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Inspection on 21/07/05 for St Christopher`s Residential Home

Also see our care home review for St Christopher`s Residential Home for more information

This inspection was carried out on 21st July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

St Christopher`s is continuing to provide a good level of care. Residents that were spoken to during the inspection stated that they felt well cared for and they found staff to be caring and friendly. The home is maintained to a very good standard and rooms are tastefully decorated. The home provides a very good level of training for staff and those staff that were spoken to on the day said they enjoyed working at the home and that they all got on well together as a team. Residents care plans are comprehensive and are reviewed on a regular basis.

What has improved since the last inspection?

The percentage of staff that have obtained National Vocational Qualifications (NVQ) has increased to fifty per cent.

What the care home could do better:

During this inspection the home did not receive any requirements or recommendations.

CARE HOMES FOR OLDER PEOPLE St Christophers Rest Home 47-49 Rutland Gardens Hove East Sussex BN3 5PD Lead Inspector Merle Blakeley Unannounced 21 July 2005 10:00 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. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Christophers Rest Home Address 47-49 Rutland Gardens Hove East Sussex BN3 5PD 01273 327210 01293 526991 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) Mr Sandhu, Mrs Theresa Hounsome Mrs Theresa Hounsome Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (OP), 19 of places St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The residents will be aged 65 years or over on admission 2. The number of people accommodated must not exceed 19 Date of last inspection 7 December 2004 Brief Description of the Service: St Christophers Residential Home is registered to provide care for up to nineteen older people and is situated in a residential area of Hove. The detached property consists of thirteen single rooms and two double rooms of which six singles and one double have en suite facilities. The home is furnished to a high standard. Communal areas include a large lounge, dining area, quiet room, conservatory and a rear garden. Two stair lifts are available. Residents need to be reasonably mobile, as the home is not suitable for wheelchairs above ground floor level. The home is in close proximity to the seafront, local transport and other amenities. St Christophers is a member of the Brighton & Hove National Care Homes Association and has also received the Investors in People Award. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection took place over a period of five hours on 21st July 2005. The inspection process included speaking with eight residents, informal talks with the staff, document reading, tour of the premises and informal discussions with the proprietor and the manager/proprietor. What the service does well: What has improved since the last inspection? What they could do better: During this inspection the home did not receive any requirements or recommendations. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 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. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 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 St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 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) 2 & 5 The home provides residents with contracts. Prospective residents are offered opportunities to visit the home. EVIDENCE: Residents are provided with the homes statement of terms and conditions once they have decided to move into St Christopher’s. Prospective residents are offered a two-week stay to see whether the home can meet their needs. Residents and family members are also invited to visit the home for a meal or stay for a day, depending on their wishes. The home has a relaxed policy regarding trial visits. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 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) 7, 8, 9 & 11 Residents are provided with comprehensive care plans and their health care needs are fully met. Medication is administered appropriately. Resident’s wishes regarding illness and death are recorded. EVIDENCE: The home maintains comprehensive care plans for each resident, which are updated and reviewed on a three-monthly basis or more frequently if required. Reviews of care plans are carried out with the resident and family members. Several random care plans were viewed and these were seen to be up to date and informative. Residents are all registered with their own GP’s and arrangements are in place for residents to have access to district nurses, community practice nurses, chiropodist etc. when required. During the inspection the chiropodist was present and residents were having treatments in a private room off the lounge area. Several residents stated that they were very happy to receive this service in the home. Medication records were checked and medicines are being appropriately administered. None of the current residents self medicate. Staff receive medication training on a regular basis and some staff members have achieved Level 2 certificates in medication administration. Resident’s wishes regarding illness and death have been recorded in their care plans and the home maintains up to date contact St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 10 numbers for family, friends and solicitors. Some staff have attended a short course in bereavement. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 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 standard(s) 12, 13 & 15 The home employs a part-time activities co-ordinator. Visitors are welcome and are able to visit at most times. The home provides residents with a varied and well balanced diet. EVIDENCE: A part-time activities co-ordinator is employed by the home for two days a week and various car trips, day trips and visits are organised for residents. During the inspection the weekly exercise class was being held and the vast majority of residents were participating. Several residents stated that they enjoyed these classes, as it helped to keep them more mobile. Monthly entertainers also visit the home. Visitors are welcome in the home at most times and several of the current residents go out of the home to visit their local family and relatives. Visitors are also invited to stay for meals during the day if they wish. The home currently employs one permanent part-time cook and one weekend agency cook who provide a varied and well balanced diet for residents. Residents who were spoken to said that they were very happy with the quality of the food that was provided by the home. Residents take their meals together in a communal dining room on the ground floor. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 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 standard(s) 16 The home has a policy and procedure regarding complaints. EVIDENCE: The home has a comprehensive complaints policy and procedure, which includes a 28 day response time and details of how residents or family members can contact the CSCI. There have been no complaints. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 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 standard(s) 20, 21, 24 & 26 Residents are provided with adequate communal space. The home provides sufficient bathing and toilet facilities. Bedrooms are furnished and decorated to a high standard. The home is very clean and tidy. EVIDENCE: The home provides residents with a number of communal areas, which include a large lounge, dining area, quiet room, conservatory, and rear garden all located on the ground floor. The home provides sufficient bathing and toilet facilities. Seven bedrooms have en suite facilities and assisted baths are available in both bathrooms. Bedrooms appeared homely and were furnished and decorated to a high standard. Residents are able to personalise their own rooms by bringing in small pieces of their own furniture and other personal items. The home is well maintained and was found to be very clean and tidy. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 14 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) 28 & 30 Approximately 50 of the staff team now hold National Vocational Training Qualifications (NVQ). The home provides staff with a very good level of training. EVIDENCE: Since the last inspection a further two staff members have commenced there NVQ Level 3 training and to date over half of the staff team hold recognised qualifications. Staff appeared to work well together and provide a caring and friendly environment for residents. Several residents that were spoken to stated that they felt the staff were very caring and friendly towards them. The home currently employs twelve care staff and two ancillary staff. The home continues to provide an excellent level of training and staff are offered three training courses a month. Recent courses staff have attended include first aid, infection control and food hygiene. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 15 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) 34, 35 & 37 The home provides suitable accounting and financial procedures. The home does not deal with resident’s finances. The home maintains all the required records. EVIDENCE: The home maintains suitable financial and accounting procedures to ensure its viability. There are no vacancies at present. The home does not deal with the financial affairs of any of the residents as they are carried out by family members or friends. A number of the required records were viewed and they were found to be in order. St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 16 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 3 x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x 3 3 x x 3 x 3 STAFFING Standard No Score 27 x 28 3 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 x x x x 3 3 x 3 x St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 17 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 St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex BN21 4QT 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 St Christophers Rest Home H59-H10 S14240 St Christophers V236341 210705 Stage 4.doc Version 1.40 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!