Care Home: St Catherine`s Care Home

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What the care home does well Assessments of peoples needs are undertaken and include details of risks, to ensure people`s needs can be met. People receive care in a way that respects their privacy and dignity. A health care professional said " St Catherine` offer high quality support and emotional health, and provide a friendly service" A robust complaint`s procedure is in place to ensure that any concerns raised are investigated and dealt with thoroughly. Training for staff is provided to ensure that care is given by people who have relevant knowledge of how to give care safely.Audits on how the home runs are carried out by the manager and other staff, to ensure the quality of the service is monitored and any shortfalls identified are dealt with thoroughly. What has improved since the last inspection? Environmental improvements are being made, and more special equipment has been purchased to improve the care and facilities available to people who live there. Staff have received further training in relation to safeguarding people from abuse, this helps to ensure they are protected. What the care home could do better: People`s personal preferences relating to bathing should be provided. The choice of food available at meal times should be displayed and staff should ensure that people are aware of the choices available to them before the food is served. CARE HOMES FOR OLDER PEOPLE St Catherine`s Care Home 1 East Lane Shipton By Beningborough York North Yorkshire YO30 1AH Lead Inspector Denise Rouse Key Unannounced Inspection 5 March 2008 09:45 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 St Catherine`s Care Home DS0000070670.V353497.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. St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Catherine`s Care Home Address 1 East Lane Shipton By Beningborough York North Yorkshire YO30 1AH 01434 633055 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) Wellburn Care Homes Limited Mrs Sandra Day Care Home 55 Category(ies) of Dementia (55), Old age, not falling within any registration, with number other category (55), Physical disability (55) of places St Catherine`s Care Home DS0000070670.V353497.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 - Code DE, Physical disability - Code PD and Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 55 New service. 2. Date of last inspection Brief Description of the Service: St. Catherine’s Care Home is run by Wellburn Care Homes Limited. The home is located in the village of Shipton By Beningborough. There are local amenities and a bus link into York. The home provides care for up to 55 older people with general nursing and dementia needs. At present there are two distinct units, Harewood and Lomond. The Lomond unit provides accommodation for people with dementia. There is a car park provided in the grounds of the home. Information is provided in the service user guide and statement of purpose. Inspection reports are also available for people to read so that they have relevant information about what the home can offer them. Fees charged on the day of the site visit included people being funded at social services rates, up to £775.00 for a suite comprising of a bedroom, separate lounge area, bathroom and small patio. St Catherine`s Care Home DS0000070670.V353497.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. The accumulated evidence used in this report has included: • A review of the information held on the home’s file since its last key inspection. • Information submitted by the registered provider in the Annual Quality Assurance Assessment. • Surveys received from seven people living at the home, four relatives, and one health care professional. • An unannounced visit to the home, which lasted five hours fifty minutes undertaken by one inspector, and one expert by experience who attended for four hours forty five minutes. This included a full tour of the premises. • Evidence was gained by direct observation during the site visit; which involved talking with people living at the home, visitors, the manager and operations manager and other members of staff. Inspection of records, including care profiles, medication administration records, staff files and some of the home’s policies and procedures. • What the service does well: Assessments of peoples needs are undertaken and include details of risks, to ensure people’s needs can be met. People receive care in a way that respects their privacy and dignity. A health care professional said “ St Catherine offer high quality support and emotional health, and provide a friendly service” A robust complaint’s procedure is in place to ensure that any concerns raised are investigated and dealt with thoroughly. Training for staff is provided to ensure that care is given by people who have relevant knowledge of how to give care safely. St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 6 Audits on how the home runs are carried out by the manager and other staff, to ensure the quality of the service is monitored and any shortfalls identified are dealt with thoroughly. What has improved since 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. St Catherine`s Care Home DS0000070670.V353497.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 St Catherine`s Care Home DS0000070670.V353497.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): Standard 3 (6 not applicable) People who use this service experience good quality outcomes in this area. People are assessed prior to being accepted into the home so that their needs are known and can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Pre-admission assessments are undertaken by experienced staff who find out what individual needs people have, including their social and mental health needs. Information from care manager and discharging hospitals is also gained to ensure the home knows peoples full needs. Admissions are not made to the home if their needs cannot be met. Information is available to people in the statement of purpose, service user guide and last inspection report. This ensures that people are well informed about what the home has to offer them so they can make an informed choice. St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 9 Prospective residents are invited to visit the home to look round with their family or chosen representative. They can have lunch or stay for the day or a trial period. Staff are available to answer their questions and they can visit as many times as they like. Surveys received indicated that people felt they receive enough information about the home to make an informed choice. Intermediate care is not provided. St Catherine`s Care Home DS0000070670.V353497.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): Standards 7, 8, 9 and 10 People who use this service experience good quality outcomes in this area. People’s health care needs are met and medication policies and procedure’s protect people living in the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who use the service have care plans and risk assessments in place these are reviewed monthly or as the persons needs change. People with special needs relating to their mobility, nutrition and mental health have individual care plans and risk assessments in place to ensure their health and safety is maintained. Health care professionals are asked for help and advice to enhance the care that people receive. The expert by experience talked with two people who said that they would like to have a bath or shower more often. Staff should find out what individual peoples bathing needs are and ensure these needs are met. St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 11 Care plans are signed by the individual or their representative. The manager holds care reviews with the resident and their family every 6 months. The reviews are documented and signed to ensure that all parties are fully informed and agree with the package of care the home is providing. New care plans being introduced focus on people’s strengths and how staff can support them to achieve their goals. Specialist equipment is available to ensure that peoples individual and special health care needs are met. The company have just bought five new airflow mattresses and will supply profiling beds for people if they are assessed as being required. People follow their chosen routines. Staff on Lomond unit help and support people with memory problems and dementia in a sensitive way, to promote their dignity. Medication systems inspected on both units protect people living in the home. At present no one is able to self medicate however the manager stated that people would be assessed and helped to self medicate if they were capable and safe to do so. A comment received on a relatives survey stated, “My relative has been very well looked after since their admission to St Catherine’s” Another commented “I am always updated with changes in medication”. St Catherine`s Care Home DS0000070670.V353497.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): Standards 12, 13, 14 and 15 People who use this service experience good quality outcomes in this area. People’s social needs are known by staff and are being met, a nutritious diet is provided. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff know each individual well and activities are advertised on a white board in Harewood. Activities are not advertised on Lomond, because people have different social needs and benefit more from staff talking with them about reminiscence or just being there to hold their hand or comfort them. A variety of activities are available including visits from “ Pat the dog”. Singer’s and entertainers visiting the home to perform. Film presentation’s, bingo and quizzes. Gentle exercises are also provided. A hairdresser attends the home twice a week as well as a chiropodist as required. The expert by experience talked with lots of people on both units and they indicated that they could join in with activities if they wished to or relax in the lounges or their bedrooms. St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 13 On Lomond there is a Snoozelam room, which has a comfortable massage chair, music, fibre optic lights, larva lamps, even small lights in the carpet. This is to aid relaxation and sensory stimulation. Local schools are involved with the home. Children come and play in the homes garden and attend the Strawberry tea as well as visiting at Easter. Local clergy visit the home and carry out a service for residents monthly. They also visit as requested. Local village newsletters are provided at reception so people that can be involved in the community if they wish. Open visiting occurs. People can go out with their family and friends, this helps to promote their independence. The kitchen was inspected, the systems for preparing food are satisfactory and breakfast was enjoyed by people in their bedrooms or in the dining areas. One person said, “I have had a sausage sandwich for breakfast and the food is good”. Another comment was “I have a choice of food and enjoy the meals I have” Mealtimes are a social occasion. On Lomond people could eat where they wished. On both units people were helped and supported to eat where necessary by patient staff in an unhurried manner. On Lomond the expert by experience had lunch with the residents, and said people were not told before lunch arrived what the choice of food was. The menu was displayed on a white board in both units. The choices available should be discussed with people to let them think about what they might like to eat. This was discussed with management who said that menus were being printed to place on all tables so people are able to read what is available to them. The chef knew who required special diets and finger foods and high calorie snacks are available to people who require food supplements. St Catherine`s Care Home DS0000070670.V353497.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): Standards 16 and 18 People who use this service experience good quality outcomes in this area. Concerns and complaints raised are handled appropriately to ensure that people are protected from abuse. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The complaints procedure is displayed in the entrance hall and all bedrooms. Complaints are investigated and the person informed of the outcome. The manager operates an open door policy; anyone one can see her to make their views known at any time. People surveyed said they knew how to make a complaint and issues raised would be dealt with. A safeguarding policy is in place, there have been two safeguarding issues raised, management worked with the local authority to resolve the issues. Staff spoken with knew what to do if an allegation of abuse occurred. Ongoing training and information relating to the whistle blowing procedure has been given to all staff and issues are brought to management’s attention and acted upon appropriately. This ensures that people are being protected from abuse. Checks are undertaken to ensure new staff are suitable to work in the care industry. St Catherine`s Care Home DS0000070670.V353497.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): Standards 19 and 26 People who use this service experience good quality outcomes in this area. People live in a home that is well maintained and infection control measures are in place. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home is maintained and decorated with plans to make the environment more homely with soft furnishings and different lighting in certain areas. One upstairs bedroom is being made bigger and having an en suite bathroom created. Plans are in place to replace some chairs and to repaint and decorate corridors to give the home a new look, and aid people’s orientation within the home. All of the bedrooms have room names. On Lomond they may also benefit from having other indicators such as large room numbers or photographs of loved St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 16 ones to aid peoples memory. One bedroom on Lomond has no nurse call in the bathroom, however the nurse call in the bedroom is detachable from the wall and can be taken into it. Bedroom doors are fitted with locks but are rarely used. A number of bedrooms had en suite facilities that allow wheelchair access. There are four double bedrooms which have screens between beds to ensure peoples privacy and dignity is maintained. There are two bedrooms on Harewood, which have living rooms and access onto their own private patio and en suite toilet facilities. Bathrooms are fitted with equipment to aid peoples independence where required. Reception is being moved so visitors can be met by the administration team or manager. A new doorbell is being fitted which will be compatible with the nurse call system to alert staff when visitors arrive at the new entrance. There are gardens to the front side and back of the home, and a central secure courtyard garden for Lomond unit with patio doors leading from the lounge so people can go outside if they wish. The grounds are suitable for disabled access. The laundry facilities inspected are adequate for the home and soiled linen is contained in red dissolvable bags. Industrial washers and dryers are in place, with sluice cycles. The laundry is a separate building in the grounds and a lone working policy is in place, and a walkie-talkie is available for staff so they do not feel isolated. Hand wash facilities are available throughout the home, alcohol gel is also available to clean hands with and these measures ensure infection control is in place. People surveyed said they were happy with the facilities the home had to offer. One comment was “ St Catherine’s is going through a process of refurbishment at this present time. The changes will be beneficial to the residents and staff, it is a very friendly and caring home”. St Catherine`s Care Home DS0000070670.V353497.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): Standards 27, 28, 29 and 30 People who use this service experience good quality outcomes in this area. People are looked after by adequate numbers of well-trained staff. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff spoken with were friendly approachable and positive about the role they played in the home. Staffing level are adequate to ensure people get the care they require. Staff update their training to ensure their health and safety is protected and that of the people living in the home. Staff are recruited using thorough methods. However Criminal Record Bureau checks for 2 members of staff had not been received at the home and these staff were being supervised at all times. Management should ensure that this information is sought as soon as it is returned to the company who completes these for the home. Staff meet the needs of people living in the home, people spoken with by the expert by experience stated staff were very caring. Staff were seen to comfort people put their arms around them and reassure them. Agency staff are used when sickness or absence occurs, sometimes if this happens at short notice and agency staff cannot be found then there can be St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 18 less staff in the home than the provider would like. There has been an increase in staffing levels since Wellburn took over to improve the quality of care being delivered. Staff who require extra help and support to be effective when recruited are given an individual support plan. Induction for new staff occurs and includes information on safeguarding individuals. The home has over 50 of care staff that have achieved a National Vocational Qualification at level 2 or 3. This helps to ensure that people are looked after by well-trained staff. Staff meetings are held to gain the views of people working in the home. Any issues raised are looked at by management and appropriate action taken. Staff spoken with were positive, saying they felt the company put the residents at the centre of what they do and they help and support staff. St Catherine`s Care Home DS0000070670.V353497.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): Standards 31, 33, 35 and 38 People who use this service experience good quality outcomes in this area. People live in a home that is well managed and their health and safety is protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager has been at the home for a long time, she is experienced and approachable. The company help and support her; the operations manager and directors visit the home regularly. Quality assurance procedures are in place. Audits are carried out, these look at all departments as well as asking the views of people living at the home. The management team deals with any issues raised. St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 20 Policies and procedures are in place. Staff and resident and relative meetings are held regularly. The company also send out surveys to people living in the home to gain their views of the service. The home is continually being improved to ensure it is a safe and homely environment for people and their families to enjoy. The management team communicate well with the Commission for Social Care Inspection. Health and safety checks and regular maintenance is undertaken. Personal allowance accounts are not provided for people living in the home. St Catherine`s Care Home DS0000070670.V353497.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 2 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Catherine`s Care Home DS0000070670.V353497.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. 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 Refer to Standard OP7 OP29 Good Practice Recommendations People personal preferences should be provided in regards to the frequency of bathing to meet individual’s needs. People should be informed what food is available to them at meal times before it is served, so they can make an informed choice. St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 St Catherine`s Care Home DS0000070670.V353497.R01.S.doc Version 5.2 Page 24 - 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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