Inspection on 20/06/07 for Godwyne Hurst

This inspection was carried out on 20th June 2007.

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

Godwyne Hurst 18/06/08

Godwyne Hurst 11/07/06

Godwyne Hurst 19/01/06

Godwyne Hurst 13/07/05

Godwyne Hurst 16/11/04

Godwyne Hurst 07/06/04

Godwyne Hurst 10/05/04

Godwyne Hurst 21/10/03

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

CARE HOMES FOR OLDER PEOPLE Godwyne Hurst 2 Leyburne Road Dover Kent CT16 1SN Lead Inspector Christine Lawrence Key Unannounced Inspection 20th June 2007 10:30 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 Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Godwyne Hurst Address 2 Leyburne Road Dover Kent CT16 1SN 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) 01304 206391 Mrs Doris Anne Hodgson N/A Care Home 4 Category(ies) of Old age, not falling within any other category registration, with number (4) of places Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11 July 2006 Brief Description of the Service: Godwyne Hurst is registered to provide residential care for four older people. The property is a large building, which also contains rooms for independent private tenants on the upper two floors separate from the residential home. There is a shaft lift to enable residents to access the two floors of the home. The home is located in Dover with amenities close by, including public transport. It is owned by Mrs Hodgson who also has day-to-day responsibility for running the home. There is a small parking are to the rear of the building and parking is not restricted in the roads outside the building. The current fees for the service at the time of the visit are £280 per week. Information about the home will be provided on request, including access to a copy of the last inspection report from the commission for social care inspection (CSCI). Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and started at 10.30 and finished at 14.30. I looked at various records in the home and also used information from previous inspections. I spoke with both residents. A tour of the entire home was made. Observations were made of staff interacting with residents and I spoke to staff on duty as well as the owner, Mrs Hodgson (known as Diane Hodgson). I saw a meal served and checked out the garden. 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. The summary of this inspection report can be made available in other formats on request. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one will be admitted to the home unless their needs have been assessed and the home is confident that it can meet their needs. EVIDENCE: There have been no new admissions to the home since the last inspection. Mrs Hodgson said that she would seek information about any possible new person from the placing authority and/or relatives and representatives. She has a suitable tool to assess someone’s needs if she did decide to admit a new resident. The care plan format currently in use is suitable for identifying residents’ needs. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their health care and medication needs will be met and that they will be treated with respect. EVIDENCE: The care plans for both the residents living in the home were looked at for this inspection. They are detailed and individual and cover a range of things including personal care, health, communication, moving and handling, finances, activities and any other information pertinent to that person. The home maintains a daily record and they are currently looking at how they can make this more informative. The care plans clearly reflected that residents’ health care needs are identified and responded to and there were examples of health care professionals being involved with residents. Both residents confirmed this. There was evidence also that residents are involved or consulted about their care and a commitment from the home that information is kept in a safe place ie written information for the residents states that Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 Page 9 “…only you and those involved with your care will have access…”. Information in the care plan was up to date. Residents confirmed that they are treated with respect and good manners and their privacy is maintained. The policies and procedures for medication are mostly satisfactory. One resident manages their own medication and I discussed with Mrs Hodgson the need to have a policy in place about self-medication and to ensure that all necessary risk assessments are undertaken. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a family like atmosphere. They are supported in activities which suit their individual needs. They have choices in all aspects of daily life and have nutritious and appealing meals. EVIDENCE: The two people living in the home have lived there for some time and have been cared for and supported by Mrs Hodgson for many years. Mrs Hodgson’s family are involved both as staff and regular visitors and this has led to the home being very much a family atmosphere for the two residents. They have individual things that they like to do throughout the day and this is supported by the home. The records showed (and this was confirmed by the residents) that they make choices about their routines and what they wish do. It was also clear that where a resident chooses to do so they are supported to manage their own finances. There are two lounges so privacy is available for meeting with visitors if required. Examples were noted of the home supporting residents to keep in contact with family. The residents confirmed that they enjoy the food provided and there is always plenty of it. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints would be handled in keeping with the home’s procedures and residents can be confident that any concerns will be listened to, taken seriously and responded to. Residents are protected from abuse. EVIDENCE: A copy of the complaints procedure is on display at the home. Mrs Hodgson said she would give a copy if she did admit a new resident. The residents both confirmed that they would talk to Mrs Hodgson, or anyone who worked at the home, if the had any concerns. One person said they thought that small things were always sorted out so there were never any real problems. Mrs Hodgson said that there had been no complaints since the last inspection. One member of staff has a national vocational qualification, level 3 which covers adult protection issues. Mrs Hodgson said she is still trying to source some adult protection training for other staff but in the meantime she is confident that all the people who work at the home are fully aware of their responsibilities. The home has a copy of the Medway and Kent policies and procedures. There is also a whistle blowing procedure at the home. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in an environment which is safe, well maintained, clean, pleasant and hygienic. EVIDENCE: The location and layout of the home is suitable for its stated purpose. The rear entrance is the one most used as it leads from the car parking area. There is a small area within the garden with tables and chairs which residents can use to access sunlight. There are no requirements from the local fire safety officer or the environmental health officer. The laundry is small but appears satisfactory to meet the needs of the current residents. The home was clean and there were no unpleasant odours. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Current residents have sufficient staff to care for them. Residents are protected by the recruitment procedures. More training should be provided to ensure that staff are as competent and up to date in their knowledge as possible. EVIDENCE: The rota seen showed that there are sufficient staff on duty to meet the needs of the current two residents. Both residents confirmed that they thought there were enough staff to help them. Mrs Hodgson agreed that she would review this if anyone’s needs changed. One person has a national vocational qualification; level 3 and two other people are about to start their NVQs level 2. No new staff have been employed since the last inspection. Mrs Hodgson has organized staff files for each person as required at the last inspection. These included all the relevant information and evidence of CRB checks. Mrs Hodgson is aware of the Common Induction Standards from Skills for Care and intends to use them if she appoints any new staff. Some training has taken place and more is planned. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is managed by an owner who is experienced. Residents will further benefit when she completes her NVQ and any further qualification training. Residents’ financial interests are safeguarded and their views are sought. Residents’ health, safety and welfare is mostly promoted and protected. EVIDENCE: Mrs Hodgson has many years experience of running care homes. She has never undertaken any formal training and has therefore decided to begin this by undertaking a national vocational qualification, level 2. She also takes part in as many day courses/training as she is able. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 Page 15 Mrs Hodgson is still considering how best to demonstrate that she seeks formal feedback from residents and others. The current two residents are able to speak up for themselves and they and Mrs Hodgson have known each other for many years. Mrs Hodgson is confident that she listens to the residents and runs the home in their best interests. The two residents both said that they could speak to Mrs Hodgson and they felt she listened. Mrs Hodgson is not involved with the finances of either resident. The records of maintenance and service contracts were appropriate and up to date and other records such as accidents and fire safety are properly maintained. As noted under standard 30, some training is still to be undertaken by some staff to ensure that all are up to date. Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 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. 1 2 Standard OP9 OP28 Regulation 12(4) 18(1) Requirement A risk management framework and self-administration of medication policy to be in place. The programme for training, including NVQs to be progressed and a copy of the plan to be forwarded to the commission. As above As above Timescale for action 31/08/07 31/08/07 3 4 OP30 OP38 18(1) 18(1) 31/08/07 31/08/07 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 Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Godwyne Hurst DS0000023200.V343606.R01.S.doc Version 5.2 Page 19 - 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. 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