Inspection on 10/04/07 for Old Hastings House

This inspection was carried out on 10th April 2007.

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

Old Hastings House 01/12/05

Old Hastings House 30/06/05

Old Hastings House 18/01/05

Old Hastings House 08/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Anchorstone Services Limited

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

CARE HOMES FOR OLDER PEOPLE Old Hastings House 132 High Street Old Town Hastings East Sussex TN34 3ET Lead Inspector Jason Denny Key Unannounced Inspection 10th April 2007 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 Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 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. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Hastings House Address 132 High Street Old Town Hastings East Sussex TN34 3ET 01424 452640 01424 424027 natasha@oldhastingshouse.co.uk 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) Magdalen & Lasher Charity Natasha Jane Seymour Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fortyfive (45) Service users must be older people aged sixty-five (65) years or over on admission 1st December 2005 Date of last inspection Brief Description of the Service: Old Hastings House is a detached building on four floors, in which the main part of the building is listed. It is situated in the old town area of Hastings, close to the High Street and town centre, which is accessed by many of the service users. There are public transport routes nearby and also a main line railway station. The Décor and furnishings are maintained to a good standard with an ongoing decorating plan to further enhance and update the home. The home has a number of Georgian period features. Resident accommodation comprises of 45 single[en-suite toilet and sink] bedrooms. There are a range of communal areas, which comprise of three dining rooms two on the ground floor, and one on the first floor, and a lounge and conservatory on the ground floor. There are further seating areas at the top of the stairs on the first floor and also a further lounge on this floor. There are tea corners on the first, second and third floors. Residents have the option of a weekly minibus excursion along with a range of indoor activities such as coffee mornings, luncheon clubs, quizzes, bible studies, hand massage and manicure, and wine evenings. The home has a number of strong links with the local community. A small number of bedrooms can only be accessed by those with good mobility. The home has a number of Ramps around its external grounds and entrances to facilitate disabled access. The home has two lifts, one of which is a passenger lift. Information on the range of fees charged is within the homes current statement of purpose/Residents guide and ranges form £322.40 to £365 [private £365.] per week. Fees are not based on room size and facilities with all receiving the same service and having the choice of what rooms are vacant. Charges for extras include personal items beyond the basics such as activities provided by the home. Such items include newspapers, perfumes, chiropody, and hairdressing. Inspection reports are not routinely sent out to families and advocates after each publication although a copy is kept on display in the reception areas of the home and can be obtained via the manager. A Resident’s guide containing the most recent inspection report is sent to any interested person [or their representatives] looking to move into the home. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced key Inspection, which included a visit to the home which took place between 9.30am and 4.15 pm on April 10, 2007.This inspection focused on the key areas such as how care needs are met, Activities, lifestyles, environment staffing of the home, and how the home is managed, and deals with concerns and complaints. During this inspection process, which covers the period since the last inspection December 1, 2005 and the week of the home visit, a number of social workers and relatives have been spoken with. Thirty-four [34] of the Residents prior to the inspection returned survey/comment cards, with highly positive comments. Twelve [12] residents were spoken with, along with others observed during the inspection, which included discussion with some staff and observation of care-practices. The inspection focused on five of the newest Residents which included talking to their relatives. Some diversity and equality areas were explored in relation to lifestyles. Care records for five Residents along with health and medication needs were looked at. Discussions with management looked at progress since the last inspection. The inspector toured all communal areas of the home along with some bedrooms. A Meal was sampled along with complaints records. Staffing was looked at in detail along with the homes management, including measures to ensure quality for Residents. All seven [7] outcome areas are assessed as Excellent. What the service does well: Survey cards filled in by most Residents [34] described the home as excellent especially the staff, management, and their overall quality of care none had any serous concerns and the 2 which had some queries described the care as good. During the inspection visit a number of residents were spoken with [12] with typical comments as follows “ excellent”, Great, well looked after…home form home no complaints,..Wonderful,..Always something going on, staff will do anything for you,.. they [the staff] are wonderful” All 5 Relatives spoken with before the inspection were fulsome in their praise of the home with comments such as ““home is amazing I cannot fault it…good value low fees,.. Very good, mother always clean,, .. Home clean, Mother settled in well, always smiling, she is treated very well…I love it- Well looked after 100 . Girls are wonderful.. Like a hotel… Cannot fault it as a visitor ,lots of food drinks good routines. . Would like to live there myself one day if I need it”. Care managers from social services who place Residents in the home praised the quality of the service and how well the home supports new Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 6 Residents to settle in. A recent survey carried out by the home involving Residents and visitors confirmed similar findings. The home was again found to do everything well, excelling in most areas. The home continues to make improvements between inspections. The management of the home was found to be especially good and dedicated to supporting residents and staff. The organisation which oversees the home was found to provide excellent support with training, financial help, and regular inspections involving residents. A range of ways were seen of how well residents are fully involved in the running of the home with regular meetings. The home deals exceptionally well with occasional concerns from residents or visitors. Staff were again found to be well trained, supervised, and dedicated to their work. The home continues to offer an exceptional range of activities and maintains strong links with the community. Residents are closely monitored to allow prompt and effective responses to any changes. The organisation continues to invest in the home to improve both the building and its facilities. Residents benefit from living in a well equipped, maintained, clean, and spacious home. The regular and effective checks carried out by the management of the home promptly address any minor shortfalls before they become serious. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 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 Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, & 6. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Residents and their advocates are given excellent information before a decision is made to move into the home. Residents are kept exceptionally well informed and can be fully confident that their needs will be met during their stay. EVIDENCE: A copy of the homes resident’s [service user] guide [titled- Residents handbook] including a complaints and suggestions procedure is given to residents and visitors and is displayed in number of reception areas. The inspector found that the guide included the most recently published inspection report of December 2005. The guide also had the latest report [March 2007] of the views form residents something useful for prospective residents to base a judgement upon. This report based on a high number of Residents 86 was positive and presented in a user friendly way. The report also included a page on the views of 12 visitors who took part in the survey with views positive Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 9 overall. The rest of the guide was found to be fully detailed. Residents were found to be knowledgeable about their rights and confirmed that either themselves or their advocates were fully informed about the home before deciding to move in. relatives who spoke with the inspector confirmed that they were shown around the whole home and given full information including the contract before deciding if it was the right home. All new Residents and their advocates [five selected] of whose records were looked at where found to have signed contracts [terms and conditions] on the day of admission with these documents sent to them and their families before they moved in. The contract clearly shows the fee and room number and full details on terms and conditions. Relatives indicated that the service provides good value for money. Fees at the lowest rate, [which East Sussex pays], are set at £322 with the private higher rate at £365 for new privately funded Residents [others pay £350]. Private self funding Residents get the same service as everyone else and choose whatever rooms are available. Any charges for extra are based on Residents choice of chiropody, hairdressing or newspapers. Each of the five residents files looked at showed that all have assessments were carried out by two senior staff, including a manager, before a decision was made to offer a place in the home. The written assessments were found to be wide ranging contained summarised information and took place wherever the new prospective Residents was living at that time. The assessment included observing the person’s mobility. Each new Resident was found to have a care-plan and risk assessment set up as they moved into the home, which is significantly added to during the early weeks as the service gathers fuller information. One social worker/ care manager who recently placed 3 Residents in the home commented to the inspector at how well settled in they have become with care being excellent. It was evident from observations and discussions with each of the five newest Residents looked at in detail, and discussions with their relatives, that their needs are being exceptionally well met with all settling in well. Existing Residents, who were also spoken with and observed, showed good signs of well-being. The service also continues to evidence prompt action when a Resident’s needs cannot be safely met by this type of service due to deterioration in mental health and mobility. Full and timely support is given to assist individuals to move to more appropriate services. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Residents care needs are fully met with good recording in place. Residents are treated with respect with their wishes fully considered. EVIDENCE: Five Individual plans of care were inspected and with one minor exception were found to be sufficiently detailed, up to date, and contained clear information to support staff to meet the needs of residents. The plans were found to be user-friendly and covered the full range of health needs, which the inspector observed during the inspection. The care-plans emphasise Resident’s preferences such as wake up times and how they want to be supported. Staff and the deputy spoken with, indicated a full knowledge of the key aspects of these plans which are carried out in practice. The careful way Residents are supported was evidenced in many examples including the decision to withdraw alcohol from one Resident due to identified health issues linked to social drinking where the Resident cannot make an informed decision. This change of Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 11 policy was not found to be documented. The general risk assessment linked to this area was found to need updating Records, observations, and discussions with residents indicated that all health needs are identified and promptly met such as dental, hearing, and visits to opticians supported by the home. The home’s careful approach is evidenced in care-plans which show how needs of newer Residents, such as hearing, are being met including a variety of ways of trying to improve such health goals. Residents indicated that they all have access to the monthly visits of the chiropodist and benefit form having their own treatment room. Comment cards and discussions evidenced how pleased residents are with the sensitive support they receive from staff who were variously described as “ patient,” “wonderful and “very helpful”. A number of Residents stressed the words “respect” and “freedom” in relation to how they viewed their treatment by the service. Several Residents indicated how since moving into the home that their health needs such as mobility had improved due to the attentive support form the home. Staff were observed to be attentive to residents needs whilst supporting their independence. Relatives remarked at how well personal care is given to those Residents who require it, with comments such as “my Mother is always clean and well presented when I visit unannounced” The medication stocks, records, and procedures were examined including medication cassettes. Staff and management showed through discussion a sound and full knowledge of best and safe practice. Some Residents who are able to self-medicate stressed how they appreciated, subject to safeguards, having the opportunity to maintain this independence. Just one of the 45 Residents was found to be on controlled medication. The deputy manager demonstrated how the effect of any medication to assist sleep is closely monitored to ensure that no Residents are unnecessarily sedated. All Residents observed were found to be lively and alert. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. The home provides an exceptional range of activities based on resident preferences. The home goes to exceptional lengths to involve residents in the running of the home. Meals are exceptional and highly popular with residents. EVIDENCE: The inspector looked at records, comment cards from residents as well as talking and observing them, all of which indicated highly positive outcomes. Most residents spoken with indicated that there was always something going on and those who choose not to attend all activities indicated that are made aware of them. Care records showed how the home continues to assess each individual Resident’s interests, a process, which starts before someone moves into the home. The range of activities continues to improve and adapt to changing needs. Residents are able to make a range of choices about their Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 13 lives with significant consideration given to their views and feelings, which are also discussed at the monthly Resident meetings. Activity schedules were displayed throughout the home on the high number of notice boards in entrance, reception areas, and all corners of the home. Throughout the inspection staff were observed prompting Residents to socialise or take part in activities which included helping them to access them. The home was observed to be mindful of ensuring that no Residents become isolated by spending excessive time on their own whilst respecting their right to make such choices. Residents spoken with confirmed how their expectations and preferences are met. On the day of the inspection the local news was relayed on a tape, there were bible studies for some, and manicure and hand massage in one of the lounges. A number of service users were either gardening or out on community walks. Activities also include quizzes, cheese and wine afternoons, library trips and mini-bus excursions. The Inspector observed some Residents gardening in the conservatory, others attending a tuck shop, some listening to music, some reading their ordered newspapers, and others out on a trip. A number of Residents spoke positively about the busy Easter programme, which took place over the weekend before the inspection. Relatives indicated how Residents who experience memory loss or visual impairment are prompted by staff in relation to activities. Residents confirmed the range of social contacts in the community they are encouraged to access along with maintaining existing relationships. The home supports a range of community events such as raffles and coffee mornings, which residents organise and which involve members of the public visiting the home. Visitors such as relatives confirmed how welcome and involved they are invited to be in the running of the home, and how well informed they are by the service. Residents confirmed that house meetings continue to occur monthly with minutes copied to all residents including those who cannot attend. The home also has a House committee, which includes 2 residents. Residents confirmed that they are involved in choosing their 2 key-workers. Photographs of the key workers for each Resident were found on displayed on the inside of each Residents bedroom. A Meal was sampled by the inspector who shared the opinion of all Residents spoken with that meal arrangements are excellent. Residents benefit from a high range of nutritious food, choice and published menus which Residents had a good knowledge of. Several Residents confirmed that a roast dinner was due to be served the following day. One of the newer Residents confirmed how his wish to have eggs and bacon for breakfast, which he had enjoyed before moving is respected. Residents choose who to seat with and have a choice of dining rooms. Relatives who have filled in the homes survey cards or spoken to the inspector expressed satisfaction with activities and opportunities for Residents to be stimulated, along with being highly positive about the food. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, & 18. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Complaints and concerns remain exceptionally low and are promptly and exceptionally well managed in Residents best interests. Resident’s benefit from an open culture and skilled staff who support their rights. EVIDENCE: The home has a comprehensive complaint policy and form for reporting concerns. The complaints policy is clearly displayed in all entrance areas to the home. Residents and relatives spoken with all indicated that they know how to raise any concerns and would be confident that their views would be taken seriously. The complaints procedure is also given to Residents and their relatives on admittance. The inspector saw written examples in the homes complaint file of 6 concerns being raised over the last year with all receiving a prompt and thorough response in writing from the manager. Three of the six concerns were found to be upheld [substantiated/proven] by the home’s own investigation. Two concerns related to the behaviour of two Residents which was affecting others and which at the time the home was in the process of supporting both persons to move to more suitable accommodation due to their deteriorating mental Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 15 health needs. The family of one of the Residents who had to move expressed disquiet about this decision. The other concern related to the dedicated clinic room not being available for chiropody treatment due to confusion about keys, which led to an empty office being used with no evidence of any Resident’s suffering a detriment due to this temporary situation. It is evident that the home’s practice of responding seriously to any concerns ensures that the complaints procedure will continue to be used due to the services commitment to records suggestions and concerns to improve practice. At the time of the inspection no relatives or Residents disclosed any unresolved concerns. No concerns or complaints about the service have been expressed directly to the Commission since the last inspection. New staff who spoke with the inspector confirmed a sound and full understanding of how to spot potential abuse of vulnerable adults and how to report. Related policies were found to be kept fully up to date, and are covered in all new staff’s induction. This is reinforced by regular training including study on the National Vocational Qualification in Care level 2, which all staff have completed or are working towards the qualification. The way in which the home is run with an emphasis in involving Residents and recording their wishes to maximise their freedoms ensures that there interests remain protected. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, & 26. Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. Resident’s benefit from an exceptional environment and facilities, which are well maintained, which constantly improve, and which are kept exceptionally clean and hygienic. EVIDENCE: The Inspector toured communal parts of the home such as lounges, bathrooms dining areas, and hallways, finding them all to be clean and fresh smelling. Relatives who spoke with the Inspector emphasised how clean the home is whenever they visit one stated” it never has that smell you associate with other care home’s” A third dining room area which used to double as smoking room in between meals is no longer used for smoking due to changes in the Residents group and an emphasis on supporting occasional smokers to use the larger well ventilated conservatory or the many outside areas. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 17 The inspector did not intend to inspect bedrooms but those, which were seen in the course of talking to some residents in their rooms, were found to be immaculate, personalised, comfortable, and popular with Residents. Residents praised the maintenance team and how their personal equipment such as TV and other items are promptly repaired. All bedrooms are en-suite toilets and sinks. Over the last 3 years the home has ensured that rooms, which have toilets, have a dedicated door. The one room awaiting this development is due to the current Resident not wanting the upheaval of this work being carried out at present. Since the last inspection a number of beds and carpets have been replaced along with general ongoing refurbishment such as the laundry room. The service continues to complete all scheduled works within the scheduled times. The plans for 2007 include refurbishing all toilets and bathrooms throughout the home and responding to the wishes of Residents for more comfortable Parker baths by replacing two of them. On each floor of the home there are number of drinks making areas and tea corners, along with other rooms where Residents can entertain visitors in private other than in their rooms. Some rooms are used for prayer or as dedicated clinics including use for chiropody treatments. Apart from toilets in each bedroom, Residents benefit from ample toilets around the home and 4 supported bathrooms. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, & 30. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from an exceptional and popular staff team, which is stable, well chosen, highly skilled, dedicated, and which meets needs. EVIDENCE: Staffing levels remain unchanged since the last inspection with 5 care staff on each day shift in addition to a senior and manager as confirmed by rotas, discussions with staff, and observations. These levels reduce slightly in the evening and are complemented by a range of ancillary staff such as cooks and cleaners. Relatives and Residents spoken with, indicated that staffing levels are sufficient to promptly meet their needs. A survey carried out by the home of visitors confirmed that care is good and that most thought staffing levels were sufficient. The Inspector sampled examples of induction workbooks for two new staff. These were found to have been completed within a normal timescale covering a range of areas such as emergency procedures, policies and procedures, care plans, values, and sections where new staff can show what they have learnt. New induction books have also been introduced called TOPSS induction, safe working practices [now renamed Skills for Care], which is completed within 6 weeks of the new person commencing employment. All staff have gone Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 19 through the 6 week induction over the last two years despite previous experience and other qualifications. Two staffing files of staff who have joined the home since the last inspection were inspected and were found to have completed these induction books within the timescales. One of the staff persons referred to indicated in discussions the thoroughness of her induction which also involved working a week of shadowing senior staff. She stated how well supported she found this induction. She has recently been supported by the home to complete a National Vocational Qualification in Care at level 3. An exceptional number of care staff [two thirds 66 ] have already passed National Vocational Qualification in Care at level 2 or above. All other staff are in the process of completing this course by June to September 2007. Only one staff person has joined the care staff team since the new Common induction standards became compulsory. The home decided to put the person through the existing induction system and straight onto the National Vocational Qualification in Care level 2 course that supersedes and is more comprehensive than the new induction programme which is intended as starting point. Staffing files indicated that sound recruitment processes are followed to ensure the careful selection of staff. One staffing file lacked information as to the decision making process following an item that appeared following these checks. The manager confirmed that full discussion with senior management who oversee the home took place and that all advice was sought. The person concerned like all new staff is closely supervised during their probationary period. The manager agreed to ensure that any such discussions are documented in staffing files. This situation was not found to be affecting outcomes in the home, or had placed anyone at risk. A number of Residents described the staff as “wonderful, patient and respectful” and all spoken with along with relatives, were fulsome in their praise. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, & 38. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. The home is exceptionally well managed in the best interests of Residents. EVIDENCE: The registered manager has managed the home for a number of years and is well qualified, achieving the industry-recognised qualification: namely, the registered managers award and National Vocational Qualification in Care level 4, 3 years ago. The home was found to be run well in the managers absence by a competent, qualified and motivated senior staff person and deputy who also has a National Vocational Qualification in Care level 4 in management and care. The managing organisation produces detailed monthly reports of one of their regular visits, which include resident’s and staff’s views. The chairman of Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 21 the Trust which oversees the home visits daily as confirmed in discussions and records and carries out inspections with another colleague from the Trust who has recently taken on the role as the Responsible person. The manager continues to work towards developing effective quality monitoring systems that are user friendly such as the recent introduction of house committee’s which involve a range of people including Residents. The inspector spoke to the one of the Resident members on the committee, who confirmed how the home continues to respond positively to suggestions. All residents spoken with confirmed that they have open access to supportive management and staff. The 2007 Annual development plan for the home includes a range of environmental improvements. Comment/survey cards sent to the home prior to the inspection [December 2006] were distributed by a resident representative to her peers. This new scheme was a complete success as over 80 [34 of 44] with all positive and most highly so about all aspects of the home The inspector looked at the homes own most recent survey of resident views evidenced in a report displayed in reception areas of the home dated March 2007. 86 of residents participated in the home own survey, which was led by a resident representative with comments positive, and suggestions made for further improvements. 12 visitors also completed survey cards with the report indicating 100 satisfaction with care and high levels for all other areas such as food, activities, and staffing levels. Residents finances are well managed by the home as seen in records and storage arrangements examined, which showed accurate running totals of those small amounts of money which the home manages on behalf of some residents. The inspector found that from two staffing files examined of newer staff that they are receiving supervisions at least every two months and in some cases more frequently such as one that had written supervision in both January and February 2007.The quality and detail in these supervisions was found to be exceptional and helpful to the staff as confirmed in discussions. The written supervisions identify how the staff person is performing and any additional support and training they require Records showed that all aspects of health and safety are met as evidenced in appliance safety certificates, staff training, and accident records. The inspection questionnaire completed by the manager indicated that all equipment is regularly serviced and in schedule. All staff regularly receive Moving and Handling, first aid, fire, and health and safety training. All accidents are promptly reported to the Commission, with the home responding effectively to such instances such as when there is a pattern of falls. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 22 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 4 4 3 4 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X 4 X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 4 X 4 Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements form 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. 1 2 Refer to Standard OP7 OP29 Good Practice Recommendations That written risk assessments are promptly updated where they are changes to care practices, or new restrictions. That discussions are documented where recruitment checks reveal concerns. Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Old Hastings House DS0000021179.V333687.R01.S.doc Version 5.2 Page 25 - 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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