Inspection on 21/06/05 for April Cottage

This inspection was carried out on 21st June 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

April Cottage 28/04/08

April Cottage 23/04/07

April Cottage 12/10/05

April Cottage 25/11/04

April Cottage 07/05/04

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 April Cottage 1 Park Road Selsey Chichester, West Sussex PO20 0PR Lead Inspector Ms V Khan Announced Tuesday, 21 June 2005 V225462 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. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service April Cottage Address 1 Park Road, Selsey, Chichester, West Sussex, PO20 0PR 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) 01243 602450 Dr Hugh Charles Condon Mrs Elaine Elizabeth Davitt Care home only (PC) 20 places Category(ies) of Old age, not falling within any other category registration, with number (OP) 20 places of places April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25th November 2004 Brief Description of the Service: April Cottage is a detached property situated in a quiet residential part of Selsey, within walking distance of local shops and the sea. There is a spacious garden surrounding the home and car parking space. The accommodation is arranged on two floors, comprising of two single bedrooms on the first floor and eighteen bedrooms on the ground floor. The first floor is accessible by stairs. Communal rooms comprise of a large lounge/dining room and a smaller lounge. The home is owned privately by Dr H and Dr C Condon and managed by Mrs E Davitt. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out by one inspector. The inspection lasted a total of six hours. The inspector talked to residents and carried out a tour of the home and gardens. The manager and staff on duty were talked to and records were looked at. All residents were happy to talk to the inspector. As preparation for the inspection, the previous inspection report was read and comment cards were sent out. Three comment cards were returned from residents, twelve from visitors/relatives, and one was returned by a social worker. All comments were extremely positive and included, “This is a lovely caring well run home”, “Matron and staff are friendly and professional, and go out of their way to ensure client needs are met”, “A very friendly home”. There have been no complaints or concerns raised to the Commission about this home since the last inspection. What the service does well: The home has a very friendly atmosphere with both staff and residents happy and chatty. Residents and visitors were very complimentary about staff and the home with comments such as “There’s really nothing to complain about”, and “I’m comfortable”. Food provision is good with favourable comments from staff and residents, such as, “Very nice food, plenty of it”. The caring staff team attend sensitively to residents needs. The home has a very experienced and skilled manager, who cares deeply about the residents. There is a spacious and secluded garden for residents to access. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. April Cottage H60 H11 S14364 April Cottage V225462 210605 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 April Cottage H60 H11 S14364 April Cottage V225462 210605 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) 1, 2, 3, 4, 5, 6 Prospective residents receive clear information to enable them to make a choice about whether or not they wish to live in the home. Residents receive a thorough assessment before moving in to the home, to ensure the home can meet their needs. EVIDENCE: The home’s Statement of Purpose and Service User Guide clearly state the facilities and care the home can provide to enable residents to make a choice as to whether the home can meet their needs. All residents receive a welcome pack before moving in to the home, which includes information relating to the home and a contract setting out terms and conditions. Those contracts read had been signed by the residents on arrival to the home. The documents are held on file for the duration of their stay. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 9 Records showed that the home carries out pre admission assessments on prospective residents to ensure the home can meet their care and social needs. These assessments include resident’s likes and dislikes and health assessments. Visits to the home are encouraged prior to admission and a trail visit can be arranged. The last inspection report was accessible for any one to read. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.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, 8, 9 Residents who live at April Cottage have their health and personal care needs met. Medication administration is sound. EVIDENCE: The inspector read six care plans. Care plans set out health, personal and social care needs ensuring staff deliver the correct support and care required by individual residents. Plans seen were very comprehensive and well maintained, being reviewed every month by the manager. Residents spoken with stated they felt they were well looked after and received the care they needed. Risk assessments were in place for individual residents, covering areas such as moving and handling, and for the building, e.g. kitchen and stairs. Records seen showed that community health care professionals support residents, as needed, e.g. district nurses, the wheelchair service, hospice, chiropodist and G.P’s. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 11 For residents who wish to self-medicate, risk assessments are carried out and they are able to store medication in locked storage in their bedrooms. Other medication is stored appropriately and sound procedures are in place. The manager has just written guidelines to follow in case of a heat wave. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.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) 13, 14, 15 Residents are provided with a variety of activities. Contact with family and friends is encouraged. Food provision is good. EVIDENCE: All residents spoken with stated their friends and family are able to visit at any time ensuring important contact is maintained. This was confirmed by a visiting relative, who said, “All of the family are made so welcome and I can visit any time I like”. On the day of the inspection the activities co-ordinator came to spend time with residents, offering them activities to participate in, if they wished. The food provision is of a good standard. On the day of the inspection lunch was braised beef, mashed potato, mixed vegetables and broccoli, followed by chocolate pudding and chocolate sauce. One resident chose to have bananas and ice cream for desert. One resident said, “The food’s very, very nice” The manager said that two residents choose to have early breakfast, but they are all offered a mid-morning snack. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 13 One resident said she chooses to have cereal at 8 am and then a sandwich at 9.30am, just as she used to when she lived in her own home. Residents are able to make choices about their lives. A visiting relative said, “No-one prohibits them from doing what they want to do, they have choices”. Another visiting relative said, “We do have a laugh at this home, it’s not regimented, I wouldn’t complain, it’s wonderful”. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.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, 18 Residents are protected from abuse. There are clear processes for complaints for residents and visitors to use if necessary. EVIDENCE: Residents stated they would feel happy to complain to staff if they had any concerns. No resident voiced any concern during the inspection. The home has an adult protection policy and records showed no incidents to be recorded. The Commission has not received any complaints or adult abuse enquiries since the last inspection. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.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, 20, 22, 23, 24, 25, 26 Residents live in a well-maintained environment, which is safe and clean and meets their needs. EVIDENCE: On arrival at the home, the inspector saw one resident enjoying a leisurely walk around the garden. The garden has a patio area, a covered pond with fountain and goldfish, lawned areas, flowerbeds and garden furniture. The garden is quiet and secluded. The inspector saw a wood pigeon and a blackbird come to drink from the fountain. Aids and adaptations are in place to assist residents getting around the home and accessing toilet and bathing facilities. The interior and exterior of the home are in good decorative order. The lounges were comfortably furnished and homely. All bedrooms were clean, tidy and comfortable. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 16 The inspector saw two bedroom taps were dripping and this was brought to the manager’s attention. One resident said, “Every day my room’s cleaned”. One resident told the inspector “I’m not used to the (bedroom) door being shut, it’s usually wedged open, the wedge has been taken away today”. This was discussed with the manager, who confirmed that wedges are sometimes used. The manager must review this practice to ensure the health and safety of residents is uppermost. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.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) 27, 29, 30 Residents are cared for by a dedicated manager and staff. Staffing levels suit the needs of residents. EVIDENCE: The home was seen to running smoothly and efficiently. A staff rota showed staffing levels to be consistent with no gaps. No resident commented on a lack of staff at any time. The inspector noted very good communication between staff and residents during the inspection with residents feeling at ease with staff. Staff were observed to be very caring and sensitive and called residents by their preferred names. One resident said that a member of staff “really is tops” and about the other members of staff, “They do their best to keep us happy”. Staff records for six staff members were read. There were no recruitment records in place for one person. The manager needs to ensure that the recruitment procedure is followed for all staff, not only those staff that are employed in a caring role. All staff have attended training in moving and handling, first aid and medication. Some staff have received training in infection control and safety compliance. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.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) 31, 32, 33, 36, 38 An experienced manager runs the home. The home is very resident focused. EVIDENCE: The manager is very experienced and dedicated, having been in post at April Cottage since August 1990. She has been a registered nurse since 1972, and undertaken subsequent relevant training. The manager makes a point of spending time with the residents and was noted to be very knowledgeable about their needs and routines. She was seen to interact extremely well with residents, staff and visitors. One resident commented, “Matron’s a dear”. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 19 Dr Condon supervises the manager every two months. The manager supervises staff every two months. No annual appraisals are held. The manager said this is because everything is covered in the regular supervision sessions. In addition to the supervision of staff, it is recommended that they receive annual appraisals. The manager needs to ensure that all staff receive training in infection control. The three sharps boxes were seen to be full and this was discussed with the manager, who confirmed that they were due to be dealt with by a new contractor. A quality assurance folder is held with questionnaires that had been completed by residents, visitors and relatives. The manager has collated all the information and made a pie chart for ease of reading. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 20 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 2 3 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x 3 x 2 April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 21 Are there any outstanding requirements from the last inspection? No 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 24 Regulation 12 Requirement Bedroom doors are not to be wedged open so as to promote and make proper provision for the health and welfare of service users. Full recruitment information, documents and checks to be completed on all staff before they commence work at the home. Staff need training in infection control. Timescale for action 28/6/05 2. 29 19 28/6/05 3. 38 18 21/8/05 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. 2. 3. Refer to Standard 24 36 38 Good Practice Recommendations All taps to be reviewed and repaired as necessary. Staff to receive annual appraisals. Arrangements need to be put in place regarding the disposal of the sharps boxes. April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 22 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 April Cottage H60 H11 S14364 April Cottage V225462 210605 Stage 4.doc Version 1.30 Page 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. 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