Inspection on 12/12/05 for Champions Place

This inspection was carried out on 12th December 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Champions Place 16/06/09

Champions Place 22/06/07

Champions Place 14/04/05

Champions Place 21/09/04

Champions Place 26/05/04

Champions Place 17/02/04

Similar services:

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

CARE HOME ADULTS 18-65 Champions Place Champions Place Kent Hatch Road Limpsfield Chart Surrey RH8 0TA Lead Inspector Graham Cheney Unannounced Inspection 12th December 2005 10:00 Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 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 Champions Place DS0000013592.V265233.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 Adults 18-65. 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. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Champions Place Address Champions Place Kent Hatch Road Limpsfield Chart Surrey RH8 0TA 01883 722006 01883 730268 sharonx1@btinternet.com 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) R & G Sparkes Limited Mrs Sharon Lesley Stankova Care Home 18 Category(ies) of Learning disability (18), Learning disability over registration, with number 65 years of age (11) of places Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accomodated will be: (LD) 1865 years. Of the 18 (eighteen) persons accommodated, up to 11 (eleven) may fall within the category LD(E) learning disabilities/older people. 14th April 2005 Date of last inspection Brief Description of the Service: Champions Place was built in 1890 and is a large detached House that has been listed as a Grade 2 protected building. It stands in secluded and extensive grounds that have far reaching views of the surrounding countryside. Although the home is in a rural location it is close to community facilities that are easily reached by car or nearby bus and community transport. There is ample car parking space next to the building. The accommodation is spacious; a mix of single and shared rooms is situated over three floors of the main house. Communal areas are very large and include a dining room, two sitting rooms and office accommodation. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was the home’s second inspection for the year 2005/2006. This was an unannounced visit, which meant that staff and residents did not know that it was due to happen. The inspection commenced at 10.00 a.m. The inspector was greeted and made welcome by some of the residents on arrival and spent much of the inspection talking with them finding out what they thought about living in the home and being shown around the building. The rest of the time was spent looking at records and reports and talking to the manager and staff about how the home was run. Residents and staff made the inspector very welcome and were happy to talk about life at Champions Place and plans for Christmas. What the service does well: As reported at the last inspection the relationship between residents and staff was observed to be relaxed and very friendly, creating a warm and homely feel. Residents were encouraged and supported to be as independent as they were able and they all appeared to lead busy and interesting lives. The home has its own activities centre where residents do allsorts of arts, crafts and activities. The manager stated that this was being used less and less as a number of the residents were getting older. Organised activities were now run on Tuesday and Wednesdays. That said a number of residents continued to use the activities centre on a regular basis, two of the residents were making rugs and others doing artwork during the visit. Residents continue to access the local community and on the day of the visit six of them were going out for a special Christmas lunch at a local pub. All of the residents have the opportunity of a holiday, which they all seemed to enjoy and were excited about going this year. One resident in particular had the opportunity to forfill a dream of visiting Gracelands, the home of Elvis Presley and had purchased souvenirs of which he proudly showed the inspector. The home was commended for the way they help and support residents to achieve such aspirations. The home also encourages visitors from the local community; these include the local church, school children and volunteers and several groups were visiting during the Christmas period. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 6 Training and development of staff continues to be given a high priority with staff doing the NVQ and a range of other training to help them care for and support the residents. Recent training had included – dementia awareness, nutrition & health, equality & diversity, and health & safety. The manager has completed the Registered Manager’s Award and another senior member of staff was undertaking a level four NVQ. The staff rota indicated that staffing levels were being maintained and the Christmas and New Year period was covered at the time of the inspection. 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. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 The home was found to be operating effectively in respect of these standards. Information about the home was up to date, readily available to residents and provided a good level of detail about the home, which would help prospective residents to make an informed choice as to whether the home would be a suitable place to live. EVIDENCE: The home’s statement of purpose, service user guide and complaints procedure have been revised and adapted to make them easier for residents to understand. Care plans continue to improve and these recognised the wishes and aspirations of residents. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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, 7, 8, 9 Evidence gathered from this inspection indicated that each of these standards was being met effectively. This gives confidence that each individual’s needs and aspirations were being recognised and met. Ongoing improvements to care planning should improve this further. EVIDENCE: As reported at the last inspection the relationship between residents and staff was observed to be relaxed and very friendly, creating a warm and homely feel. Residents were encouraged and supported to be as independent as they were able and they all appeared to lead busy and interesting lives. Further improvements had been made to the care plans with each resident to have a person centred plan developed which recognised who they were, which people were important in their lives etc. Care reviews were planned to take place over the period from January to March 2006, to be lead by key workers. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14 Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. This meant that the home was able to demonstrate that residents were encouraged and supported to lead as independent and fulfilling life as they were able. EVIDENCE: The home has its own activities centre where residents do allsorts of arts, crafts and activities. The manager stated that this was being used less and less as a number of the residents were getting older. Organised activities were now run on Tuesday and Wednesdays. That said a number of residents continued to use the activities centre on a regular basis, two of the residents were making rugs and others doing artwork during the visit. Residents continue to access the local community and on the day of the visit six of them were going out for a special Christmas lunch at a local pub. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 11 All of the residents have the opportunity of a holiday, which they all seemed to enjoy and were excited about going this year. One resident in particular had the opportunity to forfill a dream of visiting Gracelands, the home of Elvis Presley and had purchased souvenirs of which he proudly showed the inspector. The home was commended for the way they help and support residents to achieve such aspirations. The home also encourages visitors from the local community; these include the local church, school children and volunteers and several groups were visiting during the Christmas period. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20, 21 Standard 20 was assessed on this occasion and in general the practice for administering medication complied with the Royal Pharmaceutical Society’s guidance, although a requirement was made, please see below. The home was in the main, therefore obtaining, storing, administering and recording medication appropriately. Evidence gathered on this inspection indicated that standard 21 was being exceeded and the home was therefore commended, please see evidence below. Overall the home has taken steps to ensure that residents’ health care needs are maintained effectively. EVIDENCE: During the inspection it was observed that the keys for the medication cabinet were left in an unlocked drawer. This presented an un-necessary risk and a requirement was made. The home was commended on the kind and sensitive approach that had been taken to ascertain the needs and wishes of residents and their families should anything happen to them. One of the residents had died just prior to the visit Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 13 and the home were able to ensure that appropriate arrangements were made. The inspector wished to extend his sincere condolences. Observation of the interaction between residents and staff indicated that personal support and health care were provided with a high regard for the individual’s privacy and dignity and with respect. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. This meant that the home was able to demonstrate that residents were being appropriately protected and that residents’ views were important and acted upon. EVIDENCE: Not evidenced further, please refer to previous inspection report. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 29 Champions Place was a pre-existing, (before 2002) registered care home. Given this the evidence gathered during this inspection confirmed that the home meets each of the assessed standards and provides a good level of accommodation appropriate to the needs of the current residents. It would not however be suitable for less able residents. Double rooms may be difficult to market to new residents. EVIDENCE: The home was generally operating to a good standard, although the lack of a lift limited access to the upper floors and residents’ rooms. This could be a concern as residents get older and maybe less able. The home has a number of double rooms, which the current occupants said they were happy to share preferring the company. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35 Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. Staff on duty appeared to be enthusiastic and committed to supporting residents, with training and development being given a high priority. EVIDENCE: As reported at the last inspection the relationship between residents and staff was observed to be relaxed and very friendly, creating a warm and homely feel. Residents were encouraged and supported to be as independent as they were able and they all appeared to lead busy and interesting lives. The staff rota indicated that staffing levels were being maintained and the Christmas and New Year period was covered at the time of the inspection. Training and development of staff continues to be given a high priority with staff doing the NVQ and a range of other training to help them care for and support the residents. Recent training had included – dementia awareness, nutrition & health, equality & diversity, and health & safety. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 40 Evidence gathered during this inspection confirmed that, the home meets each of the assessed standards and was seen to be well run with sound and accountable management support. EVIDENCE: Training, development, supervision and support of staff has been given a high priority by the manager. Who was able to show that further improvements were being made to the care plans. The manager has completed the Registered Manager’s Award and another senior member of staff was undertaking a level four NVQ. Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Champions Place Score X X 2 4 Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X X X DS0000013592.V265233.R01.S.doc Version 5.0 Page 19 No 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 YA20 Regulation 13 Requirement Keys to the medication must be carried by the dominated member of staff at all times. Timescale for action 12/12/05 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 Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Champions Place DS0000013592.V265233.R01.S.doc Version 5.0 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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