Inspection on 25/07/05 for Cornerways

This inspection was carried out on 25th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cornerways 19/12/09

Cornerways 19/06/09

Cornerways 22/06/07

Cornerways 10/08/06

Cornerways 16/01/06

Cornerways 22/02/05

Cornerways 17/08/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Cornerways Church Lane Kings Worthy Winchester SO23 7QS Lead Inspector Tracey Box Unannounced 25.07.05 10:00am 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. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cornerways Address Church Lane, Kings Worthy, Winchester, SO23 7QS 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) 01962 882060 Hampshire County Council Mrs H Hiskett CRH 40 Category(ies) of OP - 40; DE(E) - 40 registration, with number of places Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 22.02.05 Brief Description of the Service: Cornerways is a registered care home providing personal support and accommodation for up to fourty older people. The home is owned by Hampshire County Council, the manager is Mrs Hazel Hiskett. The home is devided into four units, each with its own unit manager and comprises of ten single bedrooms, a communal lounge, dining room and kitchenette. Two units are on the ground floor accommodate residents with dementia type needs, the two remaining units on the first floor accommodate older people without dementia type needs. The home surrounds a courtyard garden. Attached to the home is a purpose built day centre which residents attend if they wish, this is not registered or inspected by the Commission. The home is situated in the quiet village of Kingsworthy, three miles away from Winchester. A small local shop is within walking distance from the home. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five hours, the inspector was assisted during this time by a unit manager. The people living at Cornerways prefer to be referred to as residents, therefore will be referred to as this throughout the report. At the time of the inspection the home was fully occupied, however two residents were in hospital. The unit manager showed the inspector the layout within and surrounding the home. The environment surrounding the home was good, providing the residents with an attractive and homely place to live, however the inspector witnessed an offensive odour in the corridor of unit four, which leads to the dining area and kitchen, the inspector was assured the cause was being investigated. The inspector spent time with two residents as they looked at their care plan. The inspector witnessed good interacting between residents and staff. The inspector looked at records and asked residents and staff for their views and experiences of living and working at Cornerways. What the service does well: What has improved since the last inspection? The recruitment policy and procedure has been revised, it includes guidelines regarding Criminal Record Bureau clearance and checks against the Protection Of Vulnerable Adults list. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 6 Tomato plants are stored in a small greenhouse in the courtyard garden, the liquid and granular feed is stored in a locked cabinet alongside the tomato plants. Risk assessments are in place for working practices and for the tomato feed. Fly screens have been installed in the kitchen. 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. Cornerways H54 S40361 Cornerways V238854 250705.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 Cornerways H54 S40361 Cornerways V238854 250705.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) 3 The homes procedure for assessing prospective residents is good, however there was limited documentation to show the procedure is followed. EVIDENCE: The inspector saw the assessment procedure and a moving and handling assessment that was completed prior to a resident’s admission. Staff explained either the manager or deputy, or both visit the prospective resident to assess their needs, however, written records of this were not available. One resident recalled the manager visiting them prior to their admission. Cornerways H54 S40361 Cornerways V238854 250705.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) These standards were not assessed on this occasion. EVIDENCE: These standards were not assessed on this occasion. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 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 standard(s) 12,14,15 Residents social, cultural, religious and recreational needs are met. Practices in the home demonstrate that the home promotes individual choices and encourages residents to have control over their lives. Dietary needs of residents are well catered for with a balance and varied selection of food available that meets residents taste, dietary requirements and choices. EVIDENCE: One resident explained how they felt apprehensive about moving from their home where they required very little support, to moving into a care home providing everything. They said “I am here because I cannot manage on my own anymore, although I am more dependant on staff to cook meals and do my laundry, I didn’t expect to feel so at home.” I get a lot of support to help me do what I want, staff encourage us to take part in activities, sometimes I do, staff are understanding if I don’t want to. My family take me out. The doctor visits me here if it’s urgent, otherwise my family take me.” A church service is held in the day centre building every other week, one resident attends her chosen church. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 11 Staff said they ask residents which activity they would like to participate in, the inspector saw a record of activities held recently in each unit, these ranged from the Salvation Army visiting to various board, card and dominos games. The home also encourages reminiscence work, news stories either paper of television and musical movement. Residents can also attend the day centre which offers art and craft activities and the opportunity to meet socialise with other people who attend. The inspector saw minutes of recent residents meetings, which included the residents agreeing that they liked their newly decorated bedrooms, as they had chosen the colours. A copy of the residents charter of rights is displayed at various points around the home for all to read. The inspector saw menus displaying choices, and witnessed lunch in one of the units. Residents received their choice of meal and vegetables were placed in a dish in the middle of the table allowing the residents to have more if they wished, the residents confirmed this practice occurs daily. An alternative desert was offered to a resident due to dietary needs. Cornerways H54 S40361 Cornerways V238854 250705.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) 16,18 The home has a satisfactory complaints procedure in place with some evidence that residents feel that their views are listened to and acted upon. The home has satisfactory procedures for protecting residents form abuse EVIDENCE: The inspector asked ten residents if they had made a complaint in the past, all replied, “No, I haven’t felt the need to.” The inspector asked if they felt able to should the need arise, all responded “I am aware of what to do, and I feel the home would do it’s best to improve things should I need to complain, there are always staff on duty to speak to and we discuss it at our meetings.” The inspector looked at the complaints log which had not had any entries for over a year, the inspector asked staff if complaints are being logged, staff confirmed to their knowledge non had been made. The pages of the log are numbered consecutively to show a true record of complaints received. The inspector saw the homes adult protection procedure, which includes the Department of Health “No Secrets” guidelines. The inspector saw staff training records, which indicated training had been provided, abuse is covered in the induction process of new staff. The inspector asked staff if they were aware of the procedure, all said yes, and they would refer to the guidelines held in the policy and procedure file. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 13 Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 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 standard(s) 26 The majority of the home was clean, pleasant and hygienic, however an offensive odour was present. EVIDENCE: The inspector witnessed an offensive odour in the corridor of unit four, which leads to the communal dining area and kitchen, the inspector required the cause be investigated and eliminated. Cornerways H54 S40361 Cornerways V238854 250705.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) 27,29,30 The number and skill mix meet the needs of the residents. The arrangements for the induction and training of staff are good, staff clearly demonstrate their understanding of their role and responsibility, however, some practices must be improved to ensure residents protection. Staff are trained and competent to do their job. EVIDENCE: The home is managing a number of staff vacancies well with existing and agency staff known to the home. The home holds letters from the agency stating training that has been provided for their staff. At the time of the inspection, appropriate numbers of skilled staff met the resident’s needs. Three staff files were sampled, two of which belonged to the two staff who were employed approximately one year ago. None of the files contained staff photographs, staff explained that they are in the process of obtaining residents for their files, the inspector was assure staff photos will be obtained. The inspector saw evidence of the CRB disclosure being completed, however, there was no evidence of the disclosure being cleared, staff investigated this and the inspector received disclosure numbers which were clarified as genuine. The manager must ensure evidence of CRB clearance and checks against the POVA list are documented on the individuals file. Staff explained the variety of training they had received enables them to carry out their role effectively. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 16 The unit manager is due to start her registered managers award. Staff training records and certificates show their competences in all mandatory training. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 17 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) 38 The home follows policies regarding health and safety and staff receive recommended training. The home has up to date certificates for systems and electrical items. EVIDENCE: Staff training files were looked at, and staff said they receive adequate, relative training on a regular basis. The home has adequate risk assessments for working practices, staff, visitors and office space. The inspector witnessed good food hygiene techniques in the serving of the lunch. Radiators were covered and had thermostatic controls. The inspector viewed certificates for the servicing of systems. Staff confirmed their awareness of health and safety procedures, and were aware if the homes policy and procedures, and where to find them. Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 18 Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 19 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 x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 3 Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 20 YES 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 OP 29 Regulation 19, schedule 2 Requirement Evidence of each staff identity in the form of a recent photograph must be made available during the recruitment process and held on staffs personal files.THIS REQUIREMENT REMAINS OUTSTANDING FROM 14th MARCH 2005 Evidence of each staff receiving clearenace of their enhanced CRB disclosue in line with the Data Protection Act 1998. The care home is kept free from offensive odours. The manager must supply the Commission with an action plan. Timescale for action 23/8/05 2. OP 29 19, Schedule 2 16, 2 (k) 24/7/05 3. OP 26 23/8/05 4. 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 OP 3 Good Practice Recommendations All prospective residents should have evidence of an assessment performed of their needs by the staff of Cornerways, which, if applicable, enhances the assessment provided by social services. H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 21 Cornerways Cornerways H54 S40361 Cornerways V238854 250705.doc Version 1.40 Page 22 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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