Inspection on 19/07/06 for Stoke Knoll Rest Home

This inspection was carried out on 19th July 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stoke Knoll Rest Home 28/02/08

Stoke Knoll Rest Home 08/12/05

Stoke Knoll Rest Home 04/08/05

Stoke Knoll Rest Home 27/01/05

Stoke Knoll Rest Home 08/07/04

Stoke Knoll Rest Home 13/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton 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 Stoke Knoll Rest Home 142 Church Road Bishopstoke Hampshire SO50 6DS Lead Inspector Keith Hopkins Unannounced Inspection 19th July 2006 11:00 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 Stoke Knoll Rest Home DS0000012401.V299336.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. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoke Knoll Rest Home Address 142 Church Road Bishopstoke Hampshire SO50 6DS 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) 023 8061 2402 Mr Roy Northover Mrs Heather Northover Mrs Mary Law Johansson Care Home 24 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (24), Mental disorder, excluding learning of places disability or dementia (3), Mental Disorder, excluding learning disability or dementia - over 65 years of age (24), Old age, not falling within any other category (24) Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 55 years of age Only three service users can be accommodated in the categories DE and MD at any one time 8th December 2005 Date of last inspection Brief Description of the Service: Stoke Knoll is a rest home providing care and support to 24 elderly men and women with age related conditions such as dementia and mental illness. Mr & Mrs Northover who are the registered persons for two other rest homes in the Southampton Locality own the home. The home is an old Victorian house built over three floors with an adjoining two-bedroom cottage and large enclosed garden. The home has undergone renovation of its heating system and safety valves on service users’ sinks, and further improvements have been made to the bathroom facilities and the home in general. The home is situated in the locality of Bishopstoke on the outskirts of Eastleigh shopping centre and train station. The area offers pleasant walks, public houses, and easy access to local shops. Fees range from £375 to £386 per week. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Six hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager. The inspector also spoke privately with two members of the care staff. Most of the service users were observed making use of communal areas and their bedrooms and a number were spoken with briefly. Three service users were spoken with at greater length in the privacy of their bedrooms. What the service does well: What has improved since the last inspection? Since the last inspection initial assessments have been undertaken for new service users, which have further informed the care plans, enabling staff to better meet identified needs. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 6 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. Stoke Knoll Rest Home DS0000012401.V299336.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 Stoke Knoll Rest Home DS0000012401.V299336.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 at least once during a 12 month period. 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. The home has assessed the needs of its current service users well. These needs are clearly recorded and known to staff. EVIDENCE: Four service users’ files, two relating to more recently admitted persons, were inspected and needs assessments seen within these files contained a good level of detail. There was, for example, information regarding washing and dressing, oral health, eating and drinking, and mobility. One of these more recently admitted service users had been admitted from another home elsewhere and had been visited there and an initial assessment of needs undertaken by the manager of Stoke Knoll. The manager explained that it was usually herself who undertook the initial assessment prior to any decision regarding admission. Any potential new service user is invited to spend a day at the home beforehand and any family are involved in the process. This was confirmed by one of the service users spoken with. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 9 Evidence that assessments were reviewed after admission was seen by the inspector, and service users spoken with confirmed their involvement in detailing any changing needs. Staff spoken with were clearly aware of the content of the needs assessments. The home does not provide intermediate care. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 10 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, 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. The home has a care planning regime which addresses identified personal, social and health care needs and involves service users. EVIDENCE: Three care plans were examined and contained information for staff to ensure that all aspects of health, personal and social care needs could be met. This information included, for example, details of recreational and leisure interests and preferences regarding diet. Plans are reviewed on a regular basis but also more frequently if necessary. One of the plans, for example, had been reviewed and changed following a change in need and the service user confirmed this change to the inspector. Service users also said that staff knew how to help them. One person, for example, said that the staff ‘were good ’ and another that he ‘liked it here’. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 11 Plans contained information regarding more specific needs such as chiropody and dentistry. Service users are supported in accessing some of these services externally rather than ‘in-house’, and the manager explained that she was currently looking for a dentist able to make domiciliary visits. Service users confirmed arrangements to access a GP with one saying ‘they called a doctor when I needed one’. It was noted by the inspector that the community psychiatric nurse was visiting the home on a regular basis to deal with the mental health needs of three service users. The home has a policy and procedure for dealing with medication, which includes a statement that it encourages service users to self medicate, although no-one is currently doing so. In the event that a service user wished to self medicate then a general practitioner would be involved in the assessment of capability. One service user showed the inspector the secure place that was available in her room should she have wished to deal with her own medication and another service user said that he would ‘rather they dealt with medication – there is more chance it would be done’. The drugs trolley, and the separate controlled drugs cabinet, were both secure at the time of the inspection. Records relating to three service users were examined and were in order and up to date. A check was made on one person’s controlled medication with the amount tallying with the record held. It was pointed out to the manager that there was only one signature, and not the two required, against a tablet given the previous evening. The manager agreed to investigate this. Medicines requiring refrigeration were kept in a separate dedicated fridge and the temperature of this was recorded although there were some ‘gaps’. The temperature should be checked every day. Staff responsible for dealing with medication were trained most recently by a pharmacist on 2nd June 2005 and the inspector was informed that training was due to be updated in September this year. Staff were observed to be providing assistance to service users in a calm and dignified manner, and knocked on doors, awaiting a response, before entering. Without exception all eight service users and two relatives returning comment cards said that service users were treated well and that privacy was respected. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged. Service users enjoy attractively presented meals in congenial surroundings. EVIDENCE: Care plans detail service user’s interests and service users themselves confirmed, variously, that they enjoyed activities such as knitting, sewing and doing crosswords. The inspector observed that books were available and one service user confirmed that he took a daily newspaper. A regular musical activity is arranged for each Thursday with one service user commenting that he particularly enjoyed listening to the accordionist. A vicar visits the home every month and a catholic service user is visited by a member of her church regularly. The inspector was not able on this occasion to speak with any visitors to the home, who are encouraged to visit as they wish. One service user Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 13 confirmed this to be the case and said that he entertained his visitors in his room although communal areas could be used if this was preferred. Service users are able to move freely around the building and one service user informed the inspector that the gardens to the home could also be freely used and were readily accessible. Service users were able to use their bedrooms during the day if they wished and a number preferred to do this. Menus at the home were varied and the inspector observed an attractively presented meal being served in the dining room at lunchtime. Staff were observed to be providing assistance to service users who needed this with eating in a discreet and dignified manner. One service user said that the food was ‘wonderful’, and there was an alternative to the midday meal offered if need be. Service users are encouraged to take meals communally in the dining room. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 14 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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure, which service users are aware of and feel able to use. Service users are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a complaints policy and procedure, and a copy of a leaflet explaining how a complaint could be made was prominently displayed in the entrance hall. All service users spoken with privately said that they had no complaints and were aware of what to do if they had. Service users all appeared to have a good degree of confidence that any issues raised would be dealt with. It was reported that the home had investigated two complaints within the last 12 months, one of which, regarding the heating, was partially substantiated. The manager explained to the inspector the actions taken to address this. The home also has a policy and procedure relating to adult protection, with information produced by Hampshire Social Services being available for staff to consult. Staff have been trained in this and when interviewed confirmed their understanding of what to do in the case of suspected abuse. Both members of staff interviewed said that they would report anything they needed to. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 15 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): 19 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 a safe and comfortable environment, which is suitably furnished and maintained. EVIDENCE: The tour of the building showed this to be clean and tidy throughout and there were no undue odours. Communal areas were well furnished and adequate bathroom and toilet facilities with aids were available. Two service users were visited in their rooms by the inspector, who also viewed several other bedrooms. These were all adequate in size, and had clearly been personalised, to considerable degrees. Comments made variously by service users included that their rooms were ‘comfortable’ and that it was ‘nice here’. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 16 Service users were observed to be freely making use of communal areas, such as the lounge and other communal areas and accessed their bedrooms as they wished. The home’s laundry was inspected and was fit for purpose with the washing machine being capable of reaching a sufficiently high temperature for disinfection purposes. There were procedures in place to deal with soiled items, which were known to staff, who also confirmed that gloves and aprons were available. The building is well maintained with a maintenance person to deal with day-today matters. A repairs book is used to detail any items requiring attention. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 17 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): 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. Staff are appropriately trained and are employed in sufficient numbers to meet service users’ needs. Service users are protected through the soundness of the home’s recruitment practices. EVIDENCE: The inspector examined three staff files, one relating to a more recently appointed person. These contained evidence of written references being obtained following the completion of an appropriate application form. There was evidence of Criminal Record Bureau (CRB) disclosures having been obtained. Staff have job descriptions and there was evidence in files of an initial induction period being undertaken by new staff. Files contained evidence of the various short courses undertaken which included First Aid, Basic Food Hygiene, Fire Safety, Dementia Care, and Moving and Handling. Staff files examined confirmed the home’s supervision and appraisal system, staff being supervised every other month with a more formal appraisal yearly. Staff interviewed said that they felt well supported by management. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 18 During the inspection the inspector observed staff members interacting with service users in a friendly yet professional manner. It was explained to the inspector, and confirmed by the rota, that there were usually four members of care staff on duty in the mornings and three in the afternoons and evenings who were backed up by ancillary staff. There are two members of staff on waking duty at night. Staff were observed to be attending to service users’ needs in a calm and unhurried manner. Service users without exception commented positively about staff saying variously that the ‘staff are good ’, and that the ‘cook was wonderful’. It is understood that of the fifteen care staff, six have a National Vocational Qualification at Level 2 and that one further person is undertaking this. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 19 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): 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. A competent manager, supported by comprehensive policies known to staff, manages the home in service users’ interests. EVIDENCE: The home’s manager has many years of experience in care and is currently undertaking a National Vocational Qualification Level 4 Management. Service users’ meetings are held on a regular basis, the most recent having been held on 9th March 2006. At this meeting some suggestions were made for improvements to the service offered which the manager confirmed had been followed up. The manager said that it was intended to formalize current arrangements for consulting with service users by way of an annual survey. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 20 The home provides a safekeeping facility for service users who wish to make use of this. Monies being held for two service users were examined and associated records and receipts tallied correctly with these monies. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items were securely stored in locked cupboards and staff were aware of health and safety issues. The home has a health and safety policy known to staff. The home’s office, which is at the rear of the building, can only be accessed internally through a part of the kitchen in which some foodstuffs were kept. The manager informed the inspector that it was intended in the near future that this issue be addressed and that a self-contained kitchen be created. A sample of policies, procedures and records required by regulation were inspected and were in order and up to date. This included the home’s fire records and accident book. Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 21 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 3 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 X 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 2 Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP38 Regulation 16 (2) (g) Requirement The kitchen area and the storage of food needs to be improved. Timescale for action 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Stoke Knoll Rest Home DS0000012401.V299336.R01.S.doc Version 5.2 Page 24 - 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. 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