Inspection on 03/10/05 for Coton Hill House

This inspection was carried out on 3rd October 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

Coton Hill House 04/05/06

Coton Hill House 03/06/05

Coton Hill House 23/02/05

Coton Hill House 13/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Coton Hill House Berwick Road Shrewsbury Shropshire SY1 2PG Lead Inspector Pat Scott Unannounced Inspection 3rd October 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 Coton Hill House DS0000020665.V253915.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. Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Coton Hill House Address Berwick Road Shrewsbury Shropshire SY1 2PG 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) 01743 235788 01743 240002 Coverage Care Shropshire Limited Mrs Lilian Mary Langdown Care Home 45 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (30) of places Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate a maximum of 15 persons with dementia requiring personal care. The remainder being persons who are over 65 years of age who do not fall within any other category. The home may accommodate a maximum of 45 service users. Date of last inspection 3rd June 2005 Brief Description of the Service: Coton Hill House provides care for 30 elderly service users and 15 service users with dementia in single bedrooms with communal sitting, recreational and dining space in five separate units. The care home has large, well-maintained gardens that provide safe and accessible areas for all service users. The home is situated close to Shrewsbury town centre with views across the River Severn. The local transport system has regular bus services for those who do not have their own transport. The home provides visitors with car parking facilities. Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 3rd October 2005 commencing at 09.30 hrs. The National Minimum Standards for Care Homes for Older People focus on achievable outcomes for service users – that is the impact on the individual of the facilities and services of the home. Evidence was looked for that the standards were being met and a good quality of life enjoyed by service users through: • Discussions with service users, families and friends, staff and managers. • Observation of daily life in the home • Scrutiny of written records. The statement of purpose was used to assess how far the home’s claims to be able to meet service user requirements and expectations were being fulfilled. Reports regarding an overview of the conduct of the home are sent to CSCI on a monthly basis by the Head of Operations for Coverage Care. These, as well as the risk assessment from the last inspection were taken into account to determine the core standards focused on and depth of inspection. The Commission does not currently have any concerns regarding this home. What the service does well: Only nominated and trained staff are involved in giving medication to service users. Procedures are in place to ensure the wrong drug is not administered. Although there have been some drug errors in the recent past, the manager has taken steps to address this and minimise mistakes. Domestic routines are necessary for the smooth running of the home and are part of the normal rhythm of service users days. These take into account individual needs and preferences and as far as possible routines are agreed with service users through consultation and carried out in a flexible way. A range of opportunities is available in the home for people to pursue leisure and intellectual activities that reflect the social and physical capacities of those living there. Coton Hill House DS0000020665.V253915.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. Coton Hill House DS0000020665.V253915.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 Coton Hill House DS0000020665.V253915.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): These standards were not assessed at this inspection. EVIDENCE: Coton Hill House DS0000020665.V253915.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): 9 The medication at this home is well managed promoting good health. EVIDENCE: Medicines are kept safely with full records of their receipt, administration and disposal. Reviews of medication are conducted by the GP on a regular basis. The home does not stock any non-prescribed remedies. Non-medicated creams are prescribed on an individual basis and kept in the service user’s room. Wherever possible and depending on their capabilities, service users are enabled to take responsibility for their own medicines. One service user does this for himself and appropriate storage is provided. Another lady spoke about her need to have cream on her legs which she likes to do herself. The named pot of cream was in her room and it was recorded on the medication administration chart (MAR) that the service user applies it. Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Staff have an excellent understanding of the service users support and leisure needs and use this to assist them to exercise choice and control in their lives. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: The way in which service users are informed of activities taking place has been reviewed with an emphasis on more meaningful pastimes tailored to individual needs and reviewed at service user meetings. A volunteer works 3 days a week and the home has an activity co-ordinator based in the day centre who involves those visiting on a daily basis together with long term residents. Impromptu events take place according to how people feel on the day. Service users spoke of the food and mealtimes being a social event and very important in their lives. One spoke of the provision of meals being a welcome relief now that she was in Coton Hill rather than having to cope with cooking Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 11 herself. Service users have the opportunity, if they wish, to participate in table laying, clearing away and tidying up if willing. Menus seen demonstrate that the food provided is nutritious, well balanced and appealing. A visit to the kitchen showed that the handling, storage, preparation and serving of food comply with the requirements of the Environmental Health Officer. Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The home has a satisfactory complaints system with evidence that service users feel that their views are listened to and acted upon. Staff are provided with induction and on-going training regarding adult protection. This provides staff with the relevant knowledge to safeguard service users from many types of abuse. EVIDENCE: The complaint log was examined. Complaints since the last inspection have been appropriately dealt with. On the whole, all service users spoken with were very happy with life at Coton Hill. They said they knew whom they could speak to if they were worried about anything. Staff training portfolios showed that regular training is provided on the subject of abuse. An induction folder for two new starters had complaint/abuse topics signed off as discussed. Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 13 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): 26 The laundry is well organised ensuring that service users clothes and bed linen are always clean and fresh. EVIDENCE: Laundry equipment is in place to meet the standards. Service users confirmed that their clothes are well laundered. Sluice rooms provided are situated away from areas used by service users Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 14 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 There is a good match of well-qualified staff offering consistency of care within the home. The standard of vetting and recruitment practices is good with appropriate checks being carried out. This ensures that suitable staff are employed to care for service users. EVIDENCE: The recruitment files were seen for two staff. Relevant training has been provided as seen on some training portfolios. Staff spoken with confirmed this. Staff are offered financial support, subject to approval, for individual professional development. Staff observed carrying out their duties were seen to be responsive and understanding of individuals wishes and needs. There were enough care staff in numbers and skill mix to meet the needs of service users. Domestic and catering staff are employed to ensure the critical care role is not impeded. Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 15 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): 35 Service users personal monies are well managed so that their financial interests are safeguarded. EVIDENCE: The system for keeping and recording service users’ personal allowances was examined. Accurate records are kept with the money of one reconciling with the balance. Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 16 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X x Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 17 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. Standard Regulation Requirement Timescale for action 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 Coton Hill House DS0000020665.V253915.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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