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

This inspection was carried out on 5th May 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 31/10/05

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 Kathy Allen Unannounced 05 May 2005 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 V223310 050505 Stage 4.doc Version 1.30 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 Mr Angelo Injenis Dalpadado CRH 15 Category(ies) of OP Old age - 15 registration, with number of places Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29 November 2004 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 V223310 050505 Stage 4.doc Version 1.30 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 since the last inspection, which included an analysis of incident reports and those of other statutory bodies. The inspection took place on Thursday May 5th between 9am to 12.15pm and from 2 to 4.30pm. On the day of the inspection a tour of the premises was made, private, individual discussions were held with four residents and seven others talked to the inspector in the lounge. Interviews were conducted with two care staff and the manager. A selection of statutory records, resident’s care plans and staff files were seen. What the service does well: What has improved since the last inspection? What they could do better: Residents must be offered more opportunities to go out so that their social needs are more fully met. The mild odour in one room should be remedied. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 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 V223310 050505 Stage 4.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 Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.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) None EVIDENCE: Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 9 There are good individual care plans for all residents which ensure their needs are met. Safe procedures are followed regarding the administration of medication. EVIDENCE: A sample of four care plans were seen, all of which had good details about the needs of residents who had signed to indicate their agreement with them. These records showed that a review of the care plan was undertaken each month and changes recorded as necessary. Care staff said that these plans were used to catch up on residents needs after they had been off duty, to give them information about the current condition of the person concerned, give details of any medication and of any incidents which had occurred. Residents said that they were happy with the staff managing their medication and that they could rely on them for this. Accurate records were kept of all medicines administered. Staff receive training in the safe handling of medicines. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 10 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 & 15 Residents said they were satisfied with the lifestyles they are able to lead at the home. However more opportunities to go out would improve this. Contact with family and a friends is maintained. EVIDENCE: Residents said that they “can do what they like, when they like”, and can “get up at the time we want”. Staff have created a congenial atmosphere whereby residents get to know each other and enjoy each other’s company. They said there was “lots to do” and they particularly enjoyed the weekly visits by volunteer pupils from a local private school. The boys helped out with activities and the residents enjoyed their company because “they are young”. At the last inspection it was recommended that residents were given more opportunities to go out. There was no indication that this had improved and staff confirmed that there had been no outings in the last six months. This was discussed with the manager who agreed to give the matter further consideration. Residents talked about contact with family and friends. One person maintains contact with a relative abroad, another said she has “lots of friends” whilst another said a friend helped her obtain a postal vote for the general election. There is portable telephone for residents to take calls in private and they “can have visitors at any time”. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 11 Residents said the food “was good”, that they “enjoy it” and there was “plenty of it”. The cook knew the resident’s likes and dislikes which were recorded in their care plan. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 12 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 & 17 Residents understand how to raise concerns and appeared confident that they would be listened to. The legal rights of residents are protected and enabled them to vote in the general election if they so wished. EVIDENCE: No complaints have been received by the Commission for Social Care Inspection, however there is a written complaints procedure and staff were aware of this. Residents said they knew who was in charge of the home and one person said she had the manager’s telephone number in case she was concerned about anything. Another person said she would “talk to staff” if she had any concerns. The inspection took place on the day of the general election and a postal vote had been offered to residents, some of whom had made use of it. Others were unclear about the arrangements so a member of staff talked to them and ensured they understood. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 13 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 & 26 The environment is safe and well maintained. It is clean and hygienic apart from one bedroom. EVIDENCE: A tour of the premises was made. It was well maintained and decorated. The large rear garden was tidy and accessible and residents said they enjoyed using it. There are no outstanding requirements from the most recent fire officer’s report. The inspector met the person responsible for cleaning the house. She said she worked to a schedule, which took into account resident’s routines. The home was clean although one bedroom had a mild odour. This was raised with the manager who confirmed that he was taking steps to minimise the problem in consultation with the occupant of the room. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 14 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) 27, 28, 29 & 30 There is an adequate number of staff to ensure that resident’s needs are met. Staff undertake suitable training so that residents are in safe hands at all times. A thorough recruitment procedure is followed to ensure residents are protected. Staff are given proper training so they are competent. EVIDENCE: Two staff are on duty at all times. In addition the manager works shifts at the home and a cook and cleaner are employed. A member of staff sleeps on the premises at night and another is on waking night duty. There is a written rota to confirm this. Staff said that there was a National Vocational Qualification (NVQ) training programme available to them. One person was qualified to Level 2 and two people were about to complete Level 3, whilst two other staff were due to start Level 2. The manager confirmed his intention to have 50 of staff qualified to NVQ standard. A sample of staff files were seen by the inspector. They contained details of a thorough recruitment procedure including references and a Criminal Records Bureau check. Staff records showed that thorough induction training was provided covering principles of care, safe working practices and the needs of individual service users. Ongoing training is provided in core areas such as medication, infection control and food hygiene. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 The home is run in the best interest of residents so that the service is appropriate to their needs. Resident’s financial interests are safely managed so that they retain control in line with their capacity. EVIDENCE: Staff said the manager “chats” to residents and passes on any requests such as changes to the food provided and where they wish to take their meals. Staff also said that they were encouraged to talk to residents and ascertain their views. Residents are invited to a meeting approximately twice a year and a questionnaire was undertaken last year of service users views. It is the intention of the manager to repeat this exercise to include others with an interest in the service such as relatives and health professionals. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 16 All except two people look after their own money. Their money is deposited at the home and administered by the manager. Up to date records are kept and the money is held in a safe place. Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 17 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 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 Standard No 16 17 18 Score 3 3 x x x 3 x 3 x x x Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 18 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 12 Regulation 16 Requirement The registered person must make arrangements to enable residents to engage in local, social and community activities Timescale for action 30th November 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 26 Good Practice Recommendations The mild odour in one bedroom should be remedied Appletree House H60-H11 S14363 Appletree House V223310 050505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor Ridgeworth House Worthing West Sussex BN14 OSN 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 V223310 050505 Stage 4.doc Version 1.30 Page 20 - 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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