Inspection on 16/12/05 for Sandon House

This inspection was carried out on 16th December 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

Sandon House 11/04/07

Sandon House 02/06/05

Sandon House 05/02/05

Sandon House 08/06/04

Sandon House 05/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sandon House Market Street Mossley Tameside OL5 0JG Lead Inspector Steve Chick Unannounced Inspection 12:00 16th and 19 December 2005 th 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 Sandon House DS0000005579.V271328.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. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sandon House Address Market Street Mossley Tameside OL5 0JG 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) 01457 834747 01457 839996 sandon@tamesidecg.co.uk Tameside Care Limited Mrs Irene Booth Care Home 38 Category(ies) of Dementia - over 65 years of age (38), Old age, registration, with number not falling within any other category (38), of places Physical disability over 65 years of age (26), Sensory Impairment over 65 years of age (1) Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 38 OP, up to 38 DE (E), up to 26 PD (E) and up to 1 SI (E) One named person under 65 years. Date of last inspection 2nd June 2005 Brief Description of the Service: Sandon House is a two storey, detached, purpose built care home situated in the centre of Mossley, with easy access to the local shops and facilities, as well as public transport links to Ashton under Lyne. It offers accommodation to up to 38 older people, all in single rooms. Sandon house has three lounge/dining rooms, a dedicated smoke room and an outdoor garden area for communal use. The home is run by Tameside Care Limited, a not for profit organisation, which operates several other care homes. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the inspection four service users were interviewed in private, as were three relatives of service users and two members of staff . Additionally discussions took place with the manager, a visiting medical professional and another regular visitor. The inspector also undertook a tour of the building and scrutinised a selection of service user records as well as other documentation, including financial, accident and equipment maintenance records. This inspection was unannounced on the first day. The second visit, to talk to more service users, was arranged with the home. ‘Comment cards’ were received from six service users and five relatives. Not all the standards were assessed at this inspection. It is recommended that this report is read in conjunction with the previous report from the inspection in June 2005. What the service does well: What has improved since the last inspection? Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 6 Sandon House has maintained its good standards since the last inspection. 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. Sandon House DS0000005579.V271328.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 Sandon House DS0000005579.V271328.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): EVIDENCE: None of these standards were assessed at this inspection. Sandon House does not offer Intermediate Care. Sandon House DS0000005579.V271328.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 and 10. Service users have appropriate written plans of care which are regularly reviewed. Service users are treated with respect and their privacy is upheld. EVIDENCE: A selection of service users’ files was scrutinised. All had written care plans which had been regularly reviewed. There was also documentary evidence that care plans were amended appropriately if the service user’s needs changed. A visiting health professional commented favourably on the care offered at Sandon House. They were also able to confirm that the health needs of service users presented as being appropriately met and there were good working relationships with staff at the home, to the benefit of service users. All respondents to the service user ‘comment cards’ reported that they liked being at the home, were treated well and were well cared for. Similarly service users spoken to during the inspection spoke positively of the care they received. This included confirmation that staff undertook care tasks in the way in which the service user wanted. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 10 All respondents to the relative ‘comment cards’ reported that they were satisfied with the overall care provided at the home, were kept informed of important matters affecting their relative and were consulted about their care. Similarly visitors spoken to during the inspection were positive about the care offered by Sandon House. One visitor reported that their relative had come to the home for a period of respite care after which, due to their experience at Sandon House, they wanted to stay, rather than return home. All service users have their own room which they can go to whenever they wish. Observation and discussion with service users and staff confirmed that service users were treated with respect and that their privacy was upheld. All respondents to the service users’ ‘comment cards’ reported that their privacy was respected. Sandon House DS0000005579.V271328.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): 13 and 15. Visitors are welcomed to the home at any reasonable time. The provision of food at the home is good. EVIDENCE: The home has a policy that there are no unreasonable restrictions on visiting. Visitors spoken to during the inspection confirmed that they could visit at any time. Similarly service users were able to confirm that they had unrestricted access to visitors, who they could see in private if they wished. All relatives’ comment card respondents stated that they were welcomed to the home at any time. Several, service users, visitors and staff members commented positively on the perception that Sandon House had strong links with the local community in Mossley. This included service users who specifically choose to live there to maintain their community links, and the local community hall’s active encouragement of service users to attend shows and events. All service users’ comment card respondents stated that they liked the food. Service users also spoke positively about the provision of food in the home. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 12 One meal was sampled during the inspection. This was pleasantly presented and tasty. The manager confirmed that service users could choose to either eat in the dinning areas or in their own rooms. This was observed to be the case during the inspection. Sandon House DS0000005579.V271328.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): 16 and 18. The home deals appropriately with any complaints or concerns. Service user were protected from abuse or exploitation. EVIDENCE: The home has an effective complaints policy which has been scrutinised on previous inspections. Documentation was not scrutinised on this occasion. All service users and relatives spoken to during the inspection expressed the view that any complaint they may have would be responded to appropriately. One relative said “you’ve only got to mention something and its done.” Staff who were interviewed also expressed confidence that the management team would be appropriately responsive to complaints and would not tolerate poor practice. The home has an appropriate policy in connection with the protection of vulnerable adults. As with the complaints procedure this was not scrutinised at this inspection. Staff who were interviewed demonstrated an understanding of the company’s Adult Protection procedures, including the need to ‘whistle blow’ if necessary. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 14 All service users and relatives spoken to were very confident that service users were ‘safe’ at Sandon House. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 15 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): 23, 24, 25 and 26. Sandon House is well maintained, clean, tidy and odour free throughout. Service users’ bedrooms are appropriately furnished and maintained. Service users are able to personalise their rooms. EVIDENCE: During the inspection a tour of the building was undertaken, including a selection of service users’ bedrooms. No issues requiring remedial work were identified during this tour. The pleasant, secluded, garden area had been redesigned since the previous inspection and landscaping work was nearing completion. This presented as being done to a good standard. Service users’ bedrooms demonstrated an appropriate level of personalisation, and as with the rest of the home were clean and well maintained. The manager Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 16 reported that the company was planning to refurbish the bedrooms commencing in January 2006. Visitors and service users confirmed that the clean, odour free and pleasantly presented environment was the usual state of the home. One relative commented that the home, including her relative’s bedroom, was always “spotlessly clean”. Another, when asked about the ‘best’ thing at Sandon House, identified the “nice surroundings … [always] clean” as being amongst many ‘best things’. One service user described the home as always clean and tidy and the domestic staff as “marvellous”. One member of the domestic staff was interviewed. She described a thorough, routine, cleaning schedule and reported that there was never a problem with the supply of equipment or cleaning products. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 17 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): 30. Staff have access to appropriate training. EVIDENCE: Discussion with staff members and the manager confirmed that the company was maintaining its commitment to training. Newly appointed staff receive a period of induction. Training records confirmed that a wide range of appropriate training was available to the staff team. Several relatives commented that there were occasional periods when there was a shortage of staff. However, they also observed that this had more of an impact on the staff, who had to work harder, than on service users. All service users and visitors were very positive about the attitude and competence of the staff team. One visitor described the staff as “very friendly, very helpful and really cheerful.” Another visitor valued being able to have “a bit of fun with staff”, who were always “pleasant”. Two relatives used the comment cards to comment favourably on staff, saying staff were, “very friendly and helpful” and “ … provide excellent care, as always.” Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 18 One service user said the “carers are smashing” and another described staff as “very obliging.” Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 19 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 and 38. Quality Audit systems are in place, but require some additional work. Service users’ financial interests are safeguarded. The health and safety of staff and service users is promoted. EVIDENCE: Tameside Care Group undertakes a range of Quality Monitoring and Quality Audit procedures. These include periodically seeking the views of service users and relatives by the use of postal questionnaires which can be completed anonymously. An analysis of these questionnaires is available at the home and is provided to the Commission for Social Care Inspection. However, the analysis does not include information on how the organisation intends to address issues for possible improvement which are identified through this process. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 20 The manager reported that the main issue identified through this process was the menus. This had been addressed through a service users’ meeting held in September 2005. A selection of records relating to money held by Sandon House on behalf of service users was examined. They presented as being appropriately maintained. Receipts were obtained for purchases made for service users and the record was signed by the service user if cash was returned to them. The manager reported that all appropriate health and safety policies and procedures were in place and routinely followed. A random selection of these records was examined. These included fire precautions, electrical and gas appliance testing; hoist maintenance and a water chlorination certificate. This documentation presented as being appropriately maintained. The domestic worker, who was interviewed, confirmed she had received training in connection with hygiene control and the safe use of chemicals. Other staff confirmed the availability and mandatory use of disposable gloves and aprons, to minimise the risk of cross infection. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 21 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 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 3 Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 22 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 OP33 Regulation 24 Requirement The registered person must ensure that any report on the quality of care also addresses any means of improving the quality. Timescale for action 01/06/06 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 Refer to Standard OP33 Good Practice Recommendations The registered person should ensure that an action plan addressing how issues identified in any Quality Monitoring exercise, is included in the report before the report is made available to service users or the Commission for Social Care Inspection. Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Sandon House DS0000005579.V271328.R01.S.doc Version 5.0 Page 24 - 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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