Inspection on 26/07/05 for Four Acres

This inspection was carried out on 26th July 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

Four Acres 29/01/08

Four Acres 07/12/06

Four Acres 11/01/06

Four Acres 07/02/05

Four Acres 05/08/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Four Acres Archer Close Studley Warwickshire B80 7HX Lead Inspector Patricia Flanaghan Unannounced 26 July 2005 10:00 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. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Four Acres Address Archer Close Studley Warwickshire B80 7HX 01527 853766 01527 853766 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) Warwickshire County Council Annis Irene Tombs Care Home 35 Category(ies) of Old Age - (35) registration, with number of places Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7 February 2005 Brief Description of the Service: Four Acres is a Local Authority home for elderly people, with thirty-five beds. It provides permanent care, short stays and day care. The home is situated in the village of Studley, which has a variety of shops, churches, public houses, social clubs, a library and community centre. There is a regular bus service to Redditch town centre. The home provides accommodation on two floors. There are four units, one of which provides short stay or respite care, and one of which provides care specifically for people with dementia. Each unit has a lounge/diner with kitchenette, and there are additional communal areas, including two conservatories, on the ground floor. The home has a hairdressing salon. On each floor there are bathrooms and lavatories suitable for people with physical disabilities. The kitchen, laundry and staff offices are situated on the ground floor. There is a shaft lift to the first floor. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection and took place over two days between the hours of 10am and 3pm. This was the first visit for this inspection year. The care officer on duty in the home was present during the inspection. The inspection process involved a tour of the home, talking with the care officer, examining records and care plans, observation of care practices along with discussions with residents, staff and two relatives who were visiting during the inspection. What the service does well: 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. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 6 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 Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 7 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. Standard 6 is not applicable for this service. Assessments are undertaken to ensure that the home can meet the person’s identified care needs. EVIDENCE: The admissions procedure includes an assessment by management or senior staff in the home completed before admission. Records showed that assessments had been completed and this provided the necessary information for the home to be able to provide the care needed. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the residents care plans reviewed during this inspection. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 8 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 and 10 Health needs of residents are met with evidence of liaison with health and social care professionals on a regular basis. Service users feel they are treated with respect and dignity. EVIDENCE: Three resident care records were examined. Service users health, personal and social care needs were set out in the care plans examined. Care plans were updated at least monthly, however, a completed monthly review form seen in one of the files had not been dated. The initial assessment of this resident had not been dated or signed by the member of staff undertaking the assessment. It is important that documents are signed and dated to ensure that staff deliver the up to date assessed care needs of the resident. One of the care plans had not been signed by the resident to demonstrate their involvement and consultation in this process. Daily entries seen in care records show that staff follow up health concerns and that there is good liaison between care staff, residents GPs and District Nurses who visit the home daily. Staff also seek assistance and professional help from others outside the home, such as dieticians, community nursing services, and community psychiatric nurses. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 9 Staff spoken to were able to describe the care given to individual residents and this was appropriate to the needs described in their care plans. Service users confirmed that they had received visits from the GPs and District Nurses when necessary. The residents were seen to be treated respectfully by staff and appropriate facilities and space is provided for their personal care needs and private or personal visitors. The residents spoken with confirmed that privacy and dignity was respected and that they were assisted tactfully and sensitively. Four Acres E53 S36343 WCC Four Acres V242368 260705 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) 12, 13 and 14 Residents were satisfied with their lifestyle in the home and they had been able to exercise choice and influence decisions affecting them. Contact has been maintained with relatives and friends of residents. Opportunities to access the local community have been made available. EVIDENCE: There is a planned programme of activities and entertainment in the home. The home employs a dedicated activities co-ordinator for 6 hours per week. Staff also undertake regular activities with residents. Activities listed on the programme displayed in the home include bingo sessions, reminiscence, life history, card making, painting, board games and manicures. A resident was observed to have a manicure during the inspection visit. Trips out to local places of interest are arranged. The home had the use of a minibus. Entertainers also visit the home and church services are held there. Residents said that they could choose how they spend their day and could take part in the social activities if they wished to. Residents meetings are held regularly. The minutes of the meeting held in May was displayed. The minutes demonstrated that residents have a say in the running of the home with several suggestions on activities they would like to see delivered. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 11 Observations made during the inspection showed that staff allowed service users time to carry out their daily living routines. Most residents have good contact with their relatives and a good number of residents go out with their family on a regular basis. Family and friends are welcomed at the home and are invited to attend parties and other celebrations. A relative of one service user stated that she visits daily and has Sunday lunch with her relative every week. All relatives who spoke to the inspector said they are given a warm friendly welcome by all the staff whenever they visit. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 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 standard(s) 16 Concerns or complaints are dealt with promptly and professionally. EVIDENCE: The home has a clear complaints procedure, which is explained in the homes statement of purpose and given to all prospective service users or their family/representative before moving into the home. The complaints procedure is also located on a notice board in reception. The CSCI has not received any complaints since the last inspection visit. Residents and relatives spoken with were aware of the complaints procedure and how to make a complaint if they needed to. They were satisfied that any issues taken to the manager would be dealt with promptly. One visitor advised that ‘grumbles are listened to and taken seriously by the manager.’ Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21 and 24 Abbotsbury is generally well maintained and residents live in a safe and comfortable environment. EVIDENCE: A tour of the home was conducted during which both floors were visited. Some of the bedrooms were inspected together with the communal areas, toilets and bathrooms. Four Acres has ample communal space having 5 lounges and 2 conservatories, one of which is a designated smoking area. The walls and door frames in corridors were marked and scuffed. This creates a poor first impression for visitors. All bedrooms have an en suite toilet and wash hand basin. The home has five assisted bathing facilities, one of which is an assisted shower. There are sufficient toilets near communal areas. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 14 Residents are encouraged to bring personal items in with them and can furnish and redecorate their private room to their own taste if they wish. Personal possessions were noted in the bedrooms viewed during the inspection visit. Some bedrooms require re-decoration with torn or faded wallpaper evident. Carpets in two rooms were stained with an offensive odour evident in one of the rooms. The home was clean and tidy on the day of the inspection visit. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 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 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 The home employs sufficient staff to meet the needs of its residents. EVIDENCE: The current duty rotas were examined. On the day of the inspection visit there were six staff on duty plus the care officer. The home employs two waking night care staff, and sufficient numbers of domestic staff to ensure that standards relating to food and meals are met and that the home is maintained to a clean and hygienic state. There were 34 residents living in the home on the day of the inspection visit. Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 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 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) These standards were not assessed at this inspection. EVIDENCE: Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 17 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 3 3 x x 3 x x 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 Standard No 16 17 18 Score 3 x x x x x x x x x x Four Acres E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 18 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. 2. Standard 19 19 Regulation 23 23 13 16 Requirement The registered provider must ensure that the home is kept in good decorative repair. The registered manager must ensure that the stained carpets are cleaned/replaced as necessary. Unpleasant odours must be dealt with. The registered provider or delegated person must visit the home monthly and write a report upon the conduct of the care home. A copy of this report must be left with the manager and a copy forwarded to the Commission for Social Care Inspection. Timescale for action 31 October 2005 30 September 2005 31 October 2005 3. 33 26 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 7 Good Practice Recommendations It is recommended that care plans/reviews are dated and signed by the staff members responsible and whenever there are any changes to these. E53 S36343 WCC Four Acres V242368 260705 Stage 4.doc Version 1.40 Page 19 Four Acres Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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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