Inspection on 21/11/05 for Sidegate Lane 214

This inspection was carried out on 21st November 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

Sidegate Lane 214 06/03/07

Sidegate Lane 214 25/07/05

Sidegate Lane 214 07/01/05

Sidegate Lane 214 21/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Sidegate Lane 214 214 Sidegate Lane Ipswich Suffolk IP4 3DH Lead Inspector Helen Fontaine Unannounced Inspection 21st November 2005 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 Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sidegate Lane 214 Address 214 Sidegate Lane Ipswich Suffolk IP4 3DH 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) 01473 588575 01473 588573 tania.moore@socserv.suffolk.gov.uk Suffolk County Council Mrs Tania L Moore Care Home 30 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24), Old age, not falling within any other of places category (10), Physical disability (6), Physical disability over 65 years of age (6) Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 The home is able to provide a service to people with a physical disability and dementia 25th July 2005 Date of last inspection Brief Description of the Service: 214 Sidegate Lane is owned and run by Suffolk County Council. It was purpose built in the early 1970’s and in 2000 the Home was fully refurbished. The home is divided into five units of six beds. Two’s Company; on the ground floor, offers 18 beds in three units, for older people who require extra care because of their individual needs arising from their dementia. Four of these beds are for short-term care; two offer regular respite, one an emergency place and the fourth is for intermediate care. Two corridors link the three units, this offers a more spacious yet homely environment and extra rooms include a garden room and conservatory. Pleasant View is a smaller more intimate unit on the first floor for residents with dementia. Rooftop is the intermediate care unit run in conjunction with the Ipswich Primary Care Trust. The unit is purpose built and it was set up to prevent hospital admission or to facilitate discharge from hospital, where there is no longer acute care needed. Residents can have time to build confidence and hopefully regain life skills in order to return home. Each unit has a lounge, dining room and small kitchenette where staff may prepare snacks and drinks. The Home offers attractive and appropriate accommodation, which is well kept, comfortable and homely. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Sidegate Lane took place over four and a half hours and was the second statutory inspection visit in the inspection programme for 2005/6. Over the course of the two visits, all core standards have now been assessed. Two requirements and one recommendation were set at the previous inspection and the home has complied with all of the required action. No further requirements or recommendations were identified at this inspection. The manager was present during the inspection and her support was very much appreciated. A tour of the home and the kitchen was undertaken, most areas of the home were seen and a resident’s room and an empty room were looked at. The home’s cook, the handy person and a member of staff were spoken to during the inspection. A number of residents were spoken to during the tour and one resident spoken to individually. What the service does well: The home is divided into four units that support residents with very high needs, to those who are in for a short period to re-gain skills before returning home. Each unit is homely with individual kitchen areas and dining areas, where residents can make themselves a drink and where staff prepare their breakfast. The kitchen prepares all the main meals and tea; that also provides a number of meals for those living in the community. Each resident has their own room with en-suite facilities, as well adequate toilet and bathrooms in the corridors. One resident showed the inspector their room, which was full of photos of their families and commented how much they liked their room. Each room has facilities for medication and an additional lockable draw for those residents wishing to self medicate. As the home has a unit for rehabilitation and short break, a number of more permanent residents have previously been in the short break unit. A member of staff spoken to said they had worked at the home for three years and at first worked in one unit, but now they work across the home. The member of staff felt this was a very positive way of working and benefited the staff and the residents. The home is currently about to employ a member of staff that is deaf, the home has gone to great lengths to bring in systems to support this member of staff. This member of staff will be able to support the residents with hearing difficulties and greatly enhance the support they receive. The home does need to be congratulated for this piece of work and the effort that has gone into supporting this new member of staff. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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 Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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): 2, 4 and 5 Admissions to the home are well planned and service users have an opportunity to visit and look at the facilities on offer. Service users are having their needs assessed and are provided with a range of information about the home. EVIDENCE: During the inspection three residents files were looked at, pacifically around the areas of each resident having been given a written contract/statement of terms and conditions of the home. Section four of the file documented the information given to the resident and/or the resident representative. The files showed that each of the three residents had been given a contract, homes brochure, and the individual unit information, having your say, complaints leaflet and a service user’s guide. It was documented on the newest resident file that the date of the information given was the 4th of the month and the resident moved into the home on the 8th of the month. The manager said that most of the residents come from hospital and it is not always possible for the resident to visit the home before they are transferred. However a representative of the home; usually the manager, goes out to the Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 9 meet them and their families/representatives visit the home. The manager was very clear that they have all the discussion around moving into the home with the resident, as well as the families/representatives. No decision are made or the outcome of the assessment and care plan without the resident being involved and where possible their written signature on documents. Files looked at did have either a resident’s signature, or was documented in a way that evidenced that they had been involved. Residents that are using the short break unit also receive a contract and one empty room seen during the inspection had a quality control questionnaire about their care they had received, a leaflet about the home, the activities and how to complain. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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): 9 and 11 Residents can be assured that the present recording of medication that has been administered will protect them and that their final wishes will be on record. EVIDENCE: The home has good policies and procedures around medication and these were looked at during the inspection. A copy of this document is in the manager’s office, staff office and on each unit. At the front of the policy is a sheet on which information on updates on medication, then there was updates on the Local Authority instructions for the administration of medication and the disposal of medication. The policy document is then divided into sections around, responsibility, medicines supply, pharmaceutical, storage of medicines, record keeping, medicines administration, medical gases, disposal of medicines and controlled drugs. The policy also had another section on staff training, the inspection of medication and the policy had a number of appendixes. The manager also had a document that recorded the visit by the Pharmacist every three months; the next visit is due very soon. During the tour of the home the rooms seen all had a lockable cupboard in the corner; this is where each individual resident’s medication is kept. Most of the Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 11 residents in the units are unable to administer their own medication, but the residents in the short stay all self medicate. There was a draw in their bedside cupboard with a lock fitted, where medication could be kept if the resident could not reach the wall cupboard. The Medication Administration Record Report sheets were looked at in one of the resident’s rooms and were seen to be completed appropriately. A member of staff said that once a week, they count all the medication to check that it is being taken appropriately for those self medicating. The residents files looked at also had an area around their wishes at the time of their death and how staff will treat them and their family. There was a form in the care plan, which documented who was to be contacted, which undertaker is preferred and whether the residents wishes their jewellery to be removed prior to leaving the home. The form also informs the resident, that unless requested the homes team leader will contact the undertaker. The document also asks if there is any further requests/instructions for the home for this time. These documents looked at on the three files were all completed and had been signed by the resident and a family member. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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 and 15 People who use this service can expect to be encouraged to maintain contact with family and friends, to be able to choose how they spend their time and to receive a balanced diet. EVIDENCE: During the inspectors visit to the home, it was observed that all the units were very busy places and a number of activities were taking place. One resident who was returning from an activity, told the manager of the home and the inspector “I never knew mornings existed before” and said that they had enjoyed it very much. The care plans looked at had a section for lifestyles and culture, social, personal interests, pastimes and hobbies. One documented that the resident enjoyed all social events, playing cards; domino’s and table games, watching television, especially sport. It was documented that this resident was keen on music, especially Elvis and when the resident was spoken to they talked about how much they liked this kind of music. A member of staff spoken to in this unit, when asked about this residents interests, said how much they like playing cards and listening to music. The homes other activities include trips out and the trip to Felixstowe in the summer is very popular. The manager said that residents are asked where they would like to go and in the winter they visit garden centres and Ipswich shopping. There are daily activities Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 13 going on in the home and on the day of the inspection a volunteer; a former member of staff, had a group for a sing a long. The kitchen was visited during the inspection, where the main meal of the day was being prepared for both the residents and those living in the community. There were four staff working in the kitchen and their rotas are done to make sure that there is always four staff during the working week. At weekends there are fewer staff working during the lunch times and there are meals provided to those living in the community. A menu was seen and this was on a laminated sheet with pictures for residents to choose the day before, what they wanted to eat. The staff in each unit help the residents choose and if there is anything different they want the kitchen are able to provide it. One resident did not like gravy over their meat; the kitchen had cooked their meal separately to meet this request. The kitchen are informed when a resident moves into the home of any special dietary needs and this is also added to the information sent down each day. The daily forms were seen during the inspection and there were a number of diabetic meals, along with special requests. The inspector looked at the large walk in fridge and freezer and all the foods were appropriately kept and labelled. It was noted that in the fridge the sandwiches and cakes for that day’s tea were already prepared, covered and labelled. The store cupboard was visited and found to be very well stocked with food that was both fresh and tinned. The residents spoken to during the tour of the home and the member of staff spoken to all said the food was very good and there were a number of positive comments. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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 and 18 People who use this service can expect that any complaint will be taken seriously and investigated and that they will be protected from abuse. EVIDENCE: The home has good practices with complaints, there was a leaflet in the empty room headed how to complain. The homes policies, procedures were looked at and in the complaints book there was three complaints this calendar year. One complaint was from a relative that they had not been informed that the resident was in hospital; the other was about some lost spectacles. On the written complaint by the family member over the last spectacles, the letter ended with, “they as a family were very happy with the residents care”. It was noted from the complaints documentation that all the complaints, had been dealt with the same day. Residents and staff spoken to all said when they were asked, that if they had any concerns it would be dealt with straight away. The member of staff said that they felt they were able to go to the manager or any of the senior staff, if they had a concern. As the home is a Local Authority home, the Authorities Adult Protection department supports it. There is also a good policy and procedure from this department, that is very responsive to any situation as well as training. The manager said that they have been trained to be a trainer in the home and undertakes staff training see also Standard 30. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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): 21 and 23 This home provides a clean and well-maintained environment for service users. The communal facilities are of a high standard and service users are able to personalise their own bedroom. EVIDENCE: The home having been refurbished in 2000 has continued the improvements and now has all the interconnecting corridors double-glazed and decorated for residents to move around. Residents and staff were seen walking around together, either because the resident liked to wander or they were going or coming from an activity. Residents each had their own rooms with en-suit facilities and the two rooms seen during the inspection were clean and fresh. One resident was very keen to show the inspector the photos in their room and told the inspector that they had recently had a party to celebrate their 80th Birthday. In the corridor there were a number of bathrooms with specially adapted baths and walk in showers, with addition toilets. Residents can choose if they want a bath or a shower and they have the choice of different baths and showers. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 16 The home is divided into five units, the higher needs units are on the ground floor and the more able residents are in units on the first floor. In addition to these units, in the main areas of the home are rooms that were being used for dementia training on the day of the inspection. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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): 29 and 30 The home recruitment practices are robust and offer protection to service users. Staff are trained to do their job. EVIDENCE: At the last inspection the home had a Requirement around the Criminal Record bureau check and the Protection of Vulnerable Adults 1st check. Records seen during the inspection showed that all staff employed or recruited to the home now have both these checks in place. The manager said that the Local Authority Personnel department, are now making the Protection of Vulnerable Adults 1st check a priority for the home. The home is in the process of recruiting a new member of staff who is deaf, the manager and the staff have put a lot of work into risk assessments to support this member of staff. The manager felt that this member of staff would be able to offer the residents a lot of support, as so many of them have a hearing problem. The inspector looked at the file of the newest member of staff, this had on the file health screening result, authorisation for appointment, job application and waking night from signed by the person concerned. There was also a name badge form, personal contact details, previous work profile, two references and the Criminal Records Bureau form. The file also had sections for training, supervision and the yearly personal development form. The manager also had the work force planning schedule for the year and the Local Authority training department at Kerrison had done this. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 18 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): 33, 35 and 38 People who use this service can expect to live in a home that is well managed with policies and procedures that protect their health and safety. EVIDENCE: The home does use feed back from the residents about how the home is run and in the empty room, there was a form for the resident to complete at the end of their short stay. This form which is a questionnaire, asks the resident how they were care for whilst they were staying at the home. The resident spoken to when asked said that any concerns they had or anything they wanted to say, would be listened to and acted on. The member of staff talked to also reflected the same comments and talked to the inspector about the changes to the way the staff worked. The homes handling of resident’s money was looked at and the manager said that they are keen for all residents to have their own money where ever possible. A computer database was looked at, this is maintained by the homes Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 19 admin person and clearly identifies how much each resident has. The manager said that most of the residents with high care needs in some of the dependant units, are not able to have their own money and here families take responsibility where necessary. These situation the families mostly have Power of Attorney and buy for the resident anything they might need. The handy person was spoken to during the inspection; they have worked in the home for many years. They check the water temperatures regularly and daily deal with anything that needs mending or general maintenance. During the inspection of the staff files, it was seen that staff are and have been attending training on health and safety. Generally the home is well run, all the staff were observe red to be working very hard. Everyone observed and noted when residents needed support or directing to where they wanted to go. The kitchen staff worked very hard, making sure that good meals were delivered both to the homes residents and those in the community. Hygiene was strictly adhered to and everything was appropriately kept and labelled. All the staff including the domestic, kitchen, admin, care staff, manager and handyman all interacted well with residents. Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 4 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X 3 X 3 X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 21 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 Sidegate Lane 214 DS0000037157.V265918.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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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