Inspection on 31/01/06 for Iddenshall Hall

This inspection was carried out on 31st 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 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 29/07/05

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 Unannounced Inspection 09:00 31 January 2006 st 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 Iddenshall Hall DS0000041797.V278374.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. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Iddenshall Hall Address Clotton Tarporley Cheshire CW6 0EG 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) 01829 732454 01829 730684 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 DS0000041797.V278374.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th July 2005 Brief Description of the Service: Iddenshall Hall 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 care and support for 44 older people, and is in a rural location in the village of Clotton, near Tarporley. The homes grounds and gardens are accessible to residents. There is also an internal courtyard area (with seating), which residents can access from the corridor. Accommodation comprises of 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 residents. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during 31st January 2006. The total time on site was six hours. The inspector spent half an hour planning the inspection by reviewing the previous inspection report and the service history. The inspection included a tour of the communal areas, inspection of records and discussions with twenty residents, the registered manager and the staff on duty. At the time of this inspection there were forty-four residents living at Iddenshall Hall. Thirteen out of thirty-eight standards were assessed and all were met. Feedback from this inspection was given to the registered manager at the end of this inspection. What the service does well: What has improved since the last inspection? Previous recommendations regarding the care plans being reviewed monthly and the life history sheets being completed with the residents had been considered and implemented. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 6 Two new baths had been purchased and fitted, one of which had a Jacuzzi facility. This had improved the bathing facilities for residents. The kitchen had been refurbished with stainless steel units. During discussions with the cook she stated, “it was much better and the units were easier to keep clean”. The home now produces a newsletter that incorporates information about previous activities, details of in-house entertainment, in-house news and forthcoming events. At the time of this inspection a new reception area was in the process of being created. 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 DS0000041797.V278374.R01.S.doc Version 5.1 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 Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 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): 6 Sufficient information is provided for residents to make a decision about moving into the home. Intermediate care is not provided. 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. All information was provided for residents to make an informed choice about the home. A copy of the most recent inspection report was also available. This guide was well presented, clearly written, easy to read and understand. The manager stated that intermediate care was not provided at Iddenshall Hall. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 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 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 five 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. From the previous inspection recommendations were made regarding monthly reviews of the care plans and completion of life history sheets, which gave a good indication of that person’s history. These had been considered and implemented. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 10 Daily record sheets seen showed day-to-day activities of each resident. They were written clearly, easy to follow and were signed by carers. 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”. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 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): 14 Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: The staff and manager encouraged visits from family and friends to residents. 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 areas. During a tour of the home it was noted that residents had brought in some furniture of their own and pictures, ornaments and other personal mementoes. This enabled residents to make the rooms personal to themselves. The manager said that residents were encouraged to bring in any items of furniture with prior consultation with the management. Residents had access to their care plans and they had signed to show their agreement to the plan. Some residents handled their own financial affairs whilst others left this task to family members. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 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): 18 Clear policies and procedure were in place to ensure that residents were protected from abuse, neglect and self-harm. EVIDENCE: The home’s Protection of Vulnerable Adults Policy was produced by Barchester Healthcare and was consistent with the “No Secrets” guidance from the Department of Health. The policy included types of abuse such as physical, verbal, sexual and neglect; signs and symptoms and reporting abuse. A copy of Cheshire’s Social Services policy on Adult Protection was available within the home and was accessible to staff. Staff confirmed that they were aware of the procedures and who to contact with any concerns. Policies on whistle-blowing and challenging behaviour were also available. Half the staff team had undertaken training on Adult Protection and further courses were due in the near future. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 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 & 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. 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 were seen. The heating and lighting was sufficient throughout the home. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 14 The grounds to the home were well kept and include a courtyard, which was used regularly by the residents. Residents said that they enjoyed being outside in the better weather. The home was clean, tidy and free from any unpleasant smells. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 15 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): 28, 29 & 30 The manager provided clear leadership. Records were well maintained. Staff received support to enable them to meet residents’ needs. The residents are safeguarded by the robust employment practices used by the home. EVIDENCE: At the time of this inspection the agreed staffing levels were met. 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 an activities organiser. The manager stated that out of twenty-five staff, twenty had obtained NVQ level II or III in care and that seven staff were undertaking NVQ level II or III in care. The home also had three fire wardens and a manual handling trainer. All staff had completed a two-week induction programme. Mandatory courses undertaken included manual handling, food hygiene and first aid. Other courses undertaken included adult abuse awareness, fire awareness, Control Of Substances Hazardous to Health, continence control, medication and oral care. A selection of certificates was seen on staff files. Staff on duty confirmed they had completed NVQ training in care and mandatory courses. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 16 The recruitment procedure ensures that the staff are suitable to work with vulnerable people. Three staff files were examined and these showed that all relevant pre-employment checks were carried out. This included application forms, two references, Criminal Record Bureau checks and terms and conditions of employment. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 17 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 & 38 Arrangements are in place to minimise the risk so that the safety and welfare of residents are promoted. Residents’ views are used to inform future planning within the home. Decisions about changes to the service are influenced by the information obtained from satisfaction surveys and conversations with each resident. EVIDENCE: Residents commented that they felt the home was well run and that the manager and staff were very welcoming and friendly. This was confirmed during the inspection. Safe working practices include fire safety in which all weekly checks are carried out and recorded, up to date certificates for gas safety, electrical safety, portable appliance testing and tests and servicing for all equipment for moving Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 18 and handling. These checks ensure that the residents are being protected by the procedures in place. The manager said that the home is having a new computer system and this will enable them to produce an invoice monthly for each resident as necessary for personal account funds. The home has a mobile shop each Wednesday that residents may make purchases from. All records relating to residents finances were seen and up to date. The manager is qualified as a RGN and SEN. She has a teacher assessor award and has NVQ IV in Management. The managers’ experience includes working in local hospitals for eighteen years and working in a supervisory capacity at Iddenshall Hall for six years. She was promoted to the manager three years ago. During discussions she said that she received good support from her line manager who visits on a regular basis. She has regular supervision sessions and recently had her annual appraisal. Residents’ surveys are conducted on an annual basis (last one May 2005) and information gathered is used to influence the future service provided. However only three out of forty four were returned. Copies of these were available. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 19 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 3 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 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 20 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. 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 OP7 Good Practice Recommendations The registered person should collect and keep information regarding residents’ wishes on dying and death. Iddenshall Hall DS0000041797.V278374.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Northwich Local Office 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 DS0000041797.V278374.R01.S.doc Version 5.1 Page 22 - 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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