Inspection on 08/01/07 for Stanford House

This inspection was carried out on 8th January 2007.

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 01/03/06

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 Richard Eaves Key Unannounced Inspection 8th January 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 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.V325731.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st March 2006 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. Fees range from £343 to £390 each week. 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.V325731.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken by one inspector over one day. The focus of the inspection was on the delivery of care and included case tracking. The inspector had opportunity to speak with all of the service users and those able spoke positively regarding life at the home and they all appeared content. Relatives spoken with or returned comment cards were all very positive and said “this is a very good care home, being small and Mom is very happy at the home”, “the home is excellent”, “carers are very good”. Service users were relaxed and happy to engage in conversation and were particularly praising of the staff and the meals, “the food is good and there’s always plenty to eat”. There was a relaxed atmosphere among service users and staff. The inspection also included a tour of the building, meeting with service users and inspection of records. What the service does well: What has improved since the last inspection? The Home has effectively addressed ‘Requirements’ arising from the previous Inspections, undertaken in October of 2005 and February 2006 including updating care-plans, risk assessing self administration of prescribed creams and increasing the stair-lift inspection programme. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 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.V325731.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Standards 1 – 5 were looked at. Service users, prospective clients and their supporters are provide with good sources of information about the home and are invited to spend time at the home prior to admission to enable them to make an informed decision about entering the home. The staff group are stable well established and collectively have the knowledge and skills to assess needs and to meet the needs of the current service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and service users guide provide current and prospective service users with a good sources of information from which to make informed decisions about the suitability of the home and the services they offer. Copies of both documents were available on the table in the entrance hall. The documents require to include the dates of reviews as undertaken annually or when significant changes occur. The manager undertakes assessments for prospective service users these include activities of daily living and a range of clinical risk assessments such as Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 9 pressure areas, nutrition and falls, these are kept under regular review, the assessment evidences the involvement of the service user and their relatives as appropriate. In all cases the home confirms that the assessed agreed needs can be met by the home in writing and a contract is issued at admission. Introductory visits and trial stays are encouraged by the home, ensuring that people have time to make decisions that are right for them. All case files were seen and three case files were case tracked, the assessment process was seen to be completed in detail and were observed to be reviewed but requires to identify when planned reviews should be undertaken. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Standards 7 – 10 were looked at. Care plans are derived from a comprehensive range of assessments and provide the basis for the delivery of care and detail the actions required of staff to meet the identified needs. Health care needs of service users are fully met. Administration of medication practice is good and service users medication needs are safely met. Service users are treated with respect and their privacy upheld and they can be assured that they and their family will receive care with sensitivity at the time of their death. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All case files of service users seen and noted to include care plans, three were case tracked in depth and showed that they comprehensively identified problems requiring personal care interventions. A range of risk assessments including that of falls and nutrition were included and plans derived to address these. Plans of care are subject to monthly reviews. All service users are registered with a GP and other allied medical and chiropodist visits regularly. While there are no pressure sores currently there was much evidence that risks were assessed and equipment obtained as preventative measures. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 11 The home uses Boots monitored dosage system for a large part of the medication administration process. Inspection of the medicine storage provision, and medicine administration records, demonstrated the Home’s practices meet the guidelines of the Royal Pharmaceutical Society. A full inspection of the medication administration charts shows these to be completed thoroughly. Relationships between Residents and Staff were seen to be friendly and respectful. Overall the atmosphere of the home is family orientated and care is individually person centred. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Standards 12 – 15 were looked at. The home provides a well-organised and varied social and recreational activity programme that provides interest and pleasure for the residents with efforts to meet individual needs. An open visiting policy assists service users to maintain contact with their family and friends. Many aspects of care evidences that service users exercise choice and control over their lives. Meals at the home are wholesome and meet the nutritional needs of service users but choice of the moment is limited. This judgement has been made using available evidence including a visit to this service. 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 the preference amongst service users is to engage in ad-hoc activities decided at the moment. Activities such as knitting is popular as is occasional crafts such as card making and glass painting. Also discussion with Residents, and review of care plan records, evidenced local trips out with Relatives games such as bingo and puzzles give pleasure while they all enjoyed reminiscing. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 13 Two visitors were met during the day and both were complementary of the home and staff saying that the home was excellent and the staff make it very family orientated. The care plans identify service users individual likes and dislikes and choices about their individual routines, these are carried out flexibly to provide for choice of the moment. All service users were spoken with, as they were able and said that they chose what they wanted to wear when to get up and go to bed and how and where they liked to spend their day. On the day of inspection one lady had chosen to remain in bed until mid morning. Residents were very complimentary about the range, quality, and choice of food provided which includes individual Residents’ preferences. Comments received include, “the food is very good”, “there’s always plenty to eat”. Service users regularly participate in choosing what should be included on the menu but do not get a choice at lunch of the main course. Speaking with service users they are very happy with the arrangement. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Standards 16 and 18 were looked at. The home complaints and protection policies are robust providing a safe environment in which service users feel they can voice concerns and that these will be listened and responded to. Service users rights are protected and staff demonstrate excellent knowledge and understanding of adult protection issues which contributes in providing an environment safe from abuse. This judgement has been made using available evidence including a visit to this service. 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. The policy requires to show that it is subject to regular review with dates when undertaken. 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.V325731.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Standards 19 – 26 were looked at. The home provides an excellent standard of décor, furnishings and managed services providing a safe, disabled accessible environment and an attractive, and homely place to live. The home is clean, free from odours and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: 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. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 16 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. Hot water outlets for service users are subject to monthly testing, it was noted that the record for two taps were outside the recommended range and require adjustment, it is also recommended that mixing valves are anti-scald tested and serviced annually. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Standards 27 –30 were looked at. The home has a good mix of staff, sufficient in numbers to provide consistency of care that meets service users needs. The home is proactive in developing a skilled staff group with understanding of service users needs. Recruitment and selection processes are to a good standard protecting vulnerable people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current staffing rota, and those from the immediately preceding weeks, were examined, the rotas are fixed except for holiday and sickness cover. Numbers allocated are 2 plus the manager across the day and 1 waking and 1 sleeping overnight. The staffing numbers and skill-mix enable a service provision, which meets the care needs of the Service Users. Staff files evidence full compliance with the Standard and Schedule 2 of the Regulations. New staff receive 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’. The home demonstrates a high commitment to staff training with 100 of staff having achieved NVQ level 2 and 2 are currently undertaking level 3. An inspection of the training records show that mandatory training is up to date and all staff have received Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 18 medication, infection control, extended manual handling, food hygiene, first aid and health and safety training. Staff were observed to apply there developed skills by carrying out care provision to a high standard, sympathetic to identified care needs. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Standards 31 – 38 were looked at. The Home has excellent leadership from the Proprietor/Manager who, is very well supported by a 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. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager/proprietor is actively involved in the day to day delivery of care and maintains a good service, with high morale amongst the staff met during the inspection. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 20 The service undertakes extensive audits of the services provided which also includes an annual survey of service users views. The home are not involved in service user finances this being undertaken by families. Staff receive regular supervision covering care practice, philosophy and personal development. A full range of servicing, maintenance and regular monitoring of services and equipment is undertaken and staff receive training in health and safety and first aid. The monthly hot water monitoring shows that taps numbered 6 & 7 are consistently at 44- 45°c and require adjustment to 43°c, it is also recommended that the hot water mixing valves are subjected to annual antiscald testing and servicing. Records of accidents are recorded, using data protection compliant documentation and reported as necessary. The health and safety policy and safe working risk assessments are currently under review by the homes health and safety advisor. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 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 N/A 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 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 3 3 3 4 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 X 3 Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 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 OP15 Regulation 16(2)(i) Requirement The home should provide a choice of meals at each meal time and record that service users have made a choice The registered person must review the complaints procedure and include timescales for acknowledging receipt and for informing the complaint of findings and any actions taken, within 28 days. Timescale for action 31/03/07 2. OP16 22(4) 31/03/07 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. 3. Refer to Standard OP1 OP3 OP25 Good Practice Recommendations The manager should date and sign the statement of purpose and service user guide at each review. The home should show that the needs assessment has been reviewed by referring to the current assessed need on the original assessment. The manager should ensure that hot water valves are adjusted at each testing that shows the temperature to be outside of the standard. Hot water mixing valves should DS0000024973.V325731.R01.S.doc Version 5.2 Page 23 Stanford House 4. OP38 be anti-scald tested and serviced annually. The manager is recommended to review sign and date the health and safety policy annually. Stanford House DS0000024973.V325731.R01.S.doc Version 5.2 Page 24 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: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V325731.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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