Inspection on 08/06/05 for Chyngton Rise

This inspection was carried out on 8th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 16/01/06

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 Glynis McLeod Announced Inspection 8 June 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 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 H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Chyngton Rise Address South Way Seaford East Sussex BN25 4JG 01323 897937 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) Mr Jack DuVivier Mrs Elli DuVivier Mrs Elli DuVivier Care Home 6 Category(ies) of Dementia (DE) 6 registration, with number of places Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is six (6). 2. Only service users over sixty-five (65) years of age on admission to be admitted. Date of last inspection 17 August 2004 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 H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was announced, took place over five hours and was one of two inspections required over the year. A tour of the premises took place and records relating to care, medication and maintenance were inspected. One of the residents, the staff member on duty and the manager were spoken to. Comment cards from two residents and a health professional were received and expressed satisfaction with the service. The inspector would like to thank the residents, staff and owners for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to pay more attention to making sure that all their documents, such as residents’ files and their statement of purpose, which gives information about what people can expect to find in the home, are accurate and up-to-date. The home must also make sure that they are fully aware of the guidelines they must follow if they are worried that a resident may be at risk of harm. This is necessary to ensure that residents are cared for properly and protected from unnecessary risks. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 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 standard(s) 1, 2 and 3 The statement of purpose and service user’s guide do not provide the information required by the Care Standards Act and prospective residents are, therefore, unable to make an informed decision about whether they would wish to live in the home. Contracts now include all the required information. Prospective residents are appropriately assessed and, in order to ensure that the home can meet their needs, families and professionals are also consulted as part of the assessment process. EVIDENCE: The statement of purpose did not have all the information required in order to meet the standard or the regulation. Without this information, prospective residents cannot get a clear picture of the home or the services that it provides. The service user guide contained more information, but still required updating. A requirement from the previous inspection that these documents are reviewed and updated is carried forward. The manager advised that both documents are shown to prospective service users and their families on the initial visit. The contract forms had been manually updated in order to meet the standard. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 9 Individual records showed that the manager properly assesses each resident prior to moving in. Assessments from social workers or other health professionals are requested before admission in order that the home has a clear understanding of what medical and personal care is required. The manager also carries out an assessment after admission and completes an initial care plan involving the family. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 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 standard(s) 7, 8, 9 and 10 Residents’ care needs are identified and reviewed regularly to ensure that their needs are being met. Medication procedures and policies ensure that residents receive the correct medication. Residents are treated with courtesy and kindness by staff. EVIDENCE: The home draws up an initial care plan for each resident on admission, looking at all aspects of health, personal and social care needs, and this is reviewed and updated monthly. General risk assessments, including moving and handling, are carried out on each resident and held on their individual file. A recommendation was made that specific risk assessments should also be held on the resident’s individual file and not separately, as at present, in order that all relevant information is accessible to staff in the same place. Relationships with medical services are good and the manager contacts the GP and district nurses as necessary. A district nurse had just visited on the morning of the inspection. Medication recording was up-to-date and accurate and relevant procedures and policies were in place. Only the manager or her husband, who are both trained nurses, administer the medication. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 11 Staff were seen to be patient and to treat residents with respect and kindness. One resident spoken to said that the staff were ‘nice people’ who ‘couldn’t look after me better’. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 12 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 standard(s) 15 Meals are varied and nutritious and taken in pleasant surroundings. EVIDENCE: A four-week rolling menu operates in the home and special diets are provided if required. Residents are verbally informed of the menu and offered alternatives if they wish. Residents spoken to said the food was ‘lovely’ and ‘really nice’. The inspector sat with the residents at lunchtime and observed staff assisting and encouraging residents with meals in an appropriate manner. Residents may eat in the conservatory or in their own room. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 13 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 standard(s) 16 and 18 The home has an appropriate complaints’ policy but needs to ensure that residents and families are provided with up-to-date copies. Whilst adult protection policies are in place, the home is not clear about what procedures to follow should an incident of abuse occur. This could lead to delays in reporting incidents and adversely affect residents’ health and welfare. EVIDENCE: The home’s complaints’ policy has been updated manually, and a recommendation was made that a copy of this be given to residents and their families. Adult protection policies were in place but, during discussion with the manager, it was noted that the home is not up-to-date with local adult protection and POVA guidelines and procedures. In order to ensure the safety and welfare of residents a requirement was made that the manager and staff attend adult protection training. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 14 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 standard(s) 19 and 26 The home has removed some of the cars from the front of the house and cleared some of the building debris from the back garden; however, there is still work to be done to ensure that the outdoor area is safe and pleasant for residents. Inside, the home is clean and hygienic. EVIDENCE: A previous requirement to remove all cars from the front of the building has not been fully attended to, and scaffolding still lies at the rear of the house making the environment look untidy and presenting a risk for residents who may walk unattended. A maintenance book is kept which details all work undertaken to maintain and improve the home. The owner’s son is employed part-time to keep the home clean, and policies and procedures are in place to ensure safe working practices. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the above standards were inspected. EVIDENCE: Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 Records in the home need to be kept fully and accurately to ensure that residents’ health and safety are properly safeguarded. EVIDENCE: A variety of documents were examined and it was found that a number of records were either not available or needed updating. In order to ensure residents’ safety and to comply with the Care Standards Act, a requirement was made that the home must keep a record of all visitors, and must also keep a photograph of each resident on file. A number of policies and procedures also needed updating to ensure that staff are provided with accurate information to enable them to carry out their duties properly and protect residents from unnecessary risks. Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x x 2 x Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 18 YES 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 1 Regulation 4(1)(2) Schedule 1 Requirement The statement of purpose and service users guide must be reviewed and updated and contain all the required information. (Previous requirement date of 31.12.04 not met.) The manager and staff must undertake adult protection training. The outside areas of the home must be cleared and made safe. All records required by the Act must be maintained; specifically a record of all visitors to the home, and photographs of all service users. Timescale for action 30.9.05 2. 3. 4. 18 19 37 13(6) 23(2) 17 Schedules 3 and 4 30.9.05 30.9.05 Immediate 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. 2. Refer to Standard 7 16 Good Practice Recommendations Specific risk assessments should be held on individual care files when completed. Copies of the updated complaints policy to be given to residents and families. H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 19 Chyngton Rise Chyngton Rise H59-H10 S21418 Chyngton Rise V222633 080605 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection 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. 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