Inspection on 14/01/08 for Stokeleigh Residential Home

This inspection was carried out on 14th January 2008.

CSCI found this care home to be providing an Good service.

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

Stokeleigh Residential Home 24/04/07

Stokeleigh Residential Home 30/05/06

Stokeleigh Residential Home 03/12/05

Stokeleigh Residential Home 01/08/05

Stokeleigh Residential Home 07/02/05

Stokeleigh Residential Home 24/09/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Stokeleigh Residential Home 19 Stoke Hill Stoke Bishop Bristol BS9 1JN Lead Inspector Carole White Unannounced Inspection 14th January 2008 09:30 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 Stokeleigh Residential Home DS0000059246.V354428.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. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stokeleigh Residential Home Address 19 Stoke Hill Stoke Bishop Bristol BS9 1JN 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) 0117 9684685 0117 9687552 stokeleigh@hartfordcare.co.uk Hartford Care Ltd Tracy Bird Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th April 2007 Brief Description of the Service: Stokeleigh Residential Home is registered to accommodate up to 30 residents, aged 65 years and over, who require assistance with their personal care. The home also offers respite care. It is situated close to The Downs in a quiet residential area and benefits from large grounds that are well maintained. Accommodation is provided in single rooms, each with its own en suite facilities. The upper floors are accessible via two lifts. The cost per week to reside at Stokeleigh Residential Home is between £467.00 and £650.00. Fees are reviewed annually and if care needs increase. This weekly fee does not include provision for items such as hairdressing, chiropody, dental, ophthalmic, or audiology services. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced site visit that took place over one day totalling seven and quarter hours as part of the key inspection. A tour of the premises was conducted and records were examined. The inspector spoke with the members of staff on duty and with several residents. On the day of the inspection the home had 28 residents. Surveys forms were sent to the home prior to the inspection and given to residents. 16 surveys forms were returned from residents and 3 comment cards from health professionals. The inspection also took into account the Annual Quality Assurance Assessment (AQAA) self assessment document completed by the manager. What the service does well: The home has a friendly and relaxed atmosphere and all residents surveyed and spoken with confirmed that they are happy living in the home. Daily routines are flexible and staff accommodate individual lifestyle choices, whilst enabling residents to remain as independent as possible. Care planning records clearly evidence the home’s person-centred approach to the care of the people living there. The home has an open culture that values residents and staff. It works in partnership with residents, their families and other professionals, seeking their views on the service in order to continually develop and improve the quality of the service. Comments made by residents and their relatives include: “I have been here nearly 2 years and I think I am receiving good care”, “Very satisfied & generally feel content & secure” and “I am very happy living here”. Comments made by health professionals confirmed that the home works in partnership with them and staff have the experience to know when to ask for intervention from District Nurses to ensure that people’s health care needs are met. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stokeleigh Residential Home DS0000059246.V354428.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 Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current and prospective residents are given good information about the services that the home can offer. Residents have had their needs assessed and they know that the home has the ability to meet their personal care needs. EVIDENCE: The home’s Statement of Purpose has detailed information about the services and facilities that the home provides. The home has also developed a Service Users’ Guide, which is given to the prospective resident or their representative prior to moving into the home enabling them to make an informed choice. Copies are both documents are readily available and displayed on a board in the entrance hall. Four files were examined and all had evidence that the manager had visited the prospective residents prior to them moving into the home to carry out an assessment of their needs. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 9 The needs assessments give comprehensive details of the resident’s daily living, social activities, likes and dislikes, family involvement, spiritual and emotional wellbeing and medication. In conjunction with the residents and their relatives the home is starting to develop a life history of the individual to enable staff to have a greater understanding of the person. Each file examined showed a clear inventory of the items that each individual had brought into the home. Evidence from speaking with residents and their relatives and surveys received confirms that residents feel that the home can meet their needs. Stokeleigh Residential Home DS0000059246.V354428.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs are recorded in a care plan that is developed with the residents. Resident’s health care needs are fully met. Residents feel that they are treated with respect and their privacy is upheld. EVIDENCE: All of the files examined had a photograph of the resident and a copy of their care plan with evidence of monthly reviews. Full care plan reviews take place every 6 months or sooner if the monthly review identifies any changing needs. Since the last inspection the home has worked hard to improve the level of detail in resident’s care plans and make them more individual and personcentred. Care plans now not only have more detail but also give instructions for staff to follow when caring for people. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 11 The home is also working with residents and their relatives to develop ‘advanced care plans’ in order to discuss, with residents that wish to do so, details of their wishes in the event of death. Daily entries made by staff in the communication notes were seen to be comprehensive and informative and written in an appropriate manner. Comments made by health professionals confirmed that the home works in partnership with them and staff have the experience to know when to ask for intervention from District Nurses to ensure that people’s health care needs are met. Stokeleigh Residential Home DS0000059246.V354428.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. 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. Residents are offered a range of activities within the home that enables them to have choice and flexibility in their lifestyle and residents are able to receive visitors at their convenience. The home offers a balanced choice of meals in a relaxed and pleasant environment. EVIDENCE: Since the last inspection the home has surveyed residents to seek their views about the kind of activities that they would like to take part in so that the home can provide a varied activities programme. The home also has residents meetings every 2 –3 months and at these meetings discussions take place to agree activities that residents would like to take part in or trips that could be arranged. The home employs an activities co-ordinator who arranges different activities each day including: quizzes, musical bingo, flower arranging, hair and nails and armchair exercises. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 13 The home also has a trolley shop for residents to purchase small personal items should they wish to do so. A hairdresser also attends each week and residents spoken with clearly looked forward to this. The visitor’s book confirmed that residents receive regular visits from relatives. Residents spoken with confirmed that their visitors are always made welcome. The home has a relaxed, friendly and homely environment and all residents spoken with and surveyed confirmed that they are happy living there. The interaction observed between residents and staff is good and staff are kind and attentive to their needs and wishes. Daily routines are flexible and staff accommodate individual lifestyle choices, whilst enabling residents to remain as independent as possible. The home offers a varied menu, which allows for individual choice and preferences, and residents enjoy their meals in a relaxed and pleasant dining room. All of the residents spoken with and most of the residents surveyed confirmed that they like the food and clearly enjoy meal times and see it as a social occasion. During the visit to the home residents were observed being offered regular drinks. Stokeleigh Residential Home DS0000059246.V354428.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. 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. The home has a simple, clear complaints procedure and residents know how to access it. The home promotes the protection of residents from abuse through the training and awareness of staff. EVIDENCE: Appropriate procedures are in place for the management of any complaints and copy of the complaints procedure is displayed in the entrance hall. The home has received one complaint since the last inspection and this complaint was also brought to the attention of the commission. This complaint was thoroughly investigated by the manager and area manager for the organisation and found to be unsubstantiated. The complaint was dealt with following the correct procedures and all correspondence and actions taken were well documented. It is clear from speaking with residents that the open culture of the home allows residents to feel comfortable about raising concerns and confident that any concerns raised with be listened to. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 15 All staff are given training in the Protection of Vulnerable Adults as part of their initial induction. Staff spoken with demonstrated that they had a good understanding of how to identify potential abuse and report it. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 16 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, 20, 21, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and well-maintained environment with comfortable bedrooms, that they are able to personalise with their own furniture and possessions. EVIDENCE: Stokeleigh is an attractive building that has been extended to offer a homely and well maintained environment over four floors. The inspector conducted a tour of the premises and overall the home was clean, hygienic and odour free. Residents spoken with and surveyed also confirmed that the home is maintained in a clean and hygienic state. The home has spacious communal areas, which include two lounges, dining room, conservatory, and other seating areas throughout the home. On the day of the visit some of the communal areas were being decorated and new carpets were due to soon be fitted. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 17 The home is decorated to a high standard and residents surveyed and spoken with clearly find the home a pleasant place to live. Residents’ rooms are of a good size and all have en-suite toilet facilities and the home also has other toilets and bathrooms throughout the home, including two assisted bathrooms. Residents are able to bring in their own processions and personalize their rooms. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 18 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 - 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s recruitment practices and numbers of staff working protect residents. The home ensures that staff are trained and competent to carry out their work in order to meet residents’ personal care needs. EVIDENCE: Four staff files were examined and all found to have the relevant documentation. The training files were also examined for the same four members of staff and statutory training was up to date. Staff receive training in manual handling, food hygiene, fire safety, first aid, infection control and dementia awareness. On the day of the visit four care staff (including the deputy manager) were on duty, two domestic staff, the handyman and an agency chef. Staff spoken with on the day of the visit clearly enjoy working in the home and they work well together as a team. The dedication and commitment of the staff team creates a happy relaxed atmosphere that clearly benefits the residents. The home is currently recruiting for the second chef. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 19 All residents and relatives spoken with and surveyed confirmed that the staff are competent to do their jobs. Staff spoken with at the inspection all confirmed that they feel that they had been well trained to carry out their work and are encouraged to develop their skills with on-going training. The home has continued with the on-going programme for NVQ training. Currently all members of staff have either completed or are working towards their NVQ level 2. Some care workers spoken with on the day of the visit confirmed that they had just completed their NVQ level 2 and were going straight on to work on their level 3 award. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35, 36, 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the management communicate a clear sense of direction and leadership, ensuring that the home in run in the best interests of the residents. The health, safety & welfare of the residents and staff are promoted and protected. Residents’ financial interests are safeguarded EVIDENCE: It is clear that the home is run in the best interest of the residents. The relaxed and homely environment and open culture ensure that residents enjoy a good quality of life. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 21 The manager and staff work in partnership with residents, their families and other professionals, seeking their views on the service in order to continually develop and improve the quality of the service. Staff are well trained and supported and show enthusiasm and commitment to providing a good service to residents. A systematic programme for regular supervision of staff has been developed and implemented and is up to date. Appropriate risk assessments are in place to ensure the safety of residents and staff, these are reviewed monthly. Records relating to the testing of the home’s fire alarm system and equipment were up to date, and staff are up to date with fire drill training. The home arranges regular resident, relatives and staff meetings to ensure that the views of everyone is sought in order to provide a good quality of life for the residents and a supportive work environment. The home also carries out annual surveys of residents and their relatives and displays the results of these surveys on the notice board in the entrance hall. Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 22 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 3 3 X 3 3 3 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 3 3 X 3 3 X 3 Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Stokeleigh Residential Home DS0000059246.V354428.R01.S.doc Version 5.2 Page 25 - 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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