Inspection on 02/02/06 for Overton House

This inspection was carried out on 2nd February 2006.

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

Overton House 01/05/09

Overton House 31/10/07

Overton House 09/11/06

Overton House 20/04/05

Overton House 16/11/04

Overton House 17/06/04

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Larchfield Manor

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The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Overton House The Garth Cottingham Hull East Yorkshire HU16 5BP Lead Inspector Pauline O`Rourke Unannounced Inspection 2nd February 2006 09:30 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 Overton House DS0000019703.V275720.R01.S.doc Version 5.1 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. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Overton House Address The Garth Cottingham Hull East Yorkshire HU16 5BP 01482 847328 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) Humberside Independent Care Association Limited Mrs Karen Fowler Care Home 40 Category(ies) of Dementia (39), Old age, not falling within any registration, with number other category (39), Physical disability (1) of places Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Admit one service user under pension able age, on an emergency basis. 20th April 2005 Date of last inspection Brief Description of the Service: Overton House provides personal care and accommodation for up to 39 older people some of whom may have dementia. The home may also offer a place to one younger person with a physical disability. Overton House is owned by Humberside Independent Care Association Ltd which is a not for profit organisation. The home is situated in the village of Cottingham near to the City of Hull. The village has a variety of shops and pubs and there is access to local transport facilities. Overton House is a single storey purpose built home with a choice of communal areas for residents use. There is a pleasant wellmaintained garden and patio area. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, including preparation time, took place over 12 hours. A tour of the building was conducted. A number of the service users records, staff records and records about the management of the home were inspected. Several service users and staff on duty were spoken with. The inspector spent some time observing interactions between service users and staff. What the service does well: What has improved since the last inspection? 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. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 6 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 Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 7 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): EVIDENCE: Intermediate care is not provided at Overton House. None of these standards were assessed at this inspection Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 8 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 and 9. The health and social care needs of the service users are met. EVIDENCE: Three service user files were seen and each of them contained a detailed care plan covering all aspects of the service users life. These were supplemented by comprehensive risk assessments and a personal history of the individual concerned. There was evidence in the files to show that the plans are reviewed monthly. The home uses a Monitored Dosage System for their medication. Staff who administer the medication have received training in ‘The Safe Handling of Medicines’. Storage is appropriate and the records kept allowed for an audit of stock to be undertaken. Staff was observed during a medication round and they took time with each service user to ensure they had taken their medicines. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 9 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 The service users are able to keep their own routine within the home and join in with social activities. EVIDENCE: The majority of service users at Overton House have a dementia and they were observed accessing different parts of the building during the day. Staff interactions were informed by the information held in the service users care plan and personal history. Those service users able to discuss their situations said that they were able to maintain their social interests with support from the staff. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 10 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 Service users were confident that any complaints or concerns they had could be raised and acted upon. EVIDENCE: Humberside Independent Care Association has a detailed complaints policy. This policy is provided to all the service users and is displayed around the home. There have been no complaints made to the CSCI or the home in the last 12 months. Service users spoken with all said that if they had any problems there was someone within the home they would go to. Relatives spoken with also said they would feel confident that the manager would deal with any concerns in a positive way. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 11 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 The service users live in a building that allows them access to all areas but has a malodour. EVIDENCE: Overton House is a purpose built single storey establishment. It offers good access to the garden areas and all areas of the home are accessible to all the service users. The home meets the requirements of the local fire safety officer and environmental health officer. On the day of the inspection there were several bedrooms identified to the registered manager as having an odour of urine. Unfortunately this odour remained present in the lobby and in several communal areas of the home. The home has just changed their cleaning products and the registered manager must ensure that they are sufficient to eliminate the problems identified. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 12 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 Service users are supported by experienced and trained staff. EVIDENCE: There are 5 care staff on duty during the daytime and 4 night staff. All staff works a 12-hour shift. During the day there is also a manager available to the staff. When the home is full this allows for a 1:8 ratio. An activities organiser is also employed to support the care staff. The staff files of three staff members employed in that time were inspected and were found to contain all the necessary documentation as required by the Care Homes Regulations 2001. Training is provided to all staff and new staff complete their induction training within four weeks of their commencement date. Other training provided covers Health and Safety in the Workplace, Bereavement Awareness, Catheter Care, Moving and Handling, Infection Control, Adult Protection, Back Care and Safe Handling of Medicines. The staff are also working towards their National Vocational Qualification level 2 and the home should reach a minimum of 50 during this year. The service users spoken to said that the staff were ‘first class’ and ‘very nice’. Relatives spoken with also said that the staff couldn’t do enough for the service users. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 13 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 and 35. The home is well managed however, the service users are financially disadvantaged through poor handling of personal monies. EVIDENCE: The registered manager has been managing the home for 5 years and has completed the Registered Managers Award. The service users spoken with said that the manager was always available and were confident that she would deal with any concerns they may have positively. Relatives also spoke highly of the manager and expressed confidence in her. The home manages the personal allowances for several service users and the money is banked in to one bank account that pays no interest. Any cash held is kept jointly in one bag and records are maintained on the computer. The records seen showed that one service user had over £1000 and another was minus 0.29 pence. In essence, one service user is being financially supported Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 14 by the others. HICA have corporate appointee ship for one client, for those service users they do not have appointee ship for, then separate accounts that pay interest must be provided. Any cash held must not be pooled and held separately. Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 15 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 3 3 3 3 1 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 1 X X X Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? YES 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 OP26 Regulation 16(2(k)) Requirement The manager must develop an action plan to address the smell of urine in the front entrance. This action is outstanding from the inspection carried out on 20/04/05 Where HICA is not a corporate appointee for a service user then their money must not be held in a corporate account. Timescale for action 31/03/06 2 OP35 20 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Overton House DS0000019703.V275720.R01.S.doc Version 5.1 Page 18 - 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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