Inspection on 07/06/06 for Slate House

This inspection was carried out on 7th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 11/07/07

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 Kerry Kingston Unannounced Inspection 7 June 2006 10:00 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 Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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 nasar_g_khan@hotmail.com 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 Slate House DS0000042970.V291613.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005 Brief Description of the Service: Slate House is a privately owed care home providing personal care and accommodation for thirteen service users aged 65 years and over. The home can admit up to four service users who suffer from dementia. The three-storey home is situated close to the centre of Sandhurst. Seven of the homes bedrooms are single and three are shared rooms. There is a stair lift. The home has an easily accessible garden. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection which took place on the 7th June 2006 between 10.00am and 5.00 pm. Information for this report has been obtained from service users questionnaires, talking to service users, staff and the manager / owner of the service. The homes’ written records, observation of care practice and a tour of the home also provided evidence for the report. The home has met the requirement and recommendations made in the last inspection report. Good care practice was observed in the home on the day of the inspection visit. What the service does well: What has improved since the last inspection? What they could do better: The manager could make sure that guidelines are in place to help staff to look after service users (of the opposite sex) personal care needs appropriately and to make sure staff know when they should give medication prescribed, as necessary. The manager could make sure that people know when they are on duty/in the building. The home could use the information it gets from the service users and other people to develop a plan to show what the home hopes to improve during the following year. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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 Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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): 2 and 5 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: The last two service users to be admitted had appropriate assessments completed prior to and immediately after admission. Service users confirmed that the home suited them and they were very comfortable. Service users who are admitted from hospital,generally have less full assessments.The home ensure they have as much information as possible to assist with the development of the individuals’ care plan. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9 and 10 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: All service users have individual care plans , which are developed from the initial assessment. These could be more detailed in some cases but they give staff enough information to ensure that they are able to meet the needs of the service users in the way that they prefer and need. The care plans are not all regularly ‘formally’ reviewed although the home is developing a system whereby the manager and a senior carer review and monitor all care plans and risk assessments on a monthly basis.The outcomes of reviews are not always transferred to the care plans. Three service users said that they received very good care and the staff would ‘do anything for you’. Staff said that they were proud of the standard of care that they were able to offer service users. Service users’ health is closely monitored and maintained, there is regular Primary care team support and health records are well kept. Service users felt that the they can see the doctor when they need to and the nurse will call if Slate House DS0000042970.V291613.R01.S.doc Version 5.1 Page 10 there are any problems. One service user was being visited regularly by the district nurse for dressings. One service user was being taken to the G.P surgery on the following day as she is still ambulent and the home attempt to keep people as involved as possible. The G.P visits the home on a regular basis to see those service users who are unable/unwilling to visit the surgery. The home apppear to have a very positive relationship with the primary health care team. A Community psychiatric nurse was visiting the home for a review to plan the specialist support he could offer to one of the service users. Medication records were accurate and staff were observed explaining fully to a service user the purpose of the medication, as she had forgotten what it was and what it was prescribed for. This explanation was given in a patient, respectful and sensitive manner and was an example of good practice observed. Medication precribed ‘as and when necessary’ (P.R.N) did not have specific guidelines attached, although there was an instruction to contact the manager or proprietor. Observation of the care being given during the inspection visit demonstrated staffs’ sensitivity and knowledge of the needs of individual service users. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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): 12,13,14 and 15 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service EVIDENCE: Individual service users have an activity plan and their particular hobbies/likes /dislikes are noted. One service user has special interests and these are encouraged and staff help to ensure they can be pursued. Daily notes reflect activties offered and/or participated in. Activities were observed taking place on the day of inspection,ten of the twelve service users participated in the quoits, four service users danced to rock and roll music and all were encouraged to participate in choosing meals that they liked for next weeks menu. Service users were alert and communicative, some clearly enjoyed the activities and others were gently encouraged to participate. There were board games, books and tapes in the sitting room and service users were observed reading newspapers and books. A specialist activities co-ordinator works all day Saturdays for 1:1 opportunities for service users and to organise and plan activities for the week. Staff and service users felt that they would like to ‘get out more’ and this was an area that the home was considering for improvement. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 Page 12 Service users were observed being given choices, participating in menu planning and being perfectly comfortable to ask for anything they needed.The manager said that there are meetings to discuss issues with service users but these are not recorded at present. The meal time was quiet and relaxed, service users appeared to be really enjoying their food. The meals were of good quality and one service user was seen to be given a very individual choice of food. The kitchen was seen to be clean and hygienic, with food properly stored and plenty of fresh food supplies available. The cook and a senior carer are responsible for planning menus and for food supplies and one of them confirmed that there is always enough food and no issues with obtaining the necessary supplies. The cook has been in post for approximately three weeks, staff and service users felt that this was very positive and the food was ‘lovely’. The menus reflected service users choices, were varied and reflected the cultural background of the service users.The service users really enjoy their food and feel activities are ‘ok’, there is always ‘plenty to do.’ Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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): The quality in this outcome area is generally good. This judgement has been made using available evidence, including a visit to the service EVIDENCE: There is a robust complaints policy but there are no complaints noted in the complaints file.Some information is kept off the premises and a complaint received this year via the Commission is not noted, in the home. The manager was advised that there should be some reference to complaints, in the home. Service users said that they know who to talk to if they are not happy but two service users said thay never have any real reason to complain. Staff were observed listening carefully to service users and positively responding to any minor concerns being voiced by service users. Most service users were articulate and appeared well able and willing to voice their views. Staff have been or are planned to be trained in Vulnerable Adults procedures. Two staff clearly described the action they would take in event of a complaint or incident of abuse and were absolutely committed to the well being of the service users. The home has no cross gender care policy or procedure even though there are occassions when there is an all male all male staff team on duty with a mainly female service user group. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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, 25 and 26 The quality in this outcome area is generally good. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: The home has a daily cleaner and the home is clean and hygienic. Some areas look ‘tired’ but the whole home is being up-dated. New tables have been purchased to improve the look and function of the dining room and some carpets have been replaced. The O.T assessment, required in the last inspection report has been recently completed, some areas have been adressed and the manager advised that improvements were planned in others, a written plan supported this statement. Service users bedrooms reflected their individual choices and personalities. Service users said that they were very comfortable and staff confirmed that they have all the equipment they need to complete their tasks properly. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 Page 15 Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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): 27,28,29 and 30 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service EVIDENCE: There are a minimum of two care staff per shift and a cook is employed to do the main meals and look after the kitchen and supplies. There is a cleaner who works every every day (in the week) and there is an extra staff member on duty during the daytime on Saturdays who specifically focuses on doing and planning events and activities. Staff felt that there were enough staff to ensure they could offer the necessary good quality care to service users and it was much improved since the cook had been appointed as they could now concentrate on the care of the service users. Staff advised that they have good training opportunities and the training records confirmed this, however training records were not very detailed and were not dated. Six of the thirteen care staff have an N.V.Q. 2 qualification (or above). Recruitment records are robust and files contain all the necessary information to ensure the staff are safe. The attitude of care staff, observed on the day of the inspection visit was excellent displaying knowledge , understanding, sensitivity and a great respect for the service users. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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): 31,33,35 and 38 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: The home is, currently managed by the proprietor (the registered individual), the registered manager (joint propritor has been on extended leave for approximately eight months.) The acting manager has an N.V.Q4 qualification in care and management. The care hours the manager works are included on the rota but the management hours are not. There is a quality assurance system in place, it has been partially instigated but no development/improvement plan has resulted from analysing the information received. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 Page 18 Service users monies are not looked after by the home, the families generally deal with all their finances, one service users finances are dealt with by a legal representative. Families are invoiced for any expenditure incurred by the service users. There have been three deaths since the last inspection, these were not notified to the Comission because the service users had been discharged to hospital or nursing homes just prior to their deaths. The homes’ O.T. assessment was completed recently (see standard 19) the home is addressing the recommendations made in the report as quickly as is practicable. A new accident book is now being used, there are only a small amount of accidents noted. Medication records were accurate (see standard 9). A pharmacist visits on an annual basis and there were no major issues noted. The enironmental health officer visited in Novemeber 05 and the recommendations have been complied with. Recommendations made by the fire officer have been mainly complied with, some areas are to be part of the refurbishment programme, as is some electrical work recommeded when the five yearly electrical check was completed in 04. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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 X 3 X X 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 3 X 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 3 X 3 X N/A X X 2 Slate House DS0000042970.V291613.R01.S.doc Version 5.1 Page 20 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 2 Standard OP9 OP18 Regulation 13.2 13.6 Requirement To ensure there are written guidelines for all P.R.N medication. To develop cross gender personal care guidelines to ensure the safety of service users and staff. Timescale for action 01/08/06 01/07/06 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 OP19 OP31 OP33 Good Practice Recommendations To complete or risk assess all the recommendations made in the O.T. and electrical assessment reports. To record management hours on the rota. To further develop the quality assurance system to include an annual development plan. Slate House DS0000042970.V291613.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Slate House DS0000042970.V291613.R01.S.doc Version 5.1 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. 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