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Inspection on 07/03/06 for Southfields House Residential Care Home

Also see our care home review for Southfields House Residential Care Home for more information

This inspection was carried out on 7th March 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Southfields House continues to offer a comfortable and homely environment and has a warm and friendly atmosphere. The health needs of residents are well met, with comprehensive care plans that monitor and review health and welfare needs. Residents are offered a choice of lunchtime and supper meals and eat these meals in one of the two dining rooms or in their bedrooms. There is a pleasant rear garden that resident are able to sit in and enjoy the sun or walk around.

What has improved since the last inspection?

Resident`s care plans record any changes in care needs and are monitored and reviewed regularly. Staff have been reminded of the homes policy on entering residents bedrooms. Hold-open devises are being fitted to bedroom doors, where residents request these to be left open. New carpets have been fitted to some bedrooms.

What the care home could do better:

All resident`s care plans need to contain information about their social, spiritual and occupational needs and clear guidelines for staff to ensure these needs are met. All residents should be provided with lockable facilities in their bedrooms to keep money/valuables etc.

CARE HOMES FOR OLDER PEOPLE Southfields House Residential Care Home Southfields Road Eastbourne East Sussex BN21 1BZ Lead Inspector Angela Gunning Unannounced Inspection 7th March 2006 2:30 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.V270227.R01.S.doc Version 5.0 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.V270227.R01.S.doc Version 5.0 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 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.V270227.R01.S.doc Version 5.0 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. 23rd August 2005 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. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was undertaken over three 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 and six residents. What the service does well: What has improved since the last inspection? What they could do better: All resident’s care plans need to contain information about their social, spiritual and occupational needs and clear guidelines for staff to ensure these needs are met. All residents should be provided with lockable facilities in their bedrooms to keep money/valuables etc. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 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 DS0000021214.V270227.R01.S.doc Version 5.0 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.V270227.R01.S.doc Version 5.0 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 A comprehensive assessment is carried out on each prospective resident prior to them moving into the home, as part of the admission procedure to ensure that each individual’s needs can be met. EVIDENCE: Since the last inspection one person has moved into Southfields House and a pre-admission assessment had been carried out to ensure that the home could meet his physical, emotional and social needs. This information was used to develop a comprehensive care plan. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 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, 10 The health needs of residents are well met and resident’s privacy and dignity is respected. EVIDENCE: Care plans are comprehensive and regularly monitored and indicated that there is a range of multi disciplinary working taking place to assist staff in ensuring that the health care needs of residents are continually identified and met. However, it was noted that in one resident’s care plan there was little information about his social, spiritual and occupational needs or any clear guidelines for the management of his alcohol consumption. Southfield House uses a Monitored Dosage system for the administration of prescribed medicines and a pharmacist carries out quarterly monitoring visits. The home has a policy in place with regard to the procedures for the administration of medication, recording, storage and disposal of medicines. All staff that administer medication receive training in the safe handling and administering of medication from a pharmacist. Where service users have been assessed as capable or not capable of self-administering their own medication the agreed strategy is documented in their care plan. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 10 Staff were observed to interact and speak to residents in a friendly and respectful manner and knock and wait before entering a resident’s bedroom. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 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): 15 There is a well-balanced and varied menu that offers choice and meets residents’ dietary needs. EVIDENCE: Residents spoken to said that Southfields House is providing a satisfactory standard of homemade and freshly prepared meals. The previous cook has ceased working at Southfields and a replacement is being sort. The menu is varied and flexible and takes account of resident’s likes and dislikes. Residents confirmed that they are offered a choice of main meals and supper dishes. There is a menu book to record the choice made by each resident. Residents are encouraged to eat lunch and supper in the two dining rooms (one on each floor) and residents confirmed that meals could be eaten in their bedroom if requested. Hot drinks and homemade cakes and biscuits are provided throughout the day. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 12 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, 18 The homes’ policy and procedures for dealing with concerns or complaints ensures that residents and relatives are listened to and that complaints will be acted upon. The home has satisfactory arrangements to ensure staff have knowledge and understanding of Adult Protection issues to prevent residents being placed at possible risk of harm or abuse. EVIDENCE: Southfields House has a clear policy on concerns and complaints. The homes’ complaints procedure is contained within their Statement of Purpose and Service User Guide. The home has a book to record all complaints and the action taken and the outcome of the complaint investigation. The home has a policy and procedures document on adult protection and prevention of abuse. A copy of the Brighton & Hove and East Sussex Multi-agency Policy and Procedures for the Protection of Vulnerable Adults is available to staff. Staff receive in–house training on the issues around adult protection. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 13 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): None of these standards were assessed. EVIDENCE: Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 14 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, 30 Southfields House struggles to provide a wholly stable staff team, however resident’s needs are being met by competent staff. EVIDENCE: The Provider/Manager has endeavoured to develop a stable staff team and has achieved this at a senior carer level but as yet has not achieved a full and stable staff team. However, residents spoken with consider they are being ‘looked after well’. Staff spoken confirmed that they are provided with a range of external and inhouse training such as manual handling, fire safety, infection control, food hygiene, medication and adult abuse. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 15 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): 33, 35 Resident’s are wants and needs are protected by the home’s quality assurance systems but their financial interests could better protected. EVIDENCE: Southfields House has several quality monitoring systems in place, such as satisfaction questionnaires, residents meetings, staff supervision and staff meetings and the home was reassessed as having achieved Investors in People status in December 2005. Resident’s relatives or representatives receive itemised bills for services such as hairdressing, chiropody, newspapers and toiletries. The home maintains a written record of all extra amounts payable for these additional services and this is documented in resident’s terms and conditions of residency and a record is maintained of money and valuables kept on their behalf. However, it was noted that one resident was not provided with lockable facilities in his bedroom to keep his money. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 16 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X x STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 2 X X X Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 17 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 OP35 Regulation 23(2)(N) Requirement That residents are provided with lockable facilities in their bedrooms. Timescale for action 07/03/06 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 OP27 OP7 Good Practice Recommendations That a stable staff team is achieved. That all aspects of each persons care plan are completed to provide staff with a clear understanding of each resident and how to meet their needs. Southfields House Residential Care Home DS0000021214.V270227.R01.S.doc Version 5.0 Page 18 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.V270227.R01.S.doc Version 5.0 Page 19 - 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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