Inspection on 07/12/06 for Anchorstone Services Limited

This inspection was carried out on 7th December 2006.

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

Anchorstone Services Limited 26/03/08

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Anchorstone Services Limited 8 & 10a Searle Road Farnham Surrey GU9 8LJ Lead Inspector Mary Williamson Key Unannounced Inspection 7th December 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Anchorstone Services Limited DS0000067735.V323119.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. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anchorstone Services Limited Address 8 & 10a Searle Road Farnham Surrey GU9 8LJ 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) 01252 727378 01252 710373 Anchorstone Services Limited Mrs Esperanza Maria Bevan Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (32) of places Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Anchorstone is a well -established care home situated on the outskirts of Farnham. The home provided care and support for service users who are old, twenty of whom have dementia. The home provides ample communal facilities including a lounge, dining room, conservatory, and a small quiet lounge where service users may have visitors for a meal. Individual bedrooms are well decorated and all have en-suite facilities. There are also two double rooms available. There is a well maintained garden to the rear of the property which is overlooked from the conservatory. There is ample parking space at the front of the home. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and was undertaken by Mary Williamson who is a Regulation Inspector. The registered provider who is also the registered manager Mrs Esperansa (Samantha) Bevan was present for the duration of the inspection. Mrs Shelly Fassett who is the trainee manager also assisted with part of the inspection. A tour of the premises was undertaken and records relating to the care of the service users and the management of the home were examined. It was possible to talk with several service users who were all very pleased with the standard of care and accommodation offered in the home. On the day of the inspection the home was hosting it’s Christmas party in the afternoon and it was possible to talk with several relatives and visitors who were all very complimentary regarding the home, staff and standard of care provided. The provider completed a pre inspection questionnaire and twelve relative comment cards, two service user comment cards and four GP comment cards were returned to the inspector prior to the visit. The inspector would like to thank the service users, the provider and her staff team for their help and input to the inspection, particularly on such an important day for the home. What the service does well: The home provides a good standard of care and support for the service users living there. The home is comfortable, decorated to a high standard, well maintained and was clean and odour free. There is a well-established staff team who are all aware of individual service users assessed needs. Training is ongoing with all mandatory training up to date and 50 of the staff team having obtained NVQ level 2. The activities are arranged by an activities coordinator and meet individual and collective needs of service users. The catering arrangements are good and service users were enjoying a good wholesome lunch. It was good to see staff sitting alongside service users providing support with feeding. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 6 All the service users spoken to stated that the “food was good” and one service user stated that the catering staff will cook “anything she wants”. The standard of record keeping and care planning is very good. Health and safety is promoted and all the relevant legislation sampled for the safe management of the home was satisfactory. 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. The summary of this inspection report can be made available in other formats on request. Anchorstone Services Limited DS0000067735.V323119.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 Anchorstone Services Limited DS0000067735.V323119.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): 1, 2, 3, 5, and 6 Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information available to them in order to make an informed decision regarding the choice of home. Contracts of occupancy, and needs assessments are in place. EVIDENCE: All service users or relatives are provided with a brochure at point of enquiry in order that they can reflect on the choice of home. When service users are admitted to the home they are provided with a statement of purpose and service users guide, this may also be provided to their relatives if they are unable to choose for themselves. The manager stated that she undertakes pre admission needs assessments for all prospective service users either in hospital of service users own homes. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 9 Assessments were seen for DS, MS, GC, and D. these are detailed and informative. Individual contracts of occupancy are in place. There are two types in operation, one for privately funded service users and one for social services funded service users. These contracts include the accommodation to be occupied, the care to be provided, the amount of fees charged and the method of payment. The service user, or their designated representative signs contracts. Intermediate care is not provided in this service. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. Health and medication needs of service users are met as outlined in individual care plans. Service users are treated with respect and dignity. EVIDENCE: Care plans were seen for DS, MS, GC, and D. These are written on the basis of the needs assessment, with input from the service user and their relatives, reports from care managers and information from hospitals if available. These well maintained care plans are the responsibility of the “trainee manager”, and are reviewed and updated on a regular basis. The service users or their designated representative signs care plans. All the service users are registered with a GP of their choice. It is possible for service users to retain their own GP with mutual consent. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 11 The manager stated that there is a daily district nurse input to the home to undertake dressings, advise on skin care, and undertake blood samples. It is also possible with the support of the district nurse and the GP to provide terminal care if necessary. Chiropody treatment is available every six weeks, dental treatment is arranged on request and an optician visits the home every six months. Physiotherapy can be arranged on referral by the GP. There is a medication policy in place and all staff who administers medication are familiar with this policy. Bourne Pharmacy supplies the medication to the home in blister pack form. They also undertake audits of medication. All the staff that administer medication have undertaken seventeen weeks training in “medication safety” at Guildford College. Medication recording charts were seen and are well maintained. Staff were observed to undertake care in a respectful and dignified manner. They knock on bedroom doors prior to entering, and address service users by their preferred name. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. Arrangements in the home for social and leisure activities meet the individual and collective needs of the service users. Family links are maintained and the nutritional needs of the service users are met. EVIDENCE: There is a weekly and, a yearly activity programme in place and includes reminiscence, word puzzles, a knitting club, music and movement, films, hairdressing and a sherry morning on Sunday’s. Yearly activities include booked entertainers, outings, and a visiting clothes shop. Key workers help service users to buy Christmas presents and write cards for friends and family. Family links are maintained and visitors are welcome in the home at any reasonable time. The home’s Christmas Party was taking during the afternoon of the inspection and there was the opportunity for the inspector to talk with several relatives who also provided the inspector with feedback comment cards Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 13 prior to the inspection. There were generally very positive comments regarding the home and the care provided. Spiritual needs are supported and visits from various clergy take place on a regular basis. One service user attends church with the help of her church friends. The catering arrangements in the home are well organised. The manager plans the menus with input from the service users and her knowledge of their likes and dislikes. These are on a two weekly rota system and are seasonal. The menus are displayed in the kitchen and a daily menu is available on each table. Lunch was observed and consisted of gammon in parsley sauce, a selection of vegetables and potatoes, followed by apricots and custard. Several service users commented on the “good food” and felt that the standard of meals were excellent. There was a relaxed atmosphere in the dining room with the tables decorated with Christmas tablecloths, napkins and flowers. Staff were observed offering support to service users who required help with feeding in a sensitive and dignified manner. The kitchen was visited and was clean and orderly. The cook stated that there had been an Environmental Health Visit the previous week, which was satisfactory. The kitchen is well managed and all the appropriate records relating to temperatures and a cleaning rota are in place. The cook has a current certificate in food hygiene and the carers who prepare the evening meal also have food hygiene training. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, and 18 Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. The complaints and abuse awareness procedures in place safeguard the service users living in the home. EVIDENCE: There is a complaints procedure in place and all service users and their relatives have a copy of this, which is part of the service user guide. Both the service users and relatives spoken to said that they were aware of the procedure but felt they did not need to use this. There have been no complaints since the last inspection. The home has an abuse awareness policy in place. All staff are made aware of this during their induction training and by internal and external training, which is ongoing. There is also a whistle blowing policy in place. The home also has a copy of the Surrey Multi-Agency Procedures for Safeguarding Vulnerable Adults in place. The manager and senior care staff have attended training in these procedures provided by the local authority and this has been cascaded throughout the staff team. Staff when questioned were aware of this procedure. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 15 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, 20, 23, and 26 Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained and safe home, which provides good individual and communal facilities. EVIDENCE: The home is clean and well decorated. Communal facilities include a large lounge, conservatory, dining room and a quite visiting room where service users may have a meal with relatives in required. There is also a large reception area with seating, which was decorated with a large Christmas tree and provided a welcoming atmosphere for all the guests arriving for the Christmas party. Individual accommodation includes thirty- six single rooms and two double rooms all with en-suite facilities. Bedrooms are well decorated and Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 16 comfortable. These have been personalised to reflect individual personalities and interests and service users are encouraged to bring items of small furniture and personal possessions with them on admission. The laundry is well equipped and is serviced by an individual boiler. This enables laundry to be washed at the correct temperature while ensuring that the water supply to the rest of the home is within health and safety legislation. There is an infection control policy in placed and a contract in place for the disposal of clinical waste. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30. Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. Service users are supported by a competent staff team in sufficient numbers to meet the current service users needs. The recruitment procedures protect the service users. EVIDENCE: The staff duty rota was seen. This evidenced seven care staff work during the am shift, six care staff work the pm shift, and three care staff work the night duty shift. The home also employs two laundry assistances, two cleaners, one maintenance person, one cook, and one administrator. The manager stated that agency staff are not necessary, as the staff team will cover sickness and holidays. Staff confirmed that they all have a job description and a contract of employment. Staff spoken to stated that they enjoyed working in the home, as they liked the team atmosphere, “ they felt valued” and that “that it was a nice place to work”. They were looking forward to going out later that week for their Christmas get together. The manager is very committed to staff training and development. All staff undertake induction training and than allocated to a senior member of staff as Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 18 a mentor for continued support. All new staff are given a training record book, which is completed once the carer is competent in an identified skill. NVQ training is ongoing with 50 of the staff team holding either an NVQ level 2 or 3 in care. The home has a policy and procedure in place for the recruitment of staff that is in line with current legislation. Staff employment files were seen for ES, PC, and FB. These were found to be well maintained with all the necessary checks and documentation in place for each staff member. There is also a photograph of all staff members displayed in the reception area with their name and designation. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 19 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, and 38. Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. Service users live in a home, which is well managed and promotes the health and welfare of the service users living there and the staff who work there. EVIDENCE: The home is well managed by the Provider who is also the Registered Manager. She is a qualified nurse with considerable experience in the provision of care to older people. She also has a master’s degree in business and a law degree. The manager stated that she operates an open and inclusive style of management within the home, which was confirmed by several staff during conversations. Staff stated that they can approach and discuss any problems Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 20 with the manager and she includes them in decision-making. One staff member stated that she liked being part of a supportive team, and several stated that they felt protected by the management structure within the home. Quality assurance is monitored by a quality improvement monitoring report, which is undertaken annually. Relative and service users questionnaires are sent and completed forms are retained on file. Any suggestions and “niggles” are acted upon. The manager also keeps a file of all the thank you letters and cards received. The home has a health and safety policy in place of which all staff are made aware of at induction. An external auditor undertakes health and safety audits yearly. The last health and safety inspection was undertaken on 10/11/2006 and this was satisfactory. Members of staff receive training in all areas of health and safety and this is updated regularly. Risk assessments are in place for safe working practice and reviewed regularly. There is a fire risk assessment in place for the home including individual assessments for each bedroom. There is also a fire evacuation procedure in all bedrooms. All staff undertake fire safety training on a yearly basis. There is a contract in place for the maintenance of fire fighting equipment and emergency lighting, which was last serviced on 6/12/2006. Records are kept of weekly fire alarm checks. Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 21 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 3 3 3 X 3 3 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 X X 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 3 X 3 X 3 X X 3 Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Anchorstone Services Limited DS0000067735.V323119.R01.S.doc Version 5.2 Page 24 - 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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