Inspection on 29/11/05 for Stone House

This inspection was carried out on 29th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Stone House 12/11/08

Stone House 19/12/06

Stone House 07/06/05

Stone House 01/12/04

Stone House 25/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Stone House 55-57 Cheyney Road Chester Cheshire CH1 4BR Lead Inspector Maureen Brown Unannounced Inspection 10:00 29 November 2005 th 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 Stone House DS0000006672.V268558.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. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stone House Address 55-57 Cheyney Road Chester Cheshire CH1 4BR 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) 01244 375015 01244 375015 Mr Harry Gerard Keyzor Mrs Jill Keyzor Miss Lisa Jones Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (1) of places Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 33 service users to include:* Up to 32 service users in the category OP (Old age, not falling within any other category) * One named service user in the category PD (Physical disability aged between 56 and 65 years) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection The registered provider must at all times meet the agreed staffing agreement 7th June 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Stone House is a residential care home providing personal care and accommodation for up to 33 older people. It is a family run private business that opened in 1987. The home is located in a residential area near to the centre of Chester, and has been converted from three houses. Many community facilities and shops, pubs and post office are within walking distance. Service user accommodation is on two floors; access between floors is via a shaft lift or the stairs. The home provides accommodation for a total of thirty-three service users in single rooms, thirty of which benefit from en-suite toilet facilities. The remaining bedrooms have wash hand basins fitted. A number of extensions have improved physical standards in the home. An outside garden/courtyard area is available for service users. There are adequate car parking facilities available. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during 29th November 2005. The total time on site was five hours. The inspector spent half an hour planning the inspection by reviewing previous inspection reports and the service history. The inspection included a tour of the communal areas and a sample of bedrooms, inspection of records and discussions with twenty residents, the co-owner, the manager, deputy care manager and other staff on duty. Sixteen out of thirty-eight standards were assessed and most were met. Feedback from this inspection was given to the registered manager at the end of the inspection. Five relative and carers and three GP comment cards were received from this inspection. What the service does well: The home had an established staff team who were keen for high standards to be maintained. Residents’ plans of care and individual case notes were well documented and reflected each resident’s needs. Supervision of staff was recorded and completed on a regular basis. Meals were varied and reflected each person’s preference. They offered choice and variety. The staff manage daily activities and entertainments well and provide a wide range of choice. Residents said they were pleased with the choices on offer. A good standard of hygiene was seen throughout the home and the standard of décor was high. All the relatives commented that they were “more than” satisfied with the overall care provided at the home. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 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. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 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 Stone House DS0000006672.V268558.R01.S.doc Version 5.0 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): 2&6 A contract is used to ensure that service users are aware of the terms and conditions of their residence. Intermediate care is not provided. EVIDENCE: A file was kept in the office with each resident’s terms and conditions of residence. This document contained the name of the resident, overall care and services provided, fees payable and the rights and obligations of the proprietors and the resident. The resident or their representative signed this. The deputy manager stated that intermediate care was not provided at Stone House. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 & 11 The residents’ health, personal and social care needs are met by the staff team. At the time of death residents’ needs are met in a caring and sensitive manner by the staff team. EVIDENCE: A sample of three residents’ care records were seen during this inspection. These were comprehensive and well presented in individual folders. Each contained basic information covering all areas of personal care, risk assessments for falls and moving and handling, social interaction, activities, visiting professionals sheet and a copy of the daily report sheets. The care plans seen were drawn up in consultation with the residents and family and were based on their assessed needs and risks. The care plans were reviewed on a monthly basis, in conjunction with the residents. The residents signed their care plans to show that they agreed with the contents. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 10 Daily record sheets seen showed the activities of each resident. However these were not completed on a daily basis. The records made were written clearly, easy to follow and were signed by carers. Information regarding bathing and weights were recorded however, gaps in the recording of bathing showed that some residents had not had baths for up to two weeks. Accurate records must be kept. During discussions with the residents it was said that “the care was very good” and “the managers work alongside the staff” and also “the home had a lovely atmosphere”. Other comments included “the food is good” and one resident said, “the staff are very nice”. Relatives spoken to said they were “very happy with the care given to his mother”, “my mother is very happy” and also “they were kept informed of changes in the residents health needs”. One relative commented, “I asked my relative if she would like to move nearer to us and she said, “no thank you I am perfectly happy here”, I think that says it all”. The deputy said that information regarding dying and death is not requested until needed. A recent death had occurred at the home and she was able to describe the process used during this time, which included involving the family members and GP. She also described the process for an unexpected death and said that staff acted in a sensitive and respectful manner when caring for people who are dying. A policy on death and dying was also available. One GP commented that the care given to their patient was “overall excellent” and they all said that they were satisfied with the overall care provided to their patients. See requirement Nos. 1 & 2 and recommendation No. 1. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 15 Residents’ were able to take part in a range of activities of their choosing. Residents’ dietary needs were well catered for with a balanced and varied selection of food that met peoples’ tastes and choices. EVIDENCE: The residents’ plans reflect the range of activities undertaken which included activities such as reading, bingo, dominoes, sing-a-longs, talking books and watching television. Residents said they particularly enjoyed reading the paper in the mornings and participating in activities during the afternoon. Bingo was a firm favourite. The deputy manager stated that religious services took place monthly within the home and that residents could join in if they wished to do so. Resident’s religious preferences were recorded in their care plans. Residents confirmed they could attend the religious services if they wanted to. The menu was seen and these reflected peoples’ personal choices. Special diets were catered for such as diabetic diets. The main meal of the day was observed being served and the food was hot, appetising and well presented. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 12 An alternative was always available. After the meal residents said that “the meal was lovely” and that “you wouldn’t get better anywhere else”. The kitchen was maintained in a clean and tidy condition. Fridge, freezer and hot food temperatures were recorded and seen by the inspector. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 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 the following standard(s): 16 Residents and relatives were satisfied with the support they received from the manager and staff. EVIDENCE: The policy on complaints was seen and no complaints had been received since the previous inspection. All relevant paperwork was available in the event of a complaint being received. Residents and relatives confirmed that they were aware of the complaints procedure and to whom they would direct their complaint. Residents and relatives were confident that any complaint would be dealt with swiftly. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 The home provides a clean and comfortable environment for the people to live in. EVIDENCE: The home was furnished in a domestic style with additional equipment such as grab rails, raised toilet seats and hoists provided as necessary to meet the residents’ needs. A very high standard of décor was evident throughout. All radiators that residents might come into contact with had been provided with protective guards. The heating and lighting was sufficient throughout the home. The home was clean, tidy and free from any unpleasant smells. The new extension is now completed and was seen. It had provided three extra bedrooms and a quiet lounge area. On discussion with a resident and her relative who were using this area, they said it was lovely to have a quiet room to use. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 15 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 The manager provided clear leadership. Records were stored appropriately. Staff received support to enable them to meet residents’ needs. EVIDENCE: At the time of this inspection the agreed staffing levels were met. On arrival there was the deputy and three care staff on duty. The co-owner, cook, kitchen assistant and the housekeeper supported them. Nine of nineteen care staff had obtained NVQ level II or III in care and that three staff would be starting NVQ level II in care in January. The registered manager had completed NVQ level IV in care and management. All staff had completed manual handling and first aid courses and most staff had completed food hygiene courses. Staff on duty confirmed they had completed NVQ training in care and mandatory courses. Residents and relatives confirmed that the care given was very good and that “nothing was too much trouble”. The recruitment procedure ensures that the staff are suitable to work with vulnerable people. Three staff files were examined and these showed that all relevant pre-employment checks were carried out. This included application forms, two references, Criminal Record Bureau checks and health declarations. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 16 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): 35, 36, 37 & 38 Staff received support to enable them to meet residents’ needs. Arrangements are in place to minimise the risk so that the safety and welfare of residents are promoted. EVIDENCE: The deputy manager said that one to one staff supervision was given on a regular basis. Supervision notes were seen and records were up to date. Observed day-to-day supervision of staff was good and the staff team confirmed they were supported by the manager and the senior staff in their delivery of care to residents. The staff said that formal supervision was conducted on a regular basis. Supervision records were kept in a locked cupboard with staff files, in the office. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 17 All policies and procedures seen were up to date and accurate. These were kept secure within the home. All records seen were kept secure in the one of the offices within the home. Residents and relatives said that they felt the home was well run and that the manager and staff were very welcoming and friendly. This was confirmed during the inspection. Relatives said that the staff worked in a very friendly manner. Safe working practices include fire safety in which all weekly checks are carried out and recorded, up to date certificates for gas safety, electrical safety, portable appliance testing and tests and servicing for all equipment for moving and handling. These checks ensure that the residents are being protected by the procedures in place. The manager said that service users had there own account at the home. Invoices were produced each month or as necessary for personal account funds. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 18 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 3 X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 X 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 3 3 Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 19 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. 1 2 Standard OP7 OP7 Regulation 15 15 Requirement The registered person must ensure that records on bathing are recorded accurately. The registered person must ensure that the daily records of service users are kept up to date. Timescale for action 31/01/06 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP11 Good Practice Recommendations The registered person should ensure that information regarding the wishes of service users at the time of dying and death is recorded. Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Stone House DS0000006672.V268558.R01.S.doc Version 5.0 Page 21 - 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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