Inspection on 16/10/05 for Gurney House

This inspection was carried out on 16th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Gurney House 09/07/07

Gurney House 13/10/06

Gurney House 09/05/05

Gurney House 07/02/05

Gurney House 09/09/04

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

CARE HOMES FOR OLDER PEOPLE Gurney House Upton Road Slough Berkshire SL1 2AE Lead Inspector Julie Willis Unannounced Inspection 16th October 2005 14:20 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 DS0000011284.V249510.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. DS0000011284.V249510.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Gurney House Address Upton Road Slough Berkshire SL1 2AE 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) 01753 521060 Care First Partnerships Limited, (BUPA) Mrs Sheila Gallo Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places DS0000011284.V249510.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2005 Brief Description of the Service: Gurney House is a residential home for 35 older people of both genders. The home is situated close to Slough town centre in a quiet cul-de-sac. The home caters for 33 permanent residents and 2 people on respite care. Service users are over 65 years old, with different degrees of frailty, requiring assistance and support. The philosophy of the home is to provide a welcoming and caring environment in which to live. Residents are provided with the highest standards of care and their rights as individuals are respected and maintained. The building is owned by Slough Borough Council and is managed by BUPA. DS0000011284.V249510.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place out of hours on a Sunday afternoon. A tour of the home was undertaken in which the service users accommodation and communal space were visited. A number of care records, statutory records and health and safety documents were examined. The inspector spoke at length to 6 of the 35 service users and others in small groups in various parts of the home. The inspector also had the opportunity to meet and speak to several relatives who were visiting at the time of inspection. The inspector spoke with the Duty Manager and a number of staff during the course of the inspection. There were two requirements outstanding from the previous inspection, which took place on 9th May 2005. One requirement has been given an extended time scale to enable compliance. The other requirements time scale has not yet expired. What the service does well: The home is well run by an effective Manager and a caring staff team to benefit users. The premises are clean and hygienic. Written records were well-kept and provided staff with sufficient information to provide good quality care to residents. The systems in place for the administration of medication keep users safe from harm. Care is provided in a flexible and dignified manner which takes into account the wishes and feelings of residents. The home provides a good range of activities for its users. DS0000011284.V249510.R01.S.doc Version 5.0 Page 6 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. DS0000011284.V249510.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 DS0000011284.V249510.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): None of these standards were fully inspected on this occasion. EVIDENCE: None of these standards were fully inspected on this occasion. DS0000011284.V249510.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 The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure the safety of users. EVIDENCE: Examination of the systems for receipt, recording, storage and administration of medicines evidenced that the home has clear unambiguous guidelines and systems in place to reduce the likelihood of medication error and keep residents safe. The Home has adopted the Nomad system. Medication is dispensed by the pharmacy into dossett boxes, which are stored in a locked drugs trolley. All senior staff have been fully trained in drug administration and follow good practice guidance. Controlled drugs are stored separately in a double locked cabinet and are dispensed and signed for by two staff at all times. DS0000011284.V249510.R01.S.doc Version 5.0 Page 10 Service users confirm that they are provided with their medication at the required intervals by the Senior Staff and that their doctor reviews their need for medicines at regular intervals. DS0000011284.V249510.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, 14 Service users take part in activities that provide mental and physical stimulation. Service users are able to have visitors at anytime and links with the community are developed and maintained in accordance with users individual wishes. EVIDENCE: Service users confirm that they are provided with the opportunity to take trips out of the home and to take part in a range of interesting and enjoyable activities in-house. The home employs an activity organiser three days a week who plans activities, trips out to various venues and celebratory parties. The activity organiser arranges coffee mornings, bingo sessions, fetes and regularly fund raises on behalf of the homes amenity fund. It was evident from discussion with staff, residents and visitors that the home runs flexibly around the needs of its users within a semi-structured framework. Meals tend to be at set times but can be adjusted to meet the needs of the service and individual residents. Drinks and snacks are available throughout DS0000011284.V249510.R01.S.doc Version 5.0 Page 12 the day. Service users confirm that they may rise and retire at a time of their choosing and are free to come and go at will. Users and their relatives confirmed that they had been positively encouraged to bring small items of furniture and personal belongings with them on admission to the home. The inspector had the opportunity to talk with several visitors. They were highly complimentary about the qualities of staff and management. They confirmed that they were kept well informed of the service users health and welfare and that staff were always helpful and caring. They confirmed that they were made welcome at any time and offered appropriate hospitality during their visits. DS0000011284.V249510.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): 18 Service users are protected from abuse and exploitation by the homes policies and procedures. EVIDENCE: From examination of training records and discussion with staff it is clear that all staff receive training in abuse of vulnerable adults as part of their induction and foundation training. Additionally, training in elder abuse is a core subject and module of National Vocational Qualifications at level II, III & IV. Staff demonstrated their awareness of their responsibilities in relation to whistle blowing. The home has a copy of the Berkshire Inter-agency procedure on abuse of vulnerable adults of which all staff are made aware. Service users said they felt safe at the home and visitors felt confident that the users safety and security needs were always considered paramount. DS0000011284.V249510.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): 19, 26 The standard of the environment within this home is good providing service users with an attractive, clean and homely place to live. EVIDENCE: A tour of the home evidenced that standards of décor were good, furnishings were in satisfactory condition and the carpets were clean and free from odour. There is a need to reduce the amount of extraneous items of furniture and equipment that is currently stored in stairwells and on landings as they detract from the overall appearance of the home and could pose a risk in the event of a fire. Service users confirmed that they enjoy spending time in the communal areas, as they are comfortably furnished and bright and cheerful. Residents tend to spend most of the day in one of the three lounges where they can chat to friends or watch television. Meals are provided in the dining area which can accommodate all of the users in one sitting and which is set with bright tablecloths and vases of flowers. DS0000011284.V249510.R01.S.doc Version 5.0 Page 15 All bedrooms are personalised by the user to reflect their particular choice and interests. Service users confirmed that they liked living at the home and that it was always warm, comfortable and kept in a clean and hygienic condition. DS0000011284.V249510.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): None of the staffing standards were inspected in detail at this inspection EVIDENCE: None of the staffing standards were inspected in detail at this inspection DS0000011284.V249510.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, 35, 38 Gurney House is a well run home where the manager communicates a clear sense of direction and leadership to the benefit of residents. Service users are protected from financial abuse by the homes policies and procedures. Service users live in a safe environment where risks to their safety are assessed, minimised, monitored and managed effectively. EVIDENCE: The Manager is competent and qualified and has extensive experience of working with older people. The Manager and has attained an NVQ 4 in care & management and has undertaken additional training modules to gain the Registered Managers Award. The homes manager is a certified fire safety DS0000011284.V249510.R01.S.doc Version 5.0 Page 18 trainer and regularly provides refresher training to the staff. The Manager is supported by an effective management and staff team that appear caring and committed. Service users and their visitors confirm that the staff of the home are kind caring and accessible. Users feel that their welfare is of the utmost importance and staff work hard to provide high quality care. The inspector was unable to examine financial records on this occasion due to the unavailability of the safe keys. One visitor told the inspector that they would like monthly financial statements of their relatives cash account rather than the quarterly statement provided at the moment. Examination of a sample number of health & safety records indicated that all necessary checks and servicing of equipment in relation to fire safety and the maintenance of the water system are routinely undertaken to safeguard the health and welfare of users. Unnecessary risks to users are identified using a comprehensive risk assessment. So far as possible the risks are reduced or eliminated by putting in place effective procedures. DS0000011284.V249510.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 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 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 x 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x 3 DS0000011284.V249510.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? YES 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 OP19 Regulation 23 (2) b Requirement Ensure that the area around the wash-up sink in the kitchen is repaired or replaced. (Previous requirement – time scale of 9/8/05 not met) Provide separate sluicing facilities from the laundry to prevent cross contamination (Previous time scale of 7/1/06 has not yet expired) Ensure that extraneous items of equipment and furniture are removed from the stairwells and landings which could pose a risk to users in the event of fire Timescale for action 16/01/06 2 OP26 13 (3) 07/01/06 3 OP38 13 (4) a 17/10/05 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 DS0000011284.V249510.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 DS0000011284.V249510.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. 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!