Inspection on 26/04/05 for Alverstoke House Nursing Home

This inspection was carried out on 26th April 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

Alverstoke House Nursing Home 05/02/09

Alverstoke House Nursing Home 26/02/07

Alverstoke House Nursing Home 06/09/05

Alverstoke House Nursing Home 29/09/04

Alverstoke House Nursing Home 04/05/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Alverstoke House Nursing Home Somervell Close Alverstoke Gosport PO12 2BX Lead Inspector Gina Pickering Unannounced 26/04/2005 9:30am 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. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Alverstoke House Nursing Home Address Somervell Close, Alverstoke, Gosport, PO12 2BX 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) 023 9251 0254 Mrs Janet Hudson Mr Andrew Hudson Mrs Rosemary Cook CRH 30 Category(ies) of OP - 30; PD - 30; PD(E) - 30; TI - 30; TI(E) - 30 registration, with number of places Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users can only be admitted over the age of 60. Date of last inspection 29/09/2004 Brief Description of the Service: Alverstoke House is a privately owned care home located in a residential area of Gosport. The manager, Mrs Rose Cook, has been in post since the home opened. The home offers nursing care for up to 30 clients from the age of 60 years. The home is sitauated within easy access of local amenities as well as being in easy access to the coastal area of Stokes Bay. The home is furnished and decorated in a homely fashion enhancing the comfort of the clients at the home. Discussion with the manager and those that live in the home revealed that service users like to be called clients. This shall be reflected throughout this report. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, starting at 9.30 am and lasting six hours. The inspector spoke to ten clients and five members of staff. Clients commented that ‘staff are kind and do everything to help you’ and that ‘the food was good but has even improved.’ Staff commented that they receive the support and training to meet the needs of the client group at the home. It is judged that the management of the home creates a supportive environment for both the clients and the staff at the home. What the service does well: What has improved since the last inspection? Polices and procedures regarding medication at the home are being enhanced by the use of a link pharmacist. The staff at the home see this as a positive input into the home that will enable them to meet recommendations and requirements received following a pharmacy inspection. Advocacy information is now available for those clients that might require it. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 6 What they could do better: 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. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 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 Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 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 A procedure for the assessment of prospective clients is in use and utilised well to ensure that prospective clients needs will be able to be met. EVIDENCE: Records viewed indicate that prospective clients receive a comprehensive assessment performed by a trained nurse from the home of their needs prior to admission to the home to ensure that the home will be able to meet their needs. The manager discussed that the decision is made after this process as to whether the home will be able to meet that individual needs, she was able to share assessments of prospective clients that were unsuitable for the home. This was confirmed in conversations with several service users and a relative. Discussions with several care staff confirmed that they have the information to be able to care for and meet new clients needs on admission to the home. For clients moving to the home from out of the local area assessments of their needs are obtained via telephone conversations and professional reviews local to their area. Viewing hospital documentation that had been received for one client that had moved from out of the area evidenced this. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 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) 8 & 9. The health needs of the clients at the home are met. There is good multidisciplinary involvement with the monitoring and the meeting of the health care of the clients. The medication at the home is well managed promoting good health. Staff at the home are able to care for those clients in the final stages of their life with sensitivity. EVIDENCE: Client’s health needs are assessed and monitored in conjunction with the registered nursing care allowances assessments, thus involving and utilising other health care professionals. These assessments of needs are then reflected in the client’s plan of care that is reviewed monthly. Clients are able to access opticians, chiropodists and hearing clinics either via domiciliary visits or visiting clinics in the community. The home has a large supply of equipment to enhance tissue viability. Clients stated that the staff at the home will contact their GP’s if there is any concern regarding their health. During the inspection it was noted that the home will contact the GP if relatives have concerns regarding their relative in the home. The manager informed the inspector that the home now has a link pharmacist from the local pharmacy that supplies the medications to the home. This link pharmacist is in the process of assisting the home meet the requirements and Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 10 recommendation set out by the previous pharmacy inspection. The link pharmacist has put several new procedures in place. These still need to be reflected in the home’s policies regarding medication. Policies and procedures are in place regarding the care of the client that is in the final stages of his life. A member of the trained staff acts as the link palliative care nurse attending specific training sessions. The home has adopted a nationally recognised care programme for clients in the end stages of their life. Discussions with three care staff indicated that they feel they have appropriate training and support to enable them care for clients in the end stages of their lives. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 13 The home provides stimulating and varied activities thus enriching the life of the clients with staff at the home acknowledging the interests and social needs of the client group. The home encourages and supports clients to maintain links with the local community. EVIDENCE: A member of staff co-ordinates a regular Tuesday afternoon activity session that can consist of quizzes, karaoke sessions, musical sessions, armchair exercises and general discussions. The inspector joined in one of these session observing that the session although structured was flexible to enable the sessions be directed by the interests of the clients taking part. Groups visiting the home such as musicians, school groups and a mobile library provide further entertainment. Conversations that the inspector had with clients suggest that most clients feel that there are enough varied activities provided at the home to meet their interests. Client’s interests are documented within the pre assessment and care planning process. Clients indicated that it is their choice whether to join in with organised activities. Care staff informed the inspector that they spend time interacting with the clients on a one to one basis as well as in group sessions, this was confirmed in the conversations that the inspector had with clients. Conversations with clients and relatives visiting the home confirm that visitors are welcome at any time of the day. The manager discussed with the inspector Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 12 that clients are able to access the local community with their relatives and that the local neighbours are invited to the annual garden party. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 17 Staff at the home are aware of the legal rights of clients and procedures are in place to enable clients to exercise their legal rights. EVIDENCE: Following recommendations from the previous inspection a list of advocacy services have been drawn up which are to be reviewed annually. The manager informed the inspector that no clients use an advocacy service at present as all clients have relatives that are able act on their behalf. It was noted at the time of the inspection that voting cards were arriving for the clients. Clients are able to vote by either the use of postal votes or by the use of the local polling station that is located opposite the care home. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards are to be inspected at the next inspection. EVIDENCE: Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 15 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) These standards are to be inspected at the next inspection. EVIDENCE: Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 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 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 Regular surveys ensure that the client’s opinions and wishes are an integral part of the running of the home. EVIDENCE: The manager and one of the registered providers shared with the inspector the annual financial plan thus indicating that the home remains financially viable and that there is continual reviewing and planning of the services provided by the home. Annual client and relative surveys indicate the level of satisfaction of the clients. Regulation 26 reports regarding the conduct of the home have still not been initiated. It is a requirement that monthly visits to the home are made and a report regarding the conduct of the home are provided to the home and to CSCI. The home continues to utilise a recognised audit tool to continually review the services and environment of the home. Service users that the inspector spoke with stated that their views and considerations are Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 17 take into account by the manager and changes are sometimes put in place as a result of their comments. Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 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. 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x 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 x 3 x x x 2 x x x x x Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 19 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 33 Regulation 26 Requirement The registered provider must ensure that monthly audits of the service provided at the care home are performed. these must be documented and a copy provided to CSCi Timescale for action May 30th 2005 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 Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 IGW 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 Alverstoke House Nursing Home H54 S55635 Alverstoke Hse V221741 260405.doc Version 1.20 Page 21 - 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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