Inspection on 23/08/05 for Shockerwick House

This inspection was carried out on 23rd August 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

Shockerwick House 15/01/07

Shockerwick House 13/03/06

Shockerwick House 06/01/05

Shockerwick House 16/07/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Shockerwick House Lower Shockerwick Bath BA1 7LL Lead Inspector Jill Cornelius Unannounced 23 August 2005 09:30 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. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Shockerwick House Address Lower Shockerwick Bath BA1 7LL 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) 01225 743636 01225 744335 BUPA Care Homes Limited Mrs Catherine Holbutt Care home with nursing 38 Category(ies) of OP Old age (38) registration, with number PD Physical disability (5) of places Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 38 persons aged 50 years and over. May accommodate up to 5 Persons aged 18 years or over with Physical Disabilities. Staffing Notice dated 30/08/2001 applies. Manager must be a RN on parts 1 or 12 of the NMC register. Date of last inspection 6-Jan-2005 Brief Description of the Service: Shockerwick House Nursing Home is registered for 38 residents requiring nursing and personal care. The home is situated in a suburban position and can be accessed by car or bus. Transport is needed for access to local shops and social venues. The home is a converted older property, providing singe and double rooms on three floors and communal space in 4 areas. There is a lift to all areas. There is wheeled access to the garden areas around the home. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the report following an unannounced inspection carried out over one day. At the time of the inspection, there were thirty-two residents. The focus on this inspection was to obtain the views of as many residents as possible. Evidence was also gained from records, discussion with staff, and a tour of the building. After discussion with the manager a previous requirement has been receded. What the service does well: What has improved since the last inspection? Shockerwick has maintained its high standard of care. Residents spoken with say how the change in manager has not affected the home’s atmosphere or ethos. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 6 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. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 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 standard(s) 3, 5 The admission process is well managed and residents are given clear information regarding the service. EVIDENCE: The admission procedure is completed to guide staff on the actions to be taken ensuring new residents needs are properly assessed and planned for. One resident spoken with was able to provide significant information about his care needs that had been recorded. Staff members on duty were able to describe care needs of residents. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 9 The inspector reviewed two assessment records. There was a detailed assessment of the physical and mental health needs of each person. Included in each assessment were the likes and dislikes of the person, their preferred foods and their choice of social activities. The assessments included information about the reasons for the admission, and the type of care needs that they required. The assessments seen by the inspector had been regularly reviewed and updated. One new resident said that they had received “a warm welcome from staff and were given clear information about the home before and after their arrival”. Another resident said, “their family were informed of their settling in process”. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 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 standard(s) 7, 9, 10, 11 Residents are looked after well in respect of their personal care needs. Their privacy and dignity are maintained and they can be assured of sensitivity from the home at the time of their death. Medication practices protect residents. EVIDENCE: There were detailed assessments and care plans in place. Care plans included evidence that residents had been consulted in the planning of their care. Care plans were being regularly evaluated and reviewed. The procedures for the ordering, storage, and administration, of medication were found to be up to date, and in order. Observation during the inspection showed that staff have a good awareness of how to protect the residents’ privacy and dignity. They were seen to knock on Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 11 doors and wait for a response before entering. Residents spoken with said this was usual practice. Care and other staff consistently displayed sensitivity and respect in their interactions with residents. This was witnessed throughout the inspection. The home has policies on managing the terminal stages of care, expected and unexpected deaths. These were supported by the positive responses of trained staff when asked a scenario. There is access to the local ministers who attend the home at any time. Hospitality would be offered to relatives if need be where service users are being nursed in the terminal stages of illness. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 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 standard(s) 12,- 15 Residents experience a stimulating and varied life at the home with visitors encouraged, various informal and formal activities made available, days out and good meals. EVIDENCE: Feedback from residents suggests the home remains a friendly, happy and comfortable place to live. The residents were complimentary about the care staff and I witnessed staff speaking to people with respect and dignity. Rising and retiring choices are documented during the assessment and referred to in the care plans. These are indicated by the resident’s daily and accommodated in balance with assessed needs. The residents spoken with also confirmed this, as did documented evidence in the care plans. A programme of in-house activities is maintained. Awareness of what is available is promoted by posters/notices around the home, by verbal reinforcement from staff and by a schedule of activities being placed in each resident’s room. Shockerwick also produces a newsletter. Residents enjoy the newsletter, and felt included in the homes life. Two residents said that this “was a good talking point for them to discuss with their visitor”. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 13 Shockerwick House has a full time co-ordinator who organises the varied activity schedule. Time is spent with the residents gathering information on their likes / dislikes, feedback and suggestions for activities / events. There is a planned event most days which includes visitors / entertainers to the home as well as organised trips from the home. Residents spoken with were very complimentary of the activities and said they participated in and enjoyed most events. It was noted by the inspector that a number of residents were keen to make sure they were in place for the start of the afternoon’s activity on the day of inspection. A number of residents the inspector met said that the food provided in “their home” was “very good” and that it was always “served in a relaxed, unhurried manner”. Care and household staffing the dinning rooms were observed providing sensitive, respectful and patient support and encouragement to residents during mid-morning drinks and the lunchtime meal. An individual request for an alternative was responded to promptly and courteously. The inspector saw the meals prepared and well presented on individual trays for some residents to have in their rooms. Individual choices for the evening meal were well noted. Residents receive Nutritional Risk Assessments and reviewed regularly. The menus are assessed for their nutritional content. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 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 standard(s) 16, 18 and 19 The home has a satisfactory complaints system with some evidence that service users feel they have their views are listened to and acted upon. There is a vulnerable adults procedure in place ensuring proper response to any suspicion or allegation of abuse. Residents’ legal rights are protected. EVIDENCE: Residents’, visitors and staff comments received during this inspection showed that people feel comfortable discussing any concerns with senior staff or management. At this visit the complaint record showed one entry of complaint since the previous inspection visit. On observation this evidenced a detailed account of action taken. One resident said that they felt “they were able to complain if required”. No complaints have been received by the Commission for Social Care Inspection over the past year. A procedure for responding to allegations of abuse is available. Training records sampled by the inspector evidenced that staff have received Adult protection training in that they have attended the ‘Alerters’ level courses provided by the local authority. Residents are able to participate in the political process, and are enabled to exercise their rights by voting during elections. The majority of residents tend to use their postal vote. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 15 Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 16 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, 23, 25 and 26 A clean, well-equipped and safe standard of accommodation is provided for the residents. Homeliness in communal areas and personalisation of individual rooms are both well promoted. EVIDENCE: The environment is well maintained and suited to resident’s needs. The home is decorated and furnished to a standard that creates a very comfortable home. The vast grounds provide far reaching views. There is a new enclosed sensory garden, providing a sheltered private amenity for all residents with walkways, raised beds, seating and a gazebo. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 17 A number of resident’s bedrooms were viewed and looked very homely, as residents had been able to bring items of their own furniture and possessions with them. All areas of the home smelled pleasant and were cleaned to a high standard; this had been noted on previous visits. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 18 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 Staff morale is high resulting in an enthusiastic workforce that works positively with the service users to improve their quality of life. EVIDENCE: Staffing level notice comply with the Staffing Notice requirements and the training programme incorporates the NTO training targets. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 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 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) 32, 38 Service users benefit from the ethos, leadership and management approach of the home. The health, safety and welfare of service users could be at risk due to residents’ doors being wedged open. EVIDENCE: Residents, their visitors and staff made positive comments about the management. Giving examples of good communication, staff being clear about what is expected from them and practice being consistent between shifts. A number of resident’s bedrooms were wedged open. Inspection of records indicated that regular tests for emergency lights and extinguishers had been carried out. Staff members spoken with confirmed this. A Requirement is made in relation this. Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 x x 3 x 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x 3 x x x x x 2 Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 21 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. Standard 38 Regulation 23 Requirement All doors must be able to close freely in the event of the alarm sounding Timescale for action From 23/08/05 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 none made Good Practice Recommendations Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 22 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG 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 Shockerwick House D05 D56 20223 Shockerwick 238851 230805 Stage4.doc Version 1.40 Page 23 - 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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