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Inspection on 12/04/05 for Acacia House Nursing Home

Also see our care home review for Acacia House Nursing Home for more information

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has recently employed a new manager/matron and she has continued to maintain a good relationship between the staff and residents. The staff are well trained and able to meet the needs of the residents. The standard of care is good and the home has a happy and warm environment.

What has improved since the last inspection?

The care planning has improved, with better documentation and the involvement of the residents and staff in planning the care.

What the care home could do better:

The manager will soon complete the registration process and become the Registered Manager. The home management and staff must maintain their current good standards.

CARE HOMES FOR OLDER PEOPLE Acacia House Nursing Home 33 Portsmouth Road Horndean Hampshire PO8 9LN Lead Inspector Pat Griffiths Unannounced 12/04/05 10:00 am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Acacia House Nursing Home Version 1.10 Page 3 SERVICE INFORMATION Name of service Acacia House Nursing Home Address 33 Portsmouth Road Horndean Hampshire PO8 9LN 01329 845558 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Contemplation Homes Ltd Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27),Terminally ill (5), Terminally ill over 65 of places years of age (27) Acacia House Nursing Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12/10/2004 Brief Description of the Service: Acacia House is in a residential area on the outskirts of Horndean, near Portsmouth. It is a care home with nursing for people aged 65 years or over. The home is also registered to admit terminally ill service users and up to five service users between the ages of 55 and 64 years. The home is arranged over two floors. There are three ground floor communal rooms, including a large sunroom with views into the garden. There are twenty-three single bedrooms and two shared bedrooms. There is a shaft lift for access to the first floor. There are stairs to four bedrooms on a halflanding and to one of the shared bedrooms on the ground floor. There is a portable stair lift to provide access to these bedrooms. The home has attractive, well mainted, gardens to the rear of the property, which are accessible residents. There is a small carpark at the front of the home. Acacia House Nursing Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on one day. The inspector was able to look around the home and the gardens, view the staff and residents records and talk to staff and residents. Several visitors were to keen to express their satisfaction with the care that their relative received. What the service does well: What has improved since the last inspection? What they could do better: The manager will soon complete the registration process and become the Registered Manager. The home management and staff must maintain their current good standards. Acacia House Nursing Home Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Acacia House Nursing Home Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Acacia House Nursing Home Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 The admission process is managed very well, ensuring that potential residents and their relatives are provided with the information they need to make an informed decision about moving in to the home. EVIDENCE: The new matron has introduced a new pre-admission assessment form, which provides very detailed information about the health and personal needs of the new resident. New residents and their relatives that were spoken with felt that they were well informed prior to admission and were made very welcome on arrival. The home has four beds for the ‘Rapid Response’ team, which provides intermediate care for up to six weeks. Acacia House Nursing Home Version 1.10 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 The new care plans contain detailed information about all aspects of the residents, ensuring that all their health, care and social needs are met. EVIDENCE: The matron has introduced new care plans, which with all the associated documentation provide a sound structure to the work of the staff in caring for the residents. Regular reviews take place and the residents are involved in any decision-making. The homes policies and procedures have been updated to include a medication policy for ‘Homely Remedies’, which was a requirement of the last inspection. None of the residents have chosen to be responsible for their own medication. Staff were seen to display an awareness of the residents privacy and dignity, speaking to them in a respectful way. All residents and relatives spoken to on the day of inspection spoke highly of the staff - ‘they are lovely’. Acacia House Nursing Home Version 1.10 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards were not assessed on this occasion EVIDENCE: Acacia House Nursing Home Version 1.10 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and18 The policies and procedures that are in place for protecting residents and responding to any concerns are satisfactory. EVIDENCE: No complaints have been received by the home or CSCI. The home has a clear complaints procedure, which is available to residents and their relatives. Relatives spoken with during the inspection said they knew about the complaints procedure, who they could complain to and where to obtain the relevant information. The home has a copy of the Hampshire abuse procedure and will be obtaining the recently updated version to be used in conjunction with the homes own policies and procedures. Acacia House Nursing Home Version 1.10 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home provides a clean, comfortable and safe standard of accommodation for the residents. EVIDENCE: The home is well maintained and suits the needs of the residents. There are three communal areas and a sun lounge on the ground floor. All areas of the home smelled pleasant and were cleaned to a high standard. The garden is well maintained and is accessible to the residents. The gates are locked to ensure no one strays out to the main road at the end of the drive. A new hot water system has been installed since the last inspection. A handyman employed by the home does the routine maintenance. The residents’ bedrooms have been personalised with items of the resident’s own furniture and possessions and looked homely and comfortable. Acacia House Nursing Home Version 1.10 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards were not examined on this occasion. EVIDENCE: Acacia House Nursing Home Version 1.10 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home is managed very efficiently and in the best interest of the residents; it also ensures that the service users’ financial interests are safeguarded. EVIDENCE: The home has a new manager/matron who is currently undertaking registration to become the Registered Manager. The manager/matron was away on the day of the inspection but the deputy matron and the homes administrator and other staff assisted the inspector. One service user has pocket money held in the homes safe. There have been no transactions in the account since the last inspection. The administrator was able to show the records for this account and explain how they would record any transactions accurately, which was a requirement at the last inspection. Inventories of the residents’ possessions and valuables are kept inside the resident’s individual wardrobes. Acacia House Nursing Home Version 1.10 Page 15 Acacia House Nursing Home Version 1.10 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 x x x Acacia House Nursing Home Version 1.10 Page 17 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement There are no requirements Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations there are no recommendations Acacia House Nursing Home Version 1.10 Page 18 Commission for Social Care Inspection Hampshire Area Office 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Acacia House Nursing Home Version 1.10 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!