Inspection on 23/08/05 for Southfields House Residential Care Home

This inspection was carried out on 23rd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Southfields House Residential... 27/07/06

Southfields House Residential... 07/03/06

Southfields House Residential... 05/01/05

Southfields House Residential... 17/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Southfields House Residential Care Home Southfields Road Eastbourne East Sussex BN21 1BZ Lead Inspector Angela Gunning Unannounced 23 August 2005 14:00 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. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Southfields House Residential Care Home Address Southfields Road Eastbourne East Sussex BN21 1BZ 01323 732077 01323 722802 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) Mr David Exon Mrs Milagros Exon Mr David Exon Mrs Milagros Exon Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (OP) 16 of places Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is sixteen (16). 2. Service users must be older people aged sixty-five (65) years or over on admission. Date of last inspection 5 January 2005 Brief Description of the Service: Southfields House is a care home registered for sixteen (16) older people. The home is situated in a residential area of Eastbourne, within a short walk to Eastbourne Town Centre, the library and the Railway Station. The home provides a dining room that looks out to a large, well-maintained garden. There is a lounge on the ground floor and a dining/lounge room on the first floor. All communal and private areas are accessible to service users and a stair/chair lift is provided for easy access. There are three bathrooms, two with assited bath seats. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 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 was undertaken over four hours during the day. Parts of the environment were inspected, including all communal areas, the kitchen and some bedrooms. Three care plans were examined. Several people were spoken to on the day of the inspection, including three members of staff, seven residents and two sets of relatives. What the service does well: What has improved since the last inspection? What they could do better: Residents care plans should record any changes in care needs and how staff are to care for their current needs. Staff are to be reminded of the homes policy on entering residents bedrooms. Staff need to check that bedroom doors shut when the hold-open devise is released. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 Page 6 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. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 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 Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 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) 1, 4, 3 The homes Statement of Purpose and Service User Guide contains extensive information to enable people to make an informed choice about where to live and how their care needs will be met. The admission procedure ensures that there is an adequate assessment carried out prior to people moving into Southfield House. EVIDENCE: Since the last inspection three people have moved into Southfields House and a pre-admission assessment had been carried out to ensure that the home could meet their physical, emotional and social needs. The Inspector talked to one resident and his relatives, who confirmed that he was staying on a trial basis for four weeks. This person had been given a Service User Guide to the home, which contains extensive information about the services and facilities provided at Southfields House, although it was not easy for this person or his relatives to read. Six comment cards confirmed that residents ‘feel well cared for’. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 10 The health needs of residents are well met with evidence of some multi disciplinary working taking place but improved monitoring of the care planning is needed to ensure that the health care needs of residents are continually identified and met. Generally residents privacy and dignity is respected. EVIDENCE: Each resident has a care plan and a monthly reassessment of their care needs, although, it was noted that one resident’s care needs had changed considerably over the past two months, but the changes to his needs and how staff were to care for him had not been appropriately documented. However, this resident said “they are looking after me”. Residents care plans contained evidence that various healthcare professionals are contacted as and when necessary. The need to seek advice and assistance for one resident’s continence needs was discussed with a senior member of staff. Staff were observed to interact and speak to residents in a friendly and respectful manner and five residents confirmed that their ‘privacy is respected’. However, one resident spoken to said that “staff do not wait after knocking, to enter his room”. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 The home encourages and supports residents to maintain links with the community and contact with family and friends, thus ensuring their independence and social well-being is promoted. Good and varied homemade meals are provided and dietary needs, likes and dislikes are catered for. EVIDENCE: Six residents confirmed that Southfields House ‘provides suitable activities’ such as, arm chair exercises, sing along and dancing sessions, indoor bowls and bingo in the lounge. The home also provides a visiting church service once a month and offers day trips out in the home’s easy access vehicle. Staff encourage residents to maintain their hobbies and interests and residents are supported to access the local community. A discussion about the possibility of assisting one resident to visit his sister was had with a senior staff member and his relatives. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 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 standard(s) None of these standards were inspected. EVIDENCE: Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 22, 25, 26 The environment provides residents with an attractive and homely place to live. EVIDENCE: Southfields House was seen to be kept clean and tidy, with all communal and private rooms decorated and furnished to a good standard. The home provides a comfortable and homely lounge and dining room on the ground floor and a small dining/lounge on the first floor, enabling residents to spend time in different communal rooms as they wish. There is a large rear garden, which the residents were enjoying on the day of the inspection. There is a stair lift to access the first floor accommodation, which was in working order. The home provides three bathrooms, two with assisted bath seats and a call bell system throughout the home. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 29 Southfields House is developing a stable staff team to ensure residents’ needs are met. The recruitment of staff offers protection to the residents living at the home. EVIDENCE: The staff rota indicated that there are two care staff and the manager on duty during the day and one carer working a waking night duty. One resident spoken to during the inspection said that “the staff are very kind” and another commented that staff treat her ‘very well’. Two new members of staff are currently being recruited and the necessary recruitment information is being sought prior to their employment. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 38 Improvements to the fire safety arrangements are being carried out to ensure the safety of residents and staff is maintained at all times. EVIDENCE: A fire officer has recently carried out an inspection of the premises and several matters requiring attention were highlighted. Hold open safety devices have been fitted to doors in the communal areas and are gradually being fitted to residents bedroom doors, where they request these to be left open at night time. However, it was noted that one residents door did not shut when the hold-open devise was released. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION 3 3 x 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x 2 Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 Page 16 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. 2. Standard 10 7 Regulation 12(4) 15(2)(b) Requirement That staff are reminded of the homes policy on entering residents bedrooms. Residents care plans should record any changes in care needs and how staff are to care for their current needs. That bedroom doors shut when the hold-open devise is released. That advice and assistance is sought for one residents continence needs. Timescale for action 23/8/05 23/8/05 3. 4. 38 8 23(4) 13(1) 23/8/05 23/8/05 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. 3. 4. Refer to Standard 1 13 19 27 Good Practice Recommendations That the Service User Guide is produced in a format that is accessible and suitable for all residents and their realtives. That one resident is assisted to walk to visit his sister. That the Inspector is informed when all the fire safety measures have been put in place. That the Inspector is sent a copy of the job description for night staff. Southfields House Residential Care Home H59-H10 S21214 Southfields House Residential Care Home V230061 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex BN21 4QT 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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