Inspection on 13/06/06 for Stanbridge House

This inspection was carried out on 13th June 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

Stanbridge House 19/01/09

Stanbridge House 28/07/08

Stanbridge House 06/02/06

Stanbridge House 31/08/05

Stanbridge House 14/03/05

Stanbridge House 04/11/04

Stanbridge House 06/05/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 Stanbridge House 56-58 Kings Road Lancing West Sussex BN15 8DY Lead Inspector Mrs A Taggart Key Unannounced Inspection 13th July 2006 09:00 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 Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 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. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanbridge House Address 56-58 Kings Road Lancing West Sussex BN15 8DY 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) 01903 753059 care@stanbridgehouse.com Ms Kim Sanders Ms Kim Sanders Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: Stanbridge House is a care home registered to provide accommodation and personal care for twenty- seven elderly (over the age of 65) persons. The establishment is privately owned by Ms Kim Sanders who is also the Registered Manager of the home. Stanbridge House is a large detached property, which has been extensively extended to provide accommodation on two floors. The home has twenty- five single and one double room, which is at present being used for single occupancy. Nine rooms have en-suite facilities. There are two sitting rooms and a dining room available for communal use and three garden areas provide a choice of private and attractive outdoor space for residents to enjoy. Situated in a quiet residential area of Lancing, the establishment is approximately one mile from the town centre and a similar distance from the sea. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit was carried out at 9.15am and lasted for 6.5 hours, which covered the early and late shifts worked by the staff team. During the visit a tour of the building was undertaken during which all communal areas and private bedrooms were seen, the inspector saw lunch being prepared and served and checked the medication system. The inspector spent time talking to residents and staff, two visitors and a district nurse and also observed staff interactions and work practices. Five care plans were tracked, with any relevant issues arising being discussed with the manager or staff members and five staff files were also seen. Records for the running of the business were checked, including complaints, accident and incident recording and maintenance and health and safety records. Prior to the visit the last two inspection reports were read and an inspectionplanning document was completed. A letter of complaint and other relevant documentation and correspondence were also used to inform the visit. The manager Mrs. Sanders was present, assisted with information and documentation and was given feedback. The inspector thanks everyone who assisted during the day. What the service does well: The home is comfortable, clean and attractively decorated and people say they are happy with their personal bedrooms. To ensure that the home can meet needs, pre admission assessments are carried out and residents and their families are involved in the care planning process. Activities and outings are provided to offer interest and stimulation; residents access the local community, have contact with family and friends and receive a variety of fresh, home cooked food. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 6 Residents speak highly of the manager, deputy manager and the staff team, many of whom have worked in the home for a number of years. What has improved since the last inspection? What they could do better: To ensure the safety of residents and the staff team, risk assessments both personal and environmental should be reviewed or completed and a photograph of each resident should be added to their care plan. To ensure that current reporting guidelines are included, the in-house abuse policy should be reviewed and updated. To assist with staff skills it is recommended that consideration should be given to accessing training on dealing with difficult behaviours. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 7 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. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 8 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 Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 9 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): 1346 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Pre-admission assessments are carried out to ensure that the home can meet individual care needs. EVIDENCE: The home has a current Statement of Purpose and Service User Guide, copies of which are sent to prospective residents or their families. The manager or deputy manager visits potential residents in their current accommodation and carries out pre-admission assessments to ensure the home can meet their needs. The pre-admission assessments for one new resident and one person accessing respite care were seen and both documents contained sufficient information regarding the care needs and preferences of each person. Stanbridge House does not provide intermediate care. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 10 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 10 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Care plans are in place and health needs are met by a variety of healthcare professionals. To ensure resident’s safety, risk assessments should be in place. EVIDENCE: For each resident living in the home, there is a plan of care in place, which details family background and health and social care needs. Families and residents are included in setting up the care plan and provide information regarding background, needs and preferences. The deputy manager said that recently “daily needs” sheets had been introduced and these would be kept in resident’s own bedrooms to inform the staff team of the individual personal care needs and preferred routines for each person. Care plans are reviewed on a regular basis and changing needs are discussed at shift handover time. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 11 There is evidence of the home working with a variety of healthcare professionals and residents said they had access to their own general practitioners. A district nurse said that referrals were appropriately made and that the staff team were good observing and reporting any concerns or changes in condition. The district nurse team also provides pressure-relieving equipment as needed. In several care plans, risk assessments had either not been completed or reviewed. Risk assessments both personal and environmental should be completed in order to ensure that residents are protected at all times and each care plan should contain a photograph of the person it relates to. Daily records show that there are occasions where staff members have to deal with difficult behaviours and a recommendation has been made regarding accessing appropriate training. Medication is appropriately stored and the home has an agreement is in place with a local pharmacist. A monitored-dose system is used to administer medication and staff members receive the appropriate training. Medication recording sheets were complete and current and medication was well managed. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 12 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): 12 13 14 15 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Outings and activities are provided and there are a variety of fresh home cooked meals available. EVIDENCE: A programme of activities is provided including weekly bingo and card sessions, which residents said they enjoy and also outside entertainers such as singers and music for health attend the home. Monthly outings are arranged using the local community transport and some residents also like to go out on their own for a walk or to attend the local church group. One person said, “ I go off to the bank or shops on my own and call a taxi to take me when I want to go”. Another person said, “ I dont like being organised, I want to do, what I want to do, when I want to do it and people respect that.” Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 13 There was a hairdresser present and many of the residents said they enjoyed having their hair done on a weekly basis. Two visitors said that they were made welcome at any time and many residents have their own phones fitted in order to keep in regular contact with family and friends. People had newspapers, books and magazines in their rooms and one lady was working on a tapestry. There are a variety of fresh, home cooked meals on offer and residents said that an alternative was always made available if they did not want the meal provided on the menu. Lunch was cottage pie with fresh parsnips and cabbage; three people chose to have an option. Sweet was apple and blackberry pie with custard and the cook said that as a response from requests from residents a smaller sweet was also offered at suppertime. Special diets can be catered for and “grumbles” or ideas about food are recorded with relevant action taken signed by the manager or cook. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 14 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 18 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Complaints and concerns are recorded and appropriately addressed and the staff team attend training in protection from abuse. To ensure that the correct reporting procedures are followed the in-house policy should be reviewed and updated. EVIDENCE: The home has a complaints procedure a copy of which is included in the Statement of Purpose. One formal complaint has recently been recorded and this has been investigated and the results fed back to the complainant within the agreed timescales. There is also a “grumbles” book in place, where concerns or ideas from residents are written and relevant action taken recorded. Mrs. Sanders said that most of the staff team have now received training in the protection of vulnerable adults from abuse and others would attend in the near future. The deputy manager also runs in-house training including staff approaches and practice and a session is booked regarding diversity issues. The staff members on duty were aware of their responsibilities and said they would have no hesitation in reporting to the manager any suspected abuse. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 15 The in-house policy on abuse needs to be updated to reflect the current Protection of Vulnerable Adults reporting guidelines. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 16 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 to 26 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The home is attractive, clean and well maintained and residents are happy with their private space. EVIDENCE: The home offers a well -furnished and homely environment for the people who live there. In addition to the lounge area, there are sitting areas situated around the home and many rooms overlook the attractive, easily accessed gardens. There are adequate bathing and toilet facilities including assisted baths and showers and the home is fitted with additional equipment such as hand- rails to assist mobility and independence. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 17 All resident’s private bedrooms were seen and all were attractively decorated, had a call bell installed and many had people’s own furniture fitted. All rooms have been personalised with pictures, ornaments, books etc and several people had their own telephones. Many of the rooms have been redecorated during the last year and residents stated that they were very happy with their private space. Mrs. Sanders said that magnetic closures had been ordered for some people who liked to keep their bedrooms doors open during the day and that these would be fitted in the near future. The kitchen would benefit from a refurbishment and update and Mrs. Sanders said that this had been included in the future development plan for the home. As at the last two visits, there were three cleaners working and the home was very clean and hygienic. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 18 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 to 30 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. There are sufficient staff available to meet the assessed needs of current residents and training and supervision are carried out. EVIDENCE: The staffing rota showed that there are sufficient numbers of staff on duty to meet the assessed needs of the people currently living in the home and the staff on duty matched the rota. In addition to the registered manager there was the deputy manager and two carers, three cleaners a cook and kitchen assistant and the afternoon and evening shift showed three carers on duty, with two people carrying out waking nights. Residents and visitors spoke highly of the skills and commitment of the staff team, one person said, “ If you can’t be at home, this is second best, the staff are kind and caring and the food is good”. Another person said, “ staff are very good, kind and helpful and they are very patient”. The staff team receives supervision from either the manager of deputy manager and training is accessed through colleges and a local hospital. Courses attended include mandatory training, adult abuse awareness and medication, some people needed to attend updates. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 19 The target of 50 of staff holding the NVQ award has not yet been met and it is recommended that the home also access training in dealing with difficult behaviour. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 20 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 32 33 36 37 38 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The home is well managed, and most records are in good order. EVIDENCE: The owner of the home, Mrs. Sanders who is also the registered manager, has completed the Registered Manager’s Award and the City and Guilds Advanced Management of Care. Mrs. Sanders works in the home on a day-to-day basis and residents, staff and visitors speak highly of her commitment and approach. One visitor said, “ The manager of the home is lovely, always bright and cheerful and keeps me in the picture”. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 21 Both the manager and deputy manager carry out staff supervision and records are kept in the home. There is a quality assurance system in place, which elicits the views of residents, families and professionals by the use of questionnaires. The manager collates replies and outcomes are published. Records were seen including the complaints book, staff records, accident and incident recording and fire and health and safety books and all were current and in good order. Maintenance records were also current To ensure that both residents and staff are protected, risk assessments both personal and environmental should be reviewed or completed and consideration should be given to accessing training for staff in dealing with difficult behaviours. As previously stated, to ensure that the correct procedures are followed the inhouse abuse policy should be reviewed and updated to ensure it includes current reporting guidelines. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 22 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 3 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X X 3 2 Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 23 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. 1. Standard OP7 Regulation 15 Requirement Care plans should include a photograph of the resident and current risk assessments both personal and environmental should be included. Timescale for action 15/08/06 2. OP18 17 The in-house adult abuse policy should be reviewed and updated 15/08/06 to include current PoVA reporting guidelines. 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 OP28 Good Practice Recommendations As good practice, consideration should be given on accessing staff training regarding dealing with difficult behaviours and the home still needs to meet the 50 NVQ target. Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Stanbridge House DS0000014744.V303523.R01.S.doc Version 5.2 Page 25 - 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. 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