Inspection on 12/10/06 for Overstone

This inspection was carried out on 12th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Overstone 03/08/09

Overstone 17/08/07

Overstone 29/11/05

Overstone 02/09/05

Overstone 25/01/05

Overstone 08/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Overstone Elvaston Road Hexham Northumberland NE46 2HH Lead Inspector Mary Blake Key Unannounced Inspection 12 October 2006 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 Overstone DS0000000621.V295625.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. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Overstone Address Elvaston Road Hexham Northumberland NE46 2HH 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) 01434-606597 F/P 01434 606597 Mrs F C Robson Mrs Noreen Campbell Care Home 15 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (14) of places Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Should the service user in the DE(E) category leave the home, the CSCI must be notified immediately, at which time the category will revert back to OP. 29th November 2005 Date of last inspection Brief Description of the Service: Overstone cares for 15 people in a two storey detached property. It is set in a quiet residential area in Hexham. The home is on two floors with a passenger lift to all levels. There are a variety of aids and adaptations to allow residents to move freely around their part of the home. The majority of bedrooms are single or occupied by couples and the communal bathing and toilet facilities are situated around the home. There is sufficient communal lounge and dining space. There are extensive gardens and parking within the grounds. The home is close to local amenities and transport networks. Overstone is registered to provide residential care for frail older people and has one place for an older person with dementia. The service user guide is given to individuals and the latest inspection report is available at the front entrance. The weekly fees are currently £350 to £550. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day, involved one inspector, and covered all of the key standards. A general tour of the premises was carried out. Residents care records; preadmission documentation, medication systems, staff and maintenance records were examined. The Proprietor, three care staff, ancillary staff, seven residents and three relatives were spoken to. Five resident questionnaires were received prior to the site visit. These were generally very positive. What the service does well: What has improved since the last inspection? Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 6 Individual care plans have continued to improve. Staff are involved in planning and evaluating care and the plans this helps staff give residents the care they need. The management overviews these plans and this helps to provide a consistent staff approach. Since the last inspection several areas of the home have been redecorated, the grounds landscaped and a new television purchased, relatives, residents and staff commented on these positive changes. Staff have continued to undertake training and spoke of using this knowledge in their practice. Staff are now being supervised and working towards the recommended timescales of six times per year. This provides the management overview of staffs ability to provide satisfactory care for residents. Risk assessments have been introduced for a broad range of areas and this helps safeguard residents and staff. 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. Overstone DS0000000621.V295625.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 Overstone DS0000000621.V295625.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, 4, 5 6 intermediate care is not provided. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents have their needs fully assessed by care staff and have opportunities to visit before admission to the home. EVIDENCE: Pre-admission assessments are undertaken and reflect the needs of the residents. Care plans had good information to ensure that the home can meet the needs of the prospective resident. The Manager is involved in the decisions and in the majority of instances visits the residents herself prior to their admission. Residents and relatives spoke of visiting the home prior to admission and that this was useful to reduce anxiety and make the settling in process easier. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 & 11 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The residents are having their needs met by the staff in the home and the staff are skilled in providing the care in a sensitive and dignified manner, at all times, including at the time of their death. This is shown in the documentation and care plans in place. The residents receive their prescribed medication in line with safe working practices. EVIDENCE: Three care plans were examined; they were of a good standard, with relevant risk assessments for the prevention of falls, nutrition, moving and assisting, continence promotion. These plans are regularly reviewed and updated. The care plans showed that the residents have access to all NHS services and facilities. A number of assessment tools are in use they were reviewed monthly and were dated and signed by care staff. Daily reporting of residents care was Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 10 satisfactory with the changing health care and mental health care of residents being reviewed and up dated. The medicines in the home are well managed and safely disposed. The medicines were stored safely. The controlled drugs procedures were satisfactory. These systems ensure that residents receive their medication in a safe and appropriate way. Staff were treating residents with respect and dignity. Personal care was given in privacy “ a very caring staff”. Staff used residents preferred name at all times. Relatives and residents were complimentary about the staff in the home and felt that they were able to have privacy in their own rooms. Residents and their families receive support from staff, death and dying is handled sensitively with good support from the local doctor and district nurse. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 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): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents are satisfied with the flexibility of their routines for daily living and activities. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. Social activities are in place. The food served is good and the residents are happy with the quality and the quantity. EVIDENCE: Residents were generally happy and enjoyed being able to move freely around the home “this is a very happy community”. There is no social activities programme in place but staff provide three days of structured activities. The activities that had been provided were varied and thoroughly enjoyed by residents. The residents are encouraged to go to places in the local area and families are encouraged and supported to take residents out and about. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 12 Residents take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. All residents, who could, said that they are able to make choices about how they spend their day. The residents’ bedrooms were personalised reflecting individual choices and preferences. Residents said they were happy with the decoration. Residents have visitors at any time and are able to use their own rooms, the lounge or bedrooms to receive them. The meals served were good and all of the residents enjoyed the food, which was well cooked “ they are very well cooked”. Staff support was on hand. The tables were nicely set and lunch was seen as social occasions. Special diets are provided “I am on a non-dairy diet and this is well catered for” “the food is exceptionally good” “it is very nice that they make meals available to visitors at no extra charge” Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home ensures residents and relatives aware of the complaints policy by making it available in a variety of places. Complaints are managed satisfactorily and the necessary action taken. Staff had completed training in the Protection of Vulnerable adults and this is necessary to ensure that residents are protected. EVIDENCE: The complaints procedure is displayed in the home. The records of the complaints made to the home was examined and there had been no recorded complaints. Nine of the residents said that they knew problems were dealt with and how this would be done “everyone is approachable” “ I would speak to the owner or manager” “I would speak to Noreen”. Two relatives visiting the home were aware of the complaints procedure but had not needed to use it. The senior care stated that staff were aware of the whistle blowing policy and informing the Manager of any incidents or issues of which there are concern. Staff confirmed this. The Registered Manager and staff had completed Protection of Vulnerable Adults training and had dealt appropriately with issues raised. Further training is planned. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The residents live in a safe environment. There are good communal areas. The residents have access to suitable toilets and baths. The bedroom areas are personalised and comfortable. The home is clean, pleasant and hygienic. EVIDENCE: The location and layout is suitable for the residents who live here. There are pleasant lounge and dining rooms. They are pleasantly decorated and furnished. Residents were able to use the entire home and there was a range of television and audio equipment available for their use. There are bathrooms and toilets near to all communal areas and residents bedrooms. The residents have been encouraged and supported to bring Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 15 personal items with them resulting in individualised rooms reflecting personal taste and previous lifestyles. The home was very clean with no offensive odours “ it is kept beautifully clean” “kept very clean” The grounds and garden have undergone extensive works, are well maintained and enjoyed by the residents, especially in the warmer months, and several commented upon the changes to the layout, lighting and landscapes. The Proprietor is currently planning changes to the home, including a new dining room, refurbished kitchen, laundry and stores. A new bath with hoist is also being fitted. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. The recruitment processes in place protect residents. External and internal training takes place. EVIDENCE: Staffing rotas showed that there are enough staff are on duty to meet the necessary staffing levels. There is a consistent staff team with minimal turnover. Staff had undertaken mandatory, National Vocational Qualifications in Care and other training; this was clarified from the sample of records inspected and discussions with staff Staff said that they are undertaking or had completed National Vocational Qualification in Care level 2 or over, with over fifty percent of staff having NVQ2 or above. An induction and training programme for all staff working in the home is in place. Staff spoke knowledgably about the individual needs of residents. Three staff recruitment files were examined and were satisfactory. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37 & 38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents live in a home, which is well run and managed by an experienced person. The Manager has good systems in place to organise the home taking into account the needs and wishes of the residents. Good quality systems have been established and are being developed. Resident’s financial interests are safeguarded. Staff are appropriately supervised. Record keeping, policies and procedures help safeguard residents best interests. The health, safety and welfare of residents are promoted and protected. Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 18 EVIDENCE: The residents and staff made positive comment about the Registered Manager and staff team; staff gave examples of improved practices for example a more consistent approach from the manager and proprietor and of the manager addressing staff attitudes and the use of whistle-blowing policy. Residents said that the staff take time to listen and respond to any concerns they may have. Regular meetings had been held for residents, relatives and staff. The home has an annual development plan. Accidents are recorded effectively with risk preventions being undertaken to safeguard residents. Visits undertaken by Fire Prevention Service (August 2005) and the Food Safety Agency (February 2006) were satisfactory. Quality assurance includes resident/family surveys, questionnaires and a newsletter outlining what action will be undertaken. Risk assessments in relation to Fire (August 2006), the building and hygiene practices are undertaken. The system for checking resident’s monies was satisfactory. Staff supervision records showed a comprehensive process and that the timescales of six per year would be met. System testing had been undertaken and maintenance certificates available including an Electrical Wiring Safety Certificate and Portable Electrical Appliance Testing (June 2006). Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 3 3 Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 20 Yes 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 OP1 Regulation 6 Requirement The Registered Proprietor must clarify and submit to CSCI the support arrangements for the bungalows, this will be addressed outside of this inspection The Registered Proprietor must undertake a review of the laundry facilities to meet standard 26. Previous outstanding but progress being made. The Registered Proprietor must inform CSCI of the changes and improvements to the building prior to use by residents. Timescale for action 01/01/07 2. OP26 13 (3),6 (j) 01/01/07 3. OP19 23 01/01/07 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 Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 21 1. 2. OP12 OP27 To provide individual social activities assessment and programme and provide a social activities co-ordinator Progress being made. To review staffing hours in relation to laundry provision, to include support provided to the adjacent bungalows Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Overstone DS0000000621.V295625.R01.S.doc Version 5.2 Page 23 - 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!