Inspection on 17/12/08 for Andover Close (31)

This inspection was carried out on 17th December 2008.

CSCI found this care home to be providing an Good service.

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

Andover Close (31) 18/12/06

Andover Close (31) 12/01/06

Andover Close (31) 24/10/05

Andover Close (31) 02/06/04

Andover Close (31) 28/02/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Andover Close (31) 31 Andover Close Epsom Surrey KT19 9DA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ruth Burnham     Date: 1 7 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Andover Close (31) 31 Andover Close Epsom Surrey KT19 9DA 01372740251 N/A N/A Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Mr Alan Rothwell,Mrs Deborah Laker-Rothwell The registered provider is responsible for running the service care home 1 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category of service : Care home only ( PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability (LD) The maximum number of service users to be accommodated is 1 Date of last inspection Brief description of the care home 31 Andover Close is a four bed-roomed house, situated in a quiet residential area on the outskirts of Epsom. The home provides care and accommodation for one older Resident, with a learning disability. The resident lives as part of the family, and occupies a downstairs bedroom with an en-suite shower room. There is a sitting room for communal use, and a separate kitchen. The home also has a small-enclosed garden to the rear of the property and a paved area to the front of the house. 1 Over 65 0 Care Homes for Older People Page 4 of 23 Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced Key Inspection. We arrived at the service at 08.30 and were in the home for two hours. It was a thorough look at how well the home is doing. It took into account detailed information provided by the homes manager, and any information that CSCI has received about the service since the last inspection. We looked at how well the service is meeting the standards set by the government and in this report we have made judgements about the standard of the service. Care Homes for Older People Page 6 of 23 Documents sampled during the visit included the care/person centred plans, daily records and risk assessments, training records and the accident book. The home has submitted the Annual Quality Assurance Assessment (AQAA) prior to the inspection, this contained all the information we asked for. There have been no complaints about the service since the last inspection. There are no Required Developments in this Report. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We would like to thank everyone at the home who assisted us during our visit for their time, assistance and hospitality during this visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person who lives in this home can can be confident their needs were fully assessed and understood before they moved in. Evidence: The home only provides care for one person. The manager has worked with this person for over 20 years. They came to live within this small family unit after a period of planned and regular visits. There was a comprehensive assessment of needs before the person moved in to ensure her needs could be fully met. Records seen show the needs assessment was detailed and contained information regarding all aspects of the daily living needs of the person who lives in the home. The providers advised that intermediate care is not provided. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person who lives in this home can be confident their health and personal care needs are understood and can be met. They are protected from harm through effective risk management processes. Evidence: There is a a detailed individual plan of the care and support needs of the person who lives in the home which is based on the information gathered from the pre-admission assessment and the managers long term relationship with the resident. This plan of care is updated as needs change to ensure the persons needs continue to be met in the home. Regular formal reviews of care are carried out in partnership with the Local Authority. Care records seen were comprehensive and contained all the required information. An end of life plan is included within the individual plan of care and this notes who will make arrangements in the event of death. The person who lives in the home is protected from harm through good risk management processes. Assessments of risk have carried out and recorded for risk in the event of a fire, moving and handling risks, mobility risks and behavioural risks. From the records seen it is clear Care Homes for Older People Page 11 of 23 Evidence: that the persons healthcare needs are very well met and any changes in her health are closely monitored and appropriate treatment is promptly obtained.The resident is protected through good medication policies and procedures. The person who lives in the home was seen to be treated with the utmost respect and is cared for in a friendly manner whilst retaining a professional approach. Assistance with personal care is given discreetly and in a manner that promotes the persons dignity and privacy. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person who lives in the home benefits from the flexibility and uniqueness of this service where they live as part of the family and enjoy a wide variety of lifestyle experiences. They are supported to keep in touch with family and friends. Wholesome and appetising meals are provided. Evidence: The person who lives in this home benefits from being regarded as a member of the family and enjoys being included in all the normal social events of family life. She is looking forward to being part of a family holiday in Dorset over Christmas and the New Year. The plan of care includes information about social, cultural, religious and recreational interests and needs. Records seen show the resident has enjoyed a variety of outings and trips and the manager supports the resident to keep a diary of events and activities, which they write up every evening together. The diary makes reference to recent Christmas shopping trips with the manager or on occasions as one large family group. The resident enjoys the wholesome and appetising meals which are provided for the family. There is a well maintained meal planner where meals are recorded each day. Care Homes for Older People Page 13 of 23 Evidence: The manager has a good understanding of the nutritional needs of older people and monitors the residents weight carefully to ensure food provided is sufficient. The resident is also able to help herself from the boxes of snacks, biscuits and sweets that are kept in her bedroom. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person who lives in this home is always listened to and is protected from abuse. Evidence: The resident is encouraged to offer comment or complaint at any time. The home has a complaints policy and procedures which are updated and reviewed regularly. There have been no complaints about this home since the last inspection. The manager was confident that the resident would be in a position to voice her opinions if she was not happy. The person who lives in this home is protected from abuse. The manager has attended the Surrey County Council Multi Agency Protection of Vulnerable Adult Abuse training and keeps up to date with any changes in policy and procedures. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person who lives in this home benefits from the homely environment and family atmosphere. Once completed, the current refurbishment of the ground floor family areas will further enhance the residents quality of life. Evidence: The resident has her own bedroom on the ground floor which is pleasantly decorated and furnished, with an en suite shower and adjacent w.c. The lounge, kitchen and conservatory on the ground floor are currently being redecorated and refurbished. Whilst the ongoing work is inconvenient and detracts from the homely appearance of these areas there appears to be no negative impact on the residents safety, wellbeing and comfort. Improvements which are in process will result in easier access to the garden as the floor in the conservatory is being raised. The manager expects all this work to be completed in the next 6 months. Care Homes for Older People Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person who lives in this home benefits from the consistent and flexible way in which her needs are met by the manager and and volunteers from the managers extended family. Evidence: The service currently employees only the manager. Discussions with the resident and manager, examination of records and general observations indicate that the residents needs are being effectively met by this arrangement. The manager has an understanding of recruitment policies and procedures and stated that she would implement them should the need to employ staff arise in the future. In addition the manager is aware of and has begun to use training packages, initially to maintain her skills but with a view to them being the basis of future staff training. The service has an informal volunteer arrangement with members of the extended family who provide care and supervision in the absence of the manager. The manager confirmed that all members of the family who act as volunteers have been checked through the criminal records bureau. The sister of the manager, who is one of the volunteers, was in the home during our visit. They were knowledgeable about the needs of the resident and are undertaking relevant training courses alongside the Care Homes for Older People Page 17 of 23 Evidence: manager. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person who lives in this home benefits from the flexible arrangements for running and operating the home. They enjoy a degree of spontaneity seldom available in other establishments with more people. The service is managed with the best interests of the resident in mind. Safe working practices promote their health and safety. Evidence: The person who lives in this home benefits from the approach of the manager in running this home. Interactions between the manager and resident observed during our visit were open and inclusive. The resident is very much a part of the family and a genuinely close relationship exists between the manager, other members of the managers family and the resident. The resident has full control over her own financial affairs, and the manager supports her to maintain her own bank account. The manager stated a record of all the residents financial transactions are logged and updated on a regular basis. Care Homes for Older People Page 19 of 23 Evidence: The health and safety of the resident is promoted through safe working practices. Information provided by the manager in the Annual Quality Assurance Audit shows that safety checks are carried out on all equipment and installations. The manager updates her knowledge of health and safety regularly and has booked updates in food hygiene and moving and handling training in the New Year. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!