Inspection on 27/10/05 for Stanford House

This inspection was carried out on 27th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 01/03/06

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 Keith Salmon Unannounced Inspection 27th October 2005 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 Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 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.V260865.R01.S.doc Version 5.0 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.V260865.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th February 2005 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. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection commenced at 09.30, lasted 4.0 hours, and was undertaken by one Inspector. This Report is a product of observations made during a tour of the Home, discussions with the Proprietor/Registered Manager, Staff members and 8 Residents, together with a review of care related documentation, including staff recruitment/deployment records, a range of documents/records reflecting the general operation of the Home. High standards of direct care provision and overall management are provided in a friendly and open atmosphere. This is strongly reflected in comments by Residents and Relatives, which included… “The care my Mother receives here is exceptional…”, “...Residents are treated with respect and dignity…”, “…The Staff are always available and appear to make great efforts for those in their care…”, “The staff always give 150 …”, “…The Home is always clean and tidy…” ”…I enjoy my food and the cook gives us just what we like…”, “…our Relative is very happy here.” What the service does well: What has improved since the last inspection? The Home has effectively addressed ‘Requirements’ arising from the previous Inspection, undertaken in February 2004. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 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. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 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.V260865.R01.S.doc Version 5.0 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): 1,2,3, 4 & 5. Prior to taking up residency prospective Service Users are enabled to reach an informed choice, and to fully understand the service they may expect to receive. Processes to ensure appropriate and thorough care needs assessment, prior to admission, are diligently and effectively applied. Staff are enabled to provide the type, and quality, of care required by Residents. EVIDENCE: The Home has a Statement of Purpose and User Guide, both of which are concise, easy to read and contain content which meet the requirements of the Standard. Service Users are provided with a Statement of Terms and Conditions detailing the accommodation to be provided. Evidence from Care Plans, and discussions with Residents and their Relatives, clearly demonstrated the Registered Manager, or Deputy Manager, assess all prospective Residents/Service Users, prior to admission, and new Residents have the opportunity to visit the Home, or enter the Home on a trial basis, prior to any admission. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 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): 7,8,9 & 10. The care provided by the Home is effective in meeting the Residents’ assessed care needs, and delivered considerately and effectively. The general approach of Staff in providing such care is exemplary. The storage, administration, and disposal of medicines are in accordance with accepted good practice. EVIDENCE: Care planning documentation was well organised, current, clearly written and comprehensively encompassed the range of ‘care areas’ necessary to ensure the delivery of care appropriate to the needs of each Resident. Operational policies and procedures were found to be up-to-date, comprehensive and relevant. Relationships between Residents and Staff were seen to be strikingly friendly and respectful. All accidents/incidents, however minor, are recorded in the Accident Book, with action and outcome, and none proved of particular concern to the Inspector. Inspection of the medicine storage provision, and medicine administration records, demonstrated the Home’s practices meet the guidelines of the Royal Pharmaceutical Society. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 14. A range of leisure opportunities, consistent with Residents’ capabilities, is provided, and the Home facilitates achievement of desired lifestyle, through Residents conducting the pattern of their day as they wish, including contact with family and friends, and continuation of religious practices. The Home provides a daily choice of attractive and nutritious meals. EVIDENCE: Residents said that they enjoyed activities, which are consistent with their wishes and capabilities, and are planned and organised jointly by the Residents and Staff. Also discussion with Residents, and review of care plan records, evidenced local trips out with Relatives and/or Staff, visits to local garden centres, and involvement in national commemorative events such as 60th Anniversary of VE/VJ days. Residents were very complimentary about the range, quality, and choice of food provided which includes individual Residents’ preferences. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 11 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 interests of Residents are protected through ready access to information relating to advocacy services and the Home’s Complaints Procedure. Staff are clearly aware of their role in protecting Residents from abuse. EVIDENCE: A clear and concise Complaints Procedure is displayed, which includes reference to the Commission for Social Care Inspection as the regulatory body, together with contact details. Information relating to the use of advocacy services is also displayed. Policies relating to the protection of Residents from abuse were observed to be in place and readily accessible. Staff training files indicated that Staff had received relevant training. The Home maintains a system for the recording of complaints, with none having been lodged since the previous Inspection. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 12 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): 19,20,21,22,23,24,25 & 26. The Home’s dining and lounge/sitting areas offer a good variety of size and outlook, with furnishings being in good order and presenting a very comfortable ‘domestic’ ambience. Specialist equipment is available to facilitate provision of care consistent with the needs of the Service Users, and with the demands of tasks carried out by Care Staff. The gardens provide a safe environment and are easily accessible to Service Users at all times of year. The cleanliness and general state of repair in all areas of the Home is a credit to the Staff. EVIDENCE: The Home has a full range of maintenance contracts in place, with all areas clearly benefiting from regular refurbishment/redecoration. The garden, which has level paved areas enabling easy walks or wheelchair use, provides a safe environment at the rear of the premises. Bedrooms, some of which are generously sized, are comfortably furnished, and equipped to a high standard. Residents are clearly encouraged to personalise bedrooms with their own possessions. The Inspector considers the Home has exceeded the Standard. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 13 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. Staff numbers on duty, and skill-mix were sufficient to meet the assessed care needs of current Residents. Recruitment and employment practices are consistent with the safeguarding of Residents. The commitment of the Home to providing training for Care Staff is good. EVIDENCE: The current staffing rota, and those from the immediately preceding weeks, were examined. Staffing numbers and skill-mix enable a service provision, which meets the care needs of the Service Users. Staff Personal Files demonstrated evidence of full compliance with the Standard and Schedule 2 of the Regulations. Staff are subject to a thorough, and relevant, orientation/induction programme, which is followed by comprehensive ‘foundation’ training, e.g. ‘manual handling and lifting’, ‘fire safety’, ‘simple infection control’. Staff were observed to be carrying out care provision to a high standard, sympathetic to identified care needs. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 14 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 has excellent leadership from the Proprietor/Manager, who, in turn, is very well supported by committed, experienced, and well-trained staff. The ambience of the Home is warm, friendly, and inclusive. Operationally, the Home is very well organised, with the central purpose being ‘the best interests of Residents’. All Staff are subject to effective support with regular supervision, and appeared involved and happy in their work. Health and Safety Policies/Procedures/Practices were satisfactory. EVIDENCE: Residents and Staff were seen to approach the Proprietor/Manager with a range of issues, which were received in an interested and involved manner. COSHH requirements are met satisfactorily, with maintenance and servicing of equipment regularly undertaken, and appropriately documented with COSHH data sheets being up to date. Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 15 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 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 4 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 4 3 3 x x 3 3 3 Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stanford House DS0000024973.V260865.R01.S.doc Version 5.0 Page 17 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.V260865.R01.S.doc Version 5.0 Page 18 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!