Inspection on 11/08/05 for St Michael`s Care Home

This inspection was carried out on 11th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Michael`s Care Home 26/07/07

St Michael`s Care Home 15/08/06

St Michael`s Care Home 02/03/06

St Michael`s Care Home 24/11/04

St Michael`s Care Home 20/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE St Michaels Care Home Marine Parade East Clacton on Sea Essex CO15 6JW Lead Inspector Jane Greaves Unannounced 11 August 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Michaels Care Home Address Marine Parade East, Clacton on Sea, Essex CO15 6JW 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) 01255 423688 01255 423594 The Sisters of Mercy of the Union of Great Britain Mrs Patricia Elizabeth Ebsworth Care Home 39 Category(ies) of Old age, not falling within any other registration, with number category(39) of places St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 24/11/04 Brief Description of the Service: St Michaels provides residential care for 39 older people. The home is situated on the sea front at Clacton on Sea and is close to local shops and amenities. The building is a large property spread over three floors. There is a religious community adjacent to the home and a Chapel that is shared by the home, Convent and the local community. There are gardens and terrace areas around the property with views over the sea. There is a small car park for visitors with ample roadside parking nearby. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place on 11th August 2005 over 5 ½ hours. 17 of the 38 National Minimum Standards were assessed at this inspection and all were met. During the inspection process the inspector spoke with 12 residents, 5 family members, the manager, deputy manager, building manager and 9 staff members. A physical tour of the premises was undertaken. The level of assistance and participation from all concerned in the inspection process on the day was greatly appreciated by the inspector. Overall the standard of care at St Michael’s was good as evidenced by the findings of this inspection and the positive feedback from residents on the day of the inspection. What the service does well: What has improved since the last inspection? The previous inspection did not result in any requirements or recommendations. The registered manager and staff had supported the residents to benefit from a charitable project enabling them to undertake training in the use of computers. Residents were provided with a computer, scanner and digital camera and were offered tutoring and mentoring in the skills to operate the equipment. 16 of the 34 residents had embraced this opportunity and exhibited excitement and enthusiasm towards the project. Participants spoke of the thrill of accessing memories via the Internet and the stimulation this activity provided. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 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 Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 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 Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 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) 3 Residents move into St. Michael’s assured that their needs are assessed and will be met. EVIDENCE: Prospective residents to St. Michael’s had their needs assessed by people trained to do so before entering the home. The assessments were undertaken by the Care Manager and were comprehensive encompassing the physical, spiritual and emotional needs of the individual. One resident recently admitted to the home spoke of the assessment process and of the family consultation and involvement. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 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) 10 Residents were treated with respect and their right to privacy was upheld. EVIDENCE: The arrangements for health and personal care ensured that residents’ privacy and dignity were respected at all times. All residents consulted during this inspection process confirmed that they felt valued, respected and protected by St Michael’s management, staff and ethos. Residents had access to telephones at any time; calls could be made from the privacy of the manager’s office if required. Many residents had private telephones in their own rooms. Staff members were observed to use individual forms of address preferred by each resident. All staff members received instruction on how to treat residents with dignity at all times as part of the home’s robust induction process. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Residents’ experiences within the home matched their expectations and preferences whilst satisfying their social, cultural, religious and recreational interests and needs. Residents were encouraged to maintain contact with family, friends and the local community as they wished. Residents were encouraged to exercise choice and control over their lives. Residents received a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: The routines of daily living at St Michael’s were observed to be flexible and varied to suit residents’ expectations and capacities. A social activity programme and chatty newsletter were published monthly and distributed to all residents informing them of events in the locality as well as in the home. Residents had the opportunity to attend daily Mass in the Chapel, members of the local community joined with residents. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 11 Individuals had flexibility and choice with regard to matters of daily living. Residents stated they chose when to go to bed or rise, how they personalised their rooms, what activities they participated in and they had a choice of meals offered. Residents were encouraged to maintain contact with family and friends. Visitors were made welcome at any time and residents had the choice of receiving them in their own rooms or in a bright cheerful parlour. Overall, residents spoken with confirmed they found the food provided at St Michael’s to be wholesome and appetising. One resident said of the food, “you couldn’t better it”. The majority of the residents took breakfast in bed daily whilst other meals were served in the dining room. The home employed dedicated catering staff to prepare food and wait on tables. Menus demonstrated that the residents had a choice of two main meals daily and that menus were rotated every 6 weeks. The chef consulted with residents regarding their dietary requirements individually every 2 weeks and attended residents meetings. Some residents required assistance at mealtimes; this was delivered in a quiet and dignified manner. On the day of the inspection residents were observed enjoying their midday meal in the pleasant dining room in a relaxed and social manner. The residents have access to a daily ‘trolley shop’ where they may purchase personal items such as toiletries, birthday cards and sweets. The residents have decided to purchase a plasma screen television for their communal space; this will be funded by a ‘Strawberry Tea’ fundraising event undertaken this summer at the home. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 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) 16 and 18 Residents, their families and friends were confident that complaints would be listened to, taken seriously and acted upon. Residents were protected from abuse. EVIDENCE: St Michael’s operated a simple, clear and accessible complaints procedure including the stages and timescale for the process. The home had not received any complaints since the previous inspection. The manager stated that the management team operated an ‘open door’ policy enabling residents and families to address any areas of concern before they develop into complaints. All residents and family members spoken with during the course of this inspection confirmed that if there were any areas of concern they would have no hesitation in discussing these with the manager and/or the deputy and they were confident their opinions and feelings would be valued. The manager and deputy had received training in the Protection of Vulnerable Adults from abuse. This training had been cascaded trough the remaining staff team including the catering, domestic and laundry staff. All new staff members undertook an enhanced Criminal Record Bureau disclosure and were checked against the PoVA referral list. During discussion the manager demonstrated a good understanding of PoVA procedures. Some ‘pocket monies’ were held by the home on behalf of some residents with complex needs. Two signatures were present for all transactions, receipts were cross-referenced and individuals’ funds were maintained separately. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 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, 20 and 26 Residents lived in a safe well-maintained environment. Residents had access to safe and comfortable indoor and outdoor communal facilities. The home appeared clean, pleasant and hygienic. EVIDENCE: The location and layout of the home was suitable for its stated purpose; it was accessible, safe and well maintained; the home met residents’ individual and collective needs in a comfortable and homely way. The home employed a building manager responsible for routine maintenance, decoration and refurbishment. There were plans already agreed by the Trustees to install a ‘wet room’ specifically with highly dependent residents needs in mind. At the time of the inspection equipment such as shower chairs was being assessed for suitability. The residents at St Michael’s benefited from spacious well-decorated communal areas. The gardens were attractive, well kept, safe and accessible St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 14 to all residents. Lighting and furniture throughout communal areas was domestic in character and of good quality. On the day of the inspection the home appeared clean, fresh, welcoming and friendly with no offensive odours present. There was a dedicated team of house keeping staff to maintain the home to this standard. Laundry facilities were sited away from food preparation areas. The home employed dedicated laundry staff and all residents spoken with praised the laundry service at St Michael’s. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 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) 27,28,29 and 30 Residents’ needs were met by appropriate numbers of skilled staff competent to do their jobs. Residents were safe at all times and were supported and protected by the home’s robust recruitment practices. EVIDENCE: Staffing rotas and discussions with management demonstrated that the residents’ needs were met by an experienced staff team including care staff, laundry staff, domestic staff, and catering staff. No care staff below the age of 21 were employed by the home. The staff at St Michael’s were committed to the NVQ programme. At the point of this inspection 80 of care staff had achieved NVQ level 2 or above. The home did employ agency staff when the need arose; they had a good relationship with the agency and ensured continuity of care by the provision of regular staff to the home. The registered person operated a thorough recruitment procedure in order to ensure the protection of the residents. One volunteer attended St Michael’s regularly and the manager had obtained a Criminal Record Bureau disclosure for this person. All staff received induction training relevant to the area of work they were to perform. All staff received training in the mandatory areas required to meet St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 16 the National Minimum Standards. Service user group specific training had been provided for care staff as a result of liaison with the local NHS Trust. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 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 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) 32 and 35 Residents’ benefit from the ethos, leadership and management of the home. Residents’ financial interests were safeguarded. EVIDENCE: The people residing at St Michael’s Care Home were supported and protected by the open positive and inclusive management style of the registered manager and deputy; this was evidenced through consultation with residents, visitors and staff members. All 12 residents consulted stated that if they felt they had any concerns regarding any aspect of life at St Michael’s they would be confident in approaching the manager or deputy and that their opinions and feelings would be respected. ‘Pocket monies’ were held by the home on behalf of some residents with complex needs. Two signatures were present for all transactions, receipts St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 18 were cross-referenced and individuals’ funds were maintained separately and appropriately. St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 19 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 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 x x 3 x x x St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation 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 Good Practice Recommendations St Michaels Care Home I56-I05 S15327 St Michaels V243857 110805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Fairfax House Causton Road Colchester, Essex CO1 1RJ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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