Inspection on 18/09/06 for Highwood

This inspection was carried out on 18th September 2006.

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

Highwood 24/11/05

Highwood 25/05/05

Highwood 10/01/05

Highwood 05/07/04

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 Highwood 5 Pashley Road Eastbourne East Sussex BN20 8DU Lead Inspector Gwyneth Bryant Key Unannounced Inspection 18th September 2006 10:00 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 Highwood DS0000021360.V305340.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. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highwood Address 5 Pashley Road Eastbourne East Sussex BN20 8DU 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) 01323 729050 Mr Marcus Samuel Gudgeon Mrs Jennifer Gudgeon Mr Marcus Samuel Gudgeon Mrs Jennifer Gudgeon Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of residents accommodated must not exceed three (3). Residents must be older people aged sixty-five (65) years and over on admission. 24th November 2005 Date of last inspection Brief Description of the Service: Highwood is a Christian home that is situated in a quiet residential road in Eastbourne. It is the family home of the Manager, her husband and children and is registered to provide care and accommodation for up to three older people. Service users accommodation is on the first floor in spacious single rooms with en-suite bathrooms. There is a reception room on the ground floor, overlooking the front garden. Both the front and rear gardens are fully accessible to service users. This room comprises the dining room and lounge. Visitors are welcomed at all reasonable times. A stair lift allows easy access to the first floor. There is a separate bathroom on this floor with a hoist, should service users prefer to have an assisted bath. Mrs Gudgeon, the Manager provides all the care in the home, and her husband, who holds a catering qualification, provides a variety of home cooked meals. Transport is provided to the local church, shops and the seafront whenever possible A copy of the service users guide, the statement of purpose and a contract is supplied at the time of admission. Most referrals are via word of mouth or personal recommendation. The fees charged as from 1 April 2006 is £325 toiletries (if requested) are included in the fees. Additional charges are made for hairdressing, chiropody, newspapers and dry cleaning. Intermediate care is not provided. The home does not have an email address or website. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should note that due to the size of this home a number of standards relating to staff and staff training are not applicable as the Manager provides all care to residents. This was an unannounced key inspection and took place over 3 hours. There were two residents in residence on the day of which both were spoken with. The purpose of the inspection was to check that Highwood is providing a good quality service. The Manager and her husband were spoken with. A tour of the premises was carried out and a range of documentation viewed including care plans, daily diary and Statement of Purpose. Both residents returned surveys and were highly complimentary about the home and services provided. Information was also gathered from a pre-inspection questionnaire completed by the manager. The two surveys returned included the following comments: ‘I am so very happy here. Excellent service, food and all that we could wish for. A homely atmosphere’ ‘ An excellent caring ‘home from home’. Healthcare professionals and relatives were not engaged with on this occasion. What the service does well: What has improved since the last inspection? What they could do better: Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 6 The home already meets the relevant National Minimum Standards and exceeds those in respect of bedroom sizes and bathing facilities. No shortfalls were identified during this inspection. 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. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 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 Highwood DS0000021360.V305340.R01.S.doc Version 5.2 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): 1, 3 and 4. 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. Residents benefit from clear information of their terms and conditions of residence and satisfactory pre-admission process ensures the home can meet residents assessed needs. EVIDENCE: The Statement of Purpose and Residents Guide are regularly updated and contain all the information required so prospective residents are able to make an informed choice about where to live. Surveys returned confirmed that contracts are provided and that sufficient information was provided at the time of admission. The home has not had any permanent admissions since the last inspection; however there has been one admission for respite care. The pre-admission documents and care plans for this person ensured that their needs were identified and met. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 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): 7, 8, 9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a care planning system that is clear and consistent and includes the information needed to meet assessed needs. Residents are further protected by satisfactory systems for the recording, handling and storing of medication. EVIDENCE: The care plans for both residents were viewed and found to include an assessment of their current needs and personal preferences in respect of daily routines. Both residents said they were very happy in the home and felt all their needs were fully met. Residents have access to healthcare professionals including a chiropodist, dentists and opticians. All visits to the GP are recorded and the manager monitors residents’ needs on a daily basis, with all relevant information being recorded in the daily diary. As Highwood only admits residents with low dependency the care plans are brief but still ensure that all personal, social and healthcare needs are identified. The ethos of the home is to enable residents to live independent lives with services at Highwood used as a safety net when required. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 10 One resident self medicates and a satisfactory risk assessment is in place to ensure she maintains this independence without being compromising her safety. The manager has developed systems to record administered medication should this situation change. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place for residents to experience a lifestyle that matches their expectations, choice and preferences in respect of leisure activities and meals. EVIDENCE: Residents are encouraged and enabled to exercise choice over all aspects of their daily lives. Both residents said they like to be left to organise their days doing activities of their own choosing. The managers’ husband provides transport to shops and the local church as required or for outings when the weather permits. Meals remain an area of which residents speak highly and menus are changed regularly and changes are based on residents’ individual preferences. The Managers husband has a catering qualification and is knowledgeable about residents’ individual nutritional needs. Residents confirmed he consults them about their individual preferences and these are recorded in care plans and in the kitchen. Surveys returned confirmed that residents liked their meals and that they take part in activities of their own choosing. Visitors are welcome at all reasonable times and residents confirmed that their friends and families visited frequently and were always made welcome. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 12 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure with evidence that residents feel that their views are listened to and acted upon and residents are further protected by satisfactory adult protection systems. EVIDENCE: The home has clear and concise complaints policies and procedures and any discussions with residents in respect of the service are recorded in the daily diary. Surveys returned confirmed residents knew who to talk to if they had any concerns or complaints and that they felt listened to by staff. In addition they confirmed on the day that they are listened to by the manager and her husband should they have any queries. The home uses the East Sussex, Brighton and Hove multi-agency guidelines as its policies and procedures for adult protection and the manager is aware of her responsibilities in this matter. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 13 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of decor within the home is good, with all areas homely, safe and comfortable for residents. EVIDENCE: A tour of the premises was carried out and all parts of the home are well maintained and décor is good throughout. Residents have personalised their rooms with ornaments and photographs and they confirmed that they treat Highwood as their own home. One resident remarked ‘its as near as you can get to your own home’. The laundry facilities are satisfactory and washing machines are able to wash clothes at temperatures that control the risk of infection. Both the Manager and her husband are aware of infection control procedures. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 14 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): 27 and 29 Quality in this outcome area is good . This judgement has been made using available evidence including a visit to this service. Care hours provided by the Manager and her husband is sufficient to meet service users assessed needs. Standards 28 and 30 were not assessed as additional staff are not employed. EVIDENCE: Staffing has remained the same since the last inspection in that the Manager provides any care that residents need, however, this mainly comprises supervision while bathing and occasional additional care if residents are feeling unwell. Her husband provides all meals and transport to the shops and healthcare appointments for residents. The family either takes holidays at the same time as residents or the extended family provide short term staffing. Satisfactory checks have been undertaken for those family members. Surveys returned confirmed that staff are always available. In addition residents spoken with on the day said that they ‘only have to ask and help will be available’. Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 15 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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well managed, well maintained home that is run in their best interests and all aspects of their health and welfare is promoted and protected. EVIDENCE: The Manager has been managing the home for over ten years. She has undertaken training in first aid, food hygiene and continence promotion. Records of discussions with residents are maintained to demonstrate they are consulted and as part of the quality monitoring process. Residents confirmed they are consulted on all aspects of how the home is run and how care is delivered. The home does not handle the financial affairs of residents. Residents are responsible for their own finances if appropriate or relatives and solicitors would do so. Information provided in the pre-inspection document confirmed that central heating, electrical systems and electrical appliances are serviced annually, as are call bell systems. Satisfactory risk assessments have been undertaken in respect of the environment and fire safety. Highwood DS0000021360.V305340.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 3 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 17 Are there any outstanding requirements from the last inspection? N/a 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. 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. Refer to Standard Good Practice Recommendations Highwood DS0000021360.V305340.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Highwood DS0000021360.V305340.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. 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!