Inspection on 31/10/05 for Appletree House Care Home

This inspection was carried out on 31st October 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

Appletree House Care Home 05/05/06

Appletree House Care Home 05/05/05

Appletree House Care Home 29/11/04

Appletree House Care Home 26/04/04

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 Appletree House 9 Pratton Avenue Lancing West Sussex BN15 9NU Lead Inspector Mrs K Allen Announced Monday, 31 October 2005 st 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. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Appletree House Address 9 Pratton Avenue, Lancing, West Sussex, BN15 9NU 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) 01903 762102 Mr Angelo Injenis Dalpadado & Mrs Hiranthi Dalpadado & Mr Duleep Obeyesekere & Mrs Kenagrhevi Obeyesekere Mr Angelo Injenis Dalpadado Care Home (CRH) 15 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 15 of places Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th May 2005 Brief Description of the Service: Appletree House is a care home registered to provide care and accommodation for up to fifteen older people over the age of 65 years of age. It is a detached property located in a residential area of Lancing, West Sussex and close to local amenities. Accommodation consists of one double room and thirteen single rooms on the ground and first floors. Three rooms have en-suite facilities. Both floors are served by a passenger lift. On the second floor there is a bedsitting room for a resident member of staff. There are two lounge/dining rooms on the ground floor and a large rear garden. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The manager completed a pre-inspection questionnaire and Comment Cards were distributed via the home to residents, relatives and visitors. Twelve were completed and returned to the inspector. The inspection took place from 10am over six hours. During the inspection ten residents were seen in communal areas and four privately. Two visitors were seen privately. A discussion was held with some of the staff and the owners of the home. In addition a number of records were seen. Residents said that staff were “very good and kind” and that they felt “safe”. One visitor described the home as “five star” and another as “a warm, happy place”. What the service does well: What has improved since the last inspection? What they could do better: The guidance and procedure for staff regarding the protection of vulnerable adults should be updated. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 6 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. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5 & 6 Prospective residents have the information they need before deciding to move in and they have a contract with the home. They only come to live there after their needs have been assessed and they know that they can be satisfactorily met by the home. Intermediate care is not provided. EVIDENCE: The home has a written Statement of Purpose and Service Users Guide which new residents said they had received when they came to the home. They confirmed that they had a contract which gave them information on, for example, how much it would cost to live at the home and which room they would occupy. A questionnaire was used to gain initial information about prospective residents and this was followed up by a more comprehensive assessment of their needs. Copies of these documents were seen at the home. New people had the opportunity to visit before moving in. One person had spent some short stays there before making her decision however another person could not visit but a relative did so on her behalf. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 9 Everyone at the home was suitably placed and although two people had developed some form of dementia since moving in, their needs continue to be met. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 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 & 8 Residents health, personal and social care needs are set out in an individual plan of care. Their health is well looked after and any service provided takes account of their wishes and ability to care for themselves. EVIDENCE: Each resident has their own care plan which they have signed up to. It gives details of all aspects of the persons needs including social and religious interests, as well as health and personal care matters. Care plans are reviewed monthly. All residents were well presented. Some said that they needed help to look after themselves for example, to get dressed but others managed their own care and this was accepted by staff. Good provision is made to prevent the development of pressure areas and special equipment is provided. One person had a pressure relieving mattress and her care was overseen by community nurses. Everyone is registered with a local doctor. Advice is sought about continence and provision is made for residents to see dentists, chiropodists, hearing specialists and the optician. A weekly exercise class was held at the home and this was enjoyed by most residents. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 11 Residents weight is monitored and in one case a resident had increased her weight since coming to the home having previously neglected herself and become very underweight. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 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 & 14 Residents are satisfied with their lifestyle at the home. They maintain contact with family, friends and the local community and can exercise choice and control over their lives. EVIDENCE: Residents were kept informed about any events in the home by conversations with staff but also through a regular newsletter and meetings with the manager. Their daily routines were flexible and they could spend time together or alone as they wished. If a resident goes out and is delayed then meals are kept hot for when they return. A visiting relative said that “individual needs are catered for, mentally and physically”. Activities provided by the home include trips out to local places of interests as well as board games, music sessions and exercises in the home. In addition, volunteer pupils from a local school come to the home each week. They spend time with residents and sometimes take them out for short walks or to the local shop. Visitors said that they were welcomed at the home any time. They could meet in private and it was clear that residents felt at ease when visitors were in the home. Residents manage their own money often through relatives or a solicitor. One person does not handle his own money and it is deposited at the home directly from his solicitor. This is a long standing arrangement which is known and accepted by the resident. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 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) 18 Residents are protected from abuse and feel safe at the home. EVIDENCE: There is a written policy and procedure for staff with regard to abuse of residents. It is however, outdated and needs to be drawn up so that it reflects current good practice and include up to date information on who to contact with any concern should it need to be reported beyond the home eg The Commission for Social Care Inspection, the local authority etc. Staff did, however understand when to report a concern and who to report it to. They were also clear that they should listen to residents when they raised a concern and that they should record any incident. Staff have received training in the matter of adult protection and residents said that they felt safe at the home. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 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) 19, 20, 21, 22, 23, 24, 25 & 26 The home is well maintained and residents have access to safe and comfortable indoor and outdoor space. There are sufficient toilets and bathrooms and residents have the special equipment they require for their independence. Residents’ rooms suit their needs and they are comfortably furnished. The home is kept warm, well lit and clean. EVIDENCE: The home is well maintained with planned renewal of furniture and fittings. The frontage and rear garden are well kept and accessible to residents. Recently a hard surface path has been laid from the side entrance so that residents can more easily walk or use a wheelchair from the front of the house, which is mainly laid to gravel. Communal space is sufficient. There is a large lounge/dining room and a separate conservatory where five residents also take their meals. Furnishings and lighting throughout the house are domestic in style and varied to suit residents needs. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 15 There are sufficient toilets and bathrooms all of which are fitted with locks for privacy. One bathroom has a hoist with a seat over the bath so that less able residents can be cared for and all facilities have handrails. Residents have access to all parts of the building and there is a passenger lift to both floors. There is a ramp to the front door and grab rails at appropriate places around the home. A call bell system with an accessible alarm is provided in each room. Bedrooms are comfortably furnished and residents are encouraged to bring their own possessions to the home. Rooms are naturally ventilated and have central heating. Hot pipes and radiators are guarded and emergency lighting provided throughout the home. There is a small laundry which is sited away from food preparation areas. It is suitably equipped with a washing machine and dryer. Staff are employed to clean the home each day and residents particularly appreciated this. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 & 30 Residents are protected by the homes recruitment procedure and staff are trained to do their jobs. EVIDENCE: Two written references are obtained on new staff as well as a Criminal Records Bureau (CRB) check. In addition, the identity of any person applying for work at the home is verified and all staff are issued with a Contract of Employment. They receive induction training and ongoing training in key areas such as food hygiene, medication, adult protection and safe lifting. Three people are currently undertaking National Vocational Qualifications (NVQ) at Level 2. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 17 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) 31, 32, 34, 36, 37 & 38 Residents live in a well run home. They benefit from competent management in an open environment. The financial procedures are satisfactory and staff are appropriately supervised. Record keeping protects residents’ rights. The health, safety and welfare of residents and staff is protected. EVIDENCE: The manager has been registered at the home for some time and has recently obtained the Registered Managers Award. He spends some time at the home each day and staff, visitors and residents said that he was very approachable. He meets with his staff and residents approximately every two months so that they can share ideas and resolve any problems. Suitable accounting procedures are adopted and they include an annual development plan. Up to date insurance cover is in place. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 18 The manager ensures that staff are supervised and each member of staff meets with a senior staff member about every two months to discuss their work, development and training needs. Records are kept and stored securely. Safe working practices are ensured by the manager through regular training and updating for staff in such areas as lifting and handling, food hygiene, fire safety, first aid and medication. Regular servicing is carried out on the lift, heating and electrical installations. First floor windows are restricted and a system of risk assessment is in place for example on the risk of falling, using the windows, medicines etc. Accidents are recorded and safety notices placed around the home. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 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 3 3 3 3 3 3 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 3 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 3 x 3 x 3 3 3 Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 20 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 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 18 Good Practice Recommendations The adult protection policy and procedrue should be updated. Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Appletree House H60-H11 S14363 Appletree House V245685 311005 Stage 4.doc Version 1.40 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. 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