Inspection on 09/11/06 for Overton House

This inspection was carried out on 9th November 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 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 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 Unannounced Inspection 9th November 2006 1:30 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.V315630.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.V315630.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 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 Post Vacant 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.V315630.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. 2nd February 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 £ 328.80 to £430 with additional charges made for hairdressing, chiropody, toiletries etc. Overton House provides information about the home to service users in its Statement of Purpose and Service User Guide. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit lasted for 6 hours and included a tour of the building and checking the progress in implementing the requirements from the previous inspections. Other time was spent talking with residents in the communal areas of the home and observing their daily lives. Further time was spent reading care plans and files and talking to staff. A Pre Inspection Questionnaire asking for information about the service was sent to the manager before this visit and information collected from this was included as part of the inspection process. Other information that was used included reports from monthly visits carried by a senior manager from the parent company and notifications received by the Commission for Social Care Inspection about serious incidents that had taken place in the home. Questionnaires were distributed to residents, a random group of their relatives and professionals associated with the home. The responses received from these were largely positive, although one commented on an offensive smell that was sometimes present in the home. What the service does well: What has improved since the last inspection? Action had been taken to deal with the management of offensive odours that were sometimes present in the home, but further work on this was still required. The residents’ finances were being satisfactorily safeguarded. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 6 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.V315630.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.V315630.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): 3 and 6 Quality in this outcome area is good. Residents had been satisfactorily assessed, in order to ensure that the service was able to meet their needs and information about the home was available, so that prospective residents could make an informed choice about moving into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Resident’s and their relatives indicated that they had been involved in decisions concerning moving into the home and case files inspected indicated Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 9 that assessments of their needs had been carried out, in order to ensure that the service was able to meet their needs. Two of the case files inspected contained copies of assessments that had been carried out before the resident’s had been admitted and the file of a third who had been admitted as an emergency, contained a support plan which had been developed within two days of her moving into the home. Information about the service had been updated, in order to ensure that prospective residents are able to make an informed choice about whether to move in. Overton House does not admit residents for intermediate care. Overton House DS0000019703.V315630.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 Quality in this outcome area is good. The health and personal care needs of the residents’ were being sensitively met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Those residents spoken to indicated that their health and personal care needs were being appropriately met and relatives contacted indicated that they were in agreement with this. The three residents’ files inspected, contained personal support plans that had been developed, in order to guide staff in meeting their individual care requirements. Daily recordings, together with monthly summaries of the support plans were included in the files examined together with evidence of annual reviews that had carried out by commissioning authorities. Various assessments of known areas of risk were Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 11 included in the residents’ files, however a significant one of these was missing for one of the resident’s, which the manager took prompt action to remedy during the visit. A requirement is made in these matters. Monitoring of relevant health conditions was seen in the case files examined and a District Nurse contacted as part of the inspection process, was positive about the service and confirmed that the staff worked well with her. Policies and procedures were available to safeguard the residents in respect of medication and discussion with staff indicated that they were aware of these. Only the senior staff are responsible for the administration of medication and observation of a medication round indicated that that this aspect of practice was being appropriately carried out. A random check of the medication systems confirmed that supplies of medicines in the home accorded with the records kept. Staff were observed being sensitive to the needs of the individual residents and relative’s spoken to indicate that staff communicated well about factors concerning the care of their loved one’s. One relative described the care given by staff as “absolutely excellent” and commented that staff were “110 ”. Overton House DS0000019703.V315630.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 Quality in this outcome area is good. The residents’ social interests were being supported, but additional staff would enhance the maintenance of this aspect of their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most of the residents living in the home have dementia needs, but those able to discuss their lives said that they were able to maintain their social interests with help from staff. Staff were observed supporting the residents in a caring manner, providing reassurance and assistance as appropriate. Information submitted to the Commission as part of the inspection process indicated that a range of activities were provided for residents, in order to ensure that their social needs were met. However the dedicated activities organiser for the home had left a few months previously, and this post was therefore vacant at the time of this visit. Discussion with the manager indicated that she considered the emotional and psychological needs of the individual residents to be a vital element of their general well being and that arrangements were in place to cover this vacancy. A recommendation is made in this matter. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 13 Policies and procedures were in place to ensure that residents were able to maintain contact with friends and family and a relative contacted as part of the inspection process confirmed this and commented that the staff in the home “always makes me feel welcome”. Staff indicated that various activities enabled the residents to participate in the wider community and that these had included a summer fayre that was held in the home together with trips out to places of interest. A staff key worker is appointed to each of the resident’s, in order to ensure that quality time can be spent with them and staff enthusiastically described how they supported residents in making choices about their lives. Staff comments however indicated that they were not always able to provide as much support in this area of practice, as they would wish, due to staffing shortages that were sometimes experienced in the home. Residents stated that the food was good and inspection of the menus confirmed that they were of a nutritional and balanced nature. The home has achieved a “heartbeat” award for the provision of its meals and case files contained evidence that this aspect of the residents’ lives was taken very seriously. Information about the residents’ individual likes and dislikes were recorded in the files inspected, together with assessments of their nutritional needs and monitoring of their food intake and weight. Overton House DS0000019703.V315630.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): Quality in this outcome area is good. The residents’ concerns were being taken seriously and their welfare was safeguarded by staff that had received training in the protection of vulnerable adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had policies and procedures to ensure that residents concerns and complaints were taken seriously and that they were protected from abuse. Relatives who were contacted expressed good levels of satisfaction with the service and those residents spoken to indicate that they were happy with the care they received. The complaints record was inspected and evidence was seen to indicate that appropriate action had been taken to resolve issues that had been raised since the last inspection. The home’s training records indicated that topics covered over the past year, had included sessions on the protection of vulnerable adults and understanding dementia and staff spoken to demonstrated a knowledge of these areas of practice and indicated that that they would take appropriate action should they have any concerns. The records relating to the residents’ finances were randomly checked and found to be satisfactory, with the monies held on their behalf according with that, which was recorded. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. The residents’ environment was safe and being appropriately maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was warm and comfortable had a relaxed and contented atmosphere throughout. Aids and adaptations had been provided to assist the residents and staff and up to date certificates of a random selection of health and safety issues, confirmed that this aspect of practice was being appropriately carried out. At the last inspection a requirement was made concerning the management offensive malodours and discussion with staff and inspection of the home’s records indicated that action had been taken to deal with this issue. Advice from a continence advisor had been sought and residents were being monitored in this respect. Staff were observed deployed in busily cleaning the home, however despite these measures, a slight smell remained. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 16 The manager indicated that the registered providers were in the process of considering the use of alternative flooring in certain areas of the home; in order to eliminate this problem and a recommendation is made in this matter. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. The staff had been safely recruited and provided with training to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Relatives spoke highly of the staff and indicated that they were meeting the residents’ needs. Staff demonstrated a caring and sensitive approach to working with the individual residents and discussion with them indicated that they were committed to their jobs and ensuring that the residents needs were met. The provider organisation has an extensive training programme and induction process that staff must complete and examination of the staff records indicated that a range of training relevant to the needs of the residents had been delivered to staff. Information submitted by the manager as part of this inspection process, indicated that 50 of the staff team had successfully achieved a qualification at NVQ level 2 or above, but that more first aid training was needed in order to ensure that the residents are kept safe. A recommendation is made in this matter. Inspection of rotas and discussion with staff (see daily lives and social activities) indicated that the emotional and psychological needs of the residents would be enhanced by an increase in the staffing arrangements. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 18 Policies and procedures were in place to ensure that staff were safely recruited and inspection of the files of newly employed staff indicated that these were being appropriately followed. Staff files inspected contained copies of Criminal Records Bureau checks and written references, together with other information that had been obtained, in order to verify that the staff were safe to work with the residents. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 19 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, 25 and 38 Quality in this outcome area is good. The conduct and management of the home was ensuring that the welfare of the residents and staff were being safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents and feedback received from relatives and professionals indicated that the home was being well run. Since the last inspection a new manager had been appointed and discussion with her confirmed that she had submitted an application to the Commission for Social Care Inspection for herself to become the registered manager for the home. The manager confirmed that she had appropriate experience of working with the client group accommodated but that she needed to undertake an Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 20 appropriate qualification to manage the home. Staff commented that the manager was open and approachable and inspection of the homes Quality Assurance systems confirmed that she was consistent and thorough in monitoring the progress of the home. Evidence from regular meetings with both residents and staff confirmed that they had been involved in this process. The Provider organisation has a computerised system for the management of individual resident’s personal allowances and a random check of the records for these indicated that the residents’ finances were being satisfactorily safeguarded. Inspection of the home’s records and discussion with staff indicated that the health, safety and welfare of the residents and staff were being promoted and protected. Maintenance records were up to date and in good order and the home’s training plan indicated that staff had covered a variety of health and safety issues as part of their induction process or that these been identified a future development need. Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 21 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Overton House DS0000019703.V315630.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP7OP7 Regulation 13 Requirement Assessments of all identified areas risk must be developed promptly for the residents, in order to ensure that their welfare is safeguarded Timescale for action 09/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12OP12 Good Practice Recommendations The registered person should take steps to ensure that a replacement activities organiser is appointed, in order to ensure that residents’ emotional and psychological needs are appropriately met. The registered person should consider replacing the carpets or the use of alternative flooring in effected areas of the home, in order to ensure that the home is free from offensive odours. The registered person should ensure that residents have access at all times to staff that have received first aid training. The registered person should ensure that the manager DS0000019703.V315630.R01.S.doc Version 5.2 Page 23 2. OP26OP26 3. 4. OP30OP30 OP31OP31 Overton House holds a management qualification. Overton House DS0000019703.V315630.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. 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