Inspection on 08/01/07 for Aldwick House

This inspection was carried out on 8th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 27/09/05

Aldwick House 10/06/05

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 Mrs Kathy Allen Unannounced Inspection 8th January 2007 09:30 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 Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 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. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aldwick House Address Nyewood Lane Bognor Regis West Sussex PO21 2SJ 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) 01243 842244 01243 838041 New Century Care (Bognor Regis) Limited Ms Elizabeth Ann Whitelock Care Home 32 Category(ies) of Dementia (32), Dementia - over 65 years of age registration, with number (32), Mental disorder, excluding learning of places disability or dementia (32), Mental Disorder, excluding learning disability or dementia - over 65 years of age (32) Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only Service Users over 50 years of Age in the categories DE and MD may be admitted. One service user under 50 years of age in the category DE and MD may be admitted. 27th September 2005 Date of last inspection Brief Description of the Service: Aldwick House is a care home with nursing. The property 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. All floors are serviced by a passenger lift. There is a large communal dining room and dayroom on the ground floor, which opens on to an attractive garden area.. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The manager completed and returned a pre-inspection questionnaire and provided comprehensive details about the home prior to the inspection. The inspection took place from 9.30 am over a seven and a quarter hour period. During the inspection all except three residents, who we in bed were seen in communal areas. Three care staff were interviewed and a discussion held with manager and cook. Other staff were spoken to informally whilst going about their duties. In addition a number of records were seen. The majority of residents were unable to express a view about the home although those that could said it was “nice here”, “the staff help me” and “the food is just right – not too much and not too little”. Both recommendations from the previous inspection have been met. One recommendation has been made at this inspection. This is that guidelines for managing individual behaviour should be drawn up and made available to all staff so that a consistent approach is maintained. The fees for the home are £499 - £760 per week. What the service does well: What has improved since the last inspection? Training in dementia and staff supervision is part of the training programme. Communication aids, such as pictures and notices are more widely used so that residents can make their views known and make their own decisions. New dining chairs have been provided and now give better support for all residents. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 6 The home maintenance programme continues to ensure that a good environment is provided. 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. The summary of this inspection report can be made available in other formats on request. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 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 Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is excellent. No service user moves into the home without having their needs assessed. Intermediate care is not provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users are assessed by the home prior to coming there to live. They are seen in their own environment, be it hospital or their own home, by the manager. A comprehensive written assessment is then collated. This process involves the person’s relatives and other professionals’ views as appropriate. If the social services department are involved then their written assessment is obtained and taken into account. No residents were at the home for intermediate care. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. Residents’ health, personal and social care needs are set out in an individual plan of care. Their health needs are met and they are protected by the homes medication procedures. Residents’ privacy and dignity are respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have a detailed, written care plan. They, and their relatives are made aware of this plan and are offered the opportunity to contribute and then agree to it. The details kept cover all aspects of a person’s life and is supplemented by a personal history, which is obtained through relatives or close associates. This complements the care plan and aids staff in their understanding of each individual person and their previous lifestyle and experiences. Care plans are reviewed each month and adjusted accordingly. Some residents’ behaviour is sometimes challenging and this was discussed with the manager. Whilst there was no evidence that staff did not address this satisfactorily or consistently she was advised to consider drawing up Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 10 guidelines. This would then ensure that staff were clear about the approach which would most benefit the individual resident and those they were living with. Residents’ health care was good. Appropriate assessment and aids are used to promote tissue viability and no residents were suffering from pressure areas. Records showed that regular appointments were kept with doctors, dentists, opticians and other health care specialists such as speech therapists and psychiatrists. Good opportunities are provided for exercise, which forms part of the activities programme. Residents’ nutrition is monitored, as is their weight. There is a written procedure for the administration of medication and this is followed in practice. It ensures that medication is safely stored and administered by staff who are trained to do so. Good records are kept of the receipt, administration and disposal of medication. Staff were courteous and kind to residents. They treated them in a dignified manner and showed respect for them. This included encouraging them to eat and drink, to sit as comfortably as they could, consulting them before taking any action to assist them and addressing them in a polite way using their preferred name. One bedroom is shared and there is a curtain for privacy. Staff consulted both parties before they shared the room and report that the arrangement is satisfactory. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. The routines of daily living are flexible and service users maintain contact with family and friends. They are helped to exercise choice and control over their lives Residents are provided with wholesome meals in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents have the opportunity to exercise choice regarding mealtimes, social relationships and religious observance. One person chose not to get up and another not to eat their main meal. On both occasions the meal was kept and would be offered at a later time during the day. Three people attend Mass which is conducted at the home and it was evident that two people enjoy attending this together. Any interests resident have or had are recorded and a person is employed as an activities co-ordinator. The programme is varied and includes a gardening club, art class as well as exercise classes and board games. Staff have time to take residents out either individually or as a group. Over Christmas a series of events took place including a concert and pantomime. Residents are kept informed of events through a monthly newsletter which is also distributed to relatives. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 12 All but three residents have regular family contact and are able to see people in private when they visit the home. In one instance, a residents room has been made into a sitting/bedroom so that their partner can come to visit each day and feel at home. The manager is to be commended for this innovation. No residents manage their own finances however good arrangements are in place to ensure that they have adequate funds. One person needs particular help to ensure that she spends wisely and the restrictions placed on her are documented and agreed. Throughout the day staff endeavour to gauge the wishes of residents all of whom communicate in different ways. Staff use prompts, such as photographs, direct eye contact and time to enable residents to express their choice of, for example, meals, clothing, activities and waking/going to bed times. A written menu is available to residents and the details of the day’s menu posted in the dining room. The content is changed regularly and a good variety of meals is provided. There is a choice of main meal and hot and cold drinks are regularly provided. Staff were concerned to ensure that residents ate and drunk sufficiently and special diets are catered for. Meals are presented in an appealing manner either in the dining room or on small tables in the lounge, for those who need most assistance. Mealtimes were unhurried and a social occasion for some. One table is set aside for people with more independence and this affords then a social and friendly mealtime. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. Residents and their relatives are listened to and their complaints are acted upon. Residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a written complaints procedure which is made available to residents and their relatives and includes the address of CSCI. No formal complaints have been made at the home and the manager described how she keeps in touch with relatives so that she can answer any queries whenever they arise. A copy of the West Sussex Multi-disciplinary Procedures for Adult Protection were available to staff and they receive training in this matter. In addition, the home has it’s own written policies and procedures. Staff were able to describe the signs and symptoms which may indicate that someone was being mistreated. They also understood their duty to report any concerns. There have been no referrals under adult protection procedures. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is excellent. Residents live in a safe and well-maintained environment which is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated near local amenities and enables residents to access shops as well as the sea front and local theatres. The premises are well maintained with a rolling programme of maintenance and refurbishment. This includes regular decoration of communal areas as well as bedrooms to residents taste. There is a good size garden which is accessible and used by residents. It is well maintained and provides for the garden club, which is run at the home. The premises meet the requirements of the local fire service and environmental health department. The building was clean throughout. Laundry facilities are located away from food preparation areas and a person is employed to do the laundry. Good Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 15 equipment is provided including a washing machine with a sluice cycle and hot wash to prevent infection. Hand washing facilities are located nearby. In addition, there are two sluice rooms fitted with sterilisers. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. Residents’ needs are met by the numbers and skill mix of staff who are suitably trained. They are protected by the homes recruitment procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a written rota which shows which staff are on duty at any time. During the morning shift there are five care staff and two qualified nurses on duty as well as the manager. After 3pm this is reduced by 2 care staff. In addition to care staff and nurses there is a full team of ancillary staff covering the cleaning, cooking, laundry and administration at the home. Four people are on duty throughout the night including a qualified nurse. 60 of care staff are qualified with a National Vocational Qualification (NVQ) and this programme is ongoing. The staff recruitment procedure is robust and followed in practice. It includes obtaining two references and checking the candidate against the Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register prior to them starting working at the home. The manager and a senior member of staff conducts an interview and a record of the outcome is kept. All staff receive a contract of employment and statement of terms and conditions. Good induction training is provided for new staff and this includes briefing on the General Social Care Council (GSCC) code of conduct. A record of staff’s induction is kept and a senior member of staff signs this off. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 17 A comprehensive ongoing training programme is in place which includes for example, dementia, supervision, health and safety, protection of vulnerable adults and pressure area care. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is excellent. Residents live in a well run home which is run in their best interests. Their financial interests are safeguarded as is their health and safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has run the home for over three years and is a qualified nurse. Her duties and responsibilities are made clear through a job description and the lines of accountability are understood by all parties. Recently she has been given more responsibility within the wider organisation of New Century Care Ltd however this enhances rather than impinges on her duties as registered manager. Good quality assurance arrangements are in place. They include a monthly audit of all aspects of the home with a report being submitted to headquarters. A monthly visit and report on the home is conducted under Regulation 26 of Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 19 the Care Standard Act 2000. Questionnaires are conducted annually with residents and families which are also sent to headquarters to be analysed. The outcome is then published and this forms the basis for the annual development plan, which is drawn up each January. In addition, questionnaires are sent to other professionals, such as speech and language therapists and community nurses. Residents meetings are held at the home so that they can make comment on various aspects such as the activities programme and meals. Policies and procedures are reviewed and updated, if necessary each year. It was suggested to the manager that anonymous questionnaires to staff may also be of value to the quality assurance measures already in place. The home keeps small amounts of money for everyday expenses on behalf of residents. This money is safely stored, all transactions are recorded and it is well accounted for. There is a written health and safety policy and procedures at the home. The manager ensures that health and safety is maintained and promoted through the staff training programme which includes such areas as safe lifting, infection control, first aid, food hygiene and fire safety. Contracts are in place for the servicing of equipment in the home such as the lift and heating. All radiators are covered to prevent injury and hot water is regulated. Risk assessments are carried out in areas such a falls, pressure areas, use of bedsides and windows. All accidents are recorded. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 3 Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 21 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. 1. Refer to Standard OP7 Good Practice Recommendations Guidelines should be written up regarding the management of challenging behaviour. Aldwick House DS0000024102.V326263.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000024102.V326263.R01.S.doc Version 5.2 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. 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. 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