Care Home: Stapleton House

What the care home does well Everyone was being cared for using appropriate equipment and the records are in place for the care being given. Staff were pleasant,organised and made sure all care was given discreetly and in private. The home was clean and had no offensive odours.Staff had sufficient equipment to prevent the spread of infection and were seen to follow good practice guidance. Staff said that they had completed mandatory training and there were no health and safety issues identified at the time of the visit. What the care home could do better: Staffing levels at night time must be reviewed to make sure people living in the home receive a high standard of care at all times. People living on the Dementia Care unit must not be left unsupervised at any time. Also, the specialist bath in the dementia care unit must be either repaired or replaced so that sufficient numbers of bathing facilities are available for those living in that unit. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Stapleton House Back Borough Road Jarrow Tyne And Wear NE32 5XW two star good 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Irene Bowater Date: 0 3 0 2 2 0 0 9 Information about the care home Name of care home: Address: Stapleton House Back Borough Road Jarrow Tyne And Wear NE32 5XW 01914300179 01914833294 stapletonhouse@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Carole Ann Craig-Gilby Type of registration: Number of places registered: Conditions of registration: Category(ies) : Exceler Healthcare Services Limited care home 45 Number of places (if applicable): Under 65 Over 65 0 31 0 dementia old age, not falling within any other category physical disability Conditions of registration: 12 0 10 The registered person may provide the following categories of service only: To service users of the following gender: Either Whose primary needs on admission to the Home are within the following categories: Old Age, not falling within any other category Code OP, maximum number of places 31 Dementia - Code DE, maximum number of places 12 Physical Disability - Code PD, maximum number of places 10 The maximum number of service users who can be accommodated is 45 Date of last inspection 0 7 1 0 2 0 0 8 Care Homes for Older People Page 2 of 9 Brief description of the care home Stapleton House is a purpose built home providing both personal,nursing and dementia care for older people. It is a two storey building serviced by two passenger lifts. All bedrooms except one are en-suite, and there are lounges, one with an adjoining conservatory, and separate dining rooms. The corridors and doors are wide and allow access for people using wheelchairs. There is a 12-bedded dementia care unit situated on the first floor. This is a selfcontained unit with individual bedrooms, dining room and lounge. There are adapted bathrooms, showers and toilets close to all resident areas. The home is located in a quiet, discreet area with well-laid gardens to the rear overlooking a green belt area, which offers a picturesque view from some bedrooms and the communal areas. The home is close to the town centre of Jarrow, to all amenities, and public transport, including the Metro railway system. Car parking facilities are available. Care Homes for Older People Page 3 of 9 What we found: The random inspection was carried out to look at the areas identified in concerns raised with the Commission for Social Care Inspection(CSCI) about staffing levels overnight and lack of equipment to prevent infection. The visit was undertaken on the 3 February 2009 and started at 8:45 pm and finished at 10:30 pm. The qualified nurse and care staff assisted throughout the visit and the registered manager was telephoned on the 4 February 2009 so that feedback from the visit could be given. On arrival four staff were on duty including one first level registered nurse. A look around the home found many people in bed or staff were busy assisting them prepare to go to bed. There were five people sitting in the downstairs lounge.Four of them said they were waiting for the staff to come and help them. One person still had a visitor who said she regularly helps her relative at night time. There was a supper trolley containing remnants of jam and bread sandwiches and lots of uneaten cold toast . People had been offered tea but staff said they dont like milky drinks including hot chocolate and horlicks. The kitchen was accessible and food stuff available should people be hungry. Upstairs most people were in their rooms either waiting for assistance or asleep. Six people currently live on the upstairs separate Dementia Care Unit .Four people were in bed asleep and two people were walking up and down the corridor. Staff said they just potter and the others could get up at any time. People who are very vulnerable and can become distressed,disruptive and anxious very quickly were left without adequate support for some time. The staff said that this happens at this time of night and in the morning when people are asking for help to get ready for the day. Once everyone had settled one carer remained on this unit. As there was no senior carer on duty the qualified nurse was responsible to ensure everyone received their medication.This takes some time as there are two nursing floors and a separate Dementia Care Unit. The nurse was very organised and supervised and directed the staff to try and make sure each area was covered.However there were occasions when people could not have help as staff were busy in another part of the home. As one carer should remain on the Dementia Care unit, this left two carers and one Care Homes for Older People Page 4 of 9 nurse for the two nursing floors.Given that most people need two staff to help them with all of their care needs and staff need to have breaks during a twelve hour shift there are insufficient numbers of staff at busy times to meet peoples assessed needs and ensure they remain safe. All of the staff were pleasant,organised and knew peoples care needs very well.They made sure they carried out their work quietly and efficiently. The home was clean,generally tidy and had no offensive odours.The specialist bath on the Dementia Care unit has still not been repaired or replaced and people have to go out of the unit should they want a bath. There was plenty of equipment including gloves, aprons, barrier nursing equipment red bags, Hibiscrub, Hibisol,access to liquid soap and paper towels.The clinical waste was being disposed of appropriately and sluice disinfectors were in working order. Staff said there had been occasions when continence aids had not been available,however this was when people were being re assessed and this was now resolved. Staff said there are regular meetings and they had voiced concerns about staffing on night duty.They said because of the numbers of people living in the home four staff were enough and this had been the norm. The dependency and geography of the home has not been taken into account when staffing overnight. The manager was contacted the next morning to give feedback and she is aware of some of the staffs concerns. There were no health risks and staff confirmed that they had completed mandatory training. What the care home does well: What they could do better: Staffing levels at night time must be reviewed to make sure people living in the home Care Homes for Older People Page 5 of 9 receive a high standard of care at all times. People living on the Dementia Care unit must not be left unsupervised at any time. Also, the specialist bath in the dementia care unit must be either repaired or replaced so that sufficient numbers of bathing facilities are available for those living in that unit. 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 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 21 23 The registered persons must 01/08/2008 ensure that the specialist bath on the dementia care unit is repaired. Timescale of 01/07/07 and 01/08/08 not met . Care Homes for Older People Page 7 of 9 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 27 18 The registered persons must 27/03/2009 ensure that there are sufficient staff deployed on night duty to meet peoples needs. This will ensure individuals assessed needs are met and they are protected from harm. 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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