Inspection on 16/08/05 for Alton House

This inspection was carried out on 16th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Alton House 07/02/07

Alton House 03/11/04

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 Alton House 37 St Leonards Avenue Hayling Island Hampshire PO11 9BN Lead Inspector Beverley Rand Unannounced 16 August 2005, 11:15 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. Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Alton House Address 37 St Leonards Avenue Hayling Island Hampshire PO11 9BN 023 9246 2910 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) Alton House Partnership Mrs Elaine Herridge Care Home 18 Category(ies) of Dementia - DE - 18 registration, with number Dementia, over 65 - DE(E) - 18 of places Mental Disorder - MD - 18 Mental Disorder, over 65 - MD(E) - 18 Old Age - OP - 18 Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons to be admitted must be aged at least 55 years. Date of last inspection 05.04.05 Brief Description of the Service: Alton House is a large, detached property set in a quiet residential area of Hayling Island and provides accommodation for a maximum of eighteen older people, including those with dementia and/or mental health needs. Accommodation is provided with ten single bedrooms, five of which have ensuite facilities, and four double bedrooms, of which two have en-suite facilities. The home has a large lounge/dining room and a smaller, quieter lounge. The layout of the communal areas is open-plan with archways leading into each area. Outside is an attractive, well-maintained garden that is accessible to service users. Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year, and was unannounced. The inspection looked at six core standards, and should be read in conjunction with the last inspection report. The inspection took place over three hours and the inspector spoke with nine residents, the staff on duty and the manager. The inspector also looked at records such as care plans and menus. What the service does well: What has improved since the last inspection? What they could do better: The medication was left unlocked whilst residents were given their tablets and this is a risk in a home where some residents have dementia. The home needs Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 Page 6 to keep medication secure at all times. One staff member did not have the right checks in place before they started work. 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. Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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 Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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) These standards were not assessed. Standard OP6 does not apply to Alton House. EVIDENCE: Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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) 9 The current administration procedure does not protect residents from harm. EVIDENCE: The inspector saw the medication being given out at lunchtime. The cassette boxes were left on the kitchen worktop whilst the manager took individual residents their tablets. Residents access the kitchen, and some residents have their bedrooms the other side of the kitchen, which means they have to walk through to get to their rooms. The Royal Pharmaceutical Society Guidelines state that when medicines are transported around the home it must be done in a secure manner. Medicines must not be left unsupervised and accessible to other residents as this represents a risk to residents as well as being a security hazard. However, the correct procedures were being followed regarding signing the records after the resident had taken the medication. Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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) 12, 13, 14 & 15 The home ensures that residents feel comfortable at the home and that visitors are welcomed. EVIDENCE: One resident said that he/she was, ‘free to have your say, free to live your life’. Two residents said that they were not allowed to go out alone, or with each other, and the inspector discussed this with the manager. The manager agreed that one of the situations would benefit from a multi-disciplinary review, i.e. seeking views from the social worker and health care professionals, to see whether the residents’ situation had changed since admission. Two residents who were asked said there were not any ‘activities’, although a couple of entertainers had visited, and that residents used to play bingo. The inspector studied records which showed that activities included quizzes, reminiscence chats, sing alongs, ball games, skittles and trips out. The manager said that she would like to organise an entertainer to come in regularly. Arts and crafts had been tried, but it was difficult to engage some people in activities, as they liked to sleep. The manager ensures that an activity of some sort happens every day, which could be structured social interaction. The home keeps a record of visitors, which the staff complete. Visitors can visit at any time, and residents’ wishes would be respected if they did not wish Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 Page 11 to see a visitor. Two residents who were asked said that their visitors were made welcome and one said that staff always brought their visitor a cup of tea. Residents can bring their own possessions, such as furniture, pictures etc. with them when they move in, as long as they meet fire regulations. The home keeps an inventory of anything brought in. One of the residents said that the staff were, ‘very good, they worry about you if you’re not eating’. Two other residents said that the food was good, and that the staff knew what they liked or didn’t like. The menu appeared varied and new foods are tried. The home maintains records for people who are not eating well. The food provided sometimes varies from the menu, so the manager was advised to record the food actually eaten, so that the diet provided can be monitored. Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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 standard(s) These standards were not assessed. EVIDENCE: Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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 standard(s) These standards were not assessed. EVIDENCE: Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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 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) 29 The home does not ensure that residents are always protected through their recruitment processes. EVIDENCE: The information provided in the pre-inspection questionnaire suggested that a new staff member was working prior to the appropriate Protection of Vulnerable Adults (POVA) check or Criminal Records Bureau check being in place. Records confirmed that this was the case. Although the staff member had been previously known the manager, a previous CRB check was seen and only one shift was worked, the regulations state that a new CRB check must be in place before a new staff member begins work. In exceptional circumstance new staff can begin work, supervised, with a satisfactory POVA check in place. Two references were in place. Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 Page 15 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) These standards were not assessed. EVIDENCE: Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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. 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 Page 17 NA 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. 2. Standard OP9 OP29 Regulation 13 (2) 19 (1)(b)(i) Requirement Medication must be kept secure at all times. The appropriate checks must be in place prior to a new staff member starting work. Timescale for action 30/09/05 30/09/05 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 Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 Alton House H54 S61683 Alton House V244673 160805.doc Version 1.40 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. 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