Inspection on 31/10/07 for Overton House

This inspection was carried out on 31st October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Overton House 01/05/09

Overton House 09/11/06

Overton House 02/02/06

Overton House 20/04/05

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 Rob Padwick Key Unannounced Inspection 31st October 2007 2:00 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 Overton House DS0000019703.V353523.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. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Overton House Address The Garth Cottingham Hull East Yorkshire HU16 5BP 01482 847328 01482 840972 manager.overton@hica.co.uk 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 Wendy Margaret Trend 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.V353523.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Admit one service user under pensionable age, on an emergency basis. 9th November 2006 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 well-maintained garden and patio area. The standard fees charged by the home range from £440 to £460 with additional charges made for hairdressing, chiropody, toiletries etc. Overton House provides information to people about its service in its Statement of Purpose and Service User Guide. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home on 9th November 2006, including information gathered during a site visit to the home A questionnaire asking for information about the service was sent to the provider before the inspection visit and information from this was included as part of the inspection process. Other information used, included feedback from questionnaires sent out to people living in the home, their relatives and professional staff who know them well, together with official notifications received by the Commission for Social Care Inspection about the home. The inspection visit for this service lasted for 5 hours and during this period, time was spent talking with people living in the home and observing their daily lives. Other time was spent looking at their care plans and other records and talking to staff and relatives who were visiting. The inspection visit also included a tour of the properties. What the service does well: What has improved since the last inspection? The management of risks to people living in the home have been improved and are kept up to date so that staff have better information about these. More staff have been employed to ensure people living in the home have more activities to do and ensure that their social wellbeing is enhanced and more training has been provided to staff so they could do their jobs. The building Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 6 has continued to be maintained well so that people living in the home have an environment that can meet their needs. 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. The summary of this inspection report can be made available in other formats on request. Overton House DS0000019703.V353523.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 Overton House DS0000019703.V353523.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People who use this service experience good outcomes in this area. The needs of people living in the home had been assessed in order to ensure it was suitable for them and information about the service was available to help them people an informed choice about moving into it. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People that we spoke to confirmed they had been involved in decisions about moving into the home and written information about the service had been developed to assist them with this process. Not everyone living in the home had yet been issued with a written contract between them and the home but information provided by the manager indicated that that plans were in place to remidy this deficit. Feedback received from Social Services staff confirmed that the manager usually visits people before they move into the home in order carry out an assessment of their needs and the case files that we inspected contained pre assessments competed by her or obtained from Social Services, in order to confirm that the service was suitable for them. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 9 Discussion with the manager confirmed that the home does not admit people for intermediate care. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service experience good outcomes in this area. Staff were sensitively promoting the dignity and rights of people living in the home in order to ensure their individual health and personal care needs were appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home that we spoke to confirmed that staff were supporting their health and personal care needs and information about these were contained in the three case files that we inspected. The people we spoke to confirmed they were treated with dignity and respect and staff were observed being attentive and friendly in their approaches towards them, with reassurances and engagement with them in order that they could make choices and decisions about their lives. Case files we inspected contained a variety of support plans developed from strengths and needs assessments of people living in the home in order that staff could assist them with these. The support plans were person centred in approach and covered a range of the physical, emotional and psychological needs of people living in the home. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 11 Evidence was seen of risk assessments and management strategies covering a variety of issues identified for people living in the home being kept up to date as previously required. Regular monitoring and daily recordings were contained in the case files inspected in order that an accurate picture could be developed about the needs of people living in the home. The support plans were being regularly evaluated and updated by senior staff to ensure they continued to reflect current needs and the case files inspected contained evidence of close working with professionals associated with the service, in order to ensure the needs of people living at Overton House were met. The service had medication policies and procedures to guide staff and those responsible for this aspect of practice had received training on the safe use and handling of medication. A random sample of medication charts that were inspected contained accurate, up to date recordings, which indicated appropriate action taken in these matters. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. People living in the home were being supported to make choices about their daily lives in order that their lifestyle wishes and needs could be appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were observed sensitively supporting people living in the home to make choices about their lives and discussion with individual’s living at Overton House confirmed that their wishes and lifestyle needs were being appropriately. A programme of flexible activities is available for people to choose to participate in and the service employs staff members that coordinate these as previously recommended. The manager has qualified as an “active in age” trainer and discussion with her indicated she was to cascade training about this down to staff in the home. Evidence was seen of parties held to celebrate special occasions and of items of crafts made by people living in the home. On the afternoon of this unannounced inspection visit an outside entertainer was providing a session of music and dance and people living in the home were observed enjoying singing along to old time favourites. Case files inspected contained evidence of individual quality time spent with people living Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 13 in the home and information provided by the manager indicated that staff were encouraged to engage in this aspect of practice in order to ensure that the general well being of people living in the home was enhanced. Visiting relatives were very supportive of the service and indicated that staff communicated well with them about any concerns they had and this was confirmed in a response received from Social Services to a question about what the service does well. The service has a carers group led by a staff member and evidence was seen of their involvement in fund raising activities and attendance at events held in the home. Menus we inspected indicated people living in the home were provided with a choice of nutritious meals and evidence in the case files indicated the involvement of specialists and appropriate monitoring in these respects. One of the relatives visiting indicated she regularly had meals in the home with her husband and that these were of a good standard and quality. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good outcomes in this area. The concerns of people living in the home were being taken seriously and staff had received training on the protection of vulnerable adults to ensure people living at Overton House were safeguarded from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home and their relatives that we spoke to indicated they were happy with the service and felt their concerns were taken seriously. The home had an acceptable complaints policy and the service’s complaints book contained evidence of actions taken to follow up the 11 complaints received by the home since the last inspection visit. The one complaint about the service received by the Commission for Social Care Inspection was passed to the Provider organisation to investigate and confirmation was subsequently received of appropriate action taken in these respects. Policies and procedures were available to ensure people living in the home were safeguarded from harm and evidence was seen that training had been provided to staff about this aspect of practice. The Commission for Social Care Inspection had recently received a notification from the Provider about a referral made to Social Services under their duties to investigate potential abuse and a telephone call received by the home during this inspection visit confirmed this was being followed up. The manager indicated she had discussed the circumstances surrounding this referral with senior staff, since it had taken some time to be referred on and evidence was seen of subsequent action taken Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 15 to ensure similar incidents would be dealt with in a more timely fashion. A random check of the records of money kept on behalf of people living in the home confirmed that these were being satisfactory maintained. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience good outcomes in this area. The home was comfortable, clean and being appropriately maintained to ensure that people living there had an environment that was safely meeting their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was warm and clean and had a relaxed and contented atmosphere throughout. People living in the home that we spoke to confirmed it was meeting their needs and aids and adaptations had been obtained to maximise and enable their comfort and independence. The service had action plans in place for the management of continence and offensive smells and the home’s quality assurance systems contained feedback from a relative that stated, “every time I visit they are shampooing the carpets”. A programme of on going maintenance had resulted in a number of new beds being obtained and information supplied by the Provider confirmed that new furniture was on order Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 17 and that general refurbishments had been discussed, in order to improve the environment further. Some areas of carpeting in the home however were showing some signs of need of replacing and a recommendation is made about this. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience good outcomes in this area. Staff had been safely recruited and received appropriate training to ensure they were equipped with the skills required to meet the needs of people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home that we spoke to were complimentary of the staff and confirmed that their needs were being appropriately met. Staff were observed cheerfully interacting with people living in the home and being attentive to their individual needs. Relatives comments were positive in nature and the levels of staffing deployed in the home enabled person centred support to be provided. Staff spoken to demonstrated a commitment to the service and meeting the needs of people and inspection of their files confirmed attendance on a range of courses in order to ensure they could do their jobs. The Provider organisation has developed a strong programme of training and induction for staff and information provided by the manager indicated that over 50 of the staff had obtained an NVQ at level 2 or above. The service had policies and procedures to ensure staff were safe to work with people living in the home. The three staff files that we inspected all contained evidence of appropriate checks carried out in respect to identity, the Criminal Records Bureau and the Protection of Vulnerable Adults list (PoVA First). Two of the three staff files contained only one reference that had been obtained prior to Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 19 their being employed, although the manager was able to provide evidence of a satisfactory explanation for this. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use this service experience good outcomes in this area. Appropriate management systems were in place to ensure that the welfare of people living in the home was safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home that we spoke to and feedback received from their relatives and professionals associated with the service indicated the Overton House was being well run. The manager indicated that she had made good progress with her Registered Managers Award and had now only two further units of this to complete and a recommendation is made about this. Discussion with staff indicated the manager was open and approachable in her style and evidence was seen of regular meetings with them and people living in the home in order to ensure good communication and enable participation in Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 21 decisions about the service. The home’s Quality Assurance systems contained evidence of questionnaires sent out with action plans developed from feedback received and regular audits of various aspects of the service to ensure it was meeting its aims and objectives. Records of money kept on behalf of people living in the home were being accurately kept to ensure their financial interests were safeguarded and a random sample of the home’s maintenance records confirmed appropriate checks were being carried out to ensure their health and safety. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirements Timescale for action 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 OP2OP2 OP26OP26 OP31OP31 Good Practice Recommendations The registered person should ensure that everyone living in the home is issued with a contract in order to safeguard their legal rights. The Registered Person should ensure that replacement carpets are laid in those parts of the home that are showing signs of wear. The registered person should ensure that the manager holds a management qualification. Overton House DS0000019703.V353523.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 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 © 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.V353523.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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