Inspection on 14/09/05 for Anglesey Court

This inspection was carried out on 14th September 2005.

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

Anglesey Court 09/09/09

Anglesey Court 13/09/07

Anglesey Court 17/11/06

Anglesey Court 06/02/06

Anglesey Court 24/01/05

Anglesey Court 01/06/04

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 Anglesey Court 26 Crescent Road Alverstoke Gosport Hants PO12 2DJ Lead Inspector Kathryn Kirk Unannounced 14 September 2005 10:30 a.m. 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. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Anglesey Court Address 26 Crescent Road Alverstoke Gosport Hants PO12 2DJ 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 9258 2322 Anglesey Court Ltd Mrs Anne Margaret OGorman CRH 20 Category(ies) of OP Old age registration, with number of places H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/01/05 Brief Description of the Service: Anglesey Court is a large detached house, situated in the village of Alverstoke, Gosport. The home has a garden at the front of the property and a car park to the rear. There is a public park opposite the house and the beach is a short distance away. Angelsea court is registered to provide care and accommodation for up to twenty older persons. There are five double bedrooms. The other bedrooms are single. Communal facilities include lounge, dining room and sun lounge. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first of two unannounced inspections that will take place in the year 1 April 2005-31 March 2006. It was carried out by Kathryn Kirk and it lasted for four hours. The manager Mrs O Gorman was present throughout. Three staff members and seven service users spoke of their experience of working and living in the home. There are currently sixteen people living in Anglesey Court. Mrs O Gorman completed a pre inspection questionnaire which provided additional information about staff, service users, policies and procedures and the establishment. The home meets all National minimum standards that were assessed on this occasion. No requirements or recommendations have been made as a result of this inspection. What the service does well: What has improved since the last inspection? H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 6 There is an improved system in place for cleaning commodes Some redecoration has taken place both inside and outside the building 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. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 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 H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 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 and 6 Appropriate information is gathered from, and provided to prospective service users, to ensure as far as possible that the home can meet needs and expectations. Intermediate care is not provided. EVIDENCE: Mrs O Gorman said that she always visits any prospective service user to assess their needs and to talk to them about the service. She said that where possible people visit Anglesey Court and spend time there before any decision is made. Records were seen and discussion took place with one service user who had recently moved into the home. A pre admission assessment had been completed by Mrs O Gorman. This included information about personal care and medical needs, as well as details of social interests and any religious beliefs. The service user had signed this assessment to indicate their agreement. The service user said that they felt that they had been given enough information about the home before admission and that their family had visited to help them make their choice. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 9 Mrs O Gorman said that for individuals who are referred through social services, she always requests a copy of the care management assessment and care plan as well as completing her own assessment of need. A care management assessment was seen on file of one service user. The home does not provide intermediate care but would offer respite care should a vacancy exist. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 8 Care planning is accurate and detailed. There are systems in place to ensure that health needs are met. EVIDENCE: Three residents care plans were reviewed. Mrs O Gorman said that the procedure is to put in place a provisional plan of care when a person moves to the home. This is developed from the initial assessment. Over the next month a more comprehensive care plan is developed as the staff are getting to know in greater depth the needs of service users. The care plans seen were detailed and staff said that they contained sufficient information to assist them in their role. Service users asked also said that the staff provided them with the appropriate amount of support. The plans seen had been reviewed every month and service users have the opportunity to sign care plans if they so wish. Every three months a matrix assessment is also completed that reflect changing dependency levels. Some risk assessments were in place, for example, to consider any moving and handling issues. It was discussed with the manger that these were not very detailed. Mrs O Gorman said that two staff would be attending a care planning training course where this may be addressed. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 11 Service users spoken with said that they liked to maintain as much independence as possible and that staff encouraged them to do so. Mrs O Gorman said that service users can be registered with the GP of their choice. Files reflected that health needs such as chiropody, eye care and dentistry needs are also met. Mrs O Gorman said that there are very close links with the local district nursing team. Records show that the weight and nutritional needs of service users are monitored. One record seen reflected that a service user had been supplied with a specialist mattress, because it had been identified that particular care was required to prevent any potential problems with their skin. Service users spoken with said that they were happy with their access to health care professionals and facilities. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 There is flexibility in the daily routine which ensures that individual preferences and expectations are met. The home has a warm and welcoming atmosphere. Food is good and is provided in a congenial setting. EVIDENCE: Service users spoken with said that routines of the home were flexible and that they could get up and go to bed when they chose. One service user said that they sometimes felt like having a cup of tea and piece of toast during the night and said that staff always accommodated this. Another enjoyed their privacy and spent most of their time in their room. This again was respected by staff. One resident spoken with had a great interest in art and had continued with their hobby after moving in to the home A list of activities is published on a notice board in the hallway. On the day of inspection there was information available about a forthcoming Autumn Fayre. A mobile library visits. Residents have the opportunity to participate in keep fit sessions and to have manicures and facials if this is their wish. There is monthly paid entertainment and the home has links with scout groups and with local school children. Holy Communion is held in the home each week. One resident said that the only drawback to life at the home was that there was no space in which to store and to charge up their disabled transport. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 13 A record is kept of all visitors to the home. Service users and staff said that visitors are welcome at any time. Service users are able to receive visitors in private if this is their wish. A cook is employed during the day Monday to Friday to prepare the lunch, which is always a cooked meal and a desert. Tea is a lighter meal and is prepared by designated care staff. A snack is offered at suppertime and drinks and snacks are offered regularly throughout the day. At weekends designated care staff undertake cooking tasks. There is a planned monthly menu. This reflects that residents are offered a varied and nutritious traditional diet. There are two roast dinners provided every week. Service users said that they really enjoyed the food. They said that if they did not wish to eat the food on offer, they would be provided with an alternative. Mealtimes were observed to be unhurried with service users being given plenty of time to eat. The majority of people choose to eat in the dining room, although those who chose not to do so were able to eat their meal where they wished. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 There is an appropriate complaints procedure in place and service users feel confident that they would be listened to. EVIDENCE: There is information about how to make a complaint on display in the hall. There have been no complaints received about this service either at the home or by CSCI since the last inspection. All residents spoken with said that they were very happy with the service provided and that they had no complaints at all. They did feel however that if they were unhappy about anything that they could discuss it with Mrs O Gorman. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The environment is suitable for current residents. Systems are in place to ensure that the home is kept clean and hygienic. EVIDENCE: At the time of inspection the home was warm and in reasonable decorative order throughout. Service users asked said that they found Anglesey Court to be comfortable and said that they were happy with their bedrooms. The home has a stair lift and a shaft lift and all parts are therefore accessible to service users. Since the last inspection new furniture has been added to three rooms. Two bedrooms have been redecorated, as have the downstairs and first floor corridors. The outside of the building is currently being redecorated. The home has a dedicated laundry room equipped with commercial machines. The flooring is impermeable and the walls are washable. The laundry room also H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 16 provides hand washing facilities. Staff confirmed that they were provided with appropriate protective clothing. Since the last inspection, Mrs O Gorman has liaised with an infection control nurse to draw up a procedure for washing commodes. This meets the recommendation from the previous inspection in January 2005. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 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 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) 30 The training provided helps staff to be effective in meeting the needs of service users. EVIDENCE: On the day of inspection, a large group of staff were having a training session in moving and handling. Mrs O Gorman said that staff are also provided with training in the following areas: food hygiene, medication, dementia awareness, cross infection, health and safety, continence and fire safety. Mrs O Gorman said that she intends to undertake training herself to enable her to offer in house training to staff in areas such as adult protection. All staff spoken with said that they felt that they are provided with appropriate training to enable them to carry out their jobs effectively. Service users spoke very highly of staff and of Mrs O Gorman and said that they felt confident in the ability of the staff team. There is a structured induction programme in place for all new staff. Records show that of the seventeen care staff employed, thirteen have obtained an NVQ level two, or above in care. H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) No standards were assessed on this occasion. EVIDENCE: H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 19 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x x H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 20 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 21 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 H54 S11732 Anglesey Court v226582 140905.doc Version 1.30 Page 22 - 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!