Inspection on 09/05/07 for Stichell House

This inspection was carried out on 9th May 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

Stichell House 08/05/09

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Stichell House Hospital Of God At Greatham Greatham Hartlepool TS25 2HS Lead Inspector Mrs Tanya Newton Unannounced Inspection 10:00 9th May 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 Stichell House DS0000064400.V334414.R02.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. Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stichell House Address Hospital Of God At Greatham Greatham Hartlepool TS25 2HS 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) 01429 870247 01429 871469 The Master and Brethren of the Hospital of God at Greatham Mrs Gail Defty Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Stitchell House is a home for thirty-five older people. It is purpose built with all bedrooms having en-suite accommodation. The home has specially equipped bathrooms and showers to support people whose mobility may be limited. The rooms for communal use include the sitting room, dining room and multi purpose room. There are several seating areas throughout the home. The home is on three floors with lift and stair access to all floors. The home has beautiful views over Greenland. Fees at the home are £391 per week. Fees do not include hairdressing, chiropody or dry cleaning Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out on the 9th May 2007. The inspection ended on the 5th of June when all information had been returned. This included feedback questionnaires from people using the service and a self-assessment form, which the manager completed. Information gathered throughout the inspection maybe included within the inspection report. During the inspection time was spent talking to people using the service, staff, relatives and management. A number of records were looked at and the grounds and building itself were inspected. What the service does well: What has improved since the last inspection? What they could do better: People had very mixed views about the activities provided. The manager should seek the views of people regarding this. The manager also agreed to discuss transport with the Directors as this can cause difficulties. One person asked for the piano to be tuned. Questionnaires to gain feedback from stakeholders should be introduced. Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 6 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. Stichell House DS0000064400.V334414.R02.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 Stichell House DS0000064400.V334414.R02.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): 1, 2, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions are well managed and people are provided with information about the home before moving in. The home does not admit people who require intermediate care. EVIDENCE: The home provides information, which is given to people who may want to move in. This provides people with detailed information about the service provided and the key terms and conditions of residence. All people moving into the home have their needs assessed before moving in. Assessments viewed were detailed and contained the relevant information. Stichell House DS0000064400.V334414.R02.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 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health care needs are well managed by the home. Systems to administer medication are safe and people living at the home say that they are treated well and that the standard of care is high. EVIDENCE: Care plans were in the main well written. Some needed to include more detail. People living at the home are encouraged to be involved with their care plans and choose whether or not their family members may access them. Care plans provide information, which sets out the way in which the home will meet people’s needs. There was clear evidence of input from other health professionals where this was required. A district nurse visits the home daily and provides advice and support for staff where necessary. Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 10 Medication systems were viewed, people are supported and encouraged to manage their medication where possible. Each person living in the home has a safe place, to store their own medication in his or her room. People were asked whether staff treated them with dignity, the following are some of their responses “The staff knock and are always polite” and “Staff are polite and friendly”. One of the staff members said, “All the staff have had equality and diversity training, we get to know the people that live here both formally and informally, their likes and dislikes”. Staff were observed throughout the day to be speaking and supporting people in a caring and respectful manner. Stichell House DS0000064400.V334414.R02.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, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home should provide a better range of activities with input from the people that live there. Relatives are made welcome and encouraged to visit the home. Most people living at the home felt that they were able to make choices within all aspects of daily living. There is a varied menu and people likes and dislikes are in the main well catered for. EVIDENCE: Some activities are provided within the home, but most people said that they would like more opportunities to go out. The home does not have its own transport and relies on taxis to transport people. This issue will be raised with the Directors. Staff said that there are more activities arranged for the summer. Some people had recently been on a trip to the theatre. Some people said that they were supported in attending church. The manager said that she felt that activities could be more extensive, however there is a core group living at Stichell House who are reluctant to participate. This is appropriate and demonstrates that people’s individual rights and choices are Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 12 being acknowledged. One person said that they would like the piano to be tuned. The home has good links with the local community. All visitors said that they were made most welcome to the home and could visit at any time. There are tea and coffee facilities available for visitors and visits can take place in private. Throughout the inspection staff were observed to be treating people in a kind and dignified manner. People living at the home are encouraged to be as selfmanaging as possible. The cook was seen chatting to people about their meals, she provided a range of different options based on people’s likes and dislikes. The cook said that she would try to accommodate individual wishes. One person said that they would like their main meal on an evening, the cook and the manager both said that this could be arranged. Stichell House DS0000064400.V334414.R02.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and adult protection matters are dealt with effectively. EVIDENCE: The home has clear policies for managing complaints and allegations. There have been no complaints to the home since it opened. Concerns are dealt with on a day-to-day basis. The majority of staff had received training in the protection of vulnerable adults (POVA). All staff spoken with said they would feel confidant whistle blowing (telling someone) if they saw or heard something inappropriate. All relatives spoken with said that they felt able to approach staff with any concerns. People living at the home said “I would have no hesitation in telling someone if I had a problem”. Stichell House DS0000064400.V334414.R02.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 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is clean, well maintained and furnished and decorated to a high standard. EVIDENCE: The home is purpose built and exceeds national minimum requirements in terms of room sizes. All bedrooms are beautifully furnished and decorated to a high standard. Many people living at the home have bought items of their own furniture to make their room more homely. There are large dining and lounge areas for people to meet as well as small areas throughout the home so that people can see visitors and friends in private. There is specialist bathing equipment available and a Jacuzzi bath. Each floor of the home has its own kitchenette for people living at the home to be able to make themselves drinks or snacks. Visitors are also able to use these facilities. There are also plans to Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 15 open a small shop to be run by people living in the home and plans to have a gazebo, greenhouse and raised flowerbeds outside for people to access. The home is clean and free from odour with domestic staff on duty throughout the day, each floor has a sluice and domestic staff carry out regular cleaning of the building. There were no odours on the day of the inspection and standards of cleanliness were high. Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing numbers support people’s needs. The home has an excellent commitment to staff training and recruitment practices protect people living in the home. EVIDENCE: The home has the following staff on duty throughout the day: on a morning there are six care staff, a senior carer, and the manager. On an afternoon there are four carers, one senior carer and a manager. Overnight there are two waking staff and one sleeping staff member. There is always a manager on call. There are also three or four domestic staff on duty throughout the day. Staff recruitment and training files were looked at. Recruitment practices are sound with references and police checks being carried out prior to people starting work at the home. The home provides ample training opportunities for staff which includes, equality and diversity, protection of vulnerable adults (POVA), health and safety, palliative care, NVQ2 and 3 as well as mandatory training in first aid, fire and manual handling. Staff are very positive about working at the home and made the following comments, “people are well cared for here, there are enough staff on duty and the staff get on well” and “morale is good, we are getting there, its been a big Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 17 change moving premises but its much better now, training is ongoing there’s always something, all staff are very committed”. The home exceeds the requirement to train 50 of its staff up to NVQ level 2 or above. Twenty of the twenty-nine staff employed had already achieved this award and four staff are working towards it. People living at the home said, “the staff are polite and friendly, they have been well trained” and “best care home I have seen, plenty of staff who are very nice and kind”. Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 18 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 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and relatives and people using the service are regularly consulted about the service they receive. Financial arrangements are sound and health and safety systems and practices protect people. EVIDENCE: The Manager is qualified to NVQ level 4 and both the Manager and Assistant Manager have the registered managers award (RMA). Feedback from people living and working at the home was positive about the management arrangements. There is a clear commitment evident to exceed the national minimum standards throughout the home. Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 19 People living at the home said “the home is very well run” and “Gail the manager is very friendly” Quality assurance systems are in place to seek the views of people living in the home. Feedback is also sought from visitors. The home should develop these systems further to gain information from other stakeholders. The manager confirmed that people who live at Stitchell House are actively encouraged to take control of their own finances. No member of staff takes responsibility for managing peoples finances however the home does provide a safe facility whereby people can request the holding of money. A record of all transactions is maintained and signed by two members of staff. The home carries out regular health and safety checks to ensure that the premises remain safe. All records for health and safety viewed were up to date. The home has been awarded the food hygiene award from Hartlepool Borough Council (HBC) for 5 stars for standards of hygiene. Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 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 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 21 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. 1 Refer to Standard OP12 Good Practice Recommendations The range of activities provided should be reviewed and feedback sought from people living at the home. Transport for activities should also be reviewed. The piano should be tuned. The home should develop systems for gaining feedback from stakeholders. 2 OP33 Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Stichell House DS0000064400.V334414.R02.S.doc Version 5.2 Page 23 - 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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