Inspection on 07/07/05 for Sidney Gale House

This inspection was carried out on 7th July 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

Sidney Gale House 25/06/07

Sidney Gale House 21/12/05

Sidney Gale House 18/01/05

Sidney Gale House 07/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Sidney Gale House Flood Lane Bridport Dorset DT6 3QG Lead Inspector Gloria Ashwell Unannounced 7th July 2005 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. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sidney Gale House Address Flood Lane Bridport Dorset DT6 3QG 01308 423782 01308 423965 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) Dorset County Council Mairi Manvell CRH PC - Care home only 44 Category(ies) of OP Old age (30) registration, with number DE(E) Dementia - over 65 (14) of places Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1: Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. 2: Two named persons (as known to the Commission for Social Care Inspection) under the age of 65 with dementia may be accommadated at any one time. 3: One named person (as known to the Commission for Social Care Inspection) may be accommodated in the category PD. Date of last inspection 18th January 2005 Brief Description of the Service: Sidney Gale House is a purpose built home situated approximately ½ mile from the town centre providing care and accommodation for elderly people. The home is owned and managed by Dorset County Council Social Services Directorate; Mrs Mairi Manvell is the manager and Mr Harry Capron the registered person. The manager has overall responsibility for the home which provides care for up to 44 residents within the categories of old age (OP), dementia over 65 years of age (DE (E)) and mental disorder over the age of 65 years of age (MD (E)), with 9 of these places available for respite care. The home accommodates residents in single bedrooms arranged over three floors in six units (two on each floor). Each unit has a communal room, kitchenette, bathrooms and toilets. There is a small smokers lounge on the first floor. None of the bedrooms has en suite hygiene facilities, close to all bedrooms there are toilets and bathrooms suitable for residents with mobility difficulties. Ground floor rooms include offices, a hairdressing room, activities room, laundry, large commercial kitchen and a large lounge with toilets and a kitchen for residents use. The home is surrounded by gardens mainly laid to lawn with mature trees and a paved area at the side of the home. There is a car park and a nearby bus stop, for buses to and from the centre of Bridport. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two statutory inspections required in accordance with the Care Standards Act 2000. The previous inspection took place on 18 January 2004; since that inspection no complaints against the home have been received or investigated. The inspector arrived (unannounced) at 14.00; she spoke to 22 residents, some individually and others in small groups and 8 members of staff, and together with the manager considered other evidence relating to the National Minimum Standards, as described in this report. The inspector observed staff interaction with service users, the carrying out of routine tasks and toured the premises, departing at 16.00. A selection of information and comment forms were left with the home for residents and other persons involved with the home. Additional information used to inform the inspection process included formal notifications of events and monthly reports regularly provided to the Commission by the registered provider. What the service does well: Sidney Gale House provides residents with a good quality of life and social care, in comfortable surroundings providing privacy, companionship and assistance when needed. Residents are satisfied with the home; comments made during the inspection included: “There isn’t much here that can be improved – it’s one of the best ones around”. A range of suitable activities regularly take place and residents have opportunities to go out of the home for local visits. Staff are enthusiastic about their work and are encouraged and supported to undertake training in related subjects. When a weakness in provision is identified, such as the necessity for staff training in Parkinson’s Disease and some vacant staff posts, as described in Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 6 this report, the manager and provider organisation act promptly and effectively to improve the circumstance. 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. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.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 Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.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 & 6 The home does not provide intermediate care. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. EVIDENCE: A resident told the inspector that he had recently been admitted for continuing care, having previously stayed in the home on a number of occasions, for short periods of ‘respite care’. The resident said he was entirely satisfied with the home, having been made welcome and put at his ease by staff and residents alike. The records of this resident included details of pre-admission assessment which had been carried out by a social care professional when she visited the person in his own home, to identify his needs and determine if the home will be able to meet them. All admissions are for an initial trial period of six weeks, to give the resident the opportunity to ‘try out’ life at the home, and for the home to assess their ability to properly care for the resident. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 9 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, 9 & 10 The standard of health, personal and social care is good and is delivered in accordance with a written plan of care, to ensure staff have information necessary to provide correct care to each resident. Some staff lack understanding of a particular health condition, but the manager has identified this weakness and is arranging specific training in this regard; to ensure that all staff understand the needs and circumstances of all residents in their care. Doctors and nurses visit the home to carry out specific actions for individual residents, ensuring their health care needs are met. Medicines prescribed by doctors are safely stored and carefully administered to residents by staff, unless the residents have chosen to store and administer their own medicines, in accordance with risk assessment. Some improvements to record keeping associated with medicine handling are necessary to ensure that residents continue to receive the correct medicines. Residents said they are treated with respect and their privacy and dignity is protected at all times. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 10 EVIDENCE: All residents with whom the inspector spoke said they felt well cared for and safe. Comments included: “You’ve only got to ask and they’ll do anything for you”. One resident with Parkinson’s Disease said that some staff do not understand the condition and in consequence display unrealistic expectations, because they are unaware of the variable aspects of the condition e.g. they say “Well, you were alright yesterday”. The manager was aware of this shortfall in understanding and has arranged for a specialist nurse to lead a training session, to ensure all staff gain sufficient understanding of the condition. Risk assessments form the basis for care plans and daily records describe the care of each resident. Residents wishing to do so can manage their own prescribed medicines, although most prefer this to be done by the staff. The resident who was ‘case tracked’ for Standards 3 and 7 of this inspection manages all his own medication. Records indicated that medicines had been accurately administered but the records must be improved to ensure that residents continue to receive correct medicines and doses. Medicine administration records (MARs) did not state the allergy status (to medicines) of each resident, although this had been written on separate cards, which also display a photograph of the resident, to ensure accurate identification. Handwritten amendments to the printed MARs were not all signed, dated and countersigned by a person who had checked the entry for accuracy. The reason for as required administration was not always stated on the MAR. Staff involved in handling medicines have received related training. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 11 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) 13, 14 & 15 Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. The quality of daily life in the home is good with residents assisted to maintain as much independence as possible. Meals are appetising and of good quantity and quality. Most residents take meals in the dining rooms, some receive them in their bedrooms. EVIDENCE: The inspector spoke to a number of residents; all expressed satisfaction with the home, including the range of activities, meal provision and premises. Visitors are welcome at any time and residents can go out of the home whenever they wish, and for as long as they wish. During the morning on the date of inspection two residents had visited a nearby garden centre and, in the company of staff, selected some plants for the home’s garden and drank coffee in the restaurant. During the afternoon another resident went shopping in the nearby town centre, accompanied by a member of staff. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 12 Each floor has a dining room where most residents eat; some prefer to receive meals in their bedrooms. There is a kitchenette facility within each dining area, for the preparation of snacks and drinks and temporary storage of main meal foodstuffs. Residents select meals in advance, from a planned menu. Residents are very satisfied with the meals; comments included “The food is very good”, “There’s plenty of food”. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 13 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 Complaints are managed properly and residents said they are confident their concerns are listened to and taken seriously. The home protects residents and promotes their legal rights. EVIDENCE: No complaints against the home have been received or investigated since the last inspection. The home has policies and procedures for the protection of residents from abuse and staff receive training in this subject. Residents feel the staff are very good, approachable and trustworthy; comments included “They wouldn’t keep them if they weren’t”. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 14 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 & 26 The home is comfortable, clean, well equipped and suited to the needs of the residents. EVIDENCE: The home is maintained to a good standard and provides a safe environment. On each of the three floors there are two lounges, with separate dining areas. On the ground floor is a large lounge, with adjoining kitchen for resident’s use, and toilets. Access to the first and second floors of the home is via the main staircase, rear staircase or by use of the passenger lift. Residents rooms contain a variety of personal belongings; many residents provide items of their own furniture. Doors to bedrooms are fitted with locks suited to the capabilities of most residents and which enable rooms to be locked from within and from the corridor. Staff have a master key for use in emergency. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 15 A call system is fitted throughout the home. The premises have been assessed by an occupational therapist confirming that they are suited to the needs of the residents. Staff said that when a new resident is admitted, or a residents needs change, an occupational therapist promptly assesses their mobility and any necessary aids and adaptations are quickly provided. No bedroom has an en suite toilet or bathing facility but all bedrooms have a wash hand basin. Some residents use commodes in their bedrooms at night. The home is well equipped with a range of overhead and wheeled hoists. There are banister rails, grab rails, toilet frames and other aids placed around the home to aid mobility. Wide corridors provide space for service users who are dependent on the use of a walking frame or wheelchair. The home is clean and subject to continuous improvement. New furniture and carpet has been ordered for the large ground floor lounge and new carpets have recently been laid in some corridors. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 16 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 The home employs enough staff to meet the needs of residents and to ensure their safety and comfort. Recruitment and employment practices protect against risks of unsuitable staff being employed. EVIDENCE: Staffing levels are provided in accordance with the assessed needs of residents. The inspector spoke to a number of staff; all expressed unreserved support of management and all aspects of the home, indicating good team working, provision of good care and encouragement for training. One resident said “It would be better if they could get more staff” and another said that the “only problem is the lack of staff”. Staff said that there are some vacant posts but in the short term these are filled by the use of agency staff, who work well in the home and are usually the same people, to ensure continuity and competency. The manager confirmed that there are at present some shifts covered by agency staff, but a recent recruitment campaign has been successful and has resulted in the appointment of three new staff. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 17 Employment records of a recently employed care worker were examined and found to be in order; the manager said that before the person commenced working in the home, the provider organisation had carried out a POVA register check to ensure that the applicant did not have a history unsuited to working with vulnerable adults. The home had no written evidence of this so an associated recommendation is included in this report. Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 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 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) These standards were not assessed during this inspection. EVIDENCE: Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 19 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 20 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. 3. 4. 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. 1. 2. 3. Refer to Standard 9 9 9 Good Practice Recommendations When a medicine is prescribed for administration as required the administration record should clearly state the reason for which it is required. The medicine administration records for each resident should clearly state any allergy to medicines, or none known. Handwritten amendments and additions to medicine admnistration records should be signed and dated by the writer, and countersigned by someone who has checked the entry for accuracy. This recommendation was also included in the report of the last inspection but remains unmet. Staff records held in the home should include evidence of POVA checks carried out by the provider organisation. 4. 29 Sidney Gale House D55 S32141 Sidney Gale House V237744 070705 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset BH17 0NF 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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