Inspection on 06/07/06 for South View

This inspection was carried out on 6th July 2006.

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

South View 21/06/07

South View 21/11/05

South View 14/06/05

South View 20/09/04

South View 26/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE South View South View Sandford Avenue Church Stretton Shropshire SY6 7AB Lead Inspector Pat Scott Key Unannounced Inspection 6th July 2006 09:30 06/07/06 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 South View DS0000020648.V296972.R01.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. South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South View Address South View Sandford Avenue Church Stretton Shropshire SY6 7AB 01694 723525 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) Mrs Catherine Elizabeth Vine Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2005 Brief Description of the Service: South View is a privately owned Care Home registered with the Commission for Social Care Inspection to provide a service for fifteen older people. It is a well-established home set in its own grounds and blending in with the local residences. South View is situated on the edge of Church Stretton. The home has been operating for over sixteen years and has become an integral part of the local community. The building has been extended and improved with the emphasis always being to avoid an institutional environment. There is an established staff group providing residents with consistency in a warm comfortable atmosphere. Southview makes its services known to prospective service users in: The Statement of Purpose and Service Users Guide. The inspection report is available for reading in the foyer of the home. The care home rates are reviewed annually on 1st April each year and service users are notified in advance. The only additional charges to service users are for extra hairdressing, chiropody and newspapers. Fees for Southview as of 1st April 2006 are: £330-360. All service users pay weekly. South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service. Discussions with the staff team, discussion with the manager, a tour of the premises, previous inspection reports, quality assurance process, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. What the service does well: What has improved since the last inspection? What they could do better: The registered provider must now confirm the management arrangements for the home. A senior member of staff has been trained to the required level to meet the national minimum standards. Two other staff have also undertaken NVQ level 4 training. It would improve the management structure of the home if job roles and responsibilities are clarified and a level of manager supernumerary hours is established. The current acting manager needs to have dedicated time in order to fulfil her responsibilities as manager. Service users were satisfied with the overall delivery of the laundry service. However, in order to improve the level of risk to service users from infection, soiled laundry should be placed in red alginate bags which are then placed in the machine. This method reduces the handling risks associated with heavily South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 6 soiled laundry and improves health and safety for staff and services users. Policies and procedures for the handling of soiled laundry should then be amended. The laundry room looked disorganised and wet laundry should not be left to dry in areas used by service users. 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. South View DS0000020648.V296972.R01.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 South View DS0000020648.V296972.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have their needs assessed prior to being admitted. Long term service users have a contract which does not tell them fully about the service they will receive so they will not be legally informed of all the terms and conditions of the stay. EVIDENCE: Care plans contained full needs assessments that were conducted prior to service users being admitted. These documents confirmed that the assessment had been conducted professionally and sensitively and had involved the family or representative of the prospective service user. The owner stated that service users accommodated for respite care do not have a formal contract about their stay. Those contracts issued do not contain the fee to be paid, who is paying it and the room to be occupied. One service user stated that her son had looked all the homes in the area and thought that Southview was the best one. South View DS0000020648.V296972.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a service user receives, is based on their individual needs thus promoting good health. Staff have a caring attitude to their work and the principles of respect, dignity and privacy are put into practice. EVIDENCE: Basic care plans are in place for each individual. Southview is a small home and recording is minimal to meet the standards. Access to health services is achieved and a community nurse was seen visiting. The systems to receive, store, administer and dispose of medication in the home are satisfactory with the exception of storage for controlled drugs. The situation and type of storage does not conform with the requirements of legislation. Staff were seen and heard to respect service users’ privacy and dignity. They were allowed to go about their usual routines and sit where they liked. The staff were seen to constantly interact with service users and it was evident that relationships are close but still professional. One service user stated that she felt very well looked after and could have the doctor called without hesitation if she were ill. South View DS0000020648.V296972.R01.S.doc Version 5.2 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are able to participate in social activity and keep in contact with family and friends. Residents receive a healthy, varied diet according to their assessed requirement. EVIDENCE: Staff stated that they are aware of service users likes and dislikes regarding food. The cook asks them their preference each day which was confirmed by people spoken to. Service users were very complimentary about the food. Staff provide activities and most were seen knitting which they said they very much enjoyed-especially for charitable causes. Large print books are available in the lounge. Because of the size of the home, service users are inevitably in ‘somebody’s company’, which they stated they liked but they could retire to their rooms if they needed privacy. South View DS0000020648.V296972.R01.S.doc Version 5.2 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a complaints procedure that enables them or their supporters views to be listened to and acted upon. Staff are provided with training regarding adult protection. This provides staff with the relevant knowledge to safeguard service users from many types of abuse. EVIDENCE: The CSCI has not received any complaints about the home. Nor have their been any adult protection issues. Service users were seen to speak easily to staff and were comfortable in their company. Staff are good in communicating with people to ascertain their well being. South View DS0000020648.V296972.R01.S.doc Version 5.2 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): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Southview is comfortable, homely, clean and service users like where they live. EVIDENCE: Rooms entered into were personalised according to individual wishes and tastes. The manager stated that service users share by choice. Communal areas were clean and comfortable. Service users have access to a garden. The laundry is equipped to deal with soiled linen as it has a sluice washer but staff are not provided with red alginate bags. Staff implement procedures to minimise cross infection but improving this facility could reduce the risk further. This room was in disarray and the washed laundry had been hung to South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 13 dry on the grab rails in the home as it was a damp day outside, even though the laundry has a tumble dryer. The owner does not employ separate ancillary staff and care staff undertake domestic and laundry duties. Communal areas of the home were clean and odour free but the laundry and areas outside the kitchen looked untidy. The fire exit at the end of the corridor on the ground floor was partially obstructed by wheelchairs and equipment. The home has poor storage facilities. South View DS0000020648.V296972.R01.S.doc Version 5.2 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 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: The manager stated that there has not been any recruitment recently but the procedures had been reviewed and new paperwork implemented. The manager is to attend induction training so that the new format, according to Skills for Care can be introduced. Staff confirmed that training is provided and there are many equal opportunities to improve themselves for the benefit of service user care. Service users spoken with were very happy with the care and the way staff treat them. They looked at ease in their company and had a good rapport. South View DS0000020648.V296972.R01.S.doc Version 5.2 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 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The ethos of the home is based on openness and respect with a quality assurance systems in place. The poor management structure results in staff being unaware of their roles and responsibilities which could lead to a lack of leadership and direction. EVIDENCE: The home does not have a registered manager. The acting manager has achieved the required qualification to meet the standards. Two other staff are participating in NVQ level 4. The acting manager has little dedicated time within the working day to fulfil her managerial duties. Discussions with staff demonstrated that roles and responsibilities of senior staff and the owner are unclear. South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 16 Outcomes of care for service users is good as staff are committed to their care roles. The management input to supervise this, develop the service and drive improvement is lacking. Office space is cramped and paperwork disorganised. Quality assurance takes place throughout the service in both a formal and informal manner. Surveys are conducted annually. Staff have frequent day to day contact and service users stated that they would feel at ease to speak with any staff about their care. South View DS0000020648.V296972.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 2 3 3 X 3 3 X 3 South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 18 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 OP2 Regulation 5A Requirement The registered provider must provide a contract to each service user stating the amount to be paid and the room to be occupied. The registered provider must provide the correct storage for controlled medication. The registered provider must ensure that the home has adequate means of escape in the event of fire. All fire exits must not be obstructed. The registered provider shall ensure that the appointed manager applied for registration with the CSCI Timescale for action 06/08/06 2 3 OP9 OP19 13(2) 23(4)(b) 06/08/06 06/08/06 4 OP31 8(2) 06/08/06 South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 19 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 OP26 OP31 Good Practice Recommendations The registered provider should consider the use of red alginate bags for handling soiled laundry to minimise cross infection. The registered provider should redefine the roles and responsibilities of the staff team, and provide the manager with dedicated management hours in order to fulfil the aims and objectives of the home. South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 South View DS0000020648.V296972.R01.S.doc Version 5.2 Page 21 - 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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