Inspection on 07/02/06 for Marjorie Cobby House

This inspection was carried out on 7th February 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

Marjorie Cobby House 25/11/09

Marjorie Cobby House 03/12/08

Marjorie Cobby House 03/01/07

Marjorie Cobby House 12/08/05

Marjorie Cobby House 18/02/05

Marjorie Cobby House 16/08/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Marjorie Cobby House St Peters Crescent Selsey West Sussex PO20 ONA Lead Inspector Mrs V Gay Unannounced Inspection 7th February 2006 09:00 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 Marjorie Cobby House DS0000037445.V275063.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. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Marjorie Cobby House Address St Peters Crescent Selsey West Sussex PO20 ONA 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) 01243 605334 01243 605334 www.westsussex.gov.uk West Sussex County Council Mrs June Lawrence Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability (34) of places Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Two service users under 50 years of age may be admitted. The total number of service users accommodated must not exceed 34. The Commission for Social Care Inspection is notified in writing of the date on which both people are discharged from the home at which time the Registration will revert to admissions of people over 50 years of age. 12th August 2005 Date of last inspection Brief Description of the Service: Marjorie Cobby House is registered to provide care and accommodation for up to 34 people over 50 years of age for short stays or rehabilitation. The home is located near to the centre of Selsey, West Sussex and the accommodation is on two floors served by a passenger lift. There is a courtyard garden, which is well maintained. All residents have their own room although none have ensuite facilities and there is a range of communal space including a separate room for residents who smoke. Part of the premises is dedicated for the rehabilitation service and suitable kitchen facilities are provided. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the year. The first inspection, which was announced, was undertaken on twelfth November 2005. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report. The reader is advised to look at the reports of both inspections for a fuller picture of the home. During this inspection the Inspector spoke to several residents in private. The inspector, however, did not speak with residents in the rehabilitation unit, for health and safety reasons, due to an outbreak of diarrhoea and vomiting. Issues outstanding from the previous inspection were checked for compliance, to ensure the residents of Marjorie Cobby House were being taken care of. The inspector examined the complaints and medication records, accident book and six care plans together with files of two new staff. Following the previous inspection, four requirements were made, two of which have been complied with and the other two, which are outside the Registered Managers remit, remain outstanding. These concern a condemned boiler affecting the home’s hot water and heating system and requirements from the Fire Officer in respect of the fire warning system. An action plan was received from the Registered Provider stating that this work would be done by the end of October 2005. This however has not been complied with. Failure to comply with these requirements within twenty-eight days may result in enforcement action being taken. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: Marjory Cobby House provides support, and enables people discharged from hospital the chance to improve in health and confidence before returning to their own homes. From the information available, the inspector’s own observation and resident’s comments, the home’s Statement of Purpose is being met. All of the residents, who were spoken with on the day of inspection, spoke very highly of the Manager, the staff members, the food and the general comfort of the home. The building is bright and clean, and all the records required by the Inspector on the day of inspection were found to be in order. The inspector met many residents who were all very positive with regard to the care they were receiving, and said that the Manager and the staff members were “really kind” and” very caring”. One resident who had spent sometime in hospital said, “its like heaven I feel fortunate to be here”. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. Marjorie Cobby House DS0000037445.V275063.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 Marjorie Cobby House DS0000037445.V275063.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): These standards were not assessed on this occasion. At the previous inspection these standards were met in full. EVIDENCE: Marjorie Cobby House DS0000037445.V275063.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, & 9 Clear informative care plans are available for the residents. A visiting district nurse who attends the home regularly supports the staff in meeting Resident’s health care needs. Residents are able to manage their own medication following a risk assessment. EVIDENCE: Samples of care plans seen by the inspector were up to date and informative. Staff members told the inspector that they made daily entries to record any change in the resident’s well being. Handover meetings between shifts are also done to ensure a continuity of care. Residents said they could see the GP when they wished and that they had access to other health related services. Residents who wish to retain responsibility for their own medication can do so following a risk assessment. Comments from residents included “the staff could not be kinder…it’s a wonderful place …it could not be better”. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 10 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 &15 People staying in Marjorie Cobby House are able to make the day-to-day decisions about how they want to spend their time. There are activities for those who wish to participate, and residents are encouraged to maintain contact with all their old friends and family wherever possible. The food is of a good standard, and offers fresh produce. People are able to eat either with other residents, or in their own room should they prefer. EVIDENCE: Each resident and / or their representative received a Statement of Purpose and Service Users Guide before being admitted to ensure they have full details about the service. All residents said their needs were being met. The Inspector spoke to many residents, several of whom live in the area, and they told the Inspector that they have remained in touch with their friends, neighbours etc. Residents said the social activities on offer met their approval. In general the consensus of opinion was that they enjoyed being able to relax, improve in health and have the opportunity to go out with staff should they wish. The meal served was savoury mince, a selection of vegetables, followed by ginger sponge and custard. The portions were generous and residents said it was enjoyable. The Chef explained that the menus have been revised and a rotating menu including alternative choices will be displayed in the dining room. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 11 Those residents who required assistance were helped in a sensitive manner by the staff. Marjorie Cobby House DS0000037445.V275063.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): 16&18 Training sessions for staff, a complaints book, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who stay at Marjorie Cobby House are protected from bad practice. Residents said they knew to whom they should complain if the need arose. EVIDENCE: The Commission has received no complaints in respect of the home. A complaints’ procedure is made available to everyone. A resident told the inspector that they knew who was in charge and that they would not hesitate to approach them if they had any concerns. The management consult daily with residents who are encouraged to voice their opinions either in person or collectively. Several residents said, “ There is nothing to complain about” The manager is aware of Protection Of Vulnerable Adults and how necessary it is to ensure staff working in the home, were suitable to work with vulnerable people. Staff files for new staff contained the relevant documentation, including an induction-training programme. The Registered Manager confirmed that all staff have obtained Criminal Records Bureau enhanced police checks before commencing work. Marjorie Cobby House DS0000037445.V275063.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): 19,20,21,22,23,24,25, & 26 Residents live in a well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities, and access to the specialist equipment they require to maximise their independence. Standards of hygiene and cleanliness are high throughout the home. Residents’ rooms were attractively presented, fresh and suitably furnished, and residents said they appreciated. A requirement is outstanding in respect of the safety of residents, regarding a condemned boiler, and the fire warning system to ensure fires safety standards are maintained. EVIDENCE: The inspector toured the ground floor of the building and spoke to staff and residents to gain an insight into what it was like to stay and work in the home. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 14 All residents said they enjoy the “setting “ of the home, which provides an opportunity to stay within the area they live. The Registered Manager confirmed that work to replace a faulty boiler had not been carried out. The inspector was also informed that the homes fire alarm system had not yet been replaced. Several rooms were visited by the Inspector to ensure that the environment was safe and comfortable for residents, and residents told the Inspector how pleased they were with their bedrooms. It was seen that all of the radiators have been risk assessed and covered as appropriate to avoid burns from surface temperatures. The standards of hygiene throughout the home were very high. Laundry facilities are well equipped and organised and are sited away from the kitchen Marjorie Cobby House DS0000037445.V275063.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 staff are well trained and supervised by the Registered Manager to ensure they have the necessary skills and confidence to care for the residents. The Registered Manager operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of residents. EVIDENCE: The Manager informed the Inspector that all staff members had received induction training together with fire safety, manual handling and infection control. In addition, the Inspector was told that all senior staff who administer medication are to receive the appropriate training. The residents spoke highly of the staff team. Two files for new staff were examined. They contained all the relevant documentation. The manager informed the inspector that National Vocational Qualification training is ongoing , but has yet to meet the target set by the National Minimum Standards. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 16 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): 31,32,33,34, 37& 38 Residents live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge her responsibilities fully. Systems are in place to protect and safeguard the residents. Insurance cover is in place and a financial plan would be available if requested by the Commission for Social Care Inspection. Staff said they receive regular supervision. As part of the Quality Assurance procedure the views of residents are sought at the end of their stay. All records are stored securely. EVIDENCE: The registered manager is very experienced, qualified and gives good leadership. Policies and Systems are in place to ensure the smooth running of the home. The Responsible Individual arranges for a delegated person to visit the establishment monthly. Reports of these visits are sent to the Commission for Social Care Inspection as required by regulation 26 of the Care Homes Regulations. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 17 The Registered Manager works alongside the staff and makes regular spot checks on the practices in the home. Accidents and incidents are recorded as required by regulation. As previously stated there is a risk that the supply of hot water and heating could be affected by the poor state of the homes boilers. Also fire safety standards could be compromised due to the outstanding firework required. Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 18 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 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 3 3 3 3 3 3 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 3 3 3 3 X 3 2 Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 19 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 07/03/06 1 OP19 23 2 OP38 23 The Registered Provider must confirm in writing that the Fire officers requirements have been complied with The manager must confirm in writing that the heating and hot water system has been repaired/replaced. 07/03/06 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 Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Marjorie Cobby House DS0000037445.V275063.R01.S.doc Version 5.1 Page 21 - 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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