Inspection on 19/12/05 for Stewart House Care Home

This inspection was carried out on 19th December 2005.

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

Stewart House Care Home 18/03/09

Stewart House Care Home 02/04/07

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Stewart House Care Home 85 Bloxham Road Banbury Oxfordshire OX16 9JS Lead Inspector Jane Handscombe Unannounced Inspection 19th December 2005 12:00 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 Stewart House Care Home DS0000013186.V273792.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. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stewart House Care Home Address 85 Bloxham Road Banbury Oxfordshire OX16 9JS 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) 01295 259541 Ms Carol Echlin Care Home 3 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (3) of places Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The DE(E) category is in respect of 2 persons only. The maximum number of persons that may be accommodated at any one time must not exceed 3. 28th July 2005 Date of last inspection Brief Description of the Service: 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 husband living alongside service users, with the owner providing most of the care. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on the 19th December 2005. The purpose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents, visitors, and the manager of the home, viewing care plans and assessments, whilst observing the general day to day operations of the home. Further feedback was gained from questionnaires sent out to family members, GP’s who visit the home and other health and social care professionals who have dealings with the home. The home presented as one, which was clean and tidy throughout. Residents were going about their daily activities in a calm relaxed manner. The provision of care and support was observed to be given, in an unhurried manner, whilst addressing the residents’ needs appropriately. Comments received from residents during the inspection included: ‘I am happy enough, they look after me well’ ‘I go out to see a friend of mine and I catch the bus’ ‘The food is all home cooked and very good’ a comment from a visitor: ‘ There is a terrific one to one relationship, it is excellent’ The inspector would like to thank the residents, their families and all those who contributed to the inspection process for their assistance during this inspection. What the service does well: What has improved since the last inspection? Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 6 Mrs Echlin and the carer have undergone further training in dementia awareness, medication and food and hygiene, in order to update their skills and knowledge so as to work in the best interests of those in their care. The complaints procedure has been updated to include contact details for the Commission for Social Care Inspectorate 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. Stewart House Care Home DS0000013186.V273792.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 Stewart House Care Home DS0000013186.V273792.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): No new service users have been admitted since the previous inspection, during which all standards were assessed, therefore the inspector did not assess these standards EVIDENCE: Stewart House Care Home DS0000013186.V273792.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, 10 and 11 All residents have a clear, detailed plan of care, drawn up from an assessment of need. The staff understand the issues around privacy and dignity, and the residents are treated with respect. Every effort to ensure the best possible care is provided and at the time of death, staff will treat residents with care, sensitivity and respect. EVIDENCE: The inspector examined all three service users’ care plans, and found them to be comprehensive and clearly indicate their individual care needs, however there was one minor oversight in the recording of the reviews of care plans and risk assessments which made it appear that these were not always being undertaken on a regular basis. However upon enquiry there was further evidence to support that this was in fact being undertaken. A requirement has been made to ensure that all relevant details be logged wherever necessary and to review the care plans to address this oversight. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 10 The inspector was informed that the care planning and assessment process is undertaken by a person qualified for such a task and the client is involved in the process, evidence was seen to support this. The residents informed the inspector that the staff communicate with them in an appropriate and respectful manner, using their preferred form of address, and knocking on doors before entering and this was observed to be the case during the inspection. Information about the resident’s wishes at the time of their death is obtained where possible at the time of their admission to the home. Every effort to ensure the best possible care is provided and at the time of death, staff will treat residents with care, sensitivity and respect. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 15 Residents are able to maintain contact with relatives, friends and others and establish new friendships in the local community if they wish. The meals provided are balanced, varied and prepared on the premises. EVIDENCE: Residents, friends and others are able to receive visitors at any reasonable time, and are made welcome. Residents are free to make arrangements to visit friends and relatives. One resident spoke of recent visits to the town, their involvement with the local Methodist church and who was attending the Methodist chapel later that day to enjoy an evening of entertainment that had been laid on. It was reported to the inspector that the meals offered at the home are wholesome, appealing and all freshly prepared on the premises. Residents are encouraged to take their meals together recognising the social element of mealtimes, although they can take their meals in their own rooms if they choose to do so. Specialist diets are catered for. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 12 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): 17 Residents’ legal rights are protected and all are on the electoral role, whereby they can choose to vote in person or by postal vote EVIDENCE: Steps are taken to ensure that all residents are able to vote in the elections, if required, and this can either entail a postal vote or by visiting the local polling station to suit the residents’ preferences. All the residents at Stewart House have friends or relatives to advocate for them, however if the need was to arise, the manager informed the inspector that steps would be taken to access an independent advocacy service. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 13 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): 21and 26 The home has sufficient lavatory and washing facilities to meet the residents’ needs. As part of the inspection the inspector noted that all areas of the home were cleaned to a high standard EVIDENCE: There is a flat-entry shower and a WC with a grab rail on the ground floor which are easily accessible and close to the lounge/dining area. There is no bath. The toilet is within close proximity of service users’ bedrooms. There is no sluice facility since this is not currently required. All areas of the home are cleaned to a high standard and there were no unhygienic odours. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 14 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): None of these standards were assessed on this occasion, since no new staff members have been employed and all key standards were assessed during the last inspection in July 2005. EVIDENCE: Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 15 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): 33 and 38 Stewart House is a well managed home, run in the best interests of the residents using the service, with safeguards in place to protect their health, safety and welfare. EVIDENCE: The registered manager ensures that risk assessments are carried out for all safe working practices, and that significant findings of the risk assessment are recorded. The management approach of the home creates an open, positive, inclusive atmosphere. Residents reported that the manager runs the home in an open, positive, inclusive way and they would have no worries approaching her if they had any concerns and were confident that they would be listened to, and dealt with appropriately. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 16 Effective quality assurance and quality monitoring systems, based on seeking the views from the residents, families, friends and stakeholders in the community are in place, which informs the manager on how the home is achieving goals for those using the services. Residents, their families and friends are informed about planned CSCI inspections and are given access to inspectors, in order that their views, regarding the care and services provided at the home, may be gained. Policies, procedures and practices are regularly reviewed in the light of new legislation, practice guidance and advice. Care staff receive informal supervision, however there are no arrangements in place to ensure care staff receive formal supervision, for which a recommendation has been made. Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 3 18 x x x 3 x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x x x x 3 Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 18 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 OP7 Regulation 15(1)(2) 24 Requirement The home must ensure that all care plans and risk assessments be reviewed and relevant details be logged appropriately. Timescale for action 28/02/06 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 36 Good Practice Recommendations It is a good practice recommendation that all care staff receive formal supervision as prescribed by the national minimum standards Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Stewart House Care Home DS0000013186.V273792.R01.S.doc Version 5.0 Page 20 - 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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