CARE HOMES FOR OLDER PEOPLE
Cottingham Hall 195-197 Cottingham Road Kingston upon Hull East Yorkshire HU5 2EG Lead Inspector
Simon Morley Unannounced 5 July 2005 at 10:00 am
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. Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Cottingham Hall Address 195-197 Cottingham Road Kingston upon Hull East Yorkshire HU5 2EG 01482 441144 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) Shelphan Resource Limited Ms Kay Dickinson Care Home 31 Category(ies) of OP Old Age (31) registration, with number DE(E) Dementia - over 65 (31) of places Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 3rd March 2005 Brief Description of the Service: Cottingham Hall is owned by Shelphan Resource Limited, a family business and is one of a small number of homes owned by the company. The home is registered to provide personal care and accommodation for up to 31 people of either gender over the age of 65, some of whom may have dementia. The home is situated on Cottingham Road close to: the local university; the busy Newland Avenue shopping area; churches; pubs and the local bus services stop outside the home. The home has ground and first floor accommodation accessible by a passenger lift. There are two modern, purpose built, ground floor extensions to the rear of the home. These provide quality accommodation for the residents. There are 23 single bedrooms, 18 of which have en-suite facilities and 4 double rooms. Some accommodation is in the main part of the home, Victorian in style. There are large dining and lounge areas on the ground floor with disability access to the rear courtyard and garden area. The courtyard has seating for service users and looks out onto the well kept rear gardens. There is also a quiet lounge at the front of the home and a private meeting room. There is a gravelled car park at the front of the home for visitors to use.
Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection lasted for 5 hours and no additional visits have been made to the home since it’s last inspection at the beginning of March 2005. The inspector looked at records about the care of residents; spoke to 6 residents 4 visitors, 2 care staff and the manager. What the service does well: What has improved since the last inspection? What they could do better: Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 6 Standards of care are high and the manager was not asked to make any improvements. There will be benefits to residents from the improvements the manager has already planned: extra staffing at the weekends, and en-suite facilities in more bedrooms. 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. Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 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 standard(s) 3. The admissions process ensures that residents’ needs were assessed before moving into the home, so that they can be assured they will be well looked after. EVIDENCE: Residents spoken to were happy that their care needs were being met. Staff spoken to were aware of individual resident’s needs and what they needed to do for them. Individual care records are kept for each resident. An inspection of the records for three residents recently admitted showed that they all had had their care needs assessed prior to moving into the home. An individual plan of care is then written for residents based on their assessment. Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10. There were excellent arrangements for ensuring that residents’ health and personal care needs were met. Residents were treated with respect and dignity. EVIDENCE: Residents spoken to were happy with their care and how staff looked after them. They said that they were helped to have regular health checks and any necessary health care. They said that they were happy with how the home took care of their medication. Residents also said that staff were polite, friendly and treated them with respect and dignity. This was seen to be the case by the inspector. Of the three sets of records examined all had a detailed plan of care describing what staff need to do for each resident. These were reviewed regularly and any necessary changes made. The home had good medication procedures, which were also examined. These ensured that residents received their medication safely and on time. Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 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 standard(s) 13. The arrangements for residents to keep their relationships with family and friends and use the local community were good. EVIDENCE: The inspector spoke to a number of visitors as well as residents. All said they were happy with the visiting arrangements and support from the home to keep these links. Visitors were made to feel welcome and also said how good they thought the home was. Staff said they take residents out to make use of local shops, parks and pubs. Residents spoken to were able to confirm this. Representatives from local churches also visit residents that wish to see them. Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 11 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 and 18. The arrangements for dealing with complaints and keeping residents free from harm were good and ensured residents felt listened to and safe. EVIDENCE: Residents spoken to said they had no complaints as they were more than happy with their care. They knew how to complain though if they were not happy with anything. The manager reported there had been no complaints since the last inspection. The manager and staff spoken to were aware of what was poor and abusive practice. All were adamant that they would report any thing of this type to keep residents safe. Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 12 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) None of the outcomes were assessed on this occasion. EVIDENCE: Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 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, 29 and 30. The home was well staffed with competent and trained carers. The arrangements for recruiting new staff make sure that only suitable staff are employed to work there. EVIDENCE: The number of care hours staff work on the rota added up to 580 a week, the recommended guidance says there must be 620 hours. That’s 40 more care hours needed each week to meet the guidance. Because of the date the home was first opened the staffing levels do not have to meet this guidance unless the care of residents is poor and that was not the case. The manager reported that at least two staff had been recruited to work in the home since the last inspection. The required recruitment checks were obtained for these staff members to make sure residents are safe from people who should not be working there. The manager and staff both spoke about the amount of training they do. It was clear from talking to them that they were competent to do their jobs. Records of staff training were kept up to date and showed that staff take a wide range of training courses to be better at their work. Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 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) None of the outcomes were assessed on this occasion. EVIDENCE: Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 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. 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x
COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 16 No 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 NA Regulation NA NA Requirement Timescale for action NA 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 NA Good Practice Recommendations NA Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Cottingham Hall J54_S842_Cottingham Hall_v226681_050705_Stage 4.doc Version 1.40 Page 18 - 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!
