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Inspection on 06/07/05 for Smyth House Residential Home

Also see our care home review for Smyth House Residential Home for more information

This inspection was carried out on 6th July 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents are cared for by staff who have been there some time, so that residents know them well. Staff are also very familiar with how residents like to be cared for, and how they prefer to spend their time. Most residents choose to use the lounge during the day, rather than stay in their room, which encourages social activities and interest for residents. However those who decide to spend time in their rooms are free to do so, and are monitored by the staff. Staff are encouraged to spend time with the residents, talking and listening to them, which creates a friendly and homely atmosphere. The home has a successful continence policy which gives residents control and more dignity.

What has improved since the last inspection?

All rooms now have the means to hold doors open where residents wish it, but to automatically close them if the fire alarm sounds. The 2 monthly supervision sessions by the manager with each member of staff are now recorded in their personal files.

What the care home could do better:

Although the home meets all the standards concerning the training of staff, the manager should make sure that all training is recorded fully.

CARE HOMES FOR OLDER PEOPLE Smyth House Residential Home 106 High Street Leiston Suffolk IP16 4BZ Lead Inspector John Goodship Announced 6 July 2005 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. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Smyth House Residential Home Address 106 High Street Leiston Suffolk IP16 4BZ 01728 831373 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) Mr Peter Michael Mayhew Mrs Tracy Dawn Emsden Care Home 9 Category(ies) of OP Old Age (9) registration, with number of places Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 09/02/05 Brief Description of the Service: Smyth House is a private residential care Home providing care and accommodation since 1995. The Home is registered under the Provisions of the Care Standards Act 2000 to accommodate 9 older persons. Located on the main road in the town of Leiston, Smyth House is close to all the amenities, with a regular bus service.The Home is semi-detached with a restaurant one side and an unmade road on the other side. Level access to the Home is via the side or rear entrance as there is one step to the front entrance. The Home is on three levels and access to the upper floors is by stair lifts. The accommodation comprises seven single and one shared bedroom. Two bedrooms have en-suite facilities and one bedroom on the ground floor benefits with an en-suite shower and toilet. There is one communal bathroom and five toilets within the Home. The lounge and dining room are located on the ground floor and are to the centre of the Home with a conservatory at the rear, which leads out to the garden area. The garden is laid to lawn with a vegetable patch and a summer house.Car parking is available opposite the Home.A major extension is planned for the rear of the property. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 6 July 2005. It was the first of the current inspection year. The manager and the owner were present. There were 6 residents in the home and 2 others were in hospital. What the service does well: What has improved since the last inspection? All rooms now have the means to hold doors open where residents wish it, but to automatically close them if the fire alarm sounds. The 2 monthly supervision sessions by the manager with each member of staff are now recorded in their personal files. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 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. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 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 standard(s) 1,3,4,5. Prospective residents have access to all the information they need to make an informed choice of home. Likewise the home gathers the information it needs to confirm that it can meet the person’s needs. EVIDENCE: The statement of purpose had been updated to show the Level 4 qualification obtained by the manager. Admission assessment policies were confirmed by inspection of care plans. The manager described a potential admission in hospital who she was going to assess shortly to fill the one vacancy. There were 6 residents in the home at the time of the inspection, and 2 were in hospital. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10. The home is vigilant in identifying residents’ health needs, so that action can quickly be taken to meet them. There are good relations with the local surgery staff, with regular visits by a GP, which provides good surveillance of residents’ health. Medication procedures and staff training protect residents. Privacy is respected and choice is encouraged. EVIDENCE: Of the 2 residents in hospital, one had returned to hospital after the home was not satisfied with the action taken to diagnose their condition. 1 resident was in the home for a respite stay, until a decision on their future accommodation was agreed. Care plans contained information about health needs, and the action taken, with GP and district nurse entries for their visits. The manager was proud of their continence policy. With a proper toileting procedure and encouragement for the residents at risk, there was no-one who needed to wear aids to continence. More training for staff had been organised with the Continence Advisor. All care staff were undertaking the medication course run by Otley College. All the senior staff had been trained in-house by the manager. She was recommended to keep a record of the time and the content of such training. A Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 10 sample check on drug records, stock levels and the returns book showed that all was up-to-date and accurate. Residents were observed to be treated with courtesy and respect. Most of them preferred to come into the communal lounge during the day. One person wished to stay in their room. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 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 standard(s) 12,13,14,15. The home tries to find out what preferences residents have for stimulating their daily activities. Visitors are made very welcome. The catering is homely and of good quality. EVIDENCE: Care plans identified residents’ hobbies and leisure activities. The home provided a range of activities that residents were able to pursue or equally they could pursue their own interests and activities. The home provided a varied menu. On the day of inspection, the inspector joined residents and staff for lunch which was turkey and seasonal vegetables followed by trifle. All present enjoyed the meal. All the residents commented on how good the meals were. There is a close link with the local church, and an elderly volunteer visits regularly to talk to residents. This person was invited to the last residents’ meeting because of these links. Several residents have very local connections and receive visits from friends and relatives. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 12 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 are protected by the policies and staff training in the home. EVIDENCE: The home had received no complaints within the previous 12 months. The policy is up-to-date. The home had an up-to-date policy on the protection of vulnerable adults, and training in Elder Abuse had been accessed in the last 12 months. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 13 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) 19,20,21,22,23,24,25,26. Residents live in a homely and safe environment, with rooms personalised to their wishes. EVIDENCE: The environmental standards, which were all met at the last inspection, continued to be met. A planned extension had not yet started, but the manager had prepared an initial risk assessment and contingency plan for the safety of the residents during the building. There is regular checking of hot water temperatures which are recorded. During the inspection, all hot water in the baths was at the correct temperature. Some outlets on hand wash basins were above the temperature required by the Standard. The owner suspected this was due to accidental alteration of a thermostat by a plumber the day before. He immediately rectified the fault, and when re-tested the temperatures were right on the Standard. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30. Residents are supported by long-serving staff whom they know well and who are appropriately trained and supervised to ensure their competence. EVIDENCE: 4 staff had achieved NVQ Level 2 and above, and 2 more were waiting for funding from the training agency. Therefore the minimum level of care staff with NVQ was met. Recruitment practices met the Standard. Only one new member of staff had been appointed in the last 12 months. This showed that the home had a stable workforce, who were well known to the residents. The home was hosting a work experience school pupil for 2 weeks. This person had been inducted as necessary, and was supervised at all times. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37,38. The home is well run and maintained for the benefit of the residents, with proper procedures in place for their safety and protection. EVIDENCE: Staff received regular supervision which was recorded in their files. The minutes of the last residents’ meeting showed that they were kept up-todate with planned developments. Suggestions had been made about the menu which had been actioned. A sample of maintenance records were inspected, covering fire equipment, small appliances and baths. All were within recommended timescales. The manager did not act as appointee for any resident. Relatives were responsible for managing finances. One resident who was admitted for short stay care did look after their own money, although the manager had kept a record of how much money was brought in on admission. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 16 Door closers had been fitted as necessary following the previous inspection, which allowed those residents who wished, to keep their doors open without compromising the fire integrity. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 17 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 3 x 3 3 3 x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 3 3 3 3 3 Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 18 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 NONE 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 9 Good Practice Recommendations The manager should record the content of any in-house medication training. Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 5th Floor St Vincent House Cutler Street Ipswich IP1 1UQ 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 Smyth House Residential Home I54 - I04 S24489 Smyth House V229912 050706 Stage 4.doc Version 1.40 Page 20 - 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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