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Inspection on 25/04/06 for Caythorpe Residential Home

Also see our care home review for Caythorpe Residential Home for more information

This inspection was carried out on 25th April 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a very homely environment. Staff members are knowledgeable about the needs of the service users. Service users were all positive in the comments that they gave; among comments received were `I`m satisfied with the staff, they`re kind and patient`, `It`s just right at only 14 residents` and `it`s so homely`.

What has improved since the last inspection?

Since the previous inspection the Manager has worked very hard to ensure that the home`s records are properly organised and easy to locate. The bathroom has been upgraded and a porch extension has been added to the rear entrance. In the garden, the wall to the front of the building has been replaced, a tree and a shed have been removed and a patio and lawned area are being created. Some areas of the home have been re-carpeted. There is now an activities co-ordinator working 3 days a week.

What the care home could do better:

The kitchen and dining room now need upgrading; the dining chairs are hard plastic and would not be comfortable for older people to sit on and they do not contribute to the overall ambience of the home. The statement of purpose needs updating and signatures are still required from relatives or advocates for care plans. Staff records need photographs.

CARE HOMES FOR OLDER PEOPLE Caythorpe Residential Home 73 High Street Caythorpe Grantham Lincs NG32 3DP Lead Inspector Julie Western Key Unannounced Inspection 25th April 2006 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.V290690.R01.S.doc Version 5.1 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.V290690.R01.S.doc Version 5.1 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.V290690.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 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. Fees range from £315 to £400 per week. A Home Care Agency operates from a separate building within the site; this did not form part of the inspection. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours. A partial tour of the building took place and care records were inspected. The main method of inspection used was called ‘case-tracking’; this involved selecting three residents and tracking the care they received through the checking of their records, discussion with the residents and care staff and observation of practices. Some policies and procedures were examined and records concerning the safety of the home were also seen. Two of the 13 residents, two care staff and one visitor were spoken with. The proprietor/manager of the home was present during the inspection What the service does well: What has improved since the last inspection? What they could do better: The kitchen and dining room now need upgrading; the dining chairs are hard plastic and would not be comfortable for older people to sit on and they do not contribute to the overall ambience of the home. The statement of purpose needs updating and signatures are still required from relatives or advocates for care plans. Staff records need photographs. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 Page 6 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. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 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.V290690.R01.S.doc Version 5.1 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): 1,3,4 Quality in this outcome area is adequate. 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 its residents but the statement of purpose needs updating. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis. EVIDENCE: The statement of purpose and service user guide contained clear information on the facilities of the home, but needed updating as some information was dated 2004. The proprietor usually carried out pre-admission assessments and staff spoken with demonstrated a good knowledge of the needs of older people during the inspection. Records showed that each resident received a statement of their terms and conditions. Residents spoken with confirmed that they had visited the home for a day before permanent placement. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 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): 7,8,10 Quality in this outcome area is adequate. 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 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 care plans and were reviewed regularly. The Manager said that she had not been able to contact all relatives for signatures to care plans; it was suggested that relatives/advocates were invited to the home to sign them where necessary. There was a clear medication policy and the pharmacist visited regularly; any issues of concern from the last visit on 20/2/06 had been addressed. The proprietor confirmed that only trained staff members were able to administer medication. All previous requirements from the previous inspection had been met. Residents said they felt safe and well looked after; one said ‘the staff are marvellous’. 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.V290690.R01.S.doc Version 5.1 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): 13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities create a variety of events and activities, which residents are informed about, although this information is not available in an easy form such as a newsletter. The residents exercise choice about which activities, if any, they wish to participate in and what meals they want to eat. EVIDENCE: An activities co-ordinator is now employed for three hours on Mondays, Wednesdays and Fridays. The activities file showed that there was a programme of regular activities, including armchair exercises, board games, jigsaw puzzles and painting. Regular entertainers such as musicians also visited the home. Television and books were available. Residents spoken with enjoyed the meals served at the home and said they had a choice of food. There was a use of fresh fruit and vegetables. The cook had recently been on a diet and nutrition course and as a result was using less salt in cooking. It was recommended that the menu for each day was displayed in the entrance hall, as residents spoken with said they could never remember what they had ordered the day before. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; there is a robust adult protection procedure. EVIDENCE: Residents spoken with and the visitor all said they did not wish to complain but knew how to make a complaint. There was a clear adult protection policy, which was linked to the Local Authority Adult Protection procedures. The training programmes showed that staff members had received in-house training on adult protection from the Day Care Manager and two staff members confirmed this. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 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): 19,20,23,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in a comfortable, pleasant and safe environment with both private and communal space being on the whole suitable for their needs; the kitchen and dining room need upgrading. EVIDENCE: Overall, the standard of decoration internally was good and afforded residents a comfortable environment. Recent renovation has included the complete redecoration of a bathroom and re-carpeting of some areas, the addition of a porch to the rear entrance, the re-building of a garden wall, and the creation of a new patio and garden area by taking down a tree and a garden shed. Consequently the garden in that area has been neglected. The last visit from the environmental health officer noted that the kitchen needed upgrading as cupboards and cleaning surfaces had become worn. The dining room chairs were hard plastic and a resident commented that they were very hard; they are not suitable for older people, nor are they suitable for the environment. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 Page 13 Rooms were clean, comfortable and well personalised; two residents commented that they were very happy with their rooms. The home was clean and hygienic throughout. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff, appropriately deployed to allow them to care for the residents. Staff members are supported in carrying out their respective roles by a training programme. EVIDENCE: At the time of inspection one senior care staff and one carer was on duty. The Manager was also present. Residents spoken with said they felt there were enough staff members to attend to their needs. Staff folders were split into two sections, one for personal information and the other for training and supervision; several did not contain photographs. Two staff members confirmed that they had received induction training and other training courses regularly. The training record confirmed that courses were booked and attended, with the most recent training being on moving and handling, fire and food hygiene; in house training on adult protection issues was held on 24/4/06. One staff member has the national vocational qualification at level 2 and three and one has level 2 NVQ. A further three staff members are undertaking NVQ at level 2 and one at level 3. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 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): 31,36,37,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is managed competently, and there have been significant improvements with regard to the keeping of policies and procedure. The staff are supported and supervised in carrying out their respective roles. The views of residents are listened to and they are involved where possible in decisions affecting them. EVIDENCE: All records are now kept in the office and are well organised and up to date. All maintenance records were present and up to date and health and safety documentation was also present, including a separate cleaner’s guide to health and safety. The Manager, who has owned the home for several years, operates an open-door policy, which allows residents and staff to talk to her throughout the day. She has commenced the Registered Manager’s Award. Questionnaires Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 Page 16 were sent to relatives and, on their return, were acted upon by the Manager where necessary. Records showed that formal supervision was held every three months and there were staff meetings on a regular basis. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 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 2 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 3 2 3 Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 Page 18 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. 2. 3. Standard OP1 OP19 OP20 Regulation 4[1][2] 23 [2][b] 13[4] Requirement The registered person must update the statement of purpose. The registered person must upgrade the kitchen and redecorate the dining room The registered person must replace the dining chairs with chairs that are more suitable for older people. The registered person must ensure that staff records contain current photos. Timescale for action 20/06/06 20/06/06 20/06/06 4. OP37 17[2] Schedule 2 20/06/06 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 OP7 OP14 Good Practice Recommendations It is a recommendation that care plans are signed by residents or, where this is not possible, their relatives or advocates. It is a recommendation that a list of daily activities is displayed in the entrance hall, and that a newsletter is DS0000002343.V290690.R01.S.doc Version 5.1 Page 19 Caythorpe Residential Home 3. OP14 produced, for residents, staff and visitors to read and contribute to. It is a recommendation that the activities co-ordinator records informal conversations with residents regarding their views and opinions of the running of the home. Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Caythorpe Residential Home DS0000002343.V290690.R01.S.doc Version 5.1 Page 21 - 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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