Enter and View Report Care Home Audlem Country Nursing Home School Lane Audlem CW3 0BA

Transcription

1 Enter and View Report Enter and View Report Care Home School Lane Audlem CW3 0BA Tel no: Date of visit:16 TH This report describes our observations of the quality of what we found at the date and time of the visit, information given from the Home Manager, residents, relatives and observations made by our Authorised Representatives Overall observations for this home: Promoted independence for residents Encouraged mobility both inside and outside the home Provided stimulation and social activity Summary: We were warmly welcomed by Lucy Martin, Director and Manager The home is very busy and bustling, being registered for nursing/dementia/mental health care and having full occupancy with residents covering a range of ages. We found staff to be professional, calm, competent and caring when giving assistance and dealing with situations, and this must have a positive effect and impact on how residents respond or to help calm a situation down. The home is in a lovely setting and the lawned garden very quiet. Everywhere is clean, tidy and welcoming, with large airy lounges and corridors displaying pictures, photographs of various events etc., providing stimulation and interest for residents.

2 CARE HOME MANAGEMENT INFORMATION The following information has been provided by the Care Home management GENERAL INFORMATION Name of Home: Address and Postcode Name of person completing this form: Position in the Care home: School Lane Audlem Cheshire CW3 0BA Lucy M Martin Responsible Person Date the form was completed: 9 July 2015 Telephone contact: option 1 contact: Home Registration x x lchawner@btinternet.com Residential Nursing Dementia How many permanent residents in the home today? 41 How many short stay/respite stay residents in the home today? 0 Does each resident have a named or key worker? INDEPENDENCE AND MOBILITY How do you assess residents ability and mobility to keep themselves as independent as possible? YES We assess all residents mobility at point of pre admission assessment before coming into our home and then on a continuous ongoing basis. Any changes or opportunities to promote mobility or independence are identified by staff and acted upon to optomize their abilities. We constantly monitor medication effects and also arrange referral to other professionals such as physio or OT as needed. Please give any examples of how you encourage residents to remain independent with daily living skills ie: personal hygiene, eating, drinking and dressing. We encourage all residents to be actively involved in all care interventions, our staff work towards supporting our residents to maintain skills they have. Residents are given choice with regards to meals and where they would like to have their meals. Residents are able to manage their own monies where appropriate and are supported to access the local village or town when they 2

3 wish to do so. How do you promote mobility for residents such as moving and walking? ACTIVITIES Residents are able to freely mobilise around the home and access the garden area. Staff refer to other services such as physio or OT where appropriate. Regular exercise is encouraged through activities and the home also accesses musical moments regularly which incorporates exercise, muscle strengthening and movement. Do you have a budget to cover residents activities, interest groups? Do you have a member of staff to co-ordinate activities? If Yes: Are They 2 Full time 1 Part time YES What community links do you have with local organisations and who are they? 0 Sessional Local church Musical moments How are residents approached / encouraged to take part in activity/interest groups? What activity interest groups do the residents like to take part in? Please specify the type of activity and the duration of each activity. Residents are encouraged to participate with activities on a daily basis. Various activities are provided to suit all interests and abilities. We also have an entertainer that spends 2 days per week at the home purely doing activities and providing stimulation. There are 2 full time activity co-ordinators who co-ordinate groups, trips and events on a daily basis. Quizzes Trips out Baking Art and craft Singing Reading Exercise Vary dependant on activity and numbers participating. From 30 minutes to 1 hour Trips out can be half or full day 3

4 How often do you run these activities? x Daily Weekly Monthly Yearly Do you have a residents group? How often is the residents group engaged in the management of the home? Do you have a relatives group? How often is the relatives group engaged in the management of the home? If you have a Relatives group how often and where do they meet and would a Healthwatch authorised representative be able to meet with the group to get their views? x x yes Daily Weekly Monthly Yearly yes Daily Weekly Monthly Yearly Yes, relatives meetings are held on a monthly basis at the home. These are documented and a manager is present at each meeting. If yes, who would we contact to arrange this? Lucy martin Please give any examples of how you facilitate social interaction between residents and their local community. Please use this space to tell us about any facilities/activities not covered in the above questionnaire. Residents are able to access the local village where appropriate. Church visits are also held on a regular basis. Staff take residents out on a regular basis, at times staff will give their own time to do this. Is there anything else you would like to tell us? 4

5 If a resident has a concern about their health and social care needs who would deal with the issue? Home Manager or senior member of staff Are you aware that Healthwatch Cheshire East has a Signposting Service to point people to the organisation that deal with issues and can capture their story to forward to partners who can make a difference and inform trends? No If no, would you like more information Yes We are working in conjunction with Cheshire East Council Quality Assurance team, who evidence standards at nursing homes within a 6(7) Cs standards rating and our observations may highlight observed evidence within those standards, in the areas that we observe and this will be annotated where there was evidence to show that the home was meeting the standard in these areas. We are only able to comment on the areas off our responsibility Care: Care is our core business and that of our organisations and the care we deliver helps the individual person. Caring defines us and our work-people receiving care expect it to be right for them. Compassion: Compassion is how care is given through relationships based on empathy respect and dignity. It can also be described as intelligent kindness and is central to how people perceive their care Competence: Competence means all those in caring roles must have the ability to understand an individual s health and social care needs. It is also about having the expertise, clinical and technical knowledge to deliver effective care and treatment based on research and evidence Communication: Communication is central to successful caring relationships and to effective team working. Listening is as important as what we say and do. It is essential for the no decision about me, without me Courage: Courage enables us to do the right thing for the people we care for, to speak up when we have concerns. It means we have the personal strength and vision, to innovate and to embrace new ways of working Commitment : A commitment to our residents and patients is the cornerstone to what we do. We need to build 5

6 on commitment to improve the care and experience of our residents.we need to take action to make this vision and strategy a reality and meet the health and social care challenges ahead. Culture: Culture is symbolic of communication. Some of these symbols include a group of skills, knowledge, attitudes, values and motives; the meaning of these are learned and perpetuated through the group. They are demonstrated by behaviours and actions. Authorised Representative Observations Background Observations was selected for a visit from our list of Cheshire East Care Homes for completion in 2015 Welcome: On arrival we found the reception area to be extremely busy. Two staff in the vicinity were assisting residents who required their attention, and the Deputy Manageress was in discussion with a GP. After ascertaining who we were, she invited us to sit down whilst another member of staff went for the manager who was not the named person we had been expecting to see, having left that role [she is however, still the named manager on the home s website]. We were not asked for ID but this was clearly displayed on our person, and we asked if we should sign in. The staff board was clearly displayed at the front of the desk, however visitors may need to bend down to view it completely. Lucy Martin, who is a Director and the Home Manager welcomed us Security of building: The front door was locked shut as appropriate for the needs of the resident group. We were kept waiting to be let in but could see through the doors how busy the reception area was. The 45 bedded home is registered for Nursing/Dementia/ Mental Health care, catering for both elderly and younger residents, with full occupancy. Staff: All staff we met, whether in passing or to talk to were pleasant and welcoming. The manager informed us that the ratio of care staff/nurses were: 8 care staff/2 nurses during the day 6 care staff/2 nurses on an evening 4 care staff/1nurse during the night. kitchen and domestic staff etc., 6

7 Alongside this were two activity co-ordinators, plus Billy who also shared his time with another home. We had noticed staff were not wearing name badges, and indeed a relative spoken to had made the comment that although visiting quite regularly, one of the staff this morning had greeted her and asked how she was, but she still didn t know his name because he didn t wear identification. The manager said staff had mixed feeling about wearing ID because of the safety aspect when assisting residents, but it was something that was being reviewed. The interaction between staff and residents was calm, relaxed and friendly. We observed two incidents which could have been fractious, one where a resident kept picking up the cat s food and water tray, but each time staff politely retrieved it speaking to him in a calm manner, and another where a resident was quite angry and agitated, insisting on going outside the door and then demanding to come back in. Again staff were calm and very professional in the way they handled the situation.. Standards evidenced- Care, Courage, Commitment, Compassion, Communication. All standards exhibited by staff when dealing with the two incidents mentioned under Staff above. Residents: The Manager informed us that residents come from all areas Stoke, Shropshire, Wales etc., and are of varying ages. Residents are encouraged to mix with one another, but it is their choice as to which of the three lounges they choose to sit in and with whom. Although we attempted to converse with some of the residents it was not appropriate [frailty etc.,with one resident saying he was willing to talk to us but then wandered elsewhere], therefore we focussed on the quality of care given by staff, and the wellbeing of residents, which was very good. All residents are registered with the Audlem GP practice, and at the time of our visit one of the GP s was in reception, and spent time talking about the support his practice gave to residents, and the fact that he visits on a regular basis, following up on any tests that have been carried out; how individuals are responding to different or new medication; being on hand for emergency situations etc., A member of staff going round with the drinks trolley impressed us by talking to each resident sitting in the lounge area, not only to ask what they wanted to eat at teatime, and what did they want to drink, but also enquiring how they were etc., Residents seen were well groomed and appropriately dressed. 7

8 Standards evidenced: Care, Commitment, Compassion, Competence, Communication, Culture These standards were met as indicated above. We noted the GP and staff with him on his round meeting.talking to residents in a very relaxed and unintrusive manner, which inevitably would put residents at their ease. Staff also approached residents in the same way, treating them with respect and speaking calmly. Relatives/Friends: We had the opportunity of talking to one relative visiting whose sister had been in the home for some time. She informed us she was very happy with the care given, explaining that for quite some time her sister s preference had been to stay in her bedroom, but now she was mixing more and went down into the lounges. The relative was unsure as to why this change had come about, but commented that staff were very supportive of whatever her sister wanted to do or where she wanted to go. The relative commented how difficult it was to have someone you have shared a lifetime of family experiences with needing to be in a place like this and how very important it was to know that they are being looked after by people who cared. She went on to say she found all staff to be very friendly and supportive. The only comment she did make was one of the staff had, as usual, said hello, how are you when she arrived, and she still did not know his name because they didn t wear identification and she didn t like to ask. Asked if she attended any resident/relatives meeting which took place monthly, the relative indicated she did not because of working full time, but she was kept up to date as minutes of the meetings were sent out, and she knew if she needed to she could approach the Manager or any member of staff. Standards evidenced - Care, Commitment, Compassion, Competence, Communication. The relative interviewed gave examples which showed all the above standards were being met. The home clearly understands also the importance of good communication with relatives and to this end ensures everyone receives a copy of the minutes of the residents meetings. Meals and Drinks: The manager informed us that they were in the process of providing photo s of meals which would greatly help some residents 8

9 when choosing what they wanted to eat. Observing through the kitchen doorway we saw the main meal of the day being plated up, the vegetables looked fresh and the food smelled very appetising. In the lounge area the drinks trolley was brought around with a good choice of beverages and juices. The member of staff spent time with each resident, noting down what the resident wanted to eat for the teatime meal, and then offering/providing the drink of their choice, and at all times he was friendly and chatting to individuals. Standards evidenced: Care, Commitment, Communication, Competence In order for all residents to be able to choose their meal and have a better understanding of that choice, photo s of the meals are in the process of being produced. Likewise, talking to each resident individually, ascertaining their choice of meal whilst also having a conversation shows the commitment of staff in engaging and communicating with all residents. Communication and Social activity: The home appeared very busy with a great deal of activity but not in a chaotic way. The frailty and varying needs of residents must make it a challenging environment to work in and run, but we noted all staff interacting and conversing with residents. In one situation a resident displaying feelings of anger and frustration was being supported and calmed by a member of staff so as not to upset other residents. We did not meet with either of the activity co-ordinators, but it was evident from the many photographs and information along the corridors how much importance is placed on social activity for all residents. The Manager had informed us that staff also get involved in the planning and setting up of activities, and for those residents not wishing to take part, will ensure they have one to one sessions, or even just someone chatting to them. There are various outings planned throughout the year, one of which is a trip to Cosford Airfield Museum., Standards evidenced: Care, Commitment, Culture, Communication, Compassion Although the home deals with the many and variety of needs of residents, we only observed staff exhibiting a professional approach, showing amongst the standards evidenced, care and compassion at all times. 9

10 Conclusions Environment, furnishings and building: The home is large, a long well spread out building with various corridors, lounges etc., all of which are well used, clean and tidy. Walking through the corridors we noted the walls are interestingly filled with pictures and photographs of the various events and outings which have taken place. The dining areas are split into two, with tables laid out to a good standard. In the lounge areas, chairs were of varying heights to accommodate all residents, and all furniture and furnishings were of good standard. Outside there is a very large and pleasant lawn area. Initially we were confused with the person we were expecting to see was no longer the manager, although the website still gives this information. However Lucy Martin, the current Manager was warm and welcoming in her approach and provided us with relevant information in regard to the Home. Although the home during our visit was very busy, there seemed a positive and pleasant atmosphere within the establishment. We had observed many staff assisting, reassuring and communicating with individual residents in a competent and friendly manner, and this in turn must have a positive effect on residents feeling supported and cared for. 10