Inspection on 04/08/05 for Stoke Knoll Rest Home

This inspection was carried out on 4th August 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 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 19/07/06

Stoke Knoll Rest Home 08/12/05

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 Michelle Presdee Unannounced 4 August 2005 th 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 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 H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stoke Knoll Rest Home Address 142 Church Road Bishopstoke Hampshire SO50 6DS 023 8061 2402 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Roy Northover tbc CRH 24 Category(ies) of DE(E) Dementia - over 65 - 24 registration, with number MD(E) Mental Disorder -over 65 - 24 of places OP Old age - 24 DE Dementia - 3 MD Mental Disorder - 3 Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: A maximum of 3 service users in the categories DE and MD may be accommodated between the age of 55-65 years at any time. Date of last inspection 27.01.05 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, local shops and small rivers where people can be observed fishing Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection started at 11.15am and was completed by 3.35pm. On the day 21 residents were accommodated whose ages ranged from 65-99. Two service users were spoken to at length who were both happy with the home and the care they received. Other service users spoken to also expressed their satisfaction with the home. One visitor to the home was spoken with, who stated she was aware of whom to complain to if there were any problems. The paperwork in the home was also looked at and all areas of the home were seen. What the service does well: What has improved since the last inspection? What they could do better: Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 6 The assessment and care planning process still needs to improve to ensure all service users needs are documented ensuring all staff have sufficient information to meet their needs. An audit of plugs in service users bedrooms still needs to be undertaken, to ensure service users have access to sufficient and safe plugs. 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 H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 standard(s) 1, 3, 5, 6 The pre-admission assessment and assessment need to improve to ensure all service users needs are documented; ensuring the home can meet all the service users needs. Service users and family members are encouraged to visit the home and are given sufficient information to ensure they are aware what the home has to offer. EVIDENCE: The home has a new Statement of Purpose, which contains all the necessary information. A copy was displayed on a notice board in the home and the inspector was advised all service user will be given a copy once they have been printed. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 9 The assessments of two service users who were recently admitted to the home were examined. It was noted these contained basic information but did not give a clear picture of each service user. Pre admission assessments had been completed but again only basic information had been recorded, making it difficult to know what the service users needs and strengths were. From discussion with staff members it was clear staff new a lot more about service users than was recorded. For one service user it emerged they had recently shown some aggressive behaviour, but this was not included in their assessment. However on discussion with staff members they were aware of the situation. It was agreed assessments must be up-to-date, ensuring all staff have a clear picture of the service users current needs. The inspector was advised all potential service users would be invited into the home before deciding to move in on a permanent basis. All service users move in on a twenty-eight day trial period. From the files viewed it was clear oneservice users had been to visit the home before moving in, for the second admission this had not been possible due to it being an emergency admission. Where possible a representative of the home will try and visit the service user in their own home or hospital to gain a picture of the service user before admission. The home does not provide intermediate care. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 standard(s) 7, 8 The quality and accuracy of information recorded on care plans needs to be improved to reflect service users overall needs and how these are going to be met. The written information does not reflect the verbal information given or the care given in the home. Health care needs are met in the home, with good links being created with other professionals. EVIDENCE: All service users have a plan of care. The service user plans of the last two service users who were admitted to the home were looked at. It was found they contained some good information on the care needed by the service user. However more information was needed on some aspects of care, for the service user who had become aggressive there was no information on their care plan on how care staff should manage the service user at this time. Another example was a plan which stated a service user went out with their family twice a week, however there was no evidence to suggest this happened and on discussion it was found this does not happen as regularly as stated. A risk assessment had been completed for both service users. For one a risk assessment had been completed, but no information had been recorded on how the risks could be minimised. For the second a risk assessment had been Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 11 completed and included “control measures” , which had been signed and dated. The inspector was advised the home has a good relationship with the health professionals who visit the home. All service users have access to a doctor who they can see in private. The home is currently trying to arrange for a dentist to visit the home; currently service users are taken to a dentist in the community. An optician calls into the home on an annual basis. A chiropodist calls into the home every six weeks. The home also has access to a district nurse, continence advisor and community psychiatric nurses. It was suggested visits to and from health professionals should be recorded on separate sheets. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 standard(s) 12, 13 Social activities are provided and create stimulation and a choice for service users. Visitors are encouraged and made welcome, maintaining family contact for service users. EVIDENCE: Service users spoken to on the day stated they felt had sufficient activities in the home. One service user stated she found it difficult to mix with the other service users as she found most of them had memory problems, however she had enjoyed the company of the staff and had regular visitors. Activities in the home included music, reminiscing, ball games, chair keep fit, skittles, painting, music slide shows and an outside entertainer calls in once a week. A carer arranges social activities each afternoon. The home also makes use of the diala-ride now it has the tokens. The vicar visits the home on a monthly basis. The home tries to be flexible in the routines of daily living. Service users can get up in the morning and go to bed at night at what time suits them. Visitors are welcomed to the home and can visit at any time. Service users are given this information when they move into the home and it is also detailed in the service user guide. A notice is also displayed in the home. Service users spoke of their enjoyment of having visitors and stated they could see them in their own room. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 18 The home has a satisfactory complaints procedure, which a visitor had felt comfortable to use. The home has adequate information available to ensure staff have some knowledge on abuse for the protection of service users. EVIDENCE: The home has a complaints procedure, which detailed all the necessary information including names, addresses, telephone numbers and timescales. The home and the Commission have not received any complaints since the last inspection. One service users visitor stated in the past she had complained and felt it had been dealt with correctly. The home since the last inspection has arranged for all staff to receive training on abuse. This included staff members watching a video and then completing a questionnaire. Discussions were held on the need for staff members to be able to discuss issues raised and seek information and advice from other sources. The acting manager agreed it would be beneficial for staff members to be able to attend an outside training course or for an outside trainer to come into the home. The home has information on adult protection, Hampshire abuse procedure and a copy of the Department of Health guidance “ No Secrets” and a whistle blowing procedure. No allegations of abuse have been made in the home. The home has a policy on dealing with aggressive and violent behaviour. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 14 Two x-members of staff have been referred to the POVA list. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 standard(s) 19, 23, 25, 26 The home has been through major changes to the décor of the home, which has much improved the physical environment for service users. Service users have a safe and well-maintained home with attractive gardens, which service users enjoy. EVIDENCE: The physical environment of the home has much improved since the last inspection. The front of the house was being re-painted on the day of the inspection, much improving the appearance of the home from the outside. At the rear there is a large garden, which is equipped with tables, chairs and umbrellas. Service users spoken to enjoyed being able to walk around the garden. Considerable work has taken place inside the home. The landing walls have now been re-painted, new carpets have been laid in the hallway, landing and stairs, lounge, dining room and in two bedrooms. The window and roof blinds in the dining area have been replaced and the air-conditioning in this area is now working to full capacity. All radiators and hot water pipes have been covered. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 16 All areas of the home were seen. Service users had personalised their bedrooms some bringing their own furniture into the home. The bedroom, which had been identified as being dark in the last report, has now been given extra lighting. An audit of the electrical sockets in each room has not taken place but the inspector was advised by the acting manager this is due to take place, as it is clear not all rooms have adequate numbers of electrical sockets. All areas of the home were clean. An unpleasant odour was detected in parts of the home, which the acting manager explained is due to many service users being incontinent of urine. The home has one electrical odorise machine to try and free the home from these odours, which is moved around the home. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29,30 The home has a good system for the recruitment of staff, which includes all the necessary checks being completed for the safety and protection of service users. Training has been undertaken promoting the safety of both service users and staff members. EVIDENCE: The staffing records of two new members of staff were checked. It was found all the necessary information was recorded and had been obtained. The acting manager verbally went through the recruitment procedure, including the application form, interview and all the necessary information, documentation and checks, which were needed before somebody, could be employed. The evidence seen supported this, which was clearly filed and well presented. Health and safety including food hygiene had been done in the home with Basingstoke College. Infection control had been completed in-house. First aid training took place on 10th April 2005 with Haven Ambulance Service. Fire training had taken place on 16th march 2005 by an outside trainer; this was cascaded to staff members who could not attend by the acting manager who has completed an approved one-day course. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not looked at during this inspection. Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 2 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x 2 x 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 20 yes Are there any outstanding requirements from the last inspection? 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. 2. Standard 3 7 Regulation 14 (1) (a) 15 Requirement Assessments must give a clear and accurate picture ofnservice users needs. service users plans must provide sufficient for staff to meet the care and welfare needs of service users. An audit of all electricsl sokets in the home ensuring they are safe and sufficient in number needs to take place. Previous timescale of 30.04.05 not met. Timescale for action 30.10.05 30.10.05 3. 23 23 (2) 30.10.05 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 Good Practice Recommendations Stoke Knoll Rest Home H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 Page 21 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire, 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 H54 S12401 Stoke Knoll V230713 040805.doc Version 1.40 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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