Inspection on 07/06/05 for Stone House

This inspection was carried out on 7th June 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

Stone House 12/11/08

Stone House 19/12/06

Stone House 29/11/05

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 7 June 2005 09:30 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. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stone House Address 55-57 Cheyney Road Chester Cheshire CH1 4BR 01244 375015 01244 375015 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 H Keyzor Miss Lisa Jones Care Home Only 30 Category(ies) of Old Age not falling within any other category registration, with number 29 of places Physical disability - 1 Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 named service user in the category PD aged between 56 and 65 years may be accommodated. When the service user is no longer living within the service, or reaches 65 years of age, the registration will revert back to 30 OP. Date of last inspection 1ST December 2004 Brief Description of the Service: Stone House is a residential care home providing personal care and accommodation for up to 30 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 service users in single rooms, twenty-seven 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 F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during 7th June. The total time on site was five hours. The inspector spent an hour and half planning the inspection by reviewing previous inspection reports and the service history. The inspection included a full tour of the home, inspection of records and discussions with twenty-five residents, the deputy care manager, two care assistants, cook, administrator, three relatives and a District Nurse. Twenty-two out of thirty-eight standards were assessed and all were met. Feedback from this inspection was given to the deputy care manager and the administrator at the end of the inspection. What the service does well: What has improved since the last inspection? New lounge chairs have been provided and four bedrooms had been redecorated and carpets replaced as necessary. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 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 Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 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, 4 & 5 Sufficient information is provided for residents to make a decision about moving into the home. Full assessments of needs are carried out to ensure that the home can meet the residents’ needs. EVIDENCE: Each resident had a copy of the home’s brochure and prospectus. This was produced in a ring bound file and included information about the facilities, services provided, fees, terms and conditions of residence and a copy of the most recent inspection report. Residents and relatives confirmed that they had a copy of this document. Staff said that they sent this out to prospective residents and relatives with an application form for residence. A sample of three care plans examined showed that assessments had been carried out with each person before moving into the home. Residents and relatives confirmed that they had visited the home prior to admission and staff said that admissions were planned. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 & 10 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. 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. Daily record sheets seen showed day-to-day activities of each resident. They were written clearly, easy to follow and were signed by carers. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 10 Information regarding bathing and weights were recorded with all residents’ names on a single sheet. In order to preserve privacy it is recommended that this be changed to each resident having a single sheet, which is in line with the Data Protection Act 1998. Medication records examined showed that this was recorded and administered appropriately. Medication was kept secure and controlled drugs were stored in line with current regulations. 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 “their privacy and dignity was respected by the staff”. Relatives spoken to said that “they choose this home from personal recommendation of a family member who knew the home” and “very happy with the care given to his mother” and also “they were kept informed of changes in the residents health needs”. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 &15 Residents’ were able to take part in a range of activities of their choosing. Personal and family relationships were encouraged by the home and the staff team supported people with this. 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. During the afternoon of this inspection it was observed that many residents’ were outside in the courtyard having a sing-a-long. Residents said they particularly enjoyed reading the paper in the mornings and participating in activities during the afternoon. Bingo was a firm favourite. Visits from family and friends were recorded in the case notes. Residents shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared lounge/dining area. Relatives said that they were always made very welcome Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 12 by the staff and were offered refreshments. They said that they could visit their family in the privacy of their own bedroom, in one of the lounges or sit in the courtyard. 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. An alternative was always available. During the meal it was observed that staff assisted residents as necessary in a friendly and unobtrusive manner. After the meal residents said that “the meal was lovely” and that “you wouldn’t get better anywhere else”. Fridge, freezer and hot food temperatures were recorded and seen by the inspector. The kitchen was maintained in a clean and tidy condition. 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. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 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 Clear policies and procedure were in place to ensure that residents were protected from abuse, neglect and self-harm. Residents and relatives were satisfied with the support they received from the manager and staff. EVIDENCE: The home’s Protection of Vulnerable Adults Policy was seen and was consistent with the “No Secrets” guidance from the Department of Health. The policy included types of abuse such as physical, verbal, sexual and neglect; signs and symptoms and reporting abuse. A copy of Cheshire’s Social Services policy on Adult Protection was available within the home and was accessible to staff. Staff confirmed that they were aware of the procedures and who to contact with any concerns. Policies on whistle-blowing and challenging behaviour were also seen. Most staff had undertaken training on Adult Protection and further courses were booked for June and September. 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 F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 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 standard(s) 19, 25 & 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. Four bedrooms had been recently redecorated and on discussion residents confirmed they had been consulted about the decor of these rooms. All radiators that residents might come into contact with had been provided with protective guards. The heating and lighting was sufficient throughout the home. An enclosed courtyard was available to residents and during this inspection many of the residents used this area. A canopy provided some areas of shade and some residents appreciated this. Both residents and relatives commented on how nice it was to have this area to sit in. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 15 The home was clean, tidy and free from any unpleasant smells. Records of menus and daily checks on fridge, freezer and hot food temperatures were kept. The home had a separate laundry room, which was clean and tidy. Cleaning materials were stored appropriately and basic information on hazardous materials was kept in the staff room. A full set of hazardous substance data sheets were available and were accessible to the staff. Staff stated they were aware of this file and that chemicals must not be mixed with other chemicals. Random samples of hot water temperatures were taken in residents’ bedrooms. These were between 41 to 43 degrees centigrade and within the acceptable guideline of up to 43 degrees centigrade. The work on the new extension was seen and this was progressing well. It is planned to provide three extra bedrooms and a new lounge area, which will improve facilities for residents living in the home. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 16 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) 27 & 30 The manager provided clear leadership. Records were well maintained. Staff received support to enable them to meet residents’ needs. EVIDENCE: At the time of this inspection the agreed staffing levels were met. The deputy manager said that one to one staff supervision was given on a regular basis. She had a group of care staff that she supervised. Areas covered in supervision were work practice, problems, review of policies and procedures and training issues. 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 and records were kept. Supervision records were kept in a locked cupboard with staff files, in the office. The deputy manager said that over 50 care staff had obtained NVQ level II in care and that two staff had NVQ level III in care. All staff had completed manual handling and first aid courses and most staff had completed food hygiene courses. Planned courses for the next six months include adult protection from abuse, first aid and food hygiene. Staff on duty confirmed they had completed NVQ training in care and mandatory courses. Relatives Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 17 spoken to said the staff worked in a very professional and caring manner. Residents and relatives confirmed that the care given was very good and that “nothing was too much trouble”. In the staff room a book of policies and procedures was available to staff and they had signed to show they had read and understood these. Also a copy of the employee handbook was available. This contained employee entitlements, disciplinary procedures and rules and operational policies and procedures. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 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) 31, 33 & 37 Residents’ views are used to inform future planning within the home. Decisions about changes to the service are influenced by the information obtained from satisfaction surveys and conversations with each resident. EVIDENCE: The manager completed her Registered Managers Award in March 2005. All records, policies and procedures seen were up to date and accurate. These were kept secure 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 professional manner. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 19 Visiting professionals said that the staff followed procedures as directed and that they had a good relationship with the home. Contact had always been conducted in a professional way. Residents’ surveys are conducted on an annual basis and information gathered is used to influence the future service provided. Copies of these were available. On discussion with residents and relatives they confirmed that they were aware of the outcomes of the survey. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 20 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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x x 3 3 STAFFING Standard No Score 27 3 28 x 29 x 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 3 x 3 x x x 3 x Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 21 No 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 Regulation None 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. 1. Refer to Standard 7 Good Practice Recommendations The registered person should ensure that records on bathing and weights should be kept within a single sheet system. Stone House F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 F51 F01 S6672 Stone House V231076 070605 Stage 4.doc Version 1.30 Page 23 - 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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