Inspection on 11/10/06 for Otterbourne Grange

This inspection was carried out on 11th October 2006.

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

Otterbourne Grange 30/01/09

Otterbourne Grange 07/11/05

Otterbourne Grange 09/05/05

Otterbourne Grange 01/09/04

Otterbourne Grange 19/04/04

Otterbourne Grange 19/05/03

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 Otterbourne Grange Pitmore Road Otterbourne Winchester Hampshire SO21 2HZ Lead Inspector Keith Hopkins Key Unannounced Inspection 13:05 11th October 2006 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 Otterbourne Grange DS0000012155.V312412.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. Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Otterbourne Grange Address Pitmore Road Otterbourne Winchester Hampshire SO21 2HZ 02380 253 519 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) Mr S Hennessy Mrs S Shine Care Home 25 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (25) Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 2005 Brief Description of the Service: Otterbourne Grange is a privately owned and managed care home registered to accommodate up to twenty-five older people, including up to five with an age related mental health problem. The home, a large Victorian Manor House which is set in five acres of its own accessible grounds and gardens, accommodates residents in nine single and eight double bedrooms, five of which are equipped with en suite toilet facilities. The home is located within easy reach of the M3 motorway and urban areas of Chandlers Ford and Eastleigh. The cities of Southampton and Winchester are within thirty minutes travelling time by car. Fees range from £327 to £585 per week. Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Five hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the owner, the manager and a senior carer. The inspector also spoke privately with two other senior carers, and briefly with other staff during the tour of the building. Most of the residents were observed making use of communal areas and their bedrooms. The inspector spoke privately with three residents. What the service does well: What has improved since the last inspection? What they could do better: Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 6 The registered person needs to ensure that all checks required by regulation on new staff are undertaken, so that the continuing protection of service users is ensured. 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. Otterbourne Grange DS0000012155.V312412.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 Otterbourne Grange DS0000012155.V312412.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has assessed the needs of its current residents well. These needs are clearly recorded and known to staff. EVIDENCE: Three residents’ files, one relating to a more recently admitted person, were inspected and needs assessments seen within these files contained a good level of detail. There was, for example, information regarding sight, hearing, mobility, and promotion of continence, together with a detailed medical history. One service user confirmed that the manager had assessed her before coming into the home. Another resident explained that she had had day care at the home for a period before deciding to move in on a permanent basis. The manager explained that it was usually herself who undertook the initial assessment prior to any decision regarding admission together with a senior member of staff. Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 9 The inspector saw evidence that assessments were reviewed after admission, and residents spoken with confirmed their involvement in the assessment and review process, signing the review form. Staff spoken with were clearly aware of the needs assessments and explained how they met these needs on an individual basis. The home does not admit residents for intermediate care. Otterbourne Grange DS0000012155.V312412.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good care planning regime, which addresses identified personal, social and health care needs and involves residents. EVIDENCE: Four care plans were examined and contained information for staff to ensure that all aspects of health, personal and social care needs could be met. Plans are reviewed on a regular basis and residents confirmed their involvement in this process. Staff and the resident sign reviews. Residents also said that staff knew how to help them. One person, for example, said that the staff ‘help me if I need it’ and another resident confirmed that she was quite independent and liked to attend to her own care, this being recorded in her plan. Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 11 Plans contained information regarding more specific needs such as nutrition and dentistry and of any need to access the local mental health team. The manager reported good links with the local district nursing team. One service user confirmed that she could access her GP when she wished and the manager explained that one GP held a regular surgery at the home, which was much appreciated by his patients. The home has a policy and procedure for dealing with medication, and secure storage is provided for any residents who wish to manage their own medication One resident currently chooses to do so, following a risk assessment which she signed. Another resident commented that she was happy for the home to deal with her medication. The drugs cupboard, including the separate controlled drugs cabinet, was secure at the time of the inspection. Records relating to three residents were examined and were in order and up to date. A check was made on one person’s controlled medication with the amount tallying with the record held. Staff responsible for dealing with medication confirmed to the inspector that they had been trained in this. Staff were observed to be providing assistance to residents in a calm and dignified manner, and knocked on doors, awaiting a response, before entering. Residents’ wishes regarding the way in which they are addressed by staff are recorded in their care plan and respected by staff. Otterbourne Grange DS0000012155.V312412.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged. Residents enjoy attractively presented meals in congenial surroundings. EVIDENCE: Care plans clearly detail what each resident’s interests are and residents themselves confirmed, variously, that they enjoyed activities such as walking, reading and playing scrabble. One person also commented on how nice it was to sit in the garden. The home provides a wide range of opportunities for stimulation and employs a person specifically to undertake activities with residents. The inspector saw residents enjoying an activity in the lounge although one resident said that ‘ you don’t have to join in if you don’t want to’ There were various trips out, which were well attended, and more recently these included a trip to the theatre and to a local arboretum. Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 13 The manager explained that communion was held in the home every month but also that several residents went out to church locally on a regular basis. Visitors to the home are welcomed at all times and the inspector saw staff interacting with visitors in a friendly yet professional manner. Residents are able to move freely around the building and were seen to be making use of all communal areas as well as their bedrooms. The inspector noted that residents had chosen to bring into the home treasured personal items with which to decorate their bedrooms. One resident said how much she liked her room. Menus at the home were varied with an alternative to the main meal being made available if need be. The inspector was told that individual needs could be catered for and one resident confirmed that ‘the food is good’. The dining room was well-decorated and provided an attractive environment for residents to eat in. Two residents both said that they could have their breakfast in bed if they wished. The home is able to cater for special diets and one of the care plans examined confirmed that the person concerned was a diabetic. Otterbourne Grange DS0000012155.V312412.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure, which service users are aware of and feel able to use. Service users are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a complaints policy and procedure, the inspector pointing out that a minor amendment to this was needed to ensure full accuracy. Two of the residents spoken with privately said that they had no complaints and were aware of what to do if they had. Residents appeared to have a good degree of confidence that any issues raised would be dealt with. The home has had no complaints to deal with in the previous 12 months. Staff when interviewed said that they would report to a more senior person any complaints made to them by residents. The home also has a policy and procedure relating to adult protection, with information produced by Hampshire Social Services being available for staff to consult. Staff have been trained in this and when interviewed confirmed their understanding of what to do in the case of suspected abuse. Both members of staff interviewed said that they would report anything they needed to. Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 15 Otterbourne Grange DS0000012155.V312412.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable environment, which is suitably furnished and well maintained EVIDENCE: The tour of the building showed this to be clean and tidy throughout and there were no undue odours. Communal areas were well furnished and adequate bathroom and toilet facilities with aids were available. Communal areas include an attractive, light and airy dining room and well-furnished lounge areas. The inspector visited one resident in her room, who said that she liked her room, which she had personalised with her own belongings. The inspector also looked into four other bedrooms, which were all adequate in size, and had also been personalised, to considerable degrees. Bedrooms are provided with locks although it was reported that residents do not choose to make use of the keys provided. Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 17 Service users were observed to be freely making use of communal areas, such as the lounge and other communal areas and accessed their bedrooms as they wished. The home’s laundry was inspected and was fit for purpose with machines capable of meeting disinfection standards. Members of staff spoken with were clearly aware of good practice and there were procedures in place to deal with soiled items, although the manager explained that there was very limited amount soiled linen to deal with. Staff were aware of these procedures and confirmed that gloves and aprons were available. The building is well maintained with the manager reporting that she felt well supported by the owner in this area. The inspector noted the means of dealing with minor items of maintenance, which involved staff in reporting these for further attention. Necessary aids, such as hoists and handrails were available which service users appreciated. Otterbourne Grange DS0000012155.V312412.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are well supported by a well-trained staff team who are deployed in sufficient numbers to meet their needs. EVIDENCE: Previous inspection reports indicate that staff had been employed in accordance with the home’s recruitment and selection procedures, which included obtaining a Criminal Records Bureau (CRB) check and references. However, on this occasion the inspector examined three staff files and whilst two of these contained all information required by regulation one did not. A more recently appointed member of staff did not have an up-to-date CRB check and only one reference was available. The home has a very comprehensive induction programme and training plan and staff were very appreciative of the training they had been able to undertake. Files examined confirmed training in Medication, Manual Handling, First Aid, Adult Protection and Dementia. It is understood that of the twenty care staff employed, nine have obtained a National Vocational Qualification (NVQ) at Level 2 or above and a further five are doing this training. Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 19 During the inspection the inspector observed staff interacting with service users in a friendly yet professional manner. The staff rota indicated there to be variously five members of the care staff on duty in the mornings and four in the afternoons, who are supported by a full complement of ancillary staff and the manager. The home also employs a further person for twenty hours a week to undertake occupational therapy. There are two waking members of staff on duty at night. Staff spoken with said that there were generally enough of them on duty to meet service user’s needs. Otterbourne Grange DS0000012155.V312412.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a qualified and competent manager, supported by comprehensive policies known to staff. EVIDENCE: The home’s manager has worked in the home for a considerable number of years and has obtained the Registered Manager’s Award. The manager is well supported by the owner and able to fulfil her responsibilities. The home has a development plan which is informed by an annual survey of residents and relatives. Although more recently there has been a limited response, action arising from previous surveys was in evidence and the Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 21 inspector noted the intention for there to be a more rigorous promotion of questionnaires at the time of the next survey, due in February 2007. The home does not deal with any residents’ monies, it being confirmed by the manager that residents handle their own financial affairs with varying degrees of support from their families or Social Services. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items were securely stored in locked cupboards and staff were aware of health and safety issues. The home has a health and safety policy known to staff, who have been trained in this. Staff have also been trained in fire safety. Residents are protected from the risk of scalding through baths being fitted with thermostatic controls, and radiators and hot pipes are covered. A sample of policies, procedures and records required by regulation were inspected and were in order and up to date. This included the home’s accident book and various maintenance certificates for items of equipment. Otterbourne Grange DS0000012155.V312412.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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N0 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. OP29 Standard Regulation 19(1)(b) Requirement The registered person must ensure that all new staff have a Criminal Records Bureau (CRB) check undertaken and that two references are obtained. Timescale for action 31/10/06 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 Otterbourne Grange DS0000012155.V312412.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Otterbourne Grange DS0000012155.V312412.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. 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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