Inspection on 20/05/05 for Steephill

This inspection was carried out on 20th May 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

Steephill 15/09/05

Steephill 07/12/04

Steephill 22/06/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Steephill Steephill Court Road Ventnor Isle Of Wight PO38 1UH Lead Inspector Liz Normanton Unannounced 20 May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Steephill Address Steephill Court Road, Ventnor, Isle of Wight, PO38 1UH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 852652 01983 857776 Islecare `97 Limited Miss Maria Nicholson Care Home 37 Category(ies) of Dementia - over 65 years of age (8), Learning registration, with number disability over 65 years of age (2), Old age, not of places falling within any other category (37), Physical disability over 65 years of age (13) Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7/12/04 Brief Description of the Service: Steephill is a care home providing personal care and accommodation for up to 37 older people. Miss Maria Nicholson manages the home on behalf of Islecare 97 Ltd. It is a large, detached, three - storey property located on the western outskirts of Ventnor. The town of Ventnor with its shops and amenities is approxiamately 3/4 mile away. A bus service is available close to the home. There is a range of single rooms on all three levels, accessible via a passenger lift. There is off road parking to the front of the building from which there is level access into the home. The extensive gardens at the rear are available for use by residents. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited the home late in the week and was there over the lunch period and into the early afternoon. The inspector spoke with several residents during her visit who stated that they felt well cared for and well supported by the care staff. One resident did make a complaint which was in relation to staff banging doors whilst working on the landing where her room is. The inspector reported this to the registered manager, who was aware of the situation. Residents confirmed that the quality of the food was good and that they had a range of choices. The inspector completed a partial tour of the home and found it to be well decorated and furnished throughout. All communal areas were clean and tidy except the dining room. In the dining room the inspector found that dining tables had soiled tablecloths, which had food remains from the breakfast sitting and later following the lunch sitting as well. Residents were seen to be relaxing in the lounge or engaged in activities. The residents’ bedrooms, which were viewed, were found to be well furnished and some residents had their own furniture. Residents are able to personalise their bedrooms. The inspector found that old style commodes were in residents’ bedrooms, some which were showing signs of wear and tear. There is a balcony leading from bedrooms 15-18 where residents or visitors could be at risk from falling. On the top landing the inspector found evidence of rotting external window frames in various states of disrepair. The kitchen windows are the old style wrought iron frames which were showing signs of rust. The home was experiencing difficulties with the lift. This had been reported and repairs had been undertaken but the lift was still stopping short of the landings leading to there being a step up. The manager had put warning signs on the lift for staff and residents and was waiting for the lift engineers to return. What the service does well: The home provides a very high standard of care to residents from an experienced management and care staff team. The welfare of the residents is a top priority. The home promotes residents’ autonomy and encourages people to take part in activities and to go out into the community. The home welcomes visitors and is able to provide areas for private contact. A homely, safe, comfortable, well furnished and generally clean environment is provided. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 4, 6, Residents within the home were having their needs met and potential residents and their representatives would be satisfied that the home could meet individuals’ needs. The home does not provide intermediate care. EVIDENCE: The home has a statement of purpose and service user guides to inform residents and potential residents of the terms and conditions of their contract. Each resident has an individual care plan, which is drawn up by the manager using information from assessed needs. The home is registered to provide care for older people with dementia and staff have received dementia training form Islecare. Over 50 of care staff have completed NVQ level 2 training in care. The inspector viewed specialist equipment within the home. The interaction between staff and residents was seen to be positive. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 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 standard(s) 9, 10, Residents are protected by the home’s policy and procedures in relation to the administering of medication. Residents are able to administer their own medicine if they are assessed as able. Residents are treated with dignity and respect from staff. EVIDENCE: The home has medication policies and procedures in place, which are provided by Islecare. The Inspector observed that medication is stored appropriately. The drugs cabinet is kept fastened securely and is kept locked at all times. Controlled drugs were in a separate metal cabinet. There is also a medication fridge. The inspector examined a number of blister packs and noted that medication was accurate when checked against the MARS charts, which were signed. There is a separate record book, which indicates when medication is refused. The manager informed the inspector that medication is administered by designated staff all who have been trained in BTEC Advanced Award, Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 10 medicines, principles of administration and control. One resident selfadministers their own medication. The home has a good relationship with the local pharmacist where they can seek advice about medication and its side effects. At this inspection the inspector did not observe medication being given out. Residents confirmed that staff, treat them with dignity and respect and staff were observed to call residents by their chosen name and to knock on bedroom doors when entering. The manager informed the inspector that all staff are given induction training in the area of how to treat residents. The manager informed the inspector that all personal care is undertaken in the privacy of residents’ bedrooms or bathrooms. Doctors visit residents in the lounge area, which the manager stated was their preference. If a physical examination is required this would be done in the privacy of their bedroom. The chiropodist sees people in their rooms or in the quiet room. The inspector viewed the visitor book, which confirmed that relatives do visit the home on a frequent basis. There is a pay phone and a mobile phone available for residents to use and a number of residents have phones in their bedrooms. Residents clothing is individually labelled to try to prevent people wearing the wrong clothes. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 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 standard(s) 12,13,14 The home provides a range of activities for residents and relatives are welcome at the home. Outings to places of interest on the Island are offered throughout the year and links are maintained with the community. Residents are in a position to exercise a choice and have a degree of control over their life. EVIDENCE: A number of residents informed the inspector that they were able to make choices within the home with regard to all aspects of their life. They confirmed that staff, ask them what they would like to do during the day and they can choose to join activities or not. The inspector found that a small number of residents prefer to stay in their rooms and do not mix. One resident was observed to go shopping in Ventnor. Red Cross provide a number of outings throughout the year and residents are notified in advance and book to go. A number of residents had been for a trip out to Gurnard on the Wednesday of the week of the inspection. A lay preacher comes into the home every Sunday and a full service with choir is available every six weeks. A Catholic priest provides communion every month. The Methodist Minister attends sporadically. One resident goes out to church. Residents’ meetings are held every eight weeks to discuss outings, meals and laundry etc., these meetings are minuted and the minutes are kept on file. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 12 Residents’ interests are recorded in their Care Plan, one resident requires talking books and these are obtained as requested. Two residents go out during the week to day centre services they had attended prior to moving into the home. Relatives visit and take residents out for meals and drives around the area. Residents can have privacy in their bedroom to meet guests. When visitors arrive at the home staff will ask residents if they would like to see them first in case there are any issues. Residents and friends have access to the Service User Guide, which is available to read in the lobby. The inspector found that several residents’ bedrooms were fitted with their own furniture. All bedrooms viewed were personalised and reflected the individual’s taste. The manager informed the inspector that personal records are kept in the office and are available on request. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 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 standard(s) 16,18 Residents and their relatives are able to make complaints to management which are then acted upon. The home has policies and procedures in place to protect residents from abuse. EVIDENCE: The home’s service user guide highlights how to make complaints and these are available in residents’ bedrooms as well as on the notice board. Islecare provide the home with a complaints policy and procedure. All complaints are logged in the complaint book. The inspector viewed the complaints book and found the last recorded complaint was in October 2004. Residents told the inspector that they knew they could make complaints. Feedback from relatives’ comments cards showed that relatives are aware of how to make complaints. These also confirmed that their complaints have been listened to and acted upon. Islecare provide the home with adult protection policies and procedures. The registered manager has produced a protection from abuse policy in line with the Isle of Wight adult protection policy. The manager informed the inspector that all members of staff have been trained in adult protection. Residents care needs are identified on admission and any aspects of self-harming, selfneglect, inability to manage money etc would be recorded on the care plan. The home has whistle-blowing policy which the inspector read and also has a copy of the No Secrets policy document. In discussion with the manager it was evident that she was aware of the necessary action to be taken in relation to allegations of abuse. The home’s policies and procedures regarding finance safeguard residents from financial abuse. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 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 standard(s) 24,26 The home is well decorated and furnished to a high standard. Communal areas and bedrooms/bathrooms were clean and free from hazards. Overall the home had a pleasant relaxed atmosphere. EVIDENCE: The inspector did a tour of the building and inspected communal and private living space. Residents each have their own bedrooms with doors that are lockable and they are provided with their own key. Residents are allowed to bring their own furniture as long as it complies with fire safety regulations and there was evidence that some residents had exercised this choice. Bedrooms were clean and looked comfortable. Lockable storage space is available. The inspector found the home to be clean and free from hazards. The home has a policies and procedures in place with regard to hygiene/infection control. The laundry is situated in the basement and is well away from food preparation areas. The laundry has the necessary facilities to deal with soiled clothing. There are hand washing facilities available for staff. The floor surface is impermeable and all surfaces are easy to wash. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 The home provides residents with a safe environment where their welfare is a priority. EVIDENCE: The inspector observed staff interacting with residents and found their approach to be sensitive to the individual’s needs. People’s requests were being met promptly and choices were offered. The manager informed the inspector that the home currently has a modern apprentice who is TOPPS trained who is currently undertaking NVQ level 2 in care training. Nine staff have completed NVQ level 2 in Care. The home has met targets to have 50 of the staff qualified to NVQ level 2 by 2005. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35,38 The home is run by an experienced registered manager who is competent to meet the day-to-day operations of the home. Residents’ financial interests are safe guarded. The home promotes the safety and welfare of residents. EVIDENCE: The registered manager has six and half years’ managerial experience. She has completed her NVQ level 4 in management and the Registered Managers Award. The inspector saw evidence of continued training by the manager. The manager and other senior staff are familiar with conditions associated with old age. A number of staff have been trained in dementia awareness. The home operates an accountable staffing structure. There are three assistant managers in addition to the registered manager who support and work with the care staff. Virginia Brown (operations manager) from Islecare was visiting the home on the day of the inspection to undertake a Reg 26 review of the service. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 17 The inspector viewed the home’s handling of finances and was satisfied that all financial transactions are recorded accurately and that residents’ monies are handled appropriately. Islecare provide the home with a health and safety policy. Risk assessments are undertaken for individual residents and written into care plans. Health and safety risk assessments are undertaken about the environment. The inspector observed warning/information signs as she toured the building. Staff are trained in the area of Moving and Handling. The manager informed the inspector that if residents’ needs change and they subsequently require hoisting the care staff will explain to them why equipment is having to be used. The inspector saw evidence that regular servicing of appliances is undertaken as specified. One member of staff is designated to undertake PAT tests (plug sockets, electrical appliances) yearly. There is a separate COSSH cupboard and COSSH guidelines on display. Environmental safety notices are also on display. The home has six staff qualified in First Aid. The home’s fire alarms are tested weekly. Emergency lighting is tested monthly. An annual Health and Safety review is undertaken by the registered manager. The registered manager ensures compliance from care staff through regular supervision. The home records all accidents and illness and Reg 37’s are sent to the CSCI. The premises are locked at night for the safety of residents and staff. Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 4 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 x COMPLAINTS AND PROTECTION x x x x x 4 x 4 STAFFING Standard No Score 27 x 28 4 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 4 4 x x x 3 x x 3 Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 19 NO Are there any outstanding requirements from the last inspection? 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 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. 1. Refer to Standard OP 19 Good Practice Recommendations Islecare to replace all rotting window frames. Islecare to consider replacing double glazing units in the upper floor bedrooms which currently only have two upper windows which open. The registerd manager to undertake Health & Safety Risk assessment of the balcony leading from bedrooms 15-18 and an individual risk assessment on each resident who has access to the balcony. The upperfloor bathroom fitted with Parker bath, windowsill requires repainting. Islecare to consider replacement of outdated commodes and replace with ones more in keeping with a bedroom chair which would promote residents dignity and respect. Corgi certificate to be available for inspection within the home. 2. 3. OP 22 OP 38 Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 20 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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 Steephill H55_H04_S12539_Steephill_ V218538_200505_Stage_4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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