Inspection on 11/07/07 for Slate House

This inspection was carried out on 11th July 2007.

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

Slate House 07/06/06

Slate House 10/11/05

Slate House 20/05/05

Slate House 28/10/04

Slate House 21/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Slate House The Slate House 26 Wellington Road Sandhurst GU47 9AN Lead Inspector Yvonne Souden Unannounced Inspection 11th July 2007 11:30 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 DS0000042970.V343093.R02.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. DS0000042970.V343093.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Slate House Address The Slate House 26 Wellington Road Sandhurst GU47 9AN 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) 01344 773358 01344 773358 slatehouse@tiscali.co.uk Mr Ahmad Issac Beeharry Mrs Liza Sabrina Khan, Mr Nasar Khan, Mrs Anne-Marie Antoinette Beeharry Mrs Liza Sabrina Khan Care Home 13 Category(ies) of Dementia (4), Old age, not falling within any registration, with number other category (9) of places DS0000042970.V343093.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2006 Brief Description of the Service: Slate House is a privately owned care home and is registered to provide care and accommodation for 13 older people. The home is a detached three-storey building with a lounge and dining room on the first floor, and a stair lift to access the second and third floor. There is a small garden with seating that can be accessed from patio doors in the lounge. Single and double bedrooms are provided with a wash hand basin; one single room on the ground floor has en-suite facilities. A bathroom is located on the ground and second floor, and toilet facilities are on each floor. The home is situated in a residential area of Sandhurst close to local amenities, and public transport. Slate House has a Statement of Purpose and Service Users Guide available on application to the home. Email slatehouse@tiscali.co.uk Information CSCI received 11/07/2007 confirm that fees range from £304 to £597.00, with additional charges for Hairdressing, Daily Newspapers, Chiropody and Transport. DS0000042970.V343093.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information gathered to support this report includes inspection records, documentation received from the home and a four and half hour site visit to the home. The site visit enabled the inspector to observe care practice within the home and hear the views of the service from residents, staff, management and visitors. The site visit also gave the inspector an opportunity to view further documentation, and view the care plans of three residents’. From the evidence seen by the Inspector and comments received, the Inspector considers that the service would be able to provide a service to meet the needs of individuals of various religion, race, or culture. The home follows policies and guidelines to manage issues relating to equality and diversity. What the service does well: What has improved since the last inspection? The home has written guidelines to ensure the safe administration of residents’ medication and has developed a cross gender policy. Management within the home have developed their quality assurance system to ensure the views of the residents are listened to. DS0000042970.V343093.R02.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. DS0000042970.V343093.R02.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 DS0000042970.V343093.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Slate House enables prospective service users and their representatives to make an informed choice when considering the home as their new home. Service users care needs are assessed prior to a placement offer. The home does not provide intermediate care. EVIDENCE: The home has a Statement of Purpose and Service Users Guide to ensure service users and their representatives are informed about the service provided within the home. Records and discussions with service users and visitors identified that prospective service users have their needs assessed by their care manager and by the home prior to a placement offer. DS0000042970.V343093.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home maintains contact with Health and Social care services to ensure service users health and social care needs are met with dignity and respect. EVIDENCE: CSCI sent surveys to Health and Social Care Professional, service users and their relatives, but at the time of compiling this report no surveys had been returned. Observation at the staff handover meeting confirmed that staff know the diverse needs of the service users, and are informed of the service users current health care needs. Staff spoke of health care involvement that had taken place that day, and spoke of a service user who had felt unwell and of the action plan in place to seek a health care professionals advice. As quoted by a visitor “I take my mother if she needs to go to the hospital, but the GP has visited”. Service users and their visitors indicate that they are satisfied with the provisions of care provided and were complimentary of the staff team as quoted by a service user, staff very good, very kind”. DS0000042970.V343093.R02.S.doc Version 5.2 Page 10 Care plans were clearly written and detailed the individual needs of the service user with an action plan to meet those needs, but although some associated risks were identified in the service users care plan, a separate risk assessment to detail all associated risk and how to minimise the risk was not in place. Clearly written risk assessments on moving and handling and risk of falls were in place. Discussions with management and records viewed confirm that regular review of the service users care plans take place. The home has a medication policy and procedure and discussions with staff and records viewed show that staff have had training to administer service users medication. Service users medication was observed to be stored securely and records matched stock in place. Records show that a Pharmacist has visited the home and that requirements were met. DS0000042970.V343093.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is focused on making daily life interesting and enjoyable for the service users enabling them to live a fulfilled life that centres round choices they have made, but this could be jeopardised by insufficient staff numbers. EVIDENCE: Posters and activity programs were readily available for service users to refer to, and the Inspector observed service users participate in recreational activity that was encouraged by staff, however walking activities advertised on the service users notice board were not offered to the service users due to insufficient staff. The home keeps an activity logbook to evaluate the service users choice and to evaluate whether it is an activity they enjoy. As quoted by a regular visitor to home “activities, they always have a ball out and sit and play board games, and mum helps wipe up in the kitchen as she enjoys that”. Service users are able to observe religious needs; this was evident from discussions with service users and from observations made at the staff handover meeting as staff were informed of those service users who had chosen to take part in communion that day. DS0000042970.V343093.R02.S.doc Version 5.2 Page 12 Service users said that they are able to maintain links with family and friends as quoted I have a niece who visits me, she takes me out sometimes to a nice country pub , and as quoted by a visiting relative “I visit several times a week, always made welcome”. The home has developed menus that offer choice. Observations and discussions with service users demonstrate that service users are happy with the food provided. As quoted by a service user “I come here every day, I like it, it’s nice and clean with home made food”. Staff said that some service users forget the main meal choice that they have made; the Inspector observed a service user being offered an alternative when they informed staff that they did not want the main meal. Service users were observed to freely walk around the home and access the garden. The garden had seating and tables, but the garden was slightly unkempt and service users commented on this. The homes activity organiser has left since the last inspection and the post has not been replaced. DS0000042970.V343093.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaint procedure that is easily accessed by service users and their representatives. Staff are fully aware of adult protection procedures to safeguard the service users. EVIDENCE: No complainant has contacted the commission with information concerning a complaint made to the service since the last inspection. The Inspector viewed the homes complaint logbook and no complaints were logged. Service users and visitors are able to access the homes complaints procedure from their Service Users Guide and information on the homes notice board. Discussions with staff identify that they are aware and have knowledge of multi-agency policy and procedures to safeguard service users, and of the homes whistle blowing policy. Staff training records viewed confirm that staff have attended safeguarding adults training. DS0000042970.V343093.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable, clean and safe environment, but the homes bathrooms are in need of refurbishment. EVIDENCE: The inspector observed a comfortable living environment that was homely, clean and fresh with no unpleasant odours. From records viewed and discussions with the manager it was clear that health and safety maintenance of the building takes priority. The bathrooms are in need of repair/décor and the manager reports that plans are underway to commence refurbishment of the bathrooms July 2007. The privacy of the service users is not guaranteed in the downstairs bathroom as there is a door that leads into the laundry with an obscure window. The home has a laundry and sluice room, and staff undertake infection control training; protective clothing was observed to be available to staff. DS0000042970.V343093.R02.S.doc Version 5.2 Page 15 Fire records viewed show that weekly checks of fire equipment are maintained and that the homes fire risk assessment has been updated. Discussions with staff and records viewed confirm that staff attend regular fire safety training. Most of the recommendations made from an Occupational Therapist visit have been met, but the TV would appear to be too small and needs further investigation to see how this could improve the lives of the service users, and a handrail has not been fitted to the outside entrance of the front door to promote their safety. DS0000042970.V343093.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Slate house has a diverse staff team who are competent and trained to meet the health and social care needs of the service users, but insufficient numbers of staff at varying times of the day could put the service users at risk. EVIDENCE: It was evident from discussions with staff and records viewed that staff are supported within their training and development needs and receive regular supervision. Over 50 of staff have an NVQ in care. Staff said they are encouraged to attend specialist training that gives them an understanding of the service users diverse needs, and said that they receive regular mandatory health and safety training. From observation the ratio of staff at varying times throughout the site visit appeared at a level that enabled staff to meet the needs of the service users with dignity and respect. Staff said there was enough staff to meet the service users needs, but on arrival at the site visit only one care assistant was present and was in the process of cooking the main meal, and the second care assistant had went to the chemist; a manager was not present. On return the second care assistant assured the inspector that this was not normal practice, and the responsible individual said that it was not acceptable for one member of staff to be left alone in the building. The home has a recruitment and equal opportunity policy. The home reports that one full time and one part-time member of staff has left since the last DS0000042970.V343093.R02.S.doc Version 5.2 Page 17 inspection 7/06/06 and the manager informed the inspector that they are in the process of recruiting staff. DS0000042970.V343093.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a competent and qualified manager whose leadership and management skills ensures service users needs are met in a relaxed and safe environment. EVIDENCE: The registered manager has managed the service for four years and continues to update her skills and knowledge from regular specialist and mandatory courses attended. At the time of the inspection the registered manager was on extended leave and the responsible individual was managing the home. The inspector observed a relaxed and friendly atmosphere within the home, and discussions with staff, residents and visitors confirmed that management have an open door policy. Staff and resident meetings take place and records show that DS0000042970.V343093.R02.S.doc Version 5.2 Page 19 management have auditing systems in place to ensure standards are maintained. The evaluation of the homes last survey sent to service users/relatives and Health and Social Care professionals indicates a shortfall on activities. The manager said that this was because relatives could not always witness activities that had taken place and have therefore developed a picture diary that shows service users participating in various activities. The home does not hold money on behalf of the service users and invoices additional fees to the service users/representative of the service user. It was evident throughout the home that the Health and Safety of service users, staff and visitors is paramount. The home has policies and procedures on safe working practice and staff receive regular training within Health & Safety, Fire Prevention, Moving and Handling, COSHH and Food Hygiene. DS0000042970.V343093.R02.S.doc Version 5.2 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000042970.V343093.R02.S.doc Version 5.2 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. 1 Standard OP27 Regulation Requirement Timescale for action 11/07/07 13. (4) (c) The provider must ensure & 18. (1) sufficient numbers of staff are on (a) shift throughout the day and night to meet the health and social care needs of the service users who live there. 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 OP7 Good Practice Recommendations In the absence of the registered manager the provider should look at further development of the service users risk assessments, to include risks individual to the service user, and ensure staff are aware of the action plan in place to minimise the risk. The door leading into the laundry from the downstairs bathroom has obscure glass that does not promote the privacy of the service users; this bathroom is being refurbished. The provider should ensure plans are in place to promote the service users privacy within the DS0000042970.V343093.R02.S.doc Version 5.2 Page 22 2. OP10 refurbishment programme. 3. OP12 Service users should be afforded the choice of activities that the home offers as detailed on their notice board to promote the service users lifestyle and experiences. To responsible individual should complete the recommendations made by the occupational therapist by fitting a hand rail at the entrance of the front door to promote the service users safety, and should enable service users to watch television from a screen that they can see. The responsible individual should record on the homes staff rota the management/care hours they are working within the home, in the absence of the registered manager. 4 OP22 5. OP31 DS0000042970.V343093.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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