CARE HOME ADULTS 18-65
Champions Place Kent Hatch Road Limpsfield Chart Surrey RH8 0TA Lead Inspector
Graham Cheney Announced 14 April 2005 10:00 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 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 Stationary 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 H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Champions Place Address Kent Hatch Road, Limpsfield Chart, Surrey, RH8 0TA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01883 722006 01883 730268 R & G Sparkes Limited Mrs Sharon Lesley Stankova CRH Care Home 18 Category(ies) of LD Learning Disability, 18 registration, with number LD(E) Learning Disability - Over 65, 11 of places Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The age range of the persons to be accommodated will be: (LD) 18-65 years. 2. Of the 18 (eighteen) persons accommodated, up to 11 (eleven) may fall within the category LD(E) learning disabilities/older people. Date of last inspection 21 September 2004 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 accomodation. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This visit was the home’s first inspection for the year 2005/2006. This was an announced visit, which meant that staff and residents knew that it was due to happen. The inspection was booked to start at 10.00 a.m. but was delayed until 12.00 p.m. by the inspector. This was the first time the inspector had been to Champions Place and the first part of the visit was taken up with an introduction to the residents and staff and a tour of the building. The inspector was invited to join the residents for lunch and spend time with them finding out what they thought about living in the home. 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. What the service does well:
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. Residents also go into the local community on a regular basis, which included attending college, leisure activities, shopping and having meals out. All of the residents have the opportunity of a holiday, which they all seemed to enjoy and were excited about going this year. The home also encourages visitors from the local community; these include the local church, school children and volunteers. Lunch was very enjoyable and all of the residents who spoke to the inspector said that they liked the food and that they could tell staff what they liked and disliked. Residents meetings were held on a regular basis and the notes of these indicated that residents were encouraged to have their say in how the home was run.
Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 6 Training and development of staff has been given a high priority with staff doing the NVQ and a range of other training to help them care for and support the residents. 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 H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 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 standard(s) 1,2,3,5 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. The planned improvement in assessing residents should improve this further. 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. The manager has started to introduce person centred planning to the home and this should help to assess prospective residents and ensure that the needs and aspiration of all residents are recognised. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 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 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. Planned improvements to care planning should improve this further. EVIDENCE: 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. This included a wide range of daily activities such as arts, crafts and exercise, and accessing the community for leisure and social purposes. Residents meetings were held on a regular basis and minutes recorded provided evidence that residents were able to influence the home’s operation. The manager has started to make improvements to the care plans with each resident to have a person centred plan developed which recognised who they
Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 10 were, which people were important in their lives etc. One of these has already been completed, with the resident central to the process, with others to follow. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 11 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 standard(s) 11,12,13,14,16,17 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: Residents were encouraged and supported to be as independent as they were able and they all appeared to have a good degree of autonomy and control over their lives. For example after lunch some residents chose to go to their room to listen to music or for a rest, others went to the sitting room, whilst the remainder took place in an exercise class. The home has its own activities centre where residents do allsorts of arts, crafts and activities. Residents also go into the local community on a regular basis, which included attending college, leisure activities, shopping and having meals out. All of the residents have the opportunity of a holiday, which they all seemed to enjoy and were excited about going this year. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 12 The home also encourages visitors from the local community; these include the local church, school children and volunteers. Lunch was very enjoyable and all of the residents who spoke to the inspector said that they liked the food and that they could tell staff what they liked and disliked. Residents meetings were held on a regular basis and the notes of these indicated that residents were encouraged to have their say in how the home was run. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 13 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 standard(s) 20,21 Standard 20 was assessed on this occasion and the practice for administering medication complied with the Royal Pharmaceutical Society’s guidance. The home was therefore obtaining, storing, administering and recording medication appropriately. Evidence gathered on this inspection indicated that standard 19 was being met, however it was considered that further work with residents on bereavement and loss might prove helpful in understanding their needs and aspirations as they get older. Overall the home has taken steps to ensure that residents’ health care needs are maintained effectively. EVIDENCE: All aspects of the management of medication was sound, with staff witnessing medication administration and countersigning record sheets seen as good practice, minimising the risk of errors. 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 H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 14 In discussion the manager felt that they had not really discussed death and dying or asked residents about their wishes when they die. It was recommended that the home seek advice on how to approach these issues. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 15 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 standard(s) 22,23 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: The home’s complaints procedure have been revised and adapted to make them easier for residents to understand. This was readily available to residents should they have a problem. All of the residents appeared to be able to express themselves freely. In addition formal residents meetings were held giving the opportunity for them to have their say. The home has had two situations where the Vulnerable Adults Protection Procedures have been appropriately implemented and on both occasions the allegations made were not substantiated. All staff attended a Vulnerable Adults training in January 2004 and Surrey’s Protecting Vulnerable Adults training in either May or September 2004. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 16 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 standard(s) 24,25,26,27,28,30 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 has been major work done recently including a completely new roof and new windows. Plans were in place to erect dormer windows to further improve the premises. Some rooms have been redecorated. 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 H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 17 Some areas of the home would benefit from redecoration and the manager and handyman confirmed that a rolling programme was underway. It was acknowledged that the external work had been prioritised. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35,36 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: Training and development of staff has been given a high priority with staff doing the NVQ and a range of other training to help them care for and support the residents. Staff all seemed clear of their roles and responsibilities with the manager providing appropriate supervision and support. The relationship between residents and staff was observed to be relaxed and very friendly, creating a warm and homely feel. Recruitment procedures were in line with good practice and advice was given by the inspector on how to obtain POVA first checks from the CRB website to prevent delays in new staff commencing duties. Care staffing levels were being maintained and there was no indication that these needed to be increased.
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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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38,39,42,43 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 and in the revision and development of policies and procedures. The manager has attained appropriate qualifications in the management of care and has a sound level of experience in the care sector. Health and Safety audits have been undertaken by the handyman covering all areas of the home and each individual bedroom
Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 20 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 3 3 3 x 3 Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 3 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Champions Place Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x 3 3 x x 3 3 H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 21 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 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. 1. Refer to Standard YA 21 Good Practice Recommendations It was recommended that the home seeks advice on exploring and ascertaining of residents needs and wishes with respect to death and dying. Champions Place H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 H58_s13592_Champions Place_v214632_140405 stage 4.doc Version 1.30 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
