Inspection on 04/04/06 for Georgina House Care Home

This inspection was carried out on 4th April 2006.

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

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

CARE HOMES FOR OLDER PEOPLE Georgina House Care Home 44 Crown Road Great Yarmouth Norfolk NR30 2JH Lead Inspector Linda Wells Unannounced Inspection 4th April 2006 11:00 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 Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Georgina House Care Home Address 44 Crown Road Great Yarmouth Norfolk NR30 2JH 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) 020 8656 3484 Miranda Telfer Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (3), Physical disability (3) Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Service User with a mental disorder who is accommodated is named in the Commissions record. 28.07.05 Date of last inspection Brief Description of the Service: Georgina House is a mid terrace, Victorian property that is run as a residential care home providing care and accommodation for up to six, older people one of whom may have a mental health disability and six who may have physical disabilities. The home has four single bedrooms and one shared bedroom all of which contain a washbasin, one is located on the ground floor and the remainder are located on the first floor. There is a stair lift to the first floor and communal use of a bathroom, shower room, three toilets, a lounge and a dining room. The home has a small friendly dog and a cat and there is a small garden with seating to the front of the house but no garden to the rear of the property. Georgina House does not accommodate people with severe mobility difficulties due to the limitations of the building. The property is located in a quiet residential street in Great Yarmouth and is situated close to the seafront, local amenities and the town centre. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection undertaken on the 4th April 2006 over four hours and was carried out as part of a routine inspection plan. The home has had a change of owner/manager since the 13th December 2005 who has improved the environment and facilities for those who live and work there. On the day of inspection four residents were living at the home and residents were seen to be having a meal, sitting in the lounge or their bedroom listening to the radio, drawing or taking part in activities with staff members. The inspection took the form of a tour of the premises, individual discussion with four residents, two visitors, one staff member and the manager, observation of residents and the staff member, examination of policies and procedures, care plans, records, certificates and compliance of requirements and recommendations from the last inspection. What the service does well: What has improved since the last inspection? The health and safety of residents has improved and both residents and staff have benefited from the improved records and systems, increased staff supervision, training and complete and thorough recruitment checks. Improvements have been made to the facilities and the first phase of upgrading the environment has begun with the replacement of the fridge, freezer, washing machine, tumble dryer and bathroom flooring, the guarding of all of the radiators in the home and the purchase of a new hoist and stand aid. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 6 Residents are stimulated and are enjoying the increased daily activities such as cooking, personal time with their key worker and regular outings to local community events. 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. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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 Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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, 5, 6 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The admission procedure and written information available is good and fully enables residents and staff to make a decision on whether the home will meet the needs of anyone wishing to live there. EVIDENCE: The homes Statement of Purpose, Service User Guide and Terms and Conditions contract were seen and found to contain relevant information. Residents had not signed a terms and conditions contract and a requirement was made. The manager said that she was in the process of introducing a contract to each resident and would be explaining the content at the next residents meeting. She also said that prior to admission as much information as possible was collected from a prospective resident, their family and other professionals. She said residents, their family or friends sometimes visited the home, that she often visited residents in their own home and that residents were admitted on a one-month trial basis. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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 quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health, social and personal care needs of residents were met, they were well cared for and improvements had been made to records, systems and the consultation of residents, however further improvements are needed. EVIDENCE: Residents said they were well looked after and four individual plans of care were examined and found to be improved and to contain relevant health, social and personal care information, photograph, care needs, assessments, medication, daily records, risk assessments, choices, leisure interests, past history, visiting professionals and monthly reviews. However a recommendation was made that, where appropriate to ask, the arrangements upon death be recorded in the care plan of each resident to ensure that their wishes are known and a requirement was made that a record of the weight of each resident with their permission, be obtained, to aid in the assessment of their health care needs. Medication policies and procedures were seen to be in place, staff had undertaken training in the administration of medication and the records held Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 10 demonstrated that medication was administered, recorded and stored correctly. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are social and creative activities that meet the interests and preferences of the residents and improvements had been made to the variation of the main meal. EVIDENCE: Residents said that their family and friends were always made welcome at the home and that staff constantly assisted and encouraged them to maintain contact and to make choices. Records were seen to demonstrate that daily activities were provided and the manager said that residents requested such activities as cooking, colouring, cards and games and enjoyed outings such as visiting local community attractions and going Greyhound racing. The main meal and menus were seen displayed for the day in the dining room and for the coming month and were balanced and varied. Records showed that residents were given a choice, an alternative offered and daily records held. The manager said that residents were consulted regularly on the choice of menu and that the menus were changed as requested and seasonally. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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, 17, 18 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an active procedure on the protection of vulnerable adults that protects residents and supports the investigation of any cause for concern. EVIDENCE: No complaints have been received by the home or by CSCI. The home’s records demonstrated that any complaints made to the home are investigated and the appropriate action taken. The residents spoken to all agreed that if they had reason to complain they would speak to staff or the manager and all felt confident that the problem would be resolved quickly and to the satisfaction of all involved. Residents are able to exercise their legal rights and are protected from abuse, neglect and self-harm by the objectives, policies and procedures of the home and records showed that staff have undertaken training in Adult Abuse to help them recognise, prevent and deal with any potential abuse. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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): 19,. 20, 22, 23, 24, 26 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the facilities within this home has improved, however more work is required on the environment to ensure that residents live in a completely attractive and homely place. EVIDENCE: A tour of the building revealed that residents live in a home that is decorated and furnished to a reasonable standard. In the three months that the new owner has managed the home she has guarded all of the radiators in the home, replaced all of the electrical equipment in the kitchen such as the fridge, freezer and microwave, the service washing machine and tumble dryer in the sluice/ laundry room, the flooring in the downstairs bathroom and purchased a new hoist, slings and stand aid to ensure the health and safety of residents and staff is protected. The home is in need of redecoration in most areas and for the upstairs shower room to be retiled or the grouting around the tiles replaced. Two recommendations were made. The manager said that all areas of the home would be gradually redecorated over the summer months. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 14 Residents said that they benefited from a home that was comfortable, clean and tidy and this was found in all areas during the tour of the building. Residents were seen to have personalised their bedrooms, specialist equipment was provided and each floor of the home had an adequate bathroom or shower room and toilets that were adapted to suit the needs of the residents. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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, 29, 30 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents are met, staff members are competent and the improved procedure for the recruitment and training of staff provides safeguards to offer protection for the people living in the home. EVIDENCE: The new proprietor/manager has reviewed and improved all of the systems and records held in the home. Improved and complete staff information and records, recruitment checks, photograph, CRB, references, job descriptions, new contracts of employment, proof of identity, application forms, personal information, supervision notes, policies and procedures, training records and certificates were seen to be held. Records demonstrated that staff members had a mix of experience and skills and that changes in staff had occurred resulting in only two staff being employed. The manager said that she was working as part of the care team, that only two residents required assistance and that she was in the process of recruiting two new staff members. The records held demonstrated that the deputy manager had completed NVQ2 and was in the process of completing NVQ4 Management and that one staff member was doing NVQ2. Increased training had taken place and staff had all completed food hygiene, fire safety, infection control and moving and handling training. Certificates showed that an induction, foundation and updated training programs were Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 16 undertaken by all staff to enable them to gain the knowledge necessary for the range of needs of residents living at the home. The staff member spoken to said that staff were supported by the manager, handover, staff meetings and supervision, and records demonstrated that they were aware of their role and responsibilities. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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, 32, 33, 34, 35, 36, 37, 38 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported by the deputy manager, in providing leadership, guidance and direction to staff to ensure that residents receive a good standard of care. EVIDENCE: Mirander Telfer has owned and managed the home since the 13th December 2005 and has over eighteen years experience of working and five years of managing in the residential care setting with adults and older people. She has completed the NVQ4 in management and the Registered Managers award, is an NVQ Assessor and is a professional trainer for a wide range of subjects related to the Care Industry. Residents and the staff member said that the home was well run and that the manager was well organised, supportive and approachable. Records demonstrated that the management, accounting and financial administration Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 18 procedures carried out in the home offer safeguards and protect residents and the proprietor said that her business was financially viable. Policies and procedures have been produced and were seen on all aspects of the home and service provided. The records held were found to promote and protect the rights and best interests of each service user. The handover, staff meeting minutes and supervision records demonstrated that staff members worked as a team and were supported and regularly supervised by the manager to ensure that their knowledge of the needs of each resident, their work practice, commitment and training needs were identified, clarified and reviewed. A Quality Assurance system is in place and takes into account the views of everyone living, visiting and working in the home. The manager said that she planned to carry out a quality assurance audit every six months and would produce a yearly action plan from the results. The servicing and testing of all equipment had been carried out and relevant and timely certificates were held to ensure that the health and safety of residents is protected. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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 3 2 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 X 11 2 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 X 3 3 3 X 3 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 3 3 3 3 3 3 3 3 Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 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. 1. Standard OP2 Regulation 5.1.b Requirement The registered person must ensure that the new contract produced, is signed by each resident and a copy held in their plan of care. The registered person must ensure that with their permission, a record of the weight of each resident is obtained. Timescale for action 31/08/06 2. OP8 12.1 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP11 Good Practice Recommendations It is recommended that, where appropriate to ask, the arrangements at death for each resident be recorded to demonstrate that their wishes are known. It is recommended that the home be redecorated in all areas to make the home more attractive for residents. It is recommended that the tiles in the shower room and DS0000066118.V288505.R01.S.doc Version 5.1 Page 21 2. 3. OP19 OP19 Georgina House Care Home sink surround be replaced or re grouted to make the home more attractive for residents. Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Georgina House Care Home DS0000066118.V288505.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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