Latest Inspection
This is the latest available inspection report for this service, carried out on 1st April 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for St Williams Residential Care Home.
What the care home does well Care plans contain excellent up-to-date information about the service users health and personal care needs. Staff make sure that the service users are treated with dignity and respect. The meals are good with plenty of choices available and relatives and friends can visit anytime they wish. Service users are protected by the medication, complaints and safeguarding procedures. The home is clean and well maintained. Staffing levels and staff training is good. The manager has many years experience of managing a care service and service users and staff commented that she was approachable. What the care home could do better: It would be good if the activities available to service users included more trips in the local community and further afield. Random inspection report
Care homes for older people
Name: Address: St Williams Residential Care Home Cornwall Avenue Darlington Durham DL1 2LJ 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 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: Nicola Shaw Date: 0 1 0 4 2 0 1 0 Information about the care home
Name of care home: Address: St Williams Residential Care Home Cornwall Avenue Darlington Durham DL1 2LJ 01325486166 01325482337 Telephone number: Fax number: Email address: Provider web address: www.bupa.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Jacqueline Elliott Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (GL) Ltd care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 21 The registered person may provide the following category of service only: Care home only - Code PC 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 catgory - Code OP, maximum number of places: 21 Date of last inspection Brief description of the care home St Williams is registered to provide residential care for up to twenty-two older people. The home is owned by Bupa Care Homes (GL) Limited. St Williams is a former convent and is a large detached property situated in a residential area of Darlington. Accommodation is provided on two floors, with a passenger lift giving access to both
Care Homes for Older People Page 2 of 10 Brief description of the care home floors. Seven single rooms are situated on the ground floor and a further thirteen single and one double room are located on the first floor. One of the bedrooms has an en-suite and communal toilets, bathrooms and a shower room are situated throughout the building. There are two lounges and a dining room on the ground floor and a small quiet lounge on the first floor. There is a garden to the front of the house. At the time of the last key inspection the weekly fees charged by the home ranged from 334 to 408 pounds per week. Additional charges are made for hairdressing and private chiropody. Up to date information about fees and terms and conditions should be sought directly from the homes manager. Care Homes for Older People Page 3 of 10 What we found:
Before this random inspection visit: We looked at: Information we have received since the last annual service review on 2nd April 2009. How the service has dealt with any complaints and concerns since the last visit. Any changes to how the service is run. The providers view of how well they care for people. The results of surveys. We received eight completed surveys from service users. The visit: An unannounced visit was made on 1st April 2010. During this visit we: Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff had knowledge, skills and training to meet the needs of the people they care for. Checked what improvements had been made since the last visit. We told the manager what we found at the end of the visit. Health and Personal Care: We looked at two care plans in detail. The home uses what they call a QUEST individual assessment to find out about the service users care needs. This covers a wide range of health and personal care needs as well as finding out about the persons daily routines. Examples include mobility, eating and drinking, mouth care, continence, sleeping, pain, end of life arrangements as well finding out about the persons cultural needs, for example their lifestyle and religious beliefs. Where health or personal care needs have been identified a supporting risk assessment is developed followed by the care plan. Those we looked at provided good up-to-date information. Risk assessments include nutrition, pressure area care, but also for any other area where a need has been identified. The risk assessments and care plans are person centred. This means that they are written in a way which describe the individual service users needs and preferences.
Care Homes for Older People Page 4 of 10 There was an excellent plan in place for one service user who at times can become agitated as a result of their dementia. This provided staff with information about the best way to support this person, including the use of therapeutic techniques, for example aromatherapy, the use of diversional techniques, and also the importance of checking to make sure the person is not in pain. Relatives are also involved in the development of the care plans. For example: one relative had been involved in making laminated cards to help staff communicate with their family member. We spent time observing how staff supported service users. We found that staff were very respectful in their approach, treating the service users with dignity and respect. When they supported service users to walk, they did so at a pace that was comfortable for that person. Nobody was rushed. Staff got down to the service users level when talking to them and referred to them by their chosen name. Six service users who completed a survey said that they always received the care and support they needed from staff, two said usually. And seven service users said that the home always made sure that they got the medical care they needed. Daily Life and Social Activities: The activities organiser has been off work for a short period of time. In their absence staff have continued to arrange activities for service users in the home. All staff have been provided with training about activities. During our visit a relative was involving the service users in a game of Bingo. Risk assessments, with a clearly identified assessed need, and support plans are in place for those service users at risk of social isolation. There is a lifestyle profile section in the care plans which includes information about the service users routines and rituals from early morning through to night time. There is also a map of life which includes information about the service users social history. This information is important as it will help with the development of the activities programme. The home does not have its own transport and therefore activities out in the local community are limited. Although one service user we spoke to said that the activities organiser had supported them to attend their local Church. Daily newspapers are delivered for service users. Four service users said in surveys that the home always arranges activities that they could take part in, two said usually and two said sometimes. A record is kept in the care plan of service user /relative or advocate involvement with details of the date/time and what was discussed. Relatives are able to visit their family member whenever they choose. We sat with three service users whilst lunch was served. The tables were nicely presented with table clothes, napkins and condiments. There was a choice of main meal and pudding. Staff were very respectful in their approach to service users during this activity,
Care Homes for Older People Page 5 of 10 offering support sensitively and discretely where needed. Refreshments were offered throughout and service users were able to to eat at their own pace. Service users are able to have their meal in their room if they want to. Six service users said in surveys that they always liked the meals in the home and two said usually. Complaints and Protection: Seven service users said in surveys that there was someone they could talk to informally if they were not happy. And that they knew how to make a complaint. Service users we spoke to also said that they would have no hesitation in speaking to the staff or manager if they had any concerns. There has been one complaint within the last year. This was dealt with by the home within 28 days as per their procedure. The staff we spoke to confirmed that they had had training about safeguarding adults and knew what to do should they witness or suspect abuse. Environment: The home was clean, well maintained with no unpleasant odours. All eight service users who completed a survey said that the home was always clean and fresh. Staffing: On duty on the day of our visit were the manager, deputy manager, two care staff, one catering staff and one housekeeper. Currently there are seventeen people living in this home and therefore staffing levels are considered satisfactory. We spoke to staff who said that they felt that staffing levels were appropriate for the current number of service users. And seven service users said in surveys that there were always staff available when they needed them. We looked at two staff files. These contained the required information such as a job application form, job description, contract, two references, an Enhanced Criminal Records Bureau check and confirmation that their name was not on the Protection of Vulnerable Adults (POVA) list. Records showed that staff had completed training about understanding dementia, food hygiene, nutrition, challenging behaviour as well as an awareness about the Mental Capacity Act. Staff we spoke to said that they had completed the NVQ level 2 and 3 qualification in care, which they said had really helped them to understand the needs of the service users. There has been a low turn over in staff which is good for continuity of care. Management: The registered manager has many years experience of managing care homes. Staff and service users confirmed that they would feel able to approach her if they had any concerns. Staff confirmed that they receive regular supervisions. Generic environmental risk assessments have been completed for a number of issues
Care Homes for Older People Page 6 of 10 such as fire safety, hot surfaces, broken glass and the boiler house. There is good process in place for monitoring the occurrence of accidents and incidents in order to prevent them from happening again. There are dedicated health and safety staff within the organisation who are supported by a national quality and compliance team. They are able to give advice and support to the manager about, for example, health and safety and fire safety issues. There is an internal audit system where the manager carries out checks of medication, care plans, complaints, etc. The regional manager then verifies this audit. Records of these were up-to-date. The manager is in the process of up-dating the risk assessments in place for Control of Substances Hazardous to Health (COSHH). What the care home does well: 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 7 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 8 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 12 The activities programme should include more trips further afield and in the local community. 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!
