Inspection on 22/02/06 for Stonehill House

This inspection was carried out on 22nd February 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stonehill House 10/07/07

Stonehill House 28/12/06

Stonehill House 21/11/05

Stonehill House 10/02/05

Stonehill House 26/10/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Stonehill House 106 Churchway Haddenham Bucks HP17 8DT Lead Inspector Mrs Caroline Roberts Unannounced Inspection 22nd February 2006 10:00 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 Stonehill House DS0000023025.V284991.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. Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stonehill House Address 106 Churchway Haddenham Bucks HP17 8DT 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) 01844 290028 abbeyfield.haddenham@ukonline.co.uk The Abbeyfield (Haddenham) Society Limited Mrs Lindsey McGibbon Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2005 Brief Description of the Service: Stonehill House is a residential home, which is owned and managed by The Abbeyfield Society. It is registered to provide residential care for up to 11 elderly people. The home is situated in the active rural village of Haddenham and is close to local amenities, which include shops, a library, pharmacy dental practice and Health Centre. Transport links are available to the towns of Aylesbury and Thame, as well as Oxford City. Stonehill House offers accommodation within a converted and extended home similar in style to nearby properties. There are pleasant accessible gardens to the property. Accommodation is offered in single rooms some of which have an en suite facility. All service users are registered with the local GP Practice and weekly visits are made to the home by GP’s and support is provided from the District Nursing Team. Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Each care home that is registered with the Commission for Social Care Inspection, receives one announced and one unannounced inspection each year and further additional visits as necessary. All inspections, both announced and unannounced are followed by a written report, which eventually become public documents. It is a requirement that inspection reports are made available within the home. This inspection was announced and took place on the 22nd February 2006 over a four-hour period. The inspector present was Mrs Caroline Roberts (lead inspector). This was a very positive announced inspection. The inspector found a relaxed informal atmosphere in the home. Residents consulted expressed satisfaction with the care provided. The staff impressed as motivated and knowledgeable. The inspector met and discussed the inspection findings with the manager before leaving. The inspector found staff polite, helpful and welcoming, and would like to thank them for their co-operation and assistance throughout the course of the inspection. The inspector would especially like to thank the residents for their time and for allowing the inspectors into their home. What the service does well: What has improved since the last inspection? Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 6 Staff are receiving individual supervisions. Mandatory training has been updated. The medication policy has been reviewed and updated. The office has been moved into a more suitable room, allowing for meetings to be conducted in privacy. 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. Stonehill House DS0000023025.V284991.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 Stonehill House DS0000023025.V284991.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): 1 Information provided within the statement of purpose and service user guide is out of date and does not allow prospective residents to make an informed choice about the facilities provided at the home. EVIDENCE: The service user guide and statement of purpose are both in need of updating; this was discussed with the manager who agreed to undertake this task. (A requirement has been served). Stonehill House DS0000023025.V284991.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): 7,8,10 Individual care plans set out the health, social and personal needs of each resident and plans are formulated to meet those care needs. The residents are treated sensitively and with respect, and their right to privacy and dignity is respected by the staff. EVIDENCE: Three residents files were examined, residents needs have been identified within the care plans however, specific guidance as to how the staff should meet these needs requires further development. Individual risk assessments are in place to cover areas deemed at risk to the resident, for example self medication, the use of toasters and kettles within bedrooms, history of falls. Evidence of monthly reviews was seen within each care plan. Daily reports were found to be well completed with relevant information The healthcare needs of the residents are met. There were details of contacts with healthcare professionals, including access to chiropody service, dentist, optician and other healthcare services. Entries in the daily reports and medical intervention sheets provide evidence that the home continues to engage the Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 10 services of community nurses in the assessment of pressure areas care, and for general advice and support. The residents confirmed that the staff treat them with respect and promote their right to privacy. Staff were observed to knock on bedroom doors before entering. Stonehill House DS0000023025.V284991.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): 12,13,14,15, The daily life and social activities provided match the resident’s preferences and interests. Residents receive a wholesome nutritious diet, and every effort is made to ensure that meal times are a pleasurable experience EVIDENCE: Residents spoken with said that they were able to choose how they wished to spend their day and were not made to feel uncomfortable if they chose to stay in their own room, and not join in the activities provided. The staff make every effort to find out what the individual resident’s life style, and preferences are. The home does not have restrictions on visiting times. Lunch was observed being prepared this consisted of Chicken Breast, potatoes, sprouts and leeks; the second choice was ham omelette. Desert offered was apple pie and chocolate ice cream. The dining room was nicely presented and clean. Stonehill House DS0000023025.V284991.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): 16,18 The Home has a comprehensive complaint procedure, the complaints procedure is made available to Service Users and significant others, which ensure all relevant persons, are able to make a formal complaint appropriately. Service users will be further protected from abuse when all the staff have received training in this area. EVIDENCE: The Home has received no complaints at the Home or directly to the Commission in the past 12 months. The Home has an open door philosophy for Service Users, families and Staff to ensure that issues of concern can be discussed and problem solved before they become formal complaints. The Homes complaints procedure is accessible to Service Users and family members. The home has a protection of vulnerable adults policy however, this needs reviewing/updating to reflect changes to government guidance. The manager was advised to obtain a copy of the Buckinghamshire POVA policies. The manager has attended train the trainer in adult abuse awareness and is able to cascade this training to the staff team however, no evidence was available to show this had been done. Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: These standards were not covered during this inspection. Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not covered at this inspection. Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,38, Effective quality monitoring will ensure that this home is run in the best interests of residents. There are satisfactory procedures in place to ensure the Health and Safety of residents. EVIDENCE: The manager has not yet sent out any quality assurance questionnaires this year, this is a task she is hoping to commence within the next couple of months Monthly audits are undertaken on the care planning system with records maintained. A medication audit is undertaken twice yearly again the manager maintains records. No formal method of quality assurance is currently being used in the home; the manager is looking to develop an assurance tool to aid her with this task. Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 16 A requirement is being served that a full audit of the home is conducted within 6 months. (01/09/06) with results of that audit maintained. The home does not handle any resident’s finances. There are detailed Health and Safety policies in the home. These serve as training manual and reference documents for staff to use. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). These polices ensure that the health and safety of the residents and the staff are maintained at all times. All portable appliances have been tested. A record is maintained of monthly water temperature tests in the home. There is evidence of regular servicing of fire equipment, hoists, gas and electrical appliances. Up to date servicing and maintenance of these services and equipment ensure a safe environment for the residents and staff of the home. Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X N/a X X 3 Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? Yes 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 OP18 Regulation 13(6) Requirement The manager is required to ensure that all staff receive protection of vulnerable adults training. The manager is required to ensure that the homes statement of purpose and service user guide is reviewed and updated. The manager is required to ensure that a formal quality assurance process is introduced into the home, with records of outcomes maintained. Timescale for action 01/06/06 2 OP1 4(1) & 5(1) 01/07/06 3 OP33 24 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 Stonehill House DS0000023025.V284991.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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