Inspection on 09/05/05 for Gurney House

This inspection was carried out on 9th May 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 16/10/05

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 9 May 2005 @ 09:20 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. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Gurney House Address Upton Road Slough Berkshire SL1 2AE 01753 521060 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) Care First Partnerships (BUPA) Mrs Sheila Gallo Care Home 35 Category(ies) of Older Persons registration, with number of places GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 07/02/05 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. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday morning and afternoon over a period of four hours. A tour of the home was undertaken in which the service users accommodation and communal space were visited. A number of care records, staff files and health and safety documents were examined. The inspector spoke at length to 5 of the 35 service users and four of the staff. The inspector spoke with the Homes Registered Manager at the beginning and end of the inspection when brief feedback about the inspector’s findings was provided. There was only one requirement outstanding from the previous inspection which required the Organisation to provide separate sluicing facilities from the laundry to prevent cross infection. The time scale for this requirement has not expired. What the service does well: The home has a team of well-trained and caring staff that provide high standards of care to the residents. Service users feel that staff have built good relationships with them and work hard to improve their quality of life. Written records are in the main well kept and assist staff to provide the care needed by users in an effective way. Service users were pleased with the variety and range of foodstuffs provided. Meals were nicely presented, unhurried and offered users a choice. Service users were complimentary about the quality of the catering and said that foods provided were plentiful and to their liking. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 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. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 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 standard(s) 3, 5 The home undertakes a comprehensive pre-admission assessment of all residents to ensure that the home can effectively meet service users need. EVIDENCE: Examination of service user documentation indicated that all referrals are made through Slough Social Services Department. A copy of the summary of the Care Management assessment was on file for each new resident. The information contained in the pre-admission assessment is gathered from various sources including the service user and their relatives. The assessment tool encompasses personal and health care needs, social & medical history and medication and evaluates whether or not the home will be able to effectively meet the needs of the user. The information gathered, forms the basis on which care will be delivered. There is a need to ensure that this documentation is signed and dated and provides an indication as to where the assessment took place and from whom the information was gathered. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 9 Service users are admitted for a six-week trial period after which a review meeting is held. At this point service users can choose to live at the home permanently or return home. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 10 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, 10 People using the service are provided with care that maintains their dignity, privacy and independence. Care plans are tailored to meet individual needs and are comprehensive and holistic in detail. EVIDENCE: Care plans were found to be generally well documented and up-to-date which enables staff to provide care based on individual need. There is a need to ensure that all parts of the care plans are fully completed including the activity profiles and maps of life which will help to plan activities that are meaningful and worthwhile for each resident. All parts of the plan should be dated and signed. The key workers are taking a pivotal role in ensuring that daily records validate the content of care plans and it is clear that some staff are more confident than others in completing the necessary documents. Support to staff is being provided by Team Leaders and Duty Managers as part of the key workers ongoing personal development. There are plans to provide formal training in record keeping to all care staff in the near future. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 11 The inspector had the opportunity to talk to 5 service users at length during the inspection and a number of others in small groups. Service users confirmed that staff were kind and attentive and knew their particular needs well. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 12 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) 15 The menus at the home are varied and nutritious and provide a range of choice to service users. All meals are provided in comfortable surroundings in a relaxed and unhurried manner. EVIDENCE: Service users at the home confirm that the menus are varied, nutritious and plentiful. All main meals are served in the dining room, which can accommodate all of the users in one sitting. Service users may also take meals in their own bedrooms if they prefer. Lunch on the day of inspection was Gammon with parsley sauce accompanied by creamed potatoes and mixed vegetables followed by rice pudding or cheese and biscuits. Service users confirmed that the meal was “tasty”, “nicely presented” and the “highlight of the day”. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 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 standard(s) 16 Service users are confident that complaints will be taken seriously by the management team and will be investigated and dealt with appropriately. EVIDENCE: From discussion with service users it was clear that service users are not afraid to voice their opinions. They knew whom to approach with their concerns and were confident that they would be listened to and taken seriously. Although there were no complaints recorded since January 1st 2005 discussion with the manager indicated that feedback about the quality of services is actively sought by management as part as of an on-going quality assurance process and each month as part of the Proprietors visits. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 25, 26 The home provides safe, comfortable and spacious accommodation for its residents. EVIDENCE: The home is purpose built to meet the needs of older people some of whom may have physical disabilities. The home is spacious light and airy and is surrounded by a large superbly maintained garden. The homes windows and sills have recently been replaced with new double glazed units and a new UPVC conservatory has been built. There is an aviary, summerhouse and ornamental pond in the garden, which are well used and enjoyed by service users during the summer months. The home is ideally situated five minutes from Slough High Street. It is close to local transport links including bus and railway stations. The premises are owned and maintained by Slough Borough Council and managed by BUPA. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 15 The home was undergoing major renovation works to the heating and hot water system at the time of inspection. Radiators had been covered to prevent scalding to residents and pipes were being fitted above floor level to aid access. The pipes will be covered on completion of the works to reduce their visual impact. The home was generally clean and hygienic throughout with no residual odours. Domestic staff told the inspector it was difficult to maintain a high standard whilst the builders were in. There is a need to repair or replace the work surface that surrounds the washup sink in the kitchen where the sealant has broken away to prevent a risk to hygiene. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 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 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, 28, 29, 30 Staff individually and collectively were able to demonstrate that they have the necessary skills and experience to effectively meet the needs of service users in their care. Recruitment practices are robust and effective for the protection of service users. EVIDENCE: There appeared to be sufficient staff on duty at the time of inspection to meet the needs of users in an effective manner. Detailed examination of the staff files of the two most recently recruited staff indicated that the contents of the files met the requirement of Regulation, Standard and Schedule. The policies and procedures relating to selection and recruitment are robust, transparent and meet the requirements of current good practice guidance and legislation. All new care staff undertake induction training to NTO specification within 6 weeks of appointment. Foundation training to NTO standard follows within the first six months. Core skills training is encompassed in the induction training and includes fire safety, first aid, health & safety, manual handling, infection control and food hygiene and is repeated at regular intervals in order to refresh the staff and up date their skills. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 17 All care staff are offered to opportunity to gain formal qualifications. NVQ 2,3 & 4 are available. Service users said that the staff “did their best”, “were kept very busy” and “ appeared happy in their work”. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 18 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) 33 The home regularly reviews aspects of its performance through a programme of self-review and consultations which include seeking the views of users, staff and relatives. EVIDENCE: The home has recently undertaken a comprehensive quality assurance survey with its major stakeholders. The outcome was generally positive and only two areas have been identified as areas that require improvement. These areas are the cleaning of the home and range of activities provided. The management are reviewing these areas to see how improvements can be made to benefit the users. The home has regular monthly visits from its Proprietors who gauge the ongoing level of customer satisfaction by observing care practice, talking to staff, service users and their relatives. The Proprietors representative completes a GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 19 report on their findings, a copy of which is sent to the CSCI, head office and to the home. From discussion with service users it was clear that service users consider the home well run and feel that there opinions will be taken into account. The majority felt that “staff worked hard and did a good job” and that management were “easy to talk to and were approachable”. GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 20 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 4 x x x x 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 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 3 x x x x x GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 21 yes 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. Standard 26 Regulation 13 (3) Requirement Provide sluicing facilities from the laundry to prevent cross contamination. (Time scale has not yet expired) Ensure that all care documentation is dated and signed Ensure that the area around the wash-up sink in the kitchen is repaired or replaced Timescale for action By 7.1.06 2. 3. 7 19 15 23 (2) b Immediate By 10.5.05 By 9.8.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading 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 GURNEY HOUSE H51-H01 11284 GurneyHse V226544 090505 Stage 4.doc Version 1.30 Page 23 - 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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