Care Home: Staley House Residential Care Home

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What the care home does well This is a service that is committed to ongoing development and improvement. The service has continued to implement an ongoing rolling programme of refurbishment and has replaced furniture and fittings. The boilers and heating system have been improved so that they are more effective. The environment was homely and well maintained throughout. All areas were clean and hygienic. During this visit, it was evident that the staff had a good understanding of the individual needs of the residents. They were quick to respond to residents in a sensitive and caring manner. There was an emphasis on listening to how the residents themselves wanted to be supported. Comments from relative and residents were very positive. All of the people spoken to spoke highly of the staff team. Comments included: "I always feel I can talk to the manager and the staff". "The staff really help you. If you have any worries they do understand and will help you". "The staff are so good. they help you in all sorts of ways". The food served in the home was of a good quality. Meals were well presented and offered a good choice. The cook was very involved in consultations with residents about their meal and menu preferences. There was a good and varied activity programme in place. There were plenty of opportunities for resident to try out a wide range of activities both on a one to one basis, or group arrangement. There were good management systems in place to monitor the day to day working practices in the home. Staff told us they felt well supported by the management and that there were plenty of opportunities for ongoing personal development and training. What has improved since the last inspection? The programme of routine maintenance ensure that improvements in the physical building are ongoing. Improvements have been made to the care plans so that there is the provision to make updates when changes in individual care needs are identified. What the care home could do better: When new care plan documents are used, it is important that all the information is transferred over to them so that staff have the information they need to meet care needs in a safe way. A new cabinet for the storage of controlled medication needs to be in place. This must meet the updated legislation for the safe storage of controlled medication. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Staley House Residential Care Home Huddersfield Road Stalybridge Tameside SK15 2PT     The quality rating for this care home is:   two star good service 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. Lead inspector: Ann Connolly     Date: 1 9 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Staley House Residential Care Home Huddersfield Road Stalybridge Tameside SK15 2PT 01613048939 01613386713 gilmours@runbox.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Domain Care Ltd Name of registered manager (if applicable) Mrs Christine Alison Thorpe Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: 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 categories: Dementia over 65 years of age: Code DE(E) Old age, not falling within any other category: Code OP Physical disability over 65 years of age: Code PD(E) The maximum number of service users who can be accommodated is: 27. Date of last inspection Brief description of the care home Staley House is a large detached building, converted and extended to provide residential care for up to 27 older people, some of whom may have dementia or a physical disability. The property was previously a vicarage. The accommodation is provided on two floors. There are a total of 25 single rooms, 12 of which benefit from Care Homes for Older People Page 4 of 25 care home 27 Over 65 27 27 27 0 0 0 Brief description of the care home en-suite facilities, and one shared room. Located on the ground floor are two lounges and the dining room. In addition to aids and adaptations, there is a full passenger lift. Car parking is provided to the front and side of the building. To the rear is a secure patio area accessed from a lounge that overlooks pleasant lawns and woodland. Garden benches are also provided at the front of the house. The home is located in a conservation area close to the centre of Stalybridge. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection that included a site visit to the home. The manager was not told beforehand that we were coming to inspect, this is called an unannounced inspection. This inspection looked at all the key standards and included a review of all available information received by the Commission for Social care (CSCI) about the service provided at the home since the last inspection. During the site visit a selection of records, care plans, policies and procedures were examined. Discussions took place with the manager, staff working in the home, and some relatives and visiting professional. Discussion took place with them to find out what they thought about the home and what they felt about how the staff supported them. A tour of the building took place and residents were asked for their comments and views about the environment. Before the inspection, we also asked the manager of the service to Care Homes for Older People Page 6 of 25 complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service about how they are meeting outcomes for people using the service. The information provided on this occasion was detailed and comprehensive and showed us that this was an organisation committed to the ongoing development of the service and staff team so that residents in the home benefit from positive outcomes. Surveys were sent out to residents and staff and there was a good response which gave us more information about this service. Since the last inspection visit the Commission have not received any recent complaints about the service. There was evidence during this visit that the manger was handling complaints well and followed correct polices and procedures for manging complaints and safeguarding issues. The range of fees for this service are: from three hundred and ninety eight pounds and eleven pence to four hundred and thirty pounds and eleven pence per week. What the care home does well: What has improved since the last inspection? What they could do better: When new care plan documents are used, it is important that all the information is transferred over to them so that staff have the information they need to meet care needs in a safe way. A new cabinet for the storage of controlled medication needs to be in place. This must meet the updated legislation for the safe storage of controlled medication. Care Homes for Older People Page 8 of 25 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have their needs assessed before moving into the home. They are able to visit the home prior to making any decisions about their care and support arrangements. Evidence: Four care plan files were looked at. There was a clear procedure in place for the assessment of prospective residents. Information provided in the Annual Quality Assurance Assessment(AQAA) stated that an assessment was undertaken by the manager prior to arranging an admission. This ensures that they can be confident that they have the right staffing levels and staff skill mix to meet the assessed needs of the individual. The manager told us that this was the usual practice, but occasionally, when an admission is an emergency, all relevant assessment information is obtained from the placing authority. Care Homes for Older People Page 11 of 25 Evidence: When a place is offered at Staley House, a letter is sent to the prospective resident confirming that the service can meet their assessed need. When a place cannot be offered, the reason is provided. Care Homes for Older People Page 12 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are treated with dignity and respect in this home. Their health, personal and social care needs are taken seriously. Evidence: Four care plans were looked at during this visit. The care plans are set out in booklets. This format has the potential to be restrictive, as when the booklet is full, all the current information has to be transferred into a new booklet. One care plan that was looked at illustrated this problem. Instead of transferring all the relevant information, a sentence stated, all information can be found in the old booklet. If this system is to be used, all information needs to be transferred to the new booklet so that staff are provided with all the appropriate information to help them in supporting residents safely. There was some evidence to show that the booklets had been redesigned so that there were ample additional pages to add any new and changing care needs. This provided a degree of flexibility in the system enabling staff to update the plans when necessary. Care Homes for Older People Page 13 of 25 Evidence: Staff who were spoken to had a good knowledge of individual care needs and it was evident that they were using the care plans on a daily basis. All staff shared the responsibility of updating and reviewing the care plans. The manager told us that staff were encouraged to involve residents in developing their own care plans. Staff were currently being supported to expand on the daily recordings so that they were meaningful and relevant. Care plans included monitoring of weight, risk assessments and provided details of lifestyle preferences. Residents told us that they were satisfied with the care and support they received from staff and said they could talk to staff about how they wanted to be helped and supported. Medication procedures were looked at. A sample of staff signatures for identification purposes was in place. All medication administration records (MAR) were signed appropriately and there were records in place for the receipt and disposal of medication. The medication trolley was securely stored when not in use. The medication cupboard for storing controlled drugs did not comply with new guidelines and regulations for the storage controlled medication. Suitable storage will need to be provided to ensure the safe storage of medication in the home. Care Homes for Older People Page 14 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are both well managed and provide daily variation and interest for residents living in the home. Evidence: There was a wide range of activities available to residents. During this visit, some residents were receiving a hand massage from an independent visiting therapist. Resident wishing to participate in this activity pay for their own individual treatment session from their personal allowance. There were a number of other activities arranged by the service. These included gentle exercise, games, bingo and quizzes. There was also evidence of various outings and trips being organised by the service. Some activities include current events such as watching football matches, and those residents with an interest in football are encouraged to participate. One resident told us that church events and communion was held in the home. She also told us that some residents attended the local church. Care Homes for Older People Page 15 of 25 Evidence: Some staff are currently involved in individual projects with residents where they are developing a getting to know you booklet. Residents and families are encouraged to participate to build up a lifestyle history if residents show an interest. The menus and meals served in the home were of a good standard. One of the cooks had recently attended a course on healthy eating and had passed on the information to the second cook. There was evidence to show that the cooks are involved in consultations with the residents to find out about their individual preferences. The cook told us that it was part of their duties to attend meetings with residents when developing the menu and to speak with the daily to discus menu options. Residents spoke highly of the meals served, and we sampled a well present meal using fresh produce. The meals served during this visit was home made quiche, sandwiches and fruit flan. The evening meal offered a choice of gammon or fish fingers with fresh vegetables. The meals were served in a pleasant dining room. Staff were seen supporting residents in a discrete and sensitive manner. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good procedures so that residents living in the home are able to express their concerns and be listened to. Their rights are protected and they are safeguarded from abuse. Evidence: There was a detailed complaints procedure in place and the service maintains a full record of any complaints made. All residents who were spoken to said they felt confident in raising their concerns to the manager or staff. There have been several complaints made directly to the service since the last inspection. All of these had been recorded and included details of the nature of the complaint, the investigation and the outcome. The Commission has not received any recent complaints about this service. Staff training records indicated that staff had received training in adult safeguarding procedures. Staff who were spoken to showed a good understanding of what to do in the event of any allegation of abuse. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staley House offers comfortable and well maintained surroundings which are clean and free from odours. Evidence: A tour of the home took place. All areas of the home which were looked at were cleaned and maintained to a high standard. There was evidence of an ongoing rolling programme of refurbishment. Information in the AQAA showed that there had been financial investment into a range equipment such as washers, dryers and sitting room furniture. This investment is reflected in the quality throughout the home. Communal areas were well decorated and furnishings were of a good standard, providing a pleasant place for residents to live and entertain their friends and visitors. The heating and boiler had been upgraded to provide a more effective heating system throughout the home. The layout of the home provided several areas for residents to spend their time. A pleasant lounge to the rear of the building provided a relaxing space to view the garden and surrounding countryside. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents who live at the home are protected by a well trained effective staff team who have gone through a thorough recruitment process, so their needs are met and they are safe from possible harm or poor practice. Evidence: From observations made during this visit, there were sufficient staff on duty to meet the need of the residents. A rota was available and reflected the staff levels during this visit. A selection of staff files were looked at and they contained the required references and Criminal record Bureau (CRB) checks. Staff training records were looked at and showed that a new programme had been set up for staff. Staff told us that there were plenty of training and development opportunities. Training records showed that staff had received training in safeguarding adults, infection control, moving and handling and fire safety awareness. The manager said that future supervision sessions with staff were being set up to assess training needs and arrange for training when identified as appropriate. Residents spoke highly of the staff in the way they supported them. Comments Care Homes for Older People Page 19 of 25 Evidence: included: The staff are very caring. If I have a problem, I have a carer who is very nice and I can talk to her about anything. The staff have time for you, they talk to you. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interest of the residents who live there. Evidence: The registered manager has the skills and experience to manage Staley House. The manager holds the NVQ level 3 qualification and the registered manager award. There are clear lines of accountability within the organisation and the owners work closely with the manager . The manager told us that she undertakes an audit of the key aspects of the day to day running of the home on a quarterly basis. This audit looks at all key areas of practice. When shortfalls are identified, action plans are put into place. Meetings are held for residents so that they can express their views and preferences on how they want to be supported. Information in the AQAA informs us that regular surveys are carried out when the views of the people living in the home are sought. Care Homes for Older People Page 21 of 25 Evidence: There was evidence that all equipment in the home was regularly checked to ensure the health and well being of all those people using it. Staff confirmed that they were in receipt of regular supervision and said that it was used as an opportunity to discuss training and development. Care Homes for Older People Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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 1 9 13 Suitable storage for controlled drugs must be provided. Storage facilities must comply with new regulations for the safe storage of controlled drugs. So that medication in the home is stored in accordance with regulations. 03/06/2009 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 The current system of using booklets for the care plans must be used appropriately. When booklets are full, all information should be transfered to a new booklet so that staff have all the relevant information to support residents appropriately. Care Homes for Older People Page 24 of 25 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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