Inspection on 27/08/08 for Chervil Cottage

This inspection was carried out on 27th August 2008.

CSCI found this care home to be providing an Excellent service.

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

Chervil Cottage 12/09/07

Chervil Cottage 29/09/06

Chervil Cottage 23/02/06

Chervil Cottage 04/08/05

Chervil Cottage 24/01/05

Chervil Cottage 27/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Chervil Cottage Brighthampton Standlake Oxfordshire OX29 7QW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Andy McGuckin     Date: 2 7 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Chervil Cottage Brighthampton Standlake Oxfordshire OX29 7QW 01865 300820 01865 300420 wendy.drewett@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Mrs Wendy Drewett,Mr Mark Drewett Mrs Wendy Drewett care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Admission of one named resident who is under the age of 65. 0 Over 65 17 Date of last inspection Brief description of the care home Chervil Cottage is a care home for up to 17 older people and is in the village of Brighthampton, about six miles from Witney. There are public transport links to Oxford and Witney. Communal areas include a lounge, a separate dining area and a conservatory. Bedroom accommodation is on the ground floor and is in single rooms, except for one double room that is available for couples who choose to share. There is an attractive garden that is well maintained. Mrs Drewett (joint owner) manages the home. Care Homes for Older People Page 4 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The commission were informed that the home charges between £650 and £700 The inspection included a visit to the property. Inspection of core documentation,. Consultation with service users, relatives and professionals associated with home. Discussion and feedback from staff. Discussion with the registered manager. A tour of the building re Health and Safety, and a Review of ( Annual Quality Assurance Assessment ) AQAA. Care Homes for Older People Page 5 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line – 0870 240 7535. Care Homes for Older People Page 6 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 7 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are fully involved in the assessment process and are given a choice. Evidence: The home has updated and reviewed the information it provides to residents. Information given out to prospective service users is presented in a easy to read format and is in plain English. The home provides detailed information on what it is able to offer and what is not able to offer. Prospective residents are encouraged to visit the home prior to making a decision about permanence. Many residents have lived in the area and know the home well. The home provides a full comprehensive assessment of the residents assessed needs consulting with all interested parties and keeping the prospective resident at the Care Homes for Older People Page 8 of 24 forefront of this process. The home offers prospective residents the opportunity to test drive the home on a months trial. Care Homes for Older People Page 9 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health care needs are fully met. Evidence: The inspector viewed six residents care plans at random. Information contained in the care plans was presented in a way which would enable carers to be fully informed as to the care needs of the residents. Plans were presented in plain English and were accurate and up to date. Evidence was found at inspection that care plans are regularly reviewed and updated. Where changes are made to care plans all those concerned with the care are kept fully informed. The home operates a key worker system whereby care is provided by the same group of people. The home has a good relationship with the local health care practice. The home has access to other health care professionals including alternative health therapists. The home has a robust procedure for the distribution, storage and Care Homes for Older People Page 10 of 24 recording of medication. One resident manages their own medication with minimal supervision from the carers. The home has controlled medication which is kept in a seperate locked cupboard and is signed and witnessed as per requirements. Medication can be kept in a locked cabinet in the resident’s own room. Residents are encouraged to maintain control of their own medication for as long as they are willing or able. Residents who are not able to manage their own medication are assisted to do so by staff who have been trained in the distribution and handling of medication. All medication administered is recorded on a medicine administration sheet (MAR). The inspector witnessed staff treating residents with respect and dignity in a relaxed and happy manner. Staff obviously enjoy working in this home which means that the home retains its staff and that residents have a stable group of carers. Evidence was found at the inspection that the wishes of residents following serious illness or death are being recorded and acted upon. Some residents have living wills and for those who do not either, family or advocacy services have this information. The home will expand this area of information by including this information in the initial assessment stage. Residents spoken to at the time of the inspection commented was that this is a good home where people feel valued, consulted, respected and encouraged. The home should be commended for these positive comments. Health care professionals feel that residents’ health and wellbeing is being promoted and monitored appropriately. Evidence was found that the local health care practice has regular contact with the home and that the relationship between the home and the practice is good. A small but representative sample of the many comments received from residents follows: They are like family I could not be better looked after. My family looked at several homes but this is by far the best. The food is fantastic. There is plenty to do if you want to. Care Homes for Older People Page 11 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers an appropriate range of activities and stimulation to its resident. Food is varied wholesome and appetising. Evidence: Feedback from residents gave a very high rating to the social and cultural experiences the home facilitates. Many residents are independent and maintain their community interests and friends. Others take full advantage of the activities and entertainment provided on a regular basis. The home has two part time activities co-coordinators and a programme of activities for the following month was seen. These activities included a community get together, music, movement, nostalgia and Pat the Dog which is a particular favorite for many residents. Much photographic evidence is available in the home to attest to the enjoyment residents gain from these activities. Chervil Cottage is very welcoming to all who come to visit and acts as a hub of the community. Residents maintain their friendships and new friendships are encouraged and promoted. Residents have visitors and friends at any reasonable time of the day Care Homes for Older People Page 12 of 24 and can entertain in their own room or in the communal areas. Visitors are asked to sign the visitors book as a health and safety requirement. Residents are encouraged to have as active an involvement in maintaining their lifestyles as they are willing or able. The home employs a full time cook who has access to a well-equipped and hygienic kitchen. Food is bought and prepared using fresh ingredients. Residents are asked to select from a menu, which changes weekly on a rota basis and offers daily a varied choice of fish, meat or vegetarian dishes. Residents dine in a light airy dining room, which is set in tables of four and two. Residents can dine in their rooms if they wish. Guests are also welcome to join the residents. Feedback from residents rated the food as good to excellent. The home is to be commended for these comments. Care Homes for Older People Page 13 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is open and transparent in the way it deals with complaints and is able to act on information received whether positive or negative. Evidence: Feedback from service users and their representatives indicated that, where there is cause for complaint or dissatisfaction, the home has formal processes for it to deal with them. The home’s complaints procedure was viewed and found to be satisfactory. The home ensures, where possible, that residents legal rights are protected and that residents are not exposed to any form of abuse. Due to the relatively small size of the home it is able to deal with any concerns at source and ensure that complainants are satisfied. The residents have direct access to the proprietor who has daily contact with all residents. No complaints had been recorded since the last inspection the home had received many letters of complement regarding the care and sensitivity given to many residents. The home has instigated a Preferred Priorities for Care Questionnaire and is acting on the feedback its gaining from residents who have returned it. Care Homes for Older People Page 14 of 24 No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a pleasant safe environment for its residents which is well maintained. Evidence: The home is situated in a rural area close to local villages. The home is close to a bus route to Whitney which has a good range of shops pubs restaurants and transport links to Oxford and beyond. The home is being maintained to a very high standard. On the day of the inspection, work was being undertaken to provide a covered entrance to the home and a small sunny seating area at the front of the home. This was being undertaken with minimal impact on residents. The garden has been made mobility accessible and internally all areas are safe and comfortable. The home has all but one room with en-suite toilets, supported by one bathroom. The home have plans to provide a second walk in wet room in the near future the commission feels this will add to the comfort of the residents and make it easier for staff to provide personal care. Residents who require specialist equipment are assessed by the appropriate professional and any equipment required by a resident is installed in the resident’s own room. The home is fully accessible for those with a mobility problem. Service users benefit from rooms which are light and airy and Care Homes for Older People Page 16 of 24 have a small lounge area within the room. Many rooms have doors which open out onto the garden. Small items of furniture and personal belonging were much in evidence and all residents have personalised their rooms to their own requirements. Feedback from residents was that they were very happy with their rooms. Chervil Cottage provides a safe, comfortable environment, which is clean, pleasant and hygienic. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is staffed in sufficient numbers to meet the assessed care needs of its residents. The home provides its staff with the support and training to enable them to do their job in a safe and supportive environment. Evidence: The home employs staff in sufficient numbers to meet the care needs of the current resident group. On the day of the inspection the home had four care staff and the cook had just gone off duty. The proprietor is supernumerary to the staff group but is able to provide an extra pair of hand if required. Staff have a small core group of residents who they clean for and manage their laundry. This is a practice which is enjoyed by both residents and staff. The inspector looked at three staff files which were very well presented and evidenced that staff are receiving the support and training they require. Staff are being supervised on a regular basis. An agenda is drawn up and staff sign to say that its an accurate record of the session. Training opportunities and any areas of difficulty are discussed here. The carers key residents are discussed and any changes to the care plan or daily activity are agreed. Staff are taking up training opportunities and the home is accessing a good range of training both internal and external. The number of staff undertaking N.V.Q has increased and Care Homes for Older People Page 18 of 24 the home has an ongoing programme whereby all staff who wish top gain this qualification will be given the opportunity to do so. Staff who are nearing retirement and do not wish to do this training will not be required to do so. The working conditions at Chervil Cottage are such that they are able to maintain a stable staff group with a low turnover. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is excellent Evidence: The home’s proprietor enables her seniors the space and resources to manage the home in the best interests of its service users. There is much evidence to support this and residents are more than able to have a say in how the home is run. The home’s manager is very experienced in the care of the elderly and is registered with the Commission. The proprietor ensures that she keeps up to date by attending training courses and through the CSCI professional website. The home has robust policies and procedures to ensure that residents are safeguarded from physical, financial and Care Homes for Older People Page 20 of 24 emotional harm. All staff have been trained in adult abuse procedures and the home is subject to external financial audit. The inspector did not require the home to provide accounts. The manager provides the staff with regular supervision and support and evidence was found at inspection that training is being actively encouraged. All records inspected were found to be accurate and up to date. Information was presented in such a way as to enable those caring for residents to do so with as much information as was required. Good communication was found through both formal and informal methods. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural backgrounds. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The home is able to produce many letters of commendation. The health and safety of both the residents and staff were found to be being safeguarded. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!