Inspection on 01/11/05 for Cornerways Rest Home

This inspection was carried out on 1st November 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 Rest Home 21/08/07

Cornerways Rest Home 11/08/06

Cornerways Rest Home 24/11/04

Cornerways Rest Home 23/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 Cornerways Rest Home 1 Tanners Hill Hythe Kent CT21 5UE Lead Inspector Julian Graham Announced Inspection 1st November 2005 09:30 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 Cornerways Rest Home DS0000023633.V258757.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. Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cornerways Rest Home Address 1 Tanners Hill Hythe Kent CT21 5UE 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) 01303 268737 Mr Arvind Rajendra Khanna Miss Tamara Frances Brown Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category of DE(E) to be restricted to one whose D.O.B is 16/02/1919 28th June 2005 Date of last inspection Brief Description of the Service: Cornerways is registered to provide accommodation and personal care for seventeen Older People. The Home is owed by Mr A Khanna. The registered Manager is Mrs Tamara Brown. Cornerways occupies detached premises with 15 single bedrooms and one shared bedroom. Some of these have ensuite facilities. Accommodation is on the ground, first and second floors, and there is a shaft lift. There is a garden area for Service Users to use. Two assisted baths are available on the ground and first floor. The Service Users have a choice of sitting areas with a lounge, conservatory and a small “quiet” room for their use. The Home is located on the outskirts of a small town, with access to shops, public transport and other local facilities, some of which are within walking distance. Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and started at 09.30 and took place over six and a half hours. The morning was spent talking to the residents, fourteen of whom were spoken with. Some parts of the premises were viewed. The lunchtime meal was shared with the residents. Time was spent with the manager in the afternoon, and included interviewing an acting team leader and a carer individually and looking at some of the records. Prior to the inspection, comment cards were received from six of the residents. The manager had also sent comment cards to all the relatives giving them the opportunity to feedback their views of the home to the inspector, who had nine responses. Feedback from both the residents and the relatives was very positive. What the service does well: A homely environment is provided for the residents at Cornerways, who without exception spoke very warmly of the staff. All the residents spoken with said they are treated with kindness. They said that respect is shown to them at all times and that they are being encouraged to do as much for themselves as they wish. One resident said “staff never rush me.” Typical comments were “staff are very nice people”, and “staff are extremely kind, and will do anything for me.” The hairdresser who has been going to the home for several years spoke very well of the staff, and described the home as “couldn’t be better.” Comments from relatives in their feedback cards sent to the commission were extremely positive, and included: “I am made most welcome”; “great care and atmosphere”; “my relative has improved greatly, both mentally and physically”; “I feel confident in the overall care provided”; “staff are exemplary in their attitude. They are kind, cheerful and always patient.” A relative spoken with during the visit referred to the home as a place where there is “lots of laughter.” Meals are nutritious and nicely presented and residents can choose what and where they eat. Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 6 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. Cornerways Rest Home DS0000023633.V258757.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 Cornerways Rest Home DS0000023633.V258757.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): EVIDENCE: Not inspected at this time. Cornerways Rest Home DS0000023633.V258757.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): 7,8,9,10 There is a clear and consistent care planning system that provides staff with the information they need to satisfactorily meet residents’ needs. The health care needs of residents are well met with evidence of good multi disciplinary working taking place on a regular basis. The storage and security of changeover medication requires improvement. Residents are being treated with respect and dignity. EVIDENCE: The sample of care plans looked at showed that individual needs are being clearly identified, with guidance for staff to follow written in a way that is very “personal” to the individual. There is a useful profile of the person’s family and work history enabling staff to get to know the person better and what is important to them. Risks are being identified and assessed, including any matters to do with the way they need moving and handling. There was very good evidence to show that any changes to the person’s health, condition or needs are quickly spotted and plans of care altered accordingly. Two residents’ needs, for example, have required the input and support of the community health care services to meet, and the home has made sure that the appropriate professionals are fully involved. The home is in the process of Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 10 applying for a variation to its registration to enable it to continue caring for these persons. Jugs of fluid were available in the lounge, but no resident was seen with a glass of water/juice in the living areas of the home during the inspection. It is recommended that in addition to the cups of tea and coffee that they are regularly given, residents are proactively offered other drinks as well to avoid the risk of dehydration. An acting senior carer was observed administering medication at lunchtime, and demonstrated good understanding and safe practice. Policies and procedures are in place and in general safe practice is being followed. Medication in current use is kept in a trolley for the purpose, which is being safely secured. MAR charts are in order other than the need to ensure that all handwritten entries are checked and signed by two people. The room in which medication is kept during the changeover period must be kept locked, however. Residents were very clear that staff treat them with respect and dignity, and staff were observed, for example, knocking and waiting for an answer before entering their rooms. Staff induction records show that residents’ rights, such as privacy and dignity, are fully covered in training. Cornerways Rest Home DS0000023633.V258757.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 Routines are flexible and residents are able to take part in the life of the home where they wish. The meals in the home are good offering both choice and variety. Some activities are on offer, although further opportunities for stimulation through leisure and recreational activities both inside and outside the home would benefit some residents, and are now being planned. EVIDENCE: Residents spoken with said that staff support them in conducting their lives as they wish, with freedom, for example, to go to bed and get up when they like. One entry in a resident’s daily record referred to this person going to bed at 10.30 p.m. A number of the relatives’ in their comment cards felt that more in the way of activities would benefit the residents. The manager is very aware of the importance of offering residents as wide a choice of leisure and social activities as possible and one of the carers has just taken on the additional responsibility of co-ordinating activities in the home. This person is demonstrating much enthusiasm for the role and is in the processing of putting together a programme of activities. Residents spoke well of the food provided, and all confirmed that choices are available. The cook said that she is consulting with residents regarding Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 12 changes to the menu in line with their wishes, and a list of their suggestions was seen. Several residents have a cooked breakfast each day. Cornerways Rest Home DS0000023633.V258757.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): 16 Residents know that their complaints will be listened to and acted upon. Residents are being protected from abuse. EVIDENCE: The complaints procedure is prominently displayed in the entrance hall. Those residents who were asked whether they would feel comfortable complaining if they were to have a concern, said they would be. They also said that the manager and staff are very approachable and friendly and that they feel that any complaint they might make would be taken seriously and suitable action taken. Staff are accessing training on adult abuse, and both staff who were interviewed privately demonstrated knowledge of different types of abuse. They also knew what to do if any allegation of abuse was made, and when information given in confidence may need to be reported to others. All staff are given their own copy of the home’s whistle blowing policy. Cornerways Rest Home DS0000023633.V258757.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): 19,20,21,24,25,26 Recent investment has improved the appearance of the home and a comfortable and safe environment is being provided for the residents. EVIDENCE: As noted in the summary of this report, a number of improvements to the environment have taken place since the last inspection. The dining room, in particular, is now a most attractive room. Bedrooms viewed on this occasion were in good order and nicely decorated. Most of these rooms had lockable drawers and bedside lights. It is a recommendation of this report that residents without these facilities are consulted. One resident, for example, said that he would like a drawer that locks and also a key to the door. This was discussed with the manager who said that she would make sure to talk to the person concerned about this matter. The last report referred to one of the bedrooms having an offensive smell. Progress is being made to address this situation, including liaising with relevant professionals. The manager said that the floor covering in this room is to be replaced. The premises was clean and at a comfortable temperature at the time of the visit. Cornerways Rest Home DS0000023633.V258757.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): 27,29,30 The deployment and number of staff is sufficient to meet the needs of the residents. Staff are trained and competent to do their jobs. Recruitment procedures remain in need of improvement, as appropriate checks are not being carried out, potentially leaving residents at risk. EVIDENCE: There continues to be a settled staff team at Cornerways, which provides continuity and consistency of care that benefits the residents. Staff morale is very high with staff saying how much they enjoy their work and feel well supported by the manager. This is contributing towards the happy atmosphere noted in the home, and to residents saying how much they enjoy living there. Staffing numbers are satisfactory, with staff saying that there is sufficient time to spend with residents on their personal care needs and in engaging them in social and leisure activities. Staff were playing cards with some residents on the morning of this inspection, for example. Examination of the files of the two most recently appointed staff revealed that recruitment practice still needs tightening up to ensure the protection of residents. Action has been taken since the last inspection to obtain health declarations from applicants and in checking proof of identity, and a suitable recruitment checklist is in place. However, CRB checks are not transferable and must be obtained before staff can work unsupervised. This is not consistently happening at present, and must change. Also, the home’s application form must include a section regarding the Rehabilitation of Offenders Act which Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 16 applicants sign, in order to ensure that they do not withhold information regarding “spent” convictions. Staff are continuing to access training courses to build upon their skills and knowledge. For example, the manager has arranged for in house training to take place shortly on dementia. Induction training records are good and show that the manager is checking the new staff’s understanding of the areas covered. Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 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 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): 3132,3637,38 Residents are continuing to benefit from a well run home. EVIDENCE: There is a friendly and welcoming atmosphere at Cornerways, also noted by some of the relatives in their comment cards received by the commission prior to this inspection. Both residents and staff referred to the manager as being extremely helpful and approachable. The manager continues to communicate a clear sense of direction which staff and residents understand, and is working conscientiously to improve and maintain good standards of care. She is receiving good support from the proprietor. Since the last inspection, most staff have had a very thorough appraisal, the notes of which were seen. Records are being maintained to a good standard and policies and procedures have been reviewed and some new ones have been written. Staff receive training in safe working practices and no obvious health and safety hazards were noted. Cornerways Rest Home DS0000023633.V258757.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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 x x 3 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 3 3 x x x 3 3 3 Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? yes 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 OP4 Regulation 12,14 Requirement Applications for Variations to category must be made and pursued by the Registered Provider for any Service User whose needs no longer fall within the category of the Home. With regards to medication, the room in which the changeover medication is stored, must be kept locked at all times; handwritten entries on MAR charts must be checked and signed by two carers. The time of the last meal of the day to be reviewed in consultation with all the residents. Staff application form to require prospective applicants to detail all convictions, including those which are spent. CRB/POVA checks must be sought for all new staff. Timescale for action 14/11/05 2 OP9 13 02/11/05 3 OP14 12 14/11/05 4 OP29 19 14/11/05 5 OP29 19 01/11/05 Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 20 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 3 4 5 Refer to Standard OP8 OP8 OP12 OP24 OP24 Good Practice Recommendations Staff to regularly and proactively offer residents drinks, in addition to tea and coffee, throughout the day. Call bells to be within reach of residents in their bedrooms at all times. Activities programme to be reviewed and developed as planned. Subject to risk assessment, residents to be provided with keys to their rooms if they want one. Residents without a lockable facility and bedside light in their bedrooms to be consulted and subject to risk assessment provided with one. Residents’ decisions to be recorded. Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Cornerways Rest Home DS0000023633.V258757.R01.S.doc Version 5.0 Page 22 - 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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