Inspection on 16/02/06 for Quaker House

This inspection was carried out on 16th February 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

Quaker House 04/12/07

Quaker House 01/12/06

Quaker House 02/08/05

Quaker House 26/10/04

Quaker House 14/06/04

Quaker House 24/02/04

Quaker House 30/06/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Quaker House 40-44 Barton Court Road New Milton Hampshire BH25 6NR Lead Inspector Keith Hopkins Unannounced Inspection 16th February 2006 13:15 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 Quaker House DS0000012160.V282441.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. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Quaker House Address 40-44 Barton Court Road New Milton Hampshire BH25 6NR 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) 01425 617656 New Milton Quaker Housing Association Limited Mr Alan Herring Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: Quaker House is set in a residential area on the outskirts of the town centre of New Milton. It provides residential care for up to 40 elderly residents. Many of the residents require a very limited degree of personal care and the support provided is more akin to that within warden controlled accommodation. All forty bedrooms are single and all of these have an ensuite toilet. There are three communal bathrooms and a shower on the ground floor and three communal bathrooms, two of which have toilets and a separate shower on the first floor. There are gardens to the front and rear of the property, which include a patio and water feature. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three and a quarter hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager and financial administrator. The inspector also spoke privately with two members of staff. Most of the residents were seen to be using the communal areas and several were spoken with briefly in the main lounge. Three residents were spoken with at greater length in private and the inspector was also able to speak with a visitor to the home. What the service does well: What has improved since the last inspection? What they could do better: The home could strengthen arrangements for consulting with residents, and some minor updating of some policies needs to be undertaken to reflect the recent change of manager. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 6 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. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 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 Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The admission process is well managed with an assessment of needs being done to ensure these can be met. Residents are given clear information regarding the service to enable them to make an informed choice about where to live. EVIDENCE: The home has a Resident Selection Policy and prospective residents initially complete an application form and are placed on a waiting list. This is reviewed from time to time and also when a vacancy occurs. There is a clear understanding by the manager of the type of resident suitable for the home and anyone wishing to be admitted is visited in their own home beforehand when an initial assessment is undertaken. Two assessments relating to residents currently living at the home were examined and contained a good level of detail. The inspector was also informed of a recent instance where, following a reassessment of a resident in Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 9 hospital, it was felt that the home would no longer be able to meet the person’s needs and alternative arrangements were being looked at. The home provides comprehensive information for prospective residents with clear details of its services. Two residents spoken with also confirmed their awareness of the cost of the service before they moved into the home. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Residents enjoy varied lifestyles and undertake activities of their choice. The provision of a range of opportunities for stimulation is appreciated by residents, who also enjoy a varied and nutritious diet. EVIDENCE: During the inspection several residents were anticipating attending the weekly music club, which is held every Thursday in the craft room. The inspector was informed of the various other events, which are also held every week. These included poetry reading, drama, yoga and arts and crafts. One resident said that there was ‘always plenty to do’ and another that there were ‘plenty of activities’. Residents confirmed the extent to which there were choices over everyday activities, one saying, for example, that she could ‘come and go as I choose’, and another that ‘you don’t have to be lonely’. A visitor to the home was spoken with saying that she was ‘happy with the care’ and that her relative was ‘well looked after’. She said that she had no Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 12 complaints but that she would let someone know if she had. Visitors are welcomed at any time and the inspector was informed that most residents received visitors. The home’s menus were examined and were varied, the inspector being informed that breakfast could be taken communally or in a resident’s bedroom if that was wanted. Residents commented positively about the food at the home, one saying that ‘the meals are suitable for the age group’. Another resident confirmed the fact that there was an alternative to the main midday meal every day and that she had chosen the alternative that day. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18. Residents are protected through an adult protection policy and procedure known and understood by staff. EVIDENCE: The home has a policy and procedure relating to adult protection. Staff have been trained in this and confirmed their understanding of what to do in the case of suspected abuse, saying that they would report this to a senior member of staff. The policy on dealing with abuse had been reviewed on 17th January 2006 and staff had signed to say they had read this. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 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 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): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The home is well managed and residents’ welfare is promoted through sound policies and procedures. Financial interests are safeguarded and the home is in residents’ best interests. EVIDENCE: The manager has a considerable number of years experience in a senior capacity, and is currently undertaking the Registered Managers Award. There are clear lines of accountability within the home and to the external controlling body. The inspector discussed with the manager the need to ensure that the trust is fully meeting its legal responsibilities with regard to visits undertaken in respect of Regulation 26 of the Care Homes Regulations. The inspector saw residents being consulted by staff informally on day-to-day care issues. The manager said that he was going to strengthen the Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 17 arrangements that the home has for consulting residents or their relatives formally by way of a residents’ survey. The financial administrator confirmed that the home provided limited assistance to some residents and kept monies secure on their behalf. Monies held for two residents were checked against written records and tallied. No immediate obvious hazards to health and safety were observed by the inspector during the inspection and staff were clearly aware of issues relating to these areas. Staff sign to say they have read policies as these are reviewed and updated. A sample of policies and records required by regulation was inspected. A small number of minor adjustments are needed in some areas to accurately reflect the recent change of manager. The home’s laundry is fit for purpose and contains industrial washing machines with disinfection capability. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 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. 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 19 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 Requirement 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 Refer to Standard OP3333 Good Practice Recommendations It is recommended that the registered person formalises and strengthens current arrangements for consulting with residents. Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Quaker House DS0000012160.V282441.R01.S.doc Version 5.1 Page 21 - 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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