Inspection on 13/02/06 for St Peters Convent

This inspection was carried out on 13th February 2006.

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 Peters Convent 02/05/08

St Peters Convent 03/05/07

St Peters Convent 16/10/06

St Peters Convent 24/08/05

St Peters Convent 16/01/05

St Peters Convent 02/06/04

St Peters Convent 26/02/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE St Peters Convent 15 St George`s Terrace Herne Bay Kent CT6 8RQ Lead Inspector Christine Lawrence Unannounced Inspection 13 February 2006 10:30 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 Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 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 Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Peters Convent Address 15 St George`s Terrace Herne Bay Kent CT6 8RQ 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) 01227 744000 Sisters of the Sacred Hearts of Jesus and Mary Vacant Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24 and 25 August 2005 Brief Description of the Service: St. Peter’s Convent is a care home providing personal care and accommodation for older people aged 65 years and over. It is owned by the Sisters of the Sacred Hearts of Jesus and Mary. The home is located on the seafront in Herne Bay. It is within easy reach of the local shops, amenities and public transport. The home was opened in 1997 and consists of a four storey listed building. The property also houses a convent. Residents’ accommodation is on the first and second floors. All residents occupy single rooms with en-suite toilet facilities and some with a shower. A shaft lift provides access to all floors. At the rear of the property there is an attractive, wellmaintained enclosed garden with a patio, lawns and flowerbeds. St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a short unannounced visit to inspect the core standards not inspected at the announced inspection in August 2005. Please refer to this previous inspection report for more information about the home. During this visit the inspector spoke to the manager, deputy manager and a member of care staff. Two residents spoke to the inspector and some records were looked at. What the service does well: What has improved since the last inspection? 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 Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 6 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 Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 7 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): None at this time Please see the report from the previous inspection of 24 August 2005 for more information about this home. EVIDENCE: St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 8 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): None at this time Please see the report from the previous inspection of 24 August 2005 for more information about this home. EVIDENCE: St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 9 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): None at this time Please refer to the report from the previous inspection of 24 August 2005 for more information about this home. EVIDENCE: St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 10 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 and 18 Residents and their representatives can be confident that their concerns and complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: Two members of staff confirmed that ‘small’ concerns such as a query about food or laundry will be taken seriously and will be dealt with at the time. There is a book entitled “Suggestions” which contains comments written by members of staff on behalf of residents and with ideas and requests of their own. This is a useful system for ensuring that everyday things do not progress to become issues that need a formal complaint. The complaints procedure is included within the service user guide and there is also information about how to contact the Commission for Social Care and the Trustees of the Sisters of the Sacred Hearts of Jesus and Mary. There are in house policies relating to complaints and concerns which highlight residents’ rights and provide guidelines to staff. Management also share complimentary or thank you letters/cards with staff members. The home has a copy of the Kent and Medway procedures for adult protection and there are also in house procedures which include one on ‘whistle blowing’. Recent staff actions confirmed an awareness of the importance of this. Policies regarding protecting residents from financial abuse are also in place and the procedures for managing residents’ money (seen at the previous inspection) are appropriate. St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 11 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): None at this time Please see the report from the previous inspection of 24 August 2005 for more information about this home EVIDENCE: St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 12 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): 28 Residents benefit from the high levels of staff with National Vocational Qualifications (NVQ). EVIDENCE: Most members of staff have either completed NVQ assessments or are in the process of doing so. Both the manager and deputy have completed NVQ Level 4. It is planned for two new members of staff to undertake their NVQ Level 3 assessments. This was confirmed by talking to staff. St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 13 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 and 33 The home is managed by a person who is fit to be in charge and fully aware of her responsibilities. EVIDENCE: As noted above, the manager, Patsie Tweedie has NVQ Level 4 Care and she also has Level 4 in management. She has a nursing background and maintains her professional registration. She has many years experience of caring. She gave examples of short courses she has undertaken to ensure she keeps up to date with current practices. The manager is very clear about her role within the home and there are clear lines of accountability both within and external to the home. Mrs Tweedie is in the process of applying for registration with the Commission for Social Care inspection. St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 14 Much work is already being done with regard to monitoring quality within the home. The service user guide includes information about this. There was evidence that residents are being asked their opinions using a form entitled “About the Home”. Visits are undertaken by a representative of the owners under Regulation 26 of the Care Home Regulations. The manager has identified that some more work needs to be done to ensure that this standard is met in terms of the Regulation which underpins it (Regulation 24). St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 15 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 10 11 X X X X X X X X STAFFING Standard No Score 27 28 29 30 X X X X 3 X X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X X St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 16 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 OP33 Good Practice Recommendations The plans to build on the work already undertaken should be progressed. St Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Peters Convent DS0000023549.V277032.R01.S.doc Version 5.1 Page 18 - 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!