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Inspection on 25/10/05 for St Josephs Nursing Home

Also see our care home review for St Josephs Nursing Home for more information

This inspection was carried out on 25th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Residents spoken with told the inspector that they continue to receive a high standard of care. The inspector was told " you can have a bath every day here if you want one". General comments from residents included " It`s beautiful here, couldn`t be nicer, it`s like being royalty, the food is excellent, good choice, good variety", "every one of the staff is excellent, they are gentle, courteous". The inspector noted that the atmosphere between both staff and residents was relaxed, jovial and confident. The key standards not assessed at this inspection were met in full at the previous inspection.

What has improved since the last inspection?

The home continues to deliver a high standard of care to the residents living at St Joseph`s. Following the last inspection the home has purchased it`s own minibus enabling staff to organise regular and spontaneous outings. Residents who have already gone out in the transport told the inspector that they have enjoyed the recent outings.

What the care home could do better:

Residents who wish to self administer their own medication should do so following a risk assessment and ensure that they are aware of their responsibility to store all medicines in lockable facilities to ensure that the Health and Safety of other residents in the home are not compromised.

CARE HOMES FOR OLDER PEOPLE St Josephs Nursing Home East Street Littlehampton West Sussex BN17 6AU Lead Inspector Mrs S Rodgers Unannounced 25 October 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 Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Josephs Nursing Home Address East Street, Littlehampton, West Sussex, BN17 6AU 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) 01903 721053 01903 731097 Franciscan Missionary Sisters of Littlehampton Sr Angela Baughen CRH(N)-Care home with nursing 24 Category(ies) of OP-old age, 24 places registration, with number of places St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 24 male and/or female service users in the category of old age, not falling within any other category may be accommodated. 2. Only service users over the age of 65 years may be admitted. Date of last inspection 22 June 2005 Brief Description of the Service: St Josephss Care Home is registered to accommodate up to twenty four residents in the category OP ( Old age not falling into any other category) N (Nursing). The service has charitable status and is registered to the Franciscan Missionary Sisters. St Josephs is a purpose built establishment, and is located in the town of Littlehampton. Accommodation is provided on two floors: the first foor can be accessed by a vertical lift. All rooms are for single occupancy. Sr Angela Baughen is the registered manager in charge of the day to day running of the home. The responsible individual on behalf of the service is Sr Catherine McLaughlin. An application has recently been submitted to register a a new responsible individual, when that process has been completed certificates and registers will be amended to reflect the change. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 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 4 hours and was part of the routine programme of inspections for the home. Preparation for this inspection focused on outcomes of the last inspection carried out on the 5 July 2004 and the reviewing general correspondence. The inspector made a tour of the premises and spoke with residents in order to gain a sense of how they experience living at the home. Staff were also spoken with in order to ascertain their views on how the home is run and the support they receive to assist them to carry out their roles in an appropriate manner. What the service does well: What has improved since the last inspection? The home continues to deliver a high standard of care to the residents living at St Joseph’s. Following the last inspection the home has purchased it’s own minibus enabling staff to organise regular and spontaneous outings. Residents who have already gone out in the transport told the inspector that they have enjoyed the recent outings. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 6 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 Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 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 Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 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) 6 This service does not offer indeterminate care. EVIDENCE: From touring the building the inspector was able to evidence that facilities are not provided to provide intermediate care. From speaking with management and staff the inspector was able to ascertain that although residents are admitted with the option of a trial period it is with the view to living at the home permanently. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 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) 9 Residents are enabled to take responsibility for administering their own medication. EVIDENCE: Systems are in place regarding the receipt, recording, storage, handling, administration and disposal of medicines. A senior nurse requests repeat prescriptions, these are sent to the local pharmacist. Records of all medicines requested are kept. Staff check and record all medication against the request list. The home has a contract with a licensed clinical waste company who collects all unused medication. Trained nurses administer medication, the home has a copy of each nurse’s signature and initials which enable management to be clear as to who the administering nurse was. Records of medication administered were in good order. Residents are able to self-administer their medication. At the time of this inspection two residents were self-administering. All residents who wish to self medicate should undergo a risk assessment. The risk assessment should also St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 10 demonstrate that residents have an understanding of their responsibility to store their medication in a lockable cupboard. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 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) 13,14 Residents are assisted to maintain contact with family, friends, representatives and access the community. Residents are assisted to exercise choice over their daily lives. EVIDENCE: Residents spoken with confirmed that they are enabled to maintain contact with family, friends and representivies. One resident confirmed that “visitors are always made to feel welcome, they are always offered a cup of tea”. The Statement of Purpose and Service User Guide advise residents and there representivies of the visiting times, which are generally open visiting times however relatives are asked to try to avoid mealtimes if possible. The inspector was able to witness residents accessing the local community. One resident went to the local shopping centre during the course of this inspection. Residents also told the inspector that they are able to go clubs they went to prior to admission to the home. One resident said that he had recently been out for Christmas Lunch at his local bowls club and that it felt good to be able to be transported there and back in the homes minibus. Residents said that they are able to exercise choice and control over lives. Those who were asked said they are assisted to develop and maintain an independent lifestyle within their own capabilities. The inspector witnessed that residents were able to choose when to get up as a number of residents St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 12 were having a ‘lay in’. Residents also told the inspector that an activities programme is offered and that they can choose to take part or pursue their own interests if they wish. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 13 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) 18 Procedures are in place to protect residents from abuse. EVIDENCE: Staff receive training in adult protection. The home has a copy of the local authorities Adult Protection procedures. Staff are aware of their responsibility to “Whistle Blow” should they suspect abuse of a resident. Staff spoken with informally during the course of the inspection and those who were asked were able to demonstrate that they know what action they must take to report a suspected incident. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 14 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) 24,26 Residents are enabled to furnish their rooms with their own personal belongings. The standard of cleanliness through out the home is high. EVIDENCE: From touring the home and speaking with residents the inspector was able to ascertain that residents are encouraged to furnish their private accommodation with their own personal possession. Those spoken with said that they like having their possessions around them as it makes it feel more like home. All areas of the home were clean and free from offensive odours. Appropriate protective clothing is provided. Laundry facilities are separate from the main building. Systems are in place to deal with soiled linen. Staff spoken with confirmed that they are given information regarding Chemicals or Substances Hazardous to health. Staff also confirmed that chemicals are stored in lockable cupboards. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 15 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) 29 The homes recruitment procedures demonstrate that every effort is made to protect service users. EVIDENCE: The recruitment records of 4 staff were reviewed. All contained evidence that appropriate recruitment checks were undertaken. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 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) 35 The financial interests of residents are safeguarded. EVIDENCE: The inspector was advised that residents handle their own personal finances. Residents can if they wish ask for some money to be held in safekeeping. Appropriate systems are in place to record transactions. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 17 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 x x x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION x x x x x 3 x 4 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x 3 x x x St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 18 Yes 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 9 Good Practice Recommendations A risk assessment should be undertaken on residents who wish to self administer their own medication. St Josephs Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Nursing Home H60 H11 S24215 St Josephs Nursing Home V247140 251005 Stage 4.doc Version 1.40 Page 20 - 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. 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