Inspection on 13/03/07 for Cornwell House

This inspection was carried out on 13th March 2007.

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

Cornwell House 14/11/05

Cornwell House 16/05/05

Cornwell House 31/01/05

Cornwell House 13/05/04

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 Cornwell House 23-25 Beehive Lane Ferring Worthing West Sussex BN12 5NN Lead Inspector Ruth Burnham Key Unannounced Inspection 13th March 2007 08:30 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 Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornwell House Address 23-25 Beehive Lane Ferring Worthing West Sussex BN12 5NN 01903 240313 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) The Abbeyfield Ferring Society Mrs Lorraine Hall Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14/11/05 Brief Description of the Service: Cornwell House is a care establishment providing personal care and accommodation for twenty older people. The Abbeyfield Ferring Society, a voluntary organisation, owns it. The two storey detached building is located in a residential area close to local shops and the sea front. There is a level enclosed garden to the rear of the property and further gardens and ample parking to the front, all of which are accessible to service users. All of the establishment’s bedrooms are for single occupancy and have en-suite facilities. There is a passenger lift. The home operates a shift system of 2 shifts for day care staff and 2 members of staff on waking night duty. In addition to care staff the home employs a manager, a head of service, an administrator, a cook and housekeeping staff. Fees range from £450 to £475 per week. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place from 9am to 3.30pm. Cornwell House has performed well over the past years; at the last inspection 2 requirements were made which were complied with. During the course of this inspection the inspector spoke to residents and staff. Records and Care Plans were looked at and a tour of the home was conducted. The Commission had sent out comment cards and a number were returned to the inspector prior to the inspection. Comments from these cards will be included in the report. One resident told the inspector that, “All the staff are lovely”. Another said, “Nothing is too much trouble.” A relative wrote, “This is a very good care service, staff are very friendly, caring.” Most records were found to be in order and up to date. Staff training was ongoing and it was noted that more that 50 of staff were either National Vocational Qualification (NVQ) trained or were on training. Staff were being supervised by Care Team Leaders and notes had been kept of these sessions. The building was warm, clean and welcoming. The manager has resigned after prolonged absence and the home is being run by the Head of Service alongside team leaders. Three care staff, two housekeepers, the cook and the administrator were all on duty at the time of the inspection. Rotas show there are two staff awake on duty at night. What the service does well: Relatives and residents who were spoken with during the site visit or contacted through postal surveys all praised the quality of care and the friendliness and helpfulness of staff. The home employs a very dedicated and caring staff team. And management clearly have the best interests of residents at heart. The majority of staff have attended training courses over the past six months. Further training has been arranged in First Aid, Fire Safety, Food Hygiene, Health and Safety and Infection Control in the next few months. Six staff are on a level 2 NVQ (National Vocational Qualification) and more are on or about to start level 3. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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 Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1–6 Quality in this outcome area is adequate. People who are thinking about moving into the home have good information on which to base their choice. Assessment processes need improvement to ensure that staff have all the information necessary to meet residents’ needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who are considering moving into the home are provided with good written information about what life is like in an Abbeyfield home. They are able to visit the home and meet staff and residents and the initial stay is for a trial period. The Head of Service is currently updating the written information to reflect changes that have occurred. Each resident is given a contract when he/she enters the home. Most of the residents have family or friends who are able to act upon their behalf. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 9 It is the role of the manager to assess all residents before they join the home either in their own home or in hospital to ensure that their needs can be met. Some of the residents have transferred from the Society’s own Sheltered Housing service elsewhere in the village. They are usually well known and this helps make the transition a little easier. The assessment process for two new residents was checked, documents had not been completed. Failure to transfer information provided by healthcare professionals into the home’s own care plan means that there could be some risk that needs and risks may not be identified or met. The home does not provide intermediate care. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. People who live in the home are well cared for by the friendly and supportive staff team. The change to a complicated care planning system, which is difficult for staff to use, could mean that some care needs may be overlooked. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People spoken with who live in the home are very happy with the care provided and said that all their needs are met. A new care planning system has been introduced since the last inspection. Unfortunately this was introduced without providing training for staff who are struggling to understand how to use the care plan format. This has meant that the care plan is no longer a working document which care staff can use effectively to identify, monitor and review the care needs of residents. Care plans seen did not contain clear individual guidance for staff about how residents would like their care provided. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 11 It is clear however, based on discussion with management, staff and residents, that each person who lives in the home is provided with all the support they need to live their lives as they choose, and outcomes are good. Staff and management know the residents very well and understand their individual needs and preferences. A daily diary is kept for each individual and the inspector read what staff had written about a number of residents. The main focus of these was the physical needs of residents. People who live in the home have their health care needs met through access to GPs of their choice. District Nurses visit the home when requested and records are kept of all such visits. Medication is stored safely and records are well kept in regard to the administering and disposing of them. Staff are trained in the safe handling of medication. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14 and 15 Quality in this outcome area is good. People who live in the home benefit from the relaxed lifestyle and flexible routines. They have opportunity for involvement in activities and enjoy good home cooked food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents spoken with were happy with the level of activity and lifestyle choices in the home. Routines are flexible and relevant. An activities coordinator is employed for one day a week and there are fortnightly Music for Health sessions which everyone spoken to enjoy. People who live in the home have opportunity for involvement with local community events; there are links with community organisations, schools and churches. The inspector spoke to one relative who said they were very pleased with the home and the care provided. People who live in the home benefit from the services of a volunteer who runs a weekly shop for them; they are able to buy some personal toiletries etc. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 13 The majority of residents have their own private phone in their room so that they can contact their family and friends when they want to. Visitors are made welcome. People are encouraged to become involved in how the home is run through regular residents’ meetings. Residents praised the quality of the food. Bowls of fresh fruit and a water dispenser were available in the dining room; there is also a snack kitchen where residents have access to a toaster and microwave in dining room. Visitors are able to use these facilities. Residents are served breakfast in their own rooms and may choose to eat other meals in the dining room if they wish. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Quality in this outcome area is good. People who live in the home feel free to offer comment or complaint and are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are free to offer comment and complaint. All residents are given a clear written complaints procedure. All residents who were contacted or spoken to during the visit were very happy with the way the home is run and had no complaints. Residents said that they had been asked at a recent meeting if they had any complaints and no one could think of anything to complain about. Staff said that any complaints would be recorded in individual daily records. One resident had recently complained that her room was too hot and this had been recorded, the radiator had been turned down. Advice was given that a separate complaints log should be kept in future. People who live in the home are protected from abuse. Staff are provided with training in Adult Protection and all staff are checked through the Criminal Records Bureau prior to appointment. Postal votes are arranged where needed. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The pleasant, homely, comfortable and clean environment enhances the quality of life for the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Cornwell House provides a pleasant, homely and comfortable home for the people who live there. All areas of the home were clean and tidy. There is a choice of adapted bathrooms and a shower room. All the bedrooms are single and have en-suite facilities. Residents are able to bring in their own items of furniture and personal items. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 16 There is a choice of lounge areas with one lounge on the first floor, which can be used for private visits. There is a pleasant dining room with a small kitchen area which relatives and residents can use. There are adaptations throughout the home to assist people with mobility difficulties. The laundry is very small; it is equipped with a washer and dryer. Staff use the laundry efficiently, they are aware of safe procedures for handling contaminated laundry items to avoid the risk of cross infection. The kitchen is spacious and well equipped and is managed and kept clean by staff who understand how to keep residents safe through good food handling practices. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 and 30 Quality in this outcome area is good. People who live in the home are cared for by a friendly and committed staff team. They are protected through good recruitment processes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A committed staff team cares for people who live in the home. They are clear about their roles and responsibilities. The staff group are dedicated and enthusiastic about providing the best possible care for residents. Qualified team leaders supervise care staff on each shift. The team leaders are covering additional duties in the absence of a manager. The team leader on duty was spoken to during the visit, she demonstrated enthusiasm, knowledge and clear commitment to providing the best possible care for residents. There are sufficient numbers of staff on duty throughout the day and night. There has been some delay in the training programme for National Vocational Qualifications, which has been beyond the control of the management of the home. The Head of Service said that the training programme has now resumed and the home is back on track with a number of staff undertaking NVQ level 3, others are completing their level 2 qualifications. All necessary statutory training is arranged for the next few months. Moving and handling training was completed in February. Some slippage has occurred Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 18 in the training programme due to the prolonged absence of manager who has now resigned. The Head of Service has recently undertaken training in carrying out staff appraisals and is in process of carrying out individual appraisals with all staff to plan future training. A number of staff records were examined which show that residents are protected through sound recruitment procedures. These include a detailed application form, formal interviews, two written references and a Criminal Record Bureau check for all staff appointed. There is no formal induction training provided for new staff. At the moment the practice is for new staff to shadow more experienced staff for 2 days. Advice was given about the need to programme in formal induction training for new staff. This should be in line with current good practice guidance to ensure competent care for residents. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The home is well run by a committed and enthusiastic interim management team who are committed to running the home in the best interests of the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well run by a committed and enthusiastic interim management team who have the best interests of residents at heart. The registered manager has resigned after a prolonged absence. The head of service is overseeing the home and team leaders are taking on additional responsibilities. Recruitment of a new manager is underway with interviews planned for 19 March 2007. People who live in the home can be confident that the interim management team is working hard to maintain a good service. The Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 20 Head of Service is proactive and has identified and taken action to rectify areas where there has been some slippage such as staff training, supervision and appraisal. People are protected where the home manages money on their behalf. There are good policies and procedures in place. Records and receipts are kept of all transactions. Those seen were up to date and accurate. Some discussion took place about quality assurance. The Head of Service was unable to find any quality assurance documentation. Although there does not appear to be any formal quality assurance system it is clear that residents enjoy a good quality of life. People who live in the home are consulted about the way in which the home is run, a residents meeting took place recently. Residents said that they had been asked at the meeting if they had any complaints but they were all very satisfied with the home and said they had nothing to complain about. All records examined were well maintained and up to date. There were some areas of concern where some fire safety recommendations have not yet been complied with. The Service Manager is taking action to ensure that these are all met as soon as possible. Staff are being trained in safe working practices, further training is planned in fire safety, first aid, fire safety, food hygiene, health and safety and infection control in the next few months. Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 21 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 3 3 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 22 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. 1 Standard OP3 Regulation 14 Requirement Assessments must be completed fully for all new admissions. The care plan should be based on the professional assessment Care plans must contain clear guidance for staff about how to met the residents’ needs and minimise risks including emotional, mental health, spiritual and social needs. The care plan should be clear, drawn up by staff trained to do so and should be based on professional assessment where available. It should be used by all care staff. New staff must receive formal and recorded induction training in line with current recommended guidelines. Timescale for action 30/04/07 2 OP7 13(4)(c) 15 30/04/07 3 OP30 18(1)(c) 30/04/07 Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 23 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 Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Cornwell House DS0000014472.V321840.R01.S.doc Version 5.2 Page 25 - 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!