Inspection on 24/07/06 for Silver Court

This inspection was carried out on 24th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 12/10/05

Silver Court 01/06/05

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 Mrs S Gawley Unannounced Inspection 24th July 2006 09:00 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 Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 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. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silver Court Address Halsford Park Halsford Lane East Grinstead West Sussex RH19 1PD 01342 321717 01342 321202 soonitasss@aol.com Sharon.blackwell@anchor.org Anchor Trust 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) Miss Soonita Panton Care Home 42 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (20) of places Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 22 persons in the category DE (E) Dementia to be accommodated. 12th October 2005 Date of last inspection 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 run s nearly 40 care homes in the south region and some 100 facilities nationwide. 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. There is an accessible garden area. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out on 24 17 06. The deputy manager mainly facilitated the inspection but the registered manager was also available. The home was inspected against the National Minimum Standards. Documents held on file at the Commission were perused prior to the inspection. On inspection policies, procedures and documentation were inspected. Eight residents were case tracked; the building was inspected including the laundry and kitchen. Residents and staff were spoken to elicit their opinion on the home. The majority of the National Minimum Standards were met, many falling in the excellent judgement with the exception of standards on recruitment, staff supervision and the system for handling residents money. The fees charged range between £480 and £660 per week. What the service does well: What has improved since the last inspection? What they could do better: Although fully recruited at present staff files showed that staff are commencing prior to Criminal Records Bureau clearance. Staff also stated that they are not receiving supervision. The need for these to be in place was discussed with the registered manager and the deputy manager. A review of the system for handling resident’s money is to be undertaken in August. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 6 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 DS0000014716.V305828.R01.S.doc Version 5.2 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 Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 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): . 1, Prospective residents have the information they need to make an informed choice about where to live. 2, Each resident has a written contract/ statement of terms and conditions with the home. 3, No resident moves into the home without having had his/her needs assessed and been assured that these will be met. 4, Residents and their representatives know that the home they enter will meet their needs. 5, Prospective resident service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Standard 6 is not applicable Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: There is a statement of purpose in place containing the information required. This was discussed with the person in charge. There is a Service User Guide in Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 9 place and available to all sresidents and relatives. There is statemant on diversity in place to ensure that older people are treated with dignity, equality and justice. Evidence of pre assessment was seen in care plans. Residents spoken to stated that they had all the necessary information about the home Letters form relatives seen in a file were very complementary of the home Standard six is not applicable. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 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): 7. The resident’s health, personal and social care needs are set out in an individual plan of care. 8. Residents health care needs are fully met. 9. Residents, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. 10. Resident feel they are treated with respect and their right to privacy is upheld. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: Eight residents were case tracked and all aspects need and care provided were recorded. Care plans are in place based on a comprehensive assessment. This assessment is carried out over a number of weeks when the resident is first admitted. Health professionals are consulted as required and this is clearly recorded. There is evidence of risk assessment including risk assessment to self medicate. Policies and procedures on administering medicines are in place to ensure the safety of residents. Training in the safe handling of medicines is provided by Boots Pharmacy. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 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 the following standard(s): 12, Resident find the lifestyle experienced in the home matches expectations and preferences, and satisfies their social, cultural, 13, religious and recreational interests and needs. 13, Residents maintain contact with family/ friends/ representatives and the local community as they wish. 14, Residents are helped to exercise choice and control over their lives. 15, Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: There is an activities schedule in place including board games, bingo, gardening films and walking. Seasonal events are also provided such as strawberry teas ans a summer barbeque which relstivs are invited to. These are facilitated by the senior on duty who is reminded on the day at handover what the activity of the day is. Staff spoken to stated they were happy except one who felt an activities coordinator could help. This was discussed with the deputy manager who stated that it is the intention to enploy two new seniors who would have protected hours for activities provision Visitors are welcome Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 12 at the home. Residents spoken to stated that they are treated with respect and have choice over lifestyle and that they are happy with the activities on offer. There is varied menu in place and choice is offered to residents. Meals are served restaurant style rather that plated up which residents stated they enjoy. The chef was spoken to who stated that the system works well and is reliant on carers communication with residents. Kitchen recordes are up to date and requirements of a recent environmental health report have been met. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 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 the following standard(s): 16, Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. 18, Residents are protected from abuse Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: Residents spoken to stated that they felt they could complain and that it would be addressed. Complaints to the home are e recorded and appropriately dealt with. Policies and procedures are in place on the protection of adults and the deputy manager and staff spoken to confirmed that training was in place. Training records were inspected to evidence this. The handling of residents money has changed as is under discussion with the Commission. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 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 the following standard(s): 19. Residents live in a safe, well-maintained environment. 20. Residents have access to safe and comfortable indoor and outdoor communal facilities. 21. Residents have sufficient and suitable lavatories and washing facilities. 22. Residents have the specialist equipment they require to maximise their independence. 23. Service users’ own rooms suit their needs. 24, Residents live in safe, comfortable bedrooms with their own possessions around them. 25, Residents live in safe, comfortable surroundings. 26. The home is clean, pleasant and hygienic Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: The chef was spoken to and kitchen records were inspected which were up to date. The requirement of the environmental health report of Dec 05 has been met. The laundry was clean and organised and the laundry assistant discussed Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 15 the systems in place to avoid clothing being misplaced. All resident’s laundry is laundered individually. All parts of the home inspected were neat clean and free from offensive odour. Rooms were personalised with resident’s own belongings. The lounge, dining and outdoors space is attractive and comfortable. Residents confirmed that they are satisfied with the comfort and furnishings in the home. There is a maintenance man who completes a rolling plan of maintenance and who monitors water temperatures weekly. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 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 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): 27. The numbers and skill mix of staff meets resident’s needs. 28, Residents are mostly in safe hands at all times. 29. Residents are not supported and protected by the home’s recruitment policy and practices. 30. Staff is trained and competent to do their jobs. Quality in this outcome area is adequate.. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: Residents are protected and have their needs met by the provision of suitable numbers and appropriately trained staff. Staff rota inspected showed this. 60 of staff are National Vocational Qualification Level 2 qualified and five senior carers are National Vocational Qualification level 3 qualified with a further 2 staff completing level 3. Staff records inspected showed that staff are commencing employment following a POVA First check but without Criminal Records Bureau clearance. This was discussed with the deputy manager and the registered manager . Staff spoken to stated that they had not had supervision in recent months, this was confirmed by inspection of supervision records which were not up to date There is a training programme in place which is up to date with training needs and completion date. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 17 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): 31. Residents 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. 33. The home is run in the best interests of residents. 35. Residents’ financial interests are safeguarded. 36. Staff are not appropriately supervised. . 38. The health, safety and welfare of residents and staff are promoted and protected. Quality in this outcome area is adequate.. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: Residents are consulted in the running of the home. Residents stated that they are consulted in the running of and decisions in the home. They further Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 18 stated that they are happy with the way the home is run and feel that they can approach management of the home if there is a problem. The system of handling resident’s money has been changed throughout the organisation with all monies being pooled either in the home or in an Anchor bank account rather than individual accounts. This would seem to be in variance with the homes policy on diversity. This practices was discussed with the registered manager and the deputy manager who stated that this was discussed with the Provider Relationship Manager at an organisational level. It is to be reviewed in August. Staff mostly state that the management team is approachable but supervision is not currently happening for all staff. The health, safety and welfare of residents and staff is ensured through records of home maintenance and staff training. Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 4 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 X 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 2 X 3 Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 20 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 OP29 Regulation 19 Requirement Timescale for action 30/09/06 2 OP36 18 The registered person operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. The registered person ensures 30/09/06 that the employment policies and procedures adopted by the home and its induction, training and supervision arrangements are put into practice. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are s9een as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Silver Court DS0000014716.V305828.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Southampton Hub 4th Floor, Overline House Blechynden Terrace Southampton Hampshire SO15 1GW 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 DS0000014716.V305828.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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