Inspection on 30/01/06 for Highgrove House

This inspection was carried out on 30th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Highgrove House 10/04/07

Highgrove House 08/07/05

Highgrove House 17/01/05

Highgrove House 30/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Highgrove House 32-34 Winchester Road Worthing West Sussex BN11 4DH Lead Inspector Mrs K Allen Unannounced Inspection 30th January 2006 9:00 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 Highgrove House DS0000014565.V273515.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. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highgrove House Address 32-34 Winchester Road Worthing West Sussex BN11 4DH 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) 01903 230487 01903 203811 care@highgrove-house.net Mr Clive Neil-Smith Mrs Sally Mary Neil-Smith Mr Clive Neil-Smith Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th July 2005 Brief Description of the Service: Highgrove House is a care home providing care and accommodation for up to twenty older people over the age of sixty-five. It is situated close to the town centre of Worthing, West Sussex with easy access to the seafront, shops and other amenities. The home is a two-storey, detached house with eighteen bedrooms all of which have en-suite facilities. There is a passenger lift to the first floor, which makes the home accessible to all residents. A large, well-maintained garden is available for residents use. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 9am over five hours. During the inspection ten residents were spoken to either in their room or communal areas. Two staff were interviewed and a discussion was held with the manager. In addition a number of records were seen. Residents said, “staff were kind, caring and treated them with respect”. Another person described the staff as being “professional” and another said the service was “more than alright”. 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. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 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 Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 5 & 6 Prospective residents have the information they need to make a choice about where to live. They are invited to visit the home and have a trial stay before moving in. Intermediate care is not provided. EVIDENCE: There is a written Statement of Purpose for the home. A new resident referred to her guide to the home, which she had received when she came to live there. The details are comprehensive and she considered that they were accurate and gave her all of the information that she needed. Two people were at the home on a trial stay. They both felt it was very helpful to have this time to make up their mind about moving in. The home does not provide intermediate care. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 & 9 Resident’s health, personal and social care needs are not always set out in an individual plan. Their health care is promoted and they are assisted to make their own decisions. Residents, where appropriate, are responsible for their own medication, however the procedure for its disposal must be strengthened. EVIDENCE: One person had been at the home for six days and there was no care plan setting out the action staff should take to meet his needs. Other care plans had been reviewed monthly up until last November. One persons needs had greatly changed in this time and the care plan had not been updated. There is no evidence of care plans being drawn up in conjunction with the resident concerned. All residents said, however, that they felt their needs were being met and that staff understood what help they needed, usually without them having to ask for it. All residents were well presented and said that they were supported in maintaining their independence regarding caring for themselves. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 9 They mainly made their own arrangements to see the doctor although staff accompanied them to appointments and provided transport if this was necessary. They were enabled to access other services such as the chiropodist, optician, hearing specialist and dentist. A weekly exercise class takes place at the home and some residents appreciated this. Residents weight is monitored and a nutritious diet is provided. A number of residents manage their own medication and they were satisfied with this arrangement. Others had their medication administered by staff and said that they could “always rely on them” for this. Recording and administration is managed satisfactorily and there are safe arrangements for the storage of medication. However, some old stock is kept at the home and must be disposed of. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 Residents are helped to exercise choice and control over their lives. EVIDENCE: All except one person manages their own finances, usually with assistance from a relative or solicitor. They are entitled to bring personal possessions with them to the home. They can have access to their personal records and the manager has informed them that some records are kept on a computer. One resident said she was pleasantly surprised about the level of “freedom and lack of rules” there were at the home. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 17 Residents are confident that their complaints are listened to. Their legal rights are protected. EVIDENCE: There is a written complaints procedure. Residents are given details of how to complain through the Service Users Guide, received when they come to live at the home. All residents are able to represent themselves. They have family, friends or a solicitor who they can seek advice from. A postal vote is made available to those unable to go out to vote. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20 Residents live in a safe and well-maintained environment. They have access to safe and comfortable indoor and outside space. EVIDENCE: The premises are suitably located for its purpose as it is near to the local town and seafront. All areas of the premises are well maintained including the grounds. It meets the requirements of the local fire service. There are however, two outstanding recommendations from the Environmental Health Department. There is good communal space in the home including two lounges, a conservatory and separate dining room. One person said they enjoyed the space and it meant that you could “get away from things if you wanted to”. There is a good-sized front garden, which is private. All furnishings are domestic in character and of good quality. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 &30 Residents are in safe hands at all times and cared for by staff competent to do their job. EVIDENCE: There is an on-going National Vocational Training (NVQ) programme. Three staff have NVQ Level 2 and two have Level 3. The deputy manager is about to start the Registered Managers Award, which is at Level 4. In addition, there is a programme of training in core areas such as food hygiene, first aid, fire safety and health and safety. Good records are kept of this training although staff do not have an individual training and development plan. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35, 37 & 38 Resident’s financial interests are safeguarded although the accounting arrangements for one resident should be strengthened. Their rights are protected by the home’s records. The health, welfare and safety of residents is protected. EVIDENCE: All residents manage their own finances except one person. Longstanding arrangements are in place for money to be deposited at the home for this resident. The money is kept in a safe place and only senior staff handle it. An individual account is kept of each transaction however the sum of money held did not balance with that recorded. All records required by regulation are in place and unless stated elsewhere in this report. They are accurate and up to date and stored securely. The training given to staff in moving and handling, first aid, fire safety and food hygiene ensures safe working practices. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 15 There are maintenance contracts in place for gas and electrical installations as well as fire safety equipment. The home has a written health and safety policy and records all accidents and injuries. Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 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 3 X X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X 3 3 Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 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 3 Standard OP7 OP9 OP35 Regulation 15 13 16 Requirement All residents must have an up to date care plan which is regularly reviewed Out of date medication must be disposed of safely Personal money must be suitably accounted for Timescale for action 31/01/06 31/01/06 31/01/06 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 2 Refer to Standard OP19 OP30 Good Practice Recommendations The two outstanding recommendations from the Environmental Health Department should be met Staff should have an individual training and development plan Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Highgrove House DS0000014565.V273515.R01.S.doc Version 5.0 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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