Care and Social Services Inspectorate Wales
Total Page：16
File Type：pdf, Size：1020Kb
Care and Social Services Inspectorate Wales Care Standards Act 2000 Inspection Report Aspen House Care Home 37 Coedpenmaen Road Trallwn Pontypridd CF37 4LP Type of Inspection – Focussed Date of inspection – 20 February 2014 Date of publication – 11 March 2014 You may reproduce this report in its entirety. You may not reproduce it in part or in any abridged form and may only quote from it with the consent in writing of Welsh Ministers Please contact CSSIW National Office for further information Tel: 0300 062 8800 Email: [email protected] www.cssiw.org.uk Version 1.1 07/2012 Summary About the service Aspen House Care Home is owned and operated by Cwmdare Home Limited. The company have nominated a Responsible Individual to oversee the management of the home. Aspen House is managed by Christine Davies. Mrs Davies is registered with both Care Council for Wales and Care and Social Services Inspectorate, Wales (CSSIW) to act in the role of manager. Aspen House is situated in the residential area of Trallwn on the outskirts of Pontypridd town centre. It is accessible by public transport. Aspen House Care Home is registered to accommodate up to 38 people over the age of 18, who require support with personal care or who have nursing needs. What type of inspection was carried out? We (CSSIW) visited the home on an unannounced basis on 20 February 2014 between the hours of 9.10 am and 3.15 pm. Analysis of information held by CSSIW about the home led us to plan an inspection which concentrated on the key findings of the last inspection report dated 22 September 2012. During our inspection we considered the following: Two service user files which were ‘case tracked’ from admission planning through to delivery of care The home’s records relating to accidents and incidents in addition to quality assurance systems Consideration of the home’s Statement of Purpose and Service User Guide Files relating to two members of staff. Our evaluation focussed on recruitment and staff training Two observations using the Short Observational Framework for Inspection (SOFI 2) tool. The SOFI 2 tool enables inspectors to observe and record life from a service user’s perspective; how they spend their time, activities, interactions with others and the type of support received Discussions with residents, visitors and staff at the home What does the service do well? Aspen House Care Home met the National Minimum Standard for the Older People. What has improved since the last inspection? Care plan documentation had been developed to ensure the health and well-being of people was appropriately planned and met Appropriate references had been sought for new members of staff What needs to be done to improve the service? No major areas for improvement were noted at this inspection. 3 Version 1.1 07/2012 Quality of life People living at Aspen House Care Home feel they are treated with respect. We spoke to several residents who told us that they felt their dignity was respected whilst they were supported with personal and intimate care. We observed that daily records completed by staff were factual and written in a sensitive manner. We also observed that when a staff member needed to contact a healthcare professional about a service user, she took the telephone into a private room to make the call so as to preserve the resident’s right to confidentiality. People have some choice over their daily routines. This is because we observed residents choosing to have their hair done and where to spend their time. We also found that people were supported to get up at a time of their choosing. When residents chose to get up early staff told us they were given tea or coffee and biscuits if required as breakfast would not be served until 8.45. Residents who got up early told us they were happy with this arrangement. However, when we arrived at the home at 9.10am, we were struck with how noisy the home was. We could see people who had chosen to stay in bed but their bedroom doors were open. Staff made no attempt to stay quiet as trolleys were wheeled around and they loudly greeted service users and fellow staff. This limited the ability of service users to sleep later if they wished. People have some opportunities to be positively occupied and stimulated. This is because the home has employed an activities coordinator who clearly knew the residents and what they liked to do. Several residents showed us squares they were knitting which would be made into a blanket. An activities room held puzzles and art and craft materials and artwork made by residents was displayed on the ground floor notice board. Computers were available for residents’ use in the ground floor lounge. We observed that people could choose where to spend their time and then when a resident decided they would like to have a lie down in his room, staff supported him to do this. We were concerned that all seating in lounge areas was centred around a television set and that on two floors we observed the television on but with no sound, whilst music was playing from a separate sound system. Having this conflict between what is seen and what is heard can be confusing and we brought this to the attention of the registered persons. We also brought to staff’s attention that service users should have a clear choice about what to watch on television. This is because we observed 5 service users who started to watch a film in a foreign language fall asleep. When prompted by us to check, the residents told the staff that the film was “rubbish”. Staff were then able to find another programme which the residents chose. Residents are helped to look after themselves and can exercise some choice and control over how they are cared for. This is because residents told us that they were able to direct staff as to how they wanted their care to be provided. Care plan documentation included details of personal preferences and also highlighted what a person could do for themselves. People can have confidence that they will be supported to remain as healthy as possible. This is because we saw that appropriate referrals had been made to relevant healthcare professionals. We also saw that care plan documentation also gave information to staff on specific medical conditions and best practice. We were concerned that the morning medication ended at 11.25am and the lunch time round started at 1pm. This presented a potential for residents to receive their medication too close together. We were assured by the registered manager that this was not usual 4 Version 1.1 07/2012 practice. She explained that the morning round had been delayed as the administering nurse had just returned from leave and was taking care to check the medication requirements of residents who had come to live at the home during her absence. The manager was able to explain how this would be managed differently in the future to avoid such delays. Residents are supported to maintain healthy nutrition and hydration. This is because care plan documentation included details of dietary and hydration needs and preferences. When questioned, staff were knowledgeable about food and drink preferred by residents and were able to show us how intake was documented and reviewed. We observed breakfast and lunch being served during our visit. Residents had a choice of meal and portion sizes were good. Residents told us that the food was generally of a good standard. We undertook an observation of service users using the Short Observation Framework for Inspection. This showed us that, although interaction between staff and service users mainly took place only when it was associated with a task, conservations were warm and considerate. Staff clearly knew residents well enough to maintain conversations with them. 5 Version 1.1 07/2012 Quality of staffing As this was a focussed inspection, we did not consider the quality in staffing in detail. We only considered the issues raised in the previous inspection report which were concerns regarding recruitment and staff training. People living at Aspen House Care Home can be assured that staff have been recruited using safe and robust practices. We examined the recruitment files of two members of staff who had been employed since our last inspection. We found that all pre recruitment checks required by law had been undertaken. Residents can be confident that staff have been trained in how to provide safe and competent care. This is because we found that staff had attended training in core areas of care, including infection control, moving and handling, first aid and how to identify and report abuse. Comments we received about staff included “excellent across the board”, “most are very good, a couple can be a bit bossy”, and “all the staff are lovely”. 6 Version 1.1 07/2012 Quality of leadership and management Aspen House Care Home is owned and operated by Cwmdare Home Limited (also known as the registered provider) and is managed by Christine Davies (known as the registered manager). People thinking of coming to live in Aspen House Care Home are given clear information about what the home has to offer. This is because the registered persons have produced a Statement of Purpose and Service User Guide. The information given in these documents was found to be reliable and a true reflection of the service offered. Residents of Aspen House Care Home can have confidence that the manager will respond to critical incidents.