CARE HOMES FOR OLDER PEOPLE
Sowerby Care Home Front Street Sowerby Thirsk North Yorkshire YO7 1JP Lead Inspector
Ms Anne-Marie Foster Unannounced Inspection 9th March 2006 11:00a 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 Sowerby Care Home DS0000065904.V286919.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. Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Sowerby Care Home Address Front Street Sowerby Thirsk North Yorkshire YO7 1JP 01845 525986 01845 526479 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) Ashbourne (Eton) Limited *** Post Vacant *** Care Home 51 Category(ies) of Old age, not falling within any other category registration, with number (51) of places Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Age Range 60 years upwards Date of last inspection 4th November 2005 Brief Description of the Service: Sowerby House is a care home registered to provide nursing care for up to 51 older people aged 60 and over. The premises comprise of a large, Victorian two-storey house with a passenger lift to the first floor. The service is owned by Ashbourne ( Eton) Limited. The home is in the village of Sowerby, close to local shops. Sowerby is located within 10 minutes walking distance of the market town of Thirsk, which benefits from larger shops and facilities. Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 9th of March 2006.The inspection took 5 hours, including 3 hours preparation time. This was a limited inspection and focused on the requirements and recommendations from the previous inspection, which had taken place on 4th November 2005. An inspection of the premises was made, including some of the service users rooms. The care records of five service users were looked at, and discussions were held with these service users about the care that they receive. The general manager and senior nurse were available during the inspection and feedback was left with the general manager at the end. What the service does well:
The home is welcoming with a warm and pleasant environment. A number of residents spoken to were very complimentary about the staff; “they are kind and respectful” “they look after me well”. Family, friends and other visitors are made welcome by the staff. Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 6 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. Sowerby Care Home DS0000065904.V286919.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 Sowerby Care Home DS0000065904.V286919.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): None of these standards were inspected on this occasion. EVIDENCE: Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 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 and 10 The service users health care needs are reflected in the care plans, and a caring respectful staff group meets those needs. EVIDENCE: Four care plans were inspected, and evidence of improvements could be found; regular reviews had taken place and the care plans were more individualised which will be of benefit to the service users. Staff were observed speaking to service users in a kind, courteous manner. The lunchtime meal was delivered in a calm, unhurried fashion, and the service users spoken with commented that the staff showed a “great deal of respect” to them. The downstairs toilets (2 cubicles) have now been fitted with appropriate locks enabling the service users to maintain their dignity and privacy. Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 10 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): None of these standards were inspected on this occasion. EVIDENCE: Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 11 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): 18 Service users are protected from abuse by appropriate policies and procedures. EVIDENCE: A comprehensive programme of training is in place with all staff currently attending the statutory training, ensuring that they know enough about abuse and how to identify and report it. There are regular supervision sessions taking place for all staff, which means they have access to further support. There have been no complaints received by The Commission for Social Care Inspection since the last inspection. Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 12 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): 21 Service users have sufficient and suitable lavatories and washing facilities within an attractive, clean environment. EVIDENCE: There are sufficient en suite and communal washing and lavatory areas for service users, and these have been improved by the addition of new locks. Sowerby Care Home DS0000065904.V286919.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): 29 and 30 Service users are protected and supported by the homes recruitment policy, and staff are undertaking statutory training. EVIDENCE: Four staff files were inspected to check for the documentation required by regulation; these were found to be satisfactory, ensuring the service users are protected by the recruitment of appropriate staff. Whilst a number of staff have out of date statutory refresher training such as fire and safety/moving and handling, a comprehensive programme is underway and this should be concluded soon; providing a more up to date, competent compliment of staff. Sowerby Care Home DS0000065904.V286919.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): 31 36 and 38 The health and safety of the staff and service users is promoted, although the registered managers post remains vacant. EVIDENCE: The position of registered manager remains vacant, and it would be in the best interests of the service users to have an appropriate person in post, however the home does have both a competent general manager, who oversees the financial employment and environmental issues, and an experienced clinical nurse manager. Staff are having adequate continuous supervision, which helps to ensure that the policies and procedures of the home are put into practice; and this is of benefit to the service users. The hot water regulation was in order, preventing any risk of scalding to the service user.
Sowerby Care Home DS0000065904.V286919.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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X 3 X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X 3 X 3 Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 16 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 2 3 Refer to Standard 18 30 31 Good Practice Recommendations All staff must complete the training that is underway about the prevention and reporting of abuse. All staff should complete the statutory annual training that is already underway. The home must ensure that a registered manager is in post as soon as possible. Sowerby Care Home DS0000065904.V286919.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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