Inspection on 27/07/06 for Southfields House Residential Care Home

This inspection was carried out on 27th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Southfields House Residential... 07/03/06

Southfields House Residential... 23/08/05

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 Paul Taylor Key Unannounced Inspection 27th July 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 Southfields House Residential Care Home DS0000021214.V298666.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. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southfields House Residential Care Home Address Southfields Road Eastbourne East Sussex BN21 1BZ 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) 01323 732077 01323 722802 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 (16) of places Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is sixteen (16). Service users must be older people aged sixty-five (65) years or over on admission. 7th March 2006 Date of last inspection 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 assisted bath seats. Information about the home can be accessed by telephoning the proprietors. Copies of inspection reports are available on request at the home. The cost of a room is between £329 and £485 per week. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection took place at Southfields House on Thursday 27th July 2006. The inspection started at 10.a.m. and finished at 5.30 p.m. During the inspection the Inspector met with the proprietors, three service users on an individual basis, three members of staff and a visitor to the home. The Inspector undertook a tour of the premises and examined a number of documents and records including care plans, pre-admission assessments, fire safety records, staff recruitment records, accident reports and the quality assurance system operated within the home. The Inspector also joined the service users for a meal. What the service does well: What has improved since the last inspection? Two recommendations from the last inspection had been responded to in a timely manner. There are now facilities for service users to lock personal items in their rooms and the care plans contain all the information required by the National Minimum Standards. The proprietor has introduced a quality assurance system which analyses the performance of the home via an internal Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 6 audit and identifies areas in which the home can improve, this system is well thought out and detailed. 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. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home assesses the needs of service users prior to admission to the home and this ensures that they are appropriately place in a setting that will meet their needs. EVIDENCE: The Inspector examined four files which contained pre-admission assessments for four service users. The assessments were detailed and contained information about their health needs, mental state and cognition and their social interests and contacts. The home does not provide intermediate care. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health needs of service users are met and their privacy and dignity is respected. EVIDENCE: Four care plans were examined. These had been compiled using information gained in the pre-admission process and had evidence of regular reviewing and updating. The risk of falls had been assessed together with what was needed to reduce this risk either via staff intervention or assessing the environment for trip hazards. Together with written evidence of the review of the care plans by members of staff when they had signed them, there was also evidence that service users had been involved in the process and had signed the care plans. Relatives had also endorsed the documents when they had been involved in their compilation. All service users are registered with a general practitioner. The Inspector saw records of service users attending opticians and dental appointments as well as hearing tests. The care plans contain guidance on the preferred manner in which service users wished to be assisted in managing their personal and oral Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 10 hygiene. The Inspector also saw evidence of past involvement with a service user by a community psychiatric nurse. Records were seen of service users being weighed and the home offers opportunities for service users to exercise in movement to music sessions as well as a ‘motivation’ class which is offered once every six weeks. The member of staff responsible for co-ordinating medication in the home showed the Inspector the system used for storage and administration. The records were accurate and complimented what had been outlined in the service user care plans. The Inspector also saw a record of the receipt of medication and controlled drugs into the home. These had been appropriately signed for and had been subject to a daily audit and double signing in the case of the controlled drugs. The Inspector was informed that a pharmacist inspects the storage and process of administration of medication four times a year. The Inspector recommends that the member of staff responsible for the coordination of the medication attend refresher training on medication. All the service users who met with the Inspector said that the members of staff treat them well and respect their dignity. The care plans provided guidance on who was to provide personal care in specific circumstances and by members of staff preferred by particular service users. There was very clear written guidance in place for staff to follow when entering service users bedrooms. The care plans contained information as to what term of address was preferred by each service user. Service users confirmed that they are able to meet with visitors and health professionals in the privacy of their rooms. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 11 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to maintain social contacts both in and out of the home, they are able to maintain autonomy and choice and are able to eat a wholesome and healthy diet. EVIDENCE: Service users interests are recorded in their care plans as well as being assessed prior to their admission. There is a weekly plan of activities available to service users and this gives them a framework in which to plan what they want to do. There are occasions when they will choose alternative activities to those on offer: for example bingo was not proving popular at the time of the inspection and some service users were choosing to play cards instead. Activities offered in the home include carpet bowls, magnetic darts, a quiz, board games as well as cards and bingo. Additionally some service users go out in the home’s people carrier for outings as well as with friends and relatives and there are service users who go out from the home independently. Service users told the Inspector that visitors are made welcome to the home and that they are able to meet them in private. The Inspector met with a visitor who confirmed this to be the case. One service user told the Inspector ‘I am free to do as I wish and to come and go as I like.’ Feedback from other service users confirmed that they are able to Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 12 make choices as to what time they get up, food they eat and activities in which they partake. The home does not involve itself in the managing of service users financial affairs. Service users manage their own affairs or have representatives who have power of attorney. There was unanimous positive feedback from service users with regards to the quality and choice of food. The Inspector examined a record of menus and these contained a good healthy choice. The home had made a record of what each service user had chosen on a daily basis. The Inspector joined a meal with the service users. This was a sociable and relaxed event and the food was of very good quality. A service user was assisted in eating her meal and this was observed to be patiently and sensitively managed. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 13 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are protected by the home’s complaints and adult protection procedures. EVIDENCE: All the service users who met with the Inspector knew how to make a complaint. The Inspector examined the complaints records. This contained a record of two complaints made this year. Both had been investigated and responded to well within 28 days and contained information on how they had been resolved. The home provides training ‘in house’ for members of staff with regard to adult protection. The members of staff then have to complete a questionnaire to show that they understand the issue. The members of staff who met with the Inspector were aware of what to do in the event that they had concerns about a service user’s welfare. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 14 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): 19,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users live in a safe, clean and well-maintained home. EVIDENCE: The Inspector undertook a tour of the premises. The home was clean and well maintained. The Inspector examined an annual plan of refurbishment and redecoration. This was detailed and contained costings. The home has a large and well-maintained garden to which all service users have access. The Inspector saw records of the monitoring of water temperatures. The proprietor showed the Inspector the monitoring devices fitted to the hot water system and confirmed that these have fail safe devices in place should a problem occur. The details of the system are recorded electronically and displayed on a graph so that variances in temperatures can be monitored. Radiators throughout the home are covered where they have been assessed as posing a potential risk to service users. Emergency lighting is fitted throughout Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 15 the home and the Inspector saw a record of checks that had been carried out on a regular basis to ensure that the system was working. As mentioned earlier, the premises were clean and free from offensive odours. The home has a laundry situated in a separate outbuilding. The Inspector saw that members of staff had attended infection control and hygiene training. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are cared for by an appropriately trained staff team which has sufficient numbers to meet their needs. EVIDENCE: The Inspector saw a copy of a staff roster. Members of staff who met with the Inspector said that there were enough staff working in the home. One of the registered managers and other members of staff work extra hours to cover staff absence or shortages in order to maintain continuity and consistency in care. The home has a waking member of staff at night time as well as a member of staff who sleeps on the premises to provide support if needed. Additionally the home employs a domestic assistant and a cook. Three members of staff out of a staffing complement of six have achieved N.V.Q. Level two in Care. The Inspector examined four recruitment records of members of staff, these contained all the information required by National Minimum Standards including Criminal Records Bureau and POVA checks. The home operates an induction process which has used guidance from the Skills for Care Council as a framework. The process is achieved via a manual that records a member of staff’s progress. The Inspector saw records of staff training in a variety of subjects which included fire training, moving and handling, health and safety, adult protection, first aid and food hygiene. The Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 17 home has also successfully been re-assessed as maintaining it’s Investors in People Award. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 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 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): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health and safety of service users is ensured by the home’s monitoring systems. EVIDENCE: Southfields House has two registered managers, both of whom are the proprietors. One has an N.V.Q. 4 in Care and is due to start the registered manager’s Award in the next year as well as having over twenty years experience in various care settings. The other registered manager has worked at Southfields House for ten years and has a number of years managerial experience in various businesses. Both registered managers attend updates on training such as adult protection, food hygiene, first aid and supervision. The home has a quality assurance system in place and this covers all aspects of the running of the home. The views of service users have been sought via Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 19 questionnaires and are recorded in their care plans. The monitoring of health and safety checks is recorded regularly and accurately. One of the proprietors has introduced a quality assurance monitoring system which measures how the home is meeting National Minimum Standards, how it can improve and what the home needs in terms of training, staff development and refurbishment. The Inspector recommends that the recording of positive feedback from service users relatives and representatives should be more formally recorded. The Inspector considers the quality assurance system operated at Southfields House to be a strength of the home. All service users have lockable drawers or lockers in their rooms. Whilst the home does not involve itself in the management of service users financial affairs, the staff will buy small items such as newspapers, magazines and sweets for service users at their request. Records of these transactions are recorded and the Inspector examined a record which contained receipts for the money spent and the balance left. The record was accurate and up to date. The Inspector examined a number of safety records such as the gas certificate, electrical certificate, fire risk assessment, fire drill and procedures, monitoring of water temperatures, fridge and freezer temperatures, emergency lighting and fire alarm testing. The Inspector examined a record of accidents that had occurred in the home. Whilst these contained details such as the time, dates and the individual concerned as well as the location, the cause of the accidents or how they had happened was not recorded in a number of cases. This needs to be achieved. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 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 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 3 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 3 X 3 X X 3 Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 21 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 OP38 Regulation 13 (4) (c) Requirement That the cause of all accidents in the home is recorded consistently. Timescale for action 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP33 Good Practice Recommendations That the member of staff responsible for the co-ordination of medication attends refresher training on the subject. That the recording of compliments is more formally achieved. Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex 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. Extracts may not be used or reproduced without the express permission of CSCI Southfields House Residential Care Home DS0000021214.V298666.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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