Inspection on 19/12/05 for Ixworth Court

This inspection was carried out on 19th December 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

Ixworth Court 27/06/07

Ixworth Court 29/06/06

Ixworth Court 04/05/05

Ixworth Court 10/02/05

Ixworth Court 03/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Ixworth Court Ixworth Court Thetford Road Ixworth Bury St Edmunds Suffolk IP31 2HD Lead Inspector Julie Small Unannounced Inspection 19th December 2005 10:55 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 Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ixworth Court Address Ixworth Court Thetford Road Ixworth Bury St Edmunds Suffolk IP31 2HD 01359230101 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) Suffolk County Council Mrs Susan Jean Hill Care Home 22 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (22) of places Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2005 Brief Description of the Service: Ixworth Court is a purpose built home that provides well furnished accommodation for 22 frail elderly, mixed gender and culture, residents. It is situated in Ixworth, which is a village with good community facilities approximately 10 miles from Bury St Edmunds. It is a single storey building separated into 2 units with surrounding safe gardens. Each unit consists of a comfortable lounge, dining room and kitchen area. All bedrooms are single with en-suite facilities. There are also assisted/communal bathrooms and additional toilet facilities. Ixworth court is owned and operated by Suffolk County Council. There is a day care centre within the building where social events are held and a small shop for the purchasing of every-day items. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on Monday 19th December 2005 from the times 10.55 to 14.40; the inspection was undertaken by regulatory inspector Julie Small who was assisted in the process by the homes manager and a staff member. Staff at the home were friendly and provided information requested by the inspector promptly and openly. A tour of the building and observation of work practice was undertaken during the inspection. Twelve service users were met and eight service users were spoken to about their experiences at Ixworth Court. Six staff members were met and three were spoken to. Records were viewed during the inspection, which were the homes statement of purpose, service users guide, training records, three staff records, menus and four service users records from the new ‘Willow Unit’. What the service does well: What has improved since the last inspection? There has been a kitchen assistant employed at the home to assist the chef in their duties. At the day of the inspection the kitchen assistant prepared the midday meal, which looked and smelled appetising. They were also baking cakes, which looked good. The manager was observed praising the staff member for the good meal. Five service users spoken to said that the food was good, one service user said ‘the food is truly marvellous’. The homes complaints procedure was viewed which was appropriate in content, details regarding how a service user or their representatives may complain is also included clearly in the homes statement of purpose and the Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 6 service users guide, all records provide CSCI (Commission for Social Care Inspection) contact details and explain that service users may contact CSCI if they wish. 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. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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 Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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, 2, 3, 4, 5, 6 Prospective service users can expect that they will be provided with the information they need to make an informed choice about where to live, that they will have their needs assessed and met and that they will be provided with the opportunity to visit the home before they decide to move in. Service users who receive intermediate care can expect that they are assisted to maximise their independence and return home. EVIDENCE: The homes statement of purpose was viewed, which was appropriate in content and included all required information. The service users guide was viewed, this was in an accessible format, which included all required information including service users comments about the service. The service users guide also includes an explanation about building works, which are taking place next door to the home. The statement of purpose and the service users guide both include contact details of CSCI. The homes statement of purpose explains that prospective service users will be encouraged to visit the home prior to moving in. One service user spoken to said that they had lived at the home for many years, but said that they did visit before they chose to Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 9 live at the home, and said that other people have visited the home for a meal while they were deciding where they wished to live. Three service users records were viewed and each contained a written contract, which was signed by the service user. Four residents care plans viewed all contained assessments of their needs, and care plans explaining how these needs will be met. Three assessments were completed by the homes manager, one residents records viewed had a needs assessment completed by the placing authority. A member of staff spoken to told the inspector that this resident was due to move into the home at the day of the inspection from hospital and is planning to return home. The record showed that the service user was a ‘short term’ client. One staff member spoken to explained the service, which the service user will be provided with. Staff training records were viewed, these evidence that staff are trained appropriately and have sufficient qualifications to meet the needs of service users. Care plans were available to staff working with service users in each service users bedroom, one staff member spoken to said that they are used by staff so they are aware of the care they require and what assistance staff are required to provide. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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, 10 Service users can expect that they will have an individual plan of care and that they will be treated with respect and their privacy is upheld. EVIDENCE: During a tour of the building, it was observed that all residents have a copy of their individual care plans in their bedroom, a member of staff stated that these are used on a daily basis by staff to meet the needs of the service users effectively. Three service users care plans were viewed; these include all day to day care and support they require. Three service users care plans contained evidence that staff reviews them regularly and the care plans have been signed by the service users. Care plans viewed included the service users preferred name. During a tour of the building, a member of staff was observed to knock service users bedroom doors and ask permission for the inspector to see their room before entering. One service user was observed asking a staff member for assistance with personal care, the staff member discretely went to the bathroom with the service user. All service users bedrooms at Ixworth Court are single occupancy. The laundry was viewed, shelving is provided with Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 11 service user’s individual boxes where their clean laundry is stored when washed, before it is taken to their rooms. A staff member was spoken to who ensures that laundry is returned to the person it belongs to. They confirmed that their duties include ensuring that clothing is labelled with the service users name. There was a telephone in one service users bedroom, a member of staff confirmed that service users are asked if they would like a telephone line in their bedroom, if they choose not to they are able to use the homes telephone. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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, 13, 14, 15 Service users can expect that their social, cultural, religious and recreational interests and needs are met and that they are helped to exercise choice and control over their lives. Service users can expect that they receive a wholesome and appealing balanced diet and that they maintain contact with others who are important to them. EVIDENCE: One service user spoken with said that they had moved to the home to be nearer to a family member, they confirmed that they speak regularly on the telephone and their family member visits them and they visit their family’s home. One service user spoken with said that they receive visits from family members regularly, they said that staff welcomes them into the home and they give them a drink. The service user said that they could visit in their room or in the lounge area; they added that they could use the kitchen area to make drinks for their guests if they wish. Three service user records viewed identified the significant others in the service users lives and the usual contact arrangements, records evidence when service users have maintained contact with others. At the time of the inspection an independent advocate was visiting the home, they confirmed that they were made welcome in the home. Service users were Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 13 observed to be happy to see the advocate and spoke openly to them. The advocate informed the service users that the funding for the project had ended, but informed them that they can be contacted if individuals wish to receive their service. Three service users spoken with said that they enjoyed the weekly visits from the advocate, and said that it was good to speak to someone who does not work at the home. All service users spoken with said that the staff group were very good. Residents bedrooms viewed during a tour of the building all bedrooms contained service users individual belongings including memorabilia and photographs. Some service users bedrooms contained service users own furniture, a member of staff confirmed that service users could bring their own furnishings to the home if they choose to. A member of staff was observed reassuring a service user that a family member had said that they would bring the service users chosen furniture to the home as they had asked them to. Four service users records viewed show service users likes and dislikes and what they enjoy doing, a record of their activities is maintained. Three service users spoken with said that they play bingo, watch television and play games, they also told of a local school performing a carol service at the home a week before the inspection. Two service users spoken with said that they go out for walks if they want to and often go out with their families. The homes statement of purpose and service users guide explains how visitors are welcomed at the home, examples of activities service users may choose to participate in, how their religious needs would be met, and what services are available in the local community. One service user spoken with said that they had been listening carols and usually has an afternoon nap, a staff member was observed to assist with the preparing of a hot water bottle for their afternoon nap. There has been a kitchen assistant employed since the last inspection who assists the chef in their duties. The week’s menu was viewed, which provides a well balanced and varied menu. A member of staff said that the menus are changed regularly. A member of staff spoken to said that the chef asks service users each morning if they want an alternative choice to the menu, which is provided. A service user confirmed this. During the inspection the kitchen assistant prepared the midday meal, which looked and smelled appetising. The manager was observed telling the staff member that the food was very good. One service user spoken with said that the food at Ixworth Court was ‘truly marvellous’. Five service users spoken with said that the food was good at Ixworth Court. One service user said that the staff bring them ‘lots of cups of tea’. The home has communal kitchens where service users can prepare their own drinks or snacks if they wish throughout the day. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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 Service users and their relatives and friends can expect that their complaints are listened to, taken seriously and acted upon. EVIDENCE: The homes complaints procedure was viewed, this was appropriate in content, and reference is made to CSCI with contact details and why service users may choose to contact CSCI. CSCI contact details are also included in the service users guide and the statement of purpose, with explanations of how service users can contact them with any concerns about the service they receive. There have been no complaints received by the home since the last inspection. A local authority leaflet was viewed ‘compliments, complaints and concerns’, this contained details of NCSC, and this should be updated to refer to CSCI. Three service users spoken with said that they knew what to do if they were unhappy about something in the home, and said that they knew the manager would listen to them and ‘do something about it’. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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, 21, 22, 24, 26 Service users can expect that they have access to safe and comfortable communal and private facilities, the home is clean, pleasant and hygienic and that they have specialist equipment they require maximising their independence. EVIDENCE: During a tour of the building it was observed that the home has three communal kitchen, dinning and lounge areas, which service users can use if they choose. The communal areas are comfortable, light and well furnished. The home has attractive garden areas with garden furniture where service users can sit if they choose. All bedrooms in the new Willow Unit have large en suite facilities comprising of a toilet, hand wash basin and shower. Not all other bedrooms have en suit facilities; there are several bathrooms and toilets in the home, which service users can use, which are sufficient in number for the numbers of service users living at the home. All bathrooms are equipped with grab rails and bath and Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 16 shower seats for service users safety and comfort. The home has a store cupboard where wheelchairs are stored; there are sufficient hoists available. Two service users were observed using walking frames in the home. All rooms are provided with call systems, including communal areas, bathrooms and bedrooms. All bathrooms are provided with hand wash gel and disposable towels. Service users bedrooms have appropriate furnishings and fittings, including lockable storage areas, bedroom doors have locks, which service users may use if they choose to. The home has a separate sluice room. There is a large laundry room, with two washing machines and a large dryer, the second laundry room provides storage for clean laundry until it is returned to service users and an ironing area. The three rooms contain hand washing facilities including hand wash gel and disposable towels. The home was observed to be very clean and tidy and without any offensive odours. Storage cupboards were observed to hold protective gloves and aprons for staffs use. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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, 28, 29 Service users can expect that staff that are trained and competent to do their jobs supports them and service users are supported and protected by the homes recruitment procedures. EVIDENCE: The homes statement of purpose was viewed and included staffing of the home and their qualifications. The home has reached the 50 target of care staff to achieve at least NVQ (National Vocational Qualification) level 2 by 2005. This was confirmed by staff training records, which were viewed. One staff member was spoken to who had recently completed their NVQ level 3 Care; they spoke of how they had enjoyed the process and the good support they had received from their manager in achieving the award. Three staff recruitment records were viewed and met the requirements. One member of staff was spoken to who had been recently appointed, their experiences of the recruitment process were positive. Training records were viewed, the staff team are provided with a good and comprehensive training programme. All newly appointed staff are provided with TOPSS (now Skills for Care) induction and foundation training programmes. Training courses provided include health and safety related training, dementia awareness, dementia mapping, unisafe, vulnerable adults and medication training. All staff have been provided with manual handling, Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 18 food and hygiene, fire safety which are updated through refresher courses provided to staff where required. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 19 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): 37 Service users can expect that the home is managed by a person who is fit to be in charge of the home. EVIDENCE: The homes manager has achieved the diploma in care management qualification, and is currently undertaking a diploma in dementia care. The manager and several of the staff at Ixworth have received training in dementia care and dementia care mapping, and the manager shows a clear knowledge of the service users they provide a service to. Two staff spoken to were very positive with regards to the management of the home and of the staff group. Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X 3 3 3 X 3 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 X X X X X X Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations Ixworth Court DS0000037046.V273548.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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. 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