Inspection on 31/08/05 for Stanbridge House

This inspection was carried out on 31st 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

Stanbridge House 19/01/09

Stanbridge House 28/07/08

Stanbridge House 13/06/06

Stanbridge House 06/02/06

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 Annie Taggart Unannounced Wednesday 31 August 2005, 10:00am st 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. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 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 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 Ms Kim Sanders Ms Kim Sanders Care Home 27 Category(ies) of PC Care Home only 27 registration, with number of places Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 14/3/05 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. 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 H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out at 9.30am and lasted for five hours covering the late and early shift in the home. During the course of the visit the inspector spoke to all of the people currently living in the home and held longer conversations with seventeen residents. A tour of the home was undertaken which included all communal areas and bedrooms and the inspector spoke with five staff members. The inspector saw lunch being prepared and spent time with residents over the lunch period to observe interactions with staff members. Six care plans were read with specific issues being tracked and five staff files were seen. Records regarding maintenance and health and safety were also seen and medication and resident’s finance checked. Prior to the inspection, the inspector read the last two inspection reports along with any other information and correspondence regarding the home. In order to receive further feedback and information, the inspector also spoke to three resident’s families via telephone. What the service does well: The home offers a homely, attractive and well- maintained environment for the people who live there. There are three separate gardens available and residents say they enjoy sitting out in good weather. The people living in the home say that their lifestyle choices and chosen routines are respected. There is a variety of fresh, home cooked food available and residents say they are given a choice of menus Activities are available to offer interest and stimulation and residents say they especially enjoy bingo sessions and card games. Residents and their families spoke highly of the staff team, who they say are committed, kind and caring. The service is run by a competent and caring manager who attends the home on a day-to-day basis. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 6 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. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 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 Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 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) 1, 2, 3, 4, 5, 6 There is sufficient information available to enable prospective residents and their families to make a choice about whether they wish to live in the home. Needs are assessed prior to admission and visits to the home are encouraged. EVIDENCE: There is a Statement of Purpose and Service User Guide available, which set out details of the facilities available in the home. The manager or deputy manager, visit prospective residents in their own homes or in hospital where comprehensive pre-admission assessments are carried out. Each new resident is given a contract detailing the terms and conditions of occupancy and the document is signed by the resident or their representative. Visits to the home are encouraged in order for people to check the facilities and meet the current residents and the manager said she is happy for people to make unplanned visits at any time. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 9 A family member said “When we visited the home it was friendly and welcoming, we were given a cup of tea and shown a copy of the last inspection report”. Stanbridge House does not provide intermediate care. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10, 11 Care plans are in place to inform the staff about the health and social care needs of each resident. There is evidence of input from a variety of health professionals and residents are treated with respect. EVIDENCE: Care plans are in place detailing the health and social care needs of each resident in the home. The plans contain personal details, preferred routines, health conditions, weight charts and risk assessments. A précis of the care plan is also placed in each person’s bedroom to alert staff members to areas of concern or routines that are important to the resident. There is evidence of input from a variety of healthcare professionals including district nurses, the mental health team and local doctors. Residents have access to opticians, chiropodists and routine health screening. The home has an agreement with a local pharmacy and uses a monitored dose system when administering medication. Generally the records were in good order but one tablet had been left in the blister pack but was signed for as having been administered. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 11 Staff members who administer medication receive accredited training, but a review of training and procedures should be undertaken. Three residents currently manage their own medication and have lockable facilities for storage. Risk assessments have been completed by the manager and disclaimers are kept on file. Residents say that they are treated with kindness and that their privacy is respected. One resident said, “I like it here, I am a private person and like to sit by myself in the garden and read. Staff are very kind and understand my wishes, they make sure I wear a sun hat so I don’t get burnt”. Wherever possible residents are supported to live in the home until the end of their lives. Decisions about whether nursing care is needed are made in conjunction with families and the resident’s doctor. Last wishes are detailed in care plans. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15 There are a variety of activities available to provide interest and stimulation for the people living in the home. Residents are supported in their lifestyle choices and families and friends are made welcome to the home. EVIDENCE: A programme of activities is posted in the home, which includes visiting musicians, music for health, bingo, dominos, card games and occasional planned outings. Two residents said they especially liked the bingo sessions, which are held twice weekly. Another resident said “love it here, I love going to the local village and I go for a walk by the sea. I also attend the church up the road and sometimes help with coffee mornings”. The home welcomes visitors at any time and residents can receive visits in private. A family member said “I visit my mother twice a week and I am always made very welcome. I am kept involved in my mother’s care and the manager will always discuss any concerns or changes in health with me”. There is a variety of fresh, home cooked food available and resident’s likes and dislikes are recorded in the kitchen. Lunch, which was the main meal of the day, consisted of roast pork, roast potatoes, three fresh vegetables with chocolate ice cream to follow. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 13 Residents were very complimentary about the food provided and one person said “The food is really excellent, just like my wife used to cook”. Residents said that at lunchtime they are given a choice of what they would like for supper and several people choose to have their meals on a tray in their rooms. Vegetarian, diabetic and pureed meals are available at the home and the cook said other diets could be catered for if required. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 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 standard(s) 16, 18 Residents and their families can be confident that any complaints and concerns will be taken seriously and acted upon. Staff members receive training in the protection of vulnerable adults and are monitored on their work practice. EVIDENCE: A complaints procedure is in place a copy of which is included in the Statement of Purpose and Service User Guide. A copy of the procedure is also posted in the home. There have been no formal complaints within the last year but a “grumbles” book is in use to record resident’s concerns and the actions taken to address them. The home has a copy of the West Sussex Adult Abuse Procedures and most staff members have attended the appropriate training. The manager of the home said it is intended that all staff members access the training in the near future. The staff spoke to during the visit were aware of their responsibilities should they suspect an abuse had taken place and the registered manager has a daily presence in the home to offer advice and monitor work practices. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 15 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, 21, 22, 23, 24, 25, 26 The home provides an attractive, homely and comfortable environment for the people who live there. There are easily accessible well-maintained gardens and the home is clean and hygienic. Risks were identified with regards to fire safety. EVIDENCE: The communal areas in the home are attractive and well maintained. The lounge has comfortable furniture and is attractively decorated and there is also another small sitting area on the first floor landing. The dining room is light and airy and easily accessible. There are three garden areas all of which are very attractive and well maintained and during the visit several residents were sitting out enjoying the good weather. There are sufficient toilet and bathing facilities available including assisted baths, raised toilet seats, hand and grab rails are in place to assist with mobility and to help to encourage independence. The district nurse team will provide additional specialist equipment if required. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 16 Resident’s private bedrooms are all attractively decorated and have been personalised with belongings brought to the home by the people living there. As rooms become vacant they are completely redecorated and in the last six months a programme has been completed to redecorate all of the bedrooms in the home. Residents said that they were very happy with their private bedrooms and also with the communal facilities available within the home. There are a few areas in corridors, which are continually being scratched as wheelchairs pass. The manager of the home is trying to address this problem. Almost all bedroom doors were wedged open which is an unacceptable fire hazard. The manager said that people became distressed if their doors were closed and often wedged them open themselves. Additional fire doors have been fitted to corridors the home in recent months to further address the situation but the risks still remain. It is a requirement that wedges are removed from doors, risk assessments are carried out for each resident and consideration is given to fitting magnetic closures to bedroom doors. The kitchen is in need of refurbishment and this has been identified in the environmental health report. The kitchen does not at present pose a health hazard and the manager said the refurbishment is being considered in the future plans for the home. Laundry facilities have been improved with the purchase new equipment and the washing machines are fitted with a sluice facility in order to address infection control. There were three cleaners working during the time of the visit and the home was clean and hygienic. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 17 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, 30 There are sufficient staff members available to meet the needs of the current residents in the home. New staff members are only employed following a robust recruitment procedure and a variety of training opportunities are available. EVIDENCE: There were three care staff and the manager on duty at the home, also the cook, a kitchen assistant and three cleaners. At night there are two waking staff on shift to offer care and support. The rota showed that there are sufficient staff members available to meet the needs of the residents currently living in the home. Residents and visitors to the home spoke very highly of the staff team and said that they were kind and caring. The manager works in the home on a day-today basis and along with the deputy manager monitors work practice and offers guidance to staff. Five staff records were seen. The recruitment records for new staff to the home were all in good order and contained all of the required documentation. All staff members working in the home have undergone current criminal bureau checks. Some of the staff team at the home has worked there for up to twenty one years and their files were already in place when the home was taken over by the current owner. The manager is at present reviewing and updating these files. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 18 Staff members at the home attend a variety of training courses including mandatory training, infection control, adult abuse, clinical activities and fire safety. Five staff members are at present undergoing a distance-learning course on dementia. The deputy manager of the home is an NVQ assessor and is about to complete the registered manager’s award and 50 of staff member have achieved NVQ2 or above. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 19 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) 31, 32, 33, 34, 35, 36, 37, 38 The manager of the home is competent and caring and runs the home in the best interests of both the people who live there and the staff team. Policies and procedures are in place to inform and support the staff. There are risks to residents identified in regards to the use of wedges in doors and medication administration. EVIDENCE: Ms Sanders is the owner of the home and also manages the service on a dayto-day basis. Ms Sanders has completed the Registered Manager’s Award, holds the Advanced Management of Care and attends further training in order to improve her knowledge and skills. Both the people living in the home and the staff team spoke very highly of Ms. Sanders and said that she was approachable, friendly and committed to providing a good service. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 20 A family member said that Ms Sanders was always willing to discuss issues and keep families involved. Another family member said that as their relative has memory loss Mrs Sanders always asked their advice regarding the person’s financial expenditure. The home holds small amounts of monies on behalf of residents and each person has a separate sheet recording all transactions. Receipts are kept and families are invoiced for larger amounts. The records of one resident was checked and found to be correct. Staff members at the home confirmed that they receive supervision, which is carried out be the manager or deputy manager. Care practice issues are discussed and teaching sessions carried out. At the present time supervisions are not happening on a regular basis as the deputy manager has been on long term leave from the home but now that she has returned plans are in place to resume the regular sessions. Records in the home were seen, including fire, gas, insurance certificate and maintenance checks and all were current and in good order. Health and safety checks are carried out including testing water temperatures and the home is well maintained. There is a quality assurance system in place, which gains feedback from residents, families and other professionals and a suggestion box and comment cards are placed in the entrance hall to the home. Replies received in respect of questionnaires sent by the service are collated by the manager, with outcomes published in the form of “pie charts”. A copy of the document is included in the Statement of Purpose. As previously stated there are risks to residents with regards to the administration and recording of medication and the wedging open of bedroom doors. Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 21 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 3 2 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 Standard No 16 17 18 Score 3 x 3 3 3 3 3 3 3 3 2 Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 22 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 OP 9 Regulation 13 Requirement Staff support and training should be reviewed to ensure medication procedures are followed at all times. To ensure the safety of residents, wedges should be removed form all doors in the home. Risk assessments should be carried out with regards to residents who wish to keep their bedroom doors open and consideration should be give to fitting magnetic closures. Timescale for action 15th September 2005 immediate 2. OP 19 13 3. OP38 23 30th September 2005 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 Stanbridge House H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 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 H60-H11 S14744 Stanbridge House V247032 310805 Stage 4.doc Version 1.40 Page 24 - 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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