Inspection on 24/04/07 for Caythorpe Residential Home

This inspection was carried out on 24th April 2007.

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

Caythorpe Residential Home 25/04/06

Caythorpe Residential Home 16/01/06

Caythorpe Residential Home 18/07/05

Caythorpe Residential Home 07/10/04

Caythorpe Residential Home 06/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Caythorpe Residential Home 73 High Street Caythorpe Grantham Lincs NG32 3DP Lead Inspector Julie Western Unannounced Inspection 24th April 2007 09:30 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 Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Caythorpe Residential Home Address 73 High Street Caythorpe Grantham Lincs NG32 3DP 01400 272552 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) Mrs Christine Lyte Mrs Christine Ann Lyte Care Home 14 Category(ies) of Dementia (7), Old age, not falling within any registration, with number other category (7) of places Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2006 Brief Description of the Service: Caythorpe residential home is a period building situated on the corner of the main street in the village of Caythorpe, which is approximately 7 miles from Sleaford and 9 miles from Grantham. Within the village there are shops, a church and pubs. The home is currently registered to provide care and accommodation for 14 persons, 7 of these having a dementia and 13 residents were being accommodated on the day of the inspection. There are 10 single and 2 double bedrooms. Communal space available to residents includes three lounge areas and a separate dining room. There is unlimited parking on the streets to the front and side of the home. A Home Care Agency operates from a separate building within the site; this did not form part of the inspection. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took into account any previous information held by CSCI including the home’s previous inspection reports, its service history, preinspection questionnaires completed by the Manager and residents’ questionnaires sent to the home by the Commission prior to the inspection. The site inspection was unannounced, was carried out over 3 hours and consisted of case tracking a sample of residents’ records and assessing the care given. Some policies and procedures were examined and some records concerning the safety of the home were also seen. Four residents, three care and ancillary staff and one visitor were spoken with. The Manager was present throughout the inspection. What the service does well: What has improved since the last inspection? The kitchen has been renovated to include new worktops, units and an electric cooker; this means that the Aga oven can be turned off in the summer when the kitchen becomes very hot to work in. The gardens have been tidied and the path around the building made safe for residents to walk on. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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 Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home clearly sets out how it intends to meet the needs of the residents. Prospective residents are encouraged to visit the home before making the decision to move in permanently. EVIDENCE: The statement of purpose and service user guide contained clear information about the home’s facilities. Records showed that each resident received these documents plus a copy of the home’s terms and conditions. Residents spoken with said they had visited the home before moving in permanently; two said they had visited for a meal and to watch some entertainment in the afternoon, to see whether they liked it. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 9 The owner said that she usually carried out pre-admission assessments herself. Staff members spoken with demonstrated a good knowledge of the needs of older people and of people with a dementia in particular. The home does not provide intermediate care [see NMS 6]. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s records give a clear picture of the needs of the residents and enable staff to meet their needs with sensitivity and regard for their privacy and dignity. EVIDENCE: The three care plans looked at in depth were concise but contained clear initial assessments and were reviewed regularly. The Manager said she had not been able to contact all relatives for signatures to care plans for those residents who were unable to sign for themselves. It was suggested that this information was recorded on the care plan. The medication policy and procedures were clear and staff members confirmed that only trained staff distributed medication to residents. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 11 The most recent visit from the community pharmacist was on 01/03/07 and the one issue concerning the storage of medication had been immediately addressed during this visit. Residents said they felt safe and well looked after; one said ‘they’re very good, very nice’. The staff team were observed carrying out their duties with kindness and sensitivity towards the residents, especially when attending to their personal needs. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social activities, while regular, are limited and are not individually tailored to suit residents, particularly those with a dementia. The residents can choose which meals they want from a varied menu. EVIDENCE: An activities co-ordinator is employed for three hours every Monday, Wednesday and Friday afternoon. The activities list showed that there was a regular programme of activities on those days, such as board games, jigsaw puzzles and painting. Residents spoken with described a singer who visited and entertained the residents regularly, accompanied by his guitar. The recent list did not include any trips out, one-to-one time for residents or activities especially designed for people with a dementia. Residents spoken with said they were happy with the activities provided, but one resident said she would like to go out more. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 13 The owner said that she would make arrangements for the activities organiser to visit a local day care centre to learn about developing activities for those with a dementia. Future events included a summer barbeque, to which villagers were invited, and a tea in the adjacent Mouse Hall garden, owned by the owner’s father, to raise money for the church. Again, this was a village event. Residents were observed eating the mid-day meal and all said they enjoyed it; one said ‘I have to watch my weight, the food’s so good!’ Another said ‘We have what we want to eat’. On the day of the inspection visit there were three choices of alternative meals. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; procedures for the protection of residents ensure they are safe. EVIDENCE: Residents all said they did not wish to complain but would go to their families or the owner if they did. The complaints record showed that there had been no complaints over the last twelve months. A comment card raising issues of concern and sent to the Commission was discussed with the owner, who said she was aware of the issues mentioned in the card and was addressing them with the relatives concerned. The complaints procedure was displayed on the wall in the entrance foyer. Staff members spoken with said they had recently had adult abuse training and records seen confirmed this. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable and safe environment, with both private and communal space being suitable for their needs. EVIDENCE: Overall, the standard of decoration internally was good and afforded residents a comfortable environment. Recent renovation has included the widening of two bedroom doors to accommodate wheelchair users and the complete renovation of the kitchen, including new units, worktops and an electric cooker to use when the Aga oven is turned off in the summer. Residents spoken with said how much they liked their rooms, which were spacious and well personalised. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 16 Externally, the home was very well maintained. The untidy area of the lawn has been replaced with grass and seating for residents. The uneven path around the building has been levelled and the garden tidied up and made suitable for wheelchair use or for residents to walk around. The courtyard near the entrance has also been made level. The owner said that there were plans to install a more substantial gate leading into the courtyard from the garden, so that residents with a dementia could remain safely in the enclosed part of the grounds. Al other environmental issues identified in the previous inspection had been addressed. The home smelled clean and fresh throughout and provided a pleasant atmosphere for the residents. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably trained, qualified and competent; they undergo an induction programme before commencing their duties. EVIDENCE: Staffing rotas showed that there were enough staff present to meet the needs of the residents; staff and residents confirmed this. In addition to the care staff, the owner, her husband and the administrative assistant, were present to assist if necessary. The owner was also contactable on a 24-hour basis, for emergencies. Training records showed that recent training had included fire, moving and handling, infection control, first aid, equality and diversity and adult abuse. Staff members confirmed that the owner saw training as being very important and encouraged them to attend all available courses. Future training included dementia training. Five staff members had achieved the National vocational Qualification at level 2, with a further six working towards it. Three staff members had level 3 with one working towards it. One staff member was currently working towards the Assessors award. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 18 Staff records contained all appropriate documentation. The most recent staff member to be appointed confirmed that she had provided references, been interviewed and received an induction before commencing her duties. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed competently and residents’ health, safety and welfare needs are protected by clear and well-maintained policies and procedures. The views of residents and their supporters are listened to and they are involved in decisions affecting them. EVIDENCE: All records are kept in the office; the home care service also operates from this office. Records were well organised and up to date. All maintenance records Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 20 were present and up to date and health and safety documentation was also present, including a separate cleaner’s guide to health and safety. Staff folders were comprehensive and well documented. The Manager, who has owned the home for several years, operates an opendoor policy, which allows residents and staff to talk to her throughout the day. She is a registered nurse, is an assessor for NVQ’s and has the Registered Manager’s Award. A quality survey was sent to relatives in the form of a questionnaire, the results of which were then acted upon by the Manager where necessary. One resident had written ‘My relative is very well looked after, very happy, very well in herself and very settled. And I am very happy that she is happy and well’. The residents also had regular, recorded meetings with the activities organiser regarding the running of the home. The home does not hold any monies for residents. Records showed that formal staff supervision was held every three months and there were staff meetings on a regular basis. Staff members spoken with said that they felt supported by the home’s management . Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 21 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 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 22 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 OP12 Regulation 23[2][h] 12[3] Requirement The programme of activities must reflect the needs and wishes of the residents. It must be tailored to suit the needs of those residents with a dementia. Timescale for action 22/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Where residents or their families are not able to sign care plans, a reason for this should be recorded. Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Caythorpe Residential Home DS0000002343.V338099.R01.S.doc Version 5.2 Page 24 - 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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