Inspection on 01/03/06 for Stanford House

This inspection was carried out on 1st March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Stanford House 04/02/08

Stanford House 08/01/07

Stanford House 27/10/05

Stanford House 17/02/05

Stanford House 20/11/04

Stanford House 03/02/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Stanford House 15 Dudley Road Sedgley Dudley West Midlands DY3 1ST Lead Inspector Mr Jon Potts Announced Inspection 13:15p 1 March 2006 st 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 Stanford House DS0000024973.V279534.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. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stanford House Address 15 Dudley Road Sedgley Dudley West Midlands DY3 1ST 01902 880532 01902 673518 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) Mr Stanley James Alan Blundell Mrs Wendy Jacqueline Blundell Mrs Wendy Jacqueline Blundell Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2), Old age, not falling within any of places other category (8) Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27/10/05 Brief Description of the Service: Stanford House is located a short walk from the centre of the village of Sedgley and the facilities it offers. Sedgley is on a main bus route between Wolverhampton and Dudley, offering opportunities for outings for those Residents who are physically able. A period style building, the Home provides care and accommodation for ten older people, over the age of 65, with low dependency needs, with the exception of two places registered for Residents with dementia. There are four single rooms, and three providing dual occupancy. Residents share communal facilities on the ground floor, comprising two lounges, dining room, ‘quiet’ room and kitchen. A chair lift is available for those Residents who require assistance accessing the first floor. There is a well-maintained and attractive rear garden with a parking area at the front of the premises. Two registered providers run the home, one of which is the registered manager. The home has a number of senior care and care staff that may undertake some ancillary tasks, this sometimes with residents who enjoy such activities as housework. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out by one inspector with the assistance of the registered manager. Evidence was drawn from limited case tracking, review of care documentation, policies and procedures, staff files as well as a questionnaire completed with the homes manager. Additional information was drawn from discussion with three residents and a number of comment cards returned by residents and relatives. The residents, manager and staff are to be thanked for their assistance with the inspection process. What the service does well: What has improved since the last inspection? What they could do better: A recent visit by the Environmental Health highlighted a need for some improvement in risk assessment in respect of food safety. There were also some routine works necessary including having the hard wiring checked by an electrician (needed every 5 years) and ensuring the chair lift is serviced in accordance with legal requirements (6 monthly as opposed to annual). There was some of the care documentation that required improvement this including risk assessment in respect of self-medication and update of one care plan. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 6 The manager was also advised to risk assess the need for a call point in the front lounge, and then to keep this matter under review. 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. Stanford House DS0000024973.V279534.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 Stanford House DS0000024973.V279534.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): None of the above standards was fully assessed at the time of this inspection. EVIDENCE: See above Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 9 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): 7,9 In most cases the resident’s health, personal and social care needs are set out in an individual and up to date plan of care. Residents can take responsibility for their own medication, this not currently within a risk assessment framework. EVIDENCE: From sight of three case files there was seen to be copies of residents individual care plans completed by the home in two of these, with the third a care plan competed by the admitting social worker, this a number of years ago. The manager was advised that this needed updating on one of the home care plan formats, as the information was out of date. The other two care plans, from discussion and tracking with other documentation were however found to be accurate, based on assessments, with clear evidence of monthly reviews of residents care and on going health and welfare. Whilst the home was seen to have kept the residents care under review it was noted that none of the three residents has received a review with the social worker within the last 12 months. The manager was advised to draw this to the appropriate social workers attention. There were appropriate risk assessments in place with the exception of those related to self-medication (these as a number of Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 10 residents handle their own creams). The home has a quarterly inspection from its contracted pharmacist and there was evidence to show that the few recommendations made at the last visit (on the 14.2.06) had been addressed. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 11 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): 13,15 Residents maintain contact with family/friends/representatives and the local community as they wish. Residents receive and enjoy a wholesome, appealing and balanced diet in pleasant surroundings at times convenient to them. EVIDENCE: Discussion with residents evidenced that their relatives were able to visit the home when they wished (in accordance with resident’s choices as well). Three responses from relatives to CSCI comment cards all stated that they were welcome in the home at anytime, able to visit in private and kept informed. The home was seen to have a visitor’s policy with the statement of purpose/service users guide, this stated to be given to relatives prior to, or at the point the resident was admitted to the home. Some residents have had involvement in community services, although one told the inspector that she no longer chose to go, even through being made aware by staff the option was still available to her. Discussion with the residents indicated a high level of satisfaction with the food provided, with indication that food was available at any time day or night. The home was seen to have set menus, with records seen of the meals provided on a daily basis, this evidencing the choices given to the residents. The individual Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 12 nutritional assessments that were on case files were consistent with the meals provided to the individual residents. The dining area was seen to be very well presented, and tables appropriately laid, as seen at the time of the teatime meal. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 13 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): The above standards were not fully assessed at the time of this inspection. EVIDENCE: See above Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 14 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, 22 Residents live in a well-presented and comfortable environment that, with two exceptions (relating to safety checks), is well maintained. Residents have the necessary equipment they require in line with their current dependency although there is one area that would benefit from on going review. EVIDENCE: The home, which is overall well maintained, well presented and comfortable, is well positioned in an established residential area on a main route within walking distance of Sedgley town centre (giving easy access to all the facilities available here). There was evidence of the providers continuing to update and maintain the property with on going refurbishment of bedrooms and replacement of the homes cookers. There were a few issues that came to light during the course of the inspection these as detailed below: - There was no evidence of the home having received a hard wiring check by a qualified electrician in the last five years. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 15 - The manager stated that the stair lift is serviced annually. The manager was advised to contact Environmental services in respect of required servicing frequencies for this equipment in regard to the provisions of LOLER (Lifting Operations and lifting equipment regulations) and follow any advice given. - There was information from relative comment cards as to the lack of a call system in the front lounge. This was discussed at length with the provider and some of the residents, the latter stating they felt it was not necessary. The manager is however expected to risk assess the non-provision of a call point in this room, detailing other methods that are in place to ensure that residents are safe at all times. This risk assessment must be kept under regular review. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 16 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 Resident’s needs are met by the numbers and skill mix of staff and the residents are in experienced and safe hands. Residents are protected by the homes recruitment practices. EVIDENCE: Based on the number of staff seen to be available at the time of the inspection, comments from residents as to the attentiveness and availability of staff and current low dependency levels the home was judged to have sufficient care hours available to meet residents needs. Sampling of staff training certificates confirmed that there was a good level of input into staff training this including NVQ level 2, where the home has exceeded expected ratios of staff with this training. Comments from the residents indicated that they felt staff were ‘nice’, ‘very patient’ and ‘help all they can’. All 3 relatives responding to the comment cards stated that they felt there was sufficient staff and that they were satisfied with the overall standard of care. 4 Comment cards from residents all stated that they felt safe; that staff treated them well and they felt well cared for. The home has just recruited a new member of staff, and discussion with the manager in respect of recruitment of this staff member, and sight of a risk assessment (as employing with a POVA 1st but no disclosure), demonstrated that control measures were in place to protect residents. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 17 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): Resident’s financial interests are safeguarded. With a few exceptions, the health, safety and welfare of residents is promoted and protected. EVIDENCE: The home was seen to have policies and procedures in place in respect of the protection of residents financial affairs and valuables although did not at the time of the inspection hold any money in safekeeping for any resident. The manager/providers do not act as an appointee for any resident. Resident’s property was seen to be documented on an inventory within their individual case file. Any monies received on behalf of residents (for such as fees for residency) are evidenced through the issuing of a receipt by the manager. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 18 Areas in respect of health and safety and safe working practices were sampled the only concerns as detailed earlier in this report (standard 19) and further to this the need to review the risk assessments related to food handling (as identified in a recent Environmental Services report). In discussion the manager was aware of the steps that should be taken to handle food safely and of some of the control measures that should be put in place, but had not documented these. It was stated that the Manager is to attend a seminar to be hosted by Environmental health on the 14.3.06 and she was advised by the inspector to follow the practices discussed at this forum. Sight of the homes accident book indicated a very low occurrence of accidents at the home and discussion with the manager (and sight of certificates) evidenced that staff had training in various areas in respect of safe working practices. Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X 2 X X X X STAFFING Standard No Score 27 3 28 4 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 20 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. 2. Standard OP7 OP9 Regulation 15 13(2) Requirement The care plan for resident D.B. needs updating from the one currently in use. To ensure that any resident that is self administering any prescribed creams, or medication, is subject to a documented risk assessment. That the provider/manager contacts environmental services to discuss the need for: - A 5 yearly check of the electrical hard wiring in the home; - The servicing of the stair lift twice yearly as opposed to annually. To complete a documented risk assessment in respect of the need for a call point in the front lounge, reviewing this at regular periods. To follow any advice given by Environmental services in respect of food handling at the seminar the manager/provider is to attend on the 14.3.06. Timescale for action 31/03/06 31/03/06 3. OP19 23 31/03/06 4. OP22 13 & 23 31/03/06 5. OP38 16(2) j 31/03/06 Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 21 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. 2. Refer to Standard OP3 OP10 Good Practice Recommendations To contact social service departments in respect of the need to encourage their undertaking of statutory annual reviews for all residents. To develop a policy of how the home promotes residents’ privacy, dignity and self image in respect of their sexuality Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Stanford House DS0000024973.V279534.R01.S.doc Version 5.1 Page 23 - 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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