Care Home: St Marthas Care Centre

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What the care home does well This is a random inspection and therefore not all the core standards were assessed. People can visit the home before they move in to see if they would like to live there. People who live there have access to a range of health and social care professionals, which helps to ensure that their health care needs are met. Activity staff are employed so that people have an opportunity to take part in activities they enjoy. What the care home could do better: This is a random inspection and therefore not all the core standards were assessed. People should be provided with adapted cutlery and crockery where needed so they can eat their meals independently and their dignity is respected. The positioning of the TV in lounges should be considered so that all people are able to watch the TV if they want to. Random inspection report Care homes for older people Name: Address: St Marthas Care Centre 55-63 Victoria Road Stechford Birmingham West Midlands B33 8AL one star adequate service 23/03/2010 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: Sarah Bennett Date: 1 3 0 9 2 0 1 0 Information about the care home Name of care home: Address: St Marthas Care Centre 55-63 Victoria Road Stechford Birmingham West Midlands B33 8AL 01217897926 01217835547 stmarthas@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross BC OpCo Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 70 Number of places (if applicable): Under 65 Over 65 0 70 dementia old age, not falling within any other category Conditions of registration: 70 0 The maximum number of service users who can be accommodated is 70. 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 category Old Age, not falling within any other category: Code OP 70 Dementia: Code DE 70 Date of last inspection 2 3 0 3 2 0 1 0 Care Homes for Older People Page 2 of 10 Brief description of the care home St Marthas provides care and accommodation for older people in three buildings, Ash House, Cedar House and Beech House. Beech House provides nursing care. The home has been established for a number of years however was acquired by Southern Cross Healthcare in November 2007. St Marthas accommodation is provided over three levels in each house. Ash House provides accommodation for 25 people. There are 2 double bedrooms and the remainder are single occupancy. Cedar House provides accommodation for 13 people. Some of the rooms on the upper level require people to be able to manage some steps. A passenger lift is available to the first floor and there is a stair lift to the second floor. Beech House provides accommodation for 26 people. The houses share a spacious, well maintained patio/garden area. St Marthas is about a fifteen minute walk from the Bordesley Green Road, where there is a main bus route into Birmingham City Centre. Stechford railway station is nearby. Limited off road parking is available. The reader is advised to contact the home for updated information about how much it costs to live there. Care Homes for Older People Page 3 of 10 What we found: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection of this service was on the 23rd March 2010. This random visit was undertaken by two inspectors over four hours. We only visited Beech House. There were nineteen people living there. The home did not know that we would be visiting that day. The reason for this visit was to follow up on requirements made at the last random inspection on 27th July 2010. We looked at the records of four of the people living there and the staff rotas. We talked to the people living there, the manager and staff and spent time observing the interactions between staff and the people living there. These are our findings: Care plans were more detailed and easier to read the writing so that staff would know how to support individuals. Where peoples needs had changed or staff had identified that the care plan was not clear in how to support the individual they were being updated. Observations showed that staff were following peoples care plans to ensure they met their needs. We observed staff talking to people in a way that respected their privacy and dignity. The atmosphere in the home was relaxed. Staff spent time talking to people and where appropriate enjoying a joke with them, so to promote their well being. We saw that when people asked to be supported to the toilet staff responded immediately, so ensuring the persons dignity and comfort. Staff recorded when they had supported a person to go to the toilet where needed to monitor their health and well being. People were offered drinks and snacks of their choice during the morning. Where people needed support with this, they were given it in an appropriate way and encouraged to be independent where possible. Staff recorded what people had to eat and drink so their health needs could be monitored to ensure their well being. Lounges had been reorganised to make them more homely and comfortable. In Blossom lounge the TV was at an angle so that most of the people there could not see it. Staff tried to move it round but it was still not possible for all people sitting there to see it. The positioning of the TV in lounges should be considered so that all people are able to watch the TV if they want to. Different activities such as watching a film, listening to music, playing with a soft ball or making cards were offered and several people seemed to enjoy doing these. Records showed that where needed people had been referred to other health professionals for advice. Staff had noticed changes in peoples health and sought advice where needed to ensure individuals well being. People had been weighed as needed to ensure they were not at risk of being malnourished. Care Homes for Older People Page 4 of 10 One persons first language is not English and at our last visit staff were finding it hard to help the person communicate. More work had been done to ensure that staff and the person could communicate with each other. The person seemed happier and less isolated. The mealtime was more organised and staff knew who they were supporting and who had eaten what, to ensure that people have the nutrition they need. Staff sat to support people where needed and talked to them about their day and about what they were eating. Two people were observed to have difficulty in eating using the cutlery and crockery provided. Staff encouraged them both to be as independent as possible but they found it hard to eat without spilling their food or using their fingers to eat. One person did not seem to like to do this but it was the only way they could manage to eat their meal. Appropriate cutlery and crockery should be provided, so that people can be as independent as possible in eating their meals. The manager said that a redecoration plan is in place to ensure the home is more comfortable for people to live in. Carpets are to be cleaned next week and where needed carpets are to be replaced so the home is cleaner and more comfortable. Staffing levels had been reviewed. More staff have been recruited and there is less reliance on agency staff. Bank staff are being recruited so where cover is needed this can be provided by regular staff who know the people living there. The manager said there is one vacancy for a nurse to work nights. The manager is being more supported in her role by senior managers. The deputy manager is now permanent and their hours are additional to the rota so they can work with the staff and model good practice. This was evident in how staff were working with individuals as they were also being supported in their role. What the care home does well: What they could do better: This is a random inspection and therefore not all the core standards were assessed. People should be provided with adapted cutlery and crockery where needed so they can eat their meals independently and their dignity is respected. The positioning of the TV in lounges should be considered so that all people are able to watch the TV if they want to. Care Homes for Older People Page 5 of 10 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 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 People should have clear information about how much it costs to live at the home. Not assessed at this inspection. Assessments should clearly state what support the person needs to ensure that their needs are met. Not assessed at this inspection. Staff should be aware of what the medicines prescribed for the people living there are for, together with the common side effects of the medicines. Not assessed at this inspection. The positioning of the TV in lounges should be considered so that all people are able to watch the TV if they want to. People should be provided with adapted cutlery and crockery so that they can eat their meals independently and their dignity is respected. Outstanding from previous inspections. Staff should provide the people living there with information about their choices at mealtimes and what they are eating, so as to respect their choices and dignity. Page 8 of 10 2 3 3 9 4 5 12 15 6 15 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 Not assessed at this inspection. 7 15 People should be offered the opportunity to have foods that reflect their cultural background so to help them have a meaningful lifestyle that respects their wishes. Not assessed at this inspection. Menus should be varied so that people have a varied and nutritious diet that meets their individual needs. Not assessed at this inspection. Records should show how complaints are investigated to ensure that peoples views are listened to and acted on. Not assessed at this inspection. Staff should have training in the Mental Capacity Act and Deprivation of Liberty Safeguards. This will ensure they are aware of how this legislation may affect the people living there. Not assessed at this inspection. The mixer should be replaced to ensure that the risks of cross infection are reduced. Not assessed at this inspection. Recruitment practices should ensure that suitable staff are employed to work with the people living there to ensure they are safeguarded from harm. Not assessed at this inspection. A representative of the provider should visit the home monthly and write a report of their visit. This will help to ensure the home is meeting the standards and regulations and the home is being run in the best interests of the people living there. Not assessed at this inspection. Staff moving and handling practice should reflect what they have been told in their training to ensure their safety and that of the people living there. Not assessed at this inspection. 8 15 9 16 10 18 11 19 12 29 13 33 14 38 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. 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