Inspection on 29/11/05 for Edwina Mountbatten House

This inspection was carried out on 29th 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

Edwina Mountbatten House 22/10/08

Edwina Mountbatten House 25/10/06

Edwina Mountbatten House 18/11/04

Edwina Mountbatten House 07/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Edwina Mountbatten House Broadwater Road Romsey Hampshire SO51 8GH Lead Inspector Keith Hopkins Unannounced Inspection 29th November 2005 12:15p 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 Edwina Mountbatten House DS0000011778.V258652.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. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Edwina Mountbatten House Address Broadwater Road Romsey Hampshire SO51 8GH 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) 01794 518317 Countess Mountbatten Memorial Trust Mrs Carol Robbins Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2005 Brief Description of the Service: Edwina Mountbatten House is set on the edge of Romsey town centre with easy access to local facilities. It provides residential care for up to 18 elderly residents. The home is purpose built on ground and first floors and there is a chairlift between these. There are a variety of aids and adaptations to allow residents to move around more independently. Sixteen of the bedrooms are single and one is a double. Four of the single bedrooms have an en suite bathroom. There are six communal toilets and two bathrooms on the ground floor. There are gardens to the front and side of the property. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three and a half hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager and one of the assistant managers. Most of the residents were seen and the inspector spoke with two residents at length in private in their bedrooms. The inspector was unable on this occasion to speak with any visitors. What the service does well: What has improved since the last inspection? What they could do better: Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 6 Residents’ comfort in communal lounge areas could be further improved by some redecoration and recarpeting. 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. Edwina Mountbatten House DS0000011778.V258652.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 Edwina Mountbatten House DS0000011778.V258652.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): 6. The home makes flexible use of any vacancies it might have on an occasional basis to offer short stay or respite care. EVIDENCE: The manager explained to the inspector that although the home did not offer intermediate care as such, there were occasionally times when short-term care could be offered. This was when the home might have a vacancy before admitting a resident on a permanent basis. Edwina Mountbatten House DS0000011778.V258652.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 and 10. Residents are well protected by the home’s policy and procedures for the dispensing of medicines, and have their privacy and dignity respected by staff. EVIDENCE: The home has a policy for dealing for dealing with medication and the procedure for dispensing medicines was discussed with the manager. This conformed to good practice guidelines. The manager and the four assistant managers had all been trained in dealing with medication and the inspector saw evidence of this in staff files. It was explained that only these senior staff dealt with medication and the staff rota confirmed that there was a senior member of staff on duty at all times. At the time of the inspection medicines were securely stored and associated records were up-to-date. The inspector was informed that one resident is currently able to deal with her own medication, and a written risk assessment covering this activity signed by the GP was on file. Residents are asked on admission whether they wish to continue to handle their own medication and a record made of their response. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 10 Observation during the inspection showed that the manager and staff have a good awareness of how to protect residents’ privacy and dignity. They were seen to knock on doors and await a response before entering and spoke to residents in a respectful way. One resident said that he preferred to spend time in his room rather than in the lounge and that staff knew and respected this choice. Several other residents were also observed to be spending time in their own rooms. Edwina Mountbatten House DS0000011778.V258652.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 and 14. Residents enjoy varied lifestyles and undertake activities of their choice. Residents appreciate the provision of a wide range of opportunities for stimulation, through sound links with the local community. EVIDENCE: At the time of the inspection some residents were relaxing in the lounge having just had lunch whilst others had chosen to return to their rooms. The inspector noted the range of activities that had been undertaken during November, which had included armchair exercises, word games and bingo. One resident said that he was aware of the activities and events that were planned but that he generally preferred not to take part. A church service was held at the home on a regular monthly basis, which was reported to be attended by about six residents. The inspector noted that provision of large print books, which were provided by the local mobile library. Events planned for the Christmas period included carol singing and the annual trustees party, held for residents and their relatives. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 12 The inspector was informed that most residents had previously lived locally and all received visitors on a regular basis. A resident who said that ‘visitors can come at any time’ confirmed this. Both residents spoken with at length commented on how easy it was to access local facilities such as the shops. Residents’ everyday choices are respected and the inspector saw evidence of this in the way that staff sought residents’ views. The inspector was informed that a number of residents had chosen to handle their own finances, and it was clear from the bedrooms of those residents spoken with privately that they had chosen to bring treasured items into the home. Edwina Mountbatten House DS0000011778.V258652.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 and 18. The home has a suitable complaints procedure, which residents are aware of, but which needs to have a timescale included. Residents are protected through an adult protection policy and procedure known and understood by staff. EVIDENCE: The home has a complaints procedure, a copy of which is provided to residents on their admission to the home. A resident who said that he had received this with his contract confirmed this. A copy was also on display in a public area of the home. Both residents spoken with privately said that they had no complaints but that they would know what to do if they had. There have been no complaints for the home to deal with since the most recent inspection. The home also has a policy and procedure relating to adult protection. The inspector saw evidence in staff files that issues around abuse and protection had been covered during staff induction and the manager showed the inspector a training video which she said had been seen by all bar very new staff members. Edwina Mountbatten House DS0000011778.V258652.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): 26. Residents enjoy comfortable private and communal surroundings, which are kept clean and hygienic, although some areas of carpeting are showing signs of age. EVIDENCE: The inspector observed residents making use of the communal areas including the main lounge, which were decorated and furnished to a standard that creates a homely ambiance. There were no undue odours around the building in either the lounge and dining areas, or toilets and bathrooms, and both residents said how nice the home was. The home’s laundry was inspected and is fitted with a washing machine capable of disinfecting items of clothing, and with a tumble dryer. The Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 15 inspector was informed that the home did not have to deal with a great many soiled items. One of the residents commented on how good the laundry service at the home was. The tour of the building showed this to be clean and tidy throughout although some areas of the home have light carpeting, which is beginning to appear discoloured in places. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 16 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. Residents are cared for by a well-trained group of staff who are deployed in sufficient numbers to meet their needs. EVIDENCE: Staff were observed during the inspection to be providing assistance to residents in a calm and unhurried manner. Further observation during the inspection confirmed that staff were able to spend time socialising and talking with residents. The staff rota indicated there to be a carer and a senior member of staff on duty at all times during the day. These staff were supported domestic staff, including a cook. There is a ‘waking’ member of staff on duty each night, and a senior member of staff ‘sleeping in’ in case of emergency. One resident said that staff ‘ are all very good’. Two staff records examined indicated that there had been a variety of courses undertaken by staff, including for example, food hygiene, manual handling and infection control. The inspector was informed by the manager that three staff members had been trained to NVQ Level 3 and one to NVQ Level 2. One person was undertaking NVQ Level 3 and a further person NVQ level 2. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 17 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, 33, 35 and 38. The home is well managed with residents having a clear and accessible means of influencing policy and practice. Financial interests are safeguarded and residents’ welfare is promoted through sound policies and procedures. EVIDENCE: The manager has a considerable number of years experience in a senior capacity and has completed the Registered Managers Award. There are clear lines of accountability within the home and to external trustees, including a meeting with the treasurer once a week. The inspector saw evidence of residents being individually consulted formally on an annual basis, as a part of the home’s quality assurance programme. Residents spoken with also all commented on how nice the home was. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 18 The home’s manager confirmed that there was some limited involvement by the home in residents’ financial matters, and monies were held for safekeeping. The inspector examined monies held on behalf of two residents and noted that the amounts held tallied with records kept. The inspector observed no immediate obvious hazards to health and safety during the inspection. The home has policies specifically relating to health and safety and control of substances hazardous to health. Further policies and records required by regulation were inspected and were in order and up to date. This included the home’s fire and accident books. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 19 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 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 20 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. 1 Refer to Standard OP2626 Good Practice Recommendations The home should continue its programme of repair and renovation. Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Edwina Mountbatten House DS0000011778.V258652.R01.S.doc Version 5.0 Page 22 - 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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