Inspection on 20/04/05 for Overton House

This inspection was carried out on 20th April 2005.

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 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

Overton House 01/05/09

Overton House 31/10/07

Overton House 09/11/06

Overton House 02/02/06

Overton House 16/11/04

Overton House 17/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

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 Ros Sanderson Unannounced 20 April, 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Overton House Address The Garth, Cottingham, Hull, East Yorkshire, HU16 5BP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01482 847328 Humberside Independent Care Association Limited Mrs Karen Fowler CRH 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 J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16/11/04 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 well maintained garden and patio area. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over four and a half hours. Eight people who use the service and one visitor to the home were spoken to. Staff who were on duty were also spoken to. The records of residents and staff were inspected and discussion took place with the manager and senior support worker on duty in relation to the homes practices. What the service does well: What has improved since the last inspection? What they could do better: The manager must address the issue of the smell of urine in the main entrance so that the home is pleasant and inviting for people living there and people that visit the home. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 6 The pooling of clothes for residents use should be stopped to ensure that the dignity of residents is promoted at all times. The manager should ensure all staff receive training in basic first aid and that progress continues to meet the NVQ requirement. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Residents can feel confident that their assessed needs can be met. EVIDENCE: There is a comprehensive needs assessment document completed before any person moves into the home. Information is obtained from prospective residents and their representatives and care management if they are involved. The assessment is carried out in sufficient detail to enable the staff to identify the care needs and develop the residents care plans. The assessment takes into consideration the social interests and religious beliefs and the care plans inspected showed that the home encouraged continuity in this area for the residents. The assessments were not always signed by the resident or their representative to show they had been party to and agreed with the assessment Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 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 standard(s) 8 & 10 Residents health needs are identified and addressed. EVIDENCE: The residents care plans that were seen were good quality and addressed individual needs and problems that had been identified. Risk assessments were in place to ensure the safety of the residents. Specialist equipment had been obtained to meet identified needs of specific service users. The residents looked well cared for and appeared to be happy and occupied during the inspection. Staff were seen talking to residents respectfully and in a manner that promotes the residents dignity. Care practices observed promoted the residents privacy. One relative spoken to was very appreciative of the care that her husband received saying, ‘I know that even when I’m not here that my husband is well looked after’. The relative stated that she comes to have lunch with her husband twice a week and the food was ‘Just like home’. A community psychiatric nurse who had recently admitted a resident to the home was also full of praise for the care that the home gave. He said, ‘Staff are very good and accommodating with a willingness to work with other professionals to promote the health of the residents in their care’ Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 10 There was a stock of clothing in the laundry room that the laundry assistant stated was for all residents use. This practice must stop, as it does not promote residents dignity. A requirement is made that the manager address this. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,14 & 15 Consultation with the residents and flexible routines encourage residents to have a say in their day-to day lives and maintain contact with families and friends. The meals provided are nutritious and offer choice and variety. EVIDENCE: The home has an open visiting policy to ensure that contact with friends and relatives continue once residents move into Overton House. A visitor stated ‘It doesn’t matter what time of day I come I am always made to feel welcome’ There is provision for visitors to make drinks for themselves and relatives whilst visiting. There were several visitors to the home during the inspection and staff asked the residents each time if they would like to receive the visitors so helping them to exercise their choice. The home did not have arrangements in place with local churches for them to visit the home although staff stated that if the resident wishes to attend church they will be taken. The home has regular informal residents meetings to enable the residents to make decisions about their day-to-day lives. The activities organiser also had discussions on an individual basis to make sure that all likes, dislikes and wishes were catered for where possible. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 12 The dining area at Overton House is very pleasant and spacious making the dining experience more enjoyable for the residents. There is sufficient staff on duty to ensure that those residents requiring help are given sufficient time and assistance. The home has taken professional advice when drawing up the menus to ensure that the meals are nutritious and well balanced. The menus seen offered a good choice with alternatives available. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 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 standard(s) 18 Residents are protected from abuse. EVIDENCE: The home has rigorous recruitment procedures that it follows to ensure that the residents are cared for by appropriate staff. Staff files of two recently appointed staff showed that this was the case with the appropriate checks in place. The organisation had arranged for management and staff to receive training in adult protection and POVA requirements. Staff files showed that the staff had received this training. Staff explained what their actions would be if they suspected an incident of abuse and were able to explain in detail what course of action they would take. Staff also received training in dealing with challenging behaviour and the community psychiatric nurse stated, ‘Staff are tolerant of challenging behaviour and work well with professionals to help clients’ Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 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 standard(s) 26 Residents live in a safe and homely environment. EVIDENCE: The home was seen to be clean and tidy. Resident’s bedrooms are spacious and well decorated and residents are able to bring in items of their own furniture if they wish to personalise their rooms. The laundry facilities are situated away from where food is prepared. Equipment is suitable for the home with facilities to wash at high temperatures if required. The home employs dedicated laundry staff that take an obvious pride in their work. The laundry assistant had put procedures in place to ensure residents clothing was returned to them promptly and correctly laundered. There are policies and procedures in place to address the risk of infection and cross infection in the home and the organisation provide staff with protective equipment to help them promote infection control. There was a strong smell of urine in the entrance hall. A requirement was made that this be addressed. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 Staff that have received training appropriate to their role care for residents at Overton House. EVIDENCE: New staff taking up posts receive a full weeks induction at the organisation headquarters. This training meets the requirements set out by the sector skills council and ensures staff are equipped to carry out their role. All staff have a training and development log that identifies their training needs at the beginning of the year. The organisation has a comprehensive training programme that ensures staff receive mandatory training at the required intervals and also additional training that is identified to meet the needs of the client group. One staff member said that she had requested to attend training on pressure area care and this had been agreed. Another said that she feels the training provided is ‘excellent and helps them care for the residents’ The home has 28 staff qualified to NVQ standard. Some staff still required basic first aid training to ensure qualified staff are available at all times. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33&38 The registered manager has an open and inclusive policy that makes sure that opinion of residents, family and others involved in the home are taken into account and that they are valued. The home is a safe and secure place to live. EVIDENCE: The quality assurance procedures in place mean that the manager takes into consideration the views of all involved in the home. Regular surveys are carried out to get the views of residents, relatives, professionals visiting the home and staff. The questionnaires are related to the aims and objectives of the home and are analysed to see if goals are being met. Residents are informed of the findings during informal and formal meetings. The results also help the manager to develop her annual plan for the home. The process makes stakeholders feel more involved in the home and that their views are listened to. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 17 A recent survey had highlighted the smell of urine in the entrance foyer. The manager, through policies and procedures in place, promotes the health and safety of service users and staff. All necessary health and safety checks were seen to be carried out. Risk assessments are in place and measures to reduce any identified risks are put in place and recorded. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 1 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 1 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x 1 STAFFING Standard No Score 27 x 28 x 29 x 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 3 x x x x 3 Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 10 Regulation 12(4(a)) Requirement The manager must make sure that residents wear their own clothing at all times. The manager must develop an action plan to address the smell of urine in the front entrance. Timescale for action 27/4/05 and maintained thereafter 20/5/05 and maintained thereafter 2. 26 16(2(k)) 3. 4. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 3 30 38 Good Practice Recommendations The manager should obtain the signature of the resident or their representative on needs assessments to indicate their involvement and agreement with the assessment. The home must have 50 of staff qualified to NVQ level 2 by the end of 2005 The manager should ensure that residents have access at all times to staff that have received first aid training. Overton House J53_J04_S19703_Overton House_V221316_200405_Stage 4.doc Version 1.20 Page 20 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. 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