Inspection on 02/11/05 for Acacia House Nursing Home

This inspection was carried out on 2nd November 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.

Other inspections for this house

Acacia House Nursing Home 16/04/07

Acacia House Nursing Home 12/04/05

Acacia House Nursing Home 12/10/04

Acacia House Nursing Home 28/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Acacia House Nursing Home 33 Portsmouth Road Horndean Hants PO8 9LN Lead Inspector Pat Griffiths Unannounced Inspection 2nd November 2005 10:00 X10015.doc Version 1.40 Page 1 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 Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 2 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 DS0000055653.V263801.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Acacia House Nursing Home Address 33 Portsmouth Road Horndean Hants PO8 9LN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 023 92 594138 Contemplation Homes Ltd Mrs Sharon Elizabeth Ray 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 DS0000055653.V263801.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 55 years of age. Date of last inspection 12th April 2005 Brief Description of the Service: Acacia House is in a residential area on the outskirts of Horndean, near Portsmouth. It is a care home providing nursing care 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, with 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 half-landing 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 maintained, gardens to the rear of the property, which are accessible to residents. There is a small car park at the front of the home. Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second of the inspection year 2005-2006 and took place over 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 home management and staff must continue to maintain their good standards of care. Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These standards were examined during the last inspection Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These standards were examined during the last inspection Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15 Residents experience a varied and stimulating life at the home, they receive good meals and their visitors are encouraged EVIDENCE: The home has a variety of activities available for the residents. Residents, often with their families help, have compiled their personal life histories, which has also given an indication of their interests and hobbies. The home employs one of the carers for six to eight hours a week as an activities co-ordinator. The activities, for those who wish to take part, are advertised within the home by posters made by the homes administrator. The activities include theatre visits, a firework party, Christmas shopping and a visit to the home by a mobile farm. Whilst touring the home the inspector saw several photographs of residents with rabbits, lambs and other small cuddly animals. Students from the local college come to the home for work experience in care and children from a local school also visit to chat to the residents. During a tour of the home the inspector saw several bedrooms that had been personalised with the residents own possessions, such as small pieces of furniture, pictures and ornaments. Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 11 None of the residents go to church but ministers visit the home to provide communion for those who wish to take part. Visitors are encouraged; there is open visiting and residents may entertain their visitors in the communal rooms or their bedrooms. Visitors that spoke with the inspector commented that they were always made welcome and were happy with the care provided by the home. The chef has worked at the home for several years and is familiar with the likes and dislikes of the residents. The menus are varied and offer choices to cover all tastes. The chef visits the residents to chat and check their dietary preferences. The kitchen was clean and all food stored appropriately. Snacks are available and residents can choose where to have their meals, but are encouraged to use the dining room. Residents spoken to said that they liked the food that is provided and were always able to choose what they had for their meals. Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 12 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 the following standard(s): EVIDENCE: These standards were examined at the last inspection Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 13 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 the following standard(s): EVIDENCE: These standards were examined at the last inspection Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 14 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Arrangements ensure that residents’ needs are met and that they are in safe hands at all times. The recruitment arrangements protect the residents. Arrangements ensure that the staff are trained to do their jobs. EVIDENCE: The staff skill mix includes registered nurses, carers and ancillary staff for catering, cleaning and laundry services. All care staff have undertaken statutory training, which includes manual handling, fire safety and adult protection. The home has a training co-ordinator, who ensures that all staff are up to date with their training. Forty percent of the care staff have obtained an NVQ in care (National Vocational Qualification). Several staff members have undertaken ‘train the trainer’ courses and now teach their specialist subjects within the home; a manual handling training session took place on the day of the visit. The home has a robust recruitment policy and the staff files that were seen by the inspector contained the relevant information such as proof of identity, written references and enhanced CRB disclosures (Criminal Records Bureau), and NMC checks for trained nurses (Nurses and Midwives Council). All new staff undertake induction training based on the ‘Skills for Care’ training programme. The inspector was able to see the ‘rolling’ training programme for Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 15 the home, which indicated that all staff were able to access the necessary training, such as First Aid and Health and Safety, and have completed a minimum of three paid training days each year. It was also noted that additional training was available for the registered nurses in wound care, palliative care and syringe drivers and conflict management. One of the trained nurses is doing a two-day course on infection control and the information will then be passed on to other staff during an in-house training session. Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 38 Arrangements ensure that the home is well run and in the best interests of the residents. Arrangements are in place to ensure that the health, safety and welfare of the residents and staff is protected. EVIDENCE: The manager is a registered nurse with many years experience, who became the registered manager earlier this year. A deputy and a well-trained team of nurses, carers and ancillary staff support her. The home has a quality assurance system in place, which is managed by head office. The service user survey forms are currently being reviewed. Eight of the ten comment card returned to the commission indicated that the residents were happy with the care they received. A card was received from one relative, who commented that they were ‘very well satisfied with the care Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 17 provided’. Residents and visitors that spoke to the inspector during the visit indicated that they were happy with the care provided. The inspector was able to see the service contracts for services such as the boilers, the fire safety equipment and the lift, which are all up-to-date. A fire risk assessment for the home has been completed and the record of the weekly fire alarm tests was also examined and found to be up-to-date. The manager advised that there are arrangements in place to ensure that the home is locked and secure at night. During the day the front door is kept closed and access is gained only by ringing the bell. Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 18 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. 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement 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. Refer to Standard Good Practice Recommendations Acacia House Nursing Home DS0000055653.V263801.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire 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. 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