Inspection on 01/09/06 for Spencer House

This inspection was carried out on 1st September 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

Spencer House 13/09/07

Spencer House 16/12/05

Spencer House 25/10/05

Spencer House 12/10/04

Spencer House 04/05/04

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 Spencer House Spencer Road Birchington Kent CT7 9EZ Lead Inspector Tina Thomas Key Unannounced Inspection 10:00 1st Sept 2006 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 Spencer House DS0000057496.V303783.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. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spencer House Address Spencer Road Birchington Kent CT7 9EZ 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) 01843 841460 Mr Vinaigum Pillay Cooppen Mrs Simee Cooppen Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To permit Mr R S (dob 04.09.19) to be admitted on respite care as required and determined by the Care Manager. 4th May 2004 Date of last inspection Brief Description of the Service: Spencer House provides residential care for up to 25 older people who require varying degrees of assistance. Whilst the home does not provide any specialist services, it has access to all necessary specialist services within the community. The home is within a short distance of amenities such as rail and bus services, health centres, shops and churches. Staffing comprises of the Registered Owners, care and ancillary staff. The home is a family run business with the owners having a high level of input to the home. Fees £303.23. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. It was conducted with the assistance of the registered provider Mr Cooppen. It was conducted over a one day period. To form judgements the inspector spoke with people that live in the home, the staff and the Provider. The Provider filled in documentation pertaining to the home prior to the inspection. The inspector also viewed service users comments in service users surveys. The home met all the national minimum standards that were inspected. These were mainly key standards. The Provider aims to create a family atmosphere within the home. People that live in the home expressed that he was successful in this. 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. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 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 Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 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): 3,6 Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. All service users have their needs fully assessed prior to moving into the home and can be assured that their needs will be met. The home does not deliver the service described in Standard 6. EVIDENCE: The home seeks a KCC needs assessment for all service users prior to any admissions to the home. The Provider also conducts his own thorough assessment prior to people coming to live at the home to ensure that their needs can be met but also so that it can be judged how the person will fit in to the home and mix with existing service users. The Provider encourages prospective service users to visit the home and spend time there. He also encourages them to visit other homes before making a final decision. The information gathered at the assessments contributes to the service users plan of daily living. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 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): 7,8,9,10 Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. 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 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. EVIDENCE: All service users have a plan of care. They have input into how they would like to be looked after and sign agreement of their care plans. When necessary the home seeks specialist intervention from other health care professionals. The care plans are regularly reviewed and contain risk assessments; any changes in care are recorded. Although the plans are adequate, the inspector and provider spent some time discussing how these could better evidence and more fully describe all the work the staff conduct with service users. Daily records were well recorded by care staff. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 9 Service users care needs were met. Service users personal and oral hygiene was maintained. Service users psychological needs are regularly monitored. Nutritional screening is undertaken and a record of nutritional intake regularly recorded. The home has robust policies and procedures for the administration of medication. Medication is administered mainly from monitored dosage systems prepared by a pharmacist. Mrs Cooppen has responsibility for medication. She checks medication into the home and regularly audits the medication system, including auditing medication administration charts to ensure that service users are receiving medication appropriately and checking the competency of carers who administer medication by randomly occupying them on medication rounds. Only staff that have completed medication training are permitted to administer medication in the home. Discussion with service users reflected that they felt that they were treated with dignity and that their privacy was maintained. Staff were observed to be respectful of service users. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 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): Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. Service users social, cultural, and religious needs are being met. Service users maintain contact with whom they wish. Service users are helped to exercise choice and control over their lives. Service users receive wholesome meals in pleasing surroundings. EVIDENCE: Daily activities are reflected in peoples care plans. People get up and go to bed when they choose. The home has activities for service users each morning and afternoon, which are well attended. A lot of the service users talked about how they enjoyed the garden. The home has a cultural area, where they have items from different religions. Some of the service users have travelled abroad and this is sometimes the subject of discussion. The Provider regularly talked to one service user in French, as this was her first language. The homes visitors book indicated that visitors come and go at a selection of times. People living in the home indicated that they could see their visitors when they wanted. This could be in communal areas or in the privacy of their own room. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 11 The home has regular recorded meetings for service users to enable them to have an opportunity to discuss and influence events at the home. Service users can bring items of their own into the home to personalise their own rooms. Service users and staff all agreed that the food in the home was wholesome and plentiful. They expressed that hot and cold drinks and snacks are offered regularly. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 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 Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. The home has a suitable complaints procedure. Procedures are adequate to potentially protect service users from abuse. EVIDENCE: The complaints/compliments book was viewed. Complaints are investigated and suitably actioned. Staff have had training regarding adult protection. Staff spoken with showed an understanding of abuse. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 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): 19,26 Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. The home is a safe and well-maintained environment. The home is generally clean, pleasant and hygienic. EVIDENCE: The location and layout of the home is suitable for its stated purpose; it is accessible, safe and well-maintained; meets service users’ individual and collective needs in a comfortable and homely way and has been designed with reference to relevant guidance. The home has good quality decoration and furnishing throughout. It is routinely maintained. Service users have added items of their own to personalize their rooms. Service users discussed how they enjoyed the garden. The building complies with the requirements of the local fire service and environmental health department. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 14 The home is clean and free from offensive odours. Some of the staff are undertaking an NVQ specific to infection control. The home has suitable hand washing facilities. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 15 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): 27,28,29,30 Quality in this outcome area is good. The home has appropriate staff numbers for the needs of the current service users. Service users are in safe hands. The homes recruitment practices protect the service users. Staff are trained and competent to do their jobs. EVIDENCE: The inspector spoke with the Provider, service users and staff regarding staffing levels and viewed the staff rota. At the time of inspection there were sufficient staff on duty to support the needs of current service users. Staff had time to engage in conversation and activities with service users. The national minimum standards state that ‘A minimum ratio of 50 trained members of care staff (NVQ level 2 or equivalent) is achieved by 2005, excluding the registered manager and/or care manager, and in care homes providing nursing, excluding those members of the care staff who are registered nurses.’ The home currently has 82 of staff trained in care to NVQ Level 2 or above. All trainees are registered on skills for care certified training course. Two staff files were viewed at inspection. They showed that the Provider had undertaken the necessary safeguarding checks that are required prior to employing new staff. For example criminal records checks and references. All staff receive job descriptions and terms and conditions. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 16 The Provider ensures that staff are trained to fulfil the aims of the home and meet the needs of the current service users. All staff have suitable induction and foundation training. All staff receive a minimum of three days paid training per year. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 17 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): 31,32,33,35,38 Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. The home is run in the best interests of the service users. Service users financial interests are safeguarded. The health, safety and welfare of service users and staff are generally well promoted and protected. EVIDENCE: Mr Cooppen is competent and experienced to manage the home, with a background of care for the elderly in many settings. He has undertaken B.tech management training. Mr Cooppen has created an atmosphere that is open and inclusive. He talked of how he wanted service users to feel valued and gave them opportunity through 1-1 time with him and service user meetings to affect the way in which the Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 18 home operates. A commitment is made to equal opportunities. People’s life experiences are discussed and celebrated during reminiscence. The Providers are on the premises on an almost daily basis. There are quality assurance processes in place to ensure continual improvement of the home. The home has an annual development plan in place. The inspector and provider discussed how this could be strengthened for the future. Policies and procedures are regularly reviewed. The processes for ensuring secure facilities are provided for the safekeeping of money and valuables on behalf of the service user were examined and audited and found to be sound. The Provider ensures as far as reasonably practicable the health and safety of staff service users and visitors. The Provider ensures safe working practices and risk assessments have been reviewed and updated. All accidents, injuries and incidents of illness or communicable disease are recorded and reported. Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 19 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x 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 3 3 x 3 x x 3 Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 20 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. Refer to Standard Good Practice Recommendations Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 21 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 Spencer House DS0000057496.V303783.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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