CARE HOMES FOR OLDER PEOPLE
Sotwell Hill House Brightwell Cum Sotwell Wallingford Oxfordshire OX10 0PS Lead Inspector
Carole Moore Unannounced Inspection 2nd March 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 Sotwell Hill House DS0000013135.V284055.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. Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Sotwell Hill House Address Brightwell Cum Sotwell Wallingford Oxfordshire OX10 0PS 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) 01491 836685 Mrs Joy Patricia Butterfield Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Condition 1 The overall number of registered beds is 36, however 3 of the registered beds cannot be used to accommodate service users until such time as Building Control have passed them, a further site visit has taken place and the Commission for Social Care Inspection are satisfied that they are fit for the purpose. 30th September 2005 Date of last inspection Brief Description of the Service: Sotwell Hill House is a late Victorian converted country house set in attractive and extensive grounds and provides accommodation for those older people who require day-to-day supervision and care. The home does not provide nursing care. Independence is encouraged and the layout of the grounds enables service users to take exercise in safety. Service users are able to visit the nearby town of Wallingford and other outings are arranged on an occasional basis. Sotwell Hill House DS0000013135.V284055.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 inspection and took place on Thursday 2nd March 2006. The inspector was made to feel very welcome by both staff and residents and was appreciative of the cooperation during the inspection process. The inspector toured the building looking at the communal areas and spent time with care staff, the chef, the management team and residents. The availability of training was discussed with staff and inspection of documents took place. A majority of the key standards were assessed and met at the announced inspection in September 2005, therefore only a few standards needed to be assessed at this inspection. What the service does well:
There is a very stable staff team that ensures continuity of care for the residents. Five residents discussed their care with the inspector and all were very happy. They said the staff were kind and helpful and they really enjoyed the meals. The home’s atmosphere was relaxed and the inspector observed carers to be gentle and caring when assisting residents. Staff interviewed said they were happy with the support they received from the staff team and that training opportunities were good. The home is comfortable, homely, attractive and well maintained and residents have ample choice of where they choose to spend their day. All visitors to the home are made to feel very welcome. Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sotwell Hill House DS0000013135.V284055.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 Sotwell Hill House DS0000013135.V284055.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): Standard 6 does not apply to Sotwell Hill House and Standard 3 was assessed and met at the previous inspection in September 2005. EVIDENCE: Sotwell Hill House DS0000013135.V284055.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): 11 Key standards 7,8,9 &10 were assessed and met at the previous inspection in September 2005. Residents are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. EVIDENCE: The manager confirmed that the resident’s wishes concerning terminal care and arrangements after death are discussed and carried out. Residents are able to spend their final days in their own rooms, surrounded by their personal belongings, unless there are strong medical reasons to prevent this. Residents’ families are supported throughout the process. Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 10 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): All key standards were assessed and met at the previous inspection in September 2005. EVIDENCE: The inspector spoke with the chef who has worked hard and almost completed the “Healthy Choice Award”. He is now awaiting the environmental health officer to visit to further inspect his kitchen and his records in anticipation of achieving the award. Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 11 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): 17 & 18. Key standard 16 was assessed and met at the previous inspection in September 2005. All residents have their legal rights protected and are protected from abuse. EVIDENCE: All residents have access to television, radio and newspapers. Residents have the choice of voting at a polling station or using a postal vote. The manager confirmed that she would arrange postal voting forms for those residents who request one and for those wishing to visit the polling station, staff would arrange this. The home have their own in house training on the protection of their vulnerable adults. Staff confirmed that this was in place but the inspector felt the team would benefit from advice from Health and Social Care. The training manager will be contacting the appropriate individual to arrange further training in this area of practice and to obtain the Oxfordshire Multi Agency Codes of Practice for the prevention of abuse. Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 12 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): Both key standards were assessed at the previous inspection in September 2005. EVIDENCE: Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 13 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): 28, 29 & 30. Key standard 27 was assessed and met at the previous inspection in September 2005. Staff are trained and competent to ensure that residents are well cared for. EVIDENCE: The staffing rota on the day of the inspection showed there were sufficient staff on duty to meet the needs of the current resident group. Staff interviewed confirmed that they felt they received adequate training to enable them to feel confident in their caring role. One member of staff was undergoing her NVQ 2 and was happy with the support she received from her assessor. It was also confirmed that every staff member has an individual training file and that training is considered a priority and easy to access. The inspector spoke with an in house training assessor and she confirmed that the home gave specific NVQ time, which she found really helpful. It was also confirmed that training in food hygiene, first aid, manual handling and safe handling of medication was refreshed on a regular basis. The inspector looked at the new procedures that have been implemented for recruitment and it appears to be working well. The new front sheet checklist now ensures that nothing is missed through the recruitment stages. It is further recommended that any gaps in the employment history, no matter how small, are identified, verified and documented.
Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 14 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): 35 Key standards 31,33 &38 were assessed and met at the previous inspection in September 2005. Residents’ finances are safeguarded. EVIDENCE: The inspector discussed the residents’ money management with the administrator and she manages the petty cash and handles any receipts and records of transactions. Most of the residents either manage their own money or family members assist. From the records seen, it was clear that the financial records are well maintained and stored safely. There is also a property book for those residents who wish their valuables to be kept safe and appropriate safe storage.
Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 15 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 16 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. Standard Regulation 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. 2. Refer to Standard OP29 OP18 Good Practice Recommendations It is recommended to further enhance the recruitment procedures that all employment history is thoroughly checked and gaps identified, verified and documented. It is recommended that training in the protection of vulnerable adults be updated. Sotwell Hill House DS0000013135.V284055.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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