Inspection on 30/09/05 for Augusta Court

This inspection was carried out on 30th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Augusta Court 23/06/08

Augusta Court 11/09/07

Augusta Court 20/03/07

Augusta Court 11/05/05

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 Church Announced Inspection 30th September 2005 9:30am X10015.doc Version 1.40 Page 1 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 Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 Page 2 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 DS0000014380.V252755.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Augusta Court Address Winterbourne Road Chichester West Sussex PO19 4TT Telephone number Fax number Email address Provider Web 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 (1), Old age, registration, with number not falling within any other category (46) of places Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of one person in the category DE(E) (Dementia) over 65 years to be accommodated 11th May 2005 Date of last inspection Brief Description of the Service: Augusta Court is a care home in a residential area of Chichester providing personal care for up to 46 service users in the category of Older People. Augusta Court is a detached two-storey establishment providing 44 single and one double flat, each of which comprises of a bed, sitting room, kitchenette and shower room. Each floor has two distinctive wings with a lounge and on one wing, 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 DS0000014380.V252755.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection, under the Commission for Social Care Inspection was one of two inspections required and planned to take place in the morning when most residents are carrying out their own activities before lunch. The manager was present and the inspector examined the home’s records before spending time with the residents to hear their views of their life at Augusta Court. To prepare for this inspection, previous reports and paperwork were reviewed. The manager completed a Pre-Inspection Questionnaire and feedback forms were provided for residents or visitors to make comments if they wished. 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 are regularly updated to keep residents informed. During the inspection, twelve residents, four care staff and a visitor all gave comments about the way services and care was provided. Most of the residents’ comments were very enthusiastic with the most usual comments being “lovely”, “very nice” and “nothing to grumble about”. One resident said “I was absolutely delighted when I came here to live”. Generally all of the comments gave high praise. It was clear from other comments that residents feel very much involved with the running of the home as the only other comments received were to ask if care staff who were leaving (for personal reasons) could be persuaded to stay. The visitor said he was most impressed with the care his mother received and the staff said they felt Mrs Hoskins provided good leadership. Care plans showed that care staff provide the appropriate amount of support. There were no requirements or recommendations made at this inspection. What the service does well: Augusta Court provides good information about the home and encourages residents to furnish it with their own furniture, curtains and bed linen. Care is well recorded and provided by committed staff that treat residents with respect and dignity. The meals are very highly regarded and residents are supported to lead fuller and happier lives either through organised activities or by following 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. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 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. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 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 the following standard(s): 1 to 5 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: The pre-assessment process is in being updated to provide more comprehensive information. Two residents 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 although this paperwork was not in good order as it was being revamped. Relevant risk assessments were in place and had been updated. Care plans to instruct staff how to meet identified needs had been updated regularly and it was clear from the care staff’s comments that they were well informed about the care needed and were updating records accordingly. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 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 the following 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. 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. Medication sheets were accurate giving care staff good information. The inspector looked at nine flatlets and tracked the care provided for four residents and confirmed that 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 are very kind”. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 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 the following 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: It was clear 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 and although the activities organiser has retired, the inspector observed that the level of activities was being maintained. A list of these is in the hall. The dependency levels of the residents are varied but it was clear from resident’s comments, observation and care staff knowledge of residents that staff do spend individual time with them. It was clear from the visitor’s book that up to thirty visitors are made welcome at all times and this was confirmed from the visitor seen. There is a wide variety of good quality food that the residents like. A list of resident’s likes and dislikes was seen and each resident was seen as an individual with care staff having a good knowledge of what suited them in their choice of meals. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 16 - 18 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 up-to-date ensuring staff are equipped to protect residents from abuse. EVIDENCE: The home has a complaints procedure displayed in very prominent positions, such as the entrance hall and lift areas. Two residents said they knew who to complain to, but they have had no occasion to use it. The complaints book was examined and noted to contain all concerns raised by residents with good investigations carried out in the time scales. The West Sussex Multi Agency guidelines were available in the office and care staff had recently had training. It was clear from the manager’s description of the training that it was a very high quality giving care staff different scenarios to consider and act upon. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19-26 The indoor and outdoor 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. EVIDENCE: During a tour of the home and where needed, hospital beds are in use with some residents needing a hoist. It was clear that care staff are able to care for all residents safely. 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 flats are upstairs. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 Page 13 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 care staff have received training in fire safety procedures and fire risk assessments were in place. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30 The duty rotas showed sufficient staff were on duty over the 24 hours period to meet needs and that recruitment processes are robust and ensure residents are protected. EVIDENCE: The inspector examined the care staff duty system and as new care staff are being recruited, the recruitment process being used. Two existing care staff records showed that the recruitment records were consistent and staff received good induction, supervision and training that is well documented. The numbers and skill mix of staff was appropriate to meet their needs and new care staff were being recruited to complement these skills and experience. Four staff said they were happy working at the home and felt well supported by the manager. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-38 The management, leadership and ethos of the home ensures residents best interests are safeguarded. EVIDENCE: 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. There is evidence that the home is run for residents’ benefits and that there is a good financial and recording keeping system. Four care 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. Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 Page 16 Recruitment, training, induction, foundation and supervision records confirm that the resident’s best interests were safeguarded. All communal rooms and flats 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 DS0000014380.V252755.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 Page 18 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. 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. Refer to Standard Good Practice Recommendations Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worthing LO 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 Augusta Court DS0000014380.V252755.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!