Inspection on 24/08/05 for St Peters Convent

This inspection was carried out on 24th 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 Peters Convent 02/05/08

St Peters Convent 03/05/07

St Peters Convent 16/10/06

St Peters Convent 13/02/06

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 Georges Terrace Herne Bay Kent CT6 8RQ Lead Inspector Christine Lawrence Announced 24&25/08/05 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 Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Peters Convent Address 15 St Georges Terrace, Herne Bay, Kent, CT6 8RQ 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) 01227 744000 01227 744009 Sisters of the Sacred Hearts of Jesus and Mary Patricia Tweedie to apply Registered Care Home 34 Category(ies) of Care Home for Older People registration, with number of places St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16/01/05 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, well-maintained enclosed garden with a patio, lawns and flowerbeds. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which was carried out over two days. During this time the inspector joined residents for lunch on one day and sat chatting informally to residents in one of the lounges. The manager was available for discussions and some other staff also provided information. A tour of parts of the home was undertaken and various records were looked at. Seven residents completed comment cards and so did two relatives. 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 H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 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 standard(s) 3 Needs are assessed prior to admission so residents can be assured that they will be met. EVIDENCE: Four care plans were viewed during this inspection and they included preadmission information. This includes information about background and preferences for personal routines as well as identifying care needs. Other information came from placing authorities and in one case, from a hospital that a resident had been in previously. One more recently admitted resident’s care plan showed a pre-admission questionnaire format that had been improved. The information in the pre-admission questionnaire is used to compile a care plan (see Standard 7). St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10 Residents’ personal and health care needs are set out in an individual plan of care, ensuring that staff are fully aware of needs and how to meet them. Residents are protected by the home’s policies and procedures regarding medication. The home’s practices mean that residents are treated with respect and their privacy is upheld. EVIDENCE: As noted above, care plans for four residents were viewed during this inspection. These plans are drawn up with the involvement of the resident wherever possible and residents’ signatures were noted on care plans. The plans showed that they are reviewed monthly or more often if necessary, to reflect any changes. Risk assessments are in place for a variety of things including falls. Residents felt that staff understood what their needs are and staff members reported that the care plans provided them with the appropriate information about individuals. As well as important health care needs this would also include reference to personal preferences such as make-up, jewellery and how a resident would like to be addressed. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 9 The Waterlow assessment tool is used to monitor residents’ risks of developing pressure areas and to identify if any special equipment is needed. Nutrition needs are also monitored through a risk assessment format. All residents are registered with local general practitioners and other health care professionals, such as chiropodists, community nurses, opticians and dentists are accessed as required to meet residents’ health care needs. Although all of the relevant information is in place, some of the care plans need to tidied up to ensure that information can be found easily by staff. There are appropriate policies and procedures in place regarding medication. The records of administration and the storage of medication were all satisfactory. The staff members responsible for giving out medication have received training. Senior staff confirmed that medicines would be retained for a period of seven days after the death of a resident. The records showed that staff involve general practitioners if there are any concerns about medication. All residents have single rooms with en suite facilities. As previously noted, residents’ preferences for how they wish to be addressed are recorded. There are facilities for making phone calls in private and staff and residents confirmed that personal mail is passed to residents unopened. There are facilities for meeting with visitors in private. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 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’ wishes regarding social contacts and activities are identified and responded to. Residents are supported to maintain contact with family/friends and are able to exercise choice giving them control over their lives. Residents receive a wholesome, appealing and balanced diet in pleasant surroundings. EVIDENCE: Through chatting with residents and staff it is clear that that opportunities for making choices about all sorts of things are created. Residents who are able to, go out independently as they wish; there are choices at mealtimes; getting up and going to bed times reflect personal preferences; residents can choose to spend time in their own rooms as they wish; and also to pursue their own interests or join in communal activities. Some residents choose to have breakfast in their own rooms and there were examples of residents making choices about where to eat their meals through the rest of the day. It is clear from the Statement of Purpose, as well as talking to residents that they are enabled to maintain contacts with friends and relatives. Information about residents’ contacts/next of kin etc is recorded within their individual plan. Staff confirmed that residents’ visitors are made welcome. Visitors are welcomed at all reasonable times. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 11 Residents confirmed that they were able to bring personal possessions into the home when they moved in and also that they managed as much of their own finances as they were willing and/or able. The home is aware of the Data Protection Act 1998 and its responsibilities regarding access to personal information. Of the seven residents who completed comments cards, all said that they liked the food. Joining the residents for lunch on one of the days of the inspection gave the inspector the opportunity to chat to residents. The food was very tasty and was well presented, with staff assisting and clearly aware of residents’ choices and preferences. The tables were attractively set and there were little touches that reflected the importance placed on mealtimes ie fresh flowers, warmed plates, menu on display and smaller size plates for those residents who prefer small portions. The records seen reflect variety and choice as well as the wish to provide a balanced and nutritious diet. For the midday meal there is always an option of soup and there is also a choice of a hot or cold sweet. Afternoon tea is included on the menu, identifying different cakes or biscuits. There is also a choice to be made about the meal served at suppertime. Residents clearly enjoyed the food and the service. One person said, “…it’s just like being in a first class hotel…” and another said that the standard was always high. There is always an option of a fish dish on a Friday but there are currently no other religious or cultural dietary needs. As previously noted residents are also able to make choices about where they eat their meals. There are kitchenettes on each floor allowing for residents to access snacks eg bread, cheese, biscuits, fruit, toast etc and drinks. Staff will assist those residents not able to use this facility if they wish for a snack. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 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) None These standards were not assessed at this time. EVIDENCE: St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 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 and 26 Residents benefit from a well-maintained, safe, clean and pleasant environment. EVIDENCE: The building is very well maintained, as are the extensive gardens. There is a caretaker/gardener in post and external contractors will be called in as required. All areas are accessible as there is a lift to all floors and lifting platforms where there are a small number of steps. The gardens are also very accessible to people with any mobility difficulties. There are no outstanding requirements from the local fire safety officer or the local authority environmental health officer. The laundry has all appropriate machinery including a machine with a sluicing facility. The area is kept clean and staff confirmed that there are relevant policies and procedures. There are suitable hand washing facilities throughout the home. There are designated laundry staff and cleaning staff. The home was clean, with no offensive odours, on the day of the inspection. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 14 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, 29 and 30 The procedures for recruiting new staff, as well as staff levels and training programmes within the home, benefit residents and ensure that their needs are met. EVIDENCE: The records showed that there are sufficient staff on duty and this includes staff other than care staff to ensure that standards relating to food/nutrition and cleanliness are met. This inspection included a review of three staff records which indicated that at least two written references are sought and an application form is used to ascertain background information including any gaps in employment records. Criminal Record Bureau checks are undertaken and the home also uses the PovaPlus procedure. Records seen, as well as conversations with individual staff and the manager, indicate that training is considered an important part of staff development. This includes a programme of induction and basic training as well as opportunities for further training such as National Vocational Qualifications, medication, dementia awareness and nutrition. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 15 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 and 38 Policies and procedures are in place which safeguard residents’ financial interests. The promotion of good practice regarding health and safety issues benefits residents. EVIDENCE: The systems for supporting residents finances was viewed and a member of staff went through some of the records with the inspector. These records were detailed and supported by receipts where appropriate. There are policies and procedures which relate to residents’ finances. The records indicate that there is a rolling programme through induction and ongoing training, which covers relevant aspects of health, and safety training. There are also three people who are now trainers for manual handling. Information was available to members of staff. Accidents were properly recorded in keeping with the Data Protection Act and the manager is fully aware of her responsibilities to report things to the Commission and others. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 16 Compliance with health and safety legislation was reflected in the policies and procedures available in the home, training programmes, record keeping and staff comments. The records kept were very well maintained especially the fire safety records. A spot check on various maintenance and service contracts (including gas, electricity, fire fighting equipment and lifting equipment) showed that these are appropriate and up to date. The in-house fire safety training and record of staff drills were noted as meaningful in terms of their relevance to what happens within the home and the honest way it is used to inform practice and improvements. St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 3 x x 3 St Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 18 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 Peters Convent H56-H05 S23549 St Peters Convent V235822 240805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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. 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