Inspection on 09/01/06 for Sovereign House

This inspection was carried out on 9th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sovereign House 18/05/09

Sovereign House 17/04/07

Sovereign House 29/09/05

Sovereign House 11/01/05

Sovereign House 21/06/04

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 Sovereign House 30 Canterbury Road Herne Bay Kent CT6 5DJ Lead Inspector Tina Thomas Unannounced Inspection 9th 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 Sovereign House DS0000023564.V276994.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. Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sovereign House Address 30 Canterbury Road Herne Bay Kent CT6 5DJ 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) 01227 368796 01227 368796 Mr Hassan Ibrahim Louise Ibrahim Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Manager to have completed NVQ4 in management and care by 2005 29th September 2005 Date of last inspection Brief Description of the Service: Sovereign House is a detached Property. It is situated only two minutes from the Beach or Town. The Home is Registered for Ten Service Users. The Home has eight en-suite single rooms and two rooms with adjoining bathrooms. Accommodation is situated on three floors. The Home is well decorated and maintained. The Home has a shaft lift. The Home has a grassed front garden and a concreted rear garden. The Home is owned by Mr and Mrs Ibrahim and they are the Registered Providers, Mrs Ibrahim is the Registered Manager. Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a short unannounced inspection. The aim of the inspection was to assess the key standards that were not assessed at the announced inspection of 29/09/05 and to consider whether the requirement and recommendations of the last inspection have been actioned. The inspector found that the home continues to offer service users a homely, family type environment, with a constant, well-trained staff group. Some people that live in the home have moved from other homes that have closed. The inspector saw evidence that the staff had endeavoured to ensure that these people have settled in their new home. What the service does well: What has improved since the last inspection? 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. Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 6 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 Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 7 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 People move into the home knowing that their needs can be met and that their independence will be maximised and promoted. This home does not provide the service described in standard 6. EVIDENCE: The manager together with one of the two senior carers completes the pre admission assessments. They visit people in their own homes or as is becoming more frequent, visit people in hospital. The Manager often visits people in hospital more that once, to ensure that they get to know her, and the ethos of the home. This is also to allow both parties to make an informed decision. The Manager also obtains a summary of the Care Management assessment. Some of the people living at the home had moved from other homes that had closed down. The manager had evidence that their needs were clearly considered prior to their move to ensure that the home could suitably meet their needs. Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 8 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): Standards 7,8,9 and 10 were assessed at the last inspection of 29/09/05 and found to be met. EVIDENCE: Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 9 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): Standards 12,13,and 14 were assessed at the inspection of 29/09/05 and found to be met. Service users receive a wholesome appealing balanced diet. EVIDENCE: The registered manager has qualifications in Hotel management. She has also completed a one day course in nutrition for the elderly, which included osteoarthritis and nutrition. The menu is devised by the Manager and her deputy with the input of service users who discuss menus at service user meetings. Service users are offered a variety of meals and hot and cold drinks throughout the day. A nominated member of the care staff cooks the main meal. All staff have completed food hygiene training. The Inspector observed that there was a good quantity of fresh fruit and vegetables in the Home. People that live in the home sometimes have baking afternoons and cook things like bread and biscuits. Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 10 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): Standards 16 and 18 were assessed at the inspection of 29/09/05 and found to be met. EVIDENCE: Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 11 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, 20,21,23,24,25,26 The standard of the environment within the home is good providing Service Users with an attractive, safe and homely place to live. EVIDENCE: The home is suitable for its purpose. The home is clean and well maintained. Furnishings, carpets and decoration were of good quality. There are no offensive odours throughout. People that live in the home have access to a communal lounge and a dinning room. The Home has a passenger lift to enable people to access all parts of the home. Eight of the Service Users rooms are en-suite. The remaining two both have adjoining bathrooms. The Inspector viewed bathrooms and toilets within the Home; they were all clean and tidy. Radiators are all covered so as to prevent risk of scalds and burns. Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 12 Individual bedrooms are clean, homely and personalised. Some rooms have been decorated to service users own specifications. People the inspector spoke with said they found them suitable for their needs and were happy with their rooms. The Home has a small purpose built laundry. The laundry floor and finishes are impermeable and walls easily cleaned. The washing machines have the specified programming ability to meet disinfection standards. Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): Standards 27,29 and 30 were assessed at the inspection of 29/09/05 and were found to be met. EVIDENCE: Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): The home is well managed by a person that is fit to be in charge. The health, safety and welfare of service users is promoted and protected. EVIDENCE: The Registered Manager has completed her Registered Managers Award. The Registered Manager has also completed an assessor’s course so that she can support her staff in their training. The Home is kept in a secure manner. The Manager as far as reasonably practicable ensures compliance with relevant legislation to ensure that the health, safety and welfare of Service User and staff is promoted and protected. At the last inspection the Inspector noted that whilst carers have training in manual handling it has considerable shortfalls. This was discussed with the Manager and a requirement made regarding this matter. This is still outstanding; however training has been booked for March 06. Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 x 8 x 9 x 10 x 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 x 17 x 18 x 3 3 3 x 3 3 3 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 x x 3 x x x x 2 Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? YES 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 (5) Requirement All staff must have suitable manual handling training. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Sovereign House DS0000023564.V276994.R01.S.doc Version 5.1 Page 18 - 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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