Inspection on 08/07/05 for Highgrove House

This inspection was carried out on 8th July 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 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 30/01/06

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 Announced Friday, 8 July 2005 V230507 th 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. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Clive Neil-Smith / Mrs Sally Neil-Smith Mr Clive Neil-Smith Care Home (CRH) 20 Category(ies) of Old age, not falling within any other category registration, with number of places Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17th January 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 facilties. 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 H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 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, which included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place over seven hours on Friday July 8th 2005. During the inspection an interview was held in private with eight residents and discussions held with four others in the lounge. Four staff were interviewed as well as the owner/manager, in the company of his senior carer. The inspector observed the handover meeting between shifts and had lunch with residents. In addition a number of records kept on residents were seen. What the service does well: What has improved since the last inspection? What they could do better: Residents should be notified in writing that information about them is kept on a computer and their right of access to this information. Information kept in files on residents should be reviewed regularly to ensure that it is always up to date. Please contact the provider for advice of actions taken in response to this Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 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 Highgrove House H11-H60 S14565 Highgrove House V230507 080705 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, 4 & 5 All service users have their needs assessed before moving into the home. They are able to visit prior to moving into the home and their needs are met. EVIDENCE: A written assessment for each service user was kept on their file and it covered all of the recommended areas such as their interests, physical care and health needs. Residents confirmed that that their needs were met and that they were able to visit the home prior to moving in, although some had a relative visit on their behalf. One person had moved into the area to be near her daughter and she praised the manner in which she was helped to settle in. She had to be admitted to hospital soon after coming to the home and she said the support she received on her return was “excellent”. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 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 standard(s) 7, 10 & 11 Resident’s health, personal and social care needs are set out in an individual plan of care. Residents felt that they were treated with respect and their privacy is upheld. Staff were able to show that they would treat residents appropriately at the time of their death. EVIDENCE: A care plan is kept for each service user and the senior carer reviews it each month. If changes are made any sooner then this is passed to staff on the day and recorded. Plans are in hand to put all of the information kept on residents on a computer. The manager confirmed that he would inform residents of this. Staff enter resident rooms only after knocking and ensure they talk to them in private. A record is kept of the residents preferred form of address. One person said she particularly appreciated this and was satisfied that she was called by her surname. She said that in a previous home they used her first name and then they “were bossy” which she felt was “insincere”. Whilst most people would be admitted to hospital if they were dying, staff were familiar with the homes procedures should they pass away at the home. They were able to describe how they would make them comfortable, inform relatives, engage health professionals and secure belongings. A record is kept of the resident’s wishes regarding arrangements after their death. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 Page 10 Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 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 standard(s) 2, 13, 14 & 15 The lifestyle at the home suits the residents and they are able to maintain contact with family, friends and the community. Service users are supported in making choices in their lives. A wholesome, balanced diet is provided in pleasant surroundings. EVIDENCE: Residents said that they enjoyed their lifestyle at the home and were able to maintain their interests. Some still did knitting and crochet, others did crosswords, played scrabble and enjoyed music. They appreciated an exercise class, which took place each week with one person saying, “it makes us laugh”. The home arranges events such as a summer bar-b-cue, when residents can invite guests. Visitors were evident in the home during the inspection and they said that they were welcomed on arrival. They could stay for a meal with a bit of notice and one said her visit was “always a pleasant day”. All except one resident manages their own finances usually with assistance from a relative or solicitor. The manager administers one person’s money and has a signed agreement from her representative to do so. As previously stated the manager is in the process and entering resident’s details on a computer. He confirmed that some have been informed of this and is advised to put this information in writing to them, for example in the Service Users Guide. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 Page 12 Meals are provided in the dining room, which is comfortably decorated. Residents sit at small tables and staff wait on them. Two residents said that they did not like the food and that it was prepared in advance. One also commented on hygiene in the kitchen. There was however, no evidence that the meals were prepared in advance or that the hygiene was compromised in any way. Food is purchased from reputable local suppliers and prepared as it is required. On the day of the inspection five different main courses were provided in accordance with residents wishes. The manager agreed to continue to discuss the meals with those who expressed dissatisfaction and the cook confirmed that she was consulting each resident in turn to gain their comments. These were recorded. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 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 & 18 Residents and their relatives are confident that their complaints would be listened to and acted upon. Service users are protected from abuse. EVIDENCE: The home has a written complaints procedure and residents understand who to take any concerns to. They said they would talk to the owner of the home who they described as “approachable”, “helpful” and “always in the home”. There are written procedures for staff to follow should an allegation of abuse be made. Staff were able to describe what action they would take under such circumstances which included listening to the resident, recording the details and reporting it to the manager of the home. Those who had undertaken National Vocational Qualification (NVQ) training had received detailed training in this matter. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 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, 23, 24 & 26 Residents live in a well-maintained environment with accessible and comfortable communal space, including a garden. Resident’s rooms suit their needs and are well furnished. The premises are clean and hygienic. EVIDENCE: The premises are well maintained and decorated. The grounds are well kept and enjoyed by residents. There are no outstanding recommendations from the fire service or environmental health department. Communal space consists of two conservatories and lounges as well as a spacious dining room all of which are furnished in a homely and comfortable style. All rooms are occupied by one person and have en-suite, which they appreciate. The double rooms would only be used for a married couple or close friends. The rooms are comfortably furnished and are carpeted. Ten rooms now have locks and other are to be fitted. Two people choose to have their own key. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 Page 15 Laundry facilities are sited away from food preparation areas and have a washhand basin and sluice. The area was clean and well organised with individual containers for personal laundry. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 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 Residents needs are met by sufficient staff some of whom have qualifications. Service users are in safe hands. The homes recruitment procedure protects residents. EVIDENCE: There is a recorded rota showing which staff are on duty at any time. Staff and residents said there were enough staff both during the day and the night time. There is an NVQ training programme in place. Two staff are currently undertaking Level 2 and five have already attained this. One person who is in the process of taking her NVQ was particularly satisfied with the support given at the home and her assessor confirmed this. The most newly appointed member of staff described the process of her recruitment which included taking up two references and a Criminal Records Bureau (CRB) check. A record is kept of these checks. A contract of employment is issued to staff and the person is employed on a probationary period of three months. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 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 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) 31, 32, 36 & 37 The registered manager is competent and qualified. The management approach at the home provides good supportive leadership. Staff are appropriately supervised. Record keeping is generally good. EVIDENCE: The registered owner/manager has considerable experience of running residential care homes and has recently obtained NVQ Level 4, Registered Managers Award (Adults). He was reported to be “supportive” and “helpful”. Staff meet periodically if there are any matters which need to be addressed to the whole team, the last such meeting being held in March 2005. The staff team is made up of people from different ethnic groups and any discriminatory practice is dealt with in an effective manner. Staff have a four week period of induction when they first come to the home and the manager meets with them individually on an ad hoc basis. In addition, he undertakes an appraisal of their work each year. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 Page 18 Records on individual residents are stored safely and generally in good order, however, there were two documents found which were not up to date. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x 3 3 x Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 Page 20 No 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 Regulation Requirement Timescale for action 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 14 37 Good Practice Recommendations Residents should be informed that their details are to be kept on a computer and the arrangements for accessing this information Records should only contain up to date information. Highgrove House H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 H11-H60 S14565 Highgrove House V230507 080705 Stage 4.doc Version 1.30 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. 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