Care Home: Sherwood Court

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What the care home does well The home has a strong ethos and focus on involving people in all aspects of their life. All residents have a regularly reviewed care plan in place, which includes issues relating to their health, which is robust, which promotes the values of choice and independence and creates a whole life experience by considering all areas of the residents` life. Medications are well managed and the home works closely with external professionals and specialists for advice and support to ensure that people`s health care needs are being consistently met. The need to respect people`s privacy and dignity when delivering personal and health care is a key principle of the home`s aims and objectives, particularly during bathing, washing and helping people to use the toilet. The service has a clear complaints procedure, which is available in a variety of formats on request to enable everyone equal opportunities for making a complaint. The complaints procedure is widely advertised and people spoken with said they knew how to make a complaint should the need arise. Outcomes of complaints are managed well with sensitivity. The policies and procedures regarding the protection of people living at the home are robust, providing staff with up to date information and clear guidance. Staff spoken to were aware of their responsibilities in reporting any concerns about the health, welfare or safety of those living at Sherwood Court. Those who lived at the home and who sent us comment cards told us that, in general, the staff listened to them and acted on what they said and all four people told us that there was someone they could speak to informally if they were not happy. All these people also said that they would know how to make a formal complaint should they need to do so. All seven staff members who sent us comment cards told us that they would know what to do if someone had concerns about the home. Two written references are obtained on behalf of new staff, before they start working at the home, to ensure they are considered fit to work with vulnerable adults. When asked what the service does well comments written by people living at the home included, `The food and a lot of love and kisses`, `Most things` and `The staff look after the residents well`. Staff responded to the same question by saying, `Training and development of staff is good, especially in dementia care`, `We give quality care to the residents`, `The home offers a high standard of care to the residents who live at Sherwood Court` and `Excellent at preparing food. Good team work. Good support from staff`.The home`s self assessment was very comprehensive and provided us with a lot of good information about how the home is meeting goals for the people living there and how the service is monitored, so that any shortfalls identified can be quickly addressed. The home had appropriately addressed the requirement and three recommendations made at the last inspection, showing that they work well with us and strive to improve the outcomes for people living at the home. What the care home could do better: The hand written entries on the Medication Administration Records could have been consistently signed, witnessed and countersigned to avoid any transcription errors. The reference obtained, which had not been dated by the referee could have been date stamped by the home to show it was received before the person started working at Sherwood Court. When asked what the home could do better comments received from those living at Sherwood Court included, `More staff` and `Nothing. It is a good, friendly place`. Random inspection report Care homes for older people Name: Address: Sherwood Court Sherwood Way Fulwood Preston Lancashire PR2 9GA three star excellent service 14/06/2007 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: Vivienne Morris Date: 0 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Sherwood Court Sherwood Way Fulwood Preston Lancashire PR2 9GA 01772715508 01772718935 Telephone number: Fax number: Email address: Provider web address: www.barchester.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Hilary Jane Scott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Barchester Healthcare Homes Ltd care home 68 Number of places (if applicable): Under 65 Over 65 0 68 dementia old age, not falling within any other category Conditions of registration: 68 0 The registered person may provide the following category of service only: Care home with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. Dementia - Code DE. The maximum number of people who can be accommodated is: 68. Date of last inspection Brief description of the care home Sherwood Court Nursing Home is a purpose built two-story building, providing accommodation for older people requiring general nursing or personal care and also Care Homes for Older People Page 2 of 10 Brief description of the care home those needing dementia care. There is single or shared accommodation available and the majority of bedrooms have en-suite facilities. There are two passenger lifts to each floor, which afforded people access throughout the home. Sherwood Court Nursing Home is located in a semi-rural, residential area of Fulwood, Preston. It is surrounded by well-maintained landscaped gardens, which are accessible to residents by means of ramps. A range of garden furniture is available for the comfort of the people living at the home. Sherwood Court is situated close to shops and community facilities and is on a main bus route. Visitors are made welcome at any time and there are several communal lounges and quiet sitting areas where people living at the home can entertain their visitors or they can take them to their own private accommodation if they prefer. The fees at the time of the site visit ranged from £700.00 to £2000.00 per week (continuing care). Additional charges were being incurred for hairdressing, chiropody, newspapers and magazines. Care Homes for Older People Page 3 of 10 What we found: This random inspection was conducted to check that the home continued to be compliant with the Care Homes Regulations. Our visit to the service lasted half a day during May 2010 and it was unannounced, which meant that managers, staff and people living at the home did not know it was going to take place. During the inspection we assessed the standard of health and personal care, how complaints were managed and if people living at the home were safeguarded against possible abusive situations. We also checked if the requirement made at the last inspection had been addressed in relation to recruitment practices adopted by the home. Every year the provider completes a self assessment, known as an AQAA, which tells us how the home is meeting standards and how the service is being monitored. It also provides us with some numerical information about the home. We surveyed a random selection of service users and staff members. We received surveys back from seven people working at the home and four people living at Sherwood Court. Some of their comments are included within this report. During our visit to Sherwood Court we tracked the care of three people living at the home, not to the exclusion of others. We observed the general daily activity, speaking with managers, some residents and some staff members. We looked at the care records of those whose care we tracked and we examined all relevant documents, policies and procedures. We found the care records to be very well organised, making information easy to find. The plans of care were extremely detailed, providing staff with very clear guidance about the needs of people and how these needs were to be best met, with any changes in care needs being reflected well. It was very pleasing to see that the care plans were written in the first person, making them consistently person centered and encompassing peoples wishes, preferences and choices. The plans of care had been drawn up with the involvement of the resident or their relative and their needs had been reviewed at least every month, with regular input from external professionals to ensure health care needs were being consistently met. A wide range of assessments had been conducted, so that any potential risks were identified and strategies implemented to minimize risk factors as much as possible. We noted that a lot of specialised equipment was provided for those living at the home to maintain their comfort and safety. Staff spoken to were able to discuss the needs of people they supported and were familiar with the plans of care. They told us that senior staff always provide them with Care Homes for Older People Page 4 of 10 information they need to deliver the care required. Residents spoken to told us they were happy living at the home and that all their needs were being met. One person said, The staff are marvelous. They really look after us well. We found that plans of care were being followed in day to day practice and that a holistic approach to care had been adopted by the home, which is commendable. We received comment cards from four people using the service who told us that, in general, they were provided with the care and support they needed and that the home made sure they got the medical care required. Seven staff members sent us comment cards and all said that they are, in general, given up to date information about the needs of people they supported or cared for. When asked what the service does well the manager told us, We work with the multi disciplinary team to ensure good outcomes for our residents. All staff support residents in promoting their independence and privacy. By accessing residents health needs and well being we encourage residents to live and take responsible risks. We support the residents emotional needs and also the residents families. Medicines were being managed well, so that the possibility of any medication errors or drug misuse was minimized. However, hand written entries on the Medication Administration Records had not always been signed, witnessed and countersigned in order to avoid the possibility of any transcription errors. The policies and procedures of the home showed that privacy and dignity was an important aspect of care at Sherwood Court. We saw staff treating people with respect, whilst promoting their privacy and dignity. This was confirmed by people living at the home and was supported by the plans of care. A complaints policy was in place, which was widely advertised, so that people were made aware of how to make a formal complaint. Any complaints received had been recorded and followed through in accordance with the policies of the home. Those we spoke to at the time of our visit told us that they would know how to make a complaint should they needs to do so. The training matrix showed that staff had been provided with training in relation to the protection of vulnerable people within the last twelve months, so that they had up to date information about safeguarding those in their care. Staff spoken to told us that they would know what to do should they be concerned about the treatment of someone living at Sherwood Court. Detailed policies and procedures were in place in relation to safeguarding vulnerable adults, which were included in the staff handbook provided to all staff to ensure they were fully aware of their responsibilities in reporting any possible or actual incidents of abuse. We examined the personnel records of three staff members who had recently been appointed by Sherwood Court. We did this in order to assess if the requirement made at Care Homes for Older People Page 5 of 10 the last inspection had been appropriately addressed. On this occasion we found that two written references had been obtained on behalf of each person employed at the home. Therefore, the requirement had been met. However, one of the referees had failed to date their reference to show that it had been written before the individual commenced employment. What the care home does well: The home has a strong ethos and focus on involving people in all aspects of their life. All residents have a regularly reviewed care plan in place, which includes issues relating to their health, which is robust, which promotes the values of choice and independence and creates a whole life experience by considering all areas of the residents life. Medications are well managed and the home works closely with external professionals and specialists for advice and support to ensure that peoples health care needs are being consistently met. The need to respect peoples privacy and dignity when delivering personal and health care is a key principle of the homes aims and objectives, particularly during bathing, washing and helping people to use the toilet. The service has a clear complaints procedure, which is available in a variety of formats on request to enable everyone equal opportunities for making a complaint. The complaints procedure is widely advertised and people spoken with said they knew how to make a complaint should the need arise. Outcomes of complaints are managed well with sensitivity. The policies and procedures regarding the protection of people living at the home are robust, providing staff with up to date information and clear guidance. Staff spoken to were aware of their responsibilities in reporting any concerns about the health, welfare or safety of those living at Sherwood Court. Those who lived at the home and who sent us comment cards told us that, in general, the staff listened to them and acted on what they said and all four people told us that there was someone they could speak to informally if they were not happy. All these people also said that they would know how to make a formal complaint should they need to do so. All seven staff members who sent us comment cards told us that they would know what to do if someone had concerns about the home. Two written references are obtained on behalf of new staff, before they start working at the home, to ensure they are considered fit to work with vulnerable adults. When asked what the service does well comments written by people living at the home included, The food and a lot of love and kisses, Most things and The staff look after the residents well. Staff responded to the same question by saying, Training and development of staff is good, especially in dementia care, We give quality care to the residents, The home offers a high standard of care to the residents who live at Sherwood Court and Excellent at preparing food. Good team work. Good support from staff. Care Homes for Older People Page 6 of 10 The homes self assessment was very comprehensive and provided us with a lot of good information about how the home is meeting goals for the people living there and how the service is monitored, so that any shortfalls identified can be quickly addressed. The home had appropriately addressed the requirement and three recommendations made at the last inspection, showing that they work well with us and strive to improve the outcomes for people living at 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 7 of 10 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 8 of 10 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 9 Hand written entries on the Medication Administration Records should be signed, witnessed and countersigned in order to avoid any transcription errors. Written references received on behalf of prospective employees should be dated on receipt, when a referee has failed to enter the date, so that the home can show references have been obtained before people start working at Sherwood Court. 2 29 Care Homes for Older People Page 9 of 10 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. 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