Inspection on 30/01/09 for Otterbourne Grange

This inspection was carried out on 30th January 2009.

CSCI found this care home to be providing an Excellent service.

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 11/10/06

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 27/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Otterbourne Grange Pitmore Road Otterbourne Winchester Hampshire SO21 2HZ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kima Sutherland-Dee     Date: 3 0 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Otterbourne Grange Pitmore Road Otterbourne Winchester Hampshire SO21 2HZ 02380253519 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr S Hennessy Name of registered manager (if applicable) Mrs S Shine Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 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, is a large Victorian Manor House which is set in five acres of its own grounds and gardens, which are mostly accessible. The home can accommode 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 Care Homes for Older People Page 4 of 26 care home 25 Over 65 5 5 25 0 0 0 Brief description of the care home and Winchester are within thirty minutes travelling time by car. Fees range from 420 to 695 pounds per week. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We planned this inspection using any information that had been provided about or by the home since the last key inspection in October 2006 and the Annual Review report in January 2008. The visit to the home took place on the 30th January 2009 and lasted 3 hours and fifty minutes. We spoke to three residents and four staff, sampled the records and the staff files and observed the care. We also looked around the home as part of the inspection and spoke with the manager and the provider. The manager and the people who live in this home are happy for them to be collectively referred to throughout this report as residents. The provider informed us that the current fees for this service are 695 pounds per Care Homes for Older People Page 6 of 26 week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get Care Homes for Older People Page 8 of 26 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents can be assured that they will be given the written and verbal information they need to make an informed choice about this home. They can be assured that their needs will be assessed and that the manager will confirm whether the home can meet those needs. Evidence: The service has a statement of purpose which documents the homes terms and conditions. This was written five years ago and the provider agreed that they needed to update the information available to prospective residents. The manager assesses prospective new residents prior to their admission. They are then encouraged to visit the home and discuss their needs. During this visit the manager confirms whether the home can meet their needs. The previous inspection report records that the pre admission assessments had a good level of detail and this was confirmed when three new assessments were seen. Care Homes for Older People Page 11 of 26 Evidence: The AQAA states that the home provides contracts for all the residents that include the terms and conditions, this was confirmed by seeing three signed contracts. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents can be assured that their needs are assessed and recorded. An excellent aspect of this home is the care the staff offer to each individual and the attention to detail to ensure the residents receive the care they would like. The staff treat the residents with respect and dignity. The residents can be assured that the home manages and administers their medication safely. Evidence: The AQAA makes the following statement about how the care plans are developed and the way the staff care for the people who live in the home. The care plan implements a programme which meets all assessed personal health and social care needs. The residents preferences and choices,wants and wishes,and hopes and expectations are further reflected in the care plan programme. A sample of three care plans were seen and they clearly give individual information to guide the staff when they offer care to the people who live in the home. An excellent aspect of this home is the individual care and attention that the staff offer to each resident, this was demonstrated by the staff Care Homes for Older People Page 13 of 26 Evidence: when they spoke about the likes and dislikes and preferred routines of the people who live in the home. The staff clearly knew the residents very well and they were able to give examples of each persons preferred routines. The manager said that the senior staff pass on the most recent and up to date information about each resident between each shift. The staff carry note books so they can record information and remember the details of each residents condition. The staff were clear about the residents needs and how these should be met. The staff keep daily written records of the care and the manager agreed that the majority of these notes were satisfactory or good. A minority were inadequately detailed, and the staff will have additional instruction in completing these records. The care plans include information about the residents health care needs and a record of any visiting health professionals or treatments. The residents said they really like the staff and they are kind and helpful. One resident said the staff help them to continue to visit their G.P and dentist and optician. The staff were observed offering the residents personal care, this was done in a very caring way that demonstrated that the staff knew each resident well. The staff spoke with kindness and respect to the residents and they said they enjoyed the friendly atmosphere and appropriate humour of the staff team. The medication system has not changed since the last inspection when it was assessed as being suitable. The AQAA states that Medication is administered in accordance with statutory legislation, and the direction of the care standards. The medication records were seen and the staff have had training in safely administering medication. The care plans included any available information regarding residents wishes after their deaths. These had been signed and the home has a policy for staff to follow to care for residents who are dying. The manager gave a recent example of when they and other staff came in outside their normal working hours to sit with a resident so they were never alone. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents experience a lifestyle of their choosing where they have opportunities to take part in group or individual activities. Visitors to the home are encouraged and welcomed. The residents enjoy a varied and nutritious diet that suits their preferences and needs. Evidence: The residents said they can choose how to spend their time and they can continue with any interests or hobbies. The residents interests and their family histories are included in the care plans and this gives staff guidance on peoples preferences. One resident said they enjoy being in the large gardens in good weather and the staff offer the residents ice cream. The night before the visit to the home the staff had taken the residents who wanted to go to a pantomime in a local village so the next morning some people had chosen to have a lie in. The manager said that they and other staff offer to take individual residents out and they may stop for a cup of tea or coffee. The home employs an occupational therapist for twenty hours per week to arrange activities for the residents and people said they enjoyed taking part in various activities. The manager also said that they offer the residents opportunities to continue their interests such as gardening or crafts. A notice board in the lounge advertises Care Homes for Older People Page 15 of 26 Evidence: activities and local events. Visitors to the home are welcome at any reasonable time and the residents said their families are always made welcome. The staff can help the residents to stay in touch with their family or friends through assisting with telephone calls or regular contact. The manager said they often have family members visiting the home and they are happy to speak to them at any time. The residents are able and encouraged to bring in items from their family homes such as ornaments and pictures. These were seen in the residents very personalized bedrooms. The residents said they liked the food at the home and they always got what they had asked for. One person said they had made menu suggestions that had then been provided. The cook said they knew each resident well and they asked them daily what they would like, either from the menu or an alternative. They also said that when a new resident moves in the staff discuss their needs with the cook and they share important information from the care plan.The home is able to meet different dietary needs which currently include vegetarian, diabetic and liquidized diets. The residents can choose to eat in the dining room or to take their meals in their rooms. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a suitable complaints procedure, which the residents are aware of and confident to use. The residents are protected through the use of the homes procedures and the knowledge of the staff team. Evidence: The home has a complaints policy and procedure and the staff are made aware of this when they start working at the home. Two residents said they had no complaints and no formal complaints have been recorded since the previous inspection. The manager stated that they were very happy to deal with any concerns if they arose. The staff were confidently able to explain how they would report any concerns and they had a training course in the protection of vulnerable adults in December 2008. The residents said they were happy to speak to any staff if they had concerns and they were confident matters would be taken seriously and acted upon quickly. The home has a policy on adult protection and an out of date Hampshire County Council procedure, which the provider said they would update straight away. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents benefit from a comfortable home that is suitably furnished and equipped. The home continues to be improved and kept clean. Evidence: This home is traditionally decorated and furnished which suits the needs of the current residents who confirmed that they liked the home. The home is a large listed building that requires a great deal of maintenance. The stair area and the top corridor have just been repaired and decorated and the provider has made plans for further improvements. The residents said they liked their rooms and these were comfortably furnished and very personalised. People who share rooms have chosen to do so. Upstairs there are a number of steps and different floor levels, the staff confirmed that the residents have not fallen despite this risk because they are carefully assessed for their ability to manage the stairs independently or with staff help. The main stairs have a stair lift. The home is equipped with suitable adaptations to help the residents, these include bath hoists and mobility equipment. The home was clean and free from unpleasant odours and the staff have had training in infection control. Staff were observed using the aprons provided when they assisted residents with personal care. The laundry assistant explained how they made sure the residents got their clean clothes back in good time. Care Homes for Older People Page 18 of 26 Evidence: One of the bathrooms had a number of toiletry products on a shelf that should have been stored in the residents rooms. The staff said the residents had left them in the bathroom and they were removed immediately. The upstairs corridor contained items of furniture but the manager stated this was temporary until a family could come and collect the furniture later that week. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are cared for by a dedicated, well trained and safely recruited staff team. Staff are available in sufficient numbers to meet the needs of the residents. Evidence: The home is staffed by a dedicated staff team who work well together, a majority of the staff have been at the home for a number of years and they get to know the residents well. Other overseas staff enhance the team skills by sharing their culture with the residents. The staff said they talk to the residents about family occasions such as weddings in their own countries. The manager is committed to staff training and this is reflected in the variety of the courses that staff attend. New staff take part in a comprehensive induction programme and the majority of the staff either have or are working towards National Vocational Qualifications in care. Recent courses have included dementia care, Food hygiene, Infection control, sensory deprivation and First aid. The residents said they like and value the staff and they are always there when they are needed to offer care and support. A sample of three staff files were seen and these included all the required information for the protection of the residents including criminal records bureau checks and references. The requirement made at the last inspection to include these checks in all the staff files had been met. Care Homes for Older People Page 20 of 26 Evidence: The staff said they have a great team that support each other and they enjoy helping the residents. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents and the staff are supported and cared for by a qualified and competent manager. The home has the required policies that are known by the staff. The residents get regular opportunities to give their views and these are used to improve the service for their benefit. Evidence: The manager has worked at the home for twenty five years and they are well supported by the provider. The manager has up dated their skills through doing the Registered managers award and further training. They are very committed to providing care that meets the individual needs of each residents and they go beyond their normal duties to ensure the residents are happy, this may include taking residents out or sitting with people to make sure they are not alone at the end of their life. The staff and the residents said that the manager was approachable and friendly. The home has developed a system of surveys and asking the residents and their Care Homes for Older People Page 22 of 26 Evidence: families for their opinions so they can improve the service. The results are used to make changes for the residents benefit. The residents deal with their own finances with varying levels of support from their families or advocates. The home does not have control over any of the residents monies. The home has the policies and procedures they need to manage health and safety and the maintenance of the home and the equipment. The staff know how to access these policies and they are trained to put them into practice. The home maintains records of accidents and incidents and they keep the commission informed of events that may effect the residents wellbeing. The staff said they were well supported by the manager and the records confirmed that they regularly meet to discuss their roles and responsibilities. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!