Inspection on 03/01/06 for Scotch Dyke

This inspection was carried out on 3rd January 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

Scotch Dyke 05/11/08

Scotch Dyke 08/11/06

Scotch Dyke 12/11/04

Scotch Dyke 15/06/04

Scotch Dyke 01/12/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Scotch Dyke 38 Beehive Lane Ferring Worthing West Sussex BN12 5NR Lead Inspector Mrs H Church Unannounced Inspection 3rd January 2006 09:30 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 Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 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. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Scotch Dyke Address 38 Beehive Lane Ferring Worthing West Sussex BN12 5NR 01903 242061 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) Westermain Limited Miss Sharon Timmins Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd August 2005 Brief Description of the Service: Scotch Dyke is a privately owned care establishment operating under the company name of Westermain Limited. It provides personal care for up to twenty-five residents in the category of Older Persons. Scotch Dyke is a detached two-storey establishment in the village of Ferring, near Worthing and is situated approximately ½ mile from the centre of Ferring and all its amenities and ½ mile from the sea front. Twenty-three of the rooms are for single occupancy with one double room. Fifteen of the single rooms and the double room all have ensuite facilities. A large lounge, dining room and conservatory provide the communal space. The newly appointed registered manager is Miss Sharon Timmins and the responsible person representing Westermain Limited is Ms Pamela Anderson. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, one of two required under the Commission for Social Care Inspection was planned to take part during the morning activities. The manager and the Responsible Individuals were both present for the majority of the inspection process and both assisted the inspector with her enquiries. The inspector observed the care provided by staff as residents gathered in the lounge for the morning activities. To prepare for this inspection, previous reports and letters were reviewed. The Statement of Purpose and Service Users Guide provide information as to how the home is run and how residents can make changes to improve their lives there. These are currently being reviewed to take into account the change in management and the inclusion of the Responsible Individual. During the inspection, eight residents, two visiting professionals and three members of staff gave their views to the inspector. Four records were examined to see if the care being provided was as the residents described. All of the residents spoken with were able to give a clear account of their life at Scotch Dyke and all comments were enthusiastic about the way staff provided care, the ambience and facilities provided. It was clear that residents are encouraged to say what they like or don’t like about the home and changes made accordingly. One resident said, “It is better than a hotel” and another “I’d recommend it anytime”. The visiting professionals both said appropriate referrals are made and given all the assistance they needed. Recent letters confirmed relatives are pleased with the services provided. The staff members were unanimous in their support of the new manager and said they enjoyed working together in a team. The care plans showed that appropriate care is provided to meet the needs of the residents, maintain independence and continue to improve residents lives. There were no requirements made at this inspection and the only recommendation was implemented before the inspector left the premises. What the service does well: Scotch Dyke continues to encourage residents to own it as their own home by listening to their comments and providing very individual care in a homely environment. The completed Quality Monitoring Survey forms showed that residents remain at the centre of all activities and are encouraged to make suggestions to improve their home or individual lives. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 6 What has improved 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. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 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 Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 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): 1-5 All residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable. EVIDENCE: The manager is updating the Statement of Purpose and Service Users Guide to include the changes of responsibility. Two residents confirmed their care had been discussed prior to being admitted. Four care plans were examined and it was clear residents had been assessed to ensure the home would be able to meet their needs. Relevant risk assessments were in place and had been updated. Care plans to instruct staff how to meet identified needs had been written from the assessments and it was clear from the comments from staff members that they were well informed about the care needed and were updating records accordingly. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7-10 All residents had a care plan set out for staff to follow. Residents can elect to manage any part of their medication under the direction of care staff members. The needs of the residents are being met in a respectful manner and staff are referring and responding to health care professionals as required. EVIDENCE: Four care plans gave good, clear information of care needed with risk assessments giving staff good information about the risks and how to minimise these. Medication sheets were completed accurately and from comments made by two visiting health care professionals, it was clear that appropriate referrals are made regarding any nursing care needed. The inspector observed the interaction between staff and residents. Residents were spoken to with respect. When entering resident’s rooms, staff knocked on doors first and checked again with residents that they were happy to have them come in. This ensured residents with hearing difficulties were aware of a choice. A number of comments were received about the home and these included “ they can’t do enough for you here”, “they look after me well” and “staff are helpful and kind”. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 10 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. Activities are suited to the conditions and dependency levels of each of the residents. Visiting is positively encouraged. Residents are served meals that are nutritious and appetising. EVIDENCE: Activities are based on ability with staff assisting residents when necessary. There are 24 residents living in the home at present and it was clear that there are sufficient staff on duty to spend individual time with them. The inspector examined letters sent to the manager by relatives and visitors complimenting the home on the “excellent” care and services provided. The visitor’s book demonstrated that visitors are welcomed throughout the waking day. The resident’s comments included high praise for the food. The inspector examined the menus and saw the choices of food being prepared. It was clear from the menus that these are changed regularly from feed back at each meal. The care plans included residents preferences for dishes and the cook is given this information. The home exceeds the standard and the score reflects this. Comments included “the food is excellent”, “lovely portions” and “the food is amazing”. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 11 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): 16,17,18. Residents are confident that any complaints they may have are taken seriously and acted upon appropriately. Staff receive regular training in adult protection procedures. EVIDENCE: The home has a complaints procedure displayed in the hall and included in the Statement of Purpose and Service Users Guide. Two residents said they knew who to complain to, but had no occasion to do so. The West Sussex Multi Agency guideline was available and training records showed staff members are continuously updated in procedures. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 12 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. The indoor areas used by residents are clean, safe and homely with good access to the front, rear and side gardens. The resident’s rooms are suitable for their needs and are homely. EVIDENCE: The inspector toured the home and it was clear that it was arranged to encourage residents to access it at all times and use it as their own home. All the communal rooms were comfortably furnished and a trolley of drinks provided at all times. The dining room tables accommodate six residents giving it a homely atmosphere. There is a passenger lift for those residents whose rooms are upstairs. The gardens have been designed to assist residents to walk independently or use a wheelchair and are furnished with occasional garden furniture. There are enough toilets and assisted baths to meet the needs of residents and residents are protected from scalding water temperatures by thermostatic valves and guarded radiators. The home was clean and hygienic. Resident’s Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 13 rooms were visited and were homely and comfortably furnished with their own possessions around them. Training records showed that staff members have received training in fire safety procedures and fire risk assessments were in place. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 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 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): 27,28,30. The duty rotas showed sufficient staff are on duty over the 24 hours period to meet needs. Recruitment processes are robust to ensure residents are protected. EVIDENCE: The inspector joined the day staff and the new manager as they assisted residents during the early morning and before lunch. The rota confirmed that the numbers and skill mix of staff was appropriate to meet their needs. Three staff spoken with said they were happy working at the home and felt very positive about the changes in management. Although no records were examined on this occasion, recruitment records have always been consistent and from staff comments, induction, supervision and training are provided. Staff have access to all job descriptions giving good information about the structure of working roles throughout the home. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 15 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): 31,32,33,36,38. The newly registered manager is Miss Sharon Timmins and the previous owner/manager; Ms Pamela Anderson is the Responsible Individual, representing Westermain Limited. Miss Timmins has fully satisfied the Commission for Social Care Inspection that she is well experienced to manage the home. The home continues to be run in the best interests of the residents whose health, safety and welfare is promoted and protected. EVIDENCE: Miss Timmins has recently been registered as the manager of Scotch Dyke and is currently completing her National Vocational Qualifications level 4 in Care and has registered onto the Registered Managers Award course. The care staff were clearly supportive of this new appointment but felt this had not affected the way care is provided as they continue to work together as a team. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 16 Recruitment, induction and supervision records were not examined on this occasion but discussed with the new manager, Responsible Individual and staff. It was clear that resident’s best interests are still a high priority. All communal and residents rooms meet the National Minimum Standards giving resident’s sufficient space for them to have personal possessions or necessary equipment to support their care needs and move around their rooms safely. Relatives had recently completed a Quality Assurance monitoring system and the results of these are to be displayed alongside the results of the residents survey in the hall. Both surveys showed a high quality of care is being provided in a professional manner that combines training and experience with human compassion and warmth. Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 17 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 X Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Scotch Dyke DS0000014704.V275490.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!