Inspection on 01/06/05 for Silver Court

This inspection was carried out on 1st June 2005.

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

Silver Court 23/06/08

Silver Court 27/06/07

Silver Court 24/07/06

Silver Court 12/10/05

Silver Court 29/11/04

Silver Court 28/06/04

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 Silver Court Halsford Park, Halsford Lane East Grinstead West Sussex RH19 1PD Lead Inspector Sheila Gawley Unannounced Wednesday 1 June 2005, 9:30am st 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. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Silver Court Address Halsford Park, Halsford Lane, East Grinstead, West Sussex, RH19 1PD 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) 01342 321717 Anchor Trust Miss Soonita Panton Care Home 42 Category(ies) of PC Care Home only 42 registration, with number of places Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: A maximum of 22 persons in the category (DE(E) Dementia to be accomodated. Date of last inspection 29 11 04 Brief Description of the Service: Silver Court is a care home offering personal care and accommodation to 42 older people, 22 of whom are in the category DE(E). It is owned by Anchor Trust (Organisation) which runs nearly 40 care homes in the southern region. It is situated in a quiet residential area in the outskirts of East Grinstead relatively close to some shops and a post office. It is near to Ashdown Forest. It is a purpose built single storey building and was first registered in 1994. It is laid out in four blocks three consisting of ten flats with communal sitting and one with 12 flats all with dining and kitchen areas. All residents rooms have en suite facilities. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over the morning and afternoon of June 1st 2005. The manager was in attendance. The intention of this inspection was to look at requirements of the last inspection and assess if there has been an improvement in the daily lives of the residents. Residents spoken to were satisfied with the care offered but some commented that their opinions are not always considered. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 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 Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 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 Residents have a contract and terms and conditions of living in the home. EVIDENCE: Residents can make a fully informed choice about the suitability of the home. Each residents room had a pack of information highlighting the terms and conditions in the home. Relatives spoken to stated that they were happy with the information provided to them. Residents have a choice of room as far as possible, in the recent addition of two rooms and a change in use of unit residents were consulted and their wishes met. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 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) These standard was not assessed as they were fully met at the last inspection. EVIDENCE: Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 9 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 Most residents have a lifestyle that matches their expectations; they can maintain contact with family and friends. Residents can exercise choice and control. A balanced and satisfying menu is served. EVIDENCE: Many residents spoken to say they are happy with the social activities of the home although one resident was not having outings and shopping experiences. One resident stated that she frequently goes out to clubs and lunches, taken by her family. Another resident stated that their opinions are not listened to. One less mobile resident said that they are rarely assisted to the garden and that it is not accessible as it is overgrown. There is not an activities assistant at present. The meals seen prepared and served were appetising and residents were helped appropriately. One resident said that there is a long wait for breakfast. This was discussed with the manager who stated that she would remind the morning shift to serve breakfast to anyone waiting in the dining room. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 10 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 Not all residents are confident that their complaints will be listened to. Relatives are confident that their complaints would be listened to and acted upon. Residents are protected from abuse. EVIDENCE: Most residents spoken to felt that their complaints would be listened to but two did state that their comments are ignored. One resident cited a carpet that is stained but management have not acted on her reporting this. This was discussed with the manager who said that it would be replaced. There are Adult Protection Procedures in place to protect residents from abuse and residents state that they are treated with respect. At a recent Adult Protection conference it was confirmed that the home is reinstating two staff that had previously been suspended, investigated and dismissed for alleged abuse following further investigation by Silver Court management. The manager stated that the residents involved in this incident were not happy these staff were returning. The reinstatement is further evidence that residents opinion is not being considered. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 11 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, 24,25,26 Residents live in a safe and well-maintained environment. They have limited access to the garden. Resident’s room suit their needs and are personalised. The home is clean, pleasant and hygienic. EVIDENCE: The home is well maintained and well decorated. The central heating system is noisy today. Residents state that it has been keeping them awake. The manager stated that it is to be serviced but that she is also going to apply for a budget to have the valves replaced. The garden is not maintained at present as the gardener is off sick. The grass is overgrown and one resident commented that they cannot go onto the grass. There is a patio area that can be accessed. The resident’s rooms are personalised with evidence of their own belongings. Residents spoken to said the home was comfortable. The home was clean and without unpleasant odour with the exception of room 22 which had a blocked drain. The manager stated that a contractor is coming this afternoon. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 12 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, 28,29, 30 Resident’s needs are met by the provision of adequate numbers and skill mix of staff. Residents are supported by the homes recruitment policy and practices. EVIDENCE: Staffing hours are assessed using the residential forum. Staff rota shows which staff are on duty. There are sufficient numbers of domestic staff and the manager has advertised for additional administration support. Staff files seen show all documentation required to ensure that residents are in safe hands, except one staff file that was missing a birth certificate copy and the manager is pursuing this. A staff-training programme was seen which is evidence that the home is committed to providing competent staff to meet the needs of residents. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 13 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) 31,32,36 The residents live in a home which is run by a manager who is fit to be in charge, is of good character and is able to discharge her responsibilities EVIDENCE: At the last inspection the manager was spending much time at another home, that is no longer the case and the residents benefit from her increased input. Staff, residents, and visitors spoken to stated that the manager is approachable, although as stated in standard 16 some residents did feel that not al of their comments are acted on. The environment in the home today and the majority of the comments made are evidence that the residents generally benefit from the management ethos of the home. The manager ensures that staff receive supervision and new documentation was available to ensure that the incident of staff disciplinary and reinvestigation which led to the reinstatement of staff as discussed in standard 18 does not occur again. Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 14 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 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 15 2 COMPLAINTS AND PROTECTION 3 2 x x 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 3 3 x x x 3 x x Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 15 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 12 Regulation 16 (2) m&n Requirement Consult service users about their social interests and make arrangements to enable them to engage in local social and activities. Consult service users about the programme of activities arranged by the home, and provide facilities for recreation including, having regard to the needs of service users, activities in relation to recreation, firness and training. Timescale for action 2 months. 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 Good Practice Recommendations Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 16 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Silver Court H60-H11 S14716 Silver Court V230417 010605 Stage 4.doc Version 1.30 Page 17 - 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. 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