Inspection on 19/12/05 for Stonehaven

This inspection was carried out on 19th December 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

Stonehaven 13/11/07

Stonehaven 26/09/06

Stonehaven 16/08/05

Stonehaven 25/01/05

Stonehaven 16/06/04

Stonehaven 01/03/04

Stonehaven 31/07/03

Stonehaven 11/07/02

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

CARE HOMES FOR OLDER PEOPLE Stonehaven 23 Carter Street Sandown Isle Of Wight PO36 8DG Lead Inspector Annie Kentfield Unannounced Inspection 19th December 2005 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 Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 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. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stonehaven Address 23 Carter Street Sandown Isle Of Wight PO36 8DG 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) 01983 402213 01983 405215 rayslegs@aol.com Mr Raymond Cowen Mrs Margaret Joan Cowen Mrs Margaret Joan Cowen Care Home 27 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (27), of places Physical disability over 65 years of age (2) Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: Stonehaven is a large and spacious care home situated in a pleasant area of Sandown close to the seafront. The home provides care for up to twentyseven older people (including two residents with dementia and two residents with a physical disability) with the overall aim of providing a quality service within a comfortable and homely environment. Since purchasing the home, the present owners have made substantial improvements to the physical environment of the home for the benefit of the residents. One of the owners is the registered manager and both owners are involved in the day-to-day management of the home. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection in the inspection year and took place in the afternoon. The deputy manager was in charge of the home. There were no outstanding recommendations or requirements from the previous inspection. The inspection looked at some of the home’s records and included discussion with some of the residents, a partial tour of the premises, and discussion with the deputy manager. A second visit was made on 11th January when the registered manager was on duty. Most of the National Minimum Standards were assessed at the previous inspection and this inspection looked at the ‘key standards’ not previously assessed. Comment cards were left for residents and/or visitors to complete and return if they wished to. What the service does well: What has improved since the last inspection? The owners have plans to develop the home in the future. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 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. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 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 Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 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): These standards were assessed at the previous inspection. EVIDENCE: Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 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): 9 There are clear policies and procedures for handling residents’ medication and all staff that deal with medication receive both in-house and external training. EVIDENCE: The deputy manager has responsibility for recording medication received and dispensed in the home and records are up to date. All medication is kept in a locked cupboard or a locked trolley securely fastened to a wall and there is a nominated key holder on each shift. Residents are encouraged to selfmedicate if they are able and there is a policy and procedure for this that is signed by residents. Where required, residents would be given a lockable space to keep any medication. The procedures for recording medication and any controlled drugs were satisfactory and the home uses a blister pack system for most medication. The deputy manager explained that all staff that handle medication must have worked in the home for at least three months and be familiar with the residents and the medication systems and have done the required training. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 10 GP’s will review medication when requested or if there are any concerns about a particular medication. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 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 (the other standards were assessed at the last inspection) Residents spoken to were happy that the daily routines in the home meet their needs and expectations. EVIDENCE: Residents are encouraged to be as active as possible and there is a regular programme of organised social activities for the residents in the home and outings and trips arranged to local venues of choice. It was evident during the inspection that care staff are knowledgeable about the residents’ individual choices and abilities and respect these. Residents’ meetings are held usually every other month and this is an opportunity to ask residents about what they would like to do and to ask for comments about what they would like to eat. Some examples of this; residents decided that they would like a cooked breakfast on one day during the week and this is now arranged, also, cheese and biscuits are served for supper in the evening, with hot drinks. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 12 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): 16,17 and 18 The manager likes to be available to talk to residents or relatives if any issues arise on a day-to-day basis in the home and address them individually. The home has a number of policies and procedures designed to protect the rights of residents. Recruitment procedures in the home need to be more robust in order to support the home’s policies for the protection of residents. EVIDENCE: The deputy manager was clear about procedures to follow if there are any allegations or suspicion that residents are being abused or harmed and explained that senior care staff have done adult protection training with a local training centre and this information is fed back to all care staff at the monthly staff meetings. It is the home’s policy that residents manage their own financial and legal affairs although the home will look after small amounts of personal monies if requested by a resident or representative. In practice, the manager would ensure that residents who are less able because of their cognitive impairment or vulnerability have their legal rights protected with support from an independent advisor or advocate if this was assessed as being needed. Most of the residents have family or friends or a legal advisor who look after their interests. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 13 The home’s recruitment procedures carry out a number of checks on staff before they start working the home. However, these procedures must be reviewed to ensure that all staff are checked against the POVA (Protection of Vulnerable Adults) list before commencing employment and that new staff are supervised until a satisfactory criminal record check is received. (Requirement at the end of the report) A copy of the current guidance on CRB and POVA checks has been provided to the home. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 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, 22 and 26 (the other standards were assessed at the previous inspection) The home provides a safe and comfortable environment for the residents. The home has a range of specialist equipment to assist residents with their mobility. All bedrooms are single occupancy and individually personalised. EVIDENCE: The home has a very large and spacious entrance hall area and a large sitting room that is divided into smaller more intimate areas. The open plan sitting area has an attractive dining area with small tables seating four people and space for residents who use a wheelchair. Residents can choose a number of places to sit and socialise of they wish to, or spend time in their rooms. The furnishings are comfortable and ‘homely’. The home is very clean and tidy and warmly heated. The owners are committed to providing a comfortable and homely environment for the benefit of the residents. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 15 Bedrooms and bathrooms have call alarms and residents spoken to confirmed that staff always respond to calls for assistance. The home has a policy of encouraging residents to be as mobile as possible and there are aids and equipment in the home to assist those residents who need it. The home has a policy for staff on safe moving and handling and new staff are supervised and observed during their induction period to ensure safe working practice. Three members of staff are accredited moving and handling trainers. All bedrooms are single occupancy and residents can personalise them as they choose and although the bedrooms vary in size, they all provide sufficient space and seating for residents to spend time in their room if they wish to. The inspector spoke to some residents in their own rooms who were happy that the room was to their satisfaction and sufficiently heated. The manager maintains a high standard of cleanliness and hygiene and all areas of the home were clean and tidy and free from unpleasant odour. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 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 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): 29 (the other standards were assessed at the previous inspection) Recruitment procedures in the home need to be reviewed to fully demonstrate that residents are being protected by the home’s policy and practices. EVIDENCE: The inspection was an opportunity to discuss the home’s recruitment procedures and address any queries arising from the requirements of the amended Care Homes Regulations that place additional responsibilities on care homes to carry out a number of checks on new staff before they start working in the home. The manager is now aware of these and written guidance has been provided and it was agreed that future staff recruitment would meet the current legal requirements. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 17 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): 34 and 35 (the other standards were assessed at the previous inspection) The registered owners are in day-to-day charge and there are clear lines of accountability within the home. The home is very well managed and residents’ financial interests are safeguarded. EVIDENCE: Records show that where the home looks after residents’ monies, all income and expenditure is receipted and recorded. It is the home’s policy that the owners and staff do not act as appointee or have power of attorney for any residents, and where residents require assistance with managing their own affairs, this is provided independently. The homeowners are skilled and experienced in managing a care home and take an active role in the planning and discussion of care policy within the Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 18 various care provider organisations. The owners have long term plans for the home and hope to take a more strategic management role in the home and plan to appoint a new manager to take over the day-to-day responsibility for running the home, in order to concentrate on planning and development for the future. Although it is clear that there are opportunities for residents to feedback their views on the service through residents’ meetings and individual discussion with the manager, it was agreed that time constraints on the registered manager at present have not allowed development of an effective quality assurance system and the manager hopes to address this in the longer term. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 X X 3 X X X 3 STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 X X X Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 20 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 Standard OP29OP18 Regulation 19 and Schedule 2 Requirement New staff must have a satisfactory POVA check and criminal record check before starting work in the home. Timescale for action 11/01/06 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 OP33 Good Practice Recommendations The manager should develop effective systems of quality assurance for the service provided. Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Stonehaven DS0000012540.V250865.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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