Inspection on 14/07/05 for Southfield House

This inspection was carried out on 14th 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.

Other inspections for this house

Southfield House 25/10/06

Southfield House 09/02/06

Southfield House 17/01/05

Southfield House 23/06/04

Southfield House 15/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Southfield House Woodfield Road Woodford Cheshire SK7 1QF Lead Inspector Kathleen Mcall Unannounced 14 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. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Southfield House Address Woodford Road, Woodford, Stockport, Cheshire SK7 1QF 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) 0161 439 7703 Southfield House Limited Mrs Joanna Lingwood Care Home 15 Category(ies) of OP - Old Age - 15 registration, with number DE(E) - Dementia - 2 of places Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2005 Brief Description of the Service: Southfield House is a residential care home that is registered to provide care for up to 15 elderly persons, two of whom may have a diagnosis of dementia. The Registered Manager, Mrs Joanna Lingwood, has been the manager of Southfield House for six years. Accomodation is provided in fifteen single bedrooms three of which have en suite facilities. All bedrooms have a wash basin. Five of the bedrooms are on the first floor and the remaining bedrooms are situated on the ground floor. The home has a lift to assist residents to their rooms. There are two bathrooms in the home, one of which has a bath hoist to assist residents when bathing. Southfield House has a large pleasant dining room and two lounges, the larger lounge area has patio doors that open on to a raised patio area and extensive gardens. The smaller lounge is used for reading, card games, board games and weekly visits by the hairdresser. There is a ramp to the front and side of the house to enable wheelchair access and car parking to the front and rear of the house. Southfield House is situated in the Woodford area close to the Bramhall border. Bramhall train station is approximatley 10 minutes walk away, there is a regular bus service and motorway access is close by. The home does not, and has no current plans to, contract with the local authorities over the provision of funding. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on a Thursday afternoon. At the time of the inspection the registered manager along with a member of care staff were taking four residents on a visit to Gawsworth Hall. One other carer had accompanied a resident on a hospital visit; a member of staff with responsibility for organising activities and the deputy manager were on duty. There was a change of shift at 4:00pm and two further members of staff came on duty. The deputy manager assisted the inspector with the inspection process and latterly the registered manager. Care plans, assessment documentation and medication storage were examined. The inspector spoke with a number of residents in the home and had a discussion with a relative who was visiting at the time of the inspection, and spoke with several members of staff. Residents told the inspector that they felt well cared for living at Southfield House and were very happy with the care they received. A relative told the inspector that she was very pleased with the care provided at the home and had no reason to complain. What the service does well: Southfield House offered comfortable accommodation. The home was clean and well maintained. A number of residents spoke positively about their experience of living at Southfield House and others spoke warmly about the staff at the home saying that nothing was too much trouble for them. The day-to-day routine of the home was varied and flexible with residents deciding how they wished to spend their time. One resident told the inspector that they really appreciated this and liked to know that they could join in activities when they wanted to. The home has employed an activities coordinator who had responsibility for arranging activities during the week. A good range and variety was on offer and the majority of service users joined in. Several trips out have been organised through the summer including visits to Buxton and Llandudno. The trips out were very popular with the residents. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 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. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 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 Southfield House F54-F04 S8573 Southfield Hse v238506 140705 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) 3 and 4. Service users care needs were fully assessed before admission and were informed that the home could meet the service use’rs care needs. EVIDENCE: Service users were assessed prior to their admission to the home; no service users were admitted to the home without their care needs having been assessed. Assessments were obtained from social workers and health professionals if they had been involved in the admission. The registered manager completed an ‘Assessment of Daily Living’ in respect of all service users and information from relatives and friends was included as part of the assessment process. Approximately four weeks after admission a further assessment was undertaken that looked at how a service user had progressed during their time at Southfield House and care plans were updated. Those files of service users recently admitted to the care home were examined and contained up to date assessment documentation held in respect of each person. Service users were assured that their care needs could be met by the home; Southfield House had specialist equipment in place to meet the needs of Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 9 service users living there. Service users told the inspector that staff were attentive and always contacted their GP if they complained of feeling unwell. The needs and preferences of service users were recognised and met by care staff. Care staff demonstrated a good understanding of all service users care needs. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 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 and 10. Service users health and personal care needs were identified and met. EVIDENCE: All service users had a detailed and comprehensive care plan from which a ‘care plan of daily living activities’ was drawn up and stored along with daily record sheets. The pertinent points and areas of assistance required by a service user were included in this document which was user friendly and enabled staff to see at a glance what a service users main care needs were. The registered manager or the deputy manager reviewed all care plans monthly. Service users had access to GP support, district nursing services and chiropody services when required. All service users had moving and handling assessment. Risk assessments were in place where a risk had been identified. Staff ensured that service users attended all hospital appointments or that relatives were informed and accompanied the service user to the appointment. Staff up dated their training in moving and handling techniques, infection control and food hygiene. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 11 Medication arrangements were satisfactory. Service users told the inspector that staff treated them well. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 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. Service users were able to exercise choice and control. Mealtime arrangements were well managed and satisfied service users expectations. EVIDENCE: The day-to-day routine of the home was relaxed and informal. One service user told the inspector that he could please himself how he spent the day, sometimes he enjoyed sitting in the lounge area with other service users other times he joined in activities or spend time in his room. At the time of the inspection there was plenty of activity taking place in the home and service users clearly benefited from this. The registered manager had employed a temporary member of staff to organise activities for service users, at the time of the inspection a game of bingo was taking place followed by a group of service users playing whist. Other activities included board games, quizzes, manicures and the hairdresser visited weekly. On the day of the inspection four service users went on a visit to Gawsworth Hall. The registered manager arranged a number of weekly trips out through the summer period, these included a trip to Buxton and one to Llandudno. Service users told the inspector that they enjoyed the trips and looked forward to more. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 13 Visitors were made welcome at the home and service users kept in touch with family and friends. Service users confirmed that they could have visitors at all times. Service users told the inspector that they enjoyed the meals provided at the home and that a good selection was made available. Meal times were set and service users had the choice of having their meal in their bedrooms if they wished. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 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 and 18. Service users were confident that their complaints would be dealt with in a satisfactory manner. Not enough staff had undertaken appropriate training in adult protection. EVIDENCE: The home had a complaints policy and procedure; there had been no complaints since the last inspection and none had been recorded since 2003. Service users told the inspector that they knew who to complain to and a visiting relative told the inspector that she was quite satisfied with the care provided and had no reason to complain. The home had a procedure for responding to allegations of abuse. Whilst a number of care staff had completed or were undertaking National Vocation Qualification training which looks at issues around adult protection and abusive care practices in residential care homes. The majority of staff had not completed specific training in adult protection. Both the registered manager and care staff at Southfield House would benefit from such training to increase their awareness of such issues. The home does not have any involvement with service users monies therefore reducing the risk of financial abuse. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 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, 24 and 26. Sevice users lived in safe, well maintained and comfortable accommodation. The grounds of the home were well kept and attractive. The home was well maintained and provided comfortable living accommodation for service users. EVIDENCE: The home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. A number of service users rooms were seen, these were also furnished and equipped to a comfortable standard, many had been personalised by the occupants. Southfield House complied with the requirements of the local fire authority. New smoke detectors had been fitted which were directly linked to the fire alarm system. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 16 Since the last inspection foot lighting and outside lighting had been provided around the exterior of the building. At the time of the inspection the home was in the process of preparing for the exterior of Southfield House to be painted and new guttering fitted. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 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 was sufficiently staffed with a staff group that was trained to undertake their duties. The homes recruitment procedure ensured that service users were protected. EVIDENCE: At the time of the inspection the home was sufficiently staffed to meet the needs of service users. A staff rota showing which staff was on duty and in what capacity was kept at the home. Several service users spoke highly of the staff group and staff appeared to have a positive relationship with the service users. Two new members of staff had commenced employment at the home since the last inspection; the registered manager had followed appropriate recruitment procedures with regard to newly appointed staff. New staff completed a period of induction at the commencement of their employment. Four members of staff out of a total number of thirteen staff held an NVQ level 2 or an NVQ level 3. Two members of staff held both qualifications. The registered manager was aware of the expectation that 50 of care staff should hold this qualification and was working towards achieving this. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 18 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, 33, 35, 36 and 38. The home had a qualified and competent manager, who ensured that health and safety issues within the home were addressed. EVIDENCE: Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 19 The registered manager, Mrs Joanna Lingwood is a registered nurse and has 17 years experience of working in the NHS. She has been the registered manager of Southfield House for approximately six years. She is a qualified NVQ assessor and is a moving and handling instructor. She holds a Diploma in Management and Teaching in Clinical Practice and is currently completing the Registered Managers award. Southfield House had a number of means of seeking feedback from service users and their relatives; these included service user and relatives’ questionnaires, the key worker system, staff supervision and staff meetings. It was anticipated that this information will be made available to service users, relatives and other interested parties in the form of an annual report. A requirement in respect of this standard was made at a previous inspection with a timescale for completion for the 17.10. 05. Southfield House did not have any involvement with service users monies. Service users were invoiced for hairdressing and newspaper costs on a quarterly basis. All service users had a secure facility in their bedrooms for personal items or medication. Staff confirmed that they received regular supervision and written evidence to support this was made available at the time of the inspection. Staff had updated their training in safe handling and moving procedures, fire safety and food hygiene. The home maintained records in respect of fire safety at the home. Up to date certificates for the maintenance of lifting equipment and the passenger lift were seen during the inspection. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 20 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 x x 3 3 x 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 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 2 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 2 3 x 2 x 3 3 x 3 Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 21 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 OP 18 Regulation 13(6) Requirement The registered person must provide training in Adult Protection to all care staff employed at the home. The registered manager must continue to review the quality of care provided at the home and supply to the commission and service users the findings of the review. Timescale for action 14th January 2005. 17th October 2005. 2. OP 33 24(1)(a)( b)(2) 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 OP 28 Good Practice Recommendations The registered person should continue to work towards 50 trained members of staff having acquired NVQ Level 2 by the end of 2005. Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 0QD 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 Southfield House F54-F04 S8573 Southfield Hse v238506 140705 Stage 4.doc Version 1.40 Page 23 - 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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