Inspection on 22/05/06 for Montclair

This inspection was carried out on 22nd May 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

Montclair 01/01/10

Montclair 19/11/07

Montclair 28/08/07

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

CARE HOMES FOR OLDER PEOPLE Montclair 216 Banstead Road Banstead Surrey SM7 1QE Lead Inspector Deborah Yapicioz Unannounced Inspection 22nd May 2006 09:15 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 Montclair DS0000066309.V293892.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. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Montclair Address 216 Banstead Road Banstead Surrey SM7 1QE 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) 020 8393 7433 020 8393 7433 Mr Stephen Leslie Mann Mr Stephen Leslie Mann Care Home 10 Category(ies) of Dementia - over 65 years of age (0), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (0) Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered up to 10 elderly people with mental ill health or dementia. 8/12/05 Date of last inspection Brief Description of the Service: Montclair is a residential home registered with the Commission for Social Care Inspection to provide care for ten elderly people with mental health needs. Montclair is a detached property situated in a quite residential road in Banstead. Each service user has a private bedroom with a wash hand basin. The home has spacious communal areas on the ground floor consisting of a large lounge, dining area and a conservatory that runs across the rear of the house. There is also a seating area in the spacious entrance hall. The kitchen and laundry areas are clean and well equipped. Sufficient numbers of baths/ showers wash hand basins and lavatories are available throughout the home. There is a large well-maintained garden to the rear of the property and ample parking space. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on the morning of 22nd May 2006. The home was inspected under the National Minimum Standards Care Homes for Older People. Methods of inspection included a tour of the premises, observation of contact between staff and service users and a discussion with the registered manager and homeowner. Records examined included the service users plans, complaints, staffing records, training records, Medicine Administration Record Sheets, menus and staff meeting minutes. The home has had a change in ownership since the last inspection. The new owner, Mr Steven Mann also manages the home and has registered with the Commission for Social Care Inspection. The change in management appears to have been handled well with service users as well as their families and friends kept informed during the various stages. What the service does well: What has improved since the last inspection? The homes new owner has plans to expand the daily activities offered to service users at the home as well as some service users who do not live at the home and has recently purchased a new people carrier. The service users have had several outings to local parks and places of interest and said that they enjoyed it. Since the last inspection a white board has been put up in the communal dinging area, which details the day’s activities and the days menus. The new home manager has introduced a bi-monthly newsletter to keep relatives and friends aware of what is happening at Montclair Since taking over ownership of the home in February this year the owner/manager has decorated many of the communal areas of the home including the hall, landing and stairs which were identified as being in need of decoration at the last inspection. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 6 Comment cards received from the family and friends of service users at the home were very positive about the changes made to the environment to the home. 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. Montclair DS0000066309.V293892.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 Montclair DS0000066309.V293892.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): 1,2,3,6, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides good information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home. A needs assessment is always completed to ensure that service users needs can be met at the home. EVIDENCE: Montclair has a comprehensive statement of purpose and a separate service user guide in place, which contained all the information required under the Care Standards Act. The documents have bee updated to reflect the change in ownership and management at the home. A copy of the homes most recent inspection report was available in the home on request. A needs assessment is requested from the referring care manager and the home management team also completes the in-house assessment to ensure that the home is suitable and the service users needs can be met. The service users files looked at during the inspection all contained assessments completed before the service users moved into the home. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 9 Records seen indicated that residents are invited to view the home and to stay for a trial period before a final decision is made for the placement to be long term. Most residents have involved relatives who also participate in this process. Each of the service users has a personal contract, specifying the terms and conditions of their occupancy that included periods of notice, fees charged, and the cost of ‘extras’ not covered by the basic cost of the placement. This home does not offer intermediate care therefore standard six does not apply. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 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): 7,8,9,10, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users have individual care plans, which include consultation with service users. Care plans are regularly updated to ensure the service users changing needs are met. Residents’ medication is well managed to ensure good health. EVIDENCE: During the inspection staff were observed to be treating service users in a pleasant, friendly manner. Service users spoken to during the inspection felt that the staff team are nice to them and treated them well. The home has a system in place for updating care plans. The service user plans carry on from the original plan drawn up by the care manager and other involved professionals. The plans include risk assessments and any medical appointments or visits from other professionals. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 11 A sample of plans was inspected. These were comprehensive and indicated that residents’ individual needs were identified, action was taken to meet these and they were reviewed regularly. The home operates a risk management strategy. Service users at the home have individual risk assessments depending on their needs. The service users are all registered with a local General Practitioner The service users preferred term of address is recorded on their file and used by the staff team. The staff team at the home make a daily record of significant events and activities for each service users. The home has a policy on the receipt, recording, storage, handling, administration and disposal of medication. Records examined showed that all medicines administered are recorded on Medicine Administration Record Sheets. The home manager stated that he has plans to change the Medicine Administration Record Sheets to make them clearer for the staff team administering medication. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users at the home are offered the opportunity to engage in various activities that satisfy their social, cultural, religious and recreational interests and needs. The home has an open visitors policy to ensure family links are maintained. Dietary needs are catered for with meals that are nutritionally well balanced and clearly based on the service users food and drink preferences, providing them with daily variation and healthy eating options. EVIDENCE: The home has a programme of in house activities, which includes music, sing a long sessions and reminiscence. Some service users attend local day centres The homes new owner has plans to expand the daily activities offered to service users at the home as well as some service users who do not live at the home and has recently purchased a new people carrier. The service users have had several outings to local parks and places of interest and said that they enjoyed it. Photographs taken during the outings are on display in the communal area. Since the last inspection a white board has been put up in the communal dinging area, which included details of the days activities and the meal options. On the day of the inspection the homes daily activities and the lunchtime meal choices were all conspicuously displayed on the homes notice boards. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 13 Service users are on the electoral register and have postal votes. There is an open visitors policy and families are welcome to visit at any time, although the service users can choose who they wish to see. The visitor’s policy is included in the service user guide. Comments received from the families of the service users confirmed that they are made to feel welcome at Montclair. This has not changed now the home has a different owner and manager. The home manager has introduced a bi-monthly newsletter to keep relatives and friends aware of what is happening at Montclair. There are seating areas around the home where visitors can sit and chat with their family member as well as in their bedrooms. Representatives from a local church regularly visit the home. The service users at Montclair are offered three meals a day as well as morning and afternoon tea’s. The new manager is reviewing the meals on offer and the preferences of the service users are taken into account. Seasonal options are also offered. Any dietary needs are recorded in the service users care plan. Personal items including furniture can be brought into the home if service users wish. This is recorded on the service users file. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users. EVIDENCE: Montclair has a complaints procedure, which outlines how a complaint is dealt with and timescales for action. The complaints procedure is included in the service uses guide. The home keeps a record of any comments or complaints made about the service. The home has in place procedures for responding to suspicion or evidence of abuse, including whistle blowing, and passing on concerns to the Commission for Social Care Inspection The London Borough of Sutton’s adult protection procedures were available in the office on request. The manager assured the inspector that any allegations or incidents of abuse would be reported to the appropriate authorities, including the Commission, and appropriate records maintained, including any action taken. The home provides staff training on issues of elder abuse. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The general décor of the home is good providing a comfortable, clean and safe environment for service users to live in. EVIDENCE: Since taking over ownership of the home in February this year the owner/manager has decorated many of the communal areas of the hone including the hall, landing and stairs which were identified as being in need of decoration at the last inspection. Comment cards received from the family and friends of service users at the home were very positive about the changes made to the environment to the home. The new owner has plans to extend the home, which will include a lift to improve access well as a sluice and more shower facilities. An office area is also planned. The dining area has been decorated and new flooring has been put down. Service users at the home were happy with the improvements already made at the home. On the morning of the unannounced inspection the home was warm, comfortable, bright, well ventilated and free from offensive odours. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 16 There is ample communal space through out the home, which appeared comfortable, bright and was furnished appropriately with areas for service users and their visitors to meet in private. The home has a pleasant garden to the rear of the property which the service users enjoy spending time in during the summer. The owner plans to build a summerhouse to the garden, which will add to the homes facilities. The home’s premises are in keeping with the local community and were suitable for their purpose. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team at the home have a range of skills and abilities, which enable them to meet the needs of the service users living at the home, ongoing training to build on staff skills is provided. EVIDENCE: Montclair has an equal opportunity policy in place, which includes a recruitment procedure. Criminal Records Checks are undertaken as part of the recruitment procedure. The home manager confirmed that there is always a minimum of three staff on duty during the day at the home. This does not include the manager. The job descriptions for staff at the home staff clearly states what is expected of its employees in terms of their roles and responsibilities and the values that should underpin their conduct. The home holds regular staff team meetings, which are recorded. The staff members spoken to during the inspection made positive comments on their experience of working at the home The staff team receive an induction when they begin at the home a record is kept on the staff file. The Staff team have access to a range of training courses including National Vocational Qualifications, manual handling, food hygiene and first aid. Evidence of training is kept on staff files. The home holds regular staff team meetings, which are recorded. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 18 The service users spoken to during the inspection said that the staff team treated them well. Observations of the contact between the staff team and service users confirmed this. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 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): 31,33,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management style appears to be transparent with clear lines of accountability. In the main health and safety arrangements are adequate to ensure potential risks to service users health and safety are so far as reasonably possible identified and minimised. EVIDENCE: The home has had a change in ownership since the last inspection. The new owner also manages the home and has registered with the Commission for Social Care Inspection. The new owner has plans to extend the home as well as improving the accessibility by installing a lift. The change in management appears to have been handled well with service users as well as their families and friends kept informed during the various stages. There was also a social occasion when the previous owner relatives to meet the new owner. Comments received form families about the change have been positive. One family member made this comment on her card “Montclair was well run with Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 20 Mary in charge, Steven has been in charge for a few months and is also doing an excellent job.” The new owner has introduced a newsletter to keep everyone informed about any changes and developments and is currently reviewing the menus at the home. The new manager demonstrated a good awareness of health and safety issues. The home has a health and safety policy in place. The staff team receive training on issues such as basic food hygiene, fire and manual handling. The home has fire drills in keeping with the standards and a fire risk assessment is in place. The fire alarm system and emergency lighting is checked on a regular basis. Records required for the safety and well being of service users are in place including accidents, water temperatures, complaints, incidents, food records, staff and service users case files, medication records and so forth. A first aid box and a fire blanket are situated in the kitchen. There are fire extinguishers throughout the house. Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 21 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 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 22 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 Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Montclair DS0000066309.V293892.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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