Inspection on 25/10/05 for Spencer House

This inspection was carried out on 25th October 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 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 01/09/06

Spencer House 16/12/05

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 Announced Inspection 25th October 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.V259543.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.V259543.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.V259543.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. 12th October 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. Spencer House DS0000057496.V259543.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 first annual announced inspection. A tour of the home was undertaken, policies and procedures viewed and service users spoken with. On the day of the inspection the home was 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 Registered persons must ensure that the homes statement of purpose contains all the required information as detailed in schedule 1 of the Care Homes Regulations 2001. Review of the homes medication procedure for the recording of drugs received into the home is required to ensure the safety and well being of all residents. Spencer House DS0000057496.V259543.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.V259543.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.V259543.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): 1,2,3,4, and 6 The homes statement of purpose does not provide sufficient information for prospective service users to be sure the home can meet their needs. Terms and conditions of residence provide service users with clear information as to what is included within the bed fee. Service users needs are assessed and are accurately reflected within individual care plans, thus ensuring all service users receive the appropriate levels of support. EVIDENCE: Service users spoken with confirmed that prior to moving into the home, they were provided with a service user guide, which clearly identified what facilities and services were available. The statement of purpose requires further development to ensure that all the information detailed in schedule 1 of the Care Homes Regulations 2001 is included. Service users contracts of residence were viewed and found to contain information regarding what is and is not included in the weekly bed fee. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 9 Information regarding trial periods, notice of termination of the contract and health and safety matters are also included. Service users spoken with were fully aware of the additional charges to their residence. The registered provider spoke of conducting a needs assessment on al prospective service users prior to a place being offered to ensure all of their needs can be met. No intermediate care is provided within the home. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,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 healthcare needs of all service users are fully met. The management of medication within the home requires review to ensure the safety and well being of all residents. EVIDENCE: Staff spoken to had a clear understanding of the needs and personal limitations of all residents within the home. Care plans viewed contained detailed information as to the level of support individuals required in a clear and concise manner. Records viewed confirmed that any health problems identified are quickly addressed. The home accesses services from opticians, dentists, district nurses, chiropodists, physiotherapists and doctors on a regular basis. Medication records viewed were found to tally with drugs stored. All drugs were stored in accordance with the Royal Pharmaceutical Society of Great Britain guidelines. No written records could be found of drugs entering the home. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 11 The registered person confirmed that only members of staff who have undertaken training in the safe handling of medication are involved in the management of service users medication. Handwritten entries on medication administration records had not been countersigned. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, and 15 Service users are fully supported to choose from a wide variety of activities and community based outings. Service users are encouraged to maintain contact with family and friends. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets the service users tastes and choices. EVIDENCE: Service users spoke of being supported to develop and maintain interests in activities and to become involved within the local community. Activity programmes viewed identified a wide variety of activities available to service users. During the inspection a game of bingo was observed with many service users taking part. The registered person spoke of service users enjoying trips to the local shops, churches and the sea front especially during the summer months. Service users spoke of members of staff making their family and friends very welcome at any time during the day. Individual care plans viewed clearly identified the level of family involvement and their preferred methods of maintaining this contact. Service users spoke highly of the meals provided within the home, commenting on their good quality and availability of snacks and drinks throughout the day. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 13 The home employs a cook five days a week who prepares all meals and is fully aware of individual likes and dislikes regarding food. Menus showed careful planning and indicated choices available for each meal. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The homes complaints policy is good, enabling service users to make a complaint without fear of reproach. Staff have a sound knowledge and understanding of adult protection issues, which assists in the protection of service users from possible abuse. EVIDENCE: A copy of the homes complaints policy and procedure was examined, and was found to contain all the information a service user would need in order to make a complaint. Copies of this policy were displayed on the homes notice board and within the service user guide. The registered person spoke of all staff attending adult protection training as part of the induction process. A copy of the in house training course in adult protection and abuse awareness was viewed and found to contain a satisfactory level of information. Staff spoken to had a good understanding as to the procedure to follow when reporting an incident of possible abuse. Staff files viewed confirmed that all staff hold a current enhanced criminal records bureau check and where applicable a POVA First check. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 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 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 do not fully protect service users. EVIDENCE: A tour of the home was undertaken and all areas were found to decorated and furnished to a good standard. The registered person confirmed that the home has an ongoing programme of redecoration and general maintenance. Fixtures and fittings were mainly domestic in nature. To the side of the property there is a small garden area, which provides additional seating and living space during the summer months. The home was found to be clean throughout with no offensive odours present. Staff files viewed identified only a small proportion of staff have undertaken any infection control training. Paper hand towels and liquid soap was present within all hand washing areas. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 16 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 and 30 Staffing levels within the home are good providing consistent acre to the service users. Recruitment procedures in place are thorough, assisting in the protection of all service users. Service users receive care from appropriately trained staff. 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. Service users spoke highly of all members of staff commenting on their patience and understanding. Staff files viewed confirmed that the majority of staff has achieved an NVQ Level 2 in Care. A copy of the homes recruitment policy was viewed and found to contain methods for ensuring equal opportunities during the recruitment process. No original copies of enhanced criminal records bureau checks were held within the home, the registered person stated that the number from the returned check is recorded on the file for reference purposes. The home does not have a copy of the General Social Care Council code of conduct. Staff files examined confirmed that staff attend a minimum of three paid training days per year. A wide variety of training course are accessed on a regular basis to ensure the changing needs of service users are fully met. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 17 Staff members spoke positively of the management of the home. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 18 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): 31,35 and 38 The management of the home is good, and records are well managed. Service users monies are well managed assisting in the safeguarding of their financial interests. The health and safety of the service users and staff are promoted and protected. EVIDENCE: The manager has a clear understanding as to the goings on within the home Service users spoke of the management of the home being approachable and courteous at all times. The registered person spoke of having an open door policy for both residents and staff. The registered owners have a sound understanding as to the needs of this service user group and hold both relevant qualifications and significant years experience. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 19 The home does not act as appointee for any service user. The registered person spoke of supporting two residents to obtain their personal allowances from social services on a regular basis and records viewed confirmed that this is done appropriately. The registered person and staff interviewed, demonstrated a high level of awareness of health and safety issues, including food hygiene, control of hazardous substances and fire safety. All records relating to the maintenance of the building and the safety of electrical and fire fighting equipment were found to be in order. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 20 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 2 3 3 3 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? 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 1 Regulation 4 Requirement Timescale for action 01/12/05 2 9 13 3 26 13 4 29 19 The registered person shall compile in relation to the care home a written statement which shall consist of a statement as to the matters listed in schedule 1. The registered person shall make 01/11/05 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. (Ensure all handwritten entries on the MAR sheets are countersigned and all drugs entering the home are recorded.) The registered person shall make 03/01/06 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. (All staff to receive infection control training) The registered person shall not 01/12/05 employ a person to work at the care home unless he has obtained in respect of that person the information and documents detailed in schedule 2. (Copies of CRB Checks to be held on file within the home.) DS0000057496.V259543.R01.S.doc Version 5.0 Spencer House Page 22 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 29 Good Practice Recommendations The registered person is to obtain a copy of the GSCC code of conduct and make it available to all members of staff. Spencer House DS0000057496.V259543.R01.S.doc Version 5.0 Page 23 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.V259543.R01.S.doc Version 5.0 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. 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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