Inspection on 10/06/05 for Aldwick House

This inspection was carried out on 10th June 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

Aldwick House 08/01/07

Aldwick House 27/09/05

Aldwick House 07/12/04

Aldwick House 07/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Aldwick House Nyewood Lane Bognor Regis West Sussex PO21 2SJ Lead Inspector Judith Farrell Announced 10 June 2005 th 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. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Aldwick House Address Nyewood Lane, Bognor Regis, West Sussex, PO21 2SJ 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) 01243 842244 Mrs Elizabeth Ann Ciereszko CRH 32 Category(ies) of DE-32, MD-32, MD(E)-32, DE(E)-32 registration, with number of places Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only service users over 50 years of age in the categories DE and MD may be admitted. Date of last inspection Brief Description of the Service: Aldwick House is a Care home with nursing registered to accommodate up to 32 service users with mental health problems aged over 50 years, in the categories MD (Mental Disorder, excluding learning disability or dementia) and DE (Dementia). The propety is a large detached house, situated in a residential area, within walking distance of the shops and seafront at Aldwick, on the outskirts of Bognor Regis. Residents are accommodated on the ground and first floors in thirty single and one double room. There is a large communal dining room and dayroom on the ground floor, which opens on to a attractive level garden area. The service is privately owned by New Centary Care (Bognor Regis) Ltd. The responsible person on behalf of the company is Mr Paul Warren. The registered manager of Aldwick House is Mrs Elizabeth Ann Ciereszko. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on the 10th June 2005 and lasted six hours. There were 32 residents living at the home at the time of inspection. During this inspection the inspector had lunch with 9 residents in the dining area. The overall impression of this home is that there is clear strong leadership, which is consistently looking to improve the high quality of care already received by the residents at Aldwick House. A tour of the premises took place, rotas and care records were inspected. Seven residents and seven staff members were spoken with. Prior to the inspection, the Inspector telephoned five relatives and three visiting professional for feedback on the home. The Inspector also received 5 relatives comment cards, which had very positive comments about the home. The residents have different levels of communication ability and therefore it was difficult to ascertain their views on how their needs are met. However relatives comments included ‘staff are always there to help if I need them’ ‘I looked all over the country until I found this home and I am very happy I chose this one’ ‘I feel I am always listened to’ ‘I am very impressed with the activities which happen most afternoons’. A visiting social worker and Nurse Practioner were highly complimentary In respect of the level of care and standard of service provided. No requirements were made following this inspection. What the service does well: The home has an experienced team of staff who enjoy their work and have a good understanding of the needs of the people living at the home. Relatives spoke highly of the support their relatives receive by staff and positive relationships were observed between staff and residents. The environment is relaxed and friendly and residents have use of a range of communal areas in addition to their individual rooms. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 6 Meals are varied, balanced and well presented, offering both choice and variety. Mealtimes are flexible, particularly breakfast and lunch, which was noticed being continually served over several hours to accommodate the differing times people were getting up and to cater to their individual needs. Residents are supported with their personal routines and this support was seen to be offered and carried out with dignity and respect. What has improved since the last inspection? What they could do better: 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. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 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 Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 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) 1,2,3,4 Prospective service users have the opportunity to see if the home will be able to meet their needs before they accept a permanent placement. Arrangements are in place to ensure that the health care needs of residents are identified and recorded. Staff have sufficient abilities to meet the needs of the residents admitted. However staff would like to have more training on particular mental health needs of the residents. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 9 EVIDENCE: Five relatives spoken with by phone stated that they had been provided with a copy of the Statement of Purpose and a Service Users Guide. They said they had been able to visit the home if they wished prior to there relative being admitted. A review of their relatives care needs was discussed with them either before or during the first week of their stay. One relative said she thought her husband’s health had considerably improved since entering the home. Relatives said they found it particularly helpful to have met with the manager prior to their relative entering the home. A relative commented that her mothers care needs and preferences had been discussed in detail during this initial assessment, which she said made her feel more confident about her mother coming to the home. At this home the residents have a varity of mental health issues. The inspector observed staff interact with a new resident to enable then to build a therapeutic relationship and gain a sense of what this gentleman required in his day-to-day life. Staff interviewed did however feel they would like some more training on dementia and other mental health issues to improve their caring skills. The Statement of Purpose states the qualification details of the staff. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 10 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 Arrangements are in place to ensure that the health care needs of residents are identified and met. EVIDENCE: The care needs of residents are set out in their individual files. The inspector examined six files at random including two new residents. Relatives said they were aware that information is recorded about their relatives and staff members interviewed confirmed they refer to it in order to meet their varying needs. Individual files contained all relevant information, including risk assessments for moving and handling and special dietary needs. From discussion with the relatives they gave a clear and concise pen picture of the person. The inspector observed staff members entering resident’s bedrooms. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 11 They knocked on the door and waited for permission before entering. Staff members said that there was strict guidance about respecting resident’s privacy. The Inspector telephoned five residents relatives prior to the inspection to gain feedback. All representatives spoken to confirmed that health care needs were always addressed and they were kept well informed about the health of their relative. Medication is stored, dispensed and administered appropriately. The two nurses on duty confirmed that only staff who had received relevant training were permitted to administer medication. Staff interviewed stated the correct medication procedures to be followed with confidence. There was evidence that the system in place ensured medication was managed in an individually focused way and was not simply task orientated. The manager advised that there is now a very good working relationship with the residents GPs, the district nurse service and specialist nurses. The resident’s can choose which GP they wish to register with, in the locality. Relatives spoken with discussed how their relatives are assisted to attend all hospital outpatients, dentist, eye, and hearing appointments. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 12 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) 12.1315 Residents benefit from a robust programme of fulfilling activities. The home promotes positive relationships between residents and their relatives. Service users enjoy a range of appealing and nutritious meals. EVIDENCE: Conversations with relatives highlighted that community presence and participation in social activities was varied across the home. Some residents are able to go out in the garden and do so frequently. For others, staff support is required for all parts of daily living The home provides entertainment on most afternoons, one resident particularly like’s the gardening club. On the day of inspection there was a live jazz band playing, which 12 residents were enjoying and dancing to. Aldwick promotes an open door policy during the day. Residents spoke of visitors they had received and the home maintains a record of the contact each resident has with his or her relatives and friends. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 13 Both breakfast and the lunchtime meals were observed and it was evident that choice and flexibility are paramount. Residents, if able, choose where to take their meals; this is seen as a social time by staff and relatives. The dining room is arranged into one long table and lots of positive interaction was noticed at this time. The food itself was appetising and nicely presented. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 14 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) 16,18 Residents and relatives are assured that their complaints would be taken seriously and dealt with promptly. Recruitment policies and records were up to date, easily assessable and protect the residents from possible abuse. Staff have had training on the correct way to respond to any suspicion or allegation of abuse and this safeguards the residents. EVIDENCE: There is a clear complaints procedure, which is included in the Service Users Guide. Relatives said the manager re-iterates the need to inform her if they have any complaints. The complaints record was examined and the outcomes were discussed with some of the residents. It was apparent that any sign of dissatisfaction is taken seriously and acted on. A relative visiting the home said she could not imagine ever having cause to complain, but that she would not hesitate if the need arose. Robust procedures are in place for responding to any allegations or suspicions of abuse. Staff members told the inspector that they had received training in recognising the different forms of abuse. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 15 Each member of staff has an enhanced Criminal Record Bureau check. Residents said they the home had no dealings with their personal finances. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 16 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) 19,20,21,25,26 Service users benefit from a clean, comfortable and well-maintained home. EVIDENCE: At the time of the inspection, all communal areas and the three bedrooms seen by the Inspector were found to be clean, tidy and well maintained. All relatives spoken with confirmed that the home was always clean and free from odour. Since the last inspection the home has continued with the redecoration and refurbishment programme. There were numerous pleasant floral displays around the outside of the building. Some residents were using a pleasant lounge on the day of the inspection. Outdoor space is a safe environment and was easily accessible to residents and staff confirmed that a number of residents enjoy being taken outside if the weather is fine. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 17 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) 27,28,29,30 The procedures for the recruitment of staff are robust and ensure that sufficient staff are on duty throughout the day and night. Staff are trained and competent to do their jobs. EVIDENCE: There is a cohesive staff group who have worked in the home for several years. Staff file checked at random showed that the home had undertaken all the necessary checks to ensure protection of residents. Staff members spoken with said that they had been asked to complete an application form and obtain a Criminal Records Bureau checks before starting work in the home. Eighteen staff members have completed National Vocational Qualification level 2 or 3. Visitors said that staff were kind and attentive whenever they visited the home. During the inspection staff were seen to go about their duties in an unhurried manner. The five relatives who provided feedback about the home, said they were happy with the number of staff at the home and found them to be kind and knowledgeable. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 18 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) 33,34,35,36,38 Residents 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 her responsibilities fully. Training staff who undertake supervision of junior staff could improve practice and potentially reduce risks to the residents. EVIDENCE: The manager is very experienced having worked in nursing and residential homes for many years. Relatives said the home is run efficiently and they said this they thought was down to strong leadership. Staff made positive comments about the management and gave good examples of best practice. Staff confirmed that regular meeting, handovers and one-to ones were held where the manager informed them of any changes in legislation. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 19 Staff interviewed confirmed that supervision takes place at least 6 times a year, however the staff who act as supervisors did say they would like more training to enhance their ability. Regulation 26 reports of these visits are sent to the Commission for Social Care Inspection as required. Throughout the inspection, a small number of issues in relation to health and safety were identified. These included a window restrictor which needed replacing, doors which needed to be locked. Policies and procedures are in place to ensure the smooth running of the home. The staff on duty demonstrated that they were aware of their responsibilities under Health & Safety. A maintenance person is employed to undertake a variety of checks and audits and to keep the home in a good state of repair. Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 2 x x 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 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x 3 3 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 Standard No 16 17 18 Score 3 x 3 x x 3 3 3 2 x 3 Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 21 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 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. 2. Refer to Standard op4 op36 Good Practice Recommendations Staff would benifite from training in Dementia and other mental health issues Staff who undertake supervision would benefit from traiining to undertake this task Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Aldwick House H60-H11 S24102 Aldwick House V222883 100605 Stage 4.doc Version 1.30 Page 23 - 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. 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