Inspection on 13/04/05 for Cornford House

This inspection was carried out on 13th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Cornford House 25/04/07

Cornford House 25/01/06

Cornford House 15/09/04

Cornford House 06/04/04

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 Cornford House Cornford Lane Pembury Tunbridge Wells Kent TN2 4QS Lead Inspector Maria Tucker Unannounced 13 April 2005 14:35 th 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. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Cornford House Address Cornford Lane Pembury Tunbridge Wells Kent TN2 4QS 01892 822079 01892 822796 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) Cornford House Ltd Mrs Linda Margaret Wenham Care Home With Nursing 30 Category(ies) of Old Age (30) registration, with number of places Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15 September 2004 Brief Description of the Service: Cornford house is a care home with nursing. Cornford House is a detached property standing in 10 acres of gardens on the outskirts of Pembury. There is a bus stop approximately 100 yards away with buses to Tunbridge Wells and Tonbridge. On site car parking is available. The home is arranged on three floors and there is a shaft lift. There are 30 single bedrooms, two of which have en-suite facilities. Each room has a staff call point and a television point. OMF international who support evangelistic work oversees previously owned the home; the home was originally opened to meet the needs of retired missionaries. Therefore, Cornford House has a strong religious focus with prayer meetings being central to life in the home. The home employs qualified and care staff that work a roster that gives 24-hour cover and other staff for catering, domestic and maintenance duties. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first in the year running from April 1st 2005 to March 31st 2006. The inspection lasted from 2.35pm until 6.15pm. Time was spent meeting the manager and going through various records and documentation. About one hour was spent meeting service users with two being seen individually. The inspector sat in on the monthly Managers meeting with the responsible individual, manager and the group director of care. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 6 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 Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 7 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) 1, 2, 3, 4, 5, 6. Service users care needs are assessed prior to moving into the home. Care plans do not always clearly identify how they are to be met. Service user care plans would benefit from the inclusion of leisure and recreational interests. Service users are supported to make an informed decision to come to the home through prior visits. EVIDENCE: A revised copy of the Statement of Purpose and Service Users Guide was received by the CSCI on 18th November. A service user spoken with stated that they had asked for a change of room and had been accommodated. A prospective service user and their representatives were being shown around the home during the inspection. It is not confirmed in writing to the service user that the home is suitable for the purpose of meeting their needs. An assessment from a health professional for exercises for a service user was not included in the care plan or was the expressed choice of leisure activity. It was recorded in some of the entries made in the daily notes of these occurring. Specialist health care professionals assessments were seen in the service users files as were assessments undertaken by the home. Service users spoken with were unfamiliar with their care plans. The home does not provide intermediate care. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 8 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) 7, 8, 10 The nursing needs of service users are identified through a comprehensive care planning system. Regular reviews of the care plans need to be formalised so that the service users are fully included and part of the process. Service users maintain outside contact by having frequent visits from relatives and friends. EVIDENCE: A number of care plans were inspected there was no evidence of the service user being involved in the reviews of the care plans. The care planning system included a range of comprehensive information and assessments including skin assessment and water low; moving and handling; nutritional screening; risk assessment on using the lift; mobility; health promotion and personal hygiene. There was recorded information in a service users file who was being monitored by the tissue viability nurse; their condition had vastly improved. Evidence of medical and health appointments were recorded in the care plans. A service user stated that they chose not to have a telephone in their room but would ask for one if they wanted to use one. A service user had had an assessment to determine their entitlement to NHS services. Service users spoken with had regular contact and visits from their relatives and friends. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 9 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, 13, 14. Service users benefit from a homely atmosphere, which encourages visitors. The risk of some service users becoming isolated could be limited with more a personalised range of activities being offered. EVIDENCE: The duty rota listed an occupational therapist. There was little evidence of activities on a regular basis for service users who chose to stay in their rooms or preferred individual activities that they needed support with. Care staff identified on the rota to work extra hours for group activities, a service user stated that they “liked this”. A service user spoken with said that they always had a shower every day but since being in the home only had one weekly, despite requesting this daily. Service users spoken with stated that they received regular visits from friends and relatives. One service user commented that their relative supported them with their meal. Service users spoken with stated that they got up and went to bed at a time that suited them, chose to spend time in their room or go into the lounge and had a choice of meals. Service users spoken with stated that their representatives manage their affairs. The service users rooms seen contained many personal effects. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 10 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, Service users feel listened to and valued because their concerns and complaints are managed appropriately. EVIDENCE: The home have a comment, suggestion, complaint book for service users to complete. A complaint contained in the book had been addressed by the manager with appropriate action taken. Service users spoken with did not have any concerns they wished to raise. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 11 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) 19, 22, 24, Service users would benefit from better maintained garden and grounds. Service users personalise their rooms giving a homely feel, consideration needs to given to ensuring sufficient seating is available for visitors to private rooms. EVIDENCE: Comments from service users reflected that the garden and grounds were unkept and need to be maintained. Views from windows did support this with shrubs, borders, pathways requiring attention A service users spoken with stated that they enjoy going out in the garden in warmer weather, another said that they “like to be taken into the garden in a wheel chair for some fresh air”. It has not been established if the lift in the home was constructed to a suitable standard for example BS EN safety rules for the construction and instillation of lifts and if it complied with the lifts regulations 1997 and lifting equipment regulations 1998 as during the last inspection the records of servicing did not contain full details. The service uses rooms have been assessed in terms of health and safety. When visiting service users in their rooms there was no Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 12 spare seat available, the service users stated relatives either sat on the bed or the commode. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 13 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, 30. A staff team who undertake a range of tasks supports Service users. Service users could potentially be at risk as not all care staff have completed mandatory training. Through training a good number of staff are enabled to understand the needs of an older person. EVIDENCE: Staffing levels include 1 trained staff, 5 care staff in the morning; 1 trained staff and 4 care staff in the afternoon with 1 trained staff and 2 care staff at night. There are extra staff for cooking, cleaning and maintenance. The staff rota did not contain full details of the times that staff worked. Not all staff have completed the mandatory training to ensure there is someone trained in first aid on duty at all times or that staff have maintained their skills and knowledge base in manual handling and adult protection. The actual hours that staff are on duty is not always reflected on the rota Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 14 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) 31, Service users can feel secure in the knowledge that the manager is highly trained and has had many years experience in the nursing field. EVIDENCE: The manager holds a nursing qualification, a BSc (Hons) in health and social care and is currently registered on the NVQ level 4 RMA award. The home achieved in January 2005 the investors in people award. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 15 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 2 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 x x 2 x 2 x x STAFFING Standard No Score 27 2 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 2 x x x x x x x Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 16 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 OP4 Regulation 14 (1) (d) Requirement The registered person shall not provide accommodation to a service user at the care home unless, the registered person has confirmed in writing to the service user that having regard to the assessment the care home is suitable for the purpose of meeting the service users needs in respect of his health and welfare. Unless it is impracticable to carry out such consultation, the registered person shall, after consultation with the service user, or a representative of his, prepare a written plan as to how the service users needs in respect of his health and welfare are to be met. The registered person shall so far as practicable enable service users to make decisions with respect to the care they are to recieve and their health and welfare. The registered person shall having regard to the number and needs of the service users ensure that external grounds which are are suitable for, and Timescale for action 13th April 2005 2. OP3 OP 7 15 (1) 15th May 2005 3. OP 12 12 (2) 15th May 2005. 4. OP 19 23 (2) (o) 15th May 2005 Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 17 5. OP 22.2 23 (2) (n) 6. OP 27.2 17 (2) Schedule 4 7. OP 31 9 (2) (1) safe for use by, service users are provided and appropriately maintained; The registered person shall having regard to the number and needs of the service users ensure that suitable adaptations are made and such support equipment and facilities including passenger lifts, as may be required are provided, for service users who are old, infirm or physically disabled. In that the lift was constructed to a suitable standard for example BS EN safety rules for the construction and instillation of lifts and if it complied with the lifts regualations 1997 and lifting operations and lifting equipment regulations 1998. The registered person shall maintain in the care home a copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked. A person shall not manage a care home unless he has the qualifications, in that the manager attains the NVQ RMA award by 2005. The responsible individual to forward a letter to the CSCI confirming that the lift complies by 13th June 2005. 15th May 2005. 1st January 2006 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 It is strongly recommended that the home complete a comprehensive assessment of service users daily living needs including leisure and recreation and that these are transposed into the care plan. It is strongly recommended that the leisure and recreation choices for service users who do no wish to join in with H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 18 2. OP 12 Cornford House 3. 4. 5. OP 24 OP 25 OP 29.5 group activities or choose to remain in their room be identified addressed. It is strongly recommended that seats be made available for visitors to sit when visiting service users in their rooms, for example fold away chairs. It is recommended that the home fit pre set valves of a type unaffected by changes in water pressure and which have fail safe devices fitted locally. It is recommended that all staff recieve statements of terms and conditions and a copy of this is signed and kept on file. Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Cornford House H56-H06 S39710 Cornford House V220098 130405 Stage 4.doc Version 1.20 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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