Inspection on 05/11/08 for Scotch Dyke

This inspection was carried out on 5th November 2008.

CSCI found this care home to be providing an Excellent 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

Scotch Dyke 08/11/06

Scotch Dyke 03/01/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Scotch Dyke 38 Beehive Lane Ferring Worthing West Sussex BN12 5NR     The quality rating for this care home is:   three star excellent 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: Jo Hartley     Date: 0 5 1 1 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. that people have said are important to them: They reflect the things 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 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 25 Information about the care home Name of care home: Address: Scotch Dyke 38 Beehive Lane Ferring Worthing West Sussex BN12 5NR 01903242061 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Westermain Limited Name of registered manager (if applicable) Miss Sharon Timmins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 25 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: old age, not falling within any other category (OP) Date of last inspection Brief description of the care home 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 one mile from the centre of Ferring and all its amenities and one mile from the sea front. Twentythree of the rooms are for single occupancy with one double room. Fifteen of the single Care Homes for Older People Page 4 of 25 care home 25 Over 65 25 0 Brief description of the care home rooms and the double room all have en-suite facilities. A large lounge, dining room and conservatory provide the communal space. The Registered Manager is Miss Sharon Timmins and the responsible person representing Westermain Limited is Ms Pamela Anderson. Care Homes for Older People Page 5 of 25 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: three star excellent 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: The quality rating for this service is 3 star. This means the people that use this service experience excellent quality outcomes. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. It was carried out by Jo Hartley. The findings of this report are based on several different sources of evidence. These include: previous reports of visits to the home, the Annual Quality Assurance Assessment (AQAA) completed by the home, surveys received from residents and staff, and an unannounced visit to the home, which was carried out on the 5th November 2008. During the visit we looked at policies and procedures, staff records and residents records. Care Homes for Older People Page 6 of 25 All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. The last inspection on this service was completed on the 8th November 2006. 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 25 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 25 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 have their needs assessed prior to moving into the home and are given enough information about the home. Evidence: We looked at the files for three residents. Pre-admission assessments were recorded in all three files. Assessments were detailed and include individuals preferences. The manager or assistant manager visit people in their homes or hospital, whenever possible, to carry out the assessments. Prospective residents are welcome to visit the home for coffee or lunch and bring their relatives with them if they wish. One person told us, Admission was required urgently having been discharged from hospital sooner than expected. The homes representative went out of her way to provide full information so that a considered decision could be made. Prospective residents are given a copy of the homes Service User Guide and Care Homes for Older People Page 10 of 25 Evidence: Statement of Purpose to assist them in making a choice about whether to move into the home. Scotch Dyke does not provide Intermediate Care, therefore Standard Six does not apply to this home. Care Homes for Older People Page 11 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of residents are met by the home. Evidence: The care plans that we looked at during the visit had clear details of how staff are to meet the individual needs of residents. They include individuals likes, dislikes and personal preferences. For example, how they like their coffee made, what they like for breakfast and what activities they enjoy. Risk assessments are comprehensive. Care plans are reviewed every month. All the residents who returned surveys said that they always recieve the care and support they need. A relative commented, The staff are always very attentive and caring and understand what dad needs. Daily records and care notes show that residents receive the support from healthcare professionals such as General Practitioners, District Nurses and opticians that they need. Risk assessments are in place for residents who are at risk of falls or developing Care Homes for Older People Page 12 of 25 Evidence: pressure areas. The homes medication storage was seen and found to be tidy, clearly labelled and with no over stocking. The recording of the administration of medication was accurate with no gaps. All staff who administer medication receive training. Care Homes for Older People Page 13 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are offered a variety of activities and enjoy the food provided. Visitors are made welcome. Evidence: Care plans and daily records seen showed that residents experience choice about how they live. For example they get up and go to bed when they choose. One resident told us, I choose not to take part in activities as I prefer to stay in my room which I am so pleased I can do. A wide variety of activities are provided by the home. On the day of the visit residents were enjoying a film afternoon with ice cream served during the interval. Other activities available include bingo twice a week, quoits, board games, flower arranging, puzzles, entertainers, musicals, singers, trips to the pantomime, and trips out in the car or mini bus, walks and exercise sessions. During the day staff were seen welcoming guests to the home and offering them drinks. The entries in the visitors book shows that visitors are welcome at all reasonable times. Care Homes for Older People Page 14 of 25 Evidence: Residents told us that they enjoy the food provided at the home. In the survey responses five residents said they always enjoy the food and one said they usually do. The menu for the lunchtime meal on the day of the visit was chicken casserole, potatoes, carrots and broccoli followed by chocolate banana sponge with chocolate sauce. Residents confirmed that a choice is available if they dont want the main menu meal. The supper menu for that day was asparagus soup, fresh smoked salmon sandwiches and a choice from the sweet trolley. Care Homes for Older People Page 15 of 25 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. Residents know how to make a complaint if they need to. They are protected from abuse from the homes policies, procedures and staff training. Evidence: The complaints procedure is displayed in the hall of the home and is also printed in the Service User Guide and Statement of Purpose that all residents receive. All the residents who returned the survey we sent out said that they know who to speak to if they are not happy and they know how to make a complaint. Staff and training records confirmed that staff receive training in Adult Protection. The West Sussex Guidance for Safeguarding Adults is available in the office. There are also robust policies and procedures for staff to follow. Care Homes for Older People Page 16 of 25 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. Residents live in a safe, well maintained environment that is clean and hygienic. Evidence: Scotch Dyke provides a homely, clean and comfortable environment for residents. All of the residents who responded to the survey said that the home is always fresh and clean. Furnishings and fittings are of a good quality and in good condition. Residents bedrooms were personalised with their own belongings. The home has well tended gardens with tables and chairs so residents can enjoy it in fine weather. Radiators are covered and windows restricted for safety throughout the home. There is a lift to the upper floor for residents whose rooms are upstairs. Equipment such as ramps, bath seats and rails are situated throughout home where needed. The laundry facilities are situated away from food preparation areas and are easy to clean. Staff have received training in infection control, and fire safety. Two of the hot water outlets that were tested had very hot water, despite having thermostatic valves fitted to restrict the temperature. The senior staff member on duty said that she would report this to the maintenance man. The home carries out monthly checks on water temperature. Care Homes for Older People Page 17 of 25 Care Homes for Older People Page 18 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by well trained, experienced staff who are competent to do their jobs. Evidence: The level of staffing at the home is good, enabling the staff to meet the care needs of the residents and spend time chatting, taking them out and doing activities in the home. The home does not need to use agency staff as there are enough staff to cover sickness and holidays. As well as care staff the home employs a cook, domestics, a kitchen assistant and a maintenance man. In the surveys we received from staff and residents, four staff said that there are always enough staff to meet individual needs, and one said there sometimes is. Five residents said there is always staff available when needed, and one said there usually is. The home has a thorough induction and staff training programme in place. All five staff who replied to our surveys said that the induction they received when they started their jobs covered everything they needed to know. Mandatory training includes Adult Protection, Infection Control, Medication Administration and Food Hygiene. Staff confirmed that they receive training that is relevant to their role, keeps them up to date with new ways of working and helps them understand and meet the needs of individual residents. The home has over fifty per cent of staff with a National Care Homes for Older People Page 19 of 25 Evidence: Vocational Qualification in Care at Level Two or above. We looked at the recruitment records for three members of staff and found them to include all the required documentation including Criminal Records Bureau Checks, two written reference and application forms. Care Homes for Older People Page 20 of 25 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. The home is well managed and provides a safe environment for residents. Staff say they are well supported by the manager. Evidence: The registered manager has a National Vocational Qualification in Care Level Four and the Registered Mangers Award. Staff said they feel supported by the manager. One comment we received from a member of staff said, Management always make everyone, staff and residents, feel cared for. The home has a Quality Assurance system in place that seeks the views of residents, visitors, staff and other stakeholders. The outcomes from the last Quality Assurance audit were seen displayed prominently in the hallway of the home. Residents or their representatives manage their own money. The home does hold some small amounts for some residents, records of these are up to date and well Care Homes for Older People Page 21 of 25 Evidence: maintained. Staff confirmed to us that they receive regular supervisions and a yearly appraisal. The home has robust health and safety procedures in place. Any accidents and incidents are recorded thoroughly. Checks on equipment and services such as hoists, lifts, gas, electricity and fire systems were seen to be up to date. Care Homes for Older People Page 22 of 25 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 23 of 25 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 Care Homes for Older People Page 24 of 25 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 © (2009) 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 25 of 25 - 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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