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Please note that the information on this website is now out of date.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 16/12/05 for St Leonards Rest Home

Also see our care home review for St Leonards Rest Home for more information

This inspection was carried out on 16th December 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.

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

Visitors and residents indicated that a major strength of the home was its relaxed atmosphere and continuing commitment to caring well for its residents. Some aspects of this care were observed during this inspection visit. The previous report stated that residents have a varied and active lifestyle: aspects of this were seen during this inspection visit.

What has improved since the last inspection?

The previous inspection report contained some recommendations that have since been addressed by the owners. It indicated that continuous improvements to the premises are carried out or planned (including refurbishment of the ground floor bathroom). Some improvements had also been made at the request of the environmental health officer. Solar heating panels are being installed.

What the care home could do better:

The home needs to explore the locking of the bedroom doors to ensure that this is in the best interest of all service users.

CARE HOMES FOR OLDER PEOPLE St Leonards Rest Home 38 St Leonards Avenue Hayling Island Portsmouth Hampshire PO11 9BW Lead Inspector Eamonn Kelly Unannounced Inspection 16th December 2005 10:30a X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Leonards Rest Home Address 38 St Leonards Avenue Hayling Island Portsmouth Hampshire PO11 9BW 023 9246 3077 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr F W Bartlett Mrs M Barlettt Mrs M Bartlett Care Home 15 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Mental disorder, excluding learning of places disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15), Old age, not falling within any other category (15) St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the categories DE and MD are not to be admitted under the age of 60 years 13th June 2005 Date of last inspection Brief Description of the Service: The home provides a service for up to fifteen older people (over the age of 60) who may also have dementia or a mental disorder. There are 11 single bedrooms and 2 shared bedrooms (located on the ground and first floors). Communal areas comprise of the lounge, conservatory and dining room. There is a garden at the side/rear. Car parking is available at the front. Local amenities (including access to the beach) are nearby. Twenty-four hour care is provided [including 2 members of staff (one awake and one asleep) on duty at night]. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection (unannounced, between circa 10.30 am and 15.00 pm) consisted of meeting with the owners, members of staff, visitors and residents. Some of the home’s records were seen (care plan records, medication records, risk assessment documents). All bedrooms and communal areas were visited. On 20th December 2005, a further visit was made to discuss the home’s service user’s guide, complaints procedure and AP (adult protection) procedures. What the service does well: What has improved since the last inspection? What they could do better: St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 6 The home needs to explore the locking of the bedroom doors to ensure that this is in the best interest of all service users. 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 Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 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 the following standard(s): 1, 3. Prospective service users receive an assessment to make it as likely as possible, that their subsequent residence would be long-term and successful. EVIDENCE: Mr and Mrs Bartlett explained how they are reluctant to accept prospective service users if they feel unable to care fully for them and meet each of their assessed needs. Both owners have an NHS background and, during discussions about profiles of most service users, they demonstrated how thorough their initial assessments are. Many service users are very elderly and have lived at the home for some years. There is a good deal of information available in both the pre-admission information and service user guide. disability for which the home is registered (DE, MH, Old age, not falling within any other category). St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9. Service users receive good health and social care support. EVIDENCE: All service users were met during the inspection visit: care plan records seen included information about their care and support needs and how these are being met. The profiles of a number of service users were discussed. The disposition of service users is observed and recorded in a number of ways (including through the use of Barthel scores). Examples of intervention by GP’s and district nurses were discussed. Particular cases were discussed where medical attention was needed and received. The owners and members of staff have carried out risk assessments to identify potential vulnerabilities of each service user. Residents have access to other healthcare specialists (dentist, optician, chiropodist, psycho-geriatrician). Part of a medication “round” was seen [tablets removed from BOOTS dosage container, placed in lidded containers, taken to service users (who each St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 10 received assistance to take the medicines), MAR sheet updated etc.]. The medication fridge is to be replaced soon because of malfunction (some medication was temporarily stored in the domestic fridge, with recorded risk assessment to cover this period). It was agreed that a CSCI pharmacy inspector would be asked to assess the complete medication system as part of the home’s commitment to quality assurance measures. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 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 the following standard(s): 13, 14. Service users are able to have visitors at any reasonable time and each, depending on capacity, has control over their lives. EVIDENCE: Visitors met during the inspection visit spoke well of the standard of services at the home. Those met visit very often and have a good knowledge of the home. At the beginning of the inspection visit, many service users were involved in activities with assistance or supervision by members of staff. The home was well decorated for Christmas. Some Christmas items were being made by residents: the finished product was seen later in the day. There were newspapers, magazines and books available as well as a TV/DVD. Some residents stated that, at their advanced ages, they prefer to spend time in their bedrooms. However, most were in communal areas. The practice of locking bedroom doors on the 1st floor (due to the owner’s attempts to limit incursions by a service user who goes into other people’s bedrooms) was discussed. Other service users are escorted on request to bedrooms when a member of staff unlocks the door. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 12 This practice should be explored within a multi-disciplinary team in order to promote best practice however it is recognised that relatives are aware of this practice. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 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 the following standard(s): 16 Members of staff receive good information about adult protection procedures and this is a reasonable safeguard for the continuing safety of service users. EVIDENCE: Mrs Bartlett demonstrated the way (including through the use of charts for training) she instructs members of staff on the topic of adult protection. They are aware of the types of abuse that might occur, what to do if they identify or suspect poor practice and who to turn to if they have concerns. The owners agreed to prepare and prominently display a copy of a simple complaints procedure that invited service users and their supporters to feel confident in commenting about how they felt the home was being run (a copy would also be placed as an appendix in the revised service user’s guide). St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 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 the following standard(s): 19, 26. The premises are suitable for the care and accommodation of older people. EVIDENCE: There are 6 single bedrooms and 1 shared bedroom on the ground floor and 5 single 1 shared on the 1st floor (accessed by stairs and stair-lift). The shared bedrooms are suitable for purpose by being well equipped (including ceilingglide curtains). Solar heating panels are being fitted. There are 3 bathrooms, two on the 1st floor 1 on the ground floor. Most use is made of the ground floor bathroom which is to be renovated soon and a new manual hoist installed. The home has a number of wheelchairs and a mobile hoist that are stored in the front hall when not in use. The garden is easily accessible by frail older people. Bedrooms are personalised with resident’s possessions. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 15 The premises were clean and without odours on the day of the inspection visit. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 There is a staff group that supports the needs of residents and running of the home. EVIDENCE: Two members of staff are on duty at night [one awake and one asleep (between 11.00 pm and 08.00 am)]. The owners share aspects of management and care work between them. There is a deputy manager to support them. Two to three members of staff are on duty during the day, in addition to a cook and cleaner. Previous inspection reports indicated that there is little staff turnover. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 37. The home is well established and service users interests are protected. EVIDENCE: Both owners have an NHS background: Mrs Bartlett was a nurse (RGN) and Mr Bartlett was a microbiologist (BSc & PhD). They take an active part in running the home. Mrs Bartlett has achieved the Registered Manager’s Award. The deputy manager is working towards this award. Profiles of service users discussed during the inspection visit, in particular those relating to some relatively seriously ill persons, indicated that good healthcare and personal support is provided. Records kept have the purpose of supporting individual regimes of care. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 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. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x 3 x St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 16 Good Practice Recommendations It is recommended that a copy of a simple complaints procedure (as discussed during the inspection visit) be prominently displayed at the home. St Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Leonards Rest Home DS0000011859.V271587.R01.S.doc Version 5.0 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!