Inspection on 08/11/06 for Scotch Dyke

This inspection was carried out on 8th November 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 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 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 8th November 2006 09:00 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.V306834.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 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.V306834.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd January 2006 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 en-suite 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.V306834.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit took place over one day and planned to take part in the morning and over the lunch time period. The manager was present and assisted the inspector with all of her enquiries throughout the site visit. The inspector noted staff spending quality time with individual residents, either in the lounge or in their rooms. A homely, friendly and relaxed atmosphere prevailed and the inspector was welcomed into all areas of the home. Although autumn, it was a fine day and some residents were going out into the community whilst others were enjoying the sun in the conservatory. For the site visit, the inspector examined previous information and the Statement of Purpose and Service Users Guide that informs residents about the service. During the inspection, ten residents and three visitors gave their views to the inspector. Without exception all comments were enthusiastic about the staff and their life there. One resident commented, “It has met my expectations” and one visitor said “The staff combine efficiency with friendliness and good humour”. Two members of care staff said they felt very supported by Miss Timmins, the registered manager. All staff carried out their duties in a relaxed and positive manner. The care plans showed that the care provided is appropriate according to the needs of the residents and the right amount of support to maintain independence and ensure resident’s lives continue to improve was given. There were no requirements or recommendations made at this inspection. What the service does well: Scotch Dyke is a well-established care home providing a good standard of care in friendly, homely arena where residents feel well supported. It is well maintained with rooms exceeding the National Minimum Standards. The Responsible Individual visits regularly and supports the manager in the day today management of the home. The manager has maintained a supportive leadership style of management to support and promote a good standard of individual care. Care staff are promoting care with independence and the community health care team are supporting staff to meet the health care needs of residents to achieve this goal. It was clear that Scotch Dyke are maintaining a care home where resident’s needs continue to be the focus for all activity. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 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.V306834.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. All new 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 Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Four residents, including one new resident were case-tracked. A number of Pre-assessments records were seen and noted to include all the areas required for making a decision. The Statement of Purpose and Service Users Guide have recently been updated and the Commission for Social Care Inspection and residents have all received updated copies. Residents are generally selffunding although the local authority funds some of the residents. The contract is being updated to take into account the Office of Fair Trading’s document on Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 9 Contracts in Care Homes. The current contract contains sufficient information for residents to understand the care home’s responsibilities. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. All residents had an individual care plan set out for staff to follow. The home operates a policy where all medication is managed by care staff. Care staff are meeting the health care needs of the residents in a respectful manner. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Four care plans and assessments were examined and were seen to include the health, care and social needs of the resident. Risk assessments and nutritional assessments formed part of the care plans and the inspector observed that residents have signed their agreement to the information kept in the care plans. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 11 Care plans reflect the changing needs of residents and the risks to their health, safety and welfare, including falls and pressure areas. Risk assessments were good and included the personal abilities of the residents. The inspector noted the care plans contained updated information to inform staff of the current situation. The manager and staff meet daily to discuss any new needs noted during the care of each resident. The staff on duty were well informed about the care needed for the four residents case tracked and were providing care appropriately. The inspector received excellent feedback on privacy and dignity and the home’s commitment to maintaining contact with the local community. The home’s medication procedures showed safe practice with the handling, administration, storage and disposal of medicines although the inspector did recommend that the inclusion of photographs on individual MAR charts would minimise risks of maladministration. MAR charts were accurate with no gaps noted in recording of administration of medicines. Links are made between residents needs and determine the care provided. Staff have been assessed as competent to undertake the medication procedure and monitor the risks for any resident electing to manage their own medication. A recent pharmacy inspection confirmed that the home are meeting the health care needs of residents in a safe manner. The inspector noted that residents sign disclaimers when electing to self medicate any part of their medication. The manager ensures this is monitored regularly. Where the community health care team are involved, staff are referring and following instructions appropriately. Where specialist equipment had been identified, this had been provided. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 12 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): 12,13,1,4,15. Activities are suitable for current residents, visiting is positively encouraged and residents are served meals that are nutritious and appetising. Quality in this outcome area is excellent. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: There are twenty-one residents living in the home at present and care staffing hours are sufficient giving care staff opportunity to spend individual time with the residents. According to five visitors, they are always made welcome at any time with refreshments provided. The visitor’s book confirmed this. A programme of activities was observed as being in situ many residents confirmed this was provided. Currently, activities are based on resident’s wishes and abilities with any new activities being provided from residents’ requests. Activities range from individual to group activities and range from physical to mental activities of numerous types. Staff will accompany Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 13 residents for trips out either to the local shops or local outside places of interest. The dining area looked very inviting and was arranged to encourage residents to sit at tables laid for up to six persons but also to communicate with other residents. The resident’s comments included praise for the home cooked food and found it fulfilling with good choices. The inspectors spoke with the cook and it could be seen that dishes were prepared according needs and wishes of the residents. The inspector observed the high quality of the home-made meal, all prepared from fresh ingredients. The menus are changed regularly according to feedback. Where residents prefer an alternative, this is provided and on the day of the inspection, a choice of three main dishes was being provided. It was clear that meals are a high focus for all residents. Sherry is always given before lunch and residents tend to gather together in the lounge when it is served and socialise with each other. The kitchen was fitted with spacious and well-organised work surfaces with well-maintained equipment giving staff the means of providing a good choice of meals in a hygienic and specialist area. Where residents are unwell or prefer to eat in their rooms, sherry is served prior to lunch and individual trays are laid with napkins, drinks condiments and a good range of cutlery. The inspector observed where staff are providing assistance for residents unable to manage without help. Dietary needs are recorded in the individual care plans and these are taken into consideration when planning meals. Weight charts are being maintained to facilitate the link between all aspects of health care and menu planning. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 14 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 complaints are taken seriously and acted upon appropriately. Staff have had in-house training in adult protection procedures so are equipped to protect residents from abuse. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The complaints procedure was available in the hallway with the Visitor’s Book and included in the Statement of Purpose and Service Users Guide. The complaints log was examined and there have been no complaints from residents in over a year. Four residents told the inspector that they had no hesitation in speaking to the staff or manager if there was anything they felt unhappy about. The staff confirmed that in-house training for Adult Protection Training had been given this year and the training was certificated. The induction and foundation training included some training aspects of this. The West Sussex Multi Agency Guideline was present in the office and made available to staff at all times. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 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): 19-26 inclusive. The indoor and outdoor areas used by residents are clean, safe and homely with good access to all parts. Resident’s rooms are suitable and homely. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The inspector toured the home and observed that the indoor communal areas, garden and individual room areas are safe and well arranged to maximise independence without compromising a sense of freedom. Ramps are present to provide independent access to all areas and the redecoration and refurbishment programme continues. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 16 The communal areas consist of one large ground floor lounge with a separate conservatory leading from this and a separate dining room, furnished with tables accommodating six residents giving residents opportunities to socialise with each other. A passenger lift, inspected regularly, provides access between the ground and first floors. All rooms exceed the required standard and 15 of the single and one double room all have en-suite facilities. Resident’s rooms were visited and were homely and comfortably furnished with personal possessions around them. The manager confirmed that specialist equipment is regularly maintained to ensure residents are safe and enjoy surroundings. Throughout the tour the home presented as clean, pleasant and hygienic. All residents have lockable facilities. Radiators are guarded and the home was clean and hygienic. Radiators are guarded and thermostatic valves in place to restrict water temperatures to safe levels and protect residents from burns and scalds. There are plans to refurbished the assisted baths and install a separate wet room to further meet the wishes and needs of residents. Training records showed that staff have received training in fire safety procedures and from questionnaires directed at residents, safety is maintained at all times. All of the residents spoke highly of the quality and size of the accommodation. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 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): 27,28,29,30. The duty rota indicated that sufficient staff with a suitable mix of skills and experience are on duty over the 24 hours period to ensure needs can be met. Recruitment processes were in place to ensure residents are protected. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The inspector observed that the staffing rota, examined in conjunction with care plans, showed that the staffing levels do ensure residents needs can be met at all times. The inspector observed staff spending quality time with residents in the communal areas as well as ensuring residents who chose to remain in their rooms were given staff time as they needed or wished. During the fieldwork, the inspector spoke to residents about the time spent with staff and all of the comments were good. Residents also felt their privacy and dignity is maintained and three residents commented that “staff were excellent”, “very professional” and “have a lovely sense of humour”. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 18 The homes use of agency staff is minimal as existing staff generally covers staffing absences but if needed, there is access to monies for any emergencies. The inspector observed that domestic and catering roles are staffed separately with staff having clearly defined roles for these. The inspector examined recruitment procedures to ensure that the home continues to meet this standard. Two staff records were examined in conjunction with their training records and noted that the recruitment process was good and that all staff, whether care or ancillary, complete the induction and foundation training course work. All staff have received mandatory training at appropriate intervals with periphery courses on the care needs of this group of residents also provided. National Vocational Qualifications at levels 2 and 3 are continuously provided and the home have nearly met the required 50 of care staff with National Vocational Qualifications. Records showed and staff on duty confirmed that they had only been employed following a Protection of Vulnerable Adults check and Criminal Records Bureau clearance. The staff on duty confirmed that training has been provided as per the training schedule and that there was no restriction on courses available to them. All staff had received some training applicable to their roles and level of expertise. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 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): 31,32,33,34,35,36,38. The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The manager has now completed the National Vocational Qualification level four in Care and recently also completed the Registered Managers Award. It was clear from the comments made by staff that they feel well supported by their manager. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 Page 20 A new Quality Assurance System has been implemented for this year for the many visitors who come to the home and the inspector examined the responses made. It was very clear that visitors are extremely pleased at the care provided and feel very much that their views are listened to and if changes suggested, are implemented where possible. The staff have a comments book for residents which is taken to each resident during the month on an individual basis and any concerns or suggestions made are highlighted according to the action required. This has been very popular with residents and ensured everyone’s opinion is noted. The deputies and the staff monthly the manager agreed to distribute or display the resulting minutes for all staff to note. This will ensure that all staff are aware of what has been discussed and add their vote to decisions. The inspector observed that the informal and on-going system of seeking views from residents and visitors at every opportunity, when working with residents, was being maintained. Residents are encouraged to manage their own finances or a representative of the resident takes on the responsibilities for this. Where minor amounts are kept on behalf of residents, records have always been well maintained and kept in a secure place. The supervision procedure was examined and this is currently being maintained at the right levels with the manager and her deputy leading the supervision process. The inspector observed that training needs are identified from this procedure. The Regulation 26 Notice is maintained but the inspector requested that copies of these are sent to the Commission for Social Care Inspection for their records. The inspector noted that the documents used to record accidents meet the Data Protection Activities with outcomes recorded. Health and safety is maintained through training and servicing of necessary equipment. All equipment checks and servicing is carried out within the safe guidelines. Good moving and handling practise was observed that minimises risks to residents’ health safety and welfare. Policies and procedures were in place and had been updated recently. The inspector concluded that the health care needs of all of the residents were being safely met. Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 4 3 3 3 STAFFING Standard No Score 27 3 28 3 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 3 Scotch Dyke DS0000014704.V306834.R01.S.doc Version 5.2 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. 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.V306834.R01.S.doc Version 5.2 Page 23 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.V306834.R01.S.doc Version 5.2 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. 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!