Inspection on 02/04/07 for Stewart House Care Home

This inspection was carried out on 2nd April 2007.

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 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 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 12:30 2nd April 2007 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.V336253.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. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 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 c.echlin@btopenworld.com Ms Carol Echlin 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.V336253.R01.S.doc Version 5.2 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. 19th December 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. Fees range from £342-£481 per week, according to information supplied with the pre-inspection questionnaire Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Since the 1st April 2006 the Commission for Social Care Inspecton (CSCI) has developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. A key inspection looks at those National Minimum Standards for the service considered most important by the Commission, and any others that the inspector considers to be necessary. The inspector arrived at the service on 2nd April and was there for 3 hours. The inspection was a thorough look at how well the service is doing and took into account detailed information provided by the two registered proprietors who were present throughout the inspection. The inspector asked the views of the people who use the service and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. Written feedback was received from all three residents, five health care professionals, One care manager and three family members and friends. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of services provided. Comments received from residents during the inspection process included: ‘’I’m happy here’ ‘I’m very happy with the care I’m getting’ ‘the food is plentiful’ Comments from a visitor: ‘I’m made very welcome….its always clean and tidy’ the care they provide is ‘very much a one to one…excellent’ comments from health and care professionals: ‘very caring home’ ‘ sensitive to clients needs…they treat patients as individuals, caring attitude noticed homely clean and hygienic environment’ Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 6 ‘ nothing is too much trouble, there is always time put aside for me to review the clients care. The care plans are always up to date’ The inspector would like to thank the residents, staff and relatives/visitors for their warm welcome and their assistance during the inspection process. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Stewart House Care Home DS0000013186.V336253.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 Stewart House Care Home DS0000013186.V336253.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prior to a service being offered, prospective service users undergo an assessment of needs to ensure that their assessed needs can be met. Intermediate care is not offered at Stewart House. EVIDENCE: Since the last inspection, no new service users have been admitted to Stewart House. Assessments of needs were viewed during the last inspection for the three long standing residents at the home and all of whose assessments were undertaken appropriately prior to moving into the home and the standards met. From the evidence seen by the inspector and comments received, the inspector considers that this service is able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have an up to date plan of care, detailing their health, personal and social care needs and the care provided to ensure these needs are met. Service users are able to maintain responsibility for their own medication within a risk management process. Those living at Stewart House are treated with respect and their right to privacy is upheld at all times. EVIDENCE: At the time of inspection there were three residents living in the home and each person’s plan of care was examined and found to be person centred, detailing all the care given and regular updates having been undertaken. The standard of care planning was good, with individual care needs recorded well. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 10 Where risks to the service user were identified, risk assessments were found to be in place, detailing how the risks are to be minimised. There is a medication storage cupboard that provides safe storage facilities and a record is kept when medication is given. Service users are enabled to maintain responsibility for their medication, within a risk management process when required. The home has good working relationships with other healthcare professionals and seeks advice when necessary. A district nurse returned a comment card to the Commission that said ‘always professional, caring and prompt in responding to clients needs…very caring home and sensitive to clients needs’. Two GP’s also returned comment cards indicating complete satisfaction with the standard of care provided. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 16 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ dietary needs are well catered for offering a well balanced and varied choice. Contact with family/friends/representatives of the local community are encouraged. Residents find the lifestyle at Stewart House matches their expectations and needs appropriately. EVIDENCE: The home encourages residents to maintain links with family, friends and the local community and support is given to maintain contact where required. Residents are able to receive visitors in private and choose who they do/do not see. Residents explained that they enjoy wholesome meals, which offer variety and choice according to their wishes, all of which are prepared freshly on the Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 12 premises and uses locally produced organic fruit and vegetables, which the residents enjoy. Service users likes and dislikes are respected with a choice being offered where the need arises. The residents assured the inspector they were treated with dignity and respect. Daily newspapers, weekly magazines, television, radio and a selection of books and jigsaws are provided for residents’ entertainment. One resident said she looked forward to her weekly trip to church and to Ladies Fellowship whilst another resident enjoyed visiting his friends during the week. Transport is accessed and arranged for those who require. A visiting hairdresser and chiropodist is available for those who require. Special events, such as birthdays are celebrated within the home. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to the complaints procedure and are confident that any complaints will be acted upon appropriately. The service’s policies and procedures serve to protect service users from abuse EVIDENCE: The home has an appropriate complaints procedure, which is referred to in the Service Users’ Guide. Residents said they felt able to speak to the manager about anything of concern and had every confidence in her dealing with it appropriately. The proprietors have not received any complaints since the last inspection, nor has the Commission received any information about a complaint. The manager and staff have undergone training and are aware of issues relevant to the protection of vulnerable adults (POVA) and have access to the Oxfordshire multi-agency codes of practice about how to deal with any suspected or actual incident of abuse. No complainant has contacted either the Commission or the service itself with information concerning any allegations of abuse since the last inspection Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides sufficient suitable bathing and WC facilities in a homely environment, which is safe and clean. Service users are provided with pleasant, well maintained surroundings. EVIDENCE: The home’s environment is comfortable, homely and well maintained. The inspector noted that cleanliness was particularly good, and residents confirmed that this was always the situation. 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. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed by the proprietor who is on hand at all times to provide for the needs of the residents and is supported by a part time carer. Both the proprietor and carer update their training to ensure they have the skills and knowledge to undertake their roles competently. No new staff have been employed since the last inspection and therefore the recruitment policies and practices have not been assessed as these were fully met at the previous inspection. EVIDENCE: Due to the size of the home it is run and managed by the proprietor who is on hand at all times to provide for the needs of the residents and she is supported by a part time carer. Both Mrs Echlin and the carer have undertaken relevant training in order that they have both the skills and knowledge to undertake their roles competently. Both have relevant National Vocational Qualifications and during the last 12 months have updated their Food Hygiene and the carer her First aid training. Other training during this period has included Administration of Medicines, Fire Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 16 Training, Infection Control and Equality and Diversity training. Future training has been planned for both to update their Moving and Handling training when this becomes due and Mrs Echlins First Aid update in order that their skills and knowledge are up to date. The previous inspection involved looking into the recruitment process and viewing the carer’s personnel file to ensure that robust policies and procedures were in place to ensure staff were suitable to work with vulnerable adults and would be in safe hands. Evidence highlighted that service users are protected by the homes recruitment policies and practices. Since no new members of staff have been employed and the carers file has been previously viewed for this evidence the standard still stands as fully met. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 17 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported well by a part time carer and provides clear leadership throughout the home The home is run in the best interests of residents and provides a safe place for service users to live and staff to work. EVIDENCE: The registered manager is experienced, knowledgeable and competent to manage the home. She displays a good sound knowledge of matters related to the management and running of the care home for older people. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 18 The registered manager is available in the home on a daily basis to deal with issues as they arise and has an ‘open-door’ policy that encourages people see her without the need to make an appointment. The manager obtains feedback on the quality of service from residents and visitors when talking to them in the home and undertakes a formalised method of gaining feedback through an annual questionnaire which is fed back to the residents verbally. Whilst it was explained to the inspector that there is a difficulty in reaching a wide range of people due to the size of the home and number of residents, they are provided to all service users, health professionals, family members and friends, enabling everybody who has an interest in the home to have a say. The feedback received enables the registered manager to reflect on the care and services provided and make any changes to improve upon the service. The inspector saw evidence of this having been undertaken and positive feedback was gained around the provision of care, safety, privacy, meal provision and service user rights. All records required for the inspection were made readily available. The home has a health and safety policy statement and provides training and equipment for staff. Safety checks relating to fire safety and infectious diseases are regularly carried out. The registered manager does not act as appointee for handling service users financial affairs, this is undertaken by family members or the service users’ representatives. Where the home holds service users spending money, records are kept of all transactions. The home is run in the best interests of the service users and their health safety and welfare is promoted and protected through the homes policies and procedures. Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 19 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 3 x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Stewart House Care Home DS0000013186.V336253.R01.S.doc Version 5.2 Page 22 - 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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