Inspection on 12/04/06 for Cornelius House

This inspection was carried out on 12th April 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

Cornelius House 12/01/09

Cornelius House 07/08/08

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Cornelius House 114 Fishbourne Road (West) Chichester West Sussex PO19 3JR Lead Inspector Mrs H Church Unannounced Inspection 12th April 2006 09:00 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 Cornelius House DS0000065835.V289249.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. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cornelius House Address 114 Fishbourne Road (West) Chichester West Sussex PO19 3JR 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) 01243 779372 Cornelius House Limited Miss Pamela Annette Venus Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Cornelius House is a care home registered to provide accommodation for up to twenty residents over 65 years of age. The home has recently been registered with new providers Cornelius House ltd. Mr John Kellas is registered as the Responsible Individual representing the company. Ms Pamela Venus remains the registered manager employed by the new company to oversee the day-today management of the establishment. Cornelius House is situated in a quiet residential area approximately a mile from the town centre of Chichester and approximately three miles from the seafront. The care home is a large, three-storey establishment with the main garden lying to the front of the property and contains a summer-house, flower borders and large lawn. The side and rear gardens are well laid out with flower beds, bird tables and small seating areas. The accommodation is currently arranged for eighteen persons to have single occupancy. However, building work has commenced to provide two additional rooms with en-suite facilities to meet in full the registered numbers. All existing rooms have en-suite facilities with a lift providing access between all the rooms. There is a large communal lounge/dining room and a separate lounge for smaller groups. Fax no: 01243 783237. e-mail address: Cornelius.house@btconnect.com Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection followed the registration of the new company, Cornelius House Ltd. and was planned to take part in the morning and over the lunch time period. The manager was present for part of the inspection but during her absence; her newly appointed deputy assisted the inspector. For each of the Standards assessed, the majority of outcomes were good but two standards required some attention, namely 1 and 9 so the outcomes for these were judged to be adequate. The inspector noted that most of the residents were in their rooms but as the inspection progressed, residents congregated in the main lounge and most residents came to the dining room for lunch. Although it was a pleasant day, it was too cold for residents to be out in the gardens to enjoy the sunshine. To prepare for this inspection, the issues raised during the registration process was re-examined together with the documents provided to the Commission for Social Care Inspection during the process of registration. Two documents, the Statement of Purpose and Service Users Guide that form a contract of service, were in draft from with some parts requiring either amendment or inclusion of information. When finalised, the manager has stated it is to be reissued to residents with a copy to be sent to the Commission for Social Care Inspection for their records. During the inspection, twelve residents gave their views to the inspector. Some residents were seen privately in their rooms, whilst others were seen in the lounge/diner as they congregated before lunch. Three members of care staff also gave their views. Three residents records were examined to see if the care being provided was as residents described. All residents were able to give a clear account of their life at Cornelius House and it was clear that the change of ownership had been skilfully managed as no resident felt there had been a major change to the way they lived their lives there. Without exception all comments were enthusiastic about the staff and the way care was provided. Residents were very forthcoming with their views so it was clear that residents are encouraged to say what they like or don’t like about the home. The care staff were clearly relaxed under the new company and felt that training was now a high profile, the majority being provided by outside professionals. Some in-house training is still provided and the appointment of the deputy allows the manager more time to spend with staff and residents seeking their views. The care plans showed that the care provided is appropriate according to the needs of the residents and the right amount of support to maintain independence and ensure resident’s lives continue to improve was given. There were no requirements or recommendations made at this inspection. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 6 What the service does well: 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. Cornelius House DS0000065835.V289249.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 Cornelius House DS0000065835.V289249.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): 1,2,3,4,5. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. For standards 2,3,4,and 5 all outcomes were good. Standard 1 was adequate. All residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable. EVIDENCE: The proprietors are in the process of providing a final version of the Statement of Purpose and Service Users Guide for all their residents and representatives. Contacts are in place and have been redistributed following the change of ownership. Three care plans showed that residents had been assessed to ensure the home would be able to meet their needs. Risk assessments were in place (although some of these could include potential risk from medical information) and care Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 9 plans to instruct staff how to meet identified needs had been written from the assessments. It was clear from the staff member that they were well informed about the care needed and were updating records accordingly. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Outcomes were good for Standards 7,8 and 10 and for Standard 9, adequate. All residents had an individual care plan set out for staff to follow. The home operates a policy where all medication is managed by care staff. Care staff are meeting the health care needs of the residents in a respectful manner. EVIDENCE: Three care plans gave good, clear information of care needed with risk assessments giving staff information about the risks and how to minimise these. Medication sheets were completed accurately and staff were clearly referring to and following up any care directed by the primary health care team. One resident’s medical history had been transferred without staff fully understanding the risks of the resident refusing the medication. The manager has agreed to investigate this aspect more fully. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 11 Care staff spoke to and cared for residents in a respectful manner by knocking on doors before entering and speaking to residents in a caring manner. A number of comments were received about the home and these included “The girls are so kind, they do more and more”, “Treat me kindly” and “Lovely place, top notch”. The relative commented, “I feel part of the family here”. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. For each Standard 12, 13, 14, and 15 all outcomes were good. Activities are suitable for current residents, visiting is positively encouraged and residents are served meals that are nutritious and appetising. EVIDENCE: There are seventeen residents living in the home at present and as care staffing hours have been increased, care staff are able to spend individual time with them. Visitors are always made welcome and this was confirmed by the visitor’s book. Activities are based on resident’s wishes and abilities with a new activity being provided from residents’ requests. Activities range from individual to group activities and range from music and movement sessions led by a qualified Occupational Therapist to craft sessions, where residents make greetings cards to trips out for shopping or local outside places of interest. The inspector noted a communal jigsaw puzzle on the table in the small lounge. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 13 The resident’s comments included lavish praise for the home cooked food. The inspector tasted the high quality of the homemade meal prepared from fresh ingredients. The menus are changed regularly according to feedback. Where residents prefer an alternative, this is provided and it was clear that meals are a high focus for all residents. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 14 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): 16,17,18. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. For each standard assessed, all outcomes were good. Residents are confident that complaints are taken seriously and acted upon appropriately. Staff have had in-house training in adult protection procedures so are equipped to protect residents from abuse EVIDENCE: The home has a complaints procedure displayed in the home and due to be included in the Statement of Purpose and Service Users Guide. Residents are encouraged to voice their opinions and relatives know who to complain to, but there were no records of any complaints. The West Sussex Multi Agency guideline in protecting vulnerable adults was displayed prominently on the staff notice board and the manager told the inspector that in-house training had been provided but she was seeking a professional training course to consolidate this. Staff, when questioned, clearly knew how to report and respond to any allegations made and knew how to implement the West Sussex County Council procedure. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 15 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 to 26 inclusive Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. For each of the Standards assessed, outcomes were good. The indoor and outdoor areas used by residents are clean, safe and homely with good access to all parts. Resident’s rooms are suitable and homely. EVIDENCE: Residents can move safely around the home as they wish with good access to the comfortably furnished lounges and dining area. The dining room tables accommodate up to six residents to retain a family atmosphere. The feature gardens have been designed to assist residents to walk independently or use a wheelchair. A summerhouse and occasional garden furniture is provided. There are enough toilets and assisted baths to meet the needs of residents. A hot water system, approved by the Environmental Health Officer and checked Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 16 weekly, protects residents from scalding water temperatures. Radiators are guarded and the home was clean and hygienic throughout. Resident’s rooms were homely and comfortably furnished with their own possessions around them. Training in fire safety procedures and fire risk assessments were in place. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 17 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): 27,28,30. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The duty rota indicated sufficient staff are on duty over the 24 hours period to meet needs. Recruitment processes were in place to ensure residents are protected. EVIDENCE: The inspector joined the staff and manager as they assisted residents during the morning and over the lunch time period. The rota confirmed that additional staff hours were provided to give each resident individual attention. The numbers and skill mix of staff was appropriate to meet their needs. Staff said they were relaxed and happy working at Cornelius House and had felt well supported by the manager over the change of ownership. The manager explained that recruitment and staffing records were consistent with references and Criminal Records Bureau checks being carried out. The inspector did not inspect the records on this occasion. The staff training has improved with the provision of professional training courses and the manager told the inspector that this is to be increased to include other formal training. Existing staff had all been included on the new training programme and with the appointment of the deputy manager, inhouse training can be increased where a need is identified. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 18 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): 31,32,33,34,35,36,37,38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. For each of the Standards assessed, outcomes were good. The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected. EVIDENCE: The home has changed ownership and the Responsible Individual is Mr John Kellas. To date the Commission for Social Care Inspection has not yet received a Regulation 26 Notice but it is accepted that many documents had needed to be changed to take into account the change of ownership. Ms Pamela Venus is the registered manager and has completed the Registered Managers Award and National Vocational Qualifications 4 in Care. Ms Venus Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 19 has provided continuity throughout the change of ownership and has managed the care of residents and supervision of all care staff throughout. The provision of a deputy manager has been of great assistance to Ms Venus and it was clear from the staff praise of Ms Venus’s leadership style that her support enables them to carry out their roles continuously. Resident’s needs are well met and their health, safety and welfare promoted and protected. All rooms meet the National Minimum Standards with many exceeding the standard in useable space, giving residents sufficient space for personal possessions or any necessary equipment to support their care needs and move around their rooms safely. A student has undertaken a Quality Assurance Monitoring System in the home and the manager is awaiting the information in a collated format to give residents the results of the feedback given. According to the manager and her deputy, supervision is being provided to all staff according to the National Minimum Standard and staff were benefiting from this. Training has been provided where individual need in supervision has identified this. National Vocational Qualifications are still being encouraged for all care staff and although the deputy manager has arranged to undertake National Vocational Qualifications level 4, many of the current staff have not yet considered this. Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 20 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 3 4 4 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 21 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 Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Worthing LO 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 Cornelius House DS0000065835.V289249.R01.S.doc Version 5.1 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!