Inspection on 29/11/05 for Russell Churcher Court

This inspection was carried out on 29th November 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

Russell Churcher Court 16/10/06

Russell Churcher Court 05/07/05

Russell Churcher Court 05/10/04

Russell Churcher Court 27/04/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Russell Churcher Court Thorngate Almhouse Trust Melrose Gardens Gosport Hampshire PO12 3BE Lead Inspector Gina Pickering Unannounced Inspection 29th November 2005 10:15 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 Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 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. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Russell Churcher Court Address Thorngate Almhouse Trust Melrose Gardens Gosport Hampshire PO12 3BE 023 9252 7600 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) Thorngate Almshouse Trust Mr Melvyn R Howard Mr Melvyn Richard Howard Care Home 35 Category(ies) of Dementia - over 65 years of age (35), Old age, registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (10) Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Not more than 10 service users in PD(E) category Date of last inspection 5th July 2005 Brief Description of the Service: Russell Churcher Court is a purpose built care home providing personal care for up to thirty-five residents over the age of 65. The home is able to provide care for those suffering from dementia type illnesses and physical disabilities as well as those suffering from the general conditions of old age. The home is situated within a complex of sheltered housing managed by Thorngate Almshouse Trust, which are also the registered providers of Russell Churcher Court. The home has easy access to local facilities with several of the service users being able to access the community independently. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over five hours on the 29th November 2005. Staff members and those that that live there confirmed that the service users prefer to be collectively known as residents. This shall be reflected throughout the inspection report. The inspector spoke with ten residents, two visitors, and eight members of staff during the inspection as well as sampling documentation. What the service does well: What has improved since the last inspection? Since the last inspection the home has been registered to care for residents suffering form dementia illnesses. This has been introduced without affecting the well being of those residents living at the home. Staff members have been given the skills to care for such people with appropriate training. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 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. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 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 Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 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): 6 The home does not provide intermediate care. EVIDENCE: Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 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 & 10 Care planning systems result in detailed information being available of the resident’s health, personal and social needs. Resident’s dignity and privacy is assured through the ethos and management of the home. EVIDENCE: Comprehensive plans of care are in place for each resident. From the details in these plans care staff are able to deliver personal care to the residents in the manner in which they prefer and give the required support to residents to enable them fulfil their social activities as they wish. Specific health care needs are detailed in the plan of care, as are reviews of skin integrity, nutritional state and moving and handling risk assessments. The resident or their representative signs reviews of the care plans. Discussions with care staff suggest the care planning system in use contains the information they need to Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 10 be able to care for and support the residents and allows them to promptly address any changes in the residents health, personal or social care needs. Since the last inspection the home has had it’s registration altered to enable residents suffering with dementia type illnesses to live there. Sampling care plans, discussions with staff, visitors and residents evidenced that these residents’ needs are being met. Appropriate training has been put in place for care to staff to enable them plan and deliver the care for these residents. The ethos and management of the home ensures that the privacy and dignity of the residents is upheld. Each resident has their own flat to which they can have a door key. No staff members enter resident’s bedrooms without being invited in, with the exception of emergency situations. The management of the home acknowledge that staff are working within the residents home and therefore should be as unobtrusive as possible allowing residents their privacy and dignity at all times. This was evidence in conversations that the inspector had with residents, all of whom stated that the staff were wonderful and allowed them to run their own lives in the manner they wished and respected their dignity at all times. Observation during the course of the inspection evidenced a relaxed and respectful relationship between the staff and the residents. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 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): 14 & 15 The management and ethos of the home allows residents to make their own choices. Highly nutritious and balanced meals made from fresh seasonal produce offers a healthy and varied diet for the residents. EVIDENCE: Discussions with the manager and staff members’ indicate that the home has an ethos of encouraging the residents to exercise choice regarding their daily life and activities. Several residents informed the inspector that it is their choice whether to enjoy the company of other clients in the communal areas or enjoy privacy in their own bedrooms. Discussions were being held between residents whether they were going to join in with activities planned later that week or meet with friends to watch television programmes. Residents preferred routines are described in their care plans, which when discussed with residents proved to be an accurate representation of their wishes. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 12 All residents have a small kitchenette in which they can prepare simple meals if they wish to; one resident told the inspector that she usually prepares her own breakfast and has her main meals inn the communal dining room. The availability of fresh seasonal produce, the season of the year and the resident’s wishes are all taken into consideration when developing the menu plan. The catering manager discussed with the inspector that she utilises all produce in the kitchen to make cakes, soups and bread as well as the main meals. A member of the kitchen staff speaks to all residents on a daily basis to discuss the menu for the following day and to take their orders. The catering manager and her assistant cooks have recently attended training about nutrition in the elderly population. She explained this has assisted them in preparing meals with added nutrients without adding to the bulk of the meals, thus catering to the appetite of the elderly population. All residents that the inspector spoke with expressed their high satisfaction with the variety and quality of the meals provided and informed the inspector that any wishes for certain meals are met. The inspector found the commitment to providing a highly nutritious, flexible menu from seasonal fresh ingredients highly commendable. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 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 from abuse by staff who have a clear understanding of the issues surrounding the protection of vulnerable adults. EVIDENCE: Policies, procedures and training are in place about the protection of vulnerable adults. The home has a copy of the Hampshire adult protection procedure. Staff members are able to discuss types of abuse and the action to be taken if they suspect an act of abuse has occurred. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 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): 19 Residents live in an environment that is well maintained and decorated in a fashion that they are content with. EVIDENCE: The inspector toured the home viewing all communal areas, the communal bathrooms and a sample of resident’s bedrooms. All were assessed to be clean, and maintained free from hazards. Furnishings and decor throughout the home is of a homely nature. A maintenance team employed by the Thorngate Almshouse Trust is responsible for the maintenance of the home. a representative from this team was attending to lights in a lounge and corridor during the inspection to replace worn bulbs. Procedures are in place for the reporting of maintenance issues and the routine maintenance of the home. Residents expressed their satisfaction with the décor and furnishings of the home and the fact that they can personalize their bedrooms with their own belongings. A shaft lift allows residents who have mobilisation difficulties to access both floors of the home. Some staff expressed concerns that due to the lift breaking down one weekend and having to wait for a replacement part Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 15 some residents were unable to access the ground floor over the weekend. Discussion with one of the resident’s affected by this evidenced that she was satisfied with the care and support she was given during this period. The resident has now moved to a downstairs bedroom. The manager explained that the purchase of a stair lift has been considered, but at the moment it is not considered as a high priority. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 16 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): 29 Robust recruitment procedures are used to ensure the protection of the people living in the home. EVIDENCE: Recruitment polices and procedures are in place. Reviewing a sample of staff files evidenced that this procedure is being followed; two satisfactory written references are obtained, evidence of the persons relevant qualifications and a satisfactory CRB and POVA clearance are obtained prior to staff commencing employment. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 17 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 The resident’s welfare and safety is protected by the management methods and competency of the manager and the staff team. Resident’s opinions and wishes are an integral part of the running of Russell Churcher Court. Facilities provided in bedrooms allow residents to secure their monies. EVIDENCE: The manager, Mr Melvyn Howard has been in post for two years and is in the process of completing the registered managers award. His style of management involves the delegation of specific responsibilities to other staff Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 18 members who have received the appropriate training. This results in a collective work force who are accountable for their own actions, have input into the management and running of the home and who take great pride in their work. Staff at the home expressed their satisfaction with the management of the home, as did the residents and relatives. The help of a professional company is used to perform an annual quality assurance audit, which includes resident’s views on the service offered by the home. As well as this process the home uses questionnaires throughout the year to gauge the satisfaction of the residents. Each questionnaire is based on a separate issue such as care issues, catering, cleanliness and maintenance of the home. The inspector viewed a sample of these responses noting that there was a high rate of reply to these questionnaires. This suggests that residents are happy to express their views on the running of the home and changes they would like to happen. The manager informed the inspector that results from the surveys are considered and acted upon if feasible. Residents expressed that they are able to voice opinions about the running of the home to staff members with ease. The home does not hold any money for the residents. Locked areas are available within their own bedrooms for the storage of valuables and money. Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 19 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 20 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. 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. Refer to Standard Good Practice Recommendations Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 21 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 Russell Churcher Court DS0000012240.V262335.R01.S.doc Version 5.0 Page 22 - 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!