CARE HOMES FOR OLDER PEOPLE
Spring Cottage Bazleys Lane Langton Road, Norton Malton, North Yorkshire YO17 9PY Lead Inspector
Karen Ritson Unannounced 28 June 2005 09:30 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 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. Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Spring Cottage Address Bazleys Lane Langton Road Norton Malton North Yorkshire, YO17 9PY 01653 695354 01653 695354 N/A Mrs wendy Ann Marucci Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Wendy Ann Marucci Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 15/12/04 Brief Description of the Service: Spring Cottage is registered to provide accommodation and personal care for a maximum of fifteen older people of either sex. The home does not provide nursing care. The general ethos of the home is one of homeliness and all staff endeavour to create an informal and family like environment. If it has the capacity, the registered persons will admit people on a temporary or respite care basis. Invariably, however, the home has a waiting list of pending admissions.The home has a stair lift in lieu of a passenger lift and consequently service users need to be reasonably ambulant on admission. The home has the advantage, however, that the ground rises to the rear of the building and consequently the first floor bedrooms can, if necessary, be accessed on foot without the need for a lift. Spring Cottage consists of the main building and a detached bungalow. It is located on the fringes of the market town of Norton and is reasonably conveniently situated for the public transport network. It is set in large landscaped gardens that have appropriate seating for the service users. The home has its own vegetable and fruit garden. It is adjacent to a racing stable that tends to be of considerable interest to the service users. It has its own car parking area.The accommodation in the main building is on two floors. The communal space consists of two lounges, one of which is designated a smokers’ lounge although there are no smokers resident at present. Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on June 28th and took 11 hours to complete which includes time for preparation and for writing the report. Four service users were spoken to and two members of staff. Whilst particular comments by service users are described in more detail in the main body of the report, all were complimentary about the way in which care was offered at Spring Cottage. Only seven of the standards were assessed at this inspection. Others may be assessed at the next inspection. This report has generated no requirements. What the service does well: What has improved since the last inspection? What they could do better:
This home is best suited to the individual who is looking for a very caring family atmosphere where care staff are kind and thoughtful. Those who prefer a service more along the lines of a hotel where a professional distance is maintained will not find it here. The home provides just the care it hopes to and provides it well. Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 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. Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 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 standard(s) None of these standards were assessed. EVIDENCE: Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 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 standard(s) 9 Service users are protected by the homes’ medication policy and procedure. EVIDENCE: The home uses a monitored dosage system for the administration of the service users’ medication. The medication packs are secured in a locked filing cabinet located in the office. No controlled drugs are prescribed at present. The staff responsible for the administration of medication had received approved training that included the safe handling of medication. A policy and procedure on the medication process was available. Staff spoken to were confident they knew how to handle medication and a description of the process confirmed that this is appropriate. The medication records were complete and up to date. None of the current service users self medicated. The guidance issued by the Royal Pharmaceutical Society was available. Service users said they were happy for the staff to manage medication and that they felt safe in their care. Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 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 standard(s) None of these standards were assessed. EVIDENCE: Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Service users are protected by the homes’ complaints and abuse policy and procedure. EVIDENCE: The home has a suitable complaints policy and procedure. Service users said they were encouraged to speak up of there was a problem and all said they found the staff and manager very approachable. The abuse policy must be amended to include that all cases of alleged abuse must be referred to social services as the lead agency. Staff have received abuse awareness training in induction and said they knew how to respond if they suspected any abuse was taking place. Service users said they felt the staff were all kind and that they felt safe in the home. Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 EVIDENCE: The home is safe and well maintained. It complies with the local environmental health department. The last fire service report required that the rear fire exit be attended to. This has now been done. The home is decorated to a good standard and all service users spoken to said it was like being at home. The gardens provide a very pleasant environment to sit or walk in during the warmer months and feed tables have been set up near windows so service users can watch birds and squirrels feeding from them whatever the weather. All said the setting of the home was particularly pleasant, and enjoyed the home -grown fruit and vegetables produced in the extensive plot and green house nearby. The laundry is suitable with a washing machine complying with water regulations and a dryer. Service users said their clothes were always clean and carefully handled. Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 Service users’ welfare is protected by staffing levels and staff training. EVIDENCE: The staffing rota was examined and there are sufficient staff on duty at all times to meet the needs of service users. Mr and Mrs Marucci live on site and Mrs Marucci is on call if required at night and spends much of her time on site during the day. Staff receive induction and foundation training through ‘learn direct’ and staff training is now in line with current requirements. Service users said there were always sufficient staff on duty to attend to them when needed. Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed EVIDENCE: Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 16 no 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 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 Good Practice Recommendations Spring Cottage J04 J53 Spring Cottage S7734 V233375 280605 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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