Inspection on 07/09/06 for Sabrina House Residential Home

This inspection was carried out on 7th September 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

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Heathlands

Aston Court Nursing Home

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Inspirations

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

CARE HOMES FOR OLDER PEOPLE Sabrina House Residential Home 49 Longden Road Shrewsbury Shropshire SY3 5LS Lead Inspector Pat Scott Key Unannounced Inspection 7th September 2006 10:20 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 Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sabrina House Residential Home Address 49 Longden Road Shrewsbury Shropshire SY3 5LS 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) 01743 358929 Sabrina House Limited Margaret Elizabeth Fobister Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Sabrina House is a privately owned Care Home registered with the Commission for Social Care Inspection to provide a service for 13 Older people. The home is situated on Longden Road close to Shrewsbury town centre. Sabrina House makes their services known to prospective service users in: The Statement of Purpose and Service Users Guide. Current service users have these documents within their rooms together with their signed contract of residence stating the additional charges above the fee. The inspection report can be made available. The care home rates are reviewed annually and service users are notified one month in advance. This is clearly laid out in the terms and conditions. Fees for Sabrina House as of 1st April 2006 are: £362.70-372.70 (2 rooms with ensuites). Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service, discussions with the staff team, discussion with the manager, tour of the premises, quality assurance process, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. What the service does well: Sabrina House has more strengths than areas for improvement. Where areas for improvement have been identified by the home the CSCI are confident that the provider will manage these. The home is good at involving people in all aspects of the service. Management have a good day-to-day rapport with service users to ascertain their satisfaction and well being that is also backed up by a formal quality assurance process. Some service users spoken with welcomed the chance to be involved in the home and liked to know what was going on. Significant examples of this is in the way the assessment, care plan, staff practice and quality assurance measures in place in the home all come together to provide good outcomes for those living at Sabrina House. The home is good at identifying individual wishes and needs and meeting these as safely as possible. What has improved since the last inspection? What they could do better: Consideration should be given to repairing the bath panel and tiling in the top floor bathroom even if the two service users currentlyaccommodated on that floor just use the toilet facility. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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 Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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): 1,2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home which will meet their needs Service users have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: The statement of purpose and service users guide were reviewed in March 2006 at the point of registration of the new owners. This information is clear, jargon free and easy to understand. Residents are also provided with information in large print and the manager is considering a welsh version for two people accommodated. Care plans contained full needs assessments that were conducted prior to service users being admitted. These documents confirmed that the assessment had been conducted professionally and sensitively and had involved the family or representative of the prospective service user. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a service user receives, is based on their individual needs thus promoting good health. Staff have a good attitude to their work and the principles of respect, dignity and privacy are put into practice. EVIDENCE: Care plans demonstrated that staff actively promote the service users’ right of access to the health service both within the home and the community. Appointments are planned or arrangements are made for professionals to visit frail service users. Systems to receive, store, administer and dispose of medication in the home are in place and followed according to the home’s policies. Senior care staff have undertaken the relevant training. Staff were seen and heard to respect service users’ privacy and dignity. They were allowed to go about their usual routines and sit where they liked. The Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 10 staff were seen to constantly interact with service users and it was evident that relationships are close but still professional. Service users spoken with were very complimentary about their life in the home. One stated that “staff always talk to me and are very kind”. Another said that “this is the nearest you can get to home”. ” Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to participate in social activity and keep in contact with family and friends. Residents receive a healthy, varied diet according to their assessed requirement. EVIDENCE: The way in which activities are provided places an emphasis on more meaningful pastimes tailored to individual needs. They are enabled to choose the activities they participate in and are consulted for new ideas or opinions in how the programme is going. One of the care assistants has just been successful in gaining a place on an ‘extend’ course which will be of benefit to the home and herself professionally. The menu is displayed each day and has been developed in consultation with the residents. Alternatives are available. The availability, quality and presentation of food ensures that service users receive a wholesome, appealing and nutritious diet. Service users spoken with could not fault the food provided. The kitchen meets the requirements of the Environmental Health Officer and has recently had new flooring. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 12 Service users spoken with stated that they may receive visitors at any reasonable time of the day and that they are always made very welcome by the staff. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a complaints procedure that enables them or their supporters’ views to be listened to and acted upon. Staff are provided with induction and on-going training regarding adult protection. This provides staff with the relevant knowledge to safeguard service users from many types of abuse. EVIDENCE: The CSCI has not received any complaints about the home. Nor have their been any adult protection issues since the new registration. There were many compliments cards on display in the home. Service users were seen to speak easily to staff and were comfortable in their company. Staff are skilled in communicating with people to ascertain their well-being. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sabrina House is comfortable and homely and service users live in a safe, wellmaintained environment. EVIDENCE: Rooms entered into were personalised according to individual wishes and tastes. Service users confirmed that they had chosen their decoration and had been very pleased with the result. Communal areas were clean and comfortable. The laundry is undergoing refurbishment and so was not seen at this visit. Staff implement procedures to minimise cross infection. The panel and tiling in the top floor bathroom is in need of repair. The manager stated that only the toilet facility is used and that the overall use of the facilities provided may change in the future. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 15 Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 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): 27,28,29,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: There have been no recent recruits. The file of one staff member was seen which showed that good recruitment practices had been carried out. Records also showed that induction is provided. The approach to recruitment is conducted with service user involvement as applicants are invited to collect application forms and speak with service users when they do so. Service users are asked for feedback and are invited to join the interview process if they wish to. Staff confirmed that training is provided and there are many equal opportunities to improve themselves for the benefit of service user care. A training plan is in place to cover all mandatory topics as well as specialist subjects. NVQ training is on-going and the care manager and deputy are doing their NVQ 4. NVQ 2 training is almost at 100 . Service users commented that they feel safe with the staff caring for them and they felt that the home employs people that are capable of carrying out their care duties. They were also able to convey who their keyworker was and the role they played in the life in the home. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 17 Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 18 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The ethos of the home is based on openness and respect with effective quality assurance systems developed by qualified, competent manager to achieve good or excellent outcomes for service users in all areas of care. EVIDENCE: The owner/registered manager is near the completion of an NVQ 4 qualification. Through discussion she demonstrated that she manages the service efficiently, providing quality care to service users. She seeks to develop the service, encouraging staff to improve their skills to create a confident staff team. There have been no changes to the way in which personal finances are managed. Records are kept. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 19 Quality assurance takes place throughout the service in both a formal and informal manner. Meetings, surveys and day-to-day contact all provide records to show that service user satisfaction is at the heart of the service. Service users commented that they welcomed being involved in the running of the home. One person said, “The manager always comes to chat with us”. The home keeps records to show that the health and safety of service users is promoted and protected. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 20 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 3 3 3 X X N/A 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 21 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 OP19 Good Practice Recommendations The registered person should repair the bath panel and tiling in the top floor bathroom. Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Sabrina House Residential Home DS0000066417.V297499.R01.S.doc Version 5.2 Page 23 - 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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