Inspection on 14/12/05 for Old Wall Cottage

This inspection was carried out on 14th December 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

Old Wall Cottage 20/06/08

Old Wall Cottage 06/06/07

Old Wall Cottage 13/02/07

Old Wall Cottage 09/08/05

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 Old Wall Cottage Old Reigate Road Betchworth Surrey RH3 7DR Lead Inspector Mary Williamson Unannounced Inspection 14th December 2005 10:00 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 Wall Cottage DS0000064426.V273790.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. Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Old Wall Cottage Address Old Reigate Road Betchworth Surrey RH3 7DR 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) 01737 843029 01737 845223 European Healthcare Group plc Mrs Glenys E Scadden Care Home 43 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (20), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (32), Old age, not falling within any other category (6) Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate up to: 32 residents within MD(E), 20 within DE(E), 6 within OP and 2 within DE. The age range of residents accommodated will be: 65 years and over with 2 female residents being under the age of 65 years. Up to 2 (two) beds may be used for respite care. Date of last inspection 9th August 2005 Brief Description of the Service: Old Wall Cottage is a care home providing nursing care and accommodation for forty-three service users who are old some of whom suffer with dementia. The home is located in a rural setting in Betchworth Village near to Dorking Town and all the local amenities. The home provides accommodation in twenty- seven single bedrooms, and nine double bedrooms, all but three are situated on the ground floor. There is ample communal space available, to include a well maintained garden to the rear of the home. Old Wall Cottage became part of European Health Care Group Ltd. in May 2005. Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and the second in The Commission for Social Care Inspection programme year 2005 to 2006. Mary Williamson who is the Lead Inspector for the service undertook the inspection. Mrs Glenys Scadden the registered manager was present throughout the inspection. A tour of the premises was undertaken and records relating to the care of the service users and the management of the home were examined. Several of the service users were spoken to some in more detail then others. They provided positive feedback regarding the general level of care received and the quality of the food. The service users were looking forward to Christmas and all the activities arranged. There were also Christmas decorations in place. The staff on duty were interacting in a caring and positive manner with the service users. Staff were able to confirm some of the training they had received. The inspector would like to thank the service users and staff for their positive approach to the inspection process. What the service does well: The home provides accommodation and nursing care to service users in single and shared rooms. Service users are well cared for by a competent team of staff in a caring and respectful manner. The management team continue to develop a wide range of policies and procedures with the support of the organisation. The catering arrangements in the home continue to be satisfactory and there were positive comments from the service users regarding the meals offered. Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 6 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. Old Wall Cottage DS0000064426.V273790.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 Old Wall Cottage DS0000064426.V273790.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): 1, and 3. Service users are now in possession of all the required information necessary to make a decision regarding the home. The pre admission needs assessment still requires more detail to be included. EVIDENCE: Since the last inspection the company has developed a statement of purpose and service users guide. This is now available to all prospective service users to help them make an informed choice regarding the home. A copy of this has also been given to the current service users in the home. Following the previous inspection the pre admission assessment format needed to be redeveloped to include more information about the prospective service user. This is currently being reviewed and is not yet a working document. Old Wall Cottage DS0000064426.V273790.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, and 10. Appropriate arrangements are in place to ensure that most of the health care needs of the service users are being met. There were shortfalls noted in the care plans sampled. EVIDENCE: Individual care plans are in place. These are written with input from the service users when possible. Relatives and care managers also contribute to this process. The care plans sampled were informative, however some of these were unsigned and past their review date. Service users are registered with a local GP who visits the home weekly or more frequently if required. Chiropody treatment is arranged every six weeks and there is also access to a dentist and an optician. Physiotherapy is available privately or on referral by the GP. Currently there are five service users in the home with a pressure sore. The manager stated that two service users were admitted to the home with these. The inspector was informed that a training session had taken place the previous day on pressure area care facilitated by a company rep that supplies Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 10 pressure sore heeling and relieving products. The tissue viability nurse must be consulted for advise, assessment, and monitoring of the present situation. The staff were observed to interact with service users in a professional and respectful manner. Screens are provided in shared rooms and staff were seen to knock on bedroom doors prior to entering. Old Wall Cottage DS0000064426.V273790.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, 13, and 15. The programme of social activities meets the expectations of service users. Family links are maintained and the catering arrangements are satisfactory. EVIDENCE: The home has a leisure activities programme in place, which meets the collective and individual needs of the service users. The activities include music and movement, gentle exercise, board games, and outside entertainment. Various activities were organised for the forthcoming week, which included a Christmas Party, Carol Service, and visits from local community groups. Family links are maintained and visitors are encouraged into the home at any reasonable time. Relatives are also encouraged to participate in the care planning process. The manager stated that she was expecting several relatives to attend the Christmas Party. The catering arrangements in the home are satisfactory. The cook plans the menus with input from the service users whenever possible. Knowledge of service users preferences is also included in this process. The lunch being served during the inspection included chicken casserole, mashed and roasts potatoes and a selection of vegetables. This was well presented, wholesome Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 12 and appetising. Special diets are catered for and sensitive support is offered to the service users who require help with feeding. The kitchen was visited and it was good to observe a new dishwasher has been installed. All the required documentation for health and safety is in place. Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 13 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 There is a complaints procedure in place, which is available to service users and their relatives. EVIDENCE: The home has a complaints procedure in place. This is also included in the service users guide, which is available to all service users and their relatives on admission to the home. There have been no complaints since the last inspection. Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 14 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, 20, 21, 22, 24, and 26. Service users live in a safe and well-maintained environment. Individual and communal facilities meet the assessed needs of the service users. EVIDENCE: The location and layout of the home is suitable for its stated purpose. The new providers continue the programme of refurbishment and several more areas of the home have been redecorated since the last inspection. There are three large lounge areas and a dining area, which have been rearranged and redecorated. There is also a conservatory, which can also be used as a sitting area. There are ample bathroom and toilet facilities located throughout the home. However the shower was out of order in the shower room on the ground floor, which must be repaired to meet the mobility, needs of the service users. Adaptations have been made to meet the mobility needs of the service users. Grab rails have been provided in convenient locations, electronic hoists have been fitted in several bedrooms, ramps have replaced steps in connecting Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 15 hallways, toilet seats are raised, and a call bell system is available in all bedrooms and communal areas of the home. Service users bedrooms are comfortable, and have been personalised to reflect individual personalities. There are twenty- one single rooms and nine double rooms provided. The home was clean and tidy and free from offensive odour. Arrangements are in place for the collection of clinical waste. Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 16 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, and 30. The number and skill mix of staff employed in the home meets the service users care needs. The recruitment procedures protect the service users in the home. EVIDENCE: The duty rota was seen and identified two qualified nurses, nine carers, one cook, two cleaners, one laundry assistant, two maintenance men, one administrator and the manager were on duty during the inspection. The skill mix of the staff available is adequate to meet the assessed needs of the service users. The home has developed a recruitment policy since the last inspection. Four staff employment files were examined and they all contained the required documentation to include employment history, written references, and Criminal Records Bureau (CRB) disclosures. All staff have induction training. There is a booklet in place to accompany this training, which is signed by a qualified staff member once assessed as competent. Several staff have an NVQ level 2, and more are undertaking this award. There is also training available to the qualified members of staff. Old Wall Cottage DS0000064426.V273790.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 and 38. The home is run in the best interests of the service users, who are also protected by the homes health and safety arrangements. EVIDENCE: The registered manager is a qualified nurse with several years experience in the provision of care to older people. A deputy manager and an administrator support her. Some of the staff spoke of the support they receive and felt confident in the management structure within the home. The home continues to develop under the new providers and there have been several new policies and procedures implemented since the last inspection. A wide range pf policies and procedures relating to health and safety were seen during the visit and these promote the welfare of the service users. Risk assessments are in place for all identified risks. Staff have received training in manual handling, first aid, food hygiene and COSHH. Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 18 The fire safety records were seen and are satisfactory. All staff receive fire safety training as part of their induction training. The procedures in place for the recording of accidents are satisfactory. Old Wall Cottage DS0000064426.V273790.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 3 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 2 3 X 3 X 3 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 3 X X X X X X 3 Old Wall Cottage DS0000064426.V273790.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 2 and 7 Regulation 15(1) Timescale for action A well-documented care plan and 14/02/06 assessment of needs must be in place for all service users and the service user or their representative must sign these. The registered person shall make 14/02/06 arrangements to receive advice from other health care professionals in relation to the management of pressure sores. The registered person must 14/02/06 ensure that equipment provided in the care home is in sound working order to include the shower. Requirement 2 8 13(1)(b) 3 21 23(2)(c) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Old Wall Cottage DS0000064426.V273790.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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