Care Home: Stanley Place Residential Home

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What the care home does well The service provides a good standard of personal care in a friendly, caring environment. Staff were observed to give support with warmth, friendliness and patience and treat people respectfully. Each person has a care plan so that staff have information on how to meet people`s needs and keep people safe. People are offered a healthy diet to maintain their health and well being. People all have a bedroom that is individual in style, well maintained and contains their personal things. What has improved since the last inspection? The service has purchased a hoist so that if people`s moving needs change the home is equipped to manage them. There has been some redecoration of rooms and new carpets laid. What the care home could do better: The service stated in its AQAA where it could improve. The service knows that the recording of social events, meetings, development of surveys and auditing processes could to be more robust. The owner agreed to amend the service user guide to include information about fees and to amend contracts to include the fee to be paid and by whom. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stanley Place Residential Home 4 Stanley Place Salop Road Oswestry Shropshire SY11 2RG     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: Pat Scott     Date: 1 3 0 1 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. the things that people have said are important to them: They reflect 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 21 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 21 Information about the care home Name of care home: Address: Stanley Place Residential Home 4 Stanley Place Salop Road Oswestry Shropshire SY11 2RG 01691650343 01691679319 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Pauline Edwards Type of registration: Number of places registered: care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Stanley Place is a private care home situated on a main road near to Oswestry town centre and has convenient access to local amenities and services. The home has been converted from a large detached house and provides accommodation and personal care for up to 16 older people. There are two communal lounges and a large dining room and outside, towards the rear of the property, is a small covered terrace and a screened patio area with seating. All of these are accessible to Residents. The owner/manager of Stanley Place is Mrs Pauline Edwards who owns the establishment jointly with her husband. Fees for the service are currently £327 per week. 0 Over 65 16 Care Homes for Older People Page 4 of 21 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: The quality rating for this service is *TWO star GOOD service. This means the people who use this service experience good quality outcomes. We, the commission, looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. Care Homes for Older People Page 5 of 21 What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What the care home does well: What has improved since the last inspection? 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 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 7 of 21 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 8 of 21 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. People who use this service have general information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that peoples diverse needs are identified and planned for when they move to the home. Evidence: The written contract and terms and conditions of residence are on each persons file. The newest people have a copy. The current fees are not included in this document. This means that people do not have the information they need about how much it will cost them or any third party. Written admission documentation is good and includes a copy of the care management assessment. Basic information is available to staff to ensure they can meet the social, emotional and care needs of new people. A new person had been asked about his religious beliefs and staff understand how Care Homes for Older People Page 9 of 21 Evidence: important they are to him. The management had already researched information to enable staff to understand this element of care. This means that the management has made improvements to the assessment process so that they can be confident that their diverse needs will be met. People who live at the home are asked to complete a survey some weeks after admission. An example seen stated the person felt they had received enough information about the place. Care Homes for Older People Page 10 of 21 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. The practice regarding the planning and delivery of care means that all residents can be sure that their health and personal care needs will be fully met to ensure their well being. Evidence: Care plans state that staff are to support people with their personal care. The people living at the home are well dressed with attention paid to nails, hair and teeth. This indicates that people have the support they need so ensuring they feel good about themselves. Records sampled showed that other health professionals are involved in peoples care when needed. People requiring district nurse input have this described in their plans and staff monitor progress. People can attend health check ups with the dentist, optician and chiropodist to ensure their health needs are met. The trolley for peoples medication is secured to the wall and locked so that people are not at risk of taking medication that is not prescribed for them. At the front of each persons medication administration record (MAR) there is a photo of the person so that Care Homes for Older People Page 11 of 21 Evidence: any unfamiliar staff would know who to give the medication to. MARs sampled had been signed when medication had been given. People are asked about their beliefs and wishes for end of life care. A new bereavement policy has been developed. Care Homes for Older People Page 12 of 21 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. A range of activities within the home and community mean the people have opportunities to participate in leisure pursuits of their choice. Meals and mealtimes are unrushed and an enjoyable, social occasion for all of the people who live at the home. Evidence: The care records we looked at indicate that peoples food and drink intake is monitored daily and regular meals and drinks are offered. The storeroom provides a range of tinned, frozen and fresh food. Nutritional assessments are conducted by staff so that people at risk of malnutrition can be closely monitored and cared for. Through service surveys people can indicate their preferences for activities and comment on what is provided. Informal discussion takes place for people to decide on group events such as outings, shopping. One person was off out to get his paper from the local shops. People were seen sitting on the two lounges or in their room watching TV, listening to music or doing a crossword. Care Homes for Older People Page 13 of 21 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. The service has a complaint procedure which is accessible so that people who use the service have information of how to make complaints about the home. Training is provided so that people are protected from abuse and have their legal rights protected. Evidence: People surveyed state that they would go to the manager or one of the staff if they had a problem. All expressed confidence that issues would be dealt with. Staff understand how to deal with complaints from people and are also clear when information needs referring through safeguarding processes. The caring approach by the owner and staff has given people the confidence to air their concerns. Staff, through improved training and development, are well quipped to listen to concerns and ensure they are responded to. Care Homes for Older People Page 14 of 21 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. The good maintenance and renewal of equipment and facilities means that people are not at risk from equipment that may be unsafe. The good condition of the decor and fixtures and fittings means that people live in an good environment. Evidence: The owner spoke of the redecoration of parts of the home and of the further work in progress. All areas seen around the home are clean and rooms personalised and decorated according to the wishes of those people occupying them. This has been welcomed by those living at the home. They state that the home is always spotlessly clean. Care Homes for Older People Page 15 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained and are in sufficient numbers to fill the aims of the home and meet the changing needs of residents. Evidence: Staff turnover in the home is low so that continuity of care is provided. The residents know the staff very well and observation showed that they provide a personal but professional service. Care staff are engaged in ancillary work which at present does not have a negative impact on the peoples care. The owner will review this need within her busness plan for the next financial year. The staff file seen of a new recruit showed that all employment checks had been carried out prior to her starting her role. Care Homes for Older People Page 16 of 21 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. Peoples opinions are more central to how the home develops and reviews its practice, and the service is developing appropriate ways of making sure they get things right. So, people have confidence in the care home because it is run and managed well. Evidence: It is evident that there is contact and communication between people who live in the home, the staff and relatives. Surveys are conducted to ascertain satisfaction with their life and the care they receive. There are some quality assurance systems but a lack of detailed auditing of the service as a whole e.g. care plan, medication, health and safety audits to ensure that staff are complying with the policies and procedures of the home. However, it was not possible to explore these in detail on the day as the trainee manager was not on duty. The service keeps records to show that people are kept safe e.g. fire safety risk assessments, emergency lighting tests. Individual plans are in place so staff know how Care Homes for Older People Page 17 of 21 Evidence: to support people safely in the event of the fire alarm being activated. Risk assessments for the management and safe working practices in the home are in place. The service does not deal with personal finances of residents. The annual quality assurance assessment by the home identified where the provider suggests they could do better. The management could devise an action plan to address these areas. Care Homes for Older People Page 18 of 21 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 19 of 21 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 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 20 of 21 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 21 of 21 - 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!