Inspection on 09/02/06 for Southfield House

This inspection was carried out on 9th February 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 25/10/06

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 Kathleen Mcall Announced Inspection 9th February 2006 10:10 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.V274937.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. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Southfield House Address Woodford Road Woodford Stockport Cheshire SK7 1QF 0161-439 7703 NO FAX 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.V274937.R01.S.doc Version 5.1 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. 14th July 2005 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. The Registered Manager, Mrs Joanna Lingwood, has been the manager of Southfield House for seven years. Accommodation is provided in fifteen single bedrooms three 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. 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 approximately 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 DS0000008573.V274937.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place over the course of a day. The registered manager assisted the inspector throughout the inspection process. Care plans, assessment documentation, medication and its storage were examined. The inspector spoke with a number of residents in the home, two relatives of a service user and staff that were on duty at the time of the inspection. Twelve service user comment cards were sent out, however none were returned. Three relatives comment cards were returned and one General Practitioner’s comment card. Four relatives’ comment cards said that the home welcomed them at all times, they could visit their relative in privacy and three said that they were kept informed of important matters affecting their relative. Three care indicated that they were satisfied with the overall care provided and none said they were not. Three cards indicated that they felt there was always a sufficient number of staff on duty. Two cards indicated that relatives had made a complaint to the home and that only three of the respondents were aware of the home’s complaints procedure. Relatives comments included ‘very pleased with every aspect so far – since October 1. 2004’. One other relative wrote, ‘ my mother is very well looked after by the caring and friendly staff at Southfield House. She has been a resident for 2 years now and I doubt if I could have found a more homely environment anywhere else for her’. The General Practitioner’s comment card overall indicated that they were satisfied with the care provided at the home. What the service does well: Southfield House is a small home that offers comfortable and homely accommodation. A number of residents told the inspector that they liked living at the home and that they felt well cared for. The atmosphere of the home is relaxed and friendly. Residents spoke positively about the food and were pleased with the choice and variety on offer. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 6 Residents appeared to be well cared for and were supported by a trained and competent staff group. Assessment and care planning arrangements were good. After an initial assessment of a resident upon admission the home subsequently reassessed residents approximately four weeks later to up date their care plan 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 DS0000008573.V274937.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 Southfield House DS0000008573.V274937.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): 1, 2, 3, 4 and 5. Service users care needs were fully assessed before admission and they were satisfied with the care provided. EVIDENCE: The home had a Statement of Purpose in place; there had been no changes to the document since the last inspection. A service user and her relatives confirmed that they had been given information about the home prior to an admission being arranged. Service users admitted to the home had a written contract which detailed the terms and conditions of their stay. Several new service users had been admitted to the home since the last inspection. As part of the inspection a selection of service user files were examined. These contained a sufficient amount of assessment information in respect of each service user. It was the practice of the home that service users were assessed prior to their admission. Assessments were obtained from social workers and health professionals if they had been involved in the Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 9 admission and no service users were admitted to the home without their care needs having been assessed. The registered manager completed an ‘Assessment of daily living’ in respect of all service users admitted to the home. Approximately four weeks following admission a further assessment would be undertaken and care plans were updated. Service users told the inspector that they were quite satisfied with the way in which the home met their care needs. The needs and preferences of service users were recognised and met by care staff. Care staff demonstrated a good understanding of service users care needs. One relative told the inspector that he felt care staff had a good understanding. Service users were given the opportunity to visit the home prior to their admission or in some instances the relatives of a service user would visit the home on their relatives behalf. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 and 10. Service users health and personal care needs were identified through care planning and met by care staff. EVIDENCE: Care plans seen were individualised to each service users’ care needs with information held in one accessible document. Care plans included health needs, personal care needs, mobility, social interests, and risk assessments and were reviewed on a monthly basis and any changes needed were included. Daily records were detailed and gave a full picture of how the home was meeting service users care needs and how service users had spent the day. Southfield House had specialist equipment in place to meet the needs of service users living there. The home had plans to install a walk in shower on the ground floor and an assisted bathroom on the first floor. Service users medication was supplied in individual dosettes by the supplying pharmacy, this was stored appropriately and medication records were accurately maintained. One service user at the home managed their Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 11 medication. A risk assessment was not in place to support this practice and it was observed that the medication was not securely stored in the service users bedroom. Service users 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 at all times. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14 and 15. The day-to-day routine of the home including mealtime arrangements was relaxed and informal and met service users needs and expectations. EVIDENCE: The day-to-day routine of the home was relaxed and flexible with some service users preferring to spend time in their rooms and others using the lounge areas. Service users said they could get up and go to bed at times that suited them and that the day was theirs to spend how they choose too. Staff encouraged service users to make choices about how they spent their time, whether they wished to join in activities or not and what they ate. At the time of the inspection staff and service users were taking part in a quiz. The home had a formal activities programme with an organised activity taking place each weekday afternoon and a number of trips out of the home were arranged during the spring and summer months. Some service users preferred to spend time in their rooms and choose not to join in with activities Activities were not organised at the weekend, as the home was usually busy with visitors and service users made arrangements to go out with family. A relative had complained that there was very little stimulation going on in the home. This complaint was unsubstantiated. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 13 Visitors were made welcome at the home and service users kept in touch with family and friends. Meals were served at regular intervals and were usually taken in the dining room areas, though service users did have the choice of having their meals in their bedrooms. Several service users told the inspector that they had enjoyed their lunch. Other said the food was ‘very good’ and that a good choice and selection was provided. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 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 the following standard(s): 16 and 18 Service users felt confident that their complaints would be taken seriously and acted upon. Staff had undertaken appropriate training in adult protection, which ensured the protection of service users. EVIDENCE: The home had a detailed complaints policy and procedure. Two complaints were made at the time of the inspection, one concerning missing items of clothing. The home did not keep records of complaints. The registered manager had put a number of measures in place to address this issue. Service users with whom the inspector spoke said that they knew who to complain to if they had a problem and all felt confident that the problem would be resolved in a satisfactory manner. The home had a procedure for responding to allegations of abuse. Since the last inspection care staff had completed training in adult protection; new staff completed training in adult protection as part of their induction programme. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 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 the following standard(s): 19, 21, 24 and 26. The home was well maintained and provided comfortable living accommodation for service users. EVIDENCE: The home was well maintained throughout and provided comfortable accommodation. Since the last inspection lounge chairs had been replaced. Two dining room chairs with skis had been purchased to improve moving and handling techniques with service users. The outside of the home had been rerendered, painted and new guttering fitted. Lighting in the car park area had been provided and a new sitting area to the front of the house. There were plans to install a walk in shower on the ground floor and an assisted bathroom on the first floor. The grounds of the home were well kept and attractive. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 16 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, with many of the service users being quite self contained in their own rooms. The home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. The home met fire safety regulations. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 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 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 and 29. The home was sufficiently staffed with a staff group that was trained to undertake their duties, and recruitment procedure ensured that service users were protected. EVIDENCE: At the time of the inspection the home was sufficiently staffed with a staff that was trained to meet the assessed needs of service users. A staff rota showing, which staff were on duty and in what capacity, was kept at the home. Since the last inspection three new members of staff had commenced employment at the home; the registered manager had followed appropriate recruitment procedures. Four members of staff held an NVQ level 2 qualification and a further four members of staff were completing the course. Care staff on duty at the time of the inspection confirmed that they had undertaken further training to assist them in their role as carers including POVA training, Dementia Care, medication and moving and handling. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 18 Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31, 33, 37 and 38. The home was sufficiently staffed with a staff group that was trained to undertake their duties, and recruitment procedures ensured that service users were protected. EVIDENCE: Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 20 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 seven 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. 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, staff meetings and residents’ meetings. This information was collated on a annual basis and published in a report that was made available upon request to service users, relatives and other interested parties. Staff received regular supervision to support them in their work and records of such meetings were made available at the time of the inspection. The home complied with the requirements of the fire authority and maintained records in respect of fire safety at the home. Staff had updated their training in safe handling and moving procedures, fire safety, food hygiene and health and safety. Certificates confirming the maintenance of the passenger lift, hoisting and lifting equipment, electrical and gas supplies to the home were seen at a previous inspection. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. 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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 17 X 18 3 3 X 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 3 3 Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 22 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 OP9 Regulation 13(2) Requirement The registered person must ensure ensure that service users who wish to manage their own medication are assessed as to their ability to do so, before medication is provided to them. Assessments must then be repeated on a regular basis and that medication is securley stored in a service users room. The registered person must keep a record of all complaints made by service users, relatives and representatives or by persons working at the care home about the operation of the care home and the action taken. Timescale for action 09/02/06 2. OP16 Schedule 4 09/02/06 Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 Page 23 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 OP28 Good Practice Recommendations The registered person should continue to work towards ensuring that a minimum ratio of 50 trained members of care staff with an NVQ Level 2 or equivalent is employed at the home. Southfield House DS0000008573.V274937.R01.S.doc Version 5.1 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: 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. 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