Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 23/05/05 for St Joseph`s Rest Home

Also see our care home review for St Joseph`s Rest Home for more information

This inspection was carried out on 23rd May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

The home is warm and welcoming and attractively decorated. Residents said staff were friendly, helpful and caring. The home has good relationships with health services, such as district nurses and GPs, and also has regular visits from other workers such as chiropodists and opticians.

What has improved since the last inspection?

The home has worked hard to make sure that it gets all the information it needs about staff before employing them, to make sure that its staff members are suitable, fit and able to care for the residents properly. The home also tries to make sure that all its documents are kept up-to-date and give an accurate picture of the home. A new deputy manager has just started and has brought a lot of experience and some good ideas to the home.

CARE HOMES FOR OLDER PEOPLE St Josephs Rest Home 3 - 7 Bristol Road Brighton East Sussex BN2 1AP Lead Inspector Glynis McLeod Unannounced 23 May 2005 10:15 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 Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service St Josephs Rest Home Address 3 - 7 Bristol Road Brighton East Sussex BN2 1AP 01273 626151 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) Trustees Of The Sisters Of Mercy Sister Noeleen Ryan Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (OP) 17 of places St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is seventeen (17). 2. Service users will be aged sixty-five (65) years or over on admission. Date of last inspection 6 September 2004 Brief Description of the Service: St Joseph’s is a detached purpose-built property situated in Kemp Town, Brighton, and is close to shops, public transport and other local amenities. The home is registered to provide accommodation for up to 17 older people; it does not provide nursing care. Access to the building and the well-maintained garden is level and the home has a passenger lift making it suitable for residents using wheelchairs. There is a separate lounge and dining room, and a bright conservatory looking out onto the street. The home also has its own chapel on the premises. Bristol Road and adjacent streets have restricted parking facilities; however, the home does have a car park with five spaces on site. The home is owned by a registered charity ‘The Institute of the Sisters of Mercy’ and is run by the trustees of this Catholic order. Admission to the home is on a non-denominational basis. St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was unannounced, took place over four and a half hours and was one of two inspections required over the year. A partial tour of the premises took place and records relating to care, medication, staffing and maintenance were inspected. Two of the staff on duty, five of the residents and the deputy manager and the manager were spoken to. The inspector would like to thank the residents and staff for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Residents should be more involved in drawing up their plan of care, and especially should be asked more about their personal likes and dislikes. This would help staff to know more about the residents in their care and help them to provide interesting and familiar activities for them. People who arrange their own admission and are not assessed by the local authority should receive a thorough assessment before moving in to make sure that the home can provide the care they need. The home also needs to make sure that it contacts the proper agencies to let them know of any incidents that could affect the health and safety of residents. Please contact the provider for advice of actions taken in response to this St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 6 inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 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 Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 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) 3 The manager assesses prospective residents appropriately and obtains information from families and other agencies where available. The manager makes a decision based on each individual’s needs to ensure that the home can meet their particular care requirements. EVIDENCE: Residents confirmed that the manager visited them at their home or in hospital before they moved in to St Joseph’s to talk to them about the home and make an assessment. Social worker assessments for funded residents were on file. The manager had also completed assessments for self-funding residents using the home’s care planning cardex system. This system, although covering the basic information required, did not give a full and detailed picture of a resident’s current lifestyle and needs. A recommendation was made that the home’s own assessments for self-funding residents should be more detailed and comprehensive in order to ensure that residents’ needs are fully assessed and can be met at the home. St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 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 and 9 The care planning system currently in use is rather limiting and does not give scope to fully reflect all aspects of a resident’s health, personal and social care needs. Recording in the care plans is inconsistent in some areas and means that important information affecting a resident’s health or well-being could be lost or overlooked. The home is good at contacting the relevant health services for routine and specialist care, ensuring that residents stay fit, healthy and independent for as long as possible. Medication policies and procedures are clear and comprehensive, and regular monitoring of medication issues means that residents receive their prescribed medication correctly. EVIDENCE: The home uses a cardex system of care planning, which gives adequate medical information but does not allow for residents’ personal and social needs and wishes to be properly recorded. The system also discourages residents from becoming involved in the care planning process and does not supply them with a plan of their care that they can readily understand. It was also noted that in some cases files had not been properly updated, which could lead to important information being overlooked or lost. This may have been due to St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 10 staff not being entirely sure who was responsible for recording such information after a change in the recording guidelines. The home is currently undertaking a review of the care planning system, including recording, with an independent consultant. Recommendations were made that the care plans include more personal and social care information; that residents be more involved in the planning process and sign their plans to show they have been involved; and that a way is found to ensure that all updated information is recorded properly. Records showed that the home is good at accessing all health services, from calling in specific specialist services, such as the mental health team, to arranging routine chiropody and optician appointments. One resident had attended a dentist appointment on the morning of the inspection. Weekly exercise classes take place in the home and a number of residents take a daily walk. A new medication room is being built in the home making a private area available to residents to receive medical or personal attention from health professionals such as district nurses and chiropodists. Medication records were all in order and medicines were properly stored and secured. A recommendation was made that all medication no longer required should be returned immediately to the pharmacy or disposed of safely. The deputy manager, who has overall responsibility for medication, is currently undertaking a review of medication policies and procedures with the assistance of a pharmacist. St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 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 and 13 The home offers a flexible service and makes efforts to involve residents in activities to provide variation and interest. Visitors are welcomed to the home and residents are able to maintain meaningful relationships with friends and relatives. EVIDENCE: Residents are able to have breakfast in their rooms if they wish; other meals are usually taken in the dining room. Bedtimes and getting–up times are flexible and a couple of residents said they appreciated being able to have a rest in their room after lunch. Residents can either attend the home’s own chapel to hear mass or are able to hear the service in their own rooms over the internal loop system. The home produces posters to let residents know about particular events taking place, such as the visiting clothes shop, and arranges other activities such as a storyteller who visits weekly and a musician who visits once a month. Residents spoken to said their visitors were always made welcome at the home, and several residents also visit their families and accompany them on outings on a regular basis. Staff also commented on how welcoming the home was. St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 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) None of the above standards were assessed. EVIDENCE: St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 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) 19 and 26 The home is safe, well-maintained, clean and hygienic. Residents live in comfortable, well-decorated surroundings and have access to all parts of the building and the garden. The premises and décor are considered to exceed the minimum standard. EVIDENCE: The home is purpose built to a high standard with lots of communal space including a large conservatory, a chapel and a hairdressing room. Décor and furnishings throughout are also high quality and the home is attractive and comfortable. A full-time maintenance man keeps the premises safe inside and out and sees to all repairs and routine maintenance tasks in the home. The home employs a part-time domestic worker and care staff also take responsibility for keeping the home clean and tidy. The home complies with all requirements and recommendations made by the commission and other agencies, such as the environmental health department. St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 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) 27, 29 and 30 There are sufficient staff on duty at all times of the day and night to ensure the safety and well-being of residents. Staff recruitment procedures and staff training are thorough and comprehensive and provide the necessary safeguards to ensure that residents are fully protected and that their care needs are fully met. EVIDENCE: The staff rota confirmed that there are adequate numbers of care staff on duty during the day and at night to care properly for residents. Additional support staff, such as an administrative assistant and cleaner, are employed to assist with the smooth running of the home. Residents were very positive about staff and said how kind and helpful they were. Staff files were checked and contained the necessary documents such as references and identity checks. The home also requires CRB and POVA checks for all staff; however, the current system in operation is that the completed checks are returned to a designated person in the charity, and not to the manager of the home. Information is then relayed verbally as to the status of the person checked. The manager needs to have evidence to confirm that all employees are police checked and, therefore, a recommendation was made that these checks are kept in the home in future. The home ensures that every new employee receives formal induction and foundation training. Staff confirmed that they had received induction training St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 15 and had attended various courses over the past months, including mandatory health and safety training. They are also encouraged to take their NVQ 2 qualification, and one staff member said she had just completed her NVQ 3. St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 16 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) 38 The home ensures that health and safety policies and procedures are followed and that staff are properly trained and supervised. In order to fully safeguard the health and safety of residents, and to comply with current legislation, the home must inform the commission of any significant event that occurs in the home; the home failed to do this on a recent occasion and therefore did not meet this standard. EVIDENCE: The manager has recently arranged health and safety training, including infection control and moving and handling, for the staff team. A requirement from the previous inspection that a full fire drill must be carried out has been attended to. Documents showed that the relevant checks to the boilers and the plumbing and heating system have been made, and a full inspection of the electrical system has recently been undertaken. Health and safety policies are in place and any accidents are properly recorded. St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 17 The home has apparently had an intruder recently who was chased out of the building. The commission was not informed of the incident and a requirement was made that the manager must inform the commission without delay of any significant incident in the future. A recommendation was made that the home post a notice by the front door advising visitors leaving the home not to let people in without the knowledge of care staff. (Since the inspection, the manager has advised that such a notice has now been posted.) St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x 2 St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 19 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 38 Regulation 37(e) Requirement The manager must inform the commission without delay of any significant event occurring in the home. Timescale for action Immediate 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 3 7 Good Practice Recommendations The homes assessments for self-funding service users should be more detailed and comprehensive. Care plans should include more personal and social care information; residents should be more involved in the planning process and sign to show they have been involved; new guidelines should be provided to ensure all information is recorded properly. All medication no longer required should be immediately returned to the pharmacy or disposed of safely. CRB and POVA checks to be kept in the home. A warning notice should be posted at the front door to advise visitors leaving the home not to let other people in without the knowledge of the care staff. 3. 4. 5. 9 29 38 St Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex 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 Josephs Rest Home H59-H10 S14242 St Josephs Rest Home V218047 230505 Stage 4.doc Version 1.20 Page 21 - 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!