have not been improved, with old and stained carpets in evidence, and a number of bedrooms have old-fashioned steel beds that reduce resident comfort, and none have been fitted with privacy locks. At the last visit by the Environmental Health Officer a number of recommendations were made that are still outstanding. On the day of the inspection the home was clean, tidy and free from odours and whilst most of the people spoken to had no complaints about the laundry service a number voiced concerns about their clothing getting ‘lost’ or turning up in other residents’ rooms. That aside, all residents observed in the home wore clean and well-presented clothing. Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 17 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. The home has adequate numbers of staff that support a safe environment in which to live and work, and they have received training that helps them do their jobs in a more professional way. EVIDENCE: The AQAA indicated a low turnover of care staff in the past twelve months and also told us how staff are arranged on duty. It also indicated good levels of qualification at NVQ level 2 or above (80 ), which is well in excess of the national target, and that there are 4 senior carers and several other members of staff with level 3 NVQ qualifications. We were told that all (new) staff have induction training when they start, which meets national standards, and as an organisation they recruit in a fair and open way ensuring they employ the right people. This information was confirmed by the staffing records looked at and from what staff told us. Examination of the duty roster and information provided in the AQAA indicated satisfactory levels of care staff on duty during the week of the inspection. Although most people spoken to felt that ‘there always plenty of staff around’ and that ‘they always answer the call bell when I am in my room’ others said that ‘there is not always enough staff and sometimes you have to wait’. Although the extensive programme of NVQ training (referred to above) has been the main focus for attention since the last inspection, we were told that updates in the required heath and safety subjects has continued regularly and Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 18 nurses benefit from regular instruction about a range of health related topics. Care staff are able to benefit from this as well, but the computer-held record was not available for examination and for confirmation of this. We looked at the files of two recently appointed staff for evidence of the procedure that had been followed for their recruitment, and they contained safe and satisfactory information showing that proper checks had been carried out. These included two written references and a check by the Criminal Records Bureau obtained before they started work. Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 19 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, 36 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 is a well-managed and safe environment in which to live and work. EVIDENCE: The manager has been in post for some years and has a wealth of skills, knowledge and experience in the operation of care services for older people. The AQQA told us how she holds the required qualification for managers and how she listens to the needs of service users and employees and acts to ensure that the best possible practice is delivered. People spoken to were positive about the way the home is run and how the manager ‘regularly comes to see me in my room and I am able to raise any problems with her’ and that ‘we have regular meetings with the manager and she keeps us informed’. Staff also said that the ‘we get good support from management’, ‘things get sorted out if there’s anything wrong’, and that ‘the manager is supportive, fair and controls things well for everybody’ and, although the system for planned Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 20 meetings between manager and staff is in place, the arrangements are not yet occurring regularly enough to meet the National Standard. Since the last inspection the manager has introduced a system, provided by an outside agency, for auditing how well the home is doing and has completed the first assessment. The shortfalls identified by this have been dealt with and changes made. Two of the owner/directors visit the home three weeks out of four and this completes the monthly visit to the home that is required by law; a rota identifying these visits was looked at but the written reports of could not be found for examination. The owners require the manager to carry out a regular survey of the views of people living at the home and their relatives; these take last took place in late 2007. The AQAA told us how the systems for the safe keeping of residents’ personal spending money have been retained and improved, and also indicated good standards of health and safety activity and regular servicing of equipment; the electrical wiring systems have been given a professional check as required at the last inspection. The home’s handyman makes sure that any problems are dealt with quickly. Observations made around the building and a sample of fire safety and servicing records indicate that the home is hazard free. Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 21 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 3 X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 22 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. Standard OP26 Regulation 16(2)(e) Requirement The manager must make improvements to the laundry service so that the frustrations caused by recent misplacement of clothing is stopped and must ensure that the home complies with the recent report by the Environmental Health Officer, in order to make it a safe and hygienic place in which to live and work. Copies of the last three written reports, completed by the home’s owners following Regulation 26 visits, must be forwarded to the CSCI for examination in order to establish they are fully complying with the law. Timescale for action 31/08/08 2. OP33 26 31/08/08 Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP9 Good Practice Recommendations There should be a detailed description of the procedure to be followed for the administering of individual ‘occasional use’ (PRN) medicines to help staff carry this out safely and consistently. The programme of refurbishment of the home should be completed, including the replacement of old and worn carpets in all communal areas, so that the levels of comfort of the home are improved and for people living at the home enjoy a more homely environment. All bedroom doors should be fitted with suitable and safe privacy locks unless the occupier prefers not to have this facility. 2. OP19 Partington Care Home DS0000025449.V368383.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Partington Care Home DS0000025449.V368383.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. 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