Inspection on 07/04/05 for Somerleigh Court

This inspection was carried out on 7th April 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.

Other inspections for this house

Somerleigh Court 29/10/07

Somerleigh Court 30/05/07

Somerleigh Court 16/08/06

Somerleigh Court 27/10/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Somerleigh Court Somerleigh Road Dorchester Dorset DT1 1AQ Lead Inspector Gloria Ashwell Unannounced 07 & 14 April 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. Somerleigh Court Version 1.10 Page 3 SERVICE INFORMATION Name of service Somerleigh Court Address Somerleigh Road, Dorchester, Dorset, DT1 1AQ 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) 01305 259882 Bentleigh Care Ltd Mrs Margaret Andrews CRH-N - Care Home with Nursing 40 Category(ies) of DE(E) - 15 registration, with number OP - 25 of places Somerleigh Court Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 15 service users under the category of DE(E) to be accommodated on the top floor of the building. 2. Two service users (as known to the CSCI) may be accommodated within the category OP with an age range of 60-65 years. Date of last inspection NA Brief Description of the Service: Somerleigh Court is a purpose built nursing care home, first registered during November 2004. It is located close to the centre of Dorchester, within walking distance of shops and other facilities including a GP practice. Service user accommodation is on the ground, first and second floors; each floor comprises a separate unit with a dedicated staff team, lounge/dining room, kitchenette and hygiene facilities. The second (top) floor is registered to accommodate a maximum of 15 elderly persons requiring nursing care for conditions associated with dementia; the ground and first floors are registered to accommodate up to 25 elderly persons requiring nursing care. The home is managed by Mrs Andrews who is an experienced registered nurse. At all times a registered nurse is on duty on each unit. All service users are accommodated in single bedrooms with en suite toilets and wash hand basins. Each unit has a range of equipment including assisted bathing facilities to aid safe movement of service users with impaired mobility. Visitors cars may be parked close to the home (a permit obtained from the home MUST be displayed). Arrangements are in hand to provide a small patio garden by the end of May 2005. Somerleigh Court Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Somerleigh Court was first registered during November 2004; this is the report of its first inspection. The inspection took place over two days; the inspector arrived (unannounced) at 10.25 on 7 April 2005. During that morning she spoke to residents, staff, some visiting relatives of residents and a visiting doctor (attending 3 service users). The inspector observed staff interaction with residents, the carrying out of routine tasks (including the mid-day medication administration) and the serving of lunch, and toured the premises, departing at 13.30. As agreed with the home manager during the visit on 7 April 2005, the inspector returned to the home at 9.30 on 14 April 2005 and together with the home manager considered evidence for meeting the National Minimum Standards, as described in this report. The duration of the inspection (both days combined) was 7 hours. What the service does well: Discussion with residents indicated they are exceptionally satisfied with all aspects of the home; in particular a number identified the tranquillity and general peacefulness of the home as highly desirable – comments included that it was “quiet, without being dull – peaceful entertainment, or no entertainment; whichever you want…..they can understand your problems….feel at ease….food is very good, excellent, really good quality…”. On the days of inspection the home was very clean, comfortably warm and well staffed. The standard of nursing and social care is very good; each resident has a documented plan of care. The home is well equipped, attractively decorated and suitably furnished. Staff are enthusiastic and kind, and receive training. The home is well managed. Somerleigh Court Version 1.10 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Somerleigh Court Version 1.10 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 Somerleigh Court Version 1.10 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, 2, 3, 4, 5 and 6 Prospective residents (or their representatives) are provided with helpful information about the home and can visit the home to assess its suitability. Prior to admission the needs of the proposed resident are assessed by staff of the home to ensure they will be properly able to meet them. Each resident has a written contract describing Terms & Conditions of occupancy including the fees. The home does not provide intermediate care. EVIDENCE: Prospective residents are given a clear and well-written ‘service user guide’ describing the home and providing information about life in the home and the Statement of Purpose. Somerleigh Court Version 1.10 Page 9 Prospective residents (or their representatives) are encouraged to visit the home in advance of admission. A recently admitted resident explained that in advance of admission her daughter had visited the home and staff of the home had visited her to assess her needs. Records of pre-admission assessment for 4 residents were examined and were clear and relevant. In advance of each admission and following assessment of the persons needs, the home manager writes to the prospective resident to confirm that the home will be able to meet the assessed needs. All admissions are for an initial trial period of one month; residents are issued with a contract, describing Terms & Conditions of occupancy including the fees. Somerleigh Court Version 1.10 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 standard(s) 7, 8, 9, 10 and 11 The standard of care is very good and in accordance with a written plan of care. Residents receive prescribed medicines at the correct times and in correct amounts; those wishing to do so can manage their own medicines. Residents are treated with respect and their privacy and dignity is protected at all times. Physically ill and dying residents receive very good care, designed to ensure they remain free of pain and as comfortable as possible. EVIDENCE: All residents with whom the inspector spoke said they felt very well cared for and safe. Staff to whom the inspector spoke were aware of each residents health and social care needs. Somerleigh Court Version 1.10 Page 11 A visiting doctor said that care was of a reliably good standard and requests for his visits were appropriate. Two visiting relatives whose mother had recently died in the home expressed their great satisfaction with the care the home had provided; “the most excellent quiet environment, wonderful care, friendly staff, can’t praise it enough…”. A terminally ill resident was being very well cared for, in accordance with a written plan of care and the home’s policies and procedures. Risk assessments form the basis for care plans and daily ‘evaluation sheets’ describe the care of each resident. Residents wishing to do so can manage their own prescribed medicines, although most prefer this to be done by the nursing staff. Residents said that nurses give them the correct medicines, at the correct times. Medicine records were accurate but did not include all necessary details. At intervals during the inspection several ‘staff call bells’ were heard; each received a quick response and residents said this was usual. Somerleigh Court Version 1.10 Page 12 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 and 15. The quality of daily life in the home is extremely good. Residents are encouraged to maintain as much independence as possible and visitors are welcomed. Social and leisure activities are varied and suited to the preference and ability of each resident. Meals are appetising and of good quantity and quality. EVIDENCE: The inspector spoke to a number of residents; all expressed great satisfaction with all aspects of the home, including the range of activities, meal provision, staff and premises. They are able to choose at what time to go to bed and are not awakened in the morning unless they request to be called. Residents can spend the day in the lounge or their bedroom, as they wish. The home does not employ an Activities Organiser; there is a senior health care assistant who arranges one-to-one and small group social and recreational activities. One resident informed the inspector that during the afternoon of the first day of inspection the Activities Organiser would be taking him out in his wheelchair to the nearby town centre shops. Somerleigh Court Version 1.10 Page 13 Available in the lounge of each unit were daily newspapers, reminiscence activity aids and books. The inspector observed the serving of lunch on each unit; the meal appeared well prepared and wholesome. Residents said that a choice of food is always available and the standard of food uniformly good, with plentiful quantity. Meals are prepared in the ground floor ‘commercial standard’ kitchen by dedicated catering staff. Each unit has a kitchenette within the lounge. Meals are transported to each unit in a heated trolley, and served onto plates by nursing staff, ensuring that quantity and choice is in accordance with each resident’s wishes. The ‘service user guide’ states “visitors are welcome at any time, although visits between 8pm and 8am should be by prior arrangement”. Residents said they can have visitors at any time and at varying times during both days of inspection there were visitors in the home. Somerleigh Court Version 1.10 Page 14 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, 17 and 18 Complaints are managed properly and residents are confident their concerns are listened to and taken seriously. The home protects residents and promotes their legal rights. EVIDENCE: The ‘service user guide’ includes a clear complaints procedure and policy. All complaints are recorded, together with details of investigation and outcome. The home has policies and procedures for the protection of residents. Arrangements have been made for residents who wish to vote in forthcoming elections to receive postal voting papers or attend polling stations, in accordance with their individual preferences. Somerleigh Court Version 1.10 Page 15 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 and 26. The home is comfortable, clean, well maintained and suited to the needs of the residents. Communal facilities are available on each floor; there are sufficient toilets and baths. Lounges and dining areas are spacious and well appointed. There is a good range of equipment including hoists, special baths and variable height beds. Residents’ rooms meet their needs and are of a size and layout enabling nursing needs to be met as well as being essentially domestic in appearance. EVIDENCE: This recently opened purpose-built home is well designed, suitably furnished and in good repair. Somerleigh Court Version 1.10 Page 16 All bedrooms are for single occupancy and each has an en suite toilet with wash hand basin. Bedrooms are of good size and shape, with sufficient space for the personal items of residents and provision of nursing equipment (including specialist beds) as necessary. The home has been assessed by a qualified Occupational Therapist who made no recommendations for improvement. All areas used by residents are well lit, with large windows and artificial lighting. It is not necessary for service users to negotiate any steps; there is a passenger lift and all corridors and rooms have smooth level floors. Corridors and doorways are sufficiently wide for trolley and wheelchair use. There are baths fitted with lifting aids and showers suitable for use by residents with impaired mobility. The premises are well laid out with wide corridors, appropriate directional signs, level access to all parts of the home used by residents, very good hygiene facilities and suitably furnished day areas. Bedrooms are of good size; many rooms contained a variety of personal items, including wall-hung pictures, ornaments, plants and small pieces of furniture. Somerleigh Court Version 1.10 Page 17 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 and 30 The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and the good condition of the premises. Recruitment and employment practices are robust and minimise the risk of unsuitable staff being employed. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: Staffing levels are provided in accordance with the RCN (Royal College of Nursing) Dependency Tool and the ratios set by the previous regulatory authority for homes providing nursing care (Dorset Health Authority). Trained nurses lead the care team and at all times there are at least two trained nurses on duty. The inspector spoke to a number of staff, including registered nurses, care workers and household staff. Without exception all expressed unreserved support of management and all aspects of the home, indicating the effectiveness of good team working, provision of high quality care, enthusiasm for staff training and maintenance of good ‘all round’ standards. Somerleigh Court Version 1.10 Page 18 Employment records of two staff were examined and found to be complete; including references, CRB disclosure, history of employment and evidence of identity. There is an enthusiastic approach to staff training, organised by the Head of Care. Training sessions organised by Bournemouth University are periodically held in the home; staff of other homes attend (these events do not take place in parts of the home used by residents). Arrangements are underway for a number of staff to train for National Vocational Qualifications; some already hold these awards. All new staff undergo a period of induction training. Somerleigh Court Version 1.10 Page 19 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, 35, 36, 37 and 38 Staff have very good leadership – from the manager, Head of Care and all senior staff. Residents are very satisfied with the home and feel staff care for them well and put them at their ease. The premises and equipment are properly maintained in a safe condition. Staff are properly supported and supervised. EVIDENCE: The home is in the process of developing a number of management documents and systems including programmes for quality assurance and regular maintenance (not immediately necessary because most items are new and have only recently been commissioned). Somerleigh Court Version 1.10 Page 20 There is a selection of clear and appropriate policy and procedure documents, including those for care provision, management, recruitment and the premises. Records of fire alarm tests, staff training and drills were in order; the manager will seek the advice of Dorset Fire & Rescue Service regarding the checks and tests of fire fighting equipment and emergency lighting. The home does not manage the personal finances of any resident; there are facilities for the temporary storage of monies and valuables which residents may no longer wish to personally hold. Staff trained in First Aid and health care are on duty in the home at all times. All staff receive regular supervision and each has a personal profile containing records of appraisal. Somerleigh Court Version 1.10 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 4 3 4 4 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 3 3 3 3 3 x 3 3 3 3 Somerleigh Court Version 1.10 Page 22 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 19 Regulation 13 Requirement The home must obtain from Dorset Fire & Rescue Service, and thereafter comply with guidance for tests/checks of emergency lighting and firefighting equipment Timescale for action 1/06/05 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 7 Good Practice Recommendations Risk assessments should comprehensively and clearly describe all relevant circumstances, to ensure that consequent care planning is appropriate and sufficient to the need The use of symbols and abbreviations on medication administration records should be discouraged; whenever possible words should be written in full e.g. two tablets, to be given twice daily The practise of applying to medication administration records sticky labels with administration instructions should cease. Medication records must be reliable and not open to covert alteration When a variable dose is prescribed (e.g. ‘give one or two tablets’) the actual amount given on each occasion should be recorded Version 1.10 Page 23 2. 9 3. 9 4. 9 Somerleigh Court 5. 6. 9 29 The reason for administration of medicines prescribed ‘as required’ should be stated on the administration record. Staff should be employed in accordance with the GSCC (General Social Care Council) Code of Conduct & Practice and a copy of the code should be issued to each care worker. Somerleigh Court Version 1.10 Page 24 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset, BH17 0NF 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 Somerleigh Court Version 1.10 Page 25 - 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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