Care Home: St Catherines Care Home

What the care home does well St Catherine`s is well managed and provides high standards of care to people living in the home and their relatives. Staff employed at the home are highly regarded and provide a warm and welcoming environment both for residents and relatives. Staff are thoroughly checked to ensure they are suitable to work with vulnerable adults. St Catherine`s is well maintained so that it provides a safe, clean, relaxed and comfortable environment for people living in the home.The home has received no complaints in the last year and various methods are used to make sure that the home is run in the best interests of people living there. The standard of catering is good so people are well nourished. One relative told us, "Christmas Day in particular was lovely in here. The staff had made it as nice as they could. The cook had done her best". What the care home could do better: The home should try to involve people and their relatives in drawing up and reviewing their care plans so that they have knowledge about the care provided and can contribute to this process. All staff should undertake training in safeguarding adults so they know what to do if they suspect someone is being abused. All staff should take part in regular fire drills so they know what to do to protect people living in the home if there is a fire. Inspecting for better lives Random inspection report Care homes for older people Name: Address: St Catherines Care Home Barony Road Nantwich Cheshire CW5 5QZ three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: June Shimmin Date: 1 6 0 1 2 0 0 9 Information about the care home Name of care home: Address: St Catherines Care Home Barony Road Nantwich Cheshire CW5 5QZ 01270610881 01270610427 stcatherines@c-i-c.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Community Integrated Care care home 40 Number of places (if applicable): Under 65 Over 65 20 1 20 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 2 0 0 The home is registered for a maximum of 40 service users to include: * Up to 20 service users in the category of OP (old age not falling within any other category). * Up to 20 service users in the category of DE(E) (Dementia over the age of 65) * Two named service users in the category of may be DE (dementia under 65) * One named service user in the category of MD(E) (mental disorder over the age of 65). Date of last inspection Brief description of the care home St. Catherines care home is a single storey building situated on the outskirts of Nantwich. The home provides nursing care for 20 older people diagnosed with dementia and 20 older people whose needs are due to physical frailty. The home is operated by Community Integrated Care, a not for profit organisation. Bedroom Care Homes for Older People Page 2 of 9 Brief description of the care home accommodation consists of 38 single and one double bedroom. There are no en-suite facilities. There are day facilities including a lounge, dining room, and conservatory on each unit. There is a large foyer entrance with seated area and separate shared activities room situated off this area. Externally the gardens have been landscaped to provide a sensory garden with raised flowerbeds. The home is situated on a bus route and is close to the town centre and local shopping facilities. It also has its own transport. Fees range from 417 to 568 pounds per week Care Homes for Older People Page 3 of 9 What we found: Choice of Home We looked at the records of two people who had recently come to live at St Catherines Nursing Home. One record was for someone accommodated on Weaver Unit and the other for someone living on Meadow Unit. The registered manager of St Catherines had visited both people before they came to the home to find out what their care needs were and to decide if their care needs could be met at the home. The information recorded on the assessments was detailed and included information about the physical and social care needs of both people. This information also included any identified risks that would need to be managed by the home staff. Several relatives commented that they had chosen St Catherines because of its good reputation. Health and Personal Care We looked at the care plans of the two people who had recently moved to St Catherines. These were of a good standard and had been individualised to reflect the different care needs of both people. The care plans had been evaluated since admission to check if any changes needed to be made to the care plans. They also indicated that care home staff had involved healthcare professionals such as doctors and chiropodists when necessary. Although staff said they asked people if they would like to be involved in drawing up their care plan and reviewing it one person and relative said that this did not happen. This is important as it helps people to understand the care they are receiving and to have some control over this care. People living in the home said that staff treated them with respect and protected their privacy. Medication records were seen and found to be satisfactory. One relative commented, staff are really friendly, can approach them about anything. Daily Life and Social Activities The activity coordinator at St Catherines has just retired and the manager has taken prompt action to find a replacement staff member to ensure continuity. People said they had enjoyed the activities provided by the former activity coordinator and felt that they were offered choice in their daily lives. The spiritual needs of people living in the home were met as evidenced by talking to one person and reading the record of another person. The standard of catering at St Catherines appeared to be good and the dining rooms were pleasant environments in which to eat meals. One relative said that staff, ensure shes eaten enough. Complaints and Protection St Catherines has not received any since complaints since we carried out an Annual Service Review [ASR] in April 2008. People living in the home and relatives said they were aware about how to complain if necessary. The home has also not been involved in any safeguarding adults issues since its last ASR. A number of staff have not recently undertaken training in this topic and so might have up to date awareness of how to make sure that people living at the home Care Homes for Older People Page 4 of 9 are fully protected. Environment St Catherines provides a safe, clean and pleasant living environment for people in the home. Several relatives commented about the high standards of cleanliness. It was also noticeable that there were areas of the home where people could enjoy a quieter environment if they wanted. All communal living areas were furnished to a high standard and were comfortable, bright, airy and spacious. Staffing We looked at the recruitment records of a new staff member. These were satisfactory and showed that the home had conducted thorough security checks before employing the person. Staffing levels at the home appeared adequate to meet the needs of the people living there and staff said that they enjoyed working at the home. Staff said that they were given opportunities to undertake relevant training courses and much of this was being conducted in-house via e-learning, which makes it easier for staff to access this training in the home. The home has recently appointed a care and learning co-ordinator to ensure that training is delivered. Although the training record chart was available it was out of date so it was difficult to track what training had been carried out. Staff working at St Catherines are highly regarded by residents and relatives and one relative commented that she was considered and cared for as well as her relative. Management The manager is a very experienced, competent and warm person. St Catherines is well managed and run in the best interests of people living there. One relative commented, so pleasant and caring. The manager is also highly regarded by staff; one said, I feel confident in her management style. There are various mechanisms in place to monitor the quality of care provided at the home, such as audits. This means that actions can be taken to put right any outstanding issues. The manager was aware of gaps on the training chart in relation to training in moving and handling and fire safety. We were given reassurance that all moving and handling training would be brought up to date by the end of February 2009. What the care home does well: St Catherines is well managed and provides high standards of care to people living in the home and their relatives. Staff employed at the home are highly regarded and provide a warm and welcoming environment both for residents and relatives. Staff are thoroughly checked to ensure they are suitable to work with vulnerable adults. St Catherines is well maintained so that it provides a safe, clean, relaxed and comfortable environment for people living in the home. Care Homes for Older People Page 5 of 9 The home has received no complaints in the last year and various methods are used to make sure that the home is run in the best interests of people living there. The standard of catering is good so people are well nourished. One relative told us, Christmas Day in particular was lovely in here. The staff had made it as nice as they could. The cook had done her best. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 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, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Residents and their relatives[where appropriate] should be involved in drawing up and reviewing care plans so they know what care is being provided and can contribute to this process. All staff should undertake training in safeguarding adults so they are aware of what to do if they suspect someone is being abuse. The training matrix should be kept up to date so it is easy to see whether all mandatory training has been carried out. All staff should take part in a fire drill at least twice a year so they know what to do to protect the people who live in the home if there was a fire. 2 18 3 4 30 38 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 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 We want people to be able to access this information. 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