Inspection on 16/12/05 for Spencer House

This inspection was carried out on 16th December 2005.

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

Spencer House 13/09/07

Spencer House 01/09/06

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 Elizabeth Hendry Unannounced Inspection 16th December 2005 09:00 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.V260593.R01.S.doc Version 5.0 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.V260593.R01.S.doc Version 5.0 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.V260593.R01.S.doc Version 5.0 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. 25th October 2005 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. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second inspection, which took place on an unannounced basis over the course of a few hours. Service user care plans and medication were evidenced. The home was found to be clean and tidy, providing service users with a pleasant environment in which to live. Staff were on duty in sufficient numbers to ensure all service users needs were fully met. What the service does well: What has improved since the last inspection? What they could do better: The home needs to ensure medication is appropriately stored and recorded to ensure the safety and well being of all service users. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 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. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 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.V260593.R01.S.doc Version 5.0 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): 1 The homes statement of purpose and service users guide provides sufficient information for prospective service users to be sure the home can meet their needs. EVIDENCE: The deputy manager confirmed that the statement of purpose and service user guide had been reviewed to ensure it provides the necessary information. Correspondence sent to the commission from the registered owner/manger prior to the inspection details the contents of the guides, which includes, services provided within the home, qualifications and experience of both staff and management, layout of accommodation and fire safety procedures. The deputy manager spoke of both documents being scheduled for review on a regular basis. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 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 and 9 The care planning system is clear and consistent, providing staff with the information they need to meet the needs of the service users. The management of medication within the home requires review to ensure the safety and well being of all residents. EVIDENCE: Service user care plans viewed contained detailed information as to their individual personal and social care needs in a clear and easily read format. Staff on duty were observed treating service users with respect and dignity, and displayed a sound understanding as to individual needs. Medication administration records viewed were found to tally with drugs stored. Current arrangements for the storage, recording and administration of controlled drugs were inspected and were found to be unsatisfactory. The controlled drugs box is held within a locked cupboard, however it had not been secured to the wall. Controlled drugs received into the home had not been recorded into the controlled drugs register and secondary dispensing of controlled drugs into dosette boxes was taking place. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 Page 10 Handwritten entries onto the medication administration records were found to have been countersigned. The deputy manager confirmed that only those members of staff who have attended and successfully completed medication training are involved in the management and administration of service users medication. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 Page 11 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): These standards were not inspected on this occasion, however were fully met at the announced inspection. EVIDENCE: Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion, however were fully met at the announced inspection. EVIDENCE: Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 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 and 26 The standard of the environment within the home is good providing service users with an attractive and homely place to live. Infection control measures in place protect service users. EVIDENCE: On the day of the inspection the home was found to be clean and tidy throughout and no offensive odours were present. Fixtures and fitting are domestic in nature and of a good standard. The home has an ongoing programme of maintenance and renewal. Service users appeared comfortable within their surroundings. To the side of the property there is a small garden area, which provides additional seating and living space during the summer months. The deputy manager confirmed that an in house infection control training course had been organised for the New Year. Staff were observed maintaining good practice in infection control. Protective gloves and aprons are held within the home in sufficient quantities and are accessible throughout the home. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 Page 14 Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 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): 29 Recruitment procedures in place are thorough, assisting in the protection of all service users. EVIDENCE: High levels of staff were on duty during the inspection, staff rotas examined showed good levels of staff were on duty at all times to ensure service users needs could be fully met. The deputy manager confirmed that copies of enhanced criminal records bureau checks are held within staff files. The home has supplied all members of staff with a copy of the General Social Care Council code of conduct. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 Page 16 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): 33 The home is run in the best interests of the service users. EVIDENCE: The home undertakes annual service user surveys to ensure the service is meeting their needs and expectations. A copy of the most recent inspection report was found to be on display within the entrance hall. The deputy manager spoke of holding regular service user meetings and having an open door policy for service users to come and discuss any complaints or concerns. Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 Page 17 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 3 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 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 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X X Spencer House DS0000057496.V260593.R01.S.doc Version 5.0 Page 18 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 OP9 Regulation 13 (2) Timescale for action The registered person shall make 19/12/05 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. (All controlled drugs received into the home to be recorded in line with the Royal Pharmaceutical Society of Great Britain Guidelines and the Misuse of Drug Act, the controlled drugs cabinet to be secured to the wall within a locked metal medicine cabinet, to cease secondary dispensing of controlled drugs into dosette boxes. Requirement 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.V260593.R01.S.doc Version 5.0 Page 19 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.V260593.R01.S.doc Version 5.0 Page 20 - 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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