Care Home: St Oswalds Nursing & Residential Home

What the care home does well There have been recent management changes to the home including the appointment of a new manager, Jose Bayani. The regional manager for the company has been working with the new manager to address issues that were identified as part of the quality assurance process. This also includes the response to complaints and safeguarding alerts in which the home The home was warm, tidy and residents said that they were comfortable. People living in the home were appropriately dressed for the activities they were undertaking. They were either in their bedrooms or in the lounges and some were accompanied by their visitors. During the visit new corridor carpets on the top floor were being fitted. This meant that the residents on that floor were spending the day on the middle floor. Staff allocation had been altered to make sure that they would have their needs met. Good records are now in place to show that staff are being given the training they need to undertake the work they are employed to carry out. Records of this were well organised and the manager could easily see where any gaps were and could identify any staff who needed additional training offered. Care plans examined were up to date and detailed, they could be more person centered but contain enough information to make them safe and show the staff how to provide support and care to the residents. There are clear audits being carried out to identify the gaps in the recording and these show that they understand how they could be improved further. The records of wound management including consent to photographs being taken and good information about the dressings to be applied. Regular updating was in place and evidence that advice was sought and taken from the Tissue viability nurses. There was good information from the Speech and Language Therapy team on record and the staff spoken to knew about this information. Accidents records were being kept appropriately but as yet there is no analysis in place. There is some inconsistency in completing the forms due to lack of training for staff, however the manager is aware of this and there is a plan for this to be provided. Medicines management has been an issue which has been poorly managed at times, the is now a series of audits being carried out and the manager is ensuring that there are copies of the homes medication procedures kept on all floors. Weekly medication audits are being carried out by the manager or the nurse in charge and these are being verifiedby the regional manager weekly. A full audit of medication was carried out by the supplying pharmacist. They have also provided "safe Handling of medicines" training for all staff who are involved in the administration of medicines. The manager is confident that the quality of the medicine administration is now good. Complaints are being managed in line with the company policies and procedures. This is an area where improvements have been made as there was some inconsistency in the way that the homes policies and procedures were being followed. During the visit we spoke to relatives of three residents, they were very positive about the changes that have been made recently. They said that they knew that there was a new manager and that they had been given the opportunity to approach him with any concerns although they had not needed to. A tour of the premises was carried out, there have been a number of areas which have been redecorated and were generally better. The specific tasks that were identified at the last key inspection had been completed. It could not be determined if all of the ventaxia vents had been cleaned. Verbal confirmation was received from the manager following visit that these have been done. What the care home could do better: The requirements made at the last key inspection have all been met except for the need to secure one of the the medicines cuboards to a solid wall. This has been arranged but in the interim they are not using it. No requirements or recommendations were identified at this visit. Random inspection report Care homes for older people Name: Address: St Oswalds Nursing & Residential Home 2 Crowhall Lane Felling Gateshead Tyne & Wear NE10 9PX one star adequate 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 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: Suzanne McKean Date: 2 0 0 4 2 0 1 0 Information about the care home Name of care home: Address: St Oswalds Nursing & Residential Home 2 Crowhall Lane Felling Gateshead Tyne & Wear NE10 9PX 01914950585 01914381722 Telephone number: Fax number: Email address: Provider web address: None Name of registered provider(s): Four Seasons Healthcare (England) Limited (Wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 70 Number of places (if applicable): Under 65 Over 65 18 64 52 9 dementia old age, not falling within any other category physical disability sensory impairment Conditions of registration: 0 0 0 0 One person under the age of 65 who also has a physical disability. The Manager will be supernumerary to the staffing complement Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home The home is of traditional appearance with a tiled roof. It has one passenger lift and because it is built on rising ground there is access to the outside from the two lower floors.There is a lounge and dining room on each floor with additional lounge space close to the first floor entrance. The home has a patio area and a large car park. The grounds are landscaped. Personal care is provided on the ground floor and personal care for people with dementia is provided on the top floor. The middle two floors provide nursing care for older persons. The home is in residential area close to local facilities. The home extends to four stories. It currently has 70 registered beds.The charges range from GBP370 to GBP456. The free nursing care element is set nationally. Extras include newspapers, clothing, and toiletries, outings and hairdressing. Care Homes for Older People Page 3 of 8 What we found: An unannounced Random Visit was carried out on 20th April 2010 by the link inspector Suzanne McKean, she was accompanied by a Healthcare Assessor from CQC. The visit was started at 09.30 and and was completed by 13.30. During the visit we looked around the home, spoke to the residents and their visitors and spoke to the staff on duty. We also looked at some of the records being kept including care plans and the records being kept around staffing. What the care home does well: There have been recent management changes to the home including the appointment of a new manager, Jose Bayani. The regional manager for the company has been working with the new manager to address issues that were identified as part of the quality assurance process. This also includes the response to complaints and safeguarding alerts in which the home The home was warm, tidy and residents said that they were comfortable. People living in the home were appropriately dressed for the activities they were undertaking. They were either in their bedrooms or in the lounges and some were accompanied by their visitors. During the visit new corridor carpets on the top floor were being fitted. This meant that the residents on that floor were spending the day on the middle floor. Staff allocation had been altered to make sure that they would have their needs met. Good records are now in place to show that staff are being given the training they need to undertake the work they are employed to carry out. Records of this were well organised and the manager could easily see where any gaps were and could identify any staff who needed additional training offered. Care plans examined were up to date and detailed, they could be more person centered but contain enough information to make them safe and show the staff how to provide support and care to the residents. There are clear audits being carried out to identify the gaps in the recording and these show that they understand how they could be improved further. The records of wound management including consent to photographs being taken and good information about the dressings to be applied. Regular updating was in place and evidence that advice was sought and taken from the Tissue viability nurses. There was good information from the Speech and Language Therapy team on record and the staff spoken to knew about this information. Accidents records were being kept appropriately but as yet there is no analysis in place. There is some inconsistency in completing the forms due to lack of training for staff, however the manager is aware of this and there is a plan for this to be provided. Medicines management has been an issue which has been poorly managed at times, the is now a series of audits being carried out and the manager is ensuring that there are copies of the homes medication procedures kept on all floors. Weekly medication audits are being carried out by the manager or the nurse in charge and these are being verified Care Homes for Older People Page 4 of 8 by the regional manager weekly. A full audit of medication was carried out by the supplying pharmacist. They have also provided safe Handling of medicines training for all staff who are involved in the administration of medicines. The manager is confident that the quality of the medicine administration is now good. Complaints are being managed in line with the company policies and procedures. This is an area where improvements have been made as there was some inconsistency in the way that the homes policies and procedures were being followed. During the visit we spoke to relatives of three residents, they were very positive about the changes that have been made recently. They said that they knew that there was a new manager and that they had been given the opportunity to approach him with any concerns although they had not needed to. A tour of the premises was carried out, there have been a number of areas which have been redecorated and were generally better. The specific tasks that were identified at the last key inspection had been completed. It could not be determined if all of the ventaxia vents had been cleaned. Verbal confirmation was received from the manager following visit that these have been done. 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 9 13 The controlled drug cupboard 29/07/2009 on the first floor should be secured to a solid wall This will ensure that storage of controlled drugs meets safe custody regulations and to protect service user medication from misuse or diversion. Care Homes for Older People Page 6 of 8 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 Care Homes for Older People Page 7 of 8 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. 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