Inspection on 17/01/06 for Southlands, Highweek

This inspection was carried out on 17th January 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

Southlands, Highweek 16/11/06

Southlands, Highweek 04/05/05

Southlands, Highweek 28/10/04

Southlands, Highweek 10/06/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Southlands, Highweek 21 Coombeshead Road Highweek Newton Abbot Devon TQ12 1PY Lead Inspector Susan Samways Unannounced Inspection 17th January 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 Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Southlands, Highweek Address 21 Coombeshead Road Highweek Newton Abbot Devon TQ12 1PY 01626 363510 01626 363510 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) Mark Harris Maureen King Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability over 65 years of age of places (25) Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 25 Service Users within the Old Age category may reside at the home. 25 Service Users within the Physical Disability (over 65 years of age) category may reside at the home. 04/05/05 Date of last inspection Brief Description of the Service: Southlands is a registered care home for up to 25 people over the age of 65. It is a large, detached, Victorian property which is set back off the road. It is a short drive from the main town centre and is on a bus route. Southlands is set in extensive grounds and the sun room opens on to an attractive decked area. The property has been extended and has a lift to the first floor. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which lasted for 7.25 hours. The registered manager and the operations manager were available throughout the inspection and the deputy manager was present for the latter part. The registered manager was due to move to a new job three days after the inspection. The deputy manager has been promoted to fill the vacancy. Three residents were spoken to on an individual basis and others were seen in passing. No relatives were available during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Residents commented that they would appreciate an increased range of activities including physical activities. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 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. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5 Prospective residents have a comprehensive assessment made and are invited to visit the home in order to provide all those concerned with sufficient information to make the decision whether Southlands is an appropriate home for them. EVIDENCE: The files for three residents were examined, all were found to have detailed assessments covering all aspects of daily living. Their preferences, including the name by which they wished to be addressed, had been recorded and key information about their medical and family history. A resident who had recently moved into Southlands said that her daughters had visited the home and thought that it might be suitable for her. She was then invited for a cup of tea and had the opportunity to look round the home, see the room that was available, meet some of the other residents and staff and to ask questions. She said that having seen the home made the decision to move in much easier. She stated that she feels she made the right decision Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 9 and that when her daughters visit they say that they chose the right home for her. The registered manager stated that whenever practicable prospective residents are encouraged to visit the home and/or have a short stay on a trial basis before making a final decision. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,9,10,11 Residents are involved in the writing and reviewing of their care plans which ensures the provision of appropriate care. The medication procedure safeguards residents. Staff treat residents with respect and are caring and supportive when residents are coming to the end of their lives. EVIDENCE: Three care plans were examined. They covered all aspects of care and had been signed by either the resident or their relative. They had been reviewed and signed and dated by the person carrying out the review. Daily records had been completed as had records of all visits by the G.P. and other visiting professionals. At the time of the inspection only one resident was responsible for their own medication. This is kept in a locked cupboard in the resident’s room and a risk assessment is completed at least annually to ensure that this remains a safe practice. The resident concerned clearly stated her wish to continue to look Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 11 after her own medication. All other medication is kept in a locked cupboard in a locked room. A monitored dosage system is used with the blister packs for each round being transported around the home in a small medicine trolley. The medicine charts checked had been completed correctly. Residents were observed to be treated with respect and in discussion they confirmed that this was the norm. Staff were seen to knock on residents’ doors and wait to be invited in. Residents spoken to described the staff as being “kind”, “helpful and considerate” and one member of staff as a “born carer”. They said that call bells were answered promptly and one said that if she couldn’t sleep or was hungry the night staff would make her a drink and a sandwich. One resident stated that assistance with personal care was provided to the degree that she wanted thus enabling her to maintain her level of independence. During the inspection discussion took place with the registered manager and the operations manager about care of residents coming to the end of their lives. They said that they have very good relationships with the health care professionals and were able to describe the home’s caring and supportive approach which includes care of those who had been bereaved. The operations manager stated how proud he had felt of the staff who had assisted a resident to look their best for the funeral of their spouse. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15 The home enables residents to maintain control over their day-to-day lives by promoting choice. Residents would benefit from an increased range of activities including physical activities. EVIDENCE: The residents spoken to talked enthusiastically about life at Southlands. They said that staff took trouble to find out their likes and dislikes and that they had the freedom to choose how and where they spent their time. Residents comment that they would like more organised activities especially physical ones. The registered manager said that they had arranged for someone to come into the home to do armchair exercises but that it had been poorly attended. A resident stated that it was the approach of the person leading the activity that was the problem and not the activity itself. The registered manager undertook to find someone else to do it. The residents also spoke positively about the standard of the meals stating that if they didn’t like the choices on offer an alternative was provided. The cook is familiar with the residents’ dietary requirements and preferences. One Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 13 resident said that, unlike many of the other residents, she would appreciate more salad. The registered manager agreed to pass her request to the cook. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: No standards in this section were assessed on this occasion. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The home is attractive and homely providing a clean and hygienic environment. Residents’ safety has been improved by the installation of suitable devices to hold doors open that will close automatically in the event of a fire or other emergency. EVIDENCE: Since the last inspection suitable devices have been fitted to certain doors within the home to enable them to be held open when required but which will close the doors automatically in the event of a fire or other emergency. The doors concerned include those to communal areas and the rooms of residents who asked for them as they like to have their doors open. The operations manager stated that others would be fitted if residents request them. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 16 The home was found to be clean, hygienic and free from offensive odours and systems are in place to reduce the risk of the spread of any infection. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: No standards in this section were assessed on this occasion. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 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 The management style is open and receptive to the views of the residents and others involved with the home. EVIDENCE: At the time of the inspection the registered manager was about to move to a new job. This was a difficult time for all those involved with the home as she was well respected. The residents spoken to said that they were sad that she was leaving but were pleased that the deputy manager had been appointed to replace her as it was not only someone that they knew but also someone that they liked and could talk to. One resident said how much she appreciated the fact that the registered manager had told everyone that she was leaving in person and that they had not heard the news ‘on the grapevine’. The operations manager stated that the new manager would be put forward for registration with the Commission for Social Care Inspection and that the Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 19 application would be made as soon as possible. The new manager is an NVQ assessor and has started NVQ level 4 and the Registered Manager’s Award. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x x Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 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. 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 OP12 Good Practice Recommendations The registered provider should ensure that a range of suitable activities, including physical activities, is provided to meet the needs and preferences of residents. Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Southlands, Highweek DS0000003805.V269655.R01.S.doc Version 5.1 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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