Inspection on 29/07/05 for Iddenshall Hall

This inspection was carried out on 29th 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

Iddenshall Hall 28/06/07

Iddenshall Hall 21/09/06

Iddenshall Hall 31/01/06

Iddenshall Hall 19/01/05

Iddenshall Hall 25/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Iddenshall Hall Clotton Tarporley Cheshire CW6 0EG Lead Inspector Maureen Brown Unanounced 29 July 2005 9:45 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. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Iddenshall Hall Address Clotton Tarporley Cheshire CW6 0EG 01829 732454 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) Barchester Healthcare Homes Limited Patricia Ann Hull Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19/01/05 Brief Description of the Service: Iddenshall Hall, which has been operating as a care home since 1987. It is an adapted property with purpose-built extensions on ground-floor level. A passenger lift provides access between floors. It provides 44 long-term places for older people, and is in a rural location in the village of Clotton, near Tarporley. The homes grounds and gardens are accessible to service users. There is also an internal courtyard area (with seating) which service users can access from the corridor. Accommodation for service users comprises thirty four single and five double bedrooms. Twenty of the single rooms have en-suite toilet/wash-basin facilities, and two of the double rooms have en-suite toilet/bathroom facilities. Much of the bedroom accommodation is on ground-floor level and many of the bedrooms have patio doors which overlook, and provide access to, the gardens and grounds. Communal facilities comprise two lounges (one with a separate conservatory extension) and two adjoining dining rooms. The home also has its own chapel which is used both for religious services and as a place for quiet contemplation by service users. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during 29th July. The total time on site was six hours. The inspector spent an hour planning the inspection by reviewing previous inspection reports and the service history. The inspection included a tour of the home, inspection of records and discussions with eighteen residents, the senior care assistant, care assistants, cook, handyman and housekeeper. Discussions were also held with one relative and the regional manager. At the time of this inspection there were forty-two residents living at Iddenshall Hall. Seventeen out of thirty-eight standards were assessed and all were met. Feedback from this inspection was given to the senior care assistant with the agreement of the regional manager at the end of this inspection. What the service does well: What has improved since the last inspection? Some refurbishment has taken place, which benefits residents. New beds and over bed tables had been provided throughout the home. The corridors had been re-carpeted and some bedrooms also had new carpets fitted. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 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 Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 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) 1, 2 & 3 Sufficient information is provided for residents to make a decision about moving into the home. Full assessments of needs are carried out to ensure that the home can meet the residents’ needs. EVIDENCE: Residents had a copy of the home’s statement of purpose and service users guide within their bedrooms. Copies were also available in the front hall. This was produced in a bound file with a picture of the home on the front of the folder. It included information about the statement of purpose and function, aims and objectives, philosophy of care, terms and conditions of admission, mission statement, qualifications of the registered provider, manager and staff. Also included is the organisational structure of the home, age and range of service users, social activities and category of service users. A copy of the most recent inspection report was also available. Residents and relatives confirmed that they had a copy of this document. This guide was well presented, clearly written and easy to read and understand. The registered manager last reviewed this on 29th June 2005. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 9 A sample of four care plans examined showed that assessments had been carried out with each person before moving into the home. This document covers personal information, personal care and health needs and this enables staff to assess if the prospective residents needs can be met by the home. Residents and relatives confirmed that they had visited the home prior to admission and staff said that admissions were planned. The residents’ admission agreement covered services provided and what is not included in the fees, terms and conditions of residence, rights and obligations of proprietor and resident and fees payable. Fees were reviewed on an annual basis in April. The person in charge stated that residents were given one months notice in writing of any changes. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 & 10 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Samples of four residents’ care records were seen during this inspection. These were comprehensive and well presented in individual folders. Each contained basic information covering all areas of personal care, risk assessments for falls and moving and handling. It also included social interaction, activities, visiting professionals sheet and a copy of the daily report sheets. The care plans seen were drawn up in consultation with the residents and family and were based on their assessed needs and risks. Most of the residents signed their care plans to show that they agreed with the contents. It was suggested that the care plans should be reviewed on a monthly basis, in conjunction with the residents. (See recommendation No. 1). Daily record sheets seen showed day-to-day activities of each resident. They were written clearly, easy to follow and were signed by carers. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 11 Information regarding bathing and weights were seen and recorded. Some residents and their families had completed life history sheets, which gave a good indication of that person’s history. It was suggested it would be useful if these were completed with the residents and their families for everyone so that staff would know each person’s history. (See recommendation No 2). Medication records examined showed that this was recorded and administered appropriately. Medication was kept secure within each resident’s bedroom and controlled drugs were stored in line with current regulations. During discussions with the residents it was said that “the care was very good” and “the home had a lovely atmosphere”. Other comments included “the food is good” and one resident said “their privacy and dignity was respected by the staff”. Relatives spoken to said “they were very happy with the care given” and also “they were kept informed of changes in the residents health needs”. During the inspection staff showed respect for the residents by the way they spoke to them. Staff acted in a friendly and warm manner towards residents. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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 standard(s) 12, 13 & 15 Residents’ were able to take part in a range of activities of their choosing. Personal and family relationships were encouraged by the home and the staff team supported people with this. Residents’ dietary needs were well catered for with a balanced and varied selection of food that met people’s tastes and choices. EVIDENCE: The residents’ plans reflect the range of activities undertaken including reading, bingo, dominoes, sing-a-longs, talking books and watching television. A full time activities organiser was employed at the home. A weekly plan is produced and morning and afternoon activities were noted. Activities that residents preferred were seen in the service users plans and residents confirmed that they had been consulted about the activities on offer. The activities organiser also arranges trips out locally in small groups or on a one to one basis. Visits from family and friends were recorded in the case notes. Residents shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared lounge/dining area. Relatives said that they were always made very welcome Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 13 by the staff and were offered refreshments. They said that they could visit their family in the privacy of their own bedroom or in the lounges, conservatory or one of the dining rooms. The menu was seen and these reflected people’s personal choices. Special diets were catered for such as diabetic diets. The main meal of the day was observed being served and the food was hot, appetising and well presented. An alternative was always available. During the meal it was observed that staff assisted residents as necessary in a friendly and unobtrusive manner. After the meal residents said that “the meal was good” and that “choices were always available and the food was very good”. The kitchen was maintained in a clean and tidy condition and fridge, freezer and hot food temperatures were recorded. The home has its own chapel and religious services take place each week as residents confirmed that they were welcome to attend. Also residents are able to receive visits form the clergy of their chosen denominations. Resident’s religious preferences were recorded in their care plans. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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 standard(s) 16 Residents and relatives were satisfied with the support they received from the manager and staff. EVIDENCE: The policy on complaints was seen and this included timescales for dealing with a complaint and Barchester Healthcare Homes Head Office and the Commission for Social Care Inspections details. The Commission had received no complaints since the previous inspection. One complaint had been received by the home. This had been acknowledged by the home and the manager said that they were waiting for further communication from the complainant, so that the matter may be resolved. All relevant paperwork was available in the event of a complaint being received. Residents and relatives confirmed that they were aware of the complaints procedure and to whom they would direct their complaint. Residents and relatives were confident that any complaint would be dealt with swiftly. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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 standard(s) 19 & 26 The home provides a clean and comfortable environment for the people to live in. EVIDENCE: The home was furnished in a domestic style with additional equipment such as grab rails, raised toilet seats and hoists provided as necessary to meet the residents’ needs. A very good standard of décor was evident throughout. New carpeting had been provided on the corridors and some bedrooms. A refurbishment and redecoration programme was in place. The home is colour co-ordinated throughout. The lounges have a variety of seating affording choice of style of seating for residents. The conservatory was light and airy and residents said that they enjoyed using this area. During the tour of the home all the shared areas and a selection of bedrooms on both floors were seen. Bedrooms were entered with the consent of the residents. The heating and lighting was sufficient throughout the home. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 16 The grounds to the home were very well kept and include a courtyard, which was used regularly by the residents. During the inspection some residents were using this area. They said that they enjoyed being outside in the better weather. The home was clean, tidy and free from any unpleasant smells. Records of menus and daily checks on fridge, freezer and hot food temperatures were kept. The home had a separate laundry room, which was clean and tidy. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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 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 The manager provided clear leadership. Records were well maintained. Staff received support to enable them to meet residents’ needs. EVIDENCE: At the time of this inspection the agreed staffing levels were met. Agreed staffing levels were being maintained with seven care staff during the morning, four care staff in the afternoon and five care staff in the evening. The duty rota showed three waking night staff were on duty, one of which acts in a senior capacity. Senior care assistants support the manager and ancillary staff support the care team. These include cooks, housekeeper, gardener, administration support, handyman and laundry assistants. The home also employs a full time activities organiser. The person in charge said that twenty staff had obtained NVQ level II or III in care and that two staff were undertaking NVQ level II in care. Two staff were also undertaking NVQ level III in care. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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 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) 36 & 37 Staff received support to enable them to meet residents’ needs. Residents’ records were kept safe and secure. EVIDENCE: The person in charge said that one to one staff supervision was given on a regular basis. She received supervision from the manager each month and records were kept. Other staff spoken to confirmed that supervision was given on a monthly basis and appraisals were undertaken annually. Observed day-to-day supervision of staff was good and the staff team confirmed they were supported by the manager and the senior staff in their delivery of care to residents. All records, policies and procedures seen were up to date and accurate. These were kept secure within the home. Residents confirmed that they had access Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 19 to information kept about them. During discussions with the residents they said that the manager was easy to approach and that they saw her regularly. Residents said that they “liked living in the home”, “that they liked their bedroom and some had chosen the colour scheme” also “that the home was run well”. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x N/A 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 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x 3 3 x Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 21 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 OP7 OP7 Good Practice Recommendations The registered person should ensure that the care plans are reviewed on a monthly basis, in conjunction with the residents. The registered person should ensure that life history sheets are completed with the residents and their families. Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Iddenshall Hall F51 F01 S41797 Iddenshall Hall V230876 290705 Stage 4.doc Version 1.30 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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