Inspection on 07/02/06 for Notrees

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 Excellent. 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

Notrees 18/04/07

Notrees 02/08/05

Notrees 11/01/05

Notrees 19/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Notrees 10 High Street Kintbury Newbury Berks RG17 0DB Lead Inspector Tracy McGuire Brown Unannounced Inspection 7th February 2006 09:30 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 Notrees DS0000031304.V279799.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. Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Notrees Address 10 High Street Kintbury Newbury Berks RG17 0DB 01635 519716 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) West Berkshire Council Mrs Susan Mary Goalby Care Home 18 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (16) of places Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: Notrees provides 24-hour residential accommodation and care for up to 16 elderly people. West Berkshire Social Services are the authority responsible for the overall management of the home. The home is situated in the village of Kintbury and has excellent community links. The home is a single storey building situated back from the road with a large parking area to front of the building and well maintained grounds surrounding the property. The home has a large conservatory at the front and a large sitting/ dining room. There is a large kitchen and a smaller kitchen area used to make coffee etc. Service Users rooms are located off two corridors which are accessed via the lounge /dining area. The home benefits from having a small private lounge, which can also be used for relatives/carers to stay overnight. Most Service Users rooms have individual en -suite facilities Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection carried out over a 3 and ¼ hour period. The Inspector was made welcome by staff and residents. The Manager was on annual leave. The Assistant Unit Manager and Duty officer were on duty on the day of inspection. The Inspector spent some time talking to residents in the lounge and in their rooms. Some records were examined including some staff records. This was a positive inspection. What the service does well: What has improved since the last inspection? Since the previous inspection all staff who administer medication have attended additional training and further training courses are being accessed also. An activity co-ordinator can be accessed and some staff have attended a dedicated activity course. Notrees DS0000031304.V279799.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. Notrees DS0000031304.V279799.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 Notrees DS0000031304.V279799.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 not inspected on this occasion. EVIDENCE: Notrees DS0000031304.V279799.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): 9 Medication procedures in the home are sound. EVIDENCE: Since the previous inspection the Inspector was informed that all staff who administer medication have attended an additional training course, example certificates were seen. Medication is clearly labelled and stored securely at all times. Sample medication record sheets were seen and these were all up to date with no gaps in recording. Detailed medication policy and procedures are in place. Notrees DS0000031304.V279799.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): 12 Service Users social, cultural and recreational needs are met. EVIDENCE: The Inspector spent time talking to service users who expressed they were happy with the home. Some service users access external day service others access activities on offer within the home. Since the previous inspection the home can access a part-time activity co-ordinator. The Inspector was informed the co-ordinator has visited the home and plans to offer activities such as pottery and glass painting, when the co-coordinator is not working the plan is that staff will be supplied with ideas and equipment to offer further activities in the home. The Inspector viewed the activity records which indicate that staff are working hard to try to offer several in house activities currently such as; bingo, Velcro darts, letter writing, dominoes and snakes and ladders. Some service users explained to the Inspector that they do not wish to join the activities preferring to spend time in their room or other communal areas. Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 11 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): These Standards not inspected on this occasion. EVIDENCE: Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 12 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): These Standards not inspected on this occasion. EVIDENCE: Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 13 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 Service users are supported by skilled and qualified staff. EVIDENCE: The home has a low turnover of staff and staff working in the home have a number of years experience. Samples of training and staff records seen indicate that staff are well qualified, all care staff, other than 2 newly appointed staff, have achieved NVQ level 2 or above. Mandatory training is updated on a regular basis and specific and specialised training is also accessed. The Inspector saw samples of training certificates received. Appraisal records seen also demonstrate continued review and updating of staff skills. Newly appointed staff attend induction training which is recorded. Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 14 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): 31and 32 Service users live in a home, which is well run and managed. EVIDENCE: The home manager is registered and has over 11 years experience in a care setting. The manager has a range of qualifications relevant to the role including a NVQ level 4 in management. Both staff and Service users are very complimentary about the manager and the structures in place ensure the smooth and consistant running of the home. The Manager was on annual leave on the day of inspection and the Assistant Unit Manager and duty officer on duty were clear about their roles and responsibilities. The staff team were observed working well together and have specific and shared areas of responsibilities e.g. medication and health and safety. Staff in the home are positive about the Manager and the aims and objectives of the home are shared and open. Staff and service users spoken to stated that they could approach the manager and management team at any Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 15 time if they have any issues. The home is well run, organised to a high standard and staff all work hard to achieve common aims and are proud of the home. Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 16 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 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 X X X X X X Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 17 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 Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Notrees DS0000031304.V279799.R01.S.doc Version 5.1 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!