Inspection on 25/05/05 for Highwood

This inspection was carried out on 25th 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 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 18/09/06

Highwood 24/11/05

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 Announced 25 May 2005 10:00 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. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Highwood Address 5 Pashley Road Eastbourne East Sussex BN20 8DU 01323 729050 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 Marcus Samuel Gudgeon and Mrs Jennifer Gudgeon Mrs Jennifer Gudgeon Care Home 3 Category(ies) of Old age, not falling within any other category. registration, with number (OP) 3 of places Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of service users must not exceed three (3). 2. Service users must be older people aged sixty-five (65) years or over on admission. Date of last inspection 10 January 2005 Brief Description of the Service: Highwood is a Christan 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 while 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. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and took place over two hours. There were two service users in residence on the day. The purpose of the inspection was to check compliance with the regulations. The Manager, her husband and one service user were spoken with. A tour of the premises was carried out and a range of documentation viewed including care plans, daily diary and policies and procedures. Both service users returned comment cards and were highly complimentary about the home and services provided. Fifteen key standards and seven of the other standards were inspected. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 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 standard(s) 1, 3, 4 and 5 Prospective service users have sufficient information about the services provided by the home. The pre-admission process ensures the home can meet service users needs. EVIDENCE: The home has a satisfactory Statement of Purpose and Service Users Guide and it is made clear that all service users are admitted for a four-week trial period. Pre-admission sheets were viewed and it was clear that service users needs are assessed prior to admission and service users are involved in this process. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 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 standard(s) 7, 8 and 9 The home has an adequate care planning system that ensures service users social, personal and healthcare needs are met. EVIDENCE: Each service users has a plan of care that is regularly reviewed and in which they are involved in compiling. Service users are aware of how the home intends to meet their needs. The daily diary is used to record any healthcare appointments and transport is provided for these visits if required. Currently both service users are able to self-medicate and satisfactory risk assessments are in place. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 9 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) 12, 13 and 15 Links with the local community are good and visitors are welcome at all times. Meals are well managed, creative and provide variation. EVIDENCE: The care plans of service users and notes in the daily diary records service users leisure preferences and it was evident that they are enabled to continue with their chosen recreational interests. The one service user spoken with spends much of her time making handicraft products to sell for charity. The home has an annual sale of these products and the proceeds are donated to a charity. The other service user was out with her family and the Manager said she is due to go to Ireland, later in the year, to visit her brother. Menus are creative and discussion with the Managers husband found he is knowledgeable about the preferences and special dietary requirements of both service users. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 10 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 and 18 The home has a satisfactory system for dealing with complaints. The Manager and her husband have sufficient knowledge to ensure service users are protected from abuse. EVIDENCE: The home has a written complaints procedure and any complaints would be recorded and include outcomes. No complaints have been received, but service users were aware of the complaints procedure. The home has a copy of local guidance on adult protection and the Manager is familiar with these procedures. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 11 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, 22, 24, and 25 Service users environment is safe, comfortable and well maintained. EVIDENCE: A tour of the premises was carried out and it is clear they are well maintained and décor is good throughout. The service user spoken with stated that the home is lovely. Service users bedrooms are tastefully decorated and equipment would be provided on an individual basis if required. It should be noted that only low dependency service users are admitted to the home. An assisted bath is available in the first floor bathroom. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 12 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 and 29 The Manager and her husband provide all care and this is sufficient to meet service users needs. EVIDENCE: The Manager provides any care that service users need, however, this mainly comprises supervision while bathing and occasional additional care if service users are feeling unwell. The Managers husband has a catering qualification and he provides all meals and transport to the shops and healthcare appointments. The family either takes holidays at the same time as service users or the extended family provide short term staffing. Satisfactory checks have been undertaken for those family members. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 13 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 and 38 The home is well run and properly managed ensuring that service users health, welfare and safety are 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. Due to the size of the home and lack of staff she does not fulfil the criteria to commence any NVQ training. It is recommended that any discussions with service users in respect of their preferences be recorded to demonstrate they are consulted in these matters. Central heating systems and electrical systems and appliances are serviced annually, as are call bell systems. The Manager is aware of the requirements in respect of infection control. Risk assessments have been undertaken in respect of the environment and fire risk. The Manager has not undertaken training in Moving and Handling as service users with such needs are not admitted. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 14 Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 15 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x 3 x 3 3 x STAFFING Standard No Score 27 N/A 28 N/A 29 3 30 N/A 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 N/A x x N/A x 3 Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 16 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. Refer to Standard 32 Good Practice Recommendations That discussions with services users be recorded. Highwood H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 17 Commission for Social Care Inspection 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 H59-H10 s21360 Highwood v218116 250505 stage 4.doc Version 1.20 Page 18 - 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!