Inspection on 05/12/05 for Olde Coach House The

This inspection was carried out on 5th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Olde Coach House The 01/02/07

Olde Coach House The 06/09/05

Olde Coach House The 08/02/05

Olde Coach House The 05/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Olde Coach House The 2 & 2a Eastgate Hessle East Yorkshire HU13 9LW Lead Inspector Ms Wilma Crawford Unannounced Inspection 5th December 2005 09:00 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 Olde Coach House The DS0000019753.V259051.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. Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Olde Coach House The Address 2 & 2a Eastgate Hessle East Yorkshire HU13 9LW 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) 01482 645094 01482 643363 Dema Residential Homes Limited Mrs Elaine Bismor Care Home 29 Category(ies) of Dementia - over 65 years of age (29), Old age, registration, with number not falling within any other category (29) of places Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: The Olde Coach House is a privately owned care home that is registered to offer accommodation for 29 people with dementia and/or old age. The accommodation provided is in 15 single rooms and 7 double rooms; 2 of the single rooms have en-suite facilities. The building is a conversion/extension of two adjacent houses with parking space for staff and visitors. There is an inner courtyard and small garden area where residents can sit out in fine weather. All areas of the home are accessible to service users via the provision of stair lifts and ramps. The home is situated within easy reach of local amenities in the town centre of Hessle where shops, churches, public houses and a range of community facilities are available. Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 hours. A tour of the premises was conducted with the homes owner, who is also the manager. The main method of inspection used was called case tracking which involved selecting four residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? The requirements made at the last inspection have been acted upon, with the exception of two for which timescales have been extended to allow the necessary work to be completed. 44 of the care staff have achieved an NVQ qualification at level two or above. All the remaining staff are working towards this qualification. The activities programme is displayed on different notice boards throughout the home, for residents’ information. Open pipe work in the hallway has been boxed in. Chiropody treatment is now provided privately in residents’ own rooms. All staff have a satisfactory CRB check and 2 written references prior to starting in post. Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Olde Coach House The DS0000019753.V259051.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 Olde Coach House The DS0000019753.V259051.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): 2,4,5 Residents are given the opportunity to visit the home before making a decision to move in. They can feel confident that their assessed needs will be met and are aware of the conditions of residence once admitted. EVIDENCE: The home has an admission policy and procedure, which includes an assessment being carried out prior to admission, this is undertaken to make sure that the home can meet prospective residents needs. This is confirmed in writing. All residents enter into a ‘contract’ with the home and a signed copy of this is held in a locked filing cabinet. Residents’ care plans showed that a needs assessment is completed for all residents. This is carried out prior to admission if possible and if not as soon as possible afterwards. For residents admitted under the care management approach this is in addition to that assessment. Three residents spoken with confirmed that this had taken place and they were able to visit the home before making a decision to move in. Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 9 The needs assessment addresses all activities of daily living and strengths and needs of residents. There is evidence within the assessment that residents and their families are involved at this stage. Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10,11 The home’s records give a clear picture of the needs of the residents and enable staff to meet their needs with sensitivity and regard for their privacy and dignity. EVIDENCE: Four residents were selected for the ‘case tracking’; their care plans were informative as to what was required to meet each resident’s needs, including risk assessments for moving and handling. Other information regarding residents was kept in a separate folder. Individual keyworkers are responsible for ensuring that care plans were updated regularly. The home had full procedures for the management of medication and training records showed that all staff involved in distribution of medication had received training. The privacy and dignity of residents was observed throughout the inspection, with staff members treating residents with courtesy and friendliness and knocking on room doors before entering. Residents said “the staff are good and helpful.” “The staff are fine and they are kind.” Olde Coach House The DS0000019753.V259051.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): 12,13,15 Social activities are provided and create a variety of events and activities which residents are informed about. The residents exercise choice about which activities, if any, they wish to participate in and what meals they want to eat. EVIDENCE: The manager and staff spoken with said there was a variety of events and activities available for residents to take part in if they wished. Residents confirmed this and explained that they preferred to read, watch television and follow sporting events instead. However they did enjoy the visiting entertainers and the film show ‘Pictures of the Past’ and regular visits from their families. Recent activities included, a slide show, saxophonist, sing along, cards dominoes, knitting. Organised activities are displayed on notice boards throughout the home. Menus had choice and variety and were balanced, with a use of fresh fruit and vegetables. The mid-day meal was observed being eaten and residents spoken with said they enjoyed the food. “ There is always plenty to eat.” “The food is nicely prepared and is always hot.” Olde Coach House The DS0000019753.V259051.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): 17 Residents can be assured that their rights are protected. EVIDENCE: Residents stated that they are listed on the electoral role and are able to vote by proxy should they wish to do so. This was confirmed during discussion with the manager. The manager explained that if advocates or legal representation can be obtained for residents if either service is required or requested by residents. Evidence was found in care plans to indicate that legal services have been used for some individuals. Olde Coach House The DS0000019753.V259051.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): 19,20,21,22,23,24,26 The residents live in a comfortable, pleasant and safe environment, with both private and communal space being generally suitable for their needs. EVIDENCE: A tour of the premises showed that the home was maintained to a good standard internally, was tidy, clean and free from odour. The grounds and gardens were well-tended and offered seclusion and privacy from the public. The home employs housekeepers who have attained NVQ Awards at levels 1&2. There are three bathrooms, one with an assisted bath, 5 toilets and two rooms with en suite facilities. Specialist equipment is available throughout the home, including a lift, stair lifts, assisted bath, raised toilet seats, grab rails and a call bell system Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 14 Residents’ comments were positive about their bedrooms and each room viewed was individually decorated and furnished and contained personal items reflecting individual interests and tastes. One resident spoken with said that she particularly liked her room as it was well situated to get the morning sun. Residents rooms were well decorated with personal belongings and some items of furniture. Olde Coach House The DS0000019753.V259051.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): 27,28,30 Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably trained, qualified and competent. EVIDENCE: The residents were positive about the care they received; one said, “the staff are all very kind”. Another said she had no complaints at all about the staff. Staff interviewed said they had given two references, which were followed up, a CRB check and undertaken an induction programme completed before commencing work. Staff records seen verified this. The Manager, who is a qualified nurse, still worked actively in the home and the staff group is stable. Training records showed that 6 care staff had achieved the National Vocational Qualification at Level 2,3 or 4 and a further six staff are working towards level 2. The training plan showed that all statutory training was being undertaken, with the most recent training being on First aid, Food hygiene, Health and safety, safe handling of medicines and fire training. Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 16 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): 31,32,36 The home is managed competently and the staff are supported and supervised in carrying out their respective roles. EVIDENCE: The owner of the home is also the Manager and is a Registered General Nurse; she has owned and managed the home for 17 years. She has the D32 and D33 Assessor’s award and an NVQ level 4. Observations showed that the home had an ‘open door’ policy and the Manager was approachable and accessible on a daily basis. The Manager operated a quality control system whereby residents were requested to complete a questionnaire, data from which was then used to create a bar graph showing the responses. These were then analysed and discussed at staff meetings. Residents and staff said that if they had any concerns the owner was always ready to listen and act upon them. Staff records showed that supervision and appraisals took place. Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 3 3 3 3 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 X 3 2 X Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 18 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 OP28 Regulation 18 Requirement A minimum of 50 of trained care staff(NVQ level 2 or equivalent)is achieved by 2005, excluding the registered manager. Regulation 26 reports must be completed by the home. Copies of these must be sent to CSCI Timescale for action 31/12/05 37 OP37 17 31/03/06 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 Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Olde Coach House The DS0000019753.V259051.R01.S.doc Version 5.0 Page 20 - 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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