Inspection on 25/10/06 for Southfield House

This inspection was carried out on 25th October 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

Southfield House 09/02/06

Southfield House 14/07/05

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 Woodford Road Woodford Stockport Cheshire SK7 1QF Lead Inspector Jackie Kelly Unannounced Inspection 25th October 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 Southfield House DS0000008573.V317543.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. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southfield House Address Woodford Road Woodford Stockport Cheshire SK7 1QF 0161-439 7703 NO FAX south1@btconnect.com 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) Southfield House Limited Mrs Joanna Lingwood Care Home 15 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (15) of places Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 15 service users to include: *up to 15 service users in the category of OP (Old age not falling within any other category). *up to 2 service users in the category of DE(E) (Dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager registered with the Commission for Social Care Inspection. 9 February 2006. 2. Date of last inspection 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. On the day of the inspection the home was full. The Registered Manager, Mrs Joanna Lingwood, has been the manager of Southfield House for eight years. Accommodation is provided in fifteen single bedrooms four of which have en suite facilities. All bedrooms have a washbasin. 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. The ground floor bathroom has been converted into a walk in shower room. 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, and board games. The hairdresser also uses the room once a week. 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 approximately a 20-30 minute walk away, there is a regular bus service and motorway access is close by. The fees at the time of the inspection were between £395.00 and £435.00, which include in house entertainments. There are extra charges for trips out, newspapers and hairdresser. The home does not, and has no current plans to, contract with the local authorities over the provision of funding. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over the course of a day. The registered manager assisted the inspector throughout the inspection process. Care plans; assessment documentation and accident records were looked at. The inspector spoke with a number of residents and staff who were in the home, at the time of the inspection. The registered manager, Mrs Joanna Lingwood is a registered nurse and has had 17 years experience of working in the NHS. She has been the registered manager of Southfield House for approximately eight 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 has recently completed the Registered Managers Award. The statement of purpose and service user guide were looked at and found to be satisfactory with the provider/manager carrying out the aims and objectives as stated in the documents. Two comment cards were left at the home for residents or relatives to complete both of which had been returned. The survey forms had been completed by residents and all the responses to the questions were positive; comments received were as follows:- ‘I have only to ask’; ‘trips outmarvellous’; meals are ‘very well cooked’; ‘can make direct contact with the management’; ‘lovely garden’; much pleasanter than I expected’; I consider myself very fortunate to be here’. The two care workers who were spoken with on the day of the inspection indicated that they were satisfied with the overall care provided. They commented that ‘it was a lovely place to work – nice atmosphere when walk in’. The inspector spoke with the majority of residents when they had returned to the main lounge after lunch. All were satisfied with the food and the service they received. The Commission for Social Care Inspection had received no complaints or protection of vulnerable adults allegations. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The provider/manager must produce an annual quality assurance report which contains information about the home in general; its achievements over the Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 7 past year and future plans together with the results of any resident/relative surveys. 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. The summary of this inspection report can be made available in other formats on request. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 8 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 Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable. Quality in this outcome area is good. Residents care needs were fully assessed before admission and they were satisfied with the admission process. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents who had recently been admitted to the home had received ‘assessment of daily living’, which had been completed by the provider/manager prior to being offered a place at the home. The assessment information for each resident was contained on the care plan. Approximately four weeks following the admission a further assessment would be undertaken and care plans updated as necessary. Assessments were obtained from social workers and health professionals if they had been involved in the admission. However no local authority was funding any of the current group of residents. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 10 The assessments addressed the prospective residents likes, dislikes, personal and social care needs. Residents were given the opportunity to visit the home prior to their admission or in some instances the relatives of a resident would visit the home on their behalf. All new residents were given a questionnaire to complete which asked their views about the admission process. The inspector saw completed copies which asked questions such as; ‘the relevance of the information received’, ‘if they were made to feel welcome’, ‘were treated well’ and ‘suitability of accommodation on arrival’. All those seen were answered positively. Standard 6 was not applicable, as the home did not provide an intermediate care service. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. Residents’ health and personal care needs were identified through care planning and met by care staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans for the most recent residents to be admitted were seen. They included all the information necessary for the care workers to meet the residents’ heath and personal care needs. The care plans were reviewed on a monthly basis and any changes recorded. Daily records contained information of how the home was meeting residents care needs and how they had spent their day. One of the residents managed a small part of their medication. A risk assessment had been put in place and the resident had a lockable draw in the bedroom to keep the medication. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 12 Residents told the inspector that staff treated them well and they were very satisfied with the care they received. Care staffs approach towards service users was observed to be respectful, sensitive and caring. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. The day-to-day routine of the home including mealtime arrangements was relaxed and informal and met residents needs and expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The day-to-day routine of the home was relaxed and flexible with some residents preferring to spend time in their rooms and others using the lounge areas. One resident liked to help with ‘odd jobs’ around the house. The home had a formal activities programme with an organised activity taking place each weekday afternoon. Activities were not organised at the weekend, as the home was usually busy with visitors; also residents made arrangements to go out with family. A number of trips out of the home were arranged during the spring and summer months. Visitors were made welcome at the home and residents kept in touch with family and friends. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 14 Meals were served in the dining room, though a small number of residents did choose to have their meals in their bedrooms. The residents who were spoken with and had completed a questionnaire said that they had enjoyed their lunch/meals. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. Residents were protected through an appropriate complaints system and staff training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a detailed complaints policy and procedure and a system had been introduced to record any complaints received. The provider/manager said that there had been no complaints since the previous inspection of February 2006. The two completed questionnaires that had been returned to the commission indicated that the residents knew who to complain to and that the management were always available. All the care workers had completed half-day ‘alerter’ training with the manager and deputy manager having completed a full day course in adult protection. New staff received adult protection training as part of their induction programme. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. Quality in this outcome area is good. The home was comfortably furnished and provided suitable living accommodation for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was well maintained throughout and provided comfortable accommodation. A walk in shower on the ground floor and an en- suite facility fitted to one of the bedrooms on the first floor had been installed since the previous inspection of February 2006. The grounds of the home were well kept and attractive. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 17 A number of residents rooms were seen all of which were furnished and equipped to a comfortable standard with many having been personalised by the occupants. The home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 17,18,19,30. Quality in this outcome area is good. The home was sufficiently staffed with a staff group that was recruited and trained to protect and meet the personal care needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection the home had no staff vacancies with one new member of staff having been employed since the previous inspection of February 2006. A satisfactory recruitment and induction programme was in place for new staff members. After induction has been completed they would go on to register for a National Vocational Qualification (NVQ). All care workers were encouraged to update their training on mandatory core skills, which was confirmed by the care workers who were interviewed. On the day of the inspection the provider/manager and deputy manager were attending an NVQ assessors meeting at Stockport College. The provider/manager said that the target set by the National Minimum Standards of 50 staff trained to NVQ Level 2 or Level 3 was currently being met. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 19 Care workers on duty at the time of the inspection confirmed that they had undertaken further training to assist them in their role as carers including protection of vulnerable adults (POVA) training, dementia care, safe handling of medication and moving and handling. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. The provider/manager had in place policies, training and maintenance procedures to ensure the health and safety of the residents and care workers. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager, Mrs Joanna Lingwood is a registered nurse and has all the necessary qualifications. Southfield House had a number of means of seeking feedback from residents and their relatives; these included resident and relatives’ questionnaires, named care worker, staff supervision, staff meetings and residents’ meetings. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 21 Copies of the most recent survey were seen but at the time of the inspection an analyses had not yet been completed. A report of the analysis of the previous survey was sent to the Commission for Social Care Inspection. However the quality assurance report must also contain information about the home in general and how it intends to monitor and maintain continual improvement. The provider/manager did not have any responsibility for residents’ finances. There had been twenty accidents since the last inspection all of which had been recorded satisfactorily. The majority were of a minor nature and all were monitored. Safe working practices were in operation such as moving and handling training, risk assessments and general maintenance of the home and grounds. Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 22 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 3 x 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 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 3 Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 23 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 OP33 Regulation 24 Requirement The registered person must produce a Quality Assurance report on an annual basis, which takes into account, the home performance and improvements planned. Timescale for action 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Southfield House DS0000008573.V317543.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000008573.V317543.R01.S.doc Version 5.2 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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