Inspection on 22/09/05 for Stokefield Care Home

This inspection was carried out on 22nd September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Stokefield Care Home 19/06/07

Stokefield Care Home 06/06/05

Stokefield Care Home 09/11/04

Stokefield Care Home 14/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Stokefield Care Home Stokefield Care Home St Johns Hill Road Woking Surrey GU21 1RG Lead Inspector Susan McBriarty Unannounced Inspection 22nd September 2005 11:30 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 Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stokefield Care Home Address Stokefield Care Home St Johns Hill Road Woking Surrey GU21 1RG 01483 761779 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) HanoverFriends Elizabeth Ann Duddridge Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2005 Brief Description of the Service: Stokefield care home is owned and managed by Hanover Friends. The homes communal facilities are two (2) day rooms and a dining room, the bedrooms are all single rooms. The bedrooms include compact sitting and kitchen facilities. The home has specialist bathing facilities and equipment. The care home is situated in close proximity to Woking town centre and local amenities can be accessed through the homes own transport or community transport. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second inspection for 2005 – 2006.The inspection was undertaken on the same day as an agreed site visit to enable the Commission for Social Care Inspection (CSCI) to assess the major works undertaken by the organisation at the home to increase the number of bedrooms available. During the inspection the Inspector spoke to five members of staff including the regional manager and manager and five residents. A number of records and documents were sampled during the inspection including staff training files, the business and financial plan for the home as well as the records kept by the kitchen staff. 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. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 6 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 Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 7 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): Standards 1,2,3,4 and 5 were assessed during the inspection of the 6th May 2005. Standard 6 does not apply. EVIDENCE: The minor amendment required in the homes statement of purpose on the 6th May 2005 had been made. The statement of purpose now contains the timescales required regarding complaints. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 8 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): 10,11 Standards 7,8 and 9 were assessed during the inspection of the 6th May 2005. Residents’ privacy is upheld; the home has a policy for dealing with the death of a resident. EVIDENCE: The home has policies and procedures in place to ensure that staff members are fully aware of the organisations commitment to residents right to privacy and respect. The home has polices in place for dealing with both the expected and unexpected death of residents. In discussion with the manager and regional manager the policies may benefit from further work. The current policy notes those actions to be taken by staff in the event of the death of a resident and the regional manager stated that the organisation would be reviewing those actions, as they may no longer be suitable. A requirement was not made during this inspection. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14,15 Standard 12 was assessed during the inspection of the 6th May 2005. The home encourages residents to maintain their independence for as long as possible. Policies and procedures are in place to enable staff to assist should this become necessary. The menus produced by the home offer a varied and nutritious diet to the residents. EVIDENCE: The home encourages residents to maintain contact with friends and family and to maintain contact with the local community. A number of residents have access to electric mobility vehicles enabling them to maintain their independence for as long as possible. The home has an activities programme, a copy of which was displayed on a central notice board to enable residents to make a decision about whether to take part or not. During the inspection the Inspector observed residents and their neighbours taking part in the board games and card games of their choice. The games had been organised by the residents who had requested the assistance of staff in setting up the tables as required. The majority of residents maintain their own finances, however the staff at the home are able to assist if required. See also Standard 35 of this report. A Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 10 requirement was made as the Inspector found a minor error on the day of the inspection. The rooms seen on the day of the inspection were the empty ones awaiting agreement by the CSCI for use. In discussion with staff and a specified resident it was clear that the residents were able to choose to use their own furniture if they so wished. The Inspector toured the kitchen and evidence was found that the cook maintained good records of all fridge and freezer temperatures as well as food coming into the home. Fresh vegetables are served regularly. The residents spoken to stated that the food was generally good and that alternatives were available on request if the main meal was not to their liking. New style menus had been provided. A weekly menu was available on each dining table and residents informed the Inspector that they preferred the new format. However the menu does not show clearly that alternatives are available to the residents on request although neither the residents nor the staff members felt this to be a particular issue. The Inspector felt this additional information would be useful to any new resident. Lunch was sampled by the Inspector and was found to be hot and fresh. A number of the residents had a hearing impairment and found that conversation over lunch was problematic to them due to the number of conversations taking place in the room. The Inspector suggested that the home consider the problem to see if there were any options available that might assist those with a hearing impairment during meals. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 11 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): 18 Standards 16 and 17 were assessed during the inspection of the 6th May 2005. The home has a policy and procedure in place to protect the residents from abuse and appropriate training is provided to staff members. EVIDENCE: The organisation has recently revised the procedures regarding the protection of vulnerable adults from abuse to ensure they meet the local guidelines. The procedures are not yet in place throughout the homes they manage. The Inspector had access to the draft procedure prior to this inspection and was satisfied that they met the Standard. Stokefield care home is using a local procedure in the interim that meets the standard. Staff members receive training in the protection of vulnerable adults from abuse and the Inspection viewed evidence regarding the training provided. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 12 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): Standards 19,20,21,22,23,24,25 and 26 were assessed during the inspection of the 6th May 2005. A number of requirements had been made at the inspection of the 6th May the outcomes are noted here. EVIDENCE: The requirements made at the inspection of the 6th May had been met. The use of the en-suite showers had been reviewed with the residents. Fencing had been put in place to the side of the home to reduce the risk of falls. Close circuit television had been installed in a number of areas and other safety devices had been fitted to reduce the risk of further break-ins to the home. Perimeter fencing had not been provided as the new safety devices were felt by the organisation to be satisfactory. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 13 The provision of a ramp to the front of the home had been agreed and plans were in place for the building work. The lighter garden seating has been removed and other more robust seats and tables had been moved to the garden area and were deemed by the Inspector to be safer for those with a mobility problem. A notice had been placed at the entrance to the grounds making clear where the care home entrance is. The insurance documents had been replaced with the current building and public liability insurance. These are due for replacement in November 2005. The lounge area had been redecorated and new chairs were in place. Some minor work was still outstanding and this was in hand at the time of the inspection. For example the new curtains had not yet been hung. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 Standards 27,28 and 29 were assessed during the inspection of the 6th May 2005. Staff members had received training and appropriate records were held by the home. EVIDENCE: The requirements noted under this section of the report of the 6th May 2005 had been met. The home had made application to increase the number of residents from sixteen (16) to twenty four (24). The inspection also incorporated a site visit to enable the Inspector to assess the finished rooms. The Inspector informed the regional manager and manager of the outcome and some minor work required was completed on the day of the site visit. The staffing levels within the home are planned to increase in line with any increase agreed by the CSCI regarding the number of residents. The Inspector sampled the training file for the home and found that full records are kept of the training undertaken by care staff. Copies of all certificates provided to staff member son completion of training were kept by the home and sampled by the Inspector. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,34,35 Standards 31,32,36,37 and 38 were assessed during the inspection of the 6th May 2005. The home had a financial plan and draft business plan for 2005 – 2006. The home had policies and procedures in place regarding the management of service users finances. Further work was required to ensure that staff members followed those policies and procedures. EVIDENCE: Service users and their relatives had last undertaken a quality assurance questionnaire in 2004, the outcome of which was passed to service users in a residents meeting. The quality assurance audit for 2005 – 2006 had not yet been completed. It was recommended that the outcome of any quality assurance audit be analysed and published by the home. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 16 A copy of the home’s financial projection for 2005 – 2006 was made available to the Inspector. In discussion with the manager and regional manager it was evident that the home had taken into account the planned increase in service users entering the home should their application for variation be agreed by the CSCI. The majority of service users manage their own finances some with the assistance of their relatives or representatives. The home manages the finances of a few service users; the Inspector sampled those finances and found a minor error. A requirement was made that the home reviews the procedures regarding the recording and accounting of service users finances. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 2 X X X Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 18 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 Standard 35 Regulation 17(2) Sch 4(9)(a)(b) Requirement The registered person must ensure that the procedures for the recording and accounting of service users finances are reviewed. Timescale for action 27/10/05 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 33 Good Practice Recommendations It is recommended that the outcomes of any quality assurance audit be published by the home. Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Stokefield Care Home DS0000036444.V253505.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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