Inspection on 16/01/06 for Horncastle House

This inspection was carried out on 16th January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Horncastle House 20/09/06

Horncastle House 19/10/05

Horncastle House 28/10/04

Horncastle House 10/05/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 Horncastle House Plawhatch Sharpethorne East Grinstead West Sussex RH19 4JH Lead Inspector Mrs S Gawley Unannounced Inspection 16th January 2006 09:30 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 Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Horncastle House Address Plawhatch Sharpethorne East Grinstead West Sussex RH19 4JH 01342 810219 01342 811247 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) Dr Shafik Hussien Sachedina Mr Shiraz Boghani Mrs Linda Rose Mountford Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43), Physical disability (4) of places Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of four (4) persons over the age of 50 years in the category physical disability PD may be accommodated. 19th October 2005 Date of last inspection Brief Description of the Service: Horncastle House is a care establishment providing nursing, registered to accommodate up to 43 service users in the category OP (persons over 65 years), four of which can be in the PD category (physical disability under 65 years). A maximum of four persons over 50 years in the category PD may be accommodated. Horncastle House is a large detached property located in the village of Sharpethorne, near East Grinstead. The accommodation is arranged over two floors, which are served by a passenger lift. There is one shared bedroom. Horncastle House is part of the Sussex Health Care Group and is privately owned by Dr Sachedina and Mr Boghani. The newly registered manager is Mrs Linda Mountford. The home has large attractive grounds. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the morning and afternoon of 16/01/06 and was facilitated by the registered manager. The home was inspected against the National Minimum Standards, residents, relatives and staff were spoken to. The requirements and recommendation of the last inspection have almost been met. All of the above will be reflected in the report. 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. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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 Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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): These standards were not inspected on this occasion as they were fully met on the last inspection. EVIDENCE: Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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): 8, Residents health care needs are fully met. 10, Resident feels they are treated with respect and their right to privacy is upheld EVIDENCE: Resident’s Health care needs are set out in a plan of care. New care plans are to be implemented and documentation was seen to support this. The registered manager stated that this would improve information available to staff to enable them to meet resident’s needs. Residents stated that they are happy with the care they receive. Residents and relatives spoken to stated that the staff are at all times respectful and that privacy is respected. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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 the following standard(s): 15, Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: The kitchen and food stores were inspected. The environmental health officer has been invited in to inspect these e areas and the home is working to meet those requirements within the timescales stated. Bins have been purchased so that foodstuffs are not any longer stored on the floor. The chef also spoke about he intends to improve the documentation in the kitchen such as temperature charts, cleaning schedules and to include hazard analysis. The meal seen being prepared and served was nutritious and appropriately presented. Residents stated that they enjoy the food. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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 the following standard(s): 16,Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon 17,Resident’s legal rights are protected 18, Residents are protected from abuse. EVIDENCE: The complaints book was available for inspection and showed that complaints were recorded and that they were followed up. There is a clear complaints procedure in place and this is included in the service user guide, therefore residents can be confident that complaints will be followed up. The home does not hold Power of Attorney for any Resident and relatives are encouraged to help in this area. Residents are given the opportunity to vote. The home has its own organisational policies on abuse. It also has the West Sussex Adult Protection Procedures available. Staff training is in place thus residents are protected from abuse. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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 the following standard(s): 19, Residents live in an entirely safe and well-maintained environment 25, Residents live in safe, comfortable surroundings 26, he home is clean, pleasant and hygienic EVIDENCE: It is evident that work has been ongoing to improve the environment of the home. The requirement on fitting door closures is ongoing and is expected to be complete in the near future. The timescale stated on the last inspection has been extended. The home is safe and comfortable with the exception of water from taps in sinks, which do not have safety valves in place, which baths do. This was discussed with the manager and it is a recommendation of this report that these are fitted to prevent unnecessary risks to the health and safety of the residents. The home is clean, free from offensive odours and has pleasant communal areas. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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 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): 29,Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The registered manager stated that the home is supported in recruitment by policies and procedures. These were available for inspection. Local induction is completed in the first 4-6 weeks and a new Care Training Consortium induction is being commenced within 3 months and this links in to The National Vocational Qualifications. This protects and supports Residents. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 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 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): 33, The home is run in the best interests of service users 35, Residents’ financial interests are safeguarded. 38, The health, safety and welfare of service users and staff are promoted and protected EVIDENCE: Residents spoken to stated that they are happy with the way they are treated in the home and that staff are caring. Staff stated that they feel well supported and that there has been an improvement in the running of the home since the new manager took over. Monies for Residents are not held in the home. Policies, procedures and training are in place in the home to protect and safeguard Residents. The home is working towards meeting the requirements of all statutory bodies. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 Page 14 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X X 2 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 Page 15 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23 (4) Requirement The building complies with the requiremants of the local fire service. This was a requirement of the previous inspection and a new timescale has been agreed. Timescale for action 28/02/06 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 Refer to Standard OP25 Good Practice Recommendations Water to be stored at a temperature of 60˚ and distributed at a temperature of 50˚ and to prevent risks from scalding, pre-set valves to be fitted locally to provide water close to 43˚. Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 Page 16 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 Horncastle House DS0000024159.V278457.R01.S.doc Version 5.1 Page 17 - 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!