Inspection on 25/10/08 for Sandringham House

This inspection was carried out on 25th October 2008.

CSCI found this care home to be providing an Good service.

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

Sandringham House 29/10/07

Sandringham House 02/06/06

Sandringham House 15/03/06

Sandringham House 10/10/05

Sandringham House 03/02/05

Sandringham House 07/10/04

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sandringham House 26 Sandringham Road Lower Parkstone Poole Dorset BH14 8TH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Juanita Glass     Date: 2 5 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Sandringham House 26 Sandringham Road Lower Parkstone Poole Dorset BH14 8TH 01202744409 01202744409 bookstand@lineone.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Doreen MacLennan Type of registration: Number of places registered: Miss E Smith care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: To admit two persons, as known to the NCSC, under the category DE (under 65) Date of last inspection Brief description of the care home Sandringham House is situated in a residential area of Lower Parkstone, a short walk from the local shops and within easy reach by car or public transport of Parkstone, Poole and Bournemouth. A passenger lift and stairs provide access to the residents bedrooms, which are on both floors of the home. A half landing between floors is accessible only by the stairs and a single bedroom and assisted bath are situated on this level. The communal areas of a lounge/dining area and kitchen are located on the ground floor. The home provides adequate toilet and bathroom facilities as well as sluicing area on both floors. The laundry room is sited in the garden to the rear of the home and also serves as a staff room. The home provides some off road parking at the front of the home. The fees for the home are 695 for a shared room and 725 for a Care Homes for Older People Page 4 of 24 Over 65 16 0 Brief description of the care home single room per week. Any additional charges are detailed within the Terms and Conditions of Residence. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place over one day and a total of 4 hours was spent in the home. To gather enough evidence to support our judgements for this inspection, We The Commission, asked the service provider to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment that focuses on how well outcomes are being met for the people living in the home. It also gives us some numerical information about the service and how they intend to maintain or improve outcomes for people using the service. We also sent surveys to people living in the home and healthcare professionals who are also involved in their care. We received 6 completed surveys 5 from people living in the home which had been completed by relatives on their behalf and one from a GP involved in the care of people living in the home. Once we had received this information we carried out a visit to the home and spoke to Care Homes for Older People Page 6 of 24 people living there, their relatives and staff who work in the home. Whilst there we we also looked at documents maintained for the day to day running of the service. These included care plans, staff recruitment and training. Also records relevant to the administration of medication, service records and health and safety. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents benefit from adequate written infromation, a chance to visit the home and a full assessment of their needs. This means they can make an informed decision before moving in and their needs are fully met. Evidence: We The Commission looked at a copy of the homes Statement of Purpose and Service User Guide. This was readily available in the home and provided immediately. We saw that it was well written and contained all the information a person would need to tell them about what care the home can and cannot provide. The owner Miss Smith confirmed that the Service User Guide could be provided in large print if requested. It stated clearly the fees charged by the home and what they pay for with a list of extra charges clearly mentioned. The guide also makes a statement concerning the homes ability to accommodate the religious or cultural needs of people with different beliefs or cultural backgrounds. Care Homes for Older People Page 10 of 24 Evidence: We discussed with the owner and manager the way in which they would assess a person who wished to move into Sandringham House. They confirmed that they continue to share the process. Miss Smith carries out the assessment on a one-to-one basis then discusses her assessment with the manager who makes the final decision as to whether the needs of the person can be met. Should the manager have concerns about whether the home can meet the persons needs, she discusses them with the persons care manager, advocate or relative. We then looked at the records held in the home for people who had not lived there very long. They had completed assessments and letters confirming that the home could meet their needs. We also saw completed hospital care plans or community assessments. People wanting to move into Sandringham House can visit and spend time there to meet other people and the staff who will be looking after them. This is often done by a relative or advocate on their behalf. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in Sandringham House benefit from personal and specialist healthcare support that is provided in a person centred way respecting their privacy and dignity. They benefit from and are protected by the homes policies and procedures for the administration of medication. Evidence: We looked at the care plans held by the home for three residents. We noticed that the recommendations made at the last inspection had been followed. This meant that the care plans now contained risk assessments that were more detailed, this means staff are given enough information to help them provide a good level of care. They also contained records to show that action had been taken by staff such as turning charts or fluid charts. The care plans were written in a person centred way showing that staff understand the individual and diverse needs of the different people living in the home. The manager confirmed that staff were completing social histories of people living in the home to help them get a better view of how that person would prefere to be cared for. Staff Care Homes for Older People Page 12 of 24 Evidence: spoken to said they knew the individual likes and dislikes of the people in the home and were observed to respect the way a person liked to be cared for. People we spoke to said they were well looked after two relatives said they could not fault the excellent care that was provided by the staff. Surveys returned to us indicated that people were very happy with the way the home was run. One survey stated our family and friends have all been impressed by the standard of care and the family atmosphere generated in the home. Whilst another said I am very happy with the care my mother receives. One resident spoken to said their health had improved dramatically since their admission to the home, they were very grateful for the caring attitude of all the staff. People living in Sandringham House have access to healthcare specialists and care plans showed that the specialist services could be consulted when the home felt they needed some expert advise. Residents were helped to attend out patient appointments, the dentist, optician and the chiropodist visits regularly. Regular reveiws are carried out with the GP. Sandringham House has very clear policies and procedures for the receipt, storage and administration of medication, all staff are approriately qualified and trained in handling medication. We looked at the records held by the home. We found that they were up to date and showed clearly that staff followed the homes policies and procedures. Since the last inspection all handwritten entries on the medciation charts were signed and witnessed, and a daily record was made of the temperature of the medication fridge. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from an appropriate range of social opportunities available in the home, which reflects their interests and preferences. People living in the home are helped to exercise choice and control in their daily lives within their capabilities and desire to do so. The dietary needs of residents are well catered for with a balanced and varied selection of food available that meets their tastes and choices. Evidence: People we spoke to said they felt free to attend the activities that they wanted to take part in. We looked at the record of activities kept by staff in the home they showed us that people attended activities regularly. An activities person visits the home twice a week and arranges organised sessions for people to take part in. Other days activities are organised by care staff. Activities include one to one sessions when staff chat with people about every day life, as well as chair aerobics to maintian physical health, favourite films, reminisence therapy, aromatherapy and visiting entertainers. Some residents have completed memory boxes and staff were continuing to gather information for those that had not been completed. Regular visits by the mobile library had been arranged for people who preferred to maintain their interest in reading. Care Homes for Older People Page 14 of 24 Evidence: We observed a cheerful rapport between residents and staff, with staff chatting in a friendly way with plenty of cheerful interaction. People visiting the home said they were always made welcome and staff confirmed that families are often involved in home events or in taking people out to maintain contact with the local community or meet their family and friends. Regular visits by local clergy are arranged for people who wish to attend a church service or Holy Communion, this reflects the cultural needs of the people in the home. The provider confirmed that arrangements could be made for ministers from other religions to visit the home if required. The menus on display showed that a variety of nutritious meals are offered with choices available including a vegatarian option. Staff were very aware of peoples personal likes and dislikes as well as any special dietary needs. All likes and dislikes were clearly recorded in peoples care plans. People spoken to said they always enjoyed their meals. One visitor said the meals were always well presented and staff made it easy for them to come and help their relative at mealtimes. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from and are protected by the complaints and safeguarding procedures in the home. Staff are fully aware of the procedures to follow to protect people from abuse. Evidence: Sandringham House has a very clear complaints policy and procedure, which is easy to read. It shows a clear timeline and action to be taken if some one wishes to raise a concern or complaint. The complaints procedure is displayed in the hallway of the home, within the Statement of Purpose and Service user Guide, it is also within the Terms and Conditions of Residence. These were made available to all residents and their relatives. Surveys received showed that people are aware of how they could raise a concern or complaint. People we spoke to said they knew who they could speak to. The manager keeps a full record of all concerns, complaints and compliments they receive. No complaints had been received by the home or The Commission since the last inspection. The provider manager and staff were aware of the local policies and procedures for Safeguarding Adults under No Secrets. Staff records showed that they had all received appropriate training for the Protection of Vulnerable People. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from a comfortable, well equipped and homely environment, which is well maintained and decorated with access to a well maintained garden area. People are protected by staff awareness of appropriate infection control guidelines. Evidence: We carried out a tour of the premises and saw that the home was well maintained both inside and out. The gardens were attractive and the provider has installed a ramp so that all areas are accessible for people living in the home. All areas of the home were clean and tidy and there were no unpleasant odours. Peoples rooms reflected their personal interests with ornaments, pictures and family photographs. People we spoke to said the home was always clean and tidy. Staff were observed to use personal protective clothing when appropriate and had a clear understanding of infection control guidelines. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from and are protected by the staffing levels and skill mix of staff in the home. The homes recruitment procedures and staff training further protect them from the possibility of abuse. Evidence: We looked at the personnel files held by the home for some of the staff. We also looked at the staffing rota and the training records for people working in the home. The staffing rota showed that there is always enough staff in the home with the right skill mix to support the diverse needs of the people living there. They also showed that staffing is flexible so additional staff could be bought in to cover extra busy times such as activities or when care needs are higher. Visitors spoken to felt that there were always enough staff in the home whenever they visited. The manager confirmed that staff are encouraged to attend the NVQ In Health and Social Care training. This has resulted in the home having 49 of their staff qualified in an NVQ level 2 or 3 and other staff working towards the qualification. Staff personnel records showed that all mandatory training had been attended and dates for further updates were advertised in the office. Staff had also attended training that was considered relevant to their role in the home and the diverse needs of people living there. Qualified staff had attended training to maintain their qualification and knowledge. Staff said they felt well supported by the provider in attending any training Care Homes for Older People Page 18 of 24 Evidence: they were interested in that would also benefit the people living in the home. Sandringham House has strict policies and procedures for the recruitment of new staff. The home has a very low turn over of staff. Since the last inspection the provider has employed one new member of staff. The provider also showed us the documentation in place for a person who had applied for a post. The files we looked at confirmed that all the required checks were carried out and the correct procedures followed. Following the requirement made at the last inspection all staff records were availabe in the home for inspection. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a well run home with an appropriately qualified manager. They are protected from financial abuse through safe and stringent policies for managing residentss money. Both people working and living in the home are protected by robust health and safety procedures. Evidence: Since the last inspection the registered manager has left and the deputy manager has taken on the post. The new manager is Ms June Lister she is a qualified nurse and has several years experience in the care of elderly people with Dementia. The new manager will need to complete the process for registration with CSCI. Miss Smith is the registered provider for the home and visits at leats twice a week. People spoken to said they found the manager and staff easy to talk to. Two visitors stated that with so low a turn over of staff they got to know them very well and had a good rapport. An annual survey of resident and relative views is carried out and indicated that people Care Homes for Older People Page 20 of 24 Evidence: where more than satisfied with the care provided. The provider uses the results from the survey to plan changes and improvements for the following year. The Annual Quality Assurrance Assessment (AQAA) returned to the CSCI was clear about the homes continued commitment to maintaining improvment and providing an environment that recognises the diverse needs of the people living in the home. The provider confirmed that the home currently does not directly handle residents financial affairs, a relative or power of attorney instead acts on their behalf. We looked at records relating to the servicing of equipment used in the home. All the records were up to date and available for inspection, these included COSHH records which are the guidelines for staff to follow if they spill, drink or are splashed by chemicals used in the home. The implementation of health and safety within the home was satisfactory. All residents had personal risk assessments. Generic risk assessments were in place and reviewed regularly including hot water checks. A review of the firelog showed all tests, training and drills were being carried out in line with the Dorset Fire Brigade guidelines. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 31 The manager needs to complete the registration process with the Commission. Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 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. 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