Inspection on 20/09/06 for Horncastle House

This inspection was carried out on 20th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Horncastle House 16/01/06

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 Key Unannounced Inspection 20th September 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.V307977.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. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 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.V307977.R01.S.doc Version 5.2 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. 16th January 2006 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.V307977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the morning and afternoon of the 20th September. The manager was available for discussion. The home was inspected against the National Minimum Standards. Documents held on file at the Commission were perused prior to the inspection, as was the pre inspection questionnaire. The organisations head office was visited prior to inspection and many policies and procedures were inspected and the heads of care were spoken to. On inspection policies, procedures and documentation were seen to be in place and did reflect the local situation. Four residents were case tracked; the building was inspected including the laundry and kitchen. Residents, a visiting professional and staff were spoken to elicit their opinion on the home. The majority of the National Minimum Standards were met with minor shortfalls in some. Comment cards received from residents relatives and staff were mostly positive. The fees charged range between £600 and £750 per week. What the service does well: What has improved since the last inspection? There have been decorative improvements throughout the home. A new shower has been installed and new furniture and carpeting is being installed in rooms. The kitchen has had some new lighting and tiles. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 6 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.V307977.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 Horncastle House DS0000024159.V307977.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. Prospective residents have the information they need to make an informed choice about where to live. 2. Each resident has a written contract/ statement of terms and conditions with the home. 3. No resident moves into the home without having had his/her needs assessed and been assured that these will be met. 6. This standard is not applicable. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The Statement of Purpose reflects the current category of registration of the residents accepted by the home. Care plans inspected showed evidence of pre assessment. Residents spoken to stated that they were happy with the admission process. Two relatives spoken to stated that they were happy with this process. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 9 Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 10 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. The residents health, personal and social care needs are set out in an individual plan of care. 8. Residents health care needs are fully met. 9. Residents, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. 10. Resident feel they are treated with respect and their right to privacy is upheld. 11. Resident’s are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Care plans are in place and health and social need are recorded. Residents spoken to stated that they are looked after very well. The care plans have evidence of risk assessment. Comment cards received from three health and Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 11 social care professionals expressed satisfaction with the care and communication in the home. One visiting funding nurse stated that she has not any concerns regarding the care in the home and that residents tend to improve following admission here. One fluid chart seen was not up to date and another was not totalled. The importance of this was discussed with the Registered Manager. Medicine administration charts inspected were up to date. Topical items seen in room were properly labelled with that resident’s name with the exception of one tub of E45 cream. Medicines including controlled drugs were appropriately stored. Residents may, following risk assessment and one currently does so. There are lockable drawers for medication. The Registered Manager stated that they make an effort to identify health care wishes to be followed at the time of death but some residents and relatives do not wish to discuss this. Funeral withes are elicited and recorded where possible. . Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 12 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. Resident find the lifestyle experienced in the home matches expectations and preferences, and satisfies their social, cultural, 13, religious and recreational interests and needs. 13. Residents maintain contact with family/ friends/ representatives and the local community as they wish. 14. Residents are helped to exercise choice and control over their lives. 15. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: There is an activities programme in place and all residents stated that they are happy with these. They also stated that visitors are made welcome. Of four residents in one lounge three were in wheelchairs and in the other lounge six out of nine residents were in wheelchairs. When discussed with the Registered Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 13 Manager she stated that this was because the hairdresser was in today and they remained in wheelchairs for freedom of movement. She further stated that following lunch they would be transferred to arm chairs. Residents spoken stated that they were happy and comfortable. All eighteen comment cards received except one expressed satisfaction with the food. All residents spoken to on the day stated that they were happy with the food. There is a choice on offer and the chef when spoken to stated that he tries to meet all requests. The home is in the process of changing the menus to a pictorial format. This is an organisation wide initiative. Most food was stored adequately but the vegetable fridge was leaking water and food in the other fridge was not dated and labelled. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 14 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. will 17. 18. Residents and their relatives and friends are confident that their complaints be listened to, taken seriously and acted upon. Resident’s legal rights are protected. Residents are protected from abuse. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Complaints and Adult Protection Policies and Procedures were inspected at head office. There were displayed prominently in the home. Staff demonstrated an awareness of these procedures. Complaints are taken seriously and acted on. Family or solicitors have power of attorney for eleven residents at this time. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 15 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): 20. Residents have access to safe and comfortable indoor and outdoor communal facilities. 21. Residents have sufficient and suitable lavatories and washing facilities. 22, Residents have the specialist equipment they require to maximise their independence. 23. Service users’ own rooms suit their needs. 24. Residents live in safe, comfortable bedrooms with their own possessions around them. 25. Residents live in safe, comfortable surroundings. 26. The home is clean, pleasant and hygienic Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 16 EVIDENCE: The manager discussed the ongoing plan of maintenance. One bathroom downstairs has been converted to a shower, which residents enjoy. The décor in one lounge has been upgraded. There is a programme of replacing carpet and furniture. The corridors are being redecorated. The maintenance man was spoken to. The fire department have inspected and he confirmed that the immediate requirement of that inspection has been carried out and that the fitting of intumescent strips will be carried out within the year as requested. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 17 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. The numbers and skill mix of staff meets residents needs. 28, Residents are in safe hands at all times. 29. Residents are supported and protected by the home’s recruitment policy and practices. 30. Staff are trained and competent to do their jobs. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Staff rota show adequate numbers and skill mix of staff on duty. Staff spoken to stated that there are adequate numbers of staff on duty. Most residents spoken to stated that the staff are very kind, two stated that some members of staff are difficult to understand. Staff spoken to stated that there is induction training and supervision in place. An agency member of staff employed independently to care for a resident stated that the home is a happy place and that if help is required from staff in the home it is offered in a timely fashion. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 18 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. Residents 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. 32. Residents benefit from the ethos, leadership and management approach of the home. 33. The home is run in the best interests of residents. 34. Residents are safeguarded by the accounting and financial procedures of the home. 35. Residents’ financial interests are safeguarded. 36. Staff are appropriately supervised. 37. Residents’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. 38. The health, safety and welfare of residents and staff are promoted and protected. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 19 EVIDENCE: Residents stated that they are happy with the way the home is run and feel that they can approach management of the home if there is a problem. Policies and procedures are in place which staff demonstrated an awareness of. The home is protected by the financial procedures of a large organisation. The health, safety and welfare of residents and staff is ensured through a programme of home maintenance and staff training. The home works to comply with statutory agencies Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 20 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 21 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 OP8 Regulation 13(4)© Requirement The registered person promotes and maintains service users’ health and ensures access to health care services to meet assessed needs The registered person ensures that service users receive a varied, appealing, wholesome and nutritious diet, which is suited to individual, assessed and recorded requirements, and that meals are taken in a congenial setting and at flexible times. Timescale for action 31/12/06 2 OP15 13(3) 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Horncastle House DS0000024159.V307977.R01.S.doc Version 5.2 Page 22 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.V307977.R01.S.doc Version 5.2 Page 23 - 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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