Inspection on 03/03/06 for St Edith`s Court

This inspection was carried out on 3rd March 2006.

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

St Edith`s Court 18/12/08

St Edith`s Court 14/01/08

St Edith`s Court 16/02/07

St Edith`s Court 05/12/05

St Edith`s Court 16/12/04

St Edith`s Court 17/05/04

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Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE St Edith`s Court 18 Hillside Crescent Leigh On Sea Essex SS9 1EN Lead Inspector Ray Burwood Unannounced Inspection 3rd March 2006 11:00 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 St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 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. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Edith`s Court Address 18 Hillside Crescent Leigh On Sea Essex SS9 1EN 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) 01702 480688 01702 471894 Anchor Trust Mrs Patricia Ann Welch Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: St.Edith’s Court is part of the Anchor Trust who provides residential care in the region. The home is situated in a quiet residential area of Westcliff-on-Sea, close to local amenities. The home provides single accommodation for 39 older people over the age of 65. Residents’ flats are situated on two floors and offer en-suite and kitchen facilities, as well as a range of comfortable communal areas throughout the home. A passenger lift is available to the first floor as well as conventional stairs. Outside of the home is a well-designed garden that is stocked with shrubs and plants. Access to the garden is suitable for wheelchair users and sufficient seating areas exist. There are adequate parking facilities to the side of the home in a designated car park belonging to the home. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 3rd March 2006 with the assistance of the home’s manager, staff and residents. The inspection took place between the hours of 11.00am and 2.00pm. Feedback was provided to the registered manager following the completion of the inspection. A total of nine standards were inspected with seven being met, the one requirement relates to the home’s quality assurance system. The recommendation made relates to National Vocational Qualification (NVQ) training. Both are carried forward from the home’s last inspection. Residents and staff spoken with agreed that the home was well run and managed to a high standard What the service does well: 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. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 6 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 St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 7 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): 3. The home manages the admission process well, thus helping ensure that the individual assessed needs, and appropriate admissions take place. EVIDENCE: The files of two residents’ were inspected and provided clear evidence that senior staff at the home had carried out pre-admissions. The admission procedure and ongoing assessment during the trial period of six-week’s, ensured that residents’ social needs and interests are properly assessed and planned for. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 8 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): All of the above key standards were inspected during the last visit and met. EVIDENCE: St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 9 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): 15. Dietary needs of residents are well catered for with a balanced and varied selection of meals available that meets their tastes and choices. EVIDENCE: The home’s cook provided the evidence of various menus, agreed with residents, and based on a seasonal basis. The cook and residents in between these periods carry out a review of the menus. Further evidence was provided in relation to food storage, regular checks carried out on kitchen equipment. Since the home’s last inspection, food hygiene training has been further developed through a scheme introduced and supported by the local borough council. “Safer Food, Better Business” concentrates on the new regulations introduced this year, and identifies a range of checks and procedures that should be carried out. Catering staff will undertake the course and cascade this down to others. Residents spoken with during luncheon said they enjoyed the meal and the food in general was of a good standard. Residents requiring assistance, special preparation of food, and special diets, were seen during the luncheon period on the day of the inspection. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 10 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): All of the above key standards were inspected at the last visit and met. EVIDENCE: St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 11 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): All of the above key standards were inspected during the last visit and met. EVIDENCE: St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 12 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 and 30. Staffing levels and skill mix in the home are maintained, ensuring that the assessed needs and safety of residents are met. Qualified and competent members of staff care for residents, ensuring their safety. EVIDENCE: Staffing levels and skill mix at St. Edith’s Court are sufficient to meet the assessed needs of the residents currently being accommodated. A total of 27 members of staff provide care and support for the 39 residents living in the home. 5 carers cover the morning shifts, and the afternoon shift includes 4 carers, a Senior Carer supports both shifts. The cover for the afternoon shift is to be increased in April’s budget to 5 carers. Waking night staff reflects the numbers and needs of residents and the layout of the home, no carers sleep in. Domestic staff are employed in sufficient numbers to ensure that standards relating to food, meals and nutrition are fully met, the maintenance and cleaning of the home is maintained to a high standard. The home’s staff rota was examined and found to be in order. National Vocational Qualification (NVQ) training is progressing well with 4 carers qualified and 10 undertaking the Level 2 qualification. The home has three NVQ assessors and one designated trainer. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 13 Staff training undertaken is an induction period of training that meets the required specification and support for new starters followed by mandatory training in safe working practices. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 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 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, 33, 35 and 36. The home is managed well with clear leadership and guidance to staff, to help ensure residents receive consistent quality care. The home regularly reviews aspects of its performance through consultation with residents and relative’s. However, a full report of the findings has not been published by the agency responsible. Resident’s financial arrangements are safeguarded by the accounting and financial procedures of the home. EVIDENCE: The registered manager is qualified and has completed the NVQ Level 4 in Care and Management and is experienced and competent in running the home. Residents and staff expressed a high regard for her management approach to the running of home and felt supported. Periodic training is undertaken by the St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 15 registered manager to update her knowledge and skills, she is about to undertake ‘End of Life’ training, together with her deputy and senior care staff. The home’s quality assurance monitoring system has been further developed with the report being prepared by an outside agency (Laing & Buisson). The registered manager confirmed that when the report is received she would forward it to the Commission for Social Care Inspection (CSCI). Resident’s financial arrangements are taken care of by their families under Power of Attorney conditions or Enduring Power of Attorney. Some residents manage to arrange their own financial affairs regarding fees and maintaining bank accounts. Resident’s personal allowances for general day-to-day living expenses are looked after by the home if they are not able. Records of all transactions are kept electronically (password limited to registered manager and administrator), with paper copies and receipts kept for periodic auditing purposes by Anchor Trust. Staff supervisions are in place following a requirement made at the home’s last inspection. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X X St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 17 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 OP33OP33 Regulation 24 (1)(a) (2)(3) Requirement The registered person must ensure that the quality of care is reviewed and a quality assurance report published. Timescale for action 31/03/06 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 OP28OP28 Good Practice Recommendations The registered person should ensure that a minimum of 50 of care staff have completed their NVQ Level 2 qualification in care by 2005. St Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Edith`s Court DS0000015468.V280319.R01.S.doc Version 5.1 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. 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