Inspection on 19/12/05 for Cheneys

This inspection was carried out on 19th 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 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

Cheneys 19/08/08

Cheneys 03/10/07

Cheneys 26/10/06

Cheneys 24/05/05

Cheneys 26/10/04

Cheneys 24/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Cheneys Links Road Seaford East Sussex BN25 4HY Lead Inspector Andy Denness Unannounced Inspection 2nd December 2005 10:00 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 Cheneys DS0000028541.V254356.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. Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cheneys Address Links Road Seaford East Sussex BN25 4HY 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) 01323 893373 Sussex Housing and Care Vacant Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (54) of places Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users must be older people aged 65 (sixty five) years or older on admission That the maximum number of service users to be accommodated will not exceed 54 (fifty four) That up to a maximum of 25 (twenty five) service users may be in receipt of nursing care 24th May 2005 Date of last inspection Brief Description of the Service: Cheneys is situated in a quiet residential area of Seaford a short walk from the seafront and approximately half a mile from the town centre with its access to bus and rail routes. The home is part purpose built and part converted with accommodation on two floors; two shaft lifts are fitted to assist access to first floor accommodation. Large gardens are situated at the rear of the property. The home is registered to accommodate up to 54 older people, 25 of whom may be in receipt of nursing care. The registered owners are Sussex Housing and Care. Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection took place over a morning and early afternoon in December, lasted 4 ½ hours. To help gather evidence on how the home is performing the Inspectors met with staff and the home’s manager, examined a range of records and written information and undertook a tour of the premises. In depth discussions took place with nine individual service users several of whom are members of the home’s ‘resident’s committee’. 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. Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 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 Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 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): 1,3 & 6 Pre admission procedures are good and help ensure that service users are admitted to a service that is suitable to meet their assessed needs. EVIDENCE: A statement of purpose and a service user’s guide have been produced for the home, these documents are aimed at helping prospective service users decide whether to move to Cheneys: both documents were examined, they were of a good quality; since the last inspection the statement of purpose has been amended to reflect current staffing arrangements. To help ensure that Cheneys is the right home for service users, assessments of needs are undertaken by management prior to service users moving into the home; a selection were examined, they were of a satisfactory quality and covered all required areas of daily living. Rehabilitative (intermediate care) is not provided at Cheneys. Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 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): 7, 8, 9, 10, 11. The policies, procedures and practices in the home regarding personal, social care and health needs are generally good and help ensure that identified service user needs in these areas are appropriately met. Those service users requiring nursing care receive all necessary support from trained nurses. EVIDENCE: Using the initial assessment of need as a starting point individual plans of care are compiled for each service user; these identify amongst other things what support service users require from staff to meet their day to day needs in relation to health, personal and social care needs. Since the last inspection improvements to the care planning system have continued and all plans examined were generally of a good standard, however it was noted that two plans had not been updated when service users needs had changed, action has been required to rectify this. From records examined and discussions with service users it was evident that needs identified in the plans were being appropriately met. Since the last inspection improvements have been made to the systems to prevent or treat pressure sores. Medication is in the main managed for service users by staff. A monitored dosage system is used; records and storage were examined and found to be in order. The Inspector was told that staff cover the principles of ensuring service user respect and Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 9 dignity in their training; observations made during the inspection confirmed that these principles were followed by staff in their interactions with service users. Written guidance is in place regarding dying and death; the manager said that if possible a service user would be supported to spend their last days if familiar surroundings with people that they know. Cheneys DS0000028541.V254356.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): 12 & 15. Arrangements regarding social activities were satisfactory ensuring service users a range of leisure opportunities. Evidence regarding the quality of meals was contradictory, however the Inspector is satisfied that the management of the home are taking all necessary action to address this matter. EVIDENCE: From discussions with service users and an examination of records it was evident that a range of leisure activities are provided to meet service user’s diverse interests; activities for the week of the inspection included bingo, flower arranging, piano recital, excursions to the shops and a church service. The Inspector was told that it is planned to increase these activities following the recruitment of an activities organiser who is due to start on 31 December 2005. Discussions with service users highlighted contradictory views regarding meals their comments included; “the food is very good”, “a good variety of food” to “food not too good” and “supper is poor”. The Inspector was told by service users that a small group of users have raised their concerns over food with the chief executive of Sussex Housing and Care and the manager of the home, this has resulted in regular consultations with the home’s new Chef and the use of monthly comment cards so that all service users can make their views re meals known. Cheneys DS0000028541.V254356.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 & 17. Current arrangements regarding complaints are good and ensure that service users or their representatives have the opportunities to raise concerns if they are unhappy with any aspect of the care provided at Cheneys. EVIDENCE: The home has a written complaints procedure for service users or their representatives to follow should they be unhappy with the service, this document was examined, it was of a satisfactory quality; records examined confirmed that complaints are investigated in line with this procedure. Service users have other opportunities to raise concerns such as via the resident’s committee, which is very active. Service users spoken to confirmed that they are registered to vote. Cheneys DS0000028541.V254356.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): 19,20,21,22,23,24,25 & 26 Physical standards throughout the home were good ensuring that service users live in a spacious, comfortable, safe and well maintained environment, which is suitable to meet their needs. EVIDENCE: An inspection of all areas of the environment confirmed that physical standards throughout are good. All bedrooms comply with the size requirements of national minimum standards and are furnished and decorated to a satisfactory standard. Service users said that they are able to bring their own furniture with them and most have done so, this results in pleasant personalised rooms. Communal areas consist of several sitting and dining areas, which are furnished and decorated to a good standard. It was noted that in one lounge area, the storage of wheelchairs was encroaching on the space available for use by service users; action has been required to address this matter. The majority of bedrooms have ensuite facilities and other WCs and bathrooms are available for those service users who do not have these; these rooms were equipped and maintained to a satisfactory standard. Two shaft lifts are fitted to Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 13 assist access to first floor accommodation; various hoists, adaptations and special baths are also available to assist those service users who may have mobility problems. Heating is provided by a gas central heating system with radiators in all rooms, all radiators are guarded and service users can control the temperature of their rooms themselves. Tests confirmed that hot water is delivered to wash hand basins and baths at a safe temperature. A high standard of cleanliness was found in all areas of the home. Cheneys DS0000028541.V254356.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. The current numbers and skill mix of staff ensure that service users’ needs are appropriately met. EVIDENCE: Observations made on the day of the inspection confirmed that sufficient numbers of staff are on duty to meet the needs of service users; an examination of records confirmed that this is the case at all other times. The majority of comments made regarding staff were positive, they included “staff are very kind”, “they are very considerate” and “I’m looked after well”. The Inspector was told that 50 of staff are not yet trained to the national level as is required, however the manager was aware of this target figure and is working towards this. Records examined confirmed that generally robust recruitment procedures are followed, when new staff are employed, this includes the use of application forms, the following up of two references, ID checks, criminal record checks, Protection of Vulnerable Adult checks and the issuing of contracts of employment. However it was noted in one instance that only one reference had been sought and an Identity check and not been undertaken, action has been required to rectify this. Cheneys DS0000028541.V254356.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, 32, 33, 34 37 & 38. Management and administrative systems are getting better; the new manager is hardworking and committed to continuing to improve the service provided at Cheneys. EVIDENCE: The manager is relatively new in post and has just applied to be registered with the Commission for Social Care Inspection, his application confirmed that he is experienced in managing residential and nursing services for older people and is appropriately trained. Throughout the inspection he demonstrated an understanding of the needs of older people and of the complex management issues involved in improving a service that is going through a period of change and difficulty. Records examined confirmed that the home is running an effective quality assurance system by collecting service users views via regular questionnaires distributed to them in which they are asked their views on how the service is performing. Records examined confirmed that insurance cover is Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 16 set at the required level. A selection of the records required by regulation were examined, these were in order and stored securely. Some required policies and procedures were examined, these were of a good quality. A selection of health and safety records was examined, these included assessments of risk and test results of safety systems; these were generally in order although to make sure that all staff are trained in fire safety matters it has been required that a record is maintained of all staff who attend fire drills and that the drills is evaluated. Cheneys DS0000028541.V254356.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X X 3 2 Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 18 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. 1 2 Standard OP7 OP19 Regulation 15 23(1)(a) Requirement That care plans are updated to reflect the changing needs of service users. That more suitable storage is sought for wheelchairs so that service users have full use of their lounge area. That two written references are taken up and an ID check undertaken on all staff employed. That a fuller record is maintained of fire drills undertaken, including a list of staff attending and an evaluation of the drill. Timescale for action 02/01/06 02/01/06 3 OP29 19(1)(a) 02/12/05 4 OP38 23(4)(a) 02/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP28 Good Practice Recommendations That 50 of staff are trained to NVQ level 2 by the end of 2005. Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Cheneys DS0000028541.V254356.R01.S.doc Version 5.1 Page 20 - 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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