Inspection on 14/09/06 for Sevington Mill Residential Home

This inspection was carried out on 14th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Sevington Mill Residential Home 30/01/06

Sevington Mill Residential Home 25/07/05

Sevington Mill Residential Home 07/02/05

Sevington Mill Residential Home 05/10/04

Sevington Mill Residential Home 17/02/04

Sevington Mill Residential Home 11/12/03

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 Sevington Mill Residential Home Sevington Lane Willesborough Ashford Kent TN24 0LB Lead Inspector Mrs Sue Gaskell Unannounced Inspection 14th September 2006 10:00 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 Sevington Mill Residential Home DS0000023520.V303517.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. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sevington Mill Residential Home Address Sevington Lane Willesborough Ashford Kent TN24 0LB 01233 639800 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) Kent County (Residential Homes) Limited Mrs Anne Elizabeth Hooper Mr Michael Dore Cruickshanks Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. One resident whose date of birth is 30th January 1945 Resident with MD over the age of 65 is restricted to one (1) person whose DOB is 24.10.1935 One (1) service user whose DOB 11/08/1929 in category MD(E) DE(E) Date of last inspection 30th January 2006 Brief Description of the Service: Sevington Mill provides accommodation for a maximum of 50 Service Users, which comprises of 45 bedrooms, five of which are registered as double rooms. The fees are in the range of £303 - £397 per week. Shared rooms are only used at the Service Users request. The Home situated on the rural outskirts of Ashford but within easy travelling distance of the town centre, shops, hospital, health centres etc. The house consists of wings, several of which have small dining and lounge facilities nearby. For general communal use there are several lounge areas, with dining facilities, one within a large conservatory with pleasant views of the courtyard garden and a third, away from the main lounges, where smoking is permitted. TV and music facilities are available in some communal areas. There is a dedicated dining room off the conservatory. The Home has adequate bathing facilities with hoists available as needed and there is a hairdressing room. There is a large well-maintained garden available for residents’ use. Parking spaces are limited, but there is additional street parking nearby. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 14th September 2006 between 10.00am and 4.30pm. There were 39 people living at the home. The inspector spoke to 5 residents, 2 resident’s relatives and 6 members of staff. The residents are generally independent and able to make their views known. Their comments included “ I cannot think of anything unfavourable to say about the home”, “the staff are all lovely”, and “they cannot do enough for us”. The inspection process consisted of information collected before and during the visit to the home, and residents’ feedback after the site visit finished. Other information seen included incident report forms, assessment and care plans, medication records, duty rota and staff employment and induction paperwork. What the service does well: 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. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 6 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 Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 7 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, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents know what services can be offered and can be confident that their needs can be met. EVIDENCE: The files of residents admitted since the last inspection included clear and comprehensive pre-admission assessments carried out by the home with supporting information from care managers. All residents are issued with terms and conditions of residence. Residents said that either they, or a relative, had either visited the home and then made a decision, or that the home had been recommended by relatives or friends. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 8 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): 7-11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ care plans are reviewed and their health care needs are met. Residents are protected by the home’s policies and procedures for dealing with their medication. Residents are able to make choices and are treated with respect. There is support for residents and their families at times of bereavement. EVIDENCE: All files were seen to include assessments and risk assessments on various aspects of daily living including mobility, nutrition, behavioural, emotional and sexual needs. Residents, where possible, have signed to acknowledge that a care plan has been prepared according to their wishes, and that this may be accessed by staff and other authorised professionals. There were clear guidelines on how best to assist residents and these were seen to have been reviewed regularly or as and when residents’ needs have changed. All of the 5 Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 9 residents who spoke with the Inspector praised the staff and said that assistance with personal care is provided in a sensitive manner. Medication administration records were seen to be clear and current, and there are sound systems in place for the receipt, disposal and storage of medication. The home has a current copy of the medication guidelines and 3 members of staff confirmed that they have undergone recent and regular training. Staff said that special attention is paid to spending time with residents at the end of their lives and assisting families in coping with bereavement and loss. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 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): 12-15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Daily life meets the residents’ lifestyle preferences and expectations. Residents have regular contact with their families and friends Residents receive a nourishing and balanced diet. EVIDENCE: Residents said that they are frequently asked whether they need anything and that they are encouraged to make choices wherever possible. Two residents’ relatives who were interviewed said that they visit on a very regular basis and also confirmed this. Staff said that residents have access to a range of activities such as keep fit, arts and crafts, visiting entertainers and regular outings to places of interest. The home keeps a record of activities, or offers of activities, which have been declined. The residents’ relative said that visitors always made welcome and offered refreshments or lunch. The food served on the day of the inspection appeared appetising and nutritious. There are two dining areas as well as small sitting rooms where residents may dine in private with their guests. The tables were laid in an attractive manner and the staff made sure that residents were seated comfortably. There was a wide range of Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 11 fresh fruit and vegetables in the food store, together with good quality food products. Residents and their families said that the food is always good and that tastes and choices and well catered for, with a varied selection of food and drinks available during the day and evening. One resident said that the home pays special attention to her dietary needs as well ensuring that particular foods and drinks do not conflict with her medication. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 12 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 & 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can be confident complaints will be listened to and dealt with appropriately and they will be protected from abuse. EVIDENCE: A service user guide is issued to each resident and includes the home’s complaints procedure. Five residents and two residents’ relatives confirmed that they would feel comfortable in mentioning any complaints to the managers or staff and confident that any concerns would be resolved. Two senior staff referred to ongoing training in adult protection and were aware of the importance of consulting with local authority care managers and adult protection co-ordinators. Other staff said that they had received training in adult protection and were aware of whistle blowing procedures. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 13 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, 24 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean environment. The bedrooms, communal areas and garden provide an attractive environment. EVIDENCE: The home employs and full time maintenance person and adequate domestic staff and all parts of the building were seen to be clean and well maintained. Bedrooms and communal areas are furnished and decorated to a high standard. Residents said that they had been able to bring as many items of furniture or other possessions as possible as long as it fitted comfortably in their rooms. The home has an assisted bathing facility and there are adequate hoists and specialist equipment available. All of the staff interviewed said that they have regular training in health and safety, fire safety, food hygiene and moving and handling, and showed a good awareness of general health and Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 14 safety issues. All certificates are current and there are no outstanding maintenance or safety issues. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 15 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): 27-30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing numbers are appropriate to meet the daily needs of the residents. Residents are protected and supported by the home’s recruitment and induction training procedures. Residents benefit from a well trained and supported staff team. EVIDENCE: Staffing at the time of the inspection comprised the accountant, quality assurance officer, 2 senior carers, 5 care staff, 5 domestic staff a cook, kitchen staff and maintenance man. Staff files were examined and seen to contain evidence of CRB, and POVA checks, references and evidence of checking identity. Staff confirmed that there is a good level of induction and further training and that they are expected to provide feedback on how they have benefited from the training. Staff receive regular supervision and appraisals. All of the residents spoken to confirmed that day staff and night staff are kind, sensitive, helpful and cheerful and that “nothing is too much trouble”. One resident said that the maintenance man is also always helpful and caring. Staff turnover remains low and staff said that they enjoy working in the home and feel well supported. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 16 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): 31,33,35,36 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The current management arrangements ensure that the home is being run in a way that benefits residents and staff. The record keeping, and health and safety systems are generally sufficient to safeguard residents’ welfare, rights and best interests. EVIDENCE: Although the manager was not present during the inspection, the home’s accountant assisted with the inspection and was able to access all necessary records. One senior staff member is also the designated quality assurance officer and public relations officer. She generally carries out the pre-admission assessments and then liaises with residents and their families. Residents and residents’ relatives said that they are consulted and kept informed of any Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 17 developments affecting themselves or the home in general. Records are generally well maintained, and systems and procedures are regularly reviewed. Senior staff said that they are constantly reviewing health and safety issues and staff confirmed that there has been on-going training for staff in core health and safety issues. Staff showed an awareness of the need to put warning signs out for any hazards. Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 18 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 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 X 3 X 4 X 4 X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 4 X 4 Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 19 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 Sevington Mill Residential Home DS0000023520.V303517.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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. 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