Inspection on 07/03/06 for St Elizabeths

This inspection was carried out on 7th 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 Elizabeths 23/05/07

St Elizabeths 19/12/06

St Elizabeths 21/12/05

St Elizabeths 03/03/05

St Elizabeths 04/10/04

St Elizabeths 04/03/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE St Elizabeths 115 Swift Road Woolston Southampton Hampshire SO19 9ER Lead Inspector Liz Normanton Unannounced Inspection 7th March 2006 10:00 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 Elizabeths DS0000011646.V286718.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 Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Elizabeths Address 115 Swift Road Woolston Southampton Hampshire SO19 9ER 023 8042 1212 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) stelixrch@aol.com Mr Andrew Watt Mrs Barbara Watt Care Home 15 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (15) of places St Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st December 2005 Brief Description of the Service: St. Elizabeth’s is a family run business and is owned by Barbara and Andrew Watt. The home is registered to provide care and accommodation to 15 service users over the age of 65 years and those who have a diagnosis of dementia. St. Elizabeth’s is a large detached property with gardens accessible to all service users living at the home. The home is located close to the centre of Woolston and a short car or bus ride to Southampton city centre. St Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection and the second in the inspection year. The inspector gathered evidence from undertaking a partial tour of the property, speaking with a group of residents, observation, checking files and policies and procedures. The manager of the home and senior care staff assisted the inspector throughout. There was a nice friendly, relaxed atmosphere in the home and the needs of the residents were understood and catered for. 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 Elizabeths DS0000011646.V286718.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 Elizabeths DS0000011646.V286718.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): 2 The home has a copy of the contract provided by Social Services however there was no individual contract of the terms and conditions of the home. EVIDENCE: The inspector viewed three residents’ files and found that they did not contain a contract of terms and conditions of the home. The manager was able to provide a copy of the home’s terms and conditions for the inspector to view and agreed to make arrangements for residents to have copies. St Elizabeths DS0000011646.V286718.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): The above standards were audited at the previous inspection and were all met. EVIDENCE: St Elizabeths DS0000011646.V286718.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): 14 & 15 The home provides residents with a range of activities and residents are able to make choices about their daily lives. The care staff cook meals and the menu choice is interesting and varied. EVIDENCE: In discussion with the senior member of care staff the inspector learned that residents are encouraged to be involved in drawing up their care plans. Residents confirmed that they are able to make choices. The inspector observed residents choosing to join in activities. One resident had chosen to stay in their bedroom till late morning. The senior member of staff stated that residents could choose what they wish to wear and what time they get up and go to bed. The senior care staff member was responsible for cooking the lunch at the time of the inspection and sweet and sour chicken was on the menu. The inspector noted that the meals were well presented and the residents confirmed that they enjoy the meals at the home. The home has a three weekly menu and residents are asked their meal preferences and these are taken into account in menu planning. The menus were seen to be interesting with a good choice of wholesome and nutritious food. Residents can choose where to eat their meals and a dining area is provided. Drinks are served at mealtimes and additional drinks are provided during the day. St Elizabeths DS0000011646.V286718.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): 17 & 18 The rights of the residents are protected and there are systems in place to protect residents from abuse. EVIDENCE: The senior member of staff stated that residents are all registered to vote but do not generally exercise their right. Residents confirmed that they are registered to vote. The inspector saw evidence that the home had a copy of the Department of Health “No Secrets” policy document. The senior staff member stated that all care staff have read this. Three staff had adult abuse training in November 2005, certificates were seen. The training covered types of abuse, how to recognise abuse, how to intervene safely, how to report incidents, legislation and policies and procedures in the work place. The home has a copy of the Hampshire County Council adult protection policy, and the DoH protection of vulnerable adults scheme A Practical Guide. There is also a copy of the Hampshire Care Association “whistle-blowing” policy. There have been no reported incidents of abuse at the home. St Elizabeths DS0000011646.V286718.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): 21, 23 & 24 There are sufficient toilets and washing facilities available. The environment is warm, comfortable and homely and residents are able to personalise their rooms. EVIDENCE: Five bedrooms have en-suite facilities. There are two toilet closets on the ground floor and one on the first floor. The home has two bathrooms, only one of which is used at present, as the bathroom on the first floor does not have adaptations. In discussion with the manager she explained that there are future plans to develop the ground floor bathroom and the bath hoist from the ground floor could be fitted upstairs. Toilets are positioned close to lounges and bedrooms. The inspector viewed four bedrooms and found them to meet the standard. The bedrooms were personalised and one resident had brought their own furniture. One resident stated that they found their room was very nice and suited her. St Elizabeths DS0000011646.V286718.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): 30 The staff are suitably trained and competent to do their jobs. EVIDENCE: In discussion with the manager she explained that she gives all new employees an induction and that she had been advised by the previous inspector to have this accredited. The manager had obtained the TOPPS induction pack which she was going to implement when she took on a new member of staff. The inspector had to notify the manager that TOPPS had been replaced by Skills for Care. The senior care member stated that the training programme lasted for three months and included mandatory training in Health and Safety, Moving and Handling, First Aid and Fire Safety. The inspector viewed the training file and saw that the home is committed to staff training. Staff had training certificates evidencing that they had attended courses. St Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 Page 13 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): 34, 35 & 36 The management and administration in the home protects the welfare of the residents. EVIDENCE: In discussion with the manager she stated that the home is financially viable. Evidence to support this was evident during the visit. The manager is in the process of updating the home’s financial policy. The home has procedures in place for the safekeeping of residents’ money. The inspector checked two of the residents’ monies against their record book and found the amounts to be accurate. The manager is responsible for supervising staff and offers formal supervision every 3-4 months and records the session. The inspector found the supervision notes to be rudimentary and discussed this with the manager who St Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 Page 14 agreed to develop the supervision sessions and record keeping. The manager offers support and supervision on a daily basis to staff but has not kept records of this. St Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 X 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 X X 3 X 3 3 X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 3 X X St Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No 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 OP2 Regulation 5 (1) (b) (c) Requirement The manager is required to provide residents with a contract of terms and conditions. Timescale for action 31/05/06 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. 2. Refer to Standard OP30 OP36 Good Practice Recommendations The manager to introduce accredited induction training to all new staff and appropriate records to be kept. The manager to improve the recording of supervision sessions and increase the supervision to the minimum requirement. St Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Elizabeths DS0000011646.V286718.R01.S.doc Version 5.1 Page 18 - 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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