Inspection on 06/03/06 for Coniston

This inspection was carried out on 6th March 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 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 12/10/05

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 6th March 2006 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.V286522.R01.S.doc Version 5.1 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.V286522.R01.S.doc Version 5.1 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.V286522.R01.S.doc Version 5.1 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. 12th October 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.V286522.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second inspection of Coniston to take place during the inspection year ending 31st March 2006. The inspection covered those key standards not assessed at the home’s unannounced inspection of 12th October 2005. Both reports together provide an overall assessment of the home’s compliance with all of the National Minimum Standards identified by the commission as needing to be inspected at least once during a 12-month period. The manager and registered owner were both present during the inspection and provided useful feedback as well as documentation relating to the standards assessed. What the service does well: What has improved since the last inspection? What they could do better: Coniston DS0000024363.V286522.R01.S.doc Version 5.1 Page 6 This unannounced inspection only covered a small number of standards, due to the vast majority having been assessed at the announced inspection of October 2005.Some improvements are needed in relation to the systems the home has in place regarding the quality assurance procedures used at the home. 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.V286522.R01.S.doc Version 5.1 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.V286522.R01.S.doc Version 5.1 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): None of the above standards were assessed as part of this inspection. The key standards identified above were assessed as fully met or not applicable at the last inspection of the home. EVIDENCE: Coniston DS0000024363.V286522.R01.S.doc Version 5.1 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): 8 Residents, and their representatives, can be confident that the home ensures that the health needs of residents are fully met. EVIDENCE: The residents’ care plans included an assessment of health needs. Records contained evidence of appointments with healthcare professionals, including chiropody, sight tests and nurse involvement. The manager reported that nurses visit residents with hearing difficulty, and check for wax, before referring on to GP services if required. All residents were registered with a G.P. Feedback from residents has confirmed that these services are all available via the home if necessary. Residents’ case records included weight charts, continence assessments, and falls risk assessments, which included the levels of support needed. Coniston DS0000024363.V286522.R01.S.doc Version 5.1 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): None of the above standards were assessed as part of this inspection. The key standards identified above were assessed as fully met at the last inspection of the home. EVIDENCE: Coniston DS0000024363.V286522.R01.S.doc Version 5.1 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 Residents and their representatives can be confident that the home encourages and enables residents to express concerns or complaints, and that these complaints will be listened to and responded to appropriately. EVIDENCE: The inspector viewed the home’s complaints procedure. The procedure contained all the information identified in the National Minimum Standards. The complaints procedure was displayed in several locations around the home. All of the residents spoken to confirmed that the registered manager and registered owners were present at the home on a daily basis, and were always approachable should residents wish to express any concerns about the home. Records of complaints showed that no complaints had been received by the home since the last inspection in October 2005. Coniston DS0000024363.V286522.R01.S.doc Version 5.1 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 & 26 Residents and their representatives can be confident that the home is safe, clean, pleasant and hygienic, and provides accommodation that meets the National Minimum Standards. EVIDENCE: All of the accommodation is provided in single rooms, or one double room used only for single occupancy. Communal areas include two lounges and a decked seating area outside. The inspector found the home to be well maintained on the day of this unannounced visit. Residents who spoke to the inspector commented positively on the decking area, with one in particular saying that they couldn’t wait for the weather to improver so they could enjoy the views again. Externally, the decking area was well maintained, and furnished with appropriate seating and plants to enhance the overall quality of the area. The home had washing machines that had a sluice cycle, the facility to wash laundry at over 65°. The home was clean and tidy on the day of the inspection, with no unpleasant odours present. The home employs two part time (4 hours per day each) domestic staff each day during the week, and one at the Coniston DS0000024363.V286522.R01.S.doc Version 5.1 Page 13 weekend. The home had a written COSHH safety assessment, completed in February 2005. Coniston DS0000024363.V286522.R01.S.doc Version 5.1 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): 27 Residents and their representatives can be confident that the home is staffed by sufficient numbers of suitably skilled staff to meet the assessed needs of residents, whose needs fall within the home’s categories of registration. EVIDENCE: Examination of the rota showed that the home maintains minimum staffing levels of 3 carers during the day, in addition to the registered manager, and ensures that 2 waking night staff are on duty every night. As stated previously, domestic staff were employed for a combined total of 48 hours per week. Residents made no adverse comments about the staffing levels, and the ability of staff to respond promptly, when assistance was summoned. Coniston DS0000024363.V286522.R01.S.doc Version 5.1 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): 33, 35 & 38 Residents can be confident that their views about the service will be sought, however the lack of published results of service user surveys and the lack of the views of other stakeholders, such as family and friends of residents and healthcare providers such as chiropodists were not available, and therefore residents could not be confident the homes quality assurance procedures were fully effective. Residents can be confident that their financial interests are safeguarded, and that their health and safety, as well as that of staff is promoted and protected. EVIDENCE: The inspector saw evidence, in the form of completed questionnaires, that the home sought the views of residents in this way. Similarly, records of residents meetings showed that residents were listened to. An example of this was the Coniston DS0000024363.V286522.R01.S.doc Version 5.1 Page 16 minutes of a residents meeting showing dissatisfaction with a cook employed by the home. The proprietor confirmed that as a result of this feedback, the cook had been dismissed, and a replacement sought. Their was evidence, in the form of returned questionnaires from residents and relatives, that quality monitoring surveys had been undertaken of the views of those using the service, however, these did not include the views of other stakeholders in the community, such as GP’s, chiropodists etc. There was no evidence of the results of resident’s satisfaction questionnaires being published, although, following the inspection, the proprietors confirmed this was planned for the near future. There was evidence in the form of a notice, directing staff to read and sign to declare that they had read a new health & safety policy, confirming that policies were reviewed in light of current developments. The inspector examined the home’s risk assessment folder, which contained all the environmental and generic risk assessments relating to the workplace. The assessments seen included fire safety, legionella and infection control. Records of fire drills and tests of fire safety equipment were present and showed regular testing of all appliances and alarm systems. The fire safety risk assessment was dated pre 2004, and advice was given to the registered proprietor that new legislation was due to be implemented in October 2006, so new risk assessments would be needed. Coniston DS0000024363.V286522.R01.S.doc Version 5.1 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 3 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 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 3 Coniston DS0000024363.V286522.R01.S.doc Version 5.1 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. 1 2 Refer to Standard 33 33 Good Practice Recommendations The registered persons should ensure that the results of service user surveys are published and made available to current and prospective service users The registered persons should ensure that the views of family and friends and of stakeholders in the community (eg GP’s chiropodists and voluntary organisation staff) are sought on how the home is achieving goals for service users. Coniston DS0000024363.V286522.R01.S.doc Version 5.1 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Coniston DS0000024363.V286522.R01.S.doc Version 5.1 Page 20 - 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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