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Care Home: Snapethorpe Hall

  • Snapethorpe Gate Broadway Lupset West Yorks WF2 8YA
  • Tel: 01924332488
  • Fax: 01924332499
  • Planned feature Advertise here!

  • Latitude: 53.673999786377
    Longitude: -1.5429999828339
  • Manager: Stephen Anthony Blackburn
  • Price p/w: ~
  • UK
  • Total Capacity: 62
  • Type: Care home with nursing
  • Provider: Southern Cross Healthcare Services Ltd
  • Ownership: Private
  • Care Home ID: 14032
Residents Needs:
Dementia, Physical disability, mental health, excluding learning disability or dementia

Latest Inspection

This is the latest available inspection report for this service, carried out on 22nd October 2009. CQC has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CQC judgement.

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 Snapethorpe Hall.

What the care home does well To make sure the home can meet peoples’ personal and healthcare needs these are assessed before coming to live in the home. People are invited to spend time in the home before deciding if they would like to live there. Everyone’s needs are fully assessed when moving to the home and there care and support needs are set out in a plan of care showing staff how they like to be cared for and supported. One person said “its lovely here and they are well cared for”. Another person said they “have everything they need” and the “staff are wonderful and caring”. The record of activities show people have the opportunity to join in a range of activities organised regularly that include group activities and one to one activities of their choice. The reviews show peoples care and support needs are looked at regularly and amended if needed to reflect peoples changing care needs. Records show peoples healthcare needs are met by Nurses that are trained and qualified. Records also show people are supported by local General Practitioners, District Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Nurses and Specialist Social Workers from the Mental Health Team. A tour of the premises found people live in well decorated, well maintained home that is comfortable and safe. People were observed relaxing in the lounges, dining rooms and in their own bedrooms and being treated with dignity and having their wishes respected. Enough staff was observed to be available to meet peoples care and support needs in a relaxed and unhurried manner. People were observed having a menu of their choice and enjoying their meals in relaxed and pleasant surroundings. The returned satisfaction surveys show people and their relatives are pleased with the quality of the meals provided. One person said “the meals are very good” and they “have plenty to eat”. To make sure people have enough to eat and drink there are nutritional assessments completed. The kitchen uses a ‘Nutmeg’ computer programme to assess the nutritional value of the meals and to make sure a varied and balanced diet is provided. People are protected by the way staff are recruited and selected as records show appropriate checks are taken up before they are employed. People are also protected from any kind of abuse as there is a Safeguarding Policy and Procedure for staff to follow and all staff has Safeguarding training. The minutes of the residents and relatives meetings and the returned satisfaction surveys show people have the opportunity to comment on the care and support provided by the home. The record of complaints show that what people say is taken seriously and is acted upon. Changes to the way the home runs are made as a result of peoples’ comments and concerns. To make sure people are safe the work staff do is supervised and they are trained in how to do their work properly. What has improved since the last inspection? For the comfort of people living in the home the dining rooms have been decorated people now can enjoy their meals in warm, pleasant and comfortable surroundings. To make sure people receive a balanced and nutritional diet the menus are developed using a ‘Nutmeg’ computer programme giving the nutritional content of the meals provided. Records also show staff now have training in the nutritional needs of older people. To protect people records show that incidents affecting the wellbeing of people living in the home are dealt with by the manager and reported to the Care Quality Commission. To make sure information about people living in the home is correct and up to date these are now reviewed and checked regularly. To ensure people’s care and support needs are fully met the amount of staff available in the home to do this is now monitored and extra staff provided if needed. To make sure people are protected the medicines in the home are now checked more regularly. To make sure people living in the home are treated with dignity there are now two Dignity Champions that have received training and are involved in promoting peoples dignity. Staff training records show they receive dignity training as part of their induction. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 To make sure people receive the care and support they need and require the records show the work staff do is now supervised. What the care home could do better: The pre admission assessments, risk assessments and care plans seen on the day of the visit do not contain the signatures of people using the service or those of their relatives to show their involvement. The home provides two staff who have become Dignity Champions; however, there is no evidence of the involvement of people living in the home in reviewing or promoting peoples Privacy or Dignity. Although people were observed making choices and decisions about how they live their day to day lives, the daily records do not contain many descriptive words to show this. Although there are two trained Dignity Champions there is no evidence of the involvement of people living in the home. The home does not have a registered manager the service providers need to inform the CQC as soon as a manager is appointed. The views of people living in the home and those of their relatives on the quality of the care and support provided is sought through satisfaction surveys. However, a report showing what people say about the home or any changes to the way the home runs as a result of their comments is not yet available. Key inspection report CARE HOMES FOR OLDER PEOPLE Snapethorpe Hall Snapethorpe Gate Broadway Lupset West Yorks WF2 8YA Lead Inspector Tony Railton Key Unannounced Inspection 22nd October 2009 08:30 DS0000006209.V378092.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Snapethorpe Hall Address Snapethorpe Gate Broadway Lupset West Yorks WF2 8YA 01924 332488 01924 332499 snapethorpehall@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Ltd 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) Position vacant Care Home 62 Category(ies) of Dementia (62), Mental disorder, excluding registration, with number learning disability or dementia (62), Physical of places disability (62) Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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: Dementia - DE, maximum number of places 62 Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 62 2. Physical disability - Code PD, maximum number of places 62 The maximum number of service users who can be accommodated is: 62 24th November 2008 Date of last inspection Brief Description of the Service: Snapethorpe Hall is a purpose built residential care and nursing home, which provides places for up to 62 older people who may also need nursing care or have a physical disability or who are suffering from dementia. The home is divided into two separate units over two floors, one providing care for elderly mentally ill people and one providing general nursing and personal care. All bedrooms are single en-suite and each floor has its own lounge and dining room. From the hallway and downstairs lounge, a very pleasant patio and garden area can be accessed. The home provides a passenger lift for those who require it and allows easy access to both floors. The home is situated on the outskirts of Wakefield, is easily accessible from the M1 motorway and there is a regular bus service to the city centre. Car parking is available to the front of the home. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Page 5 An activities programme, including organised outings, is available and is coordinated by the homes activities organiser. The home employs the services of a visiting hairdresser who is available several times each week. The provider informed the Care Quality Commission on 22nd October 2009 that the fees range from £396 to £670 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Service users can access these and inspection reports from the home. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Flowing this visit the services has been given a Two Star rating which means people living in the home experience good quality outcomes. This visit started at 08.30 and ended at 13.30. During the visit there was the opportunity to meet and speak to most people living in the home. There was also the opportunity to speak to the Deputy Manager, Senior Carers, Area Manager and the Manager overseeing the home in the absence of a registered manager. Other people spoken to include the Nurses, the carers, the administrator, the domestics, the kitchen staff, the activities coordinator, and handyman. A sample of peoples records were seen and included pre admission assessments, risk assessments, care plans, reviews, daily, medical, financial and activities records. A sample of staff records were also seen and included, application forms, interview notes, references, Police and POVA (Protection of Vulnerable Adults List) checks, contracts, supervision notes, and training records. Other information included that sent to the CQC by the providers before the visit and in particular the AQAA (Annual Quality Assurance Assessment). Other information seen include the record of complaints and minutes of Safeguarding Meetings, staffing rotas, menus, and the minutes of residents and relatives and staff meetings. The previous inspection visit report and the service history were also considered. Twenty six of the homes returned Satisfaction Surveys were also seen and the fire safety and maintenance records. A tour of the premises was also undertaken. This was a very positive unannounced visit and the inspector would like to take the opportunity to thank the people living in the home, the Deputy Manager and the staff team for their hospitality, patience and cooperation throughout the visit. What the service does well: To make sure the home can meet peoples’ personal and healthcare needs these are assessed before coming to live in the home. People are invited to spend time in the home before deciding if they would like to live there. Everyone’s needs are fully assessed when moving to the home and there care and support needs are set out in a plan of care showing staff how they like to be cared for and supported. One person said “its lovely here and they are well cared for”. Another person said they “have everything they need” and the “staff are wonderful and caring”. The record of activities show people have the opportunity to join in a range of activities organised regularly that include group activities and one to one activities of their choice. The reviews show peoples care and support needs are looked at regularly and amended if needed to reflect peoples changing care needs. Records show peoples healthcare needs are met by Nurses that are trained and qualified. Records also show people are supported by local General Practitioners, District Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Page 7 Nurses and Specialist Social Workers from the Mental Health Team. A tour of the premises found people live in well decorated, well maintained home that is comfortable and safe. People were observed relaxing in the lounges, dining rooms and in their own bedrooms and being treated with dignity and having their wishes respected. Enough staff was observed to be available to meet peoples care and support needs in a relaxed and unhurried manner. People were observed having a menu of their choice and enjoying their meals in relaxed and pleasant surroundings. The returned satisfaction surveys show people and their relatives are pleased with the quality of the meals provided. One person said “the meals are very good” and they “have plenty to eat”. To make sure people have enough to eat and drink there are nutritional assessments completed. The kitchen uses a ‘Nutmeg’ computer programme to assess the nutritional value of the meals and to make sure a varied and balanced diet is provided. People are protected by the way staff are recruited and selected as records show appropriate checks are taken up before they are employed. People are also protected from any kind of abuse as there is a Safeguarding Policy and Procedure for staff to follow and all staff has Safeguarding training. The minutes of the residents and relatives meetings and the returned satisfaction surveys show people have the opportunity to comment on the care and support provided by the home. The record of complaints show that what people say is taken seriously and is acted upon. Changes to the way the home runs are made as a result of peoples’ comments and concerns. To make sure people are safe the work staff do is supervised and they are trained in how to do their work properly. What has improved since the last inspection? For the comfort of people living in the home the dining rooms have been decorated people now can enjoy their meals in warm, pleasant and comfortable surroundings. To make sure people receive a balanced and nutritional diet the menus are developed using a ‘Nutmeg’ computer programme giving the nutritional content of the meals provided. Records also show staff now have training in the nutritional needs of older people. To protect people records show that incidents affecting the wellbeing of people living in the home are dealt with by the manager and reported to the Care Quality Commission. To make sure information about people living in the home is correct and up to date these are now reviewed and checked regularly. To ensure people’s care and support needs are fully met the amount of staff available in the home to do this is now monitored and extra staff provided if needed. To make sure people are protected the medicines in the home are now checked more regularly. To make sure people living in the home are treated with dignity there are now two Dignity Champions that have received training and are involved in promoting peoples dignity. Staff training records show they receive dignity training as part of their induction. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Page 8 To make sure people receive the care and support they need and require the records show the work staff do is now supervised. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.2 Page 9 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 Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. To make sure the service can meet people’s personal and healthcare needs these are assessed before coming to live in the home. The home does not provide a specialist intermediate service. EVIDENCE: A sample of three peoples records show their personal and healthcare needs are assessed before coming to live in the home. The assessments are very comprehensive and include peoples’ likes, dislikes choices and preferences. The assessments show what medicines people are taking, if they are at risk of falling, a nutritional assessment, and if they are at risk of developing pressure sores. The assessments also include looking at peoples’ mental health and emotional wellbeing, culture and social background. Although the assessments are completed with the involvement of people wanting to use the service and their relatives there are no signatures on the assessments to show they are involved. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 11 The Deputy Manager said the pre admission assessments are completed by qualified staff from the home and confirmed the home does not provide a specialist intermediate service. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated with dignity and their wishes respected. People’s care and support needs are set out in a plan of care, and they are protected by the way their medicines are dealt with. EVIDENCE: The returned satisfaction surveys show people and their relatives are generally happy with the services and support provided and feel their care needs are met. One person said they “have everything they need”. Another said” It’s like home from home”. People were observed relaxing in the lounges, dining rooms and in their own bedrooms. Everyone appeared to be happy and comfortable. Peoples’ hair was observed to be groomed, their spectacles clean and fingernails manicured. Peoples clothing was clean and soft to the touch and females clothing was coordinated showing that staff had taken time and care to make sure people looked and felt good. One person said they “chose what to wear”. Others were pleased to say they had seen the hairdresser the day before. The overseeing Manager said there are now two trained ‘Dignity Champions’ working in the home that review and look at the way the home runs and in particular to promote and maintain peoples privacy and dignity. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 13 The training records show two experienced staff have received Dignity training and pass this on to others working in the home. A sample of peoples records show peoples personal and healthcare needs are assessed and these include nutritional assessments, tissue viability, moving and handling or mobilisation, and mental health assessments. The care plans show staff how people like to be supported and how their care needs are to be met. The reviews show the way people are supported is looked at regularly and amended if needed to reflect peoples changing needs. The Manager overseeing the home said they check and audit a number of peoples care plans and reviews on a monthly basis to make sure the information about people living in the home is correct and up to date. A sample of peoples medical records show they are supported by local General Practitioners, District Nurses, Tissue Viability Nurses, Dietician, Opticians, Dentists and Chiropodist. Some people are also supported by Specialist Social Workers and the Community Mental Health Team. Records show some people are also supported by hospital based consultants. The daily records and medical records indicate people’s healthcare needs are being met. Some poorly people are nursed in bed and the turning charts show they are moved regularly to make sure they do not have any pressure sores. People are protected by the way medicines are dealt with as there is a Medication Administration Policy and Procedure for staff to follow, and all staff giving medicines are trained to do so safely. The staff training records confirmed this. A sample of peoples medicines were checked and found to be correct. To further protect people the medicines are checked by the overseeing Manager regularly. The Deputy Manager confirmed this, and the Area Manager also said they check a sample of peoples’ medicines as part of the Monthly Regulation 26 Providers Visits. Throughout the visit people were observed being treated with dignity and having their wishes respected. The Manager overseeing the home confirmed that people and their relatives are involved in the assessment, care planning and reviewing process; however, these documents do not contain their signatures to show their involvement. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lifestyle experienced in the home matches their expectations and they are offered a choice from a varied and balanced diet. EVIDENCE: Fifteen of the homes returned satisfaction surveys show people living in the home and their relatives are happy with the services and the meals provided. People were observed enjoying their meals in relaxed ad pleasant surroundings. Some people who need help eating their meals were observed being assisted in a relaxed and unhurried manner. One person said the “meals are very good” another says they “enjoyed the meals” and they “have a choice”. People were observed choosing their own menu. To help people choose the menus are displayed around the home and in the dinning rooms. To make sure people receive a varied and balanced diet discussion with the Cook found the menus are planned using a ‘Nutmeg’ computer programme that identifies the nutritional values of the meals provided. They also said that fresh vegetables are provided daily and there are snacks provided throughout the day. They also confirmed that buns and cakes are baked throughout the week for people to enjoy. To make sure people have enough to eat and drink there are Nutritional Assessments completed to show staff what people need and require. Some Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 15 people nursed in bed have fluid input and output charts to monitor and make sure they have enough to eat and drink. Some of these charts were checked and contained dates and times and the signatures of staff to show people received the food and drink they require. To make staff aware of the nutritional needs of people living in the home records show staff have training in the nutritional needs of older people. Discussion with the activities coordinator found there are activities arranged on a daily basis for people to participate in if they so wish. The record of activities shows there are group and one to one activities for people who are to poorly to join in. There is a programme of activities displayed around the home showing people what has been arranged for the coming months. The returned satisfaction surveys show people and their relatives are happy with the activities taking place in the home. One person said they “enjoyed a trip to Bridlington”. The photographs displayed around the home show people enjoying their trip to the coast. The pictures and cards displayed show people enjoy the organised Arts and Craft sessions. People said they are looking forward to the planned Halloween celebrations which include a party. Although people were observed being treated with dignity and having their wishes respected the daily records do not contain many descriptive words to reflect and show when people make decisions about how they live their daily lives. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. What people say is taken seriously and acted upon and people are protected from any kind of abuse. EVIDENCE: The record of complaints show that what people and their relatives say is listened to and taken seriously and is acted upon. Records show the home has received five complaints since the previous visit. These were discussed with the overseeing Manager and Area Manager and it was found they had been appropriately recorded and dealt with. To make sure any complaints are dealt with properly there is a Complaints Policy and Procedure for staff to follow. Staff records also show they have training in how to deal with complaints as part of their induction. The information sent to the Commission and in particular the homes Annual Quality Assurance Assessment show six Safeguarding referrals have been made to the local authority since the previous visit. Discussion with the overseeing Manager and Area Manager and the minutes of the Safeguarding meetings show that any allegations of abuse have been reported, properly investigated and appropriate action taken by the service. Staff records show they all have Safeguarding training. There is also a Safeguarding Policy and Procedure provided telling staff what to do when responding to any allegations of abuse. The service history held by the Commission shows that all events concerning the wellbeing of people living in the home are now appropriately reported. The returned satisfaction surveys show people living in the home and their relatives know how to make a complaint. People on the day of the visit Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 17 said they know how to make a complaint but everyone spoken to say they have never had to complain. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well decorated and well maintained home that is comfortable, safe and clean. EVIDENCE: A tour of the home found it to be well decorated, well maintained, clean and free of any unpleasant odours. Peoples’ health and wellbeing is promoted and protected as discussion with the domestics found they have all the equipment they need to keep the home clean. Discussion with the domestics also found they have Infection Control and COSHH (Control of Substances Hazardous to Health) training. The training records confirmed this. To further promote peoples health and to keep people safe records show The fire alarms are tested regularly as is the emergency lighting and fire equipment. Discussion with the handyman confirmed this. Records also show the passenger lift and hoists in the home are checked and serviced regularly to make sure they are safe. The handyman also said to make sure people are Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 19 safe they also check the water temperature outlets to make sure they are not to hot. The records confirmed this. For the comfort and benefit of people living in the home the Deputy Manager said the dining rooms have been redecorated. A tour of the home confirmed this. It was also noted that the floor covering in the room for those that smoke has been replaced making the room look much better and more comfortable. The twenty six returned satisfaction surveys show that people living in the home and their relatives are generally happy with the environment and feel it is comfortable and well decorated and well maintained and save. One person said they “have everything they need”; another said “it’s like home from home”. People were observed relaxing around the home in clean and pleasant surroundings. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care and support needs are met by the numbers and skill mix of staff that are qualified and trained. People are also protected by the way staff are selected and recruited. EVIDENCE: People are protected by the way staff are selected and recruited as records show references, police and POVA, (Protection of Vulnerable Adults List), checks are taken up before they are employed. The Registration numbers of Qualified Nurses are also checked before they can work in the home. A sample of staff records also show they have induction training which includes how to care for and support older people. To further protect people living in the home records show staff receive, Moving and Handling, Infection Control, Health and Safety, First Aid, Safeguarding, and Nutrition. To make sure those people with mental health problems receive the care they need and require those caring for them have training in Dementia Care. People are supported by staff that are qualified as records show nearly all care staff has a National Vocational Qualification Level 2 or above. Records also show the domestic and kitchen staff also has or are registered on NVQ courses. This good practice is to be commended. The staffing rotas show there are enough staff planned to be available to meet the care and support needs of people living in the home. The overseeing Manager and Area Manager stated the staffing levels are now monitored on a daily basis and amended if need be to reflect the care needs of people in the Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 21 home. On the day of the unannounced visit there was enough staff available to meet the care and support needs of people in a relaxed and unhurried manner. Care staff spoken to say they feel there is enough staff on duty to meet peoples’ needs. The returned twenty six satisfaction surveys generally felt happy with the staff and the care and support provided. One person said the “staff are very good”, another said “the care is second to none”. One person said the staff, are “wonderful”, and had “no complaints”. The minutes of the staff meetings show people have the opportunity to comment on the running of the home and the quality of the care provided. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the home is well run it does not have a registered manager, nevertheless, the home is run in the best interests of the people living their and their health, safety, and welfare is promoted and protected. EVIDENCE: The home is still without a Manager Registered with the Care Quality Commission and the law states the home must have a registered manager. The Overseeing Manager and the Area Manager say that they have recruited a manager for the home and an application to register with the CQC will be made as soon as they are in post. The Area Manager said that the running home is being overseen by them and another manager from a sister home that has an excellent rating. It is recommended that the service providers inform the CQC when a new manager is appointed. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 23 The assessments, care plans, reviews, daily and medical records show the care management systems are good and peoples care and support needs are being met. The staff management systems are good and in particular staff selection and recruitment and staff training. The supervision notes show the work staff do is now supervised and the minutes for the staff meetings and supervision notes show staff have the opportunity to comment on the running of the home. The twenty six returned satisfaction surveys and minutes of the residents and relatives meetings show people living in the home and their relatives have the opportunity to comment on the quality of care and services provided. However, the information gathered through quality assurance surveys has not been collated or a report provided showing what they said about the home or the services proved or any changes made to the way the home runs as a result of their comments. Peoples financial interests are safeguarded and protected as the finance systems was checked and found to be well managed and safely administered. The Maintenance records and staff training records show peoples health safety and wellbeing is promoted and protected. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 24 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 2 X 3 3 X 3 Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 25 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. Standard Regulation Requirement Timescale for action 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 2 3 4 Refer to Standard OP7 OP14 OP31 OP33 Good Practice Recommendations Although people and their relatives are fully involved in the assessment and care planning and reviewing process they do not sign them to show their involvement. Although people make choices and decisions about how they live their daily lives the daily records do not contain many words to reflect and show this. The service providers should inform the CQC as soon as the newly appointed manager takes up post. The information gathered through satisfaction surveys should be collated and a report provided showing what people said about the home and any changes made to he way the home runs as a result of their comments. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 26 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Snapethorpe Hall DS0000006209.V378092.R01.S.doc Version 5.3 Page 27 - 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!

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