Inspection on 10/05/07 for Southlands

This inspection was carried out on 10th May 2007.

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

Southlands 09/05/06

Southlands 07/12/05

Southlands 11/07/05

Southlands 10/03/05

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOMES FOR OLDER PEOPLE Southlands 21 Main Street Off Greenside Close Long Eaton Nottingham NG10 1GU Lead Inspector Andrew Sales Key Unannounced Inspection 10th May 2007 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 Southlands DS0000035734.V336047.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. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southlands Address 21 Main Street Off Greenside Close Long Eaton Nottingham NG10 1GU 01629 580000 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) www.derbyshire.gov.uk Derbyshire County Council Yvonne Kristine Fowkes Care Home 23 Category(ies) of Dementia (3), Learning disability (1), Mental registration, with number disorder, excluding learning disability or of places dementia (3), Physical disability (2), Sensory impairment (3) Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2006 Brief Description of the Service: Southlands is a detached house in a residential area of Long Eaton, within walking distance of the town centre. The home provides social and personal care for 23 people aged 65 years and over. The home currently provides 4 day care places. The facilities are on 2 floors. All accommodation is in single rooms; bedrooms do not have en suite facilities. Access to the first floor is by stairs and a passenger lift. The home has two large lounge and dining areas, a quiet room/library, and a lounge where residents can smoke. Residents have access to well maintained garden areas. The fees for the home range between £98.60 and £325.05 per week. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started on Wednesday 9 May 2007 and a visit to the site was conducted on 14 May 2007 at 10.00am. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. Where possible, we include evidence from other sources, notably District Nurses and Social Workers. We also use information gathered throughout the year, to support our judgements. This may include notifications from the provider, complaints or concerns and the pre-inspection questionnaire, which the provider is required to complete prior to a visit to the service. On this occasion we did not receive the pre-inspection documentation, which should be completed by the provider prior to inspection. We were therefore unable to include any evidence from resident’s surveys. The primary method of inspection used during the visit to this service was ‘case tracking’. This involved selecting three residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. We also spoke with three other residents and two relatives, who were able to give us their views about the service. We also spoke with two members of the care staff who were also very helpful. We spent part of the day discussing records, documents and policies with the deputy manager. All of the key standards were inspected on this occasion. What the service does well: Southland’s provides a domestic and comfortable environment, which is very well maintained and furnished. The manager and staff are very committed to providing good standards of care for the residents. The food is well thought of and residents feel respected and enabled to socialise in a manner that is comfortable for them. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 6 The gardens are well maintained and provide a pleasant view from the inside the home and a nice place for residents to relax in. The staff strive to provide consistent and good standards of care and the service continues to comply with the National Minimum Standards. All of the residents and relatives spoke highly of the staff saying, the staff are very helpful and kind and, it is very nice here, I’m really glad I chose to come here. Some residents stated that the food was “lovely” and that they liked the social activities and stimulation provided. Relatives are kept well informed, were supported by the staff and managers and said they were ‘always made welcome’. The residents feel they are consulted on matters relating to the running of the home, and receive regular newsletters, which details any forthcoming events and news. The residents spoke positively about their private and communal accommodation. Some new residents said they could sit in most parts of the home and enjoy the lovely view of the gardens. What has improved since the last inspection? What they could do better: Whilst residents commented positively on the standards of care and commitment of the staff, it was stated by one person that at some key times staffing levels may not be appropriate to meet the needs of all of the residents. Though we felt from looking at the overall evidence that levels were satisfactory. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are fully assessed before moving in to the home and are confident the service will meet their needs. The home does not provide intermediate care. EVIDENCE: All of the files we looked at contained an extended social work assessment, which had been obtained prior to their admission. All files contained care plans conducted by the manager, or deputy manager. All of the assessments were adequate and contained sufficient information to enable staff to ensure that they could meet the residents assessed needs. There were detailed action plans for care workers. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 10 All of the residents were very keen to explain how living at the home has improved their quality of life in terms of care, company and social stimulation. They said they liked the homely environment and services available. They all felt that prior to moving into the home that it was suitable for their needs and a place they wanted to live in. Relatives we spoke with also supported these feelings. Residents also told us that they had been able to stay at the home prior to moving in, one had stayed a number of times before deciding to move here. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal care needs of residents are planned for and met by knowledgeable and well-trained care staff who strive to make sure residents using this service are treated with respect. EVIDENCE: The assessments and plans of care we looked at were well set out and detail each area of need with action plans for staff. Risk assessments were also present and well documented. Particular attention is placed in the need to prevent pressure sores, falls and to promote safe working practices. Daily records are well maintained by care staff and professional input from district nurses and GP’s is well documented. We saw evidence that moving and handling assessments are now reviewed. Residents and staff told us the care planning process was accurate and helped staff to respond to any changes in residents needs. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 12 Resident’s care plans contain details of each individual’s health care needs, including tissue viability and continence risk assessments. There is evidence that people have been appropriately referred to health care professionals. Care plans contained records of visits by district nurses, General Practitioners and other professionals. Healthcare professionals were observed visiting on the day. We were told that residents can register with a GP of their choice. The homes medication administration systems are well maintained. There is a policy and procedures for receiving, recording, storing, handling, administering and disposing of medicines. The home is registered with the local pharmacist and support and advice obtained as and when needed. The pharmacist visits and conducts and audit of the homes medicines. We were told that the manager and deputy managers have all attended updated medication training and two people now countersign handwritten medication instructions. Staff were observed during the visit interacting positively with individuals. Residents told us that staff provide a good standard of care and areas of concern would be discussed with the registered manager. Residents also commented very positively on the conduct and attitude of the staff. They said ‘the staff are wonderful, they are always on hand to help and they are always polite’. One relative said ‘ the home is excellent, the staff are wonderful and welcoming and take time to talk with her mother’. She also said the food is good and the managers are ‘extremely approachable and always willing to talk over things and listen’. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel they retain much of their independence after moving into the home. Resident’s maintain contact with family and friends. Residents are supported to access daily activities and access the local community. EVIDENCE: Residents told us they were happy with the level of activities within the home and outside. Resident’s commented that the philosophy of the home and the attitude of the staff enabled them to make choices and felt they were generally well respected. They also felt that staff were always willing to sit and talk with residents when they had time away from essential duties. The staff, residents and relatives told us that games and stimulation are provided regularly. Staff described how they encourage residents to participate Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 14 in events and outings and take time to sit with those who are less able to communicate. Planned trips and events are organised within the home. Residents said staff often come in when off duty to help them to go out to the shops. Staff spoken with, were well aware of residents individual preferences and respect residents choice on occasions where they chose not to participate in events. One relative said told us that initially her mother did not settle well after moving into the home. As her Dementia became worse, the home went to great lengths to improve services. They found that this lady enjoyed peace and quiet, consistency of routines and more one to one stimulation. They regularly reviewed her plan of care. They re-allocated one lounge as a quiet area and used a number of different therapies, including reminiscing, dolls, soft toys, historical themes, pictures and news cuttings. Two other residents described how they were recently married. They said they now have a double room with a separate lounge. They said the manager and staff were extremely helpful and they were able to have the reception at the home in one of the large lounges and said they had a wonderful day. One resident and her daughter were extremely complimentary about the approach of managers and staff. They described how the residents dignity and respect were promoted through the homes management style and the culture and philosophy adopted by the staff team. Residents and relatives told us they thought the food was good and there was three choices at lunchtimes. They said they can have soup or salad in the evening and were happy with what was available. We looked at the kitchen facilities, where appropriate cleaning schedules were in place and fridge and food temperatures were monitored and recorded. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safeguarded by the homes complaints and adult protection procedures. EVIDENCE: We looked at a satisfactory complaints policy and procedures, which are displayed throughout the home. We looked at complaints records, which are well maintained and very few complaints are received. The commission has received one complaint since the last inspection. We referred this to the provider, who dealt with it appropriately, using their own complaints procedure. Residents and relatives told us that they would raise concerns with the registered manager if they felt the need to. We looked at an appropriate Whistle Blowing Policy and a policy detailing Adult Protection Procedures. The homes policies and procedures for responding to suspicion or evidence of abuse, or neglect, are generally satisfactory. The home has comprehensive policies regarding resident’s money and financial affairs. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 16 Two staff told us they had received training in adult protection issues and were fully aware of their responsibilities to safeguard older people. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,22,26. 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 maintained and decorated. Residents enjoy the comfortable and well furnished communal and bedroom areas. EVIDENCE: We were shown around the home and found it to be extremely well furnished and maintained, with many original period features, like original fire places, which residents said they liked very much. We were shown many areas in the home, which have been redecorated and some areas re-carpeted. We saw a suitable number of assisted bathrooms and toilets and a new shower room with full access for people with a disability. There are a number of Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 18 mobility aids in use around the home and staff were able to tell us how individuals use them with staff support. The home has floor to ceiling windows in many areas, which let in a lot of natural light. All residents spoken with stated how impressed they were with the homes décor and furnishings. All the residents told us how they enjoy looking out onto the gardens, which are visible from most bedrooms and communal areas. They said the gardens are a ‘wonderful place to relax in the better weather’. We looked at the laundry area, which is appropriately equipped. None of the residents had any concerns about their clothes being cleaned or going missing. We saw appropriate cleaning schedules in operation throughout the home including the kitchen and laundry. There are no malodours present in the home and residents and relatives said how important this was to them. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by well trained and competent staff. EVIDENCE: The residents and their relatives spoken with stated that there were usually adequate numbers of staff in order to meet their support needs, and commented that the staff team are “wonderful” and “always willing to help”. We were also told that sometimes residents felt rushed and staff were sometimes in a hurry. We spoke again with staff and the manager and they described how extra staff were included on the rota at key times and that managers were always on hand for extra support. We looked at the rota which confirmed this and we have based our judgement on the overall experiences of residents and relatives. Staff files all contained some evidence of training in a number of health and safety subjects, dementia awareness, National Vocational Qualification (NVQ) level 2, staff supervision and appraisal plans. We were informed that most recruitment documents were held in files at the human resource department. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 20 The staff demonstrated a sound understanding of their roles and responsibilities and a great insight into the methods of promoting independence whilst supporting older people. They told us that they had attended numerous training courses and have regular updates in all of the mandatory Health and Safety training courses. From the comments and observations made, the staff team are held in high esteem amongst the residents for their commitment, attitude and support. There was evidence that staff receive supervision on a regular basis and staff members did confirm this during our discussions. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and there is leadership, guidance and direction to staff to ensure residents receive consistent quality care. This results in practices that promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: Residents and relatives told us the home was well run and the management team were always on hand for support and advice. Staff spoken with, confirmed that they felt supported by the manager and that they are approachable to discuss any issues. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 22 Staff spoken with spoke highly of the manager and deputy managers and stated they felt well supported within their job role. Residents and relatives stated that the home’s success is due to the culture of putting residents first and respecting their choices. A relevant policy with regards to the safe keeping of resident’s personal allowances is in place and followed. We checked one resident’s cash held with their accounts records, which were accurate. The staff confirmed they receive regular supervision and attend regular team meetings. Supervision records were observed. Residents stated that they felt they were consulted about day to day issues. Some records of appraisal were viewed. Some staff files contained records of supervision and appraisal. Staff spoken with also supported this process. Staff files showed that they have undertaken training in mandatory health and safety subjects. Staff spoken with, were aware of health and safety procedures and commented positively on the training provided. Risk assessments were observed on individual files and are in place for the building and individual residents. Records for Health and Safety monitoring and the servicing of systems and appliances were inspected on this occasion and were found in general, to be up to date. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 23 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 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 OP27 Good Practice Recommendations Ensure staffing levels are reviewed regularly to ensure the needs of residents are met. Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Southlands DS0000035734.V336047.R01.S.doc Version 5.2 Page 26 - 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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