Inspection on 13/09/07 for Spencer House

This inspection was carried out on 13th September 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

Spencer House 01/09/06

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 Mrs Penny McMullan Key Unannounced Inspection 13th September 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 Spencer House DS0000057496.V348243.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.V348243.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 Mr Vinaigum Pillay Cooppen Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Spencer House DS0000057496.V348243.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. 1st September 2006 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. The current fees for the service at the time of the visit are £312.79 per week. There are additional charges for chiropidy, hairdressing, aromotherapy, newspapers, magazines and toiletries. Information on the homes services and the CSCI reports for prospective residents/relatives is available on the wall at the entrace of the home. There is no current email adress. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out over a period of time and concluded with an unannounced visit to the home between 10.00 am and 4.30pm. The Registered Manager assisted throughout. Residents and staff were spoken to. Observations included interactions between residents and staff. Information in this report also includes feedback from postal surveys sent to Residents, Relatives, Care Managers and staff. The Annual Quality Assurance Assessment information is also taken into consideration. The Registered Manager and his wife who is a trained nurse are part of the working rota of the home and ensure that a good consistent quality of care is provided to the residents. What the service does well: Comments taken from the agency’s questionnaires/discussion with people who receive services included: People who use the service: ‘I feel safe and secure in here’, ‘Satisfied with all aspects of care provided’, ‘I am happy’. ‘I like it here and the home smells nice’ ‘I like it here I would not like to go anywhere else. They are always trying to do good things here’. ‘The staff are very good’. ‘This is a good home, the food is good, the home is always clean and I enjoy the singing and activities’. Relatives: ‘My mother is well looked after’, ‘Makes a house a home, I feel relaxed and welcomed each time I call’. ‘To my mind they go over and above the needs of the elderly person, it is more like a family home than a care home’. ‘I trust the staff at the home’. ‘Making the people in their care feel really wanted and encouraging them to enjoy activities and other peoples company. So often people who have lived on their own find it hard to mix with others but my relative is fine and happy’. ‘I am just so pleased that my relative can spend the rest of her life being cared for like she is. It feels as though we have moved her into a relatives home because it is so homely and caring.’ I trust the Registered Manager to let us know if my relative needs us for anything. Care Manager comment: ‘Spencer House has a homely family atmosphere; my client is comfortable and happy there. ‘Overall I am happy with the services being provided’. Staff: ‘We work well as a team.’ Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 6 The home has a mixed staff group of various backgrounds and the Registered Manager encourages all staff to reflect equality and diversity in their day to day practice when dealing with residents, relatives and colleagues. 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. The summary of this inspection report can be made available in other formats on request. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 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 Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to carry out a detailed and through assessments of needs of residents prior to admission to the home. Standard 6 is not applicable to this home. EVIDENCE: The Registered Manager carries out a thorough care needs assessment with all prospective residents prior to them moving into the home. Care plans from the placing authority are also in place. The information from the assessments forms part of the care plan to ensure that resident’s needs are identified and met. The people who use the service say they were able to visit or a member of their family visited the home before they decided to come and live there. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 9 One resident comment: ‘I was shown the bedrooms first because I was worried, I didn’t want to share and it is so pretty and I am on my own’. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The care planning system is consistent to provide staff with the information they need to meet resident’s health and social care needs. The management and administration of medication ensures that resident’s health care needs are met. The home promotes resident’s rights and choices. EVIDENCE: The care plans contain detailed up to date information in all aspects of health and social care. The moving and handling risk assessments need to include further information to provide staff with clear guidelines to carry out the identified safe practice of work. Staff demonstrated their awareness of how to Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 11 meet resident’s needs but this is not fully reflected in the moving and handling risk assessment. Daily records are in place reflecting care given to residents. All health care needs are monitored, and recorded. The home is supported by other agencies, and Community Psychiatric Nurses and District Nurses call as and when required. Nutritional screening is undertaken and a record of nutritional intake is recorded in the care plan on a daily basis. One resident confirmed how good the home is at ensuring that the doctor is called when residents are ill. A relative comment: ‘The doctor was there as soon as my relative had problems which is reassuring’. The home has robust policies and procedures for the administration of medication. The Registered Provider is responsible for the management and administration of the medication. The records of the administration of medication are audited on a regular basis and she observes the staff to ensure they are competent to administer the medication. Only staff that have completed medication training are permitted to administer medication in the home. Feedback from residents and their relatives express overall satisfaction at the care and support offered by the staff and they feel they are treated with dignity and respect. Staff were also observed respecting residents privacy and knocking on bedroom doors before entering. One relative comment: They actually encourage my relative to walk with her frame she gets quite pleased when she achieves it’. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is providing a flexible programme of stimulating activities for residents that take account of their preferences. Visitors are welcomed in the home and arrangements are in place to ensure residents rights and choices are promoted. The meals in this home are good offering both choice and variety. EVIDENCE: The home provides flexible activities in line with resident’s preferences and choices. The residents confirm that they enjoy the singing of old songs and sometimes have bingo and quizzes. The vicar comes to the home and you can also go out to church or day care if you wish. The home has a cultural area, where they have items from different religions. Resident’s preferences and interests are recoded in the care plan. Two residents say they do not wish to Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 13 join in the activities but confirm they are always asked if they wish to participate. One resident comment: ‘I like listening – I like music but I am not a singer. The others sing it is lovely’ The people who use the service confirm that visitors at welcome. At the time of the site visit a relative was visiting she was made welcome offered tea and also enjoyed sitting with her husband eating pudding. Residents are able to go to the local shops with their relatives. Visitors are welcome and residents can see them in the communal areas or their own bedroom if they require privacy. Feedback from relative surveys confirms they are made welcome in the home. Residents are aware of the choices and confirm they can come and go as they please. One resident says that if you mention something they always take notice of what you are saying. From observation and discussion it is apparent that residents have their preferences taken into consideration with regard to their daily lives. Residents confirm that residents meetings are held on a regular basis. Feedback from resident surveys and discussion with the residents confirm that the food is good. Comments as follows: ‘excellent’, ‘very nice sandwiches’, ‘good meals’ and ‘plenty to eat’. Alternative choices of the menu are recorded and nutrition is monitored in the care plan. The menu appears varied and wholesome. One resident confirms that you can have what you wish for breakfast and he enjoys a cooked breakfast. Staff was observed providing juice and tea during and after the meal. Residents preferences of where they eat was observed one lady choosing to sit on her own in the dining room as she is able to sit near the window. Another resident was being monitored and supported by staff to finish her meal in her own time. One resident comment: ‘I am not always hungry but when I sit down to eat it is nice, tasty’. One relative comment that the food is of a poor standard however overall the majority of the resident’s feedback is positive that the food is good. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident complaints will be listened to and dealt with appropriately. Arrangements are in place to ensure residents are protected from abuse. EVIDENCE: There have been no complaints since the last inspection. Residents spoken to say they do not have any complaints. The majority say they would speak to the staff or their relative if they did have any concerns but this has not been necessary so far. There is a complaints log in place and the procedure is on display in the hallway. Compliments and thank you letters are also on display. One relative comment: ‘We have had no complaints, my relative is so happy’. The home has policies and procedures in safeguarding adults and staff has received clear instruction of what to do if they should suspect an incident of abuse. Staff have received appropriate training and all staff recruited are thoroughly vetted to ensure residents are safe. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and pleasant environment for residents to live in which is maintained to a good standard. The home is consistently clean and tidy with a good laundry service and policies and procedures are in place to control the risk of infection. EVIDENCE: A new kitchen and bathroom with toilet facility have been installed in the home. The carpets on the top and ground floor lounge, dining room and in the corridor on the middle floor have been replaced. The home is now planning to re paint the outside of the home. Residents comment: ‘My room has just been redecorated and it is really nice and bright’. The home is comfortable and Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 16 homely and residents appear relaxed and content. The home is well maintained with ongoing plans to improve the decoration throughout the home. The home complies with the environmental health and fire regulations. Residents confirm they have their own personal possessions in their rooms and are encouraged to bring small items with them. The home is safe, clean and free from offensive odours. Staff have received training in infection control and residents say the home provides a good laundry service. Feedback from surveys, and discussion with residents confirms the home is always clean, fresh and tidy. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is sufficient staff on duty to meet residents needs and arrangements are in place for the safe recruitment of staff. A programme of training is in place to ensure residents receive care and support by trained staff. EVIDENCE: There are three care staff on duty throughout the day, in addition to the Registered Manager and Provider. The registered Manager and Provider assist in the direct care to residents and the standard of care is monitored daily. In addition there is a Chef, kitchen assistant, and two domestic staff. There are two waking night staff. Relative and resident feedback indicates that there is sufficient staff on duty to meet the needs of the residents. Overall comments from relatives with regard to staff are positive however two relatives have raised concerns with regard to the number of overseas workers who they feel are not able to understand and fully communicate with their relative. Feedback from the people who use the service spoken to at the site Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 18 visit and postal surveys does not indicate that this is an issue for all of the residents. The majority of staff have achieved NVQ 2 or three and the home is well over the 50 of staff required to hold this qualification. Staff files viewed contained all of the appropriate documents, together with additional information required to employ overseas workers. The Registered Manager ensures the checks are robust ensuring that all paperwork is in place prior to employment. Criminal Record checks together with Protection of Vulnerable Adults Checks and references are also in place. The majority of staff have received mandatory training and updates in moving and handling, training in first aid, dementia and equality and diversity have been booked. Not all staff have received health and safety training. The training matrix needs updating to reflect current training achieved and further evidence of training certificates needs to be filed. There is an induction in place however further documentation is required to ensure evidence of competency of care staff. There is evidence of the home monitoring competency however this needs to be in line with the Skills for Care common induction standards. A recommendation has been made in this report. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 19 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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a home, which is run in their best interest and their finances are protected. Supervision of staff is in place to ensure they feel supported and valued and the home provides a safe environment for residents, staff and visitors. EVIDENCE: Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 20 The Registered Manager is a qualified, experienced manager and his wife, who is a trained nurse and completing her RMA, are dedicated to providing a good standard of care and are part of the working rota in the home. Staff are therefore monitored daily and residents feel supported by them. The atmosphere in the home is open and inclusive and equality and diversity is encouraged and promoted. Residents were friendly, relaxed and responsive to questions and discussions and overall they agreed there is no better place to be. The home has regular recorded residents meetings to enable them to have an opportunity to discuss and influence events at the home. There is an annual questionnaire and new residents complete one after 3 or 4 months to ensure their views and needs are being met. There is an annual development plan and as the Registered Manager and his wife contribute to the care in the home on a daily basis all suggestions or requests are considered and achieved where possible. The Registered Manager says in future the outcomes of the quality assurance questionnaire will be summarised and published. The outcomes are currently discussed and actioned but this is not recorded. Residents confirm that the staff check they are happy with the service being provided. Arrangements are place for residents to receive their personal allowance and there are secure facilities for the safekeeping of money and valuables on behalf of the residents. There is also an invoicing system in place to ensure all transactions are recorded appropriately. All staff have been updated with fire training. A fire risk assessment is in place and the recommendations complied with. Mandatory training is ongoing and the programme is going to be changed to ensure that staff receive their updates in moving and handling as a priority. A sample of safety checks was viewed and all documentation is in order. Accident forms are completed and were tracked through to the resident’s plan and appropriate action taken. Environmental risk assessments are also in place. Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 21 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 N/A 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 x 3 x 3 x x 3 Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 22 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 OP30 Good Practice Recommendations The induction training for staff needs to be linked to the Skills for Care Common Induction Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Spencer House DS0000057496.V348243.R01.S.doc Version 5.2 Page 24 - 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. 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