CARE HOMES FOR OLDER PEOPLE
Compton House Otterbourne Road Compton Winchester Hampshire SO21 2BB Lead Inspector
Isolina Reilly Unannounced Inspection 11th October 2005 09:30 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 Compton House DS0000011878.V257255.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. Compton House DS0000011878.V257255.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Compton House Address Otterbourne Road Compton Winchester Hampshire SO21 2BB 01962 712086 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) Mr Martin Kenneth Peake Mr Ronald John Simkin, Sandra Winifred Peake Mrs Miriam Long Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12) of places Compton House DS0000011878.V257255.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users in LD category must be at least 50 years of age. Date of last inspection 14th June 2005 Brief Description of the Service: Compton House provides care for up to twelve male and female older service users over the age of 50 with learning disabilities. Three Directors own the home privately with Mr Martin Peake as the registered individual and Mrs M Long as the employed registered manager. The home is situated in a quiet rural outskirts of Winchester. Local services and amenities require transport to access although there is a local garage and shop within reasonable walking distance. The Home hires appropriate transport and staff cars are available to access the community. The building is a double storey domestic in style house, comprising of two large single bedrooms and five large double bedrooms. The home’s communal space comprises of one lounge, additional open plan sitting area and a separate dining room. Compton House is surrounded by substantial parkland and has large gardens with it’s own resident family of deer, providing additional recreational space and parking. Compton House DS0000011878.V257255.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The staff and some of the service users spoken with preferred to be identified as residents rather than service users. On the day of this unannounced visit the opportunity was taken to look around the home, view records and talk to service users and staff. Most of the residents were seen during the inspection and several were spoken with. The manager and one of the directors of the home assisted that inspector and two staff were briefly spoken with. The home has supplied extra written information for this inspection prior to the visit. This report should be read with this year’s inspection report completed this year on 14th June 2005. What the service does well: What has improved since the last inspection?
The home looks homely, comfortable and suitable for the residents because of the on going redecoration and replacement of carpets and furniture. There are new liquid soap dispensers being installed in each toilet and bathrooms. Since the last inspection, the home has finished and recorded a risk assessment for the building and grounds and is now recording the freezer temperatures for the freezers kept in the garage. The garage has been partially tidied making access to the freezers easier. Compton House DS0000011878.V257255.R01.S.doc Version 5.0 Page 6 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. Compton House DS0000011878.V257255.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 Compton House DS0000011878.V257255.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): 3 and 6 These standards were assessed and met at the last inspection this year. EVIDENCE: Compton House DS0000011878.V257255.R01.S.doc Version 5.0 Page 9 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 and 10 These standards were assessed and met at the last inspection this year. EVIDENCE: Compton House DS0000011878.V257255.R01.S.doc Version 5.0 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, 13, 14 and 15 These standards were assessed and met at the last inspection this year. EVIDENCE: Compton House DS0000011878.V257255.R01.S.doc Version 5.0 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 and 18 These standards were assessed and met at the last inspection this year. EVIDENCE: Compton House DS0000011878.V257255.R01.S.doc Version 5.0 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 and 26 The home presents as a clean, homely, comfortable and suitable environment for the residents. The standard of the décor within the home is adequate with evidence of on-going maintenance. EVIDENCE: The home was clean, warm and no offensive odours were detected. The residents stated that they liked their home. The manager and owner confirmed that there has been on going decorating including the lobby, hallway, stairs, landing and a bedroom on the first floor. The bedrooms seen on the tour around the home were clean, bright and warm, furnished to the individuals taste and many had been personalise. The manager confirmed that they have purchased liquid soap dispensers to be fixed to the wall and paper towel dispensers are being replaced. However, terry towels are still being used because of the on-going behaviour of one resident. The manager confirmed that the towels are replaced twice every
Compton House DS0000011878.V257255.R01.S.doc Version 5.0 Page 13 shift and is going to implement a record for signing that the towels are being replaced. Disposable gloves and aprons were available around the home. Compton House DS0000011878.V257255.R01.S.doc Version 5.0 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): 29 The owners continue to delay in issuing employment contracts to staff working. EVIDENCE: The service users spoken with described the staff as ‘caring, kind and nice. The inspector observed that the staff interacting and engaging the residents respectfully. Compton House DS0000011878.V257255.R01.S.doc Version 5.0 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 and 33 The home is adequately run an experienced manager supported by one of the registered individual. The home has improved the risk assessment and freezer temperature recording for the building that ensures everyone is protected. The home has adequate systems in place for self-monitoring, annual review and development. EVIDENCE: The manager has many years experience within social care field for older people and those with dementia type needs. This is evident in the good service provided and a happy staff team. She undertakes regular updating training with the staff team and has a National Vocational Qualification Registered Manager’s Award. The staff spoken with confirmed that there is a clear line of authority within the home. The manager is always looking for ways to improve the service and efficiency.
Compton House DS0000011878.V257255.R01.S.doc Version 5.0 Page 16 Since the last inspection, the home has measured and recorded the temperature of the two freezers in the garage. The garage has been partially cleared to improve the access to the freezers but the owner confirmed that he has further work to do to make it better. The home has updated the building’s risk assessment. However, the final report was not available on this visit. The manager confirmed that the home is due to start this year’s survey next month. Last year’s residents, family and friends and professionals questionnaires were sampled and found to be positive in the care provided and attitude of staff. The home has an informal process of continuous audit. This was discussed with the manager who gave verbal undertaking to implement a formal system for measuring the quality of the service provided and how it maybe improved. Compton House DS0000011878.V257255.R01.S.doc Version 5.0 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X X Compton House DS0000011878.V257255.R01.S.doc Version 5.0 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Compton House DS0000011878.V257255.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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