Care Home: St Joseph`s Hospice

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well What the care home could do better: Senior management could improve the situation for residents, their relatives and staff by consulting with them to find out how the building work is impacting on their everyday lives. Where residents are placed on the pathway, their family and staff views need to be considered on their behalf.An impact assessment should be carried out to identify how the building work planned for each day may affect the lives of the residents. Action should be planned to minimise the effects the work may have on residents ability to rest. Where staff are caring for residents each day they should be consulted regularly throughout the day to see if any noise has affected residents. Care records should show where noise has impacted. Regular discussion with families and monitoring of residents welfare during this period of disruption should be carried out by senior management and action taken to address any concerns. Documentation should evidence regular monitoring of the situation and be open to inspection. Senior management need to be sure that prospective residents and their families are made fully aware of the building work. They can then make an informed decision about choosing the service. Where there are vacancies in the other part of the service (San Jose) residents should be offered the choice of this facility whilst the building work is going on. For residents who are able, they should be offered the choice of spending their day time hours in San Jose so that they are least disrupted by any building work noise. This service provides a leaflet to prospective residents and it quotes, "You matter because you are you and you matter to the very end of your life . We will do all we can not only to help you die peacefully but also to live until you die". The service needs to ensure that by providing end of life care for residents that their last days are spent in a peaceful environment that promotes their dignity. Random inspection report Care homes for older people Name: Address: St Joseph`s Hospice Ince Road Thornton Liverpool Merseyside L23 4UE three star excellent service 14/01/2010 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: Margaret VanSchaick Date: 0 1 0 9 2 0 1 0 Information about the care home Name of care home: Address: St Joseph`s Hospice Ince Road Thornton Liverpool Merseyside L23 4UE 01519243812 01519315727 jacintacannon@jospice.org.uk www.jospice.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Jacinta Ann Cannon Type of registration: Number of places registered: Conditions of registration: Category(ies) : St Joseph`s Hospice Association care home 25 Number of places (if applicable): Under 65 Over 65 12 0 0 old age, not falling within any other category physical disability terminally ill Conditions of registration: 0 3 10 Service users in the category TI must be in the age range of 19 years and above. Service users to include up to 12 OP and up to 10 TI and up to 3 PD. The service should employ a suitably qualified and experienced Manager who is registered with CSCI. Date of last inspection 1 4 0 1 2 0 1 0 Care Homes for Older People Page 2 of 10 Brief description of the care home St. Josephs is a care home, with nursing, for 25 Service Users. The home is owned by St. Josephs Hospice Association (Jospice International) and the manager is Jacinta Cannon. The home is registered in the following categories, 12 Elderly, 3 Physical Disability, 10 Terminal Illness. The home was founded within a Catholic ethos and this is reflected in the character of both the interior and grounds. The home is not exclusive to those of the Catholic faith. People of all denominations and those who have no religious beliefs may move in, subject to nursing assessment and availability. The service is provided in two buildings, The Academy and San Jose, which have a number of lounges and two dining areas. The majority of bedrooms are singles and some have en-suite facilities. There are extensive and beautiful grounds consisting of woodland, gardens and car parking facilities. The home is situated on a main bus route between Southport and Liverpool with the busy shopping centre of Crosby a five-minute car journey away. Care Homes for Older People Page 3 of 10 What we found: This visit was carried out following concerns raised about the noise created by ongoing building work in one of the services buildings (The Academy - 8 beds). The visit lasted five hours and included a brief visit to the ground floor of the premises where the building work was taking place. We also spoke with a resident, residents families and staff. The visit also included a meeting with the Clinical Director and General Manager. During the course of this meeting the representatives from the management team drew up an action plan, which was shared with us during the visit. We acknowledged our agreement with the proposed actions for the on-going management of the project. Also visiting the service was the Continuing Healthcare Manager from Sefton PCT and a representative from Sefton Contracting team. We found that the noise from the building work was intrusive and affected residents ability to rest. In particular, when heavy hammering and drill work was in progress it was difficult at times to follow a conversation we had with a resident. We were unable to clearly hear what they were saying. The building work was easily heard in residents bedrooms and public rooms. Throughout the visit the noise easily broke your concentration. We interviewed one resident who stated, The work usually starts just after 8am, that wakes me up, they start first thing. I know some of the patients that arent here anymore got very upset with it, they couldnt hear themselves speak. It has been a lot louder than today and I can smell the dust. One residents family told us that their parent had been looking forward to staying in the service but since the building work started has told them I dont want to be here. This relative was very distressed and stated, I have asked them to stop the drilling. Another family had been concerned by the last few days of their relatives life being interrupted by very loud drilling and masonry work. Those relatives stated, The care was second to none, it was wonderful care. The staff were fantastic. For the last week or two there has been very loud drilling, immediately below mums room. Mum was agitated with the noise, the whole unit was affected. We spoke with the Clinical Director on several occasions, there was no consultation. We asked if the drilling could be stopped. They were carrying out demolition work. The Clinical Director told us she had the power to stop the work and would review it on a daily basis. She could not reassure us that there would be no drilling. The drilling was then stopped but we could not be sure that the drilling would not start up again. Staff told us that they were very concerned for residents who were clearly affected by the noise of the ongoing building work. Staff told us that the noise was impacting on the residents, in particular those who were placed on the pathway. They were concerned that families were distressed that their relatives peace and rest was disrupted by the intrusive and continuous building work. Staff interviewed stated, At 8.05am there was heavy masonry drilling, we couldnt hear at the handover, it was abysmal. We asked them to stop but within an hour they started Care Homes for Older People Page 4 of 10 again. As far as I am aware no one has complained about the noise. Drilling has gone on, its quite loud, I have heard the noise in the office. It is extremely noisy. We had a lady last week who was on the pathway and the noise was directly under her room, she could wake up. This morning it started off really quite loud, drilling and banging, it would have affected residents. Colleagues had warned us that the noise had been horrendous and advised of concerns of relatives. Staff have also been concerned about another gentleman who is now on the pathway. When families are sitting with residents, the noise has affected them. Loud banging and drilling is affecting us. The residents who are dying have been affected most. When we discussed the above comments with the Clinical Director she confirmed that certain residents families have been concerned about the noise created by drilling and other building work. She told us that she had spoken with residents relatives and told them that she would review the situation three times each day and stop or alter the building plans accordingly. She did not want to categorically tell them that the drilling would stop because she was unable to give that blanket assurance. The building contractor had been chosen for this particular project as they had previously shown a sympathetic and considerate approach to managing similar issues. The Clinical Director confirmed that some residents were on the pathway. The drilling and heavy banging noise was clearly evident during our visit. Prior to commencement of the building works a letter was sent on the 9th August 2010 advising of Some changes affecting the front entrance of the Academy Building and this should not cause any inconvenience to you, your family and visitors. The letter was issued to residents and related to the work commencing on 10th August 2010. There was no mention of the changes being noisy and including heavy demolition work. The PCT were not informed of the imminent start of the work so that they could alert prospective residents prior to their admission to the service. Whilst the PCT were aware that building work was due to take place it is understood that no up to date information had been shared on how the schedule of works would be managed and how the service would lessen the impact for the residents who were living there. What the care home does well: What they could do better: Senior management could improve the situation for residents, their relatives and staff by consulting with them to find out how the building work is impacting on their everyday lives. Where residents are placed on the pathway, their family and staff views need to be considered on their behalf. Care Homes for Older People Page 5 of 10 An impact assessment should be carried out to identify how the building work planned for each day may affect the lives of the residents. Action should be planned to minimise the effects the work may have on residents ability to rest. Where staff are caring for residents each day they should be consulted regularly throughout the day to see if any noise has affected residents. Care records should show where noise has impacted. Regular discussion with families and monitoring of residents welfare during this period of disruption should be carried out by senior management and action taken to address any concerns. Documentation should evidence regular monitoring of the situation and be open to inspection. Senior management need to be sure that prospective residents and their families are made fully aware of the building work. They can then make an informed decision about choosing the service. Where there are vacancies in the other part of the service (San Jose) residents should be offered the choice of this facility whilst the building work is going on. For residents who are able, they should be offered the choice of spending their day time hours in San Jose so that they are least disrupted by any building work noise. This service provides a leaflet to prospective residents and it quotes, You matter because you are you and you matter to the very end of your life . We will do all we can not only to help you die peacefully but also to live until you die. The service needs to ensure that by providing end of life care for residents that their last days are spent in a peaceful environment that promotes their dignity. 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 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 7 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 1 10 12 The registered provider must 10/09/2010 make suitable arrangements to ensure that the care home is conducted in a manner which respects the dignity of service users. This is to ensure that residents are not being unduly distressed with the noise of the ongoing building work. 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 1 The registered provider should ensure that all prospective residents and their families are made fully aware of the building work that is going on so that they can make an informed decision about taking a placement. The registered provider should ensure that where possible residents can be offered the vacant beds provided by San Jose, which also provides palliative care. The registered provider should also offer residents the facility of enabling residents to spend their day time at San Jose whilst the building work is going on. Page 8 of 10 2 10 Care Homes for Older People 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 3 10 The registered provider should ensure that regular reviews of how the building work noise is impacting on the dignity of the residents are being carried out. The results of these reviews should be documented. Action should then be taken to minimise the disruptive noise. In particular when it is affecting the lives of the residents on the palliative care pathway. The registered provider should be sensitive to the needs of the residents, their families and staff to ensure that they are aware of building work that is planned each day including drilling times. The registered provider should ensure that residents who are placed on the Liverpool Pathway are provided with an environment that is peaceful and that their death is treated with sensitivity and respect. The registered provider should canvass the views of the residents, relatives and staff so that this evidences they are being consulted and listened to in regards to any changes that occur because of the building work. Their views should be documented. 4 10 5 11 6 33 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. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!