Inspection on 16/01/06 for Richard Cox House

This inspection was carried out on 16th January 2006.

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

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

Other inspections for this house

Richard Cox House 01/12/08

Richard Cox House 07/03/07

Richard Cox House 28/06/05

Richard Cox House 27/01/05

Richard Cox House 16/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Richard Cox House Dog Kennel Lane Royston Hertfordshire SG8 7AB Lead Inspector Mrs Alison Butler Unannounced Inspection 16th January 2006 02:00 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 Richard Cox House DS0000019508.V277928.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. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Richard Cox House Address Dog Kennel Lane Royston Hertfordshire SG8 7AB 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) 01763 249111 01763 243758 www.quantumcare.co.uk Quantum Care Limited Mrs Sandra Lee Care Home 29 Category(ies) of Dementia - over 65 years of age (29), Old age, registration, with number not falling within any other category (29), of places Physical disability over 65 years of age (29) Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Richard Cox House was first registered with Hertfordshire County Council on 1st July 1992. It is a large two-storey building in quiet residential area of Royston, within walking distance of all local amenities. It is divided into four units, three on the ground floor and one on the first floor. The first floor is served by a passenger lift. Each unit has its own lounge/dining area and domestic style kitchenette. All residents have a single bedroom. There is a hairdresser’s salon, a conservatory, a large day care area, several offices and a central kitchen. Outside the home is limited car parking and there are two garden courtyard areas to the rear. The purpose of the home is to provide a high standard of care in a homely, friendly and safe environment. The aim is to treat residents as an individual and help them live as full a life as possible. They will assist residents to fulfil their social, emotional, spiritual and psychological needs. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in the early afternoon and a total of 3 hours was spent at the inspection. The inspection was conducted with the deputy, staff and residents in the home. The manager was unavailable at the time of the inspection. The majority of the inspection was spent talking to residents, staff and visitors in the home. The inspection also concentrated on the previous requirements and recommendations and the core standards that were not covered at the previous inspection. Where standards remain the same the information has been carried forward. What the service does well: What has improved since the last inspection? Medication cupboards have been thoroughly cleaned and new containers obtained. Replacement flooring has been purchased in the lounges of Poppins and Philips units. There is an on going redecoration programme which is carried out by the handyperson. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 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. Richard Cox House DS0000019508.V277928.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 Richard Cox House DS0000019508.V277928.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 Appropriate assessments have been carried out to ensure the needs of the residents can be met at the home. EVIDENCE: From examination of two residents care plans showed the manager had completed pre-admission assessments prior to them moving into the home. These gave details of their needs and how they would like them to be met. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 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 the following standard(s): 7, 9 & 10 The quality of the information recorded is generally good. Residents receive a good quality of care and are supported by knowledgeable and experienced staff. EVIDENCE: The information recorded on the care plans examined showed them to be detailed and clear on how staff need to meet the individuals needs in a way they would like. Residents felt they were treated with respect and comments received included “I have no complaints”, “they are all very nice”, “they can’t do enough for me”. Good interaction was observed during the inspection and staff were seen to offer appropriate support and/or encouragement. Examination of the medication highlighted an area of concern, where medication had been hand written onto the MAR (medication, administration record) sheet, this had been copied incorrectly from the dispensing label and the dosage read 50mg instead of 5mg. One medication had not had the dose Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 10 included in the instruction. Two members of staff had also signed the sheet, which is worrying that they had not checked the information recorded. The administration dates on the MAR sheets were also incorrect which could increase the risk of error. The cupboards were tidy and clean to a reasonable standard. Richard Cox House DS0000019508.V277928.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): 13 & 14 Visitors are welcomed and contact is maintained within the local community. Autonomy and choice is promoted within the home. EVIDENCE: Visitors to the home are extremely happy with the care provided at Richard Cox and are always made to feel welcome and are provided with access to tea making facilities. They are kept informed about issues and are able to ask questions and these are dealt with and answered. Residents state they are able to choose to join in activities or not. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 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 the following standard(s): 16 & 18 Robust procedures are in place to ensure the protection of the residents. EVIDENCE: A copy of the complaints procedure is available. Residents and visitors are aware of who to speak to if they were unhappy about any aspect of the care that is provided at Richard Cox. One visitor spoke to felt that issues that had been raised had been dealt with appropriately and things were sorted fairly quickly. Staff spoke to were aware of the whistle blowing policy. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 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 the following standard(s): 19 & 26 The home is clean, well maintained and regular maintenance checks are carried out on services and equipment. EVIDENCE: A tour of the home showed that the home was cleaned to a high standard. New flooring had been laid in the lounges of Poppins and Phillips units. Storage appears to be a bit of an issue in that various bathrooms are being used for the storage of wheelchairs, seating and continence aids. This needs to be reviewed and alternative storage sort or the return of additional equipment to an appropriate source. The laundry facilities are adequate to meet the needs of the residents. Residents were well kempt and stated they were happy with the laundry service. Polices and procedures are in place for the prevention of infection. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 14 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): 27, 29, & 30 Staff numbers and their deployment were adequate to meet the personal care needs of the residents. Procedures for the recruitment of staff are robust and offer protection to the people living in the home. EVIDENCE: Staffing levels appeared to meet the personal needs of the residents at the time of this inspection. Residents felt that staff “do a good job and are always busy”. There is a rolling programme in place to ensure that staff skills are kept updated and kept in line with current good practise. A new member of staff was conducting their first day, they felt that they had been well supported and there was a nice atmosphere to the home and it was very welcoming. Records showed that all the required checks had been completed on staff before commencing employment. Staff receive a full induction programme on commencing employment and the manager is responsible for ensuring that this is carried out. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 15 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): 33, 35 & 38. Not all required reports are available on a regular basis to show that the home is run in the best interest of the residents. The welfare health & safety of residents, staff and visitors is not always promoted in the system of checks. EVIDENCE: Examination of the fire records showed the testing of the fire alarm system had not been carried out as per policy. The staff informed the inspector that the handyman whose job it was had been off on leave for a month. The manager should always make sure that the responsibility has been delegated to another member of staff to ensure that safe systems of work are place to protect the residents. A spot check on the residents monies held in the home showed these to be well kept and no discrepancies found. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 16 Regulation 26 visits are carried out although the reports are not receive by the Commission For Social Care Inspection in a timely manner, the last received was in August 2005. The organisation must ensure that the Commission For Social Care Inspection receives these each month. Accidents & incidents are appropriately recorded and the Commission For Social Care Inspection informed as appropriate. Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 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 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 3 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 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 X X 2 X 3 X X 2 Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 18 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 OP9 Regulation 13(2) Requirement The manager must ensure *That all staff ensure that handwritten information is copied exactly from the dispensing label to avoid errors. *Administration dates must be correct. The proprietor must ensure that reports are received by the Commission For Social Care Inspection on a monthly basis Timescale for action 16/01/06 2 OP33 26 16/01/06 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 2 Refer to Standard OP19 OP38 Good Practice Recommendations The manger should investigate the storage around the home and look at alternatives available. The manager should ensure that tasks are delegated to individuals in the event of annual leave especially for the fire alarm testing Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Richard Cox House DS0000019508.V277928.R01.S.doc Version 5.1 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. 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