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Inspection on 17/10/05 for Compton House

Also see our care home review for Compton House for more information

This inspection was carried out on 17th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

Regular fire drills are now carried out to ensure both the residents and staff are aware of the correct procedures to follow in the event of a fire in the home. The Statement of Purpose and Service User Guide have both been reviewed and updated in September 2005. A new assisted bathroom and separate shower room have been installed.

What the care home could do better:

The staff records were examined to check the recruitment procedures for the home. Eight of the staff files checked showed that all the relevant checks had been carried out with regard to references, and CRB checks. However two files examined showed that the recruitment procedures with regard to references were not in all cases being followed. Although the water temperatures were checked regularly it was noted that none of the washbasins had pre-set valves fitted. This issue was discussed with the Registered Manager who informed the inspector that the Trustees of the home were looking into the matter.

CARE HOMES FOR OLDER PEOPLE Compton House Nursing Home 40 Compton Road Linfield Haywards Heath West Sussex, RH16 2JZ Lead Inspector Mrs J Hough Announced Monday, 17 October 2005. V245680 th 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. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Compton House Nursing Home Address 40 Compton Road, Linfield, Haywards Heath, West Sussex, RH16 2JZ. 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) 014440482662 Mrs Christine Corbett Taylor Mrs Sheila Long Care Home (CRH) 26 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 26 of places Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25/5/05 Brief Description of the Service: Compton House Nursing Home is a charity care home providing personal and nursing care for 26 residents in the category of the older person. The home is a three-storey detached building in a quiet residential area in the village of Lindfield in West Sussex. It is situated approximately 200 yards from the local village shops and high street. The residents accommodation is provided in 22 single bedrooms, 13 of which offer en-suite facilities, and 2 shared bedrooms, 1 with an en-suite bathroom. Accommodation is situated on the ground and first floor accessible via a passenger lift. Communal space consists of a large lounge and dining room. The Registered Provider is Lindfield Christian Care Home with Mrs Christine Corbett Taylor as the Responsible Individual and Sheila Long as the Registered Manager responsible for the nursing and care team and the day to day running of the home. Part of the management team is the House Manager who is responsible for the financial and maintenance of the home. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on 17/10/05 over 6 hours and Sheila Long the Registered Manager was present at the inspection and provided the information necessary. Further information was gathered from the residents and relatives comment cards and the pre-inspection questionnaire completed by the Registered Manager. A tour of the premises took place and some of the resident’s rooms were seen together with examination of records with regard to staff recruitment, resident’s care plans and assessments, complaints, accident and maintenance records. Seventeen residents, and three members of staff were spoken with to find out what it was like living and working in the home. Two visitors were also asked for their views about the home. Not all the standards were inspected on this inspection as they were covered and all met on the unannounced inspection on 25/5/05. What the service does well: On entering the home the atmosphere was welcoming and homely. The home was clean and fresh in all areas and the décor and furnishings were of a high standard. Some of the residents have furnished their rooms with their own small pieces of furniture and personal possessions making the room personal to their requirements, and providing them with some memories from home. The residents spoken with praised the staff for their kindness and care and all said the home was the next best thing to living in their own homes. Time was spent sitting in the lounge speaking with the residents and lunch was observed in the dining area. The atmosphere was very pleasant during lunch and the staff were observed assisting and serving the residents with their food in a caring and pleasant manner. The home is well run by an experienced and qualified manager and on speaking with the staff and the residents and examining records, the inspector concluded that the home continues to provide a high standard of care to the residents. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 6 The nursing and care team are well supported and provided with the appropriate training for them to carry out their work to a high standard. The nine comment cards returned gave positive feedback with regard to the care, food and staff attitudes. 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. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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 Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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) 2,4, & 5 Admissions to the home are well planned. The staff have the skills and experience to provide the residents with a high standard of care. EVIDENCE: All residents have a copy of the terms and conditions of the home on their file and at present these are being reviewed by the Trustees of the home. The home has an in-house trainer who provides most of the training for the staff, and on looking at the training records on computer it was seen that an accurate record of training is maintained that allows the trainer to see what training has been completed and when training is due to be updated. Training is arranged each month that covers four different topics. The home encourages the new resident to visit the home and meet the staff and other residents, before they make a decision to stay. The home does not generally take unplanned or emergency admissions Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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 standard(s) 7,9 & 11 All residents have a detailed care plan identifying the level of care and assistance they require. The home has medication procedures in place for the safe administration of all medicines The home has policies and procedures in place on caring for the resident who is dying. EVIDENCE: A sample of five care plans and assessments were examined and all were found to give a detailed account of the resident’s needs and the level of care and support that is required from the staff. All care plans were reviewed on a monthly basis or sooner, if it is identified that the needs have changed. Where possible the care plans are signed by the resident or a relative as evidence that they have been involved or consulted about their care. All residents where able have their weight monitored on a monthly basis and risk assessments are completed where appropriate. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 10 The medication administration records were examined together with the storage and recording of Controlled Drugs. All records were well maintained and accurate and the resident’s medication is reviewed on a regular basis as part of the weekly visits by the GP. Following the change in regulations for the disposal of medicines, the home has made the appropriate arrangements with the Clinical Waste Company who has a licence to dispose of the home’s unwanted medicines. The home endeavours to care for the residents who are in declining health and are dying. The residents are able to spend their final days in the home with the support of other professionals, family and friends if required, unless there are strong medical reasons to prevent this. Staff have the training and support from the home to enable them to care for the dying resident. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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 standard(s) 14 The home supports the residents to make decisions and choices about their life. EVIDENCE: Some of the resident’s rooms contained their own small items of furniture and possessions, which were agreed prior to admission. The home does not generally like to get involved with the financial affairs of the residents, and for those residents who are unable or have chosen not to handle their own money, then a relative or representative takes on this responsibility. The staff at the home give the residents every opportunity to make choices, where able about what they wish to do. The residents spoken with said they were able to choose what time they went to bed and got up in the morning, and selected the clothes they wished to wear each day. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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 standard(s) 16,17, & 18 The residents are provided with the information on how and to whom to make a complaint. Robust policies and procedures are in place for dealing with any allegation or suspicion of abuse within the home. EVIDENCE: The home has a clear complaints procedure explaining the process for complaints with timescales for response. The complaints book was seen and the home has no recorded complaints in the past year. The residents spoken with said they would speak with the Registered or a senior member of the staff if they had any reason to complain. The home has the West Sussex Adult Protection Procedures in place and the senior members of staff have undergone the West Sussex Adult Protection training. All the staff are provided with training on abuse as part of the induction programme for new staff, and further training is updated on an annual basis for all staff. Management and staff are fully aware of their responsibilities in the event of an allegation or suspicion of abuse happening in the home. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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 standard(s) 20,21,22,23,24,& 25 The home offers a safe, comfortable and pleasant environment for the residents. EVIDENCE: On touring the premises the home was found to be clean, comfortable and decorated and furnished to a high standard. The resident’s rooms and the communal space of the lounge and dining room meet the needs of the residents accommodated. Bathing and toilet facilities are adequate for the number of residents and the home has recently refitted two of the bathrooms to make an assisted bath and a walk/sit in shower unit. The home provides grab rails in corridors, bathrooms and toilets and other areas to suit individual resident’s needs. A passenger lift gives access to all floors and there are four portable hoists with all rooms having nursing beds. All the resident’s rooms have a call bell system installed to enable the residents to call for assistance when needed. All the resident’s bedrooms doors in the extension to the home have locks fitted but the residents living in the old part of the house only have locks fitted on request. Water temperatures are recorded weekly to prevent Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 14 the risks from scalding, and all baths are fitted with pre-set valves to control water temperatures at appropriate levels. However, the washbasins are not fitted with valves and the inspector was informed that the Trustees are looking into this matter. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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) 27 &29 The staffing numbers are appropriate to provide the residents with the level of care they need. The recruitment procedures for the home with regard to obtaining references could be improved. EVIDENCE: The staff rotas show that there are two qualified nurses and four care assistants on duty in the morning, and one qualified nurse and three care assistants in the afternoon, plus an extra care assistant on duty in the morning and evening shift, the busiest times of the day. At night there is one qualified nurse and two care assistants on duty. On speaking with the residents they felt that the levels of staff on duty were appropriate for their needs. The staff also felt that the numbers of staff on duty at each shift were good. Ten staff files were examined and all staff have the appropriate checks carried out prior to working in the home. However two files examined showed that one member of staff only had one reference on file, and another member had two references but neither reference was from the present or past employer. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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) 31,33,35,36,37 & 38 The home is managed by a competent and experienced manager. As far as reasonably practicable systems and procedures are in place to protect the residents and staff from harm. EVIDENCE: The Registered Manager Sheila Long is a qualified nurse with many years experience working with the elderly and has a managerial qualification. She has been the manager of Compton House for eighteen months. There are clear lines of accountability within the home as stated in the home’s Statement of Purpose. The home has produced resident and relative’s questionnaires that are distributed at regular intervals to find how the residents experience the services provided. An internal audit of the responses is carried out and if the Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 17 feedback identifies any improvements the appropriate action is taken. All the care staff receive formal supervision that is carried out by the trained nurses at least six times per year. The home is also planning to carry out annual appraisals for all staff working in the home. The home handles small amounts of spending money for some of the residents and written records are maintained for all transactions and the money is kept secure in the general safe. All the policies and procedures for the home are in the process of being reviewed and updated. All records are kept secure in locked filing cabinets. The maintenance records for the home showed that all systems and equipment in the home are serviced and maintained to a safe level at the appropriate intervals. All accidents, injuries and incidents are recorded and reported to the appropriate authorities. Staff training records show that all nursing and care staff are provided with all the mandatory training, which is updated in the appropriate timescales. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 x 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION x 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x 3 x 3 3 3 3 Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 19 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 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. 1. Refer to Standard 29 Good Practice Recommendations References obtained for new staff must follow the recruitment procedures for the home and the Registered Person must be satisfied as to the authenticity of the references. Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Compton House Nursing Home H60-H11 S24131 Compton V245680 171005 Stage 4.doc Version 1.40 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. 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. 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