Inspection on 26/04/05 for Osborne Cottage

This inspection was carried out on 26th April 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

Osborne Cottage 28/09/06

Osborne Cottage 06/10/05

Osborne Cottage 12/10/04

Osborne Cottage 06/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Osborne Cottage York Avenue East Cowes Isle of Wight PO32 6BD Lead Inspector Neil Kingman Unannounced 26 April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Osborne Cottage Address York Avenue, East Cowes, Isle of Wight, PO32 6BD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 293523 01983 297631 Islecare 97 Limited Mrs Lesley Ann Todd Care Home 36 Category(ies) of DE/E (8), LD/E (2), OP (36), PD (1), PD/E (9) registration, with number of places Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12/10/04 Brief Description of the Service: Osborne Cottage is a home providing care and accommodation for up to 36 older people. Mrs Lesley Todd manages the home on behalf of the proprietors Islecare ’97 Ltd. The home is a large two storey Victorian property set in quite extensive grounds and situated on the outskirts of East Cowes. A regular bus service is available close to the home. The town of East Cowes with its shops and amenities is about a mile away. There is a range of mostly single rooms on both the ground and first floors, accessible to residents via a passenger lift. Substantial off-road parking is located off the driveway with a large turning area in front of the building. The home and gardens are accessible to wheelchair users. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place unannounced over 6 hours. Staff were cheerful and friendly towards residents and visitors and there was a relaxed and unhurried atmosphere. A tour of the premises took place and a selection of records was inspected. Three staff, three residents, a day care user and two visitors were spoken with. Comments about the service were extremely positive with special mention being made of the standard of food, the pleasant surroundings both inside and out, and the standard of care given by staff. What the service does well: What has improved since the last inspection? There is an ongoing programme of redecoration. Since the last inspection a new hall carpet had been fitted and corridors had been redecorated. Old furniture in residents’ rooms had finally been replaced. Previous staff shortages had been resolved and NVQ training was progressing. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 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. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 The manager ensures that the care needs of the people who live at Osborne Cottage will be met by undertaking a proper assessment prior them moving into the home. Although care staff collectively have the skills and experience to deliver the services and care which the home offers to provide, the company needs to develop its training programme to enhance the skills of those working with confused residents. EVIDENCE: Included in the home’s care planning process is a system of pre-admission assessment. Fully completed assessments were included in the plans of two recently admitted residents. Osborne Cottage provides a service for older people and offers long term, short-term respite care and day care. Additionally, an area of the home has been developed to accommodate and meet the needs of those individuals with mental frailty and illness associated with dementia. Staff turnover is low. Staff confirmed, and records showed, that statutory training is up to date with regular refresher training scheduled. The manager said that she had Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 9 requested more dementia awareness training for staff and training to meet the needs of those with challenging behaviour. It was clear that some staff had received such training but that was two years ago. It was understood that Islecare had developed a training package but had yet to implement it. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 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 standard(s) 7,8 and 9 The home has a system of care planning with an individual plan for each resident. They demonstrate that residents’ health care needs are identified and met. Medication is securely held and appropriate records are maintained. EVIDENCE: A sample of individual care plans for new and long term residents showed that needs were identified and a plan of care developed to include guidance for staff on how the care was to be provided. Significant events were recorded on a daily basis. Senior staff carry out monthly reviews in consultation with juniors and in the sample seen reviews were up to date. Appropriate risk assessments were in place, which included guidance for staff on how to minimise risks. Residents spoken with confirmed that their health care needs were always met and one visitor was heard to remark positively about the improved health of a recently admitted resident. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 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 standard(s) 14 and 15 Residents are supported to manage their own financial affairs for as long as they are able. Where this is not possible family or advocacy are brought in to assist. The promotion of choice extends to all aspects of daily living including personalisation of rooms, and meals. EVIDENCE: Several residents and a day care user were spoken with. There was unanimous approval of the food provided, where the high standard set at previous inspections had been maintained. They praised the quality and variety of the food especially the sweets, where a choice of six on a trolley is provided daily. There is a choice of two main meals and alternatives are always available. Menus were inspected and showed that meals were varied and nutritious. The home supports service user participation where it is safe to do so. Three residents like to help clear tables after meals. Several residents take part in residents’ meetings and those spoken with found them useful. They gave examples of issues that had been addressed in this way. Four residents at Osborne Cottage manage their own financial affairs. Others lack the capacity and need support. The manager demonstrated an awareness of the advocacy service but has only needed to use it once. In most cases family are available to support residents. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home treats residents’ complaints seriously and responds appropriately. EVIDENCE: Islecare has a complaints policy and procedure, which is included in the statement of purpose. It is also given to new residents on arrival at the home together with the service users’ guide. A register of complaints was seen. It gave details of complaints made and the action taken. Residents spoken with showed confidence in raising concerns with the manager who, they said responded to issues raised at the residents’ meetings. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 All areas of the home are kept clean and tidy and free from unpleasant odours. The location and layout of the home is generally suitable for its stated purpose in providing a safe and comfortable environment for those who live and work there. Some improvements have been made since the last inspection and plans are in place to develop the site to enhance the facilities. EVIDENCE: Osborne Cottage has been a home for older people for many years, during which time it has been regularly maintained and decorated. Ramps and a passenger lift afford residents access to all areas of the building. Since the last inspection the corridors have been decorated and a new hall carpet fitted. All old furniture in residents’ rooms has now been replaced. The manager confirmed that Islecare have plans to develop the site to enhance the facilities. A member of staff working in the laundry felt that space was limited especially between the sink and washing machine. It was understood from the manager that a new laundry is included in the development plans. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Staff at Osborne Cottage have the necessary skills and experience and are deployed in adequate numbers to meet the needs of the people who live there. Staff turnover is low and a robust recruitment procedure ensures residents are protected. EVIDENCE: On the day of the inspection Osborne Cottage had a full complement of staff. On duty at the time were five care assistants, three domestic and two catering staff. Maintenance work is carried out by a team of staff who work with all Islecare homes on the Island. Staff rotas showed that safe levels were maintained. Two new staff members had been recruited since the standard was last assessed. All recruitment records were in order. However, evidence of CRB/POVA checks had to be faxed through to the home from the Company’s administrative office. Arrangements have now been made for this evidence to be readily available in the home for inspection by persons authorised. The staff training matrix showed that all statutory training is scheduled and regularly refreshed. Staff spoken with confirmed that training is both comprehensive and frequent. Two staff mentioned the food hygiene training they had the previous day. Islecare is committed to NVQ training with eleven Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 15 staff having completed the NVQ at level 2 and four at level 3. Issues around specialist training is dealt with under standard 4. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 38 Islecare has an annual development plan and a process of establishing residents’ views about the service. The home provides a sound system to ensure residents’ finances are safeguarded. Policies, procedures and staff training are in place to ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. EVIDENCE: The manager said that residents are regularly asked about the quality of the service. Two residents spoken with were able to confirm this. Bi-monthly residents’ meetings provide feedback that is acted upon. Views of care staff are also sought. There is an events and amenities team that looks at ways to improve facilities for residents. A new gazebo and a barbeque have been purchased following suggestions made. A representative of the Company visits from the mainland to carry out a periodic audit of the service and monthly visits take place to monitor the conduct of the home. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 17 The integrity of the system for administering residents’ monies was examined by way of dip-sampling. Receipts were kept of transactions and records and monies balanced. The home has a health and safety policy in place and all care staff undertake statutory training, which includes health and safety, food hygiene, and manual handling, which is updated when new equipment is introduced to the home. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x 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 Standard No 16 17 18 Score 3 x x x x 3 x 3 x x 3 Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. Refer to Standard 4 Good Practice Recommendations To implement a training package for staff in dementia awareness and managing challenging behaviour. Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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 Osborne Cottage h55_h04_S12519_Osborne Cottage _V218055_260405_Stage 4.doc Version 1.30 Page 21 - 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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