Inspection on 06/02/06 for Stanbridge House

This inspection was carried out on 6th 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

Stanbridge House 19/01/09

Stanbridge House 28/07/08

Stanbridge House 13/06/06

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 Unannounced Inspection 6th February 2006 09:30 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 Stanbridge House DS0000014744.V281989.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. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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.V281989.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st August 2005 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.V281989.R01.S.doc Version 5.1 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 4.5 hours covering the early and late shifts at the home. The inspector spoke to all of the residents, four staff members, two visitors, the hairdresser and a doctor who was visiting a resident. A tour of the home was undertaken during which all communal and private bedrooms were seen and the inspector saw lunch being prepared and served. Care plans and staff files were seen with any issues being tracked and discussed with the manager and the inspector also saw the storage and administration of medication. Documents for the running of the home were also seen including health and safety records maintenance checks and staff training files. The Registered Manager Mrs. Sanders was present and assisted with information during the visit. What the service does well: What has improved since the last inspection? The programme of redecoration and refurbishment of bedrooms is continuing and residents say they are very happy with the changes. The deputy manager has completed the Registered Manager’s Award and medication procedures are now in good order. There is a plan in place to redecorate and modernise the lounge, hall and stairs. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 the following standard(s): 12345 Prospective residents and their families are given sufficient information to enable them to make a choice about the home and needs are assessed and recorded. Visits to the home are encouraged and people receive a contract of terms and conditions. EVIDENCE: The home has a Statement of Purpose and Service User Guide available, a copy of which is sent to prospective residents on request. The records of three new residents were seen and all contained a preadmission assessment carried out by the manager and also personal details and background information. Each resident also had a contract in place setting out the terms and conditions of occupancy and the documents had been signed by either the resident or their representative. During discussion with residents it was confirmed that they or their family had visited the home prior to admission to meet with other people living there and assess the facilities available. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 Page 9 Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 Care plans contain sufficient information to inform staff of the needs of the people they support. There is evidence of input from other health professionals and medication is well managed. EVIDENCE: Each resident has a plan of care in place, which has been developed from the assessment process. The documents contain information on routines, personal care needs, health monitoring and risk assessments. For new residents, families are involved in setting up the plans and providing personal information and background so that care needs can be better understood by the staff team. Care plans are regularly reviewed and a précis of each individual’s plan is kept in their room for easy reference. Records show that the home has input from a variety of healthcare professionals including community mental health teams, district nurses and local doctors. A doctor who was at the home during the visit said that they found the atmosphere to be caring and the home well run and that doctors were called out appropriately to residents when needed. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 Page 11 The home uses a monitored dose system for medication and there is an agreement in place with a local pharmacist. Medication was appropriately stored and records were in good order. For one resident, who manages their own medication, a risk assessment is in place, suitable storage is provided and a signed disclaimer is kept on file. The people living in the home said that they were treated with dignity and that their wishes are respected. One person said, “ It’s really important to me that I am allowed to go at my own pace and keep some independence. Staff are kind and supportive and help me to do that”. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 Activities are available to provide interest and stimulation and lifestyle choices are respected. Visitors are made welcome and a variety of fresh, home cooked meals are available. EVIDENCE: There is a programme of activities available including visiting musicians, keepfit sessions and bingo and in better weather residents said they enjoyed the monthly outing to the country or seaside. Some residents attend a local church-run group, which they really enjoy and one person is very involved with regularly helping at their church activities. During the visit one person was seen to take themselves off for a walk to the local shops. Some people said that they did not wish to join in with any organised activities and that their wishes were respected. A hairdresser was present in the home and said she enjoyed coming as it was such a friendly and welcoming place. There is evidence that residents are supported and encouraged to keep in touch with family and friends and many have their own phone fitted. Two visitors said that they came to the home twice weekly, were always made very welcome and kept informed of their family members needs. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 Page 13 A variety of fresh, home cooked food is available and alternatives are offered at each meal. Lunch was either liver or lamb stew with three fresh vegetables with strawberry cheesecake to follow. Special meals such as vegetarian, pureed and diabetic diets can be catered for and people can choose where they eat. Residents were very complimentary about the meals provided and likes and dislikes are recorded and catered for. Visitors can also have a meal with their family member, should they wish to do so. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 17 18 The home has a complaints procedure and a “Grumbles” book and issues are acted upon as soon as possible. Resident’s legal rights are protected and the staff team have an awareness of adult protection issues. EVIDENCE: No formal complaints have been recorded in the last year but “grumbles” and concerns are taken seriously and acted upon. Residents and visitors said that they felt confident about making a complaint either to the manager or deputy manager and all felt that they would be listened. All residents at the home are on the electoral register and have chosen to receive postal votes. Records show input from solicitors and legal advisors and there are details of an advocacy service on the home’s notice board. There is an awareness of adult protection issues and some staff members have attended training in the protection of vulnerable adults from abuse. The manager said that all staff would attend this training in the near future and training on diversity and equality issues is also booked. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 the following standard(s): The environment is clean, warm, homely and attractive and residents have the equipment they need to aid independence and mobility. EVIDENCE: The home is warm and comfortable with easily accessible communal areas on the ground floor and a sitting area on the landing. There are also well maintained garden areas where people say they enjoy sitting in better weather. Toilet and bathing facilities are sufficient for the people who live in the home and assisted baths and bath aids are in place. Handrails, grab handles and raised toilet seats are in place to aid mobility and additional specialist equipment is provided via the district nurses. Private bedrooms are attractively decorated and have been personalised by the people living in the home. The programme of refurbishing bedrooms is still underway and some rooms have been redecorated, new furniture purchased Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 Page 16 and new carpets fitted. The people living in these rooms were very pleased with the changes and said they were very happy with their rooms. Risk assessments are now in place for residents who wish to keep their bedroom doors open during the day and the manager is currently trying out a magnetic closure to assess it’s suitability. Once the home has decided on which product to use, the manager said that a programme would begin, starting with those people identified as being at risk. Actions required from the fire service visit have been actioned and cold seals have been fitted to all doors. The manager said there was a plan in place to modernise and refurbish the lounge, hall and stairs in the near future. A plan was also in place for the cleaning of some carpets in bedrooms and corridors. As at the last visit, three cleaners were working and the home was clean and hygienic. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 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 28 29 30 The rota shows that sufficient staff members are available to meet the assessed needs of current service users. Staff members receive training and support and are competent in their job roles. Recruitment procedures should be reviewed in line with current Criminal Bureau Check requirements. EVIDENCE: Three care staff, three cleaners, a cook and kitchen assistant were on duty and the manager was also working in addition to the rota. The rota showed that this was the usual staff ratio and two people are on duty awake at night. Both residents and visitors were very complimentary about the staff team and said they were very kind and caring. One person said, “ They are all so kind, I have everything I want, I just have to ask and it’s there”. Another person said, “ I moved here from another home and the staff are really kind, they always have a smile when they come in your room”. Most of the staff team have worked in the home for a number of years and have developed good relationships with the people they support. Generally, recruitment records are in good order, but for one new staff member who is currently undergoing induction a new Criminal Bureau Check was not in place. The manager should review the current guidelines in respect of CRB checks not being portable and update the home’s recruitment process. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 Page 18 There is a training plan in place and records show that the staff team attend a wide variety of courses including mandatory training, dementia awareness, infection control and wound care. The deputy manager is an NVQ assessor and has just completed the Registered Managers Award. As previously stated some staff members still need to attend adult protection training and a session on equality and diversity is booked for the near future. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 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 The home is run by a competent and caring manager and most records are in good order. Recruitment procedures need to be reviewed to ensure that residents are protected at all times. EVIDENCE: Mrs. Sanders owns the home, is the Registered Manager and works in the home on a day-to-day basis supporting and monitoring the staff team. The manager has completed the Registered Managers Award and holds the City and Guilds Advanced Management of Care. Staff, visitors and residents speak very highly of Mrs. Sanders and say she runs the home in the best interests of both residents and the staff team. Visitors said that Mrs.Sanders is very approachable and will discuss issues at any time. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 Page 20 Staff members said they receive supervision from Mrs. Sanders or the deputy manager and team meetings and training sessions are also held. The manager confirmed that there was a financial plan in place for the home and this includes budgets for future improvements and maintenance issues. Records for the running of the business were seen including accident and incident forms and fire records. Maintenance checks including gas, electrical appliance testing and hoist and lift servicing were also seen and all were current and in good order. A previously stated recruitment procedures need to be updated in line with current CRB guidelines. Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x X 3 2 3 Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 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 OP29 Regulation 19 Requirement New Criminal Bureau Checks should gained for all new staff prior to them taking up employment at the home. Timescale for action 10/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stanbridge House DS0000014744.V281989.R01.S.doc Version 5.1 Page 23 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.V281989.R01.S.doc Version 5.1 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. 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. 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