Inspection on 11/10/05 for Avon Park

This inspection was carried out on 11th 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

Avon Park 15/06/09

Avon Park 06/03/09

Avon Park 22/03/07

Avon Park 12/05/05

Avon Park 19/10/04

Avon Park 27/04/04

Avon Park 15/04/03

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Avon Park 66 Southampton Road Park Gate Hampshire SO31 7AF Lead Inspector Michael Gough Unannounced Inspection 11th October 2005 10:00a 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 Avon Park DS0000012244.V257373.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. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Avon Park Address 66 Southampton Road Park Gate Hampshire SO31 7AF 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) 01489 574616 Mr A Nethersole Mrs Nethersole Mrs Janine Patricia Haynes Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability over 65 years of age of places (10) Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2005 Brief Description of the Service: Avon Park is situated in a quiet residential area of Park Gate and is a short distance from the local shops and amenities. The home is set within its own grounds and has a large car parking area at the front of the home with attractive flowered borders. The rear garden is wheelchair accessible and has a walkway with grab rails for service users, the garden is well maintained and mainly laid to lawn with trees shrubs and flowers. The home is registered with the Commission for Social Care Inspection for a maximum of 30 older people and older service users who have a physical disability. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours and was unannounced. On the day of the inspection the homes manager and the registered provider assisted the inspector throughout the visit. The home is registered for 30 service users and on the day of the inspection there were 30 service users living at the home. Evidence for this report was obtained by speaking with 10 service users, 4 members of staff, the registered manager and the homes owner and from reading and inspecting records, touring the home and from observing the interaction between staff and service users. The recommendation made at the last inspection has been addressed by the home and there was 1 requirement made as a result of this inspection. What the service does well: What has improved since the last inspection? Since the last inspection care plans have been signed by service users to show that they are consulted and are aware of their individual plan of care. New door closers have been fitted to a number of doors around the home and a programme of routine maintenance and decoration has continued. Some rooms have had new carpets fitted and the old staff office has been converted to a small utility area, which has a fridge where staff, and service users can help themselves to snacks & yogurts etc. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 6 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. Avon Park DS0000012244.V257373.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 Avon Park DS0000012244.V257373.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): 6 EVIDENCE: Intermediate care is not provided by the home. Avon Park DS0000012244.V257373.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, 9 & 11 Service users health, personal and social care needs are set out in an individual plan of care. Medication procedures at the home generally protect service users and there are appropriate policies and procedures in place, however the home must ensure that there is secure storage for all medication at the home, which is kept refrigerated. Service users can be assured that at the time of their death the home and its staff will treat them, their friends and their family with care, sensitivity, dignity and respect. EVIDENCE: Care plans were examined for 2 service users and these were clear and easy to follow, each. Service user now signs care plans to provide evidence that they are consulted and involved in the care planning process. The home uses the Boots monitored dose system for medication and there are appropriate policies and procedures in place and there is a list of specimen signatures of those staff that are authorised to administer medication. One service user self medicates and there are risk assessments and appropriate procedures are in place. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 10 One service user who is diabetic administers insulin to her self using the pen injection system and staff monitor and record blood sugar levels. Insulin is kept in a small fridge, which is accessible to all service users and staff and a requirement was made for the home to ensure that all medication, which requires refrigeration is securely stored. Service users wishes with regard to dying and death are recorded in their individual plan of care, as they become known. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 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 the following standard(s): 12 The routines of daily living are flexible and varied and these matched the expectations and preferences of service users. EVIDENCE: The home had a list of regular activities, which take place and these were mainly provided by outside agencies. Service users confirmed that activities are provided and these were enjoyable and included, bingo, arts and crafts, musical movement, board games, quizzes and sing longs. The home also arranges for entertainers visit on a regular basis. On the day of the inspection a choir was entertaining service users in the home. The home recently arranged a dinner party for service users Photographs of the evening were available and showed that this was enjoyed by everyone who attended. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 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 the following standard(s): 16 There is a simple, clear and accessible complaints procedure, and service users and their relatives and friends can be confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: There have been no complaints made to the home since the last inspection. Service users spoken to were confident about raising any concerns they may have and stated that they would address any complaint they may have to a staff member or to the homes manager. The home has a policy and procedure for dealing with any complaints and this contained all of the required information and gave details of how to contact the CSCI. Staff members spoken to were aware of the complaints procedure Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 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 the following standard(s): 21, 22 & 26 Service users at the home have sufficient and suitable lavatories and washing facilities and there is specialist equipment provided to maximise independence. Service users own rooms suit their needs and the home was clean pleasant and hygienic. EVIDENCE: A tour of the building was undertaken and there were 4 WC’s situated around the home and there were 3 bathrooms for use by service users. Specialist equipment was provided throughout the home to maximise service users independence. Handrails are provided around the home and bathrooms have bath aids available. There are call systems in all bedrooms, bathrooms and toilets and also in communal areas and these can only be turned off at source. There are 2 stair lifts in the home, which assist access to the first floor and portable hoists are available. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 14 The utility room at the home has been fitted with an industrial washing machine, which has a sluice facility and also an industrial tumble drier. There is a contract for dealing with clinical waste and suitable protective clothing is available for staff. The home was seen to be clean and well maintained and there were no offensive odours. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 15 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, 29 & 30 The home has a mix of skilled staff in sufficient numbers to meet the needs of the service users and the homes recruitment policies and procedures protect service users. Staff receive appropriate training to enable them to do their jobs effectively. EVIDENCE: The homes staff rota showed that there are 5 members of staff on duty between 0800 and 1400, 3 staff from 1400 to 2000 and 2 awake night staff between 2000 and 0800, these are in addition to domestic, laundry and kitchen staff. The homes manager and registered provider are not included on the rota but are available in the home. The home has policies and procedures in place with regard to recruitment. Staff recruitment records were inspected for 2 staff members these contained all the required information including 2 references and a record of CRB checks. Staff training records showed that staff has completed training in Health and Safety, fire, medication, equal opportunities, moving and handling, 1st aid, adult protection and food hygiene. Staff spoken to confirmed that they had received this training and stated that their induction training was comprehensive. They were confident that they could meet the needs of service users. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 16 Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 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 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, 34, 35 & 38 The home is run in the best interests of service users and the homes manager is experienced, of good character and is able to effectively run the home. The home accounting and financial procedures safeguard service users and service users financial interests are protected and they control their own money wherever possible. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager is very experienced and has been at the home for 16 years, 13 as manager and she has completed NVQ4 and the registered managers award. There was a copy of the homes employers liability insurance displayed in the hall of the home and the home employs an accountant who audits the home accounts annually. Service users are able to control their own finances as much as possible with the help of relatives and friends. The home keeps some Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 18 money for service user and appropriate records and receipts are kept, balances for 2 service users were checked and were correct. Certificates were seen for annual tests of fire fighting equipment, fire alarms, boilers, and electrical equipment and for the stair lifts and hoists and these were all in date. The fire log was inspected and all relevant training and testing is carried out within the specified timescales. Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x X X 3 3 X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 3 X X 3 Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 20 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 OP9 Regulation 13 Requirement The home must ensure that all medication, which requires refrigeration is securely stored Timescale for action 11/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Avon Park DS0000012244.V257373.R01.S.doc Version 5.0 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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