Inspection on 11/05/05 for Augusta Court

This inspection was carried out on 11th 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

Augusta Court 23/06/08

Augusta Court 11/09/07

Augusta Court 20/03/07

Augusta Court 30/09/05

Augusta Court 24/08/04

Augusta Court 19/04/04

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 Augusta Court Winterbourne Road Chichester West Sussex PO19 4TT Lead Inspector Mrs H L Church Unannounced Wednesday, 11 May 2005 V226431 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. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Augusta Court Address Winterbourne Road 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 532483 / 584495 01243 771173 Anchor Trust Mrs Susan Pamela Hoskins Care Home 46 Category(ies) of Dementia - Over 65 years of age (DE(E)) registration, with number Old age, not falling within any other category of places (OP) Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: A maximum of one person in the category DE(E) (dementia) over 65 years to be accommodated. Date of last inspection 24 August 2004 Brief Description of the Service: Augusta Court is a care home providing personal care for up to 46 service users in the category of Older People. Augusta Court is a detached two-storey establishment in the residential area of Chichester. Accommodation is provided in 44 single and one double flat each of which comprises of a bed sitting room, kitchenette and shower room. The accommodation is arranged on two floors with two distinctive wings on each of the floors. Each wing has a lounge and on one wing is a hairdressing salon. A centrally placed lift gives access between the floors and the ground floor dining room, conservatory and offices. Anchor Trust voluntarily owns the service with their representative Mrs Jane Ashcroft appointed as responsible individual. The registered manager is Mrs Susan Hoskins. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, under the Commission for Social Care Inspection was one of two inspections required and planned to give a complete 24 hour view of the care provided. The inspection took place at a time when night staff were reporting to the day staff the care provided during their shift. As it was early in the morning the inspector spoke to the manager and examined the home’s records before spending time with the residents to hear their views of their life at Augusta Court although one resident was already up and dressed and talking to staff in the main hallway. To prepare for this unannounced inspection, previous reports were reviewed, letters and formal paperwork or reports sent after the last inspection were reexamined. Two documents, namely the Statement of Purpose and Service Users Guide are provided to inform any enquirer or resident how they may expect the home to be run and how they can change the way things are done to improve their lives there. These documents form a contract of service and care and were checked to see that they information is up-to-date. During the inspection, out of the forty-six places available, forty-three residents were being cared for. Out of these, eight were seen privately in their rooms and four of these residents’ records examined to see if they matched the way that the residents said they lived their lives there. Another thirteen residents were seen in the dining room as they had breakfast. Most of the residents’ comments were very enthusiastic with the most usual comments being “lovely”, “very nice” and “can’t get better”. Without exception all were fulsome in their praise of their life there with one resident saying “This is my home”. It was clear that residents are encouraged to say what they like or don’t like about the home. For breakfast, there was a good choice of a cooked option, choice of six cereals, grapefruit, prunes and porridge. A district nurse also gave positive comments on the health care being provided. Most residents said that Augusta Court is their home and they were very happy there. Eight staff said they felt Mrs Hoskins provided good leadership and care plans showed that staff provide the appropriate amount of support. There were three aspects of the inspection that required an immediate response under Health and Safety. What the service does well: Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 6 Augusta Court provides good information about the home and enables their residents, who live in single flatlets, to own it as their own home by furnishing it with their own furniture, curtains and bed linen. From information gained and through observation, care is well recorded and provided by committed staff who treat residents with respect and dignity. Residents are supported to lead fuller and happier lives as individuals or collectively either through organised activities or follow those that are personal to them. Residents are encouraged to make suggestions or propose any changes they feel would improve their home or individual lives. The food is prepared and cooked to a good standard and the home is being continually updated and refurbished. 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. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.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 Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.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 to 5 All residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable. EVIDENCE: All of the eight residents spoken with privately said they had received good information about the way the home operates. Four care plans were examined and it was clear residents had been assessed to ensure the home would be able to meet their needs. Relevant risk assessments were in place and had been updated. Care plans to instruct staff how to meet identified needs had been written from the assessments and it was clear from the handover meeting from night staff to day staff that they were well informed about the care needed and were updating records accordingly. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.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) 7-11 All residents had an individual care plan set out for staff to follow. Some residents are managing part of their medication with risk assessments assisting with this aspect. Staff are meeting the health care needs of the residents in a respectful manner. However. Medication sheets were not completed in 13 instances leaving residents at risk from misinformation. EVIDENCE: Although only four care plans were examined in detail, it was clear from the file that all residents had an up-to-date care plan with care that had been identified as needing to be given. Risk assessments were examined and gave staff good information about the risks and how to minimise these. Thirteen medication sheets were incomplete leaving other staff unsure of medication provided. The inspector looked at eight flatlets and tracked the care provided for four residents to see if this was what was currently being provided. Staff were observed speaking to and caring for the residents and treating them with respect. Staff knocked on doors before entering and then spoke to the residents in a caring manner. Three residents said “ staff were kind”. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 10 Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 11 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) 13-15 Activities are suited to the conditions and dependency levels of each of the current residents. Visiting is positively encouraged. Residents are served meals that are nutritious and appetising and these were highly regarded. EVIDENCE: The manager told the inspector that none of the residents in the home need nursing although residents are becoming frailer and the dependency levels of care needs more acute. The district nurse confirmed that appropriate referrals are made regarding any nursing intervention required and that this had been agreed with the primary health care team. Activities are based on ability with a dedicated member of staff providing these. A list of these is in the hall. There are 44 residents living in the home at present but this did not prevent staff being able to spend individual time with them and they were seen to do this on five separate occasions. It was clear from the visitor’s book that they are made welcome and this showed eighteen to twenty-one visitors every day at various times. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 12 The cook has been working at the home a long time and is dedicated to providing a variety of good quality food that the residents like. A list of resident’s likes and dislikes was seen and each resident had chosen their main course from a list of four options. The menus were out of date, as they did not show the food being provided for that day. This was due to residents’ feedback but this had not been changed on the menus displayed causing some confusion for residents. A requirement was made at the last inspection regarding undated food. Undated food was noted again and the manager advised that she may benefit from advice from the Environmental Health Department to ensure residents are protected in all areas of their lives. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 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) 16 -17 Residents are confident that any complaints they may have are taken seriously and acted upon appropriately. Records for staff training in adult protection procedures was out of date leaving the inspector to conclude that staff are not always equipped to protect residents from abuse. EVIDENCE: The home positions, inspection they knew has a complaints procedure generally displayed in very prominent such as the entrance hall and lift areas. At the time of the it was being revamped and laminated. Residents spoken with said who to complain to, but they have had no occasion to use it. The West Sussex Multi Agency guidelines were available in the office but the last staff training had taken place February 2004 leaving residents at risk from staff not being updated with training although staff did seem to know the procedure when asked and no incidents or reports of Adult Protection Procedures had been received by the Commission for Social Care Inspection. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 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) 19-26 The indoor areas used by residents are clean, safe and homely with good access to the front and rear gardens. The resident’s flatlets are suitable for their needs and are homely. One of the flatlets was overcrowded with occasional furniture but the residents was able to move around safely. EVIDENCE: During a tour of the home and from information given by the manager three hospital beds are in use and twelve residents are risk assessed as needing a hoist. The residents are generally becoming frailer but the district nurse confirmed that staff are able to care for these residents safely. The residents have access to a number of communal lounges and the ground floor dining room, which is comfortably furnished with tables accommodating four residents giving it a homely atmosphere. There is a passenger lift for those residents whose flatlets are upstairs. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 15 There are enough toilets and assisted baths to meet the needs of residents and thermostatic valves protect residents from scalding water temperatures. Radiators are guarded and the home was clean and hygienic. Resident’s rooms were visited and were homely and comfortably furnished with their own possessions around them. Training records showed that staff have received training in fire safety procedures and fire risk assessments were in place. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 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) 27-30 The duty rotas did indicate that enough staff are on duty over the 24 hours period to meet needs and that recruitment processes are robust and ensure residents are protected. EVIDENCE: The inspector arrived unannounced to join the handover from night staff to day staff and from the staffing rota seen; this reflected the staff that were on duty. The numbers and skill mix of staff was appropriate to meet their needs. Eight staff spoken with said they were happy working at the home and felt well supported by the manager. From the two records seen, recruitment records were consistent and staff received good induction, supervision and training that is well documented. Adult Protection Procedures training is to take place to ensure residents are in safe hands at all times. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 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) 31-38 The registered manager is Mrs Susan Hoskins. Mrs Hoskins has a Bsc (Hons) in Health Studies and has acquired a National Vocational Qualification Assessor and Verifier’s qualification. Mrs Hoskins is actively involved in the running of the home on a daily basis. This plus her experience ensures that residents benefit from her management experience. There is evidence that the home is run for residents’ benefits and that there is a good financial and recording keeping system. EVIDENCE: Eight staff said Mrs Hoskins supports them to carry out their roles and provides a good clear sense of direction that puts residents at the centre of all activities. Recruitment, induction and supervision records confirm that the resident’s best interests were safeguarded. All communal rooms and flatlets meet the National Minimum Standards giving resident’s sufficient space for them to have personal possessions or necessary equipment to support their care needs and move around their rooms safely. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 18 Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 3 3 3 3 3 3 3 2 Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 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 9 Regulation 13 Requirement The registered person must ensure that all medication records are maintained satisfactorily Up to date training in Adult Protection procedures must be provided. Timescale for action 11/06/05 2. 18 19 11/06/05 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. Refer to Standard 15 33 Good Practice Recommendations Menus must reflect what is being provided and stored food must be dated. Feedback should be provided when residents raise issues. Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.doc Version 1.30 Page 21 Commission for Social Care Inspection 2nd Floor Ridgeworth House 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 Augusta Court H11 H60 S14380 Augusta Court V226431 110505 Stage 1.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. 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