Inspection on 26/08/05 for Nova House

This inspection was carried out on 26th August 2005.

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

Nova House 12/02/09

Nova House 19/03/07

Nova House 24/01/06

Nova House 08/02/05

Nova House 28/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 Nova House Belgrave Road Seaford East Sussex BN25 2EG Lead Inspector Angela Gunning Announced 26 August 2005 10:00 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 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. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Nova House Address Belgrave Road Seaford East Sussex BN25 2EG 01323 896629 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) dmham@hotmail.com Mr David Ham Mrs Dorothy Ham Mrs Roberta Rutherford Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (OP) 20 of places Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of people accommodated must not exceed twenty (20). 2. Service users will be aged sixty-five (65) years or over on admission. Date of last inspection 8 February 2005 Brief Description of the Service: Nova House is a care home registered to provide accomodation and care for 20 (20) older people. The home is a large detached house situated in a residential area of Seaford, within a short distance of the seafront and town centre amenities. The accommodation comprises of nineteen (19) single rooms with twelve (12) of these providing en-suite facilities. The home is furnished and decorated to a high standard. The home provides a passenger lift and a stair/chair lift to enable service users to gain easy access to all communal and private areas, which are located on three floors. There is a large lounge with a separate dining room, both with views out to a large and well-maintained rear garden. There are four bathrooms, three of which have an assisted bath seat. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which was undertaken over six hours during the day. Parts of the environment were inspected, including all communal areas, the kitchen and some bedrooms. Three care plans and two staff files were examined. Several people were spoken to on the day of the inspection, including the Owner, the Manager, three members of staff and six residents. What the service does well: What has improved since the last inspection? What they could do better: Concerns and complaints are acted on, but the manager needs to maintain a record of these and how they were dealt with. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 6 Increased knowledge and understanding of Adult Protection issues is required to prevent residents being placed at possible risk of harm or abuse. Residents care plans should record any changes in care needs and how staff are to care for their current needs. 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. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 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 standard(s) 3, 4 A pre-admission procedure is in place to assess the needs of prospective residents and this assists staff in ensuring that residents’ health and welfare needs are met. EVIDENCE: The manager assesses prospective residents health and welfare needs to determine if the home can meet their needs. Since the last inspection four people have moved into Nova House and a pre-admission assessment had been carried out before they moved in, to ensure that the home could meet their physical, emotional and social needs. Residents spoken confirmed that staff are “good” and “very helpful” and one considers they are “excellent”. One relative commented that their mother is ‘very well looked after and all her needs are catered for’ and they are ‘very pleased’ with her care. Seven residents confirmed that ‘they feel well cared for’. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 10 Staff have a good awareness and understanding of residents needs, however the care planning system does not assist staff adequately. Privacy and dignity is respected. EVIDENCE: Each resident has a care plan and an assessment checklist that is reviewed monthly. Staff have a thorough handover and write a daily record at the end of each shift. It was noted that one resident’s needs had changed considerably over the past month, but the changes to her needs and how staff were to care for her had not been appropriately documented. However, this resident said she was “being looked after well”. Staff were observed to interact and speak to residents in a friendly and respectful manner and seven residents confirmed that their ‘privacy is respected’. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 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 standard(s) 12, 14, 15 The arrangements for leisure and social activities inside and outside the home provide good opportunity for mental and physical stimulation and promote independence and choice. There are inadequate arrangements in place for providing residents with support and guidance following the occurrence of incidents in the home. Good and varied homemade meals are provided and dietary needs, likes and dislikes are catered for. EVIDENCE: Nova House continues to provide a range of activities for residents to participate in. Seven residents consider that ‘the home provides suitable activities’. One resident spoken to was “very grateful” to the Owner of Nova House for organising and paying for the residents to see The King and I at a local theatre and said “it was beautiful”. Residents are supported to maintain their independence and at the lunchtime meal one resident informed the Inspector that she ‘attends the local blind society club on a weekly basis’ and other residents ‘go shopping in town’. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 11 An ongoing Adult Protection investigation has raised issues over the support and guidance given to residents should they require assistance from someone who will act in their interests. Nova House continues to provide good quality homemade meals. Alternative meals are offered if a resident does not like what is on the menu. The lunchtime meal was observed to be relaxed and enjoyable, in an aesthetically pleasing room that looks out to a well-maintained garden. Hot drinks and homemade cakes and biscuits are provided throughout the day. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 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 standard(s) 16, 18 Concerns and complaints are acted on, but a record of these is not maintained in order to audit how they are dealt with. Increased knowledge and understanding of Adult Protection issues is required to prevent residents being placed at possible risk of harm or abuse. EVIDENCE: Two resident spoken to said that complaints they had made in the past were dealt with appropriately and seven residents confirmed that they knew who to speak to if they were unhappy with the care they receive at Nova House. However, some relatives are not aware of the home’s policy and procedures for complaints and the home is not maintaining a record of complaints and the action that is taken to address them. There is an ongoing Adult Protection investigation at present and this incident has highlighted a need for Nova House to be more familiar with local multi agency procedures for Adult Protection and that staff should receive training in Adult Protection issues and the prevention of adult abuse. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 22, 26 The environment provides residents with an attractive and homely place to live. EVIDENCE: Nova House was seen to be kept clean and tidy, with all communal and private rooms decorated and furnished to a high standard. The home provides a passenger lift and stair lift to access all communal and private areas in the home. However, the Inspector has been informed that ‘when the passenger lift breaks down, the alarm can not be heard by staff outside of the lift’ and this was noted to be the case on the day of the inspection. The manager told the Inspector, “there is an ongoing problem with the lift and even the managing director of the company responsible for the lift has been out to try to rectify this problem”. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 The home has a competent and stable staff team to ensure residents needs are met. The recruitment, induction and training of staff offers protection to the residents living at the home. EVIDENCE: There were seventeen (17) residents at the time of the inspection and the staff rota indicated that there are three care staff and the manager on duty during the morning, two during the afternoon and one carer working a waking duty. The manager confirmed that staffing arrangements are kept under review to ensure residents’ needs are met. Several residents spoken to during the inspection commented that “the staff are very good” and “they are very kind and helpful”. Staff receive both in-house and external training in various aspects of care, to enable them to perform their job appropriately. It is noted that the manager is being proactive in identifying training needs for staff. New staff confirmed that they received a satisfactory induction programme. Nova House has a good retention of staff and one new member of staff considers that “residents are cared for very well” and the home “has a good staff team”. Recruitment files were checked and these were seen to contain the relevant information, including Criminal Records Bureau (CRB) checks. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 36, 37, 38 There is a good management structure in place and clear leadership to ensure that residents receive consistent quality care. Some aspects of record keeping are not adequate. There are satisfactory arrangements in place to ensure that the health, safety and welfare of residents is maintained. EVIDENCE: The manager has been competently managing Nova House for eight years and both staff and residents confirmed that she is open and approachable. Staff confirmed that they receive regular one-to-one supervision sessions which assist them in their daily practice as well as identifying their learning and development needs. Records indicate that all the equipment within the home is serviced regularly, including the passenger lift, fire equipment, electrical equipment and assisted bath seats. A record of all complaints and the action taken should be maintained. The home also need a care planning system that records the Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 16 changes to residents’ needs and the intervention that is need by staff to meet these needs. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 4 x x 2 x x x 4 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 x 3 x x x 3 2 3 Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 18 no 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. 1. 2. 3. Standard 16 18 14 Regulation 17(2) 13(6) 12 (3) Requirement A record is maintained of all complaints and details of the action taken. That all staff receive training in prevention and protection of adult abuse. Support and guidance to be given to residents should they require assistance from someone who will act in their interests. That there is increased knowledge and understanding of Adult Protection issues and the procedures to be followed. Residents care plans should record any changes in care needs and how staff are to care for their current needs. That the emergency alarm in the lift can be heard by staff and to inform the Inspector when this has been acheived. Timescale for action 26/8/05 31/12/05 26/8/05 4. 18 1396) 31/12/05 5. 7 15(2)(b) 26/8/05 6. 22 13(4) 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Nova House Refer to Good Practice Recommendations H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 19 Standard 1. Nova House H59-H10 S21175 Nova House V230625 260805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex BN21 4QT 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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