Inspection on 27/08/08 for St Josephs Nursing Home

This inspection was carried out on 27th August 2008.

CSCI found this care home to be providing an Excellent service.

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 Josephs Nursing Home 08/08/06

St Josephs Nursing Home 25/10/05

St Josephs Nursing Home 22/06/05

St Josephs Nursing Home 12/10/04

St Josephs Nursing Home 11/05/04

Similar services:

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Josephs Nursing Home East Street Littlehampton West Sussex BN17 6AU     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sheila Gawley     Date: 2 7 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: St Josephs Nursing Home East Street Littlehampton West Sussex BN17 6AU 01903721053 01903731097 clare.bowers@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sr Angela Baughen Type of registration: Number of places registered: Franciscan Missionary Sisters of Littlehampton care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Service users under the age of 65 years may be admitted from time to time. Date of last inspection Brief description of the care home St Josephs 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. The weekly fees range from 525.00 to 575.00. Additional charges include hairdressing, chiropodist, dentist, physiotherapist, newspapers and sundries. St Josephs is a purpose built establishment, and is located in the town of Littlehampton. Accommodation is provided on two floors: the first floor 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. Anastasia McGonagle. Inspection reports are made available to residents on request. Care Homes for Older People Page 4 of 23 Over 65 24 0 Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is a 3 star excellent service. This means the people who use this service experience excellent quality outcomes. This site visit as part of the inspection process was carried out on 27/08/08. Prior to the visit the service file was reviewed as were any comments or complaints received by the Commission for Social Care Inspection. The home had sent us their Annual Quality Assurance Assessment for the inspection, which gave us the information we needed on the home. People who use the service and staff were spoken to on the day. We were in receipt of comments on eight surveys we had sent to people who use the service, one from a relative, four from staff and one from a professional. Comments from people who use Care Homes for Older People Page 6 of 23 included This home is excellent. Staff listen and act on what we say -every single time Excellent hospitality and delicious food Could not wish for better Five people who use the service were case tracked during the inspection Staff and people who use the service spoken to on the day stated that they were happy in the home. The premises were toured. The deputy manager facilitated the inspection and any documents required on the day were made available. The atmosphere within the home was peaceful and relaxed and the staff carried out their duties in a respectful manner taking into account the dignity and privacy of residents. All people who use the service are offered a daily bath or shower. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality in this outcome area because needs are assessed and information needed to make an informed choice is available. Evidence: Needs are assessed prior to admission and these assessments were seen and were comprehensive. They include all medical and nursing need including communication, mental wellbeing, medication, personal need, vision, mobility, continence and pressure area assessment. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience excellent quality. All needs are assessed and met, They are set out in a plan and people who use the service are treated with respect. Medicines are handled safely according to policy. Evidence: There was evidence that needs are assessed and met. Equipment is in place to meet assessed needs. policies ensure safe handling of medicines. privacy and dignity is maintained. the needs of the dying are met. The care plans were drawn up following an assessment of needs. This included mental, physical and social need, nutritional assessments, mobility, hygiene continence, and pressure areas, and risk assessments. The risk assessments covered, moving and handling, nutrition and pressure area risk. There were daily records and evidence of monthly review and weight is monitored. All Care Homes for Older People Page 11 of 23 Evidence: people who use the service are offered a daily bath or shower. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience excellent quality in this outcome area because The lifestyle experienced in the home meets the needs of those who live there. People who use the service are enabled to satisfy their social, religious and recreational interests and they assisted to maintain contact with family, friends, and representatives and access the community. They are assisted to exercise choice over their daily lives and are offered a wellbalanced and varied diet. Evidence: All of the comments on surveys received on life in the home were very positive. The home has a very peaceful and relaxed atmosphere. A professional commented it is nice not to see people sitting around a large room with a loud television on, people are assisted to go to mass or out as they wish. A person who uses the service commented Whatever we want, we can do. There is a Care Homes for Older People Page 13 of 23 Evidence: Quiz once a week that stimulates and is lots of fun. Another commented Whatever we want to do is arranged. Activities tend to be for small groups which is lovely, we are not one big mass of elderly people The home has a mini bus which enables them to take out small groups of people who use the service. They have links with some local schools and sometimes attend concerts there or the children come to the home to sing. People who use the service can be taken to local events such as attending Arundel Cathedrals carpet of flowers. Relatives are welcome in the home and are offered refreshment and meals free of charge. One relative spoken to on the day stated that his mother is very well looked after and that it is a wonderful home. Another commented on a survey We cannot fault the care , kindness,and consideration offered to us. There is a nutritious menu in place which offers choice. The people who use the service benefit from the celebrations within the religious community in that if a celebratory meal is prepared for the Sisters or visitors then this is also offered to the residents. One survey from a person who uses the service commented the food is delicious Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience excellent quality in this area because a complaints system is in place and systems are in place to protect residents from abuse. This judgment has been made using available evidence including a visit to this service. Evidence: There is a clear complaints procedure which is on display and which is included in the Statement of Purpose and Service User Guide. The procedure clearly identifies whom a complaint should be addressed to and the timescales in which a complaint will be dealt. It displays the Commissions contact details. People who use the service were clear as to whom they can raise concerns with. Residents comments included Sister Angela and never need to make a complaintThere is a training programme in place and has two dates in October for safeguarding adults training. People were observed being offered care in a respectful and gentle manner. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality in this outcome area because they live in a well-maintained homely and relaxed environment with pleasant grounds and garden areas. Evidence: The home externally and internally is decorated to a good standard. It has a sun lounge and a dining room and a further small seating area near the balcony. It was neat,clean and free from offensive odours. It has comfortable homely furnishings. Radiators are covered. There is a wellmaintained garden with seating for people who use the service to enjoy. The specialist equipment required to meet the needs of people who use the service is in place. There are sufficient wheelchairs, hoists and assisted baths and there are grab rails. There are specialist beds to maintain the safety and comfort of those nursed in bed and there is pressure relieving equipment available. Care Homes for Older People Page 16 of 23 Evidence: Bedrooms are comfortable with comfortable furnishings. The bedrooms are personalized according to the wishes of people who use the service. The home was neat, clean and free from offensive odours on this occasion. The home has been rewired. Doors have locks and temperatures are recorded weekly. There are sufficient assisted baths to meet the needs of people who use the service. There are suitable laundry facilities sited away from areas of food storage and preparation. Washing machines have the required programmes. Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality in this outcome area because needs are met by suitably qualified staff. This judgement has been made using available evidence including a visit to this service. Evidence: Rota show sufficient staffing levels, there is a training programme in place. There are robust recruitment procedures in place and staff files inspected contained all the documentation required to ensure the protection of people who use the service. There was evidence of application forms with employment history. People who use the service find the find the staff helpful. One person who uses the service commented, St Josephs is a loving and caring home. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality in this outcome area because the home is run in the best interests of the people who use the service. Evidence: The registered manager is a Registered Nurse who maintains her registration with the Nursing and Midwifery Council. She is supported by a deputy manager and senior nurses. the AQAA states that the home aims to From the day of admission to the day of departure from the nursing home, dignity, love, care, respect and peace prevail Evidence that this occurs was seen in the surveys returned to the Commission The AQAA states that quality assurance systems are in place in the form of food diaries, surveys and staff meetings. Surveys are in place for people who use the Care Homes for Older People Page 19 of 23 Evidence: service and staff, these were made available for inspection. These will be extended to relatives and professionals. People who use the service have been consulted on food, their accommodation and the laundry service. All comments were positive. The home does not manage any financial affairs for people who use the service and people have their own bank accounts. Allowances held for people who use the service are held securely and recorded and receipted. Staff supervision is in place , evidence of supervision was seen and staff but some were not up to date. The deputy manager and senior nurse stated that this would be addressed also confirmed that this takes place. The registered provided ensures the health, safety and welfare of people who use the service by the provision of f mandatory training. The home meets the requirements of the local Fire Authority and Environmental Health Department. Substances hazardous to health are stored securely. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - 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!