Inspection on 29/11/05 for Offington Park Care Home

This inspection was carried out on 29th November 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

Offington Park Care Home 27/06/06

Offington Park Care Home 02/02/06

Offington Park Care Home 08/02/05

Offington Park Care Home 12/07/04

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

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

CARE HOMES FOR OLDER PEOPLE Offington Park Care Home 145 Offington Drive Worthing West Sussex BN14 9PU Lead Inspector Judith Farrell Unannounced Inspection 29th November 2005 10:15 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 Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Offington Park Care Home Address 145 Offington Drive Worthing West Sussex BN14 9PU 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) 01903 260202 offingtonpark@btinternet.com Claremont Care Service Limited Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2005 Brief Description of the Service: Offington Park is a care home registered to provide accommodation and personal care for up to twenty four elderly (over the age of 65 years) persons. The registered provider is Claremont Care Services Limited for whom the responsible individual is Mr Mehboob Rajan. The post of registered manager is currently vacant but a manager, Mrs Jackie McCurry has been appointed and will be applying for registration with the Commission for Social care Inspection in the near future. Mrs McCurry was previously working in the home as the deputy manager. The property is a detached three-storey building situated in a residential road on the outskirts of Worthing, a West Sussex seaside town with shops, train stations and other amenities. Accommodation is provided in twenty-two single and one double room. However the double room is used for single occupancy unless there is a specific request for it as a double. The rooms are arranged on ground and first floors only and thirteen have en-suite facilities. There is a passenger lift. Communal rooms including a large conservatory are on the ground floor. The home has pleasant gardens with a decking area to the rear of the home, all of which are accessible to residents. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of seven and a half hours by one inspector between the hours of 10:15 and 17:45 as part of the yearly inspection process. Prior to this inspection the previous inspection report was read along with other documents and correspondence relating to the home. Some records and documents were examined and a tour of the premises was undertaken. Eight residents and five staff members were spoken with and there was discussion with the recently appointed manager, Mrs Jackie McCurry. Observations were made of the way staff approach and interact with residents and the general way in which care is delivered. Twentyone residents were being accommodated at the time of inspection. What the service does well: What has improved since the last inspection? What they could do better: Keep all resident information in their personal files and care plans rather than in several different places, for ease of reference. Expand on the information provided in resident’s care plans to show clearly what action is needed by staff to help meet the assessed needs. Include more detail in the risk assessments to show how risks are being minimised. Enable the manager’s hours to be supernumerary to the rota hours to enable her to fully manage the home, supervise the staff team and undertake the many responsibilities she will have if she becomes registered. Ensure that fire bell tests are carried out and recorded weekly. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 6 Regulate the hot water at all outlets used by residents to prevent scalding from excessively hot water. Provide evidence that water is stored and distributed at correct temperatures to prevent risks from Legionella. Keep all chemicals/cleaning agents under lock and key and in accordance with COSH policy. 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. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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 Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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): 3 New residents are admitted to the home only on the basis of a full assessment of their needs. EVIDENCE: Four resident files examined showed that full assessments had been undertaken to ascertain the needs and level of care required by each person. Assessments were seen to cover the physical and mental health, personal, social and spiritual needs of the individual. Residents spoken with considered their needs to be well met and one of the comments received included “they help me with what I need, I’m deaf and they talk loud and clearly to me, most do anyway.” The resident’s plans of care are then based upon these assessments. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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 Care plans lack some detail which could result in care staff being unclear as to precisely what assistance residents need and want. Resident’s healthcare needs are generally well managed and medicines handled safely. EVIDENCE: Three care plans were examined. They were found to lack detail in relation to some aspects of care, for example how their oral/dental needs should be met, how many carers are needed to assist with walking, and how etc. The plans should set out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of residents are met. There was some evidence of care plan reviews but these did not indicate a full monthly review of the entire care plan. There is currently no evidence of resident involvement in the drawing up or reviewing of the plans and residents spoken with were unaware of what a care plan is. Risk assessments were also found to be lacking in sufficient detail. They do not show what action is being taken to minimise identified risks. Those seen in relation to falls for example did not specify what action needed to be taken in order to avoid further falls. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 10 The manager has only been in post for a short time. She is aware of the need to improve care plans and risk assessments and said that she is planning to introduce a new care plan format. At present information about residents is held in several different record systems and she acknowledged the need to collate this both for ease of reference and to cut down on unnecessary paperwork. Residents have access to GPs and other health care professionals. One resident said that he wanted to be able to do more things for himself and is “being killed with kindness”. He is currently unable to actually do as much as he would like to, necessitating staff to assist him. He said that the manager was trying to arrange through his GP for him to have physiotherapy and in the afternoon of the inspection, a physiotherapist arrived to assess his needs. Another resident said “they call my doctor when I need him”. Residents said a hairdresser attends weekly for those who want her services. Medicines held by the home are administered straight form the drug trolley to the resident. Medicines were seen to be stored securely and records of receipt, administration and disposal were maintained appropriately and up to date. All staff who handle medicines have received appropriate training from the supplying pharmacist. Residents asked said that they always receive their medicines on time. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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 Social activities are well managed to provide variety and stimulation for those residents who choose to participate. EVIDENCE: A member of the care staff undertakes the running of an arts and crafts session for four hours on one day each week. This is quite separate to her other duties therefore for those hours she is not one of the duty carers. During these sessions residents can participate in various activities such as painting, making murals, cards, table decorations and others. Examples of their work were seen to be displayed around the home. On alternate Saturdays cheese and wine evenings are held for residents and their families/friends which are well attended. Staff spend time talking to residents, playing board games and organising quizzes as was confirmed by residents spoken with. Various visiting entertainment is arranged monthly. Seven residents had chosen to go with staff for a meal out and to the Pantomime in the near future. All residents had the choice of going. Residents considered there to be sufficient social events and activities taking place. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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 A complaints procedure is in place and displayed in the home so that residents know they can raise concerns. Residents are protected from all forms of abuse. EVIDENCE: The home has a complaints procedure which is included in the Statement of Purpose, Service User Guide and a copy displayed in the home. Residents asked said that they would “tell Jackie” if they have any complaints or worries and clearly had confidence in her to deal with them. She has worked in the home for a considerable time and knows and is known well by all of the residents and their relatives/visitors. No complaints had been received but the manager is aware of the need to record in detail should any be received. The home has a copy of the West Sussex procedures for The Protection of Vulnerable Adults as well as its’ own policies and procedures. The manager and staff are fully aware of their responsibilities in relation to the reporting of any suspected abuse of a resident and all but two staff have attended training in Adult Protection which was evidenced in staff training records. Further training is being arranged for those two who have not undertaken it. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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, 24, 25, 26 Residents live in a well maintained, clean and homely environment but there are some issues relating to safety which could put them at risk. EVIDENCE: The home was seen to be nicely decorated throughout and furnishings comfortable and suitable for the resident group. The communal areas which include a dining room, lounge and large conservatory are bright, cheerful and welcoming and the general feeling is one of homeliness. Resident’s rooms provide suitable storage space including lockable storage which has been provided in response to previous recommendations made in reports. It was noted that residents had many of their own possessions in their rooms enhancing their homeliness. One resident said that he would like a bigger room because he has a walking frame and would like to be able to walk about more in his room for exercise. Another said “ I like my room I’m very happy here” Radiators remain uncovered. The registered provider has previously written to the Commission about this matter stating that the boiler is fitted with a special device for maintaining radiators at safe temperatures. No radiators felt excessively hot at the time of inspection. However, risk assessments must be Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 14 undertaken in respect of uncovered radiators and there should be regular testing to ensure that safe temperatures are maintained. The temperature of hot water tested at random in several outlets including baths and hand-basins in resident’s rooms was found to be excessively hot. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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): 27, 29 The number and skill mix of staff is sufficient to meet the needs of residents but this is currently only achieved because the manager spends the greater part of her contracted hours providing hands on care. Thorough recruitment procedures are followed which means that residents are supported and protected EVIDENCE: Duty rotas examined, observations made and discussion with the manager confirmed that there are two care staff and the manager on most daytime shifts. Dependency levels of residents in the home are not high but the number of residents and lay out of the building merit no less than three care staff during the day time and early evening which enables staff to spend some quality time with residents. At night there are two awake staff. Several staff have worked in the home for a few years providing some stability and continuity. The home has only a very small percentage of male residents and there is a full time make carer. Three staff files were examined at random including that of the most recently recruited person. The files contained the necessary documentation such as references, evidence of Criminal Records Bureau and POVA clearance as well as completed application forms and previous work histories. Residents spoke highly of the staff team and made such comments as “the staff are very good” and “The staff are good, I’ve nothing bad to say.” Five staff were spoken with including the relief cook, domestic assistant and three carers. They each gave a good account of the home and said they enjoy working there. They found it to be “friendly” and “a nice atmosphere”. They Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 16 said that Jackie is arranging plenty of training for them and they felt well supported. They confirmed that the manager has commenced one to one supervision and appraisals for them and said they have more regular staff meetings now than previously. They said that they help each other with their NVQ training through group discussions. They were heard to address residents respectfully, observed knocking on doors before entering resident’s rooms and seen to enjoy friendly relationships with residents. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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, 35, 37, 38 The manager is new to her post and acknowledges the amount of work and responsibility she has to undertake in order to meet in full and maintain, all of the National Minimum Standards so that residents can enjoy high quality care at all times. EVIDENCE: The manager is currently awaiting verification having undertaken NVQ level 4 and she anticipates completing the Registered Managers Award by the end of January 2006. She will be submitting her application for registration to the Commission in the very near future. She is employed on a full time basis but currently has only 10 supernumerary hours per week in which to attend to all of her administrative, supervisory and general management tasks. The major part of her weekly hours are spent doing care assistant work ie. being the third carer on shift. If she becomes a registered manager and is to properly fulfil her responsibilities, she should be entirely supernumerary to the rota’d care hours. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 18 It was noted that reports of monthly visits to the home by the responsible individual or one of the partners in accordance with the regulation that requires this, have not been made since April 2005. Some residents manage their own finances entirely and others have representatives to act on their behalf. A small number of residents have monies held for them by the home in safe-keeping. Some of these amounts were checked at random against the records held and found to be accurate. Records detailed all expenditure and receipts were in place for all services and items purchased on behalf of those residents. Not all staff are up to date on mandatory training such as first aid, safe handling, infection control and food hygiene. The manager said that she is trying to arrange courses for early 2006 and produced various brochures she has obtained to find the most suitable courses for staff. Some cleaning chemicals and washing machine fluids were seen in the lobby of the laundry room where they could be easily accessed by residents. These should be kept under lock and key in accordance with the homes COSH policy and procedures. Examination of the fire log book showed that the testing of fire call points in the home has been very infrequent although these tests should take place weekly. During a tour of the premises a resident said “I must keep my door open all the time because I can’t sleep with it shut”. This door was noted to be wedged open. If a fire door has to be held open for any reason such as meeting a resident’s particular need, it must be fitted with an approved means of doing so after consultation with the fire officer. When fire doors are wedged open all persons in the home are put at risk. Staff had received fire safety training in November 2005. No evidence was available to show that testing has taken place to ensure that water is stored and distributed at the correct temperatures to prevent risks from Legionella. As previously mentioned there are no regulators to control the temperature of hot water at the point of delivery. Risk assessments for all safe working practice topics have not been carried out. Risk assessments for uncovered radiators have not been undertaken. Accidents and injuries were seen to be recorded appropriately and notified to the Commission and RIDDOR as necessary. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 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 3 17 x 18 3 3 x x x x 3 1 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x 3 x 1 1 Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 20 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 Standard OP37 Regulation 26(2)(3)( 4)(5) Requirement Where the home is an organisation or partnership, the care home shall be visited in accordance with this regulation and a report on the conduct of the home prepared. (copies of reports to be sent to the Commission) The registered person shall ensure that unnecessary risks to the health or safety of residents are identified and so far as possible eliminated. (Fit regulators to all hot water outlets in areas used by residents) The registered person shall after consultation with the fire officer make adequate arrangements for containing fires. (keep all fire doors closed unless fitted with approved devices) Timescale for action 31/12/05 2 OP38OP25 13(4)(c) 31/03/06 3 OP38 23(4)(c)(i ) 29/11/05 Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 21 OP38 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 Refer to Standard OP7 OP25 OP31 OP38 OP38 OP38 OP38 Good Practice Recommendations Care plans and risk assessments should contain more detail Risk assessments should be undertaken in respect of all uncovered radiators. The manager’s working hours should be supernumerary to the rota’d care hours in order for her to fully carry out her role and responsibilities. All staff should be kept up to date with mandatory training. All cleaning fluids and chemicals should be stored securely. Risk assessments should be carried out for all safe working practices. Fire call points should be tested and recorded weekly. Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 22 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 Offington Park Care Home DS0000043533.V267643.R01.S.doc Version 5.0 Page 23 - 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. 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