Inspection on 18/03/09 for Stewart House Care Home

This inspection was carried out on 18th March 2009.

CSCI found this care home to be providing an Good service.

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

Stewart House Care Home 02/04/07

Stewart House Care Home 19/12/05

Stewart House Care Home 28/07/05

Stewart House Care Home 20/01/05

Stewart House Care Home 14/07/04

Stewart House Care Home 12/01/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stewart House Care Home 85 Bloxham Road Banbury Oxfordshire OX16 9JS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Andy McGuckin     Date: 1 8 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 21 Information about the care home Name of care home: Address: Stewart House Care Home 85 Bloxham Road Banbury Oxfordshire OX16 9JS 01295259541 Telephone number: Fax number: Email address: Provider web address: c.echlin@btopenworld.com Name of registered provider(s): Type of registration: Number of places registered: Ms Carol Echlin care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE Date of last inspection Brief description of the care home Stewart House is a small private care home for adults over the age of 65. The home is registered to provide accommodation and care for up to three people over 65, up to two of whom may have a dementia. It has been registered as a care home since 24 May 1993. It is in a residential area of Banbury. Only non-smokers are accommodated. The accommodation is provided in a family environment with the owner and her Care Homes for Older People Page 4 of 21 Over 65 0 3 3 0 Brief description of the care home husband living alongside service users, with the owner providing most of the care. Fees range from 424 pounds to 525 pounds per week. Care Homes for Older People Page 5 of 21 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Commission undertook a site visit to the home. The Commission spoke to the proprietor to establish what had changed and what plans are in place for future change. The Commission spoke informally to one resident. The Commission did not receive returned questionnaires. The Commission reviewed core documentation to establish compliance with regulation. The Commission reviewed past reports and the homes returned AQAA. Care Homes for Older People Page 6 of 21 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 21 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 21 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A assessment of need and a trail period ensure that the home can meet the assessed needs of prospective service users Evidence: The service user guide is called our home, a small file kept in the clients sitting room. It contains statutory information, photos of areas of the home, letters and cards from past client relatives and photos of the homes two dogs who provide tactile support and interactive play. All prospective residents are shown around the home, and are introduced to the existing residents. Residents are informed that a visitor will be coming and their permission is sought to show them round. The proprietor consults with the prospective resident and / or their representative, regarding their needs and expectations. Further information is sought from allied professionals which link into the overall assessment. Due to the size of the home it is important that they get it right and that not only can they meet residents needs its Care Homes for Older People Page 9 of 21 Evidence: important that the resident themselves want to live there as there home. Also important to the assessment process is to consider disabilities now and possibly in the future the home at present is able to meet the physical needs of its residents by the addition of specialist equipment. Finally it is important for the home that there is an acceptance from the existing residents and a willingness from the prospective resident to fit in. Care Homes for Older People Page 10 of 21 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is able to meet the assessed Health and Personal care needs of its residents. Evidence: The proprietor compiles a care plan outlining the residents needs and how they are to be met, using the residents or their representatives input as much as they are willing or able. The format and lay out of the care plan can easily be used by an unfamiliar carer if the need arises. The home also has a file named daily life this details all aspects of the homes activities and routine with meal and activity timings. This is for guidance only as flexibility is the key to the smooth running of the home. The provider personally provides all care, except in her absence, and is therefore in a position to be able to spot any problems, or change of need. The home has easy access to medical help. Due to the small size of the home the proprietor is able to alter working methods, acquire any item that is required or low in stock, and review and update care plan within a short time frame. The home provides daily meals based on the likes and dislikes of its residents. The Care Homes for Older People Page 11 of 21 Evidence: proprietor is very aware of the nutritional needs of the elderly and menus are complied taking this into account. Food is mainly bought in fresh and the menu is changed regularly. Care Homes for Older People Page 12 of 21 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers an appropriate range of social activities and a varied and interesting daily life. Evidence: The home ensures that daily newspaper, weekly local paper and a weekly magazine, are delivered, so residents can keep up with current affairs, provide discussion topics and crosswords that all enjoy and participate in. One resident goes out for a daily walk weather permitting. Risk assessments have been done to address the issue of her falling or becoming confused when out. These have been done appropriately. The home has a visiting massage therapist, to provide hands on comfort. The homes proprietor has two small energetic dogs which are very much a part of the home and are valued by the residents who take turns in spoiling them. Television is also important to the residents and the choice of programmes is a varied and by consensus. Television is also used as a method of keeping up to date with current events. The home has CCTV camera inside a bird box in the homes garden. The camera is directly linked to the homes large screen television and over the winter residents have been able watch nest building, egg laying, hatching and feeding. The residents have followed these activities with joy and laughter. This is an unusual activity but one Care Homes for Older People Page 13 of 21 Evidence: which should be commended and used in other homes. Care Homes for Older People Page 14 of 21 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected from harm and abuse by the homes protection policy which is in line with the local authorities procedures document. Evidence: The home has a formal complaints process which is made available to all who visit. Residents have a copy in their bedroom. Due to the small size of the home and hands on nature of the homes owner complaints are rare and if they arise are dealt with informally and quickly. If a complaint was made against the proprietor, then this would be passed to and independent person to deal with. More than likely a proprietor of a another home. The proprietor and agency staff have all been trained in the importance of health and safety and the protection of vulnerable adults. The proprietor has recently completed training in the Mental Capacity Act and has amended the homes policy on restriction of liberty to include how decisions have been made and by who. Care Homes for Older People Page 15 of 21 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is a relatively small family home with the proprietors accommodation upstairs and the residents accommodation downstairs. Evidence: The home is a relatively small family home which has been split into upstairs living accommodation for the proprietor and her family with downstairs providing a self contained unit for three residents. The home presents as homely, warm and clean and is maintained to a good standard by the proprietor who is able to address any issues quickly as they arise. The homes proprietor is very environmentally aware and ensures that where possible the home is run with this in mind. This is supported by the residents. The heating and water temperatures are adjustable from the downstairs and residents can choose the temperature they feel comfortable with. The home is not fully accessible to those with a mobility need. The home will be addressing this issue shortly. The home have recently purchased a hoist which has reduced the amount of moving and handling the proprietor and agency staff were having to do. The garden is also to be improved ensuring that plants and color can be clearly seen from the inside of the home. Care Homes for Older People Page 16 of 21 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is appropriately staffed for its size. Evidence: The agency is staffed solely by the proprietor Monday to Friday and by agency staff registered with commission on Saturday and Sunday. The proprietor is an ex nurse and has many years experience in the care of the elderly. The commission has not been passed any concerns regarding the staffing or management of the home. There are no paid employees attached to the home. The extra staff are monitored supervised and employed by the agency. The proprietor ensures she keeps up to date with current changes in her profession by linking in with other small homes within the area. Care Homes for Older People Page 17 of 21 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a sole proprietor who has had many years experience in the running and management of a residential home for the elderly. Evidence: The agency is staffed sole by the proprietor Monday to Friday and by agency staff registered with commission on Saturday and Sunday. The proprietor is an ex nurse and has many years experience in the care of the elderly. The commission has not been passed any concerns regarding the staffing or management of the home. There are no paid employees attached to the home. The extra staff are monitored supervised and employed by the agency. The home has appropriate policies and procedures to ensure the smooth running of the home. The home has appropriate procedures in place to ensure that where any small financial transactions take place they are clearly recorded and available for audit. Care Homes for Older People Page 18 of 21 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 19 of 21 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 20 of 21 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 21 of 21 - 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!