Inspection on 11/05/05 for Shandon House

This inspection was carried out on 11th May 2005.

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

Shandon House 15/01/07

Shandon House 30/01/06

Shandon House 09/11/04

Shandon House 04/05/04

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 Shandon House 3 Mill Road Eastbourne East Sussex BN21 2LY Lead Inspector James Houston Unannounced 11 May 2005 09:00 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 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. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Shandon House Address 3 Mill Road Eastbourne East Sussex BN21 2LY 01323 723333 01323 410129 None Mrs Lindsay Bree (Person) Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Nicola Louise Moss Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (OP), 25. of places Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. That a maximum number of service users to be accommodated must not exceed (25) twenty-five. 2. That service users must be aged (65) sixty-five years or over on admission. 3. That only older people, not falling into any other category be accommodated. Date of last inspection 9 November 2004 Brief Description of the Service: Shandon House is registered to provide care and accomodation for up to 25 residents. The home is a large detached three-storey house in the Ocklyge area of Eastbourne. A lift is available to facilitate access to all floors. Twelve of the twenty five rooms have en-suite facilities. Residents are encouraged to bring in personal possessions in order to personalise their rooms. Mealtimes are flexible and alternatives are offered at each meal. The home aims to provide a safe, homely environment in which residents are able to lead satisfying lives, retaining dignity, privacy and the freedom to exercise choice. Regular social activities within the home and outings are arranged. The home has a well maintained rear garden and ample parking to the front of the house. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and early afternoon of the eleventh of May 2005. Before the inspection the inspector read records held by the Commission for Social Care Inspection and prepared those sections of the Standards to be assessed at this inspection. The inspection in the home took 5.8 hours. A tour was made of the whole home, and the owners, manager, ten residents, a relative, three staff, and a community nurse were spoken to. Since the last inspection the former deputy manager Mrs Moss has become the registered manager. There were 19 residents accommodated in the home on the day of the inspection. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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 standard(s) 2,3, and 4. Residents are provided with a suitable contract. The home fully assesses fully prospective new residents. The home meets the assessed needs of current residents. EVIDENCE: Residents are provided with a contract at the point of moving in. This sets out clearly the terms and conditions of accepting living in the home. Records inspected showed that the home obtains a copy of a care management assessment from a placing authority, where this exists, and also conducts its own needs assessment. These are then used to produce a detailed plan for each resident. Discussion with the manager, staff, residents, a relative and a visiting professional and the reading of a range of records indicates that staff individually and collectively have the skills and experience to meet the needs of residents. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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 standard(s) 7, 8 and 10. The plans of care are detailed and comprehensive. Health care needs of residents are attended to. Residents are treated with respect and dignity. EVIDENCE: All residents have a detailed plan of care that is drawn up on the basis of preadmission assessments, and involving the resident and their family. Evidence was seen that they are reviewed monthly. Each resident also has a daily plan of care action, detailing how and where care is to be delivered. Detailed risk assessments were seen, and these are updated. The home has several residents who were able to retain their old GP on moving into the home. Reading of records, and discussion with residents showed that careful arrangements are made to enable residents to access hospital services, and dental and community nursing services. A nurse visiting the home was seen briefly and commented favourably on its services. Professional advice about incontinence is sought. Nutritional screening is undertaken. A chiropodist visits regularly, and hearing and eyesight tests are regularly carried out. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 Page 9 Residents said that staff respect their dignity and privacy. Staff said that they are given guidance on this topic, and that all personal care is given in residents’ own rooms. Residents and staff confirmed that staff use the term of address preferred by the resident. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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 standard(s) 12 and 13. Social activities are well managed, and residents choose what they do. Visitors are made welcome. EVIDENCE: Residents said that they are free to rise and go to bed at times of their choosing, and to eat in their own rooms or in the dining room. Residents and staff said that a range of activities are organised in the home such as entertainers singing and playing on the day of the inspection, exercises and bingo. Regular outings are arranged, and several service users go out alone. The home’s information to relatives and friends sets out clearly that visitors are welcome. Residents said that visitors are made welcome, and one commented upon how often hospitality is offered to their visitors. Staff said that it welcoming visitors is an important part of their role. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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 standard(s) 16 and 17. The home has a suitable complaints procedure. Residents rights to particpate in the political process are upheld. EVIDENCE: The complaints procedure is clear, and is on display in the home. Residents are encouraged to comment on any aspect of the service and said that they are aware of the complaints procedure. The Commission for Social Care Inspection has received no complaints about the home since the last inspection. Residents said that they had votes or postal votes and had been able to vote in the recent general election if they so wished. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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 standard(s) 19, 20 and 24. The home provides a good quality of accomodation. Communal areas and bedrooms are to a good standard, providing pleasant accomodation. An aspect of the homes fire precautions needs action. EVIDENCE: The location and layout of the home is suitable for its stated purpose. The home is safe and well maintained, and all parts of the home and grounds are accessible to residents. The home’s owners arrange for items needing attention to be addressed. One resident said that the home intends to refurbish her room shortly. There is a programme of routine maintenance. A bathroom identified at the last inspection as needing attention had been refurbished to a good standard. The building complies with the requirements of the local Fire Brigade and Environmental Health Officer. Two fire doors require attention so that they close onto their stops. The home intends over the summer to provide a large conservatory to the rear of the home for the benefit of residents. The communal lounge and dining room are suitable for a range of activities. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 Page 13 The large well-kept gardens are accessible to residents. Furnishings and lighting are domestic in style. Residents said that they like their rooms, and that they can bring in their own possessions. Residents all have lockable facilities in their bedrooms and said that they appreciate these. Residents said that they have been asked if they would like a lock on their bedroom door and a key provided. Residents had not chosen to have a key. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29. Residents needs are met by a competent staff team. Thorough recruitment prcedures protect residents, but a record of the obtaining of Criminal Record Bureau checks on staff needs to be kept. EVIDENCE: Two care staff are on duty in the home during the working day. In addition the manager and deputy manager work full time in the home. There are ancillary staff in sufficient numbers to ensure that the home is tidy and clean throughout. At night one waking staff member and one sleeping in staff member are on duty. The manager, staff and residents said that the home has sufficient staff to meet the needs of residents, and the manager said she has flexibility in staffing to increase the staffing levels quickly should needs and/or resident numbers increase. Residents spoke highly of the helpfulness and responsiveness of the staff team. Recruitment processes are thorough. Criminal Record Bureau checks are taken for all staff. A record of the obtaining of these checks on staff should be kept in the home available for inspection. Staff said that they are given a copy of the General Social Care Council code of conduct and a contract of employment. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,35,37 and 38. The manager is competent and experienced to run the home and meet its stated purpose. The management approach of the home creates an open atmosphere for residents. Residents and/or their representatives control their finances. Records are well kept and residents can access their personal records. The manager ensures as far as is reasonably practicable the welfare of staff and residents. EVIDENCE: The newly appointed manager has fifteen years relevant experience. She has NVQ 2 and 3, the registered managers award, and a certificate in supervisory management. She is in the process of completing NVQ 4. She has a suitable job description. She undertakes periodic training to update her skills. Staff said that the manager holds very regular staff meetings. Staff said that these are minuted and that the manager is open to new ideas and takes them up. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 Page 16 The home has a relative and residents meeting twice a year followed by a social event, and a regular residents’ forum, the next meeting of which was to take place on the day of the inspection in the later afternoon. The manager said that this is minuted. Residents were seen to comfortable approaching the manager and staff throughout the inspection. The manager said that no monies or valuables are held on behalf of residents, and that payment for items such as hairdressing is dealt with where necessary invoicing residents on their bills. Those records inspected were well kept. Residents said that they are aware that they can access their own records and one has asked for a copy of their care plan. Records are securely stored. An inventory of furniture brought into their room by a resident should be kept. The home has a wide range of policies on health and safety. The home has conducted a recent fire risk assessment, and a recent health and safety risk assessment of the premises, which was subsequently updated. Staff said that they have had training in fire safety, moving and handling, food hygiene, and infection control, and records confirmed this. Advice has been sought on the use of door wedges and acted upon. No wedges were seen during the inspection. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 3 x x x 3 x x STAFFING Standard No Score 27 2 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 4 x x 3 x 2 3 Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 Page 18 NO Are there any outstanding requirements from the last inspection? 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. 1. 2. Standard 19 27 Regulation 23(4)(c) (iv) 17(2) and Sch 2(7) Requirement Ensure fire doors close onto their stops. Keep available for inspection a record of the obtaining of Criminal Record Bureau checks on staff. Timescale for action 31 May 2005 31 May 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 37 Good Practice Recommendations Keep an inventory of furniture brought into their rooms by residents. Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Shandon House H59-H10 S21211 Shandon House V226229 110505 Stage 4.doc Version 1.20 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. 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