Inspection on 02/08/05 for Quaker House

This inspection was carried out on 2nd August 2005.

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 16/02/06

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 02.08.05 13:15 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. Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Quaker House Address 40-44 Barton Court Road New Milton Hampshire BH25 6NR 01425 617656 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) New Milton Quaker Housing Association Limited Mr Alan Herring CRH 40 Category(ies) of OP Old age registration, with number of places Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 26.10.04 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 H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three and a half 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 one other member of staff. Several of the residents were observed making use of communal areas and their bedrooms. Five residents were spoken with in the garden, and two residents were spoken with more privately indoors. What the service does well: What has improved since the last inspection? The residents’ committee has been instrumental in the obtaining of improved laundry facilities, increasing safety for residents. Residents’ comfort has been enhanced through the provision of double-glazed windows in communal areas of the building. During the inspection several residents were very complimentary about the home with one stating that ‘it could not be better’. Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 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. Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 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 Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 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) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 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) 7, 8, 9 and 10. Residents are well looked after in respect of their health, medication and personal care needs, and have their privacy and dignity respected by staff. EVIDENCE: Care plans contain a good level of detail with a clear plan of action to meet assessed needs and are reviewed on a regular basis. The four care plans examined also contained information regarding access to specialist health care staff. One resident confirmed that a particular personal care need had been addressed by staff at the home. The manager said that the majority of residents currently choose to deal with their own medication following a risk assessment process. There is a procedure for the dispensing of medication and at the time of the inspection drugs were securely stored and records up-to-date. Observation during the inspection showed that staff have a good awareness of how to protect residents’ privacy and dignity. They were seen to knock on Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 10 doors and await a response before entering and spoke to residents in a respectful way. Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 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) - Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 12 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) 16. Arrangements for responding to residents’ concerns are satisfactory, with evidence that residents know how to complain. EVIDENCE: The home has a detailed complaints policy and procedure. Several residents said that they had no complaints about the home and one confirmed that he would know what to do if he did ever need to complain. There have been no complaints within the last 12 months. Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 13 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) 19, 20, 21, 23, 24, 25 and 26. A comfortable clean and safe standard of accommodation with suitable facilities to meet residents’ needs is provided. EVIDENCE: The home is well maintained and suited to residents’ needs. It is decorated and furnished to a standard that creates a homely ambience and there is a programme refurbishment in place. There are four lounges where residents may sit, together with a separate dining room. There are three communal bathrooms on the ground floor, and a separate shower, and three bathrooms, two of which have a toilet, and a shower on the first floor. Two residents’ bedrooms were inspected and were adequately furnished and looked homely, as residents had been able to bring items of their own furniture and possessions with them. Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 14 All forty bedrooms are single and all have en-suite facilities. Several residents spoken with said how nice their rooms were and one said that repairs and maintenance were undertaken before they became necessary. All areas of the home smelled pleasant and were cleaned to a high standard. There are large and attractive gardens appreciated by residents, some of whom were using the patio at the time of the inspection. Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 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) 27, 29 and 30. Staff at the home are employed through a robust recruitment procedure and are deployed in sufficient numbers to meet residents’ needs. EVIDENCE: One resident said ‘they’re all nice’ and staff were observed during the inspection to be providing assistance to residents when needed in a calm and unhurried manner. The staff rota indicated there to be two care staff on duty during the day supported by ancillary staff, with two waking members of staff on duty at night. Three staff records examined indicated a sound recruitment process, which included the obtaining of written references. There is a personal training record sheet for each staff member, which indicated a variety of courses having been undertaken, including for example, infection control, manual handling, fire and dementia. The inspector was informed that five staff members had obtained NVQ Level 2, that a further two staff members were awaiting their certificates for this award, and that three more were shortly to start their training. Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 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) - Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x x Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 18 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 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 Good Practice Recommendations Quaker House H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 H54 S12160 Quaker House V241566 020805.doc Version 1.40 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!