Inspection on 14/11/05 for Cornwell House

This inspection was carried out on 14th 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 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 13/03/07

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 Mr P Barker Announced Inspection 14th 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 Cornwell House DS0000014472.V253749.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. Cornwell House DS0000014472.V253749.R01.S.doc Version 5.0 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.V253749.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th May 2005 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. Mrs Lorraine Hall is the registered manager. 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 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. Cornwell House DS0000014472.V253749.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 took place from 9-30am to 2-45pm. Cornwell House has performed well over the past years and at the last inspection no requirements were made. 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 large 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, “I couldn’t be better cared for”. Another said, “We are all very special to the staff.” A relative wrote, “This is a wonderful care home with a very friendly, caring staff. Nothing is ever too much trouble - always time for a chat tempered with a lovely sense of humour – a fantastic care home!” All records were found to be in order and up to date. The Care Plans were extremely well written and contained all of the information needed to look after the residents. They were reviewed regularly. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were on training. The training records of all staff were well documented and up to date. Staff were being supervised by Care Team Leaders and detailed notes had been kept of these sessions. The building was warm, clean and welcoming. On touring the home the inspector noted that two radiators in bathrooms were unguarded. A requirement has been made to ensure that the residents are prevented from burning themselves on these appliances. At the last inspection an issue was raised by the Fire Officer regarding the sitting of waste bins on a fire escape route. This has been dealt with by the home. However, the inspector was concerned to see that part of this escape route was over uneven ground. A requirement has been made to attend to this. There was the manager, three care staff with two domestics, a cook and the administrator all on duty. At night there were two staff awake on duty. The rotas showed this to be the case. All Health and Safety issues were up to date. What the service does well: Cornwell House DS0000014472.V253749.R01.S.doc Version 5.0 Page 6 A relative wrote, “A high standard of care always provided.” This has always been the strength of Cornwell House. The home employs a very dedicated and caring staff team that is well managed. Staff carries out their duties in a friendly and helpful manner. 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. Cornwell House DS0000014472.V253749.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 Cornwell House DS0000014472.V253749.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): 1, 2, 3, 4, 5, 6 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placing. EVIDENCE: Each resident is given a contract when he/she enters the home. Most of the residents had family or friends who were able to act upon their behalf. The manager assesses all residents before they join the home either in their own home or in hospital. Some of the residents have transferred from the Society’s own Sheltered Housing Home elsewhere in the village. They are usually well known and this helps make the transition a little easier. All assessments were seen and found to be very detailed. The inspector was present when a prospective short stay resident phoned to enquire about the availability of a room. The manager explained what her responsibilities were and arranged to visit the prospective resident the next day at her home. The home does not take anyone in for intermediate care. Cornwell House DS0000014472.V253749.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, 11 The resident’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were extremely detailed and very well written and presented. The inspector was able to see them easily as they were kept in the residents’ rooms. A daily diary was also kept for each individual and the inspector read what staff had written about each resident. District Nurses visit the home when requested and records are kept of all such visits. The home is currently enjoying the services of a Community Matron who has taken on four residents in an effort to improve their health needs. The manager told the inspector that this was a very positive initiative and plans were in hand to extend this service to other residents. Medication was stored safely and records were well kept in regard to the administering and disposing of them. Staff were well trained with many having been on a local course. Cornwell House DS0000014472.V253749.R01.S.doc Version 5.0 Page 10 Residents were called by their chosen name…some preferred their Christian name, others preferred to be addressed as Mrs. Cornwell House DS0000014472.V253749.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 Residents say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: Three residents told the inspector that they were happy to stay in their own rooms and not get too involved in activities “unless it was something special”. The home does have the services of a Volunteer who runs a weekly shop for them. Here they are able to buy some personal toiletries etc. Everyone seems to enjoy the fortnightly Music for Health session and the weekly skittles session. Holy Communion is offered by a local vicar every six weeks whilst people from other denominations visit on a regular basis. Residents are invited to a quarterly meeting with the manager. Two residents are able to go out on their own whist another attends a local Church Group with assistance from a carer. The home ensures that two residents attend a local club once a week by escorting them and bringing them back if no other transport is available. Cornwell House DS0000014472.V253749.R01.S.doc Version 5.0 Page 12 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. Two residents have Sky TV. Family visits were important and the inspector was told that all visitors could help themselves to refreshments that are laid out in the dining room. The inspector noted a large selection of goodies for people to eat and drink. The inspector spoke to two relatives who were visiting. One visitor wrote to the inspector saying, “Always a warm friendly atmosphere here.” Residents sat down to a meal of Salmon and Broccoli Quiche or Steamed Fish or Omelette with new potatoes, courgettes and peas. The inspector visited the kitchen and the aromas were tempting. Cornwell House DS0000014472.V253749.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, 17, 18 Any complaint is taken seriously and staff and residents know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: All staff have attended the Adult Protection Training and the procedures are in the office. There have been no complaints made about the home to the CSCI. Cornwell House DS0000014472.V253749.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, 22, 23, 24, 25, 26 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The home is well kept and is clean and tidy. The inspector observed the cleaners doing their rounds and every room was left clean and tidy. The home has installed a shower for those residents who would like one. The bathrooms have been recently refurbished allowing residents to be transferred to the hoist more easily. Another bathroom is due for some refurbishment shortly. Rooms are refurbished when they are vacated. Cornwell House DS0000014472.V253749.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, 28, 29, 30 There is usually sufficient staff employed to ensure that residents’ basic needs are met. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies that these were satisfactory were kept in the safe. Prospective staff are invited to complete an application form and attend an interview. Staff training had been undertaken in all areas and the evidence showed that all staff were offered training relevant to their work. Cornwell House DS0000014472.V253749.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37, 38 It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. The home is considered a safe environment. EVIDENCE: Staff told the inspector that they received clear instruction from the manager and that she was very approachable. The home was constantly updating their practices to ensure that residents received the best care that they could. The home does not have any dealings with any money belonging to residents. Cornwell House DS0000014472.V253749.R01.S.doc Version 5.0 Page 17 Fire and Environmental Health Requirements had all been met and all equipment is regularly serviced. Cornwell House DS0000014472.V253749.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 4 11 3 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 2 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 3 3 3 3 3 Cornwell House DS0000014472.V253749.R01.S.doc Version 5.0 Page 19 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 2 Standard OP25 OP19 Regulation 13.4 13.4 Requirement Two unguarded radiators must have safety covers fitted. The escape route from a fire exit is uneven and should be attended to. Timescale for action 31/12/05 31/03/06 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.V253749.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cornwell House DS0000014472.V253749.R01.S.doc Version 5.0 Page 21 - 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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