Inspection on 16/01/06 for Chyngton Rise

This inspection was carried out on 16th January 2006.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chyngton Rise 22/10/08

Chyngton Rise 09/11/06

Chyngton Rise 08/06/05

Chyngton Rise 17/08/04

Chyngton Rise 26/04/04

Similar services:

Deepdene Care Centre

Ferndale Residential Care Home

David Gresham House

Elizabeth House

Elvy Court Nursing Home

Fontenay Nursing Home

Clairmont Residential Home

Cornford House

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

CARE HOMES FOR OLDER PEOPLE Chyngton Rise South Way Seaford East Sussex BN25 4JG Lead Inspector James Houston Unannounced Inspection 16th January 2006 9:30 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 Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chyngton Rise Address South Way Seaford East Sussex BN25 4JG 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 897937 Mr Jack DuVivier Mrs Elli DuVivier Mrs Elli DuVivier Care Home 6 Category(ies) of Dementia (6) registration, with number of places Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is six (6). Service users must be older people aged sixty-five (65) years or over on admission. 8th June 2005 Date of last inspection Brief Description of the Service: Chyngton Rise is a large detached property situated in a quiet residential area of Seaford backing onto open downland. The town centre, with local shops, amenities and access to buses and trains, is approximately one mile away. The home is registered to provide residential care and support for six older people who have a dementia type illness and aims to provide a happy, relaxed atmosphere within a homely and secure environment. The home does not provide nursing care. On the ground floor there is a comfortable and spacious lounge and dining room, and a bright conservatory. Residents accommodation is provided on two floors. The home does not have a lift.Outside, there is a large garden where residents can walk, relax and entertain visitors. Meals can be taken in the residents own room or in the conservatory. Visiting is unrestricted and there is ample car parking space at the front of the house. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and early afternoon of the sixteenth of January 2006. Before the inspection the inspector read records on the home held by the Commission for Social Care Inspection and prepared those standards to be inspected. During the inspection the inspector met all three current residents and both the owners, and spoke with one resident and the owner who is also the registered manager. The inspector also spoke with one resident. A variety of records including the three care plans and some policies and procedures were read. What the service does well: What has improved since the last inspection? What they could do better: The requirements made at the last inspection that the outside areas of the home be cleared and made safe, and that the manager and staff undergo adult protection training have not been met, and have been repeated. A staff record did not contain proof of identity, including a recent photograph. It is recommended that the manager complete the registered managers qualification. Please contact the provider for advice of actions taken in response to this Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 7 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 Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 8 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): 1,4,5 and 6. The home’s statement of purpose and service user’s guide will now give the required information to residents and their relatives to assist them in the decision as to whether or not they should enter the home. The home meets the needs of the current resident group. Residents and their representatives are encouraged to visit the home to assist them in their decision about whether or not to enter the home. EVIDENCE: The home has a suitable statement of purpose and service users’ guide. Some necessary amendments were made during the inspection, and the revised document will be available to residents, prospective residents and their representatives. Staffing levels are sufficient to meet residents’ assessed needs, and after meting with residents and owners, a tour of the premises and reading a variety of records and other documents the inspector considers that the home meets current residents’ assessed needs. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 9 Prospective residents and their families and/or representatives are encouraged to visit the home before moving in. An initial trial period is offered during which the home establishes if it can meet the resident’s assessed needs. The home does not offer intermediate care. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 10 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): 7,9 and 11. Care plans are well kept. Medication administration systems are thorough. The home has good systems for caring for dying residents. EVIDENCE: The home draws up a full initial care plan for each resident on admission. This is reviewed monthly. The home keeps a daily report on residents and these were inspected and found to be well kept and fully up to date. A recommendation made at the last inspection that specific risk assessments when completed are held on the resident’s individual file and not separately has been acted on. The home does not hold controlled medicines for residents at present, and no residents self–medicate. Medication administration record sheets inspected were found to be up to date and accurate and relevant policies and procedures are in place. Medicines were found to be held securely. The home has appropriate policies available to staff on the care of dying residents. Where possible the manager and her staff attempt to keep ill residents in the home, with appropriate assistance from health care colleagues. The manager will set out in the care plans specific details of action to be taken by staff in the event of the death of that resident. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 11 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): 12,13 and 14. Social activities are well managed and provide interest and variation for people living in the home. Visitors are made welcome. EVIDENCE: Residents likes dislikes and recreational preferences are recorded on individual care plans. The manager said that one staff member has a particular responsibility for organising activities appropriate to the wishes and capacity of residents. Currently these activities include skittles, quizzes and music. A resident said that she likes going out on outings with the home. The manager said that favourite venues include garden centres and coffee shops. Their families also take out residents. Staff encourage residents in continuing religious observance where this is desired. The home has information about external agents (eg advocates) should this be desired by residents’ families. The homes’ information makes clear that resident’s visitors are welcomed and a resident confirmed this as her experience. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 12 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 and 18. The home has suitable arrangements to deal with complaints made to it. The home’s procedures and processes were suitable and designed to protect residents in the event of any allegation of abuse but suitable staff training is still needed. EVIDENCE: The home’s complaints document has been updated, and the manager gave an assurance that residents and families have been provided with an updated copy. No complaints have been received concerning the running of the home since the last inspection, either by the Commission for Social Care Inspection or the home itself. Adult protection policies are in place but the requirement made at the last inspection, that to ensure the safety and welfare of residents the manager and staff attend adult protection training, is outstanding. The manager said that a course they intended to go to was cancelled the day before, and that she and staff will attend another course in February 2006. The requirement has been repeated. The home’s policy on action to be taken by staff being offered gifts and bequests by residents was inspected and advice on one point given. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 13 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): 19,20,21,24 and 25. The home provides good quality accommodation for residents. The outside of the premises needs attention to clear, tidy and make safe some areas EVIDENCE: A previous requirement to remove all cars from the front of the building has not been attended to and there is still a small area needing clearing to the rear. The requirement has therefore been repeated. The home has a large well-kept garden that is accessible to residents. A maintenance book is kept which details all work undertaken to maintain and improve the home. The home meets the requirements of the local fire brigade and the local environmental health officer. Residents enjoy ample communal space. There is a large lounge, a separate seating area, and a conservatory. These areas are well furnished and decorated. Lighting is domestic in style. The home has sufficient bathrooms and toilets for the use of residents. No bedrooms are en suite. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 14 Residents’ rooms are well furnished. All have a wash hand basin and a call bell. Residents are encouraged to personalise the rooms by bringing in small items of furniture. Rooms are lockable but after risk assessments existing residents do not hold keys. The home has one double room, but it does not have a screen as it has only one occupant at present. All radiators in the home are guarded. The lighting in bedrooms is domestic in character. There is emergency lighting throughout the home. Records inspected showed that the temperature of the hot water at the points where is accessible to residents is checked regularly and suitable records kept. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 15 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 and 29. A competent staff team meets residents’ needs. The home’s recruitment processes need minor attention. EVIDENCE: The home has a rota showing the names of staff on duty. The manager added the roles of staff to it during the inspection. The staff team is stable with the most recently appointed member having been in the home for over two years, and the other two carers having worked there for many years. There were sufficient staff on duty during the inspection to meet the needs of residents. The manager gave an assurance that no staff member left in charge of the home is aged under 21 and that either of the owners or the deputy manager is always either on the premises or immediately on call. The home’s three carers include a qualified nurse, and the second owner also holds this qualification. The other carers do not hold NVQ level 2 in care. The home only has to recruit occasionally. The papers of the last person appointed were checked. They contained almost all of the necessary detail including two written references and a Criminal Record Bureau check, but proof of identity and a recent photograph had not been retained. Records inspected showed that staff have access to the General Social Care Council Code of Conduct. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 16 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): 31,32,34,35 and 36. The home is well managed. The atmosphere in the home is good. The home has suitable financial systems. Staff are supervised appropriately. EVIDENCE: The manager is qualified both as a general nurse and as a psychiatric nurse and has many years’ experience of managing a care home. She undertakes training from time to time to update her knowledge and expects to complete her Registered Manager’s Award this spring. The home has a small staff group, which makes communication easy. Regular staff meetings are held, the minutes of which were made available to the inspector. The manager is approachable and a resident said that she liked living in the home. The home had a current certificate of insurance on display in the home. The manager said that she keeps a record of all transactions, and that there is a business plan for the home. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 17 The home does not usually hold monies or valuables for residents, and the contract of residence sets this out for prospective residents and their families. However the facility to do so exists. Records inspected showed that staff receive regular formal recorded supervision. Chyngton Rise DS0000021418.V265359.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 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 X 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 X 3 3 3 X STAFFING Standard No Score 27 3 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 3 3 3 X Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? YES 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 OP18 Regulation 13(6) Requirement The manager and staff must undertake adult protection training. (Previous timescale 30/9/05 not met) The outside areas of the home must be cleared and made safe. (Previous timescale of 30/9/05 not met) All records required by the Act namely a record the proof of identity of persons working in the home, including a recent photograph, must be held. Timescale for action 28/02/06 2. OP19 23(2) 31/05/06 3. OP29 17 Sch 3 and 4 28/02/06 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 OP31 Good Practice Recommendations The registered manager completes the registered manager’s award. Chyngton Rise DS0000021418.V265359.R01.S.doc Version 5.0 Page 20 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 Chyngton Rise DS0000021418.V265359.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. 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