Inspection on 19/01/06 for Kathleen Chambers

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Kathleen Chambers 10/09/08

Kathleen Chambers 19/09/06

Kathleen Chambers 04/08/05

Kathleen Chambers 15/03/05

Kathleen Chambers 22/06/04

Similar services:

Fairfields Country Rest Home

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Honeybourne House

Belma

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

CARE HOMES FOR OLDER PEOPLE Kathleen Chambers House 97 Berrow Road Burnham On Sea Somerset TA8 2PG Lead Inspector Sue Dewis Unannounced Inspection 19th January 2006 10:00 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 Kathleen Chambers House DS0000031544.V279521.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. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kathleen Chambers House Address 97 Berrow Road Burnham On Sea Somerset TA8 2PG 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) 01278 782142 01278 782673 Royal National Institue of The Blind Mrs Stephanie Fern Lewis Care Home 40 Category(ies) of Sensory impairment (3), Sensory Impairment registration, with number over 65 years of age (40) of places Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to three persons between the ages of 55 and 65 years of age with a sensory impairment 4th August 2005 Date of last inspection Brief Description of the Service: Kathleen Chambers House is registered with the Commission for Social Care Inspection (CSCI) to provide care for up to 40 people over the age of 65 who have a sensory impairment. The home itself has been purpose built and equipped to meet the needs of people with a sensory impairment. All service users accommodation has en suite bathroom/shower facilities and a small kitchen area. The home is owned by the Royal National Institute of the Blind (RNIB) but currently there is no Manager registered for the home. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over approximately five hours one day in the middle of January 2006. The inspector spoke with two residents in private, looked at their care plans and undertook a full tour of the building. Recommendations that had been made at the previous were checked and the Quality Assurance systems of the home were discussed at some length. The acting Manager Margaret MaineRead, and the acting assistant manager were available throughout the inspection. Several other residents were spoken with whilst on the tour of the building. What the service does well: What has improved since the last inspection? All new residents have their nutritional needs assessed, and plans are in place to ensure all residents are assessed. Pressure area assessment forms have been obtained and will be completed as soon as copyright issues are resolved. All prescribed creams are now labelled with the date they are first opened and when they should be discarded. More outings on the mini bus are now taking place. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 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. Kathleen Chambers House DS0000031544.V279521.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 Kathleen Chambers House DS0000031544.V279521.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): None of these standards were inspected on this occasion. For more information please see the report of the announced visit, which took place on 4 August 2005. EVIDENCE: Kathleen Chambers House DS0000031544.V279521.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, 8 and 9 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet the needs of the residents. The health care needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. EVIDENCE: Two individual residents’ care plans were examined and the individual residents were met as part of a case tracking process. Individual care plans were detailed and covered all aspects of daily living needs. They showed clear actions to be taken by care staff to assist with or deliver the care. Both care plans reflected current individual care needs, and had been reviewed each month. There was evidence of multidisciplinary working with other professionals, and the plans showed evidence of where health care needs had been assessed, identified and acted upon. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 10 A nutritional risk assessment is now being completed for all new admissions and will be completed for all other residents. A pressure ulcer assessment form has been found and will be used when copyright issues have been resolved. All prescribed creams are now labelled with the date they are first opened and when they should be discarded. Kathleen Chambers House DS0000031544.V279521.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): 12, 13, 14 and 15 Social activities that are offered provide stimulation and interest for residents. Meals are nutritious and offer a healthy and varied diet for residents. EVIDENCE: Activities organisers are employed by the home, and there is a group of volunteers that also help with activities. There is a varied activities programme on offer within the home, which includes newspaper readings, craft sessions and talking books. Residents have access to a range of adaptations to enable them to take part in a variety of activities. The inspector was shown a machine which magnifies materials and allows those with some sight to read magazines, newspapers and letters. On the morning of the inspection some residents had gone on a shopping trip in the home’s mini bus. Residents told the inspector that they were able to choose how their days were spent, and could join in the groups if they wish or remain in their rooms. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 12 One resident told the inspector that the home was ‘like a five star hotel – nothing is too much trouble for everyone’. Another said that ‘nobody is compelled to do anything, never hear one word of disapproval’. Residents were aware of their ‘key-workers’ and told the inspector about their special roles including doing ‘things for you that you cant do for yourself’. One resident told the inspector that the manager has a ‘surgery’ once a week where residents can talk to her in private about any concerns. They also said that there were regular residents meetings when any concerns could be raised. Residents said that the food was good and well presented. Menus that were seen, appeared to be nutritious and varied. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 13 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): None of these standards were inspected on this occasion. For more information please see the report of the announced visit, which took place on 4 August 2005. EVIDENCE: Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 14 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, 20, 22 and 24 The standard of the environment within the home is good, providing residents with a well adapted, clean, safe, comfortable and homely place to live. EVIDENCE: The home was built approximately 8 years ago, and makes good use of equipment and the environment to encourage residents’ independence. There is textured flooring throughout the home to indicate different areas and a ‘talking notice board’ that tells residents the activities for the day and the senior staff on duty. There is a variety of communal rooms around the home including a well equipped hobby room. Each bedroom has its own small kitchenette, though most residents choose not to use this facility, staff do use it to make drinks for the resident. Each room also has ensuite facilities. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 15 There is a well maintained level garden that has rails all round so that residents can use it independently. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 16 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): None of these standards were inspected on this occasion. For more information please see the report of the announced visit, which took place on 4 August 2005. EVIDENCE: Kathleen Chambers House DS0000031544.V279521.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 and 37 The home is well managed and this generally results in practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: There is currently no registered manager at the home, though attempts are being made to appoint an appropriate person. The assistant manager who has worked at the home for many years is currently acting as manager, and continues to maintain high standards within the home. There is no formal system for assessing the quality of care at the home and that has been made available to residents and CSCI. Though there have been some questionnaires completed and there are some systems in place to ensure quality of care is maintained. Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 18 Regular visits are made to the home by representatives of RNIB. Though a report is completed and sent to the home, no copy is sent to CSCI. Kathleen Chambers House DS0000031544.V279521.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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 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 X 17 X 18 X 3 3 X 3 X 3 X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X 2 X Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 20 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. 1 Standard OP33 Regulation 24(1) Requirement You are required to supply to the Commission a report in respect of any review of the quality of care at the home, and make a copy of the report available to service users You are required to supply a copy of the report required to be made under regulation 26(4)(c) to the Commission Timescale for action 01/08/06 2. OP37 26 01/03/06 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 Kathleen Chambers House DS0000031544.V279521.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Kathleen Chambers House DS0000031544.V279521.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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