Inspection on 05/07/05 for Russell Churcher Court

This inspection was carried out on 5th July 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 29/11/05

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 Lead Inspector Gina Pickering Unannounced 5/7/05 10:00am 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. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Russell Churcher Court Address Thorngate Almhouse Trust, Melrose Gardens, Gosport, Hampshire, PO12 3BE 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) 02392 527600 Thorngate Almshouse Trust Mr Melvyn Richard Howard CRH 35 Category(ies) of OP- Old Age: 35 registration, with number PD(E)- Physical Disabilty over the age of 65 of places years: 10 Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- Not more than 10 service users in PD(E) category 2- One service user, date of birth 1/9/1913 may be accomodated in the category. Date of last inspection 5/10/2004 Brief Description of the Service: Russell Churcher Court is a pupose built care home providing care for up to thirty five residents over the age of 65 including up to ten people suffering from physical disabilities. An application from the home is being processed by the Commission for Social Care Inspection to enable the home to admit residents with dementia. The home is situated within a complex of sheltered housing managed by the Thorngate Almshouse Trust, whom are also the registered providers of Russell Churcher Court. The home has easy access to local community facilities with several of the service users being able to access the community independently. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, starting at 9.30 am and lasting 6.5 hours. The inspector looked at various polices and procedure, residents records and had the opportunity to speak to the manager, the deputy manager, 12 staff members, 12 residents, 4 visitors and 2 visiting health care professionals. Conversations with staff and those living at the home indicated that the service users like to be known as residents; this will be reflected throughout the report. Residents and relatives that the inspector spoke with expressed their satisfaction with the management and care received at the home. One resident told the inspector that Russell Churcher Court is ‘the number one care home in Hampshire.’ All residents and relatives expressed that they would be very surprised if anyone could make a complaint about the home. Staff expressed that they enjoyed working at the home and that they had the time to attend to the holistic needs of the residents. What the service does well: What has improved since the last inspection? What they could do better: Some areas of carpeting should be replaced in the near future due to stains as the result of spillages. Some of the care planning documents did not have the residents name on them; this has been discussed with the manager and will be addressed promptly. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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 Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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) 3 A procedure for the assessment of prospective service users is in use and utilised well to ensure that prospective residents needs are met on moving into the home. EVIDENCE: All prospective service users receive a comprehensive assessment of their needs by two members of staff prior to the decision being made as to whether the home will be able to meet their needs. The assessment includes all aspects of personal care needs, health and welfare needs, hobbies, social contacts and orientation. Discussion with relatives and residents confirm that staff members visit the prospective resident to perform an assessment of their needs as well as giving them information regarding the care home. Staff confirmed that they have sufficient information to be able to meet that persons needs at the time of moving into the home. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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) 8 & 10 The health care needs of the residents are met. Evidence is available of good multidisciplinary involvement to ensure the health and wellbeing of the residents. EVIDENCE: Resident’s health needs are assessed and monitored within the care planning system. District nurses are involved in health care needs, including the supply of pressure relieving aids. Residents documents evidenced that they have access to the multidisciplinary health care team including occupational therapists, chiropodists, dentists, and opticians as well the GP services. Care plans reflect the requested action by these health care professionals. It was noted that the residents name was missing from a few documents. This was discussed with the manager and the care staff who coordinates the care planning who both agreed that this issue would be addressed promptly. This will be re assessed at the next inspection. One district nurse, visiting the commented that she had no concerns with the home and that she believed that the residents are well cared for. Robust medication polices and procedures are in place. Inspection of the records of medications ordered, received and returned to the pharmacy, the medication administration records and inspecting the storage cupboards indicate that the polices are adhered to. All staff at the home have received Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 Page 10 training with regard to the safe handling of medications. Several staff members commented that attending this course had enhanced their knowledge with regard to medications. Individual risk assessments are set in place for those residents that administer their own medications. Following a requirement made at the previous inspection the temperature is monitored and recorded of the drug fridge. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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) The home provides stimulating and varied activities thus enriching the life of the clients with staff at the home acknowledging the interests and social needs of the client group. The home management enables service users to retain contact with family and friends. EVIDENCE: The admission process allows for an assessment of the residents hobbies, interests and social activities. A member of the care staff is responsible for the co ordination of activities within the home. Residents are able to partake of craft activities, games such as carpet bowls, bingo, card and board games as well as attending organised events such as visiting entertainers. Residents that the inspector spoke with indicated that they are content with the number and variety of activities on offer at the home. The inspector observed that the ethos and management of the home allows for residents to arrange their own entertainment meeting up with their friends in the afternoons or evenings. Resident’s religious needs are attended to with church service being held in the home monthly. Residents stated that they are able to receive visitors at any time of the day, which was confirmed in conversations that the inspector had with visitors who all stated that they were welcome in the home at any time of the day. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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 Residents are aware that they are able to voice concerns and complaints with the assurance that they will be dealt with promptly. EVIDENCE: A complaints procedure is set in place that contains then required details regarding time scales of responding to complaints. All residents receive a copy of this, which they and the home manager sign. Residents and relatives that the inspector spoke with confirmed that they had received this information and that they are aware to whom complaints should be addressed. Residents and relatives suggested to the inspector that they felt confident that concerns and complaints would be addressed promptly. Conversations with staff indicated that they are aware of the complaints process. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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) 26 The hygiene and cleanliness of the home contributes to the well-being and health of the residents at the home. EVIDENCE: At the time of the inspection the home was clean and tidy with no offensive odours. A team of cleaners are employed to maintain this standard, who were observed to be diligent in their cleaning on the day of the inspection. Despite the diligence of the housekeeping staff it was noted that some of the carpets in the corridors and the large lounge are looking stained in some areas. Discussion with the manager evidenced that there are no immediate plans to replace these carpets. At the present time this does not impose a risk for the residents however it does not look nice. Policies and procedures are in place regarding the various issues of hygiene and control of infection, with many staff undergoing distance-learning course in infection control. Essential equipment to enhance the control of infection, such as disposable gloves and aprons, are available for all staff. The home has it’s own laundry that is managed by the care staff. The laundry was observed to be clean and tidy with the required flooring and wall surfaces to ensure the ease of cleaning and thus enhance the hygiene within the home. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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 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 & 30 Resident’s holistic needs are met by the number of staff employed at the home. Residents health and well-being are protected by the skills and training of the staff at the home. EVIDENCE: Inspection of the staff rota evidenced that on a morning shift there are five or six care staff on duty, the afternoon shift four or five care staff on duty and three care staff on duty during the night. Discussion with the manager evidenced that staffing levels are determined by the needs of the residents. Since the last inspection there have been changes made within the rostering system, those staff that the inspector discussed this issue with indicated that they were happy with the new system. A managerial on call system functions giving care staff the opportunity to contact the manager, deputy manager or a manager from the trust for support and advice when the manager and deputy manager are not on site. Discussion with staff, resident’s and relatives indicated to the inspector that there are adequate numbers of care and ancillary staff rostered to meet the personal, physical, emotional and social needs of the residents. A team of kitchen staff under the supervision of a catering manager are responsible for the provision of meals at the home. A team of cleaners employed at the home performs housekeeping and cleaning duties. The inspector viewed the training record for staff at the home evidencing that all staff receive mandatory training such as moving and handling and fire safety. Staff are encouraged to attend further training to enhance the well Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 Page 15 being of the residents at the home. Such training includes food hygiene, the safe handling of medicines, and nutrition for the elderly as well as specific training regarding dementia. Staff that the inspector spoke with indicated that they believe they receive the appropriate training to enable them perform their job effectively. Residents and relatives suggested that the staff have the skills and abilities to perform their job. One relative stated that the staff are well trained. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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) 38 The health and safety of residents is protected by the good practices at the home. EVIDENCE: Polices and procedures are in place relating to all health and safety issues. One member of staff has been allocated as the health and safety representative for the home. As part of her role she undertakes risk assessments of the environment of the home with action being taken on the results of the risk assessments. Risk assessments have been made of all working practices with the support of a professional company. Policies and procedures are in place relating to infection control, moving and handling, fire safety, COSHH, first aid and food hygiene. All staff receive the recommended fire safety and moving and handling training, along with undertaking further training in a variety of health and safety topics. Service certificates indicate that all equipment and services are serviced at the recommended intervals. Foodstuffs and equipment are stored in an appropriate manner in the kitchen area. The home has recently achieved Gosport Councils Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 Page 17 Gold Award for the health and safety within the kitchen area. A record of all accidents with in the home is maintained. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 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 3 Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 Page 19 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 OP26 Good Practice Recommendations The registered provider should monitor the condition of the carpets in communal areas to assess when they will need to be replaced. Russell Churcher Court H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 Page 20 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 H54 S12240 Russell Churcher Court V233263 050705 Stage 2.doc Version 1.30 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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