Inspection on 12/10/05 for Coniston

This inspection was carried out on 12th 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.

Other inspections for this house

Coniston 16/02/09

Coniston 19/02/07

Coniston 06/03/06

Coniston 21/03/05

Coniston 28/09/04

Coniston 25/02/04

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

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

CARE HOMES FOR OLDER PEOPLE Coniston Garfield Road Felixstowe Suffolk IP11 7PU Lead Inspector Joe Staines Unannounced Inspection 12th October 2005 10:00 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 Coniston DS0000024363.V261325.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. Coniston DS0000024363.V261325.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Coniston Address Garfield Road Felixstowe Suffolk IP11 7PU 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) 01394 278484 01394 274441 Mr Colin Robert Bentley Ms Katherine Ann Earland Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (21) Coniston DS0000024363.V261325.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Number of Service Users The number of service users is not to exceed 21 (OP 21, MD 1) Designated Double Room All bedrooms to be single accommodation except Room 7 which is designated as a double room if required. Care Staff on Duty There will be a minimum of 3 (three) care staff on duty at all times between 08.00 and 22.00, and 2 (two) carers on duty at all times between 22.00 and 08.00. 21st March 2005 Date of last inspection Brief Description of the Service: Coniston is situated in a residential area of Felixstowe, a busy seaside town with a good selection of shops and sea front facilities. The building is believed to be approximately 100 years old and is built into the cliff side. A new extension was completed in 2004, which adds a first floor level to the building. This has increased the number of places to 21. The new rooms considerably exceed the basic space requirement, had en-suite facilities including a shower, and all doorways are wide enough to allow the easy passage of wheelchairs. One of the new rooms has been designated a double room, all other rooms being single. The new entrance to the home is on this first floor, leading off the driveway across a footbridge, and provides level access to the home. The lounge and Dining Room have very pleasant views with the new bedrooms upstairs to the front of the building have views out over the sea. The Home has a pleasant, well-tended garden with shrubs and pots, which are looked after by the more able service users. A large area of wooden decking has been built to the rear of the house, and there is a summerhouse at the end of the garden that service users are able to use. Coniston DS0000024363.V261325.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second of the two statutory inspections for the year 1st April 2005 - 31st March 2006. The inspection was undertaken by Joe Staines (Regulation Inspector) with the assistance of Mrs Kathy Earland (deputy manager) and Mr Colin Bentley (proprietor). Mrs Earland, Mr Bentley, the staff on duty and service users living in the home were all helpful and contributed fully to the inspection process. The inspection focussed on a number of National Minimum Standards, identified by The Commission for Social Care Inspection as needing to be inspected during a 12 month period. Of these, those standards not assessed on this occasion will form the focus of the next inspection, due to take place before March 31st 2006. The inspector interviewed a total of 7 service users during the visit, which also included the examination of service users and staff files, relevant records and policies/procedures. What the service does well: What has improved since the last inspection? All of the requirements and recommendations made in the report produced following the last inspection of the home had been implemented, with improvements particularly noted in relation to the home’s activities provision. Staff recruitment recording had also been improved, along with minor amendments to the statement of purpose and complaints procedure. Coniston DS0000024363.V261325.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. Coniston DS0000024363.V261325.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 Coniston DS0000024363.V261325.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&3 Service users can expect to receive accurate and relevant information about the home, including the services provided, before and during residence, and can also expect to have their needs comprehensively assessed prior to moving in to the home. EVIDENCE: The inspection of the home’s statement of purpose confirmed that all the information required by the regulations was present, including additional information about the home’s compliance with the National Minimum Standards in relation to communal space, room sizes and provision of assisted baths. The inspector examined 20 of care plans and found each to contain evidence of assessment, covering the areas identified in the National Minimum Standards. These assessments formed the basis of the care plans, which in turn, identified the actions the home had identified as necessary to meet the identified needs and preferences of service users. Coniston DS0000024363.V261325.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, 9, 10 & 11 Residents can expect to receive very detailed planned care which would be regularly updated and which would reflect their individual needs and wishes. Residents can also expect to receive medication, administered in accordance with relevant guidelines, and be treated with respect whilst their dignity is maintained, up to and after the time of their death. EVIDENCE: As stated above, the care plans examined by the inspector contained clear and detailed information about the individual needs and preference of each service user. The plans seen included a separate page for recording reviews of the care needs of service users, with evidence of changes to routines where the needs of the service user had changed. All of the plans examined showed evidence of promoting the independence and dignity of service users, with clear and detailed descriptions of the level and type of personal care required. All of the plans examined contained detailed past histories of service users, and guidance regarding their routine covering morning, breakfast, lunch, afternoon, supper, retiring and during the night. Coniston DS0000024363.V261325.R01.S.doc Version 5.0 Page 10 The inspection included the examination of records in relation to medication receipt, storage and administration. The medication administration records were well maintained, with the initials of staff members present for all medicines administered, and codes used for any instances on nonadministration. A record is kept of medication returned to the pharmacist unwanted or unused. The pharmacist signs the record. Care plans included notes regarding the provision of personal care with regard to service users privacy and dignity. The plans indicated that service users were encouraged to participate in their own personal care where possible, and encouraged to make choices about, for example, what clothes to wear. Service user’s verbally confirmed to the inspector that the staff at the home respected their privacy. All of the rooms had en-suite facilities. The home’s induction programme included a section on the aims and objectives of the home, including the promotion of privacy and dignity of service users. Relatives of service users who are very ill are able to stay at the home in order to be close at hand. The manager said that this had happened recently in relation to one service user. The family concerned were able to stay overnight. Care plans included the details, where provided, of the arrangements preferred by service users in the event of their passing away whilst at the home. The home had a written policy on the care of service users who are dying, including a commitment to continuing to provide care where possible, and liaising with healthcare professionals to ensure the provision of appropriate support services. Coniston DS0000024363.V261325.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, 14 & 15 Residents can expect to receive very detailed planned care which would be regularly updated and which would reflect their individual needs and wishes. Furthermore, they can expect to be enabled to make decisions about their life, and be supported to maintain contact with friends and family members, achieve more independence, and to follow their own personal goals. Residents can also expect to receive a wholesome and nutritious diet, within a flexible routine of eating, based on resident’s preferences. EVIDENCE: The home has employed a worker with specific responsibility for activities. The inspector saw evidence, in the form of an activities folder, which confirmed the seeking of service users’ preferences in relation to activities, records of activities undertaken (at least one structured per week, with additional one to one work undertaken by the activities co-ordinator), including quizzes, trips out to local areas, musical entertainment and future bookings of speakers. Service users confirmed that they were able to have visitors at any time, and their friends and visitors were always given a warm welcome. Several service users commented that their visitors often stayed for meals, as the hospitality Coniston DS0000024363.V261325.R01.S.doc Version 5.0 Page 12 and food at the home were so good. The visitors book contained evidence of at least 47 visitors to home in the 7 days preceding this unannounced inspection. All of the service users manage their own finances, with no involvement from the home. All of the service users interviewed by the inspector stated that the food provided was good quality, and that they were given a choice of at least two options for the meals provided by the home. The evidence of lists retained in the kitchen, confirmed that staff sought the preference of each service user prior to the preparation of meals. Coniston DS0000024363.V261325.R01.S.doc Version 5.0 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 the following standard(s): 18 Service users can expect to be safeguarded from abuse by the home’s policies and procedures. EVIDENCE: There was evidence, in the form of induction records, which confirmed that new staff receive training in the home’s procedures for responding to allegations and/or suspicions of abuse. A copy of the local adult protection committee’s protocols for the management of allegations/suspicions of abuse of vulnerable adults was also present. Coniston DS0000024363.V261325.R01.S.doc Version 5.0 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 the following standard(s): None of the above standards were assessed. These will be assessed at the next inspection of the home. EVIDENCE: Coniston DS0000024363.V261325.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): 28, 29 & 30 Residents could expect the home to be adequately staffed, with employees who were competent, supervised and trained to meet the specialised needs of the service user group. Residents could expect that they would be safe due to the homes recruitment procedures. EVIDENCE: Staff records contained individual training records. Evidence was seen of routine training taking place in areas including fire safety, moving & handling, food hygiene, funeral awareness, medication and 1st Aid. NVQ training for staff was ongoing. The examination of staff recruitment records showed that all the required checks were undertaken, prior to staff commencing employment at the home. Coniston DS0000024363.V261325.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 & 37 Service users can expect that the home is well managed, by a person competent to do so, with records maintained in accordance with service user best interests. EVIDENCE: Coniston DS0000024363.V261325.R01.S.doc Version 5.0 Page 17 The current manager of the home has over 8 years experience of managing the home. She has kept up to date with current practices by attending regular training courses. However, the manager informed the inspector that she had decided not to pursue further management training, and was due to change roles within the home to that of care manager, with a more “hands on” role, as opposed to management. The proprietors are aware, and informed the inspector that they support the decision taken. A new member of staff has been identified as a possible successor, and the proprietors reported that a programme of training has been identified to ensure the person identified has the necessary experience and qualifications to achieve registration with the Commission. All of the records seen by the inspector were up to date and safely stored within a lockable office. The manager reported that service users can access their records at any time by making a request to do so. Coniston DS0000024363.V261325.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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X 3 X Coniston DS0000024363.V261325.R01.S.doc Version 5.0 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. 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 Coniston DS0000024363.V261325.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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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