Care Home: Staveley House Residential Care Home

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What the care home does well The service continues to provide care and support for people in a warm, comfortable and homely environment. People living there are able to bring in their own things to make their rooms more personal and those bedrooms we saw had people`s own possessions and items of significance to them. The home is being well maintained. The grounds are tidy and accessible to people living there. The communal areas are warm and welcoming and furnished with suitable chairs for different needs and arranged in informal groups, we saw these areas are well used for group and individual activities. We observed and commented upon the calm atmosphere within the home and that there appeared to be a happy atmosphere and a good rapport between the staff and people living there. The care staff try to make sure that there are plenty of opportunities for people to be involved in a wide range of activities in the home and there is a full activities programme. Individual recreational preferences are addressed with people to help them achieve or gain access to things they enjoy doing or that are important to them. The management team have good systems for monitoring the home`s performance through consultation with the people living there and the staff working there. This helps to make sure they are meeting people`s expectations and helps show if they need to improve any aspects of the service to make it better or safer for people. There are effective complaints and safeguarding systems for the people living there and for staff to help make sure that concerns and complaints will be taken seriously, investigated and action taken. The home also maintains good working relationships with local doctors and specialist and district nursing services. The manager keeps CQC informed of any changes or incidents in the home. There is a good standard of catering in the home and menus show choice and availability of nutritious meals. The home is clean and tidy and there are dedicated cleaning staff who were on duty during the visit. What the care home could do better: We did not make any requirements as a result of this random visit but made one good practice recommendation. We made a good practice recomendation that when staff make alterations to a medication administration record chart (MAR) or hand write it they have this checked and verified by another carer for additional safety. We found the senior care staff on duty during our visit were open to advice and suggestions to promote their good practice. Random inspection report Care homes for older people Name: Address: Staveley House Residential Care Home Greystone Lane Dalton-in-Furness Cumbria LA15 8QQ two star good service 17/09/2007 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: Marian Whittam Date: 1 9 0 5 2 0 1 0 Information about the care home Name of care home: Address: Staveley House Residential Care Home Greystone Lane Dalton-in-Furness Cumbria LA15 8QQ 01229468210 01229468210 abbeyfield@dsl.pipex.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Janice Howson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Abbeyfield Furness Extra Care Society Limited care home 37 Number of places (if applicable): Under 65 Over 65 37 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Old age not falling within any other category - Code OP, The maximum number of people who can be accommodated is: 37 Date of last inspection Brief description of the care home Staveley House is registered to provide residential accommodation and personal care for up to 37 older people. It is owned and operated by the Abbeyfield Furness Extra Care Society Limited, through a volunteer executive committee and is member of the Care Homes for Older People Page 2 of 9 Brief description of the care home national Abbeyfield charity. The home is situated on the edge of a residential housing estate, on the outskirts of Dalton-in-Furness, Cumbria. It is a purpose built two-storey building, with two passenger lifts giving access to the first floor. All the rooms are single occupancy and have en-suite shower and toilet facilities. There are also three communal bathrooms with accessible bathing facilities. There are three large lounges, one on each floor, with a further four smaller lounges, one of which is a dedicated smoking area. In addition there is a spacious dining room, which is decorated and furnished to a good standard, where people can enjoy their meals and socialise with each other. There is ample parking to the side of the home and a large, private well-kept garden area to the rear, which is fully accessible, with seating and patio areas, which are used extensively in the summer months. The home provides suitable information to prospective residents in an informative brochure and handbook including the range of fees. Previous inspection reports are available in the home and are displayed on the notice board. Care Homes for Older People Page 3 of 9 What we found: We made an unannounced random visit to Staveley House on 19th May 2010 between the hours of 09.15 and 12.15. The current quality rating for this service is 2 star. This means that the people who use this service experience Good quality outcomes. We visited the home to undertake a random visit and assess and monitor how they were meeting key National Minimum Standards and make sure that there had been no changes in the standard of service for people living in the home. Information about the service was gathered in different ways before our random visit to provide us with information for our visit: We (CQC) sent out an Annual Quality assurance Assessment (AQAA) to the home for the registered manager to complete and return to us. The AQAA is a self assessment and a dataset that is completed annually by all providers of registered services. The manager provided all the information we asked for. We sent out surveys to people living in the home to complete to get their views on the home and the service they received. We found that people living there had positive things to say about the service and the care they received. No one responding to our surveys had any negative comments to make about the standard of the care and support provided. These comments included: The home is well run, everyone is friendly and helpful. The care is excellent and the staff very friendly. I have no complaints whatsoever. They look after me well; good food, good company, excellent, friendly and efficient staff. Good range of activities. Rooms are well appointed, comfortable and very clean. We sent out surveys for staff to complete if they wanted to so we could get their views on what it was like to work there and the training and support they received. We received many positive comments from staff on what it was like to work there. These comments included: The manager always has time to support and offer good advice. Staff are trained to provide a high standard of care and we have on going training. the new manager is very approachable and understands both the residents and staff. It is a pleasant place to work. We looked at all the information we have about the service before we visited and any changes they have made and how the management has dealt with any complaints or the safeguarding of vulnerable adults. We found that there had been only one complaint made in the last year. The records on individuals files showed that the homes policies and procedures were followed and that action had been taken to address issues raised. Care Homes for Older People Page 4 of 9 During our visit we looked at the policies and procedures for handling complaints and found that they are accessible in the home. People living there indicated in the survey responses that they knew how to raise a complaint should they have one. The manager has not needed to refer any incidents for investigation under safeguarding procedures. We found that staff had been given training on this to help safeguard peoples interests and keep them safe. We found that the service had an effective recruitment procedure in operation, based on equal opportunities to help ensure the protection of the people living there. Staff surveys and those we talked with confirmed that they received training relevant to their roles and to provide the care and support people needed. This included training on safeguarding vulnerable adults. Staveley House provides useful and accessible information for people thinking of coming to live there to help them make a decision. We found that people are also being well supported, through a planned admission process. The senior staff and manager do individual needs assessment with people to provide an assessment of individual needs and preferences so they know before people come to live there how a person likes to live their life. We found there were 36 people living in the home on the day of our visit and they were being supported by appropriate numbers of care staff. In addition there were maintenance, housekeeping and catering staff on duty. As we walked around the home we observed what was happening. We saw that the home was running smoothly, people had been cared for that morning and were appropriately dressed and spending time in the lounges, or in their bedrooms as they chose. Some people were going out for walks or out with family or friends. We could see from records and care plans that people were having their needs assessed before they came to live in the home and that their assessments were used to start creating their care plans with them. We found that everyone living there had their individual health, personal and social care needs clearly identified in their individual plans of care. From these plans, observing and talking with people and assessing the recorded information, we could see that people were having their personal and health care needs attended to as they needed and wanted. There were clear records of visits by health and medical professionals and what had been done. We could see that people had been included in developing and reviewing their care plans and that they were being supported to keep their independence as much as possible. We carried out a pharmacy inspection to assess medication handling and management. We did a spot check of the medicines, we looked at storage, handling and records and how these were being monitored and managed. A mobile lockable drugs trolley was used on medication rounds and all medicines were stored securely. We found medication handling and records to be of a good standard. Records were clear and well maintained and instructions on giving as required medicines. However we found that when changes were made to the printed MAR charts they were not being checked by another person and signed and dated to verify the check. The home had a policy in place on amending MARs and that said changes should be checked by someone else for safety. Senior staff we talked with told us they did check each others alterations but did not formally verify it. We recommended that for good practice and in line with their policy they did so. We found that consideration and emphasis was being given to individuals personal aspirations and expectations. Detailed life stories and social assessments were in place and reflected what people said and records indicated was the case. We could see that Care Homes for Older People Page 5 of 9 people were being consulted on their social lives. 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 6 of 9 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 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, 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 9 We recommend, for good practice and in line with the homes policy, that when staff make alterations to or hand write medication records charts (MAR charts) they are checked and verified by someone else for additional safety. Care Homes for Older People Page 8 of 9 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. 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