CARE HOMES FOR OLDER PEOPLE
Silver Court Halsford Park Halsford Lane East Grinstead West Sussex, RH19 1PD Lead Inspector
Sheila Gawley Announced Wednesday, 12 October 2005, 10:00am
th 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 V247143 121005 Stage 4.doc Version 1.40 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 V247143 121005 Stage 4.doc Version 1.40 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 01 06 05 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 south 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 sittingand one with 12 flats all with dining and kitchen areas. All residents rooms have en suite facilities. Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 12/10/05. The manager and deputy manager facilitated, as did the administration and senior care staff. A pre inspection questionnaire was received in respect of the service and several comment cards were received. Residents, relatives and staff were spoken to. Residents and relatives spoken to were satisfied with the care offered and mostly had very positive comments to make. The information from the above sources will be used to compile the report within the framework of the National Minimum Standards. 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 V247143 121005 Stage 4.doc Version 1.40 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 V247143 121005 Stage 4.doc Version 1.40 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) 3,6 No resident moves into the home without having had his/her needs assessed and been assured that these will be met. Standard 6 is not applicable EVIDENCE: Care plans perused had evidence of pre assessment. This is often completed over a day visit to the home by the prospective resident, Relatives of a Resident being admitted today were happy with the process and felt it had been ascertained that the home could meet three relatives needs. Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 8 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 The residents health, personal and social care needs are set out in an individual plan of care. Residents make decisions about their lives with assistance as needed. Residents, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Residents mostly feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Care plans inspected today recorded all aspects of need and showed monthly update. Risk assessment is in place to allow residents as much independence a possible. A recently developed nutritional assessment and support system was seen which helps to ensure correct attention to nutritional status of residents. All residents state that they are treated with respect except one who felt that one carer is abrupt. This was discussed with the manager who stated that she would address this at the next staff meeting. The deputy manager stated that this is sometimes the result of cultural differences.
Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 9 Policies and procedures are in place to ensure the safe receipt, storage and handling of medicines. The home liaises with the pharmacist and there is a current pharmacy inspection valid until March 2006. Records of receipt, administration and disposal of medicines were seen, as was the controlled drug register. These documents were up to date. Only senior staff trained to do so administer medicines. Service users medication needs are discussed with General Practitioners and medicine administration charts viewed were up to date, including those used for the recording of topical items. These practices ensure the health and safety of residents. Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 Resident find the lifestyle experienced in the home matches expectations and preferences, and satisfies their social, cultural, EVIDENCE: Residents are informed of activities via a monthly newsletter and a relatives support group has been set up which meets quarterly. There is much positive feedback from this. Activities are also posted on the notice boards. Staff will also on a daily basis remind residents of activities for the day. Residents spoken to confirmed that they are happy with the activities and feel that there is a lot on offer at Silver Court Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Resident’s legal rights are protected. Residents are protected from abuse EVIDENCE: There is a complaints procedure in place and is given to all residents. Residents and relatives spoken to felt that their complaints would be listened to and acted on. There is a comprehensive recording system in place, which evidences actions. Adult Protection Procedures are in place to protect residents from abuse as is training. Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20 Residents live in a safe, well-maintained environment. Residents have access to safe and comfortable indoor and outdoor communal facilities. EVIDENCE: Residents have access to comfortable communal indoor and outdoor facilities. Some communal rooms have had new carpeting, furnishings and curtains following consultation with residents. The garden area is maintained and residents stated that they can sit outside in warm weather and one resident stated that she likes to do some gardening. Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 13 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) These standards were not inspected on this occasion as they were met on the last inspection. EVIDENCE: Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 14 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) 32,33,35,38 Residents benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Residents’ financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The evidence that residents are consulted in issues such as meals, furnishings and activates is evidence that the home is run in the c=best interests of residents. Suitable financial practices were demonstrated to ensure the financial interested of residents are safeguarded. A new computer system to manage this on an organisational basis was discussed and this will be in place in the next few weeks. It is Anchor Trust wide. Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 15 Residents, relatives and staff stated that the home is well run and that they are happy with the happy, approachable management style. The health, safety and welfare of service users and staff are promoted and protected by the provision of training and supervision of staff. Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 16 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 3 3 x x x x x x STAFFING Standard No Score 27 x 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 x 3 x 3 3 x 3 x x 3 Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 17 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 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. Refer to Standard 10.5 Good Practice Recommendations All staff to be to be instructed in how to treat service users with respect at all times. Silver Court H60-H11 S14716 Silver Court V247143 121005 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 2 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 V247143 121005 Stage 4.doc Version 1.40 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!