CARE HOMES FOR OLDER PEOPLE
Chalfont 6 Southern Road Southbourne Bournemouth Dorset BH6 3SR Lead Inspector
Tracey Cockburn Unannounced Inspection 10:15 30 December 2005
th 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 DS0000003925.V272465.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. DS0000003925.V272465.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Chalfont Address 6 Southern Road Southbourne Bournemouth Dorset BH6 3SR 01202 420957 SAME AS TEL: 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) Mr Michael Robert Adams Mr Terence Charles Aston Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places DS0000003925.V272465.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. One named service user (as known to CSCI) under the age of 65 may be accommodated. 11th July 2005 Date of last inspection Brief Description of the Service: Chalfont is a detached property situated in a quiet residential area of Southbourne. It is situated between the seafront and a shopping centre and other local amenities that include a post office, cafes, restaurants, a library and places of worship. Public transport is available within easy walking distance and provides access to other areas of Bournemouth. The home is registered to provide care to up to 10 older people. The accommodation is arranged on two floors and there are 9 bedrooms 8 are single and there is 1 double. There is a chair lift to assist with access to the first floor. There is a separate lounge and dining room. There is an enclosed garden to the rear of the property with seating. The front of the home has a forecourt, which is used for parking up to 3 cars. There are pets in the home belonging to residents and the registered providers. DS0000003925.V272465.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place unannounced over 3 hours in the morning and early afternoon. The registered providers were present throughout the inspection. There were 9 residents accommodated at the time of the inspection. 5 residents were spoken to. Care records were examined. There had been one new admission to the home since the last inspection. What the service does well: 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. DS0000003925.V272465.R01.S.doc Version 5.0 Page 6 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 DS0000003925.V272465.R01.S.doc Version 5.0 Page 7 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): None of these standards were assessed at this inspection. The home is not registered to provide intermediate care and this standard has not been assessed. EVIDENCE: DS0000003925.V272465.R01.S.doc Version 5.0 Page 8 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): 9 & 10 The home’s medication policy and procedure ensure that residents are protected. Residents are respected and their right to privacy maintained. EVIDENCE: The homes owners explained that all medication is blister packed from the pharmacy and dispensed directly to the resident. One resident manages her own medication and this is kept in a lockable cabinet in her room. The owners explained that they work with the resident to ensure that she keeps them up to date with changes in medication, which has not always happened. Several residents who spoke during the course of the inspection said that they felt their privacy was maintained at all times and that the staff and management respected their choices and wishes. DS0000003925.V272465.R01.S.doc Version 5.0 Page 9 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 & 14 Resident’s lifestyle in the home matches their expectations and preferences. The home enables residents to have choice and control over their lives as they want. EVIDENCE: During the course of the inspection a number of residents said that they like the peace and quiet in the home. One resident said that she is able to come and go as she pleases. The providers said that they are constantly checking with the resident to ensure that she tells them when she is leaving the home and when she comes back in. the registered providers are very clear that they do not provide structured activities for the residents as over the years in their experience, residents in their home are not interested. One resident has book from the library and another resident said she was happy with the home the way it was. A new resident said she like the peace and quiet in the home. Residents rooms are furnished with their own possessions, a record is kept. DS0000003925.V272465.R01.S.doc Version 5.0 Page 10 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 The home has a complaints policy and procedure which residents are confident in. EVIDENCE: The home has not received any complaints since the last inspection and the commission has received none. Residents said that if they had any concerns they would take to the owners. DS0000003925.V272465.R01.S.doc Version 5.0 Page 11 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): 19,22 The environment is safe and well maintained providing a comfortable home for residents. The home enables residents to maximise their independence by providing the equipment they need. EVIDENCE: The home is comfortable and well maintained. The furniture and fittings are elegant and resident’s rooms are filled with their own personal possessions. Since the last inspection the registered providers have completed the recommendations made in the report by the occupational therapist. DS0000003925.V272465.R01.S.doc Version 5.0 Page 12 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): 30 The practice within the home does not fully evidence that care staff receive the training they need to be good at their job. EVIDENCE: The recommendation from the previous inspection has been repeated. DS0000003925.V272465.R01.S.doc Version 5.0 Page 13 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, 35 & 38 The home is managed by two people with the experience and skills to discharge their responsibilities fully. The home’s policy and procedures ensure that resident’s finances are safeguarded. The home has a policy on the supervision of staff, which is not fully implemented. The health, safety and welfare of resident’s is promoted and protected. EVIDENCE: The registered providers have been running as care home for a number of years and are very clear on their roles and responsibilities. They do not plan to undertake the Registered managers Award and have suggested that a senior member of staff may be groomed for the role and might be willing if necessary
DS0000003925.V272465.R01.S.doc Version 5.0 Page 14 to undertake the training. However they do not want to do this unnecessarily and are considering what their options might be. The registered providers are not responsible for any resident’s finances. During the course of completing the risk assessment on the home the providers have looked at the health and safety aspects of the home as part of this process. DS0000003925.V272465.R01.S.doc Version 5.0 Page 15 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 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x 3 x x x x STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x 3 2 x 3 DS0000003925.V272465.R01.S.doc Version 5.0 Page 16 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 OP28 Good Practice Recommendations The registered persons should arrange for staff to undertake the NVQ level 2 in care to meet the Department of Health target of 50 of care staff working in the home qualified to NVQ level 2 The registered person should implement their written policy and procedures concerned with staff training and development. To ensure that all people working in the home receive or attend training in line with NTO targets. The registered persons should ensure that supervision sessions between management and staff are recorded. 1 2 3 OP30 OP36 DS0000003925.V272465.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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