Inspection on 18/04/05 for St George Residential Home

This inspection was carried out on 18th April 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

St George Residential Home 08/07/08

St George Residential Home 24/07/06

St George Residential Home 17/01/06

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 St George Residential Home 42-43 West Cliff Whitstable Kent CT5 4PP Lead Inspector M Hemmings Announced 18 and 19 April 2005 th th 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 George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St George Residential Home Address 42-43 West Cliff, Whitstable, Kent. CT5 4PP 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) 01227 261837 Darbyshire Care Ltd Mrs S Challiss CRH 18 Category(ies) of OP (older people). DE/E (older people who have registration, with number special mental health needs). LDE (older people of places who have a learning disability). St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The Home is registered to provide accommodation and personal care for 17 older people. Of this number, one person may also experience special mental health needs and one person may have a learning disability. Date of last inspection 29 June 2004 Brief Description of the Service: The premises are a two storey detached older property which as been adapted for its present use. The accommodation for service users is provided on the ground and the first floors. There is a stair-lift which traverses the main flight of stairs between the lower floors. However, this does not give completely step free access because there are two sub-landings on the first floor. When full, there is provision for 10 service users to have their own bedroom. There are four bedrooms which can be shared by two people each. All of the bedrooms have a private wash hand basin and nine of them also have a private toilet. The property is located on a quiet residential road. To the front there are extensive views across a golf course and out to sea. To the rear, there is an enclosed garden. Whitstable town centre is about one quarter of a mile away. Since the last inspection visit, the Home has been sold. The new Registered Provider is a private limited company. The Directors of the Company are Mr and Mrs Darbyshire. Mrs H Darbyshire is the Resposnible Individual. This means that she is responsible for supervising the operation of the Home. The day to day administration of the Home is undertaken by the Registered Manager. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was completed over the course of two days. The Inspector spent about eight hours in the Home. During this time he spoke with 10 service users. Also, he spoke with the Mr and Mrs Darbyshire and with the Registered Manager. The Inspector examined various records and he spoke with care workers and with housekeeping staff. The Inspector looked at various parts of the accommodation. This included (by invitation) several of the service users’ bedrooms. Before the inspection, the Inspector received written comments from three of the service users’ relatives. The Home continues to provide the service users in residence with the personal care they need, within a pleasant setting. Service users say that members of staff are attentive and that they remain satisfied with the quality of the provision in St Georges. What the service does well: What has improved since the last inspection? The Registered Provider has put forward plans to refurbish what should be the second bathroom in the Home. In practice, this has been inaccessible to St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 6 service users for some time. Once this has been done, service users will be able to have a choice between having a bath in the existing bathroom, or a shower in the new facility. This will constitute a significant improvement in the facilities available for the service users and so the Registered Provider’s commitment in relation to this matter is welcome. The Registered Provider has refurbished one of the bedrooms and has prepared plans which will see similar improvements introduced to other bedrooms as and when they become vacant. The Registered Provider has appointed a new Activities Coordinator to progress the development of the social calendar. 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 George Residential Home H56-H05 S62884 St George V215601 180405 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 St George Residential Home H56-H05 S62884 St George V215601 180405 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) 1,2,3,4 and 5. Prospective service users are provided with adequate written information about what it is like to live in the Home. Prospective service users are encouraged to visit the Home before deciding about moving in. The Registered Manager takes suitable steps to ensure that only service users whose needs for personal care can be met, are admitted to the Home. The Inspector did not assess Standard 6, because there were no service users to whose circumstances it applied. EVIDENCE: There is a Service User’s Guide. This document answers a lot of the questions that someone considering a move into the Home might wish to ask. Also, the Registered Manager makes a point of speaking with prospective service users so that they can clarify any matters which remain outstanding. Whenever possible, prospective service users are advised to visit the Home before a decision is made about moving in. This is done so that the person concerned can get a first hand feeling of what is on offer and how this might match up with their personal preferences. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 9 The Registered Manager completes a thorough assessment of each prospective service user’s needs for assistance. She does this by consulting with the person concerned and with partner agencies such as members of the primary health care team (doctors and nurses) and with care managers (social workers). St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 and 10. Suitable arrangements are in place to ensure that the service users’ needs for personal care are met in an appropriate and consistent manner. Service users have ready access to a normal range of medical services. Suitable systems are used to administer service users’ medication. As appropriate, service users are able to manage their own medication. Service users say that staff are attentive and respectful in their manner. The Inspector did not assess Standard 11, because there were no service users to whose immediate circumstances it applied. EVIDENCE: There is a Service User Plan for each person which identifies what personal care they need to receive. The Inspector examined a selection of these Plans and he found them to be up to date and suitably detailed. The Inspector also noted that care workers provided care for the service users, in accordance with the contents of the Plans. Service users say that they receive all the personal care they need. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 11 The Registered Manager keeps a tactful eye open so that she can refer service users without delay for medical assistance should it be needed. The Inspector noted that this had been done on several occasions since the last inspection visit to the Home. The Inspector witnessed a number of occasions on which service users received assistance from care workers. He noted these events to be characterised by a quiet informality. This is indicative of good practice and is consistent with the descriptions given to him by the service users when they spoke about their relationships with staff. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 and 15. There is a calendar of social events convened in the Home, which service users say is sufficient to meet their needs. Service users are able to receive guests whenever they wish to do so. Service users, as appropriate, are encouraged to exercise choice in the control of their everyday lives. There is a suitably varied menu of meals provided in the Home. EVIDENCE: The calendar of social events comprises a range of activities such as bingo, games and flower arranging. A number of new opportunities have been introduced recently since the appointment of the new Activities Coordinator. The Registered Provider hopes to extend the calendar still further. This will include making available more trips out available. None of the service users expressed any concerns to the Inspector about visiting arrangements in the Home. Also, the Inspector has not received any expression of concern from service users’ relatives about this matter. There are few rules as such in the Home. Service users get up when they wish and retire at a time of their choice. During the day, they are free to use their bedroom if they want privacy. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 13 The meals provided in the Home are well prepared and they are presented attractively. The amount of food served is adequate. The record of food served shows that the meals are suitably varied and that individual requests for particular dishes are accommodated when possible. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 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 standard(s) 16, 17, 18. Suitable arrangements are in place to enable stakeholders to register complaints and concerns relating to the Home. Service users are confident that any concerns they raise will be dealt with prudently. The Registered Provider said that there are no complaints outstanding concerning the Home. The Commission also is not in receipt of any complaints relating to the Home. Appropriate provision is in place to ensure that service users’ well being is safeguarded. EVIDENCE: There is a written complaints procedure. This describes how someone can go about making a complaint to the Registered Provider and to the Commission about any aspect of the facilities and services available in the Home. Service users say that they are confident that any queries they might raise will be promptly and fairly addressed. Service users are assisted to enter their names on the electoral register. Also, they are helped to vote either by post or in person. There is a written policy and procedure which explains how someone can raise concerns should they be concerned about a service user’s well being. Members of staff are aware of how to contact Kent County Council and the Commission for Social Care Inspection, should this be required. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 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 standard(s) 19,20,21,22,23,24,25,26. The Home provides a comfortable environment in which service users can make their home. There is inadequate number of bathrooms in the Home. Suitable arrangements are in place to enable care workers to assist those service users who experience a measure of reduced mobility. The kitchen is maintained to a satisfactory standard of cleanliness. There is an adequate central heating and hot water service. EVIDENCE: The accommodation is presented to normal domestic standard. Service users told the Inspector that they feel comfortable and relaxed in the Home. Also, they consider that they have all the facilities that they need, both in the communal areas and in their bedrooms. There is in practice only one bathroom in use in the Home, when really a minimum of two should be provided. At present, the second bathroom is rarely used, because of significant problems with access due to the way the room is laid out. The Registered Providers has said that it intends to address this problem which was inherited with the purchase of the Home, in the near St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 16 future. It plans to install a special walk-in shower facility so enabling the second bathroom to be returned to use. There is a suitable range of equipment in place to assist in the promotion of mobility. These items include a hoist to facilitate access to the bath. Also, there are various banister and balance poles which help service users get around on their own. The local Department of Environmental Health has not recommended any improvements in the Home, which remain outstanding. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 17 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, 28, 29, 30. There are enough staff on duty in the Home to enable service users’ current needs for assistance to be met. Suitable arrangements are in place to ensure that only trustworthy people are allowed to have unsupervised access to service users. The care workers appear to be competent to undertake their duties. EVIDENCE: There is a sufficient number of care workers and housekeeping staff on duty to ensure that service users’ needs for personal care and other resources are met reliably. The staff roster indicates that all of the rostered shifts are being regularly filled. The various security checks which have to be completed in relation to each person employed in the Home, have been undertaken. The Registered Manager is aware of how recent revisions to the Regulations have tightened further aspects of these provisions. The Inspector observed various instances when care workers assisted service users. He noted their practice to be of a good standard. The Registered Manager is aware of the need to ensure that all members of staff have the competencies they need to respond reliably to service users’ needs for assistance. A new and strengthened system has been introduced to determine the need for new care workers to receive introductory training, before working on their own. The Registered Manager has partly completed a review exercise St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 18 which should validate the adequacy of the competencies possessed by all of the existing care workers. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 19 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) 31, 32, 33, 34, 35, 36, 37, 38. The Registered Provider appropriately supervises the operation of the Home. The Registered Manager has not yet acquired both of the National Vocational Qualifications which the Standards prescribed for her role. The Home remains financially viable. The Registered Provider does not become involved in the administration of any aspect of service users’ financial affairs. The Registered Provider operates an internal quality assurance system to provide an additional route for service users to comment about the Home. There is a suitable health and safety regime in place. EVIDENCE: The various systems operated by the Registered Provider and by the Registered Manager combine to ensure that the service users reliably receive the assistance which they need. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 20 The Registered Manager has undertaken part of a combined qualification which the Standards recognise to be one of the ways in which she can validate her competency to run the Home. The Registered Provider has informed the Inspector that the Home is a viable business concern. It says that this should remain the case, given the maintenance of the occupancy levels which routinely have been achieved in the recent past. All of the care workers receive formal professional supervision. This means that they periodically meet with someone senior to review their work and to resolve any problems should there be any. There are various provisions in place to help ensure service users’ health and safety. These include the operation of a suitable fire safety regime. Also included, is a system by means of which the Registered Provider identifies and responds to potential hazards around the premises. St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 21 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 x 3 3 3 St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 22 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 None 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 None Good Practice Recommendations St George Residential Home H56-H05 S62884 St George V215601 180405 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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. 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