Care Home: Staveley Birk Leas Nursing Home

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What the care home does well We asked people what the home does well and these are some of the comments we received "Always speak/spend time with residents, always aware of birthdays etc" "Nice environment, clean and tidy, quality food and good staff" "Looking after the people in their care making sure they are well and content"The home has an open visiting policy which helps people to keep in contact with their family and friends. One person said the home " Makes you feel welcome", another said they "put themselves out to accommodate relatives/friends whenever they call". People told us the food is very good, one person said "we have 2 very good chefs" and other people said they particularly looked forward to Friday`s lunch of fish and chips or sausages and chips. People said they are always offered a choice of meals and can have something different if they don`t like the menu choices. The home has been awarded a 5 star (the highest) rating by Environmental Health for its standards of food safety and hygiene. What the care home could do better: We have not made any requirements as a result of this visit, we made one good practice recommendation. We asked people what the home could do better. One person said "Spend individual time each day with a resident talking, reading etc just 10 minutes would make a difference", another said "I think that every one should wear those name badges that reminds everyone of their name". In the AQAA the home told us about improvements they plan to make over the next 12 months. These include Involving people living in the home in developing the Service User Guide to give prospective clients more of an insight into life in the home. Involving people living in the home in the selection and recruitment of staff to help make sure new staff have the right attributes for the job. Improving people`s meal time experience by introducing "silver service". Improving the way end of life care is managed to make sure people`s wishes are respected and their needs are met. Implementing Investors in People to make sure staff continue to get the support and training they need to meet people`s needs. Random inspection report Care homes for adults (18-65 years) Name: Address: Staveley Birk Leas Nursing Home 8-10 Staveley Road Nab Wood Shipley West Yorkshire BD18 4HD 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: Mary Bentley Date: 2 7 0 4 2 0 1 0 Information about the care home Name of care home: Address: Staveley Birk Leas Nursing Home 8-10 Staveley Road Nab Wood Shipley West Yorkshire BD18 4HD 01274588288 01274532476 eng@czajka.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Valerie Iris Bland Type of registration: Number of places registered: Conditions of registration: Category(ies) : Czajka Properties Limited care home 60 Number of places (if applicable): Under 65 Over 65 0 0 physical disability terminally ill Conditions of registration: Date of last inspection Brief description of the care home 60 1 Staveley Birk Leas is a converted, extended property situated in Nab Wood, close to the village of Saltaire. The home is registered to provide nursing care for up to 60 adults with physical disabilities, aged between 18 and 65 years. The home provides long-term care but also has a separate rehabilitation unit for up to nine people. The home provides 60 single bedrooms, 46 of which have en-suite bath or shower facilities. There are twelve separate lounge and dining areas through the home and a sufficient number of communal toilets and bathrooms. There are well maintained gardens Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home surrounding the home and an enclosed courtyard garden outside the rehabilitation unit. In April 2010 the weekly fees ranged from GBP 535.84 to GBP 1070.00. Additional services, for example hairdressing, chiropody newspapers, toiletries and holidays are available at an extra cost. Please contact the home for more detailed information about the fees. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: We 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. Information we have about how the service has managed any complaints. 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. The last key inspection was carried out on 15 May 2007. Since then we have carried out an Annual Service review every year for the service. These reviews confirmed that the home was continuing to provide good and excellent outcomes to people using the service. Relevant information from other organisations. What other people have told us about the service. We sent surveys to the home for people using the service and staff. In total 9 surveys were returned, 8 from people using the service and 1 from staff. One inspector made an unannounced visit to the home. During the visit, which took place over 3 hours, we talked to people living in the home about their experiences of living there, we spoke to staff and management, looked around the home and observed staff as they carried out their duties. The home sent us their AQAA in good time, it gave us all the information we asked for. In the AQAA the home told us about some of the improvements they have made in the last 12 months. For example, they said The website has been updated to give more information about the services offered. This helps people to make sure the home will be able to meet their needs. People using the service told us they had been given enough information about the service before moving in to help them decide that the home would be right for them. In their AQAA the home told us care plans are updated at least monthly by the team, alongside the resident themselves, in order to reflect changing needs and objectives. People using the service and their representatives told us they are involved in planning and reviewing how their care needs will be met. They told us peoples individual needs and wishes are taken into account. One person said the home Looks after all the residents individually. They really do try to satisfy each residents wishes or desire. We Care Homes for Adults (18-65 years) Page 4 of 10 are all kept fit and clean, another said the home is good at The way that they listen and are helpful in helping. The home operates a key worker system so that the residents have somebody they are close to and to help them with shopping etc. One person who completed a survey and some people we spoke to during the visit were not sure who their key workers were. The manager told us that they have recently made some changes to the key worker system. She said this was discussed at the last meeting for people using the service which took place in early April and at recent staff meetings. In their AQAA the home told us people are encouraged to maintain as many skills as possible and are also encouraged to learn new skills. People using the service told us they are supported to exercise choice and control over their lives, for example how and where they spend their time and what they do. The home organises a range of activities for people, these include exercise classes, visiting entertainers, clothing and jewellery parties. One person told us they look forward to the weekly bingo, another person said The mood within the home is very good with activities and things to be doing People are supported to take part in activities outside the home which include trips to the theatre, local pubs and the cinema. The home organises holidays for people and told us Southport and Blackpool are popular choices. One visitor told us their relative has regular home visits and during the visit we saw people going out either on their own or with family and/or friends. People told us they get the support they need to meet their personal and health care needs. They have any specialist equipment they need, for example special cushions and mattresses to reduce the risk of developing pressure sores. The home has two physiotherapists who help people with movement and exercise. People have access to a range of NHS services such as occupational therapy and speech and language therapy to make sure they get the right support to meet their needs. The home told us that people are supported to maintain control of their own medication if they are able. Every bedroom has a lockable space and a safe so that medicines and other valuables can be stored safely. At the last inspection we told the home that they must improve the way medicines are recorded to reduce the risk of mistakes, the manager told us this has been dealt with. One person using the service told us The medication is well taken care of and administered In the AQAA the home told us We welcome suggestions and even complaints as it gives us the opportunity to learn and improve the service we offer. People using the service told us they have someone they can talk to if they are not happy and know how to make a formal complaint if they need to. People told us they have no hesitation in speaking out if they are not happy about something and said their concerns are listened to and acted on. The home told us that all staff are trained on recognising and reporting allegations of abuse. The home has all the required policies and procedures in place to make sure people are protected. For example, the restraint policy requires that risk assessments are carried out when restraints such as bed rails (cot sides) are in use. In the AQAA the home told us The home continues to be well maintained and furnished to a high standard. People told us the home is usually clean and fresh. When we visited the home was clean, fresh and suitably equipped to meet peoples needs. We saw that people are supported to personalise their bedrooms to reflect their tastes and interests. In the AQAA the home told us they continue to operate a system of adjusting staffing Care Homes for Adults (18-65 years) Page 5 of 10 levels according to resident dependency and geared toward maximum staffing during busy periods. People we spoke to during the visit told us staff are available when they need them. They said the staff seem to know what they are doing and treat people with respect. Two people who completed surveys for us said they felt the home was sometimes short of staff. This was discussed. The manager told us that the home has recently recruited more staff for care and nursing roles. She said the home is now fully staffed with care staff and will have a full compliment of nursing staff by the end of May, nurses have been appointed subject to satisfactory references and CRB (Criminal Records Bureau) checks. The manager told us that late notification of absence sometimes makes it difficult to get cover. The home has just introduced a new system for monitoring staff sickness. It is hoped this will help to deal with the issue of short term absence at short notice. The home told us they put a lot of emphasis on staff training to make sure staff keep up to date with changes and new developments. Staff confirmed they are given training in safe working practices and related to the needs of people living in the home. Staff told us they have regular meetings and have supervision with the manager, they said they feel they get the support they need to work effectively. The home has policies and procedures in place in relation to the Mental Capacity Act and the Deprivation of Liberty. Staff we spoke to were not aware of this. The manager told us that training for all staff is planned but in the meantime staff have been given a brief overview of the legislations and it implications for day to day working practices. We suggested including these topics on the staff meetings agenda to help increase staff awareness. The registered manager has been in post for 16 years and has considerable experience in the management of care services. Changes have been made to the management structure and the amount of supernumerary management time has been increased. This helps to make sure senior staff have the time to provide support and supervision and monitor the quality of the service provided. There are systems in place to make sure people using the service are given the opportunity to share their views and contribute to the improvement of the service. These include two monthly meetings for people using the service and annual quality assurance questionnaires which are sent to people using the service, their representatives and other stakeholders such as GPs. The results are summarised and made available to people. In the AQAA the home told us there are suitable health and safety arrangements in place to make sure the home continues to be a safe place for people to live and work. What the care home does well: We asked people what the home does well and these are some of the comments we received Always speak/spend time with residents, always aware of birthdays etc Nice environment, clean and tidy, quality food and good staff Looking after the people in their care making sure they are well and content Care Homes for Adults (18-65 years) Page 6 of 10 The home has an open visiting policy which helps people to keep in contact with their family and friends. One person said the home Makes you feel welcome, another said they put themselves out to accommodate relatives/friends whenever they call. People told us the food is very good, one person said we have 2 very good chefs and other people said they particularly looked forward to Fridays lunch of fish and chips or sausages and chips. People said they are always offered a choice of meals and can have something different if they dont like the menu choices. The home has been awarded a 5 star (the highest) rating by Environmental Health for its standards of food safety and hygiene. 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 Adults (18-65 years) 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 Adults (18-65 years) 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 7 Information about the Mental Capacity Act and Deprivation of Liberty should be included in staff meetings to increase staff awareness. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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. 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