Inspection on 16/11/05 for Stoneleigh House

This inspection was carried out on 16th November 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

Stoneleigh House 18/06/08

Stoneleigh House 04/04/07

Stoneleigh House 21/03/06

Stoneleigh House 10/03/05

Stoneleigh House 17/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Stoneleigh House 2 Rowlands Hill Wimborne Dorset BH21 1AN Lead Inspector Rosie Brown Unannounced Inspection 2:00 16 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 Stoneleigh House DS0000026875.V250183.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. Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stoneleigh House Address 2 Rowlands Hill Wimborne Dorset BH21 1AN 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) 01202 884908 01202 818349 helen@stoneleighhouse.com Ms Helen Vivienne Edbrooke Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th March 2005 Brief Description of the Service: Stoneleigh House is a substantial older style property close to the centre of the market town of Wimborne Minster; which provides all local amenities including high street shops, post office, banks and building societies as well as GP surgeries, a cottage hospital and various places of worship. Placed in well-maintained, pleasant gardens, the house comprises three floors of accommodation. The top floor provides private accommodation for the owners whilst the ground and first floor are for resident use. There are eight single and two double rooms, all with en-suite facilities. Registered for 12, the home maintains occupancy at 10 as double rooms are used for single occupancy. Mrs Edbrooke, registered provider, has confirmed that she wishes to maintain registration at 12, as occasionally there is a request for a shared room from a married couple. Communal space is provided on the ground floor in a pleasant lounge and dining room. There are family rooms, used mainly by Mrs Edbrooke and her family on the ground floor at the rear of the home although staff and service users are not restricted from these rooms. Utility rooms including kitchen and laundry area are sited on the ground floor and there are sufficient communal bathing and toilet facilities. Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and took place on Tuesday 16th November 2005 at 2:00pm. The inspection was the first of two statutory inspections to be carried out at Stoneleigh House since 1st April 2005. 16 of the National Minimum Standards were reviewed. No requirements were made at the last inspection, which had took place on March 10th March 2005. This report contains two good practice recommendations. Information was gathered through general observation, discussion with Ms Edbrooke and the care staff on duty at the time. A tour of the premises and examination of the records available provided further information. On the day there were 9 residents accommodated in the home. The inspector was able to talk with two service users in the privacy of their rooms and spoke briefly with the remaining seven in the home’s dining room as they were enjoying an afternoon cup of tea with home made cake. What the service does well: This home provides residents with consistently good quality of care balanced by the promotion of independence, in a homely family style environment. Each of the 16 National Minimum Standards assessed were met: four of these (no’s 12, 13, 14 and 15) are exceeded: the home ‘s social care provision is central to residents’ daily lives and is considered an important feature of home life, eg residents are taken out individually each week for a walk or to the shops by staff, but this is subject to their choice. Residents’ pre admission assessment information and care plans are detailed and routinely updated: residents’ needs are well known by staff. The standard of food supplied to service users is very good: wholesome and freshly baked with seasonal and cultural variations. One resident described the food as excellent and confirmed this by saying ‘I liked to entertain and cook myself when I had my own home, so I know what I’m talking about’. The home is well maintained and residents’ bedrooms are highly personalised. Stoneleigh House DS0000026875.V250183.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. Stoneleigh House DS0000026875.V250183.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 Stoneleigh House DS0000026875.V250183.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): 3 and 6 Each prospective resident is subject to a pre admission assessment, which is undertaken by Ms Edbrooke to ensure that the home can meet assessed needs. The home does not provide intermediate care. EVIDENCE: The care record for two recently accommodated residents evidenced that Ms Edbrooke, undertook a pre admission assessment to establish each prospective service user’s care needs prior to admission. The details obtained included all recommended topics and considerable information about social activities, personal interests and independence. One resident confirmed that they decided to stay permanently in the home following a short trial stay and feels very happy about the decision. Stoneleigh House DS0000026875.V250183.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, 8 and 10 Each resident has a care plan that identifies the care being provided to meet identified needs. Service users’ health needs are closely monitored and responded to appropriately with support from community services. Residents confirmed their privacy is protected and that their known wishes are respected. EVIDENCE: The care plans and associated records for two residents were examined. Care plans provided clear guidance for staff to determine how each identified need should be met. Daily care notes and records demonstrated that other care professionals are contacted for guidance and assistance when needed, for example one resident had a visit from a chiropodist on the afternoon of the inspection. Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 10 The home keeps records of each accident that occurs and the care plan for one resident indicated a change in care needs following a fall. Care related risks are included into the care plan. Two residents said that their wishes are upheld by staff and that their privacy is respected: they get up and go to bed when they choose and go out for walks. One resident commented, ‘I go out for a walk each day but always make sure I tell someone where I’m going and how long I expect to be out’. Stoneleigh House DS0000026875.V250183.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, 13, 14 and 15 Residents confirmed that the social care arrangements in the home meet their expectations: contact with relatives, friends and the local community is actively encouraged, as is self determined activity. Residents said that the meals and food supplied by the home are very good offering both choice and variety and catering for special dietary need. EVIDENCE: Residents at the home continue to retain a high degree of independence and choose the activities they wish to participate in. Ms Edbrooke explained that there are weekly outings and that the decision of where to go is determined by the resident group. More recently an additional staff member is on duty on a Tuesday afternoon to enable personal shopping trips and other types of individual assistance to promote independence and autonomy, eg a bank appointment, attending church or individual community activities. Residents confirmed that they go out for walks and to the shops or with relatives/visitors. One resident has a mobile buggy that enables them to go to the town. Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 12 One resident said that they like to spend time reading in their room and really enjoyed being in the garden each morning in the warmer weather. Ms Edbrooke said picnic teas are provided in the home’s garden during the summer. The home’s garden is sheltered and well maintained with lawn areas, mature trees and shrubs and attractive flower borders. A summer- house with comfortable seating is situated in the back garden while garden furniture is also available. Two residents said that the food supplied by the home is excellent and varied. The home keeps a record of all meals provided and individual choices that may differ from the main options available. Ms Edbrooke or the care staff on duty undertake catering duties. Because this is a small home the specific likes and dislikes of residents are well know by staff: special dietary needs are catered for. The inspector observed a group of residents enjoying a mid-afternoon cup of tea with home made cake in the dining room. The group acknowledged they live in a ‘good home’. Stoneleigh House DS0000026875.V250183.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 and 18 The home’s complaints procedure is readily available to residents and their representatives and residents confirmed they feel confident that their concerns are taken seriously and acted upon. The home has a policy concerned with adult protection to ensure that residents are protected and that allegations of abuse would be properly responded to. EVIDENCE: The home has a complaints procedure and a complaints form is readily available in the lounge. The CSCI has received no complaints regarding this home over the past year no formal complaints have been received in the home. Ms Edbrooke said that she feels the home does not get complaints because ‘grumbles and ‘concerns’ are dealt with promptly, eg the curtains needing to be adjusted in a bedroom. One service user said, ‘ I feel I can approach them with a concern, without a doubt, I speak my mind’. The home’s adult protection policy has been shared with staff. Ms Edbrooke has undertaken the local training concerned with ‘No Secrets’, the referral process and the recognition of abuse. Stoneleigh House DS0000026875.V250183.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 and 26 The home is very clean and maintained to a high standard; it provides an attractive and comfortable environment for the relatively independent residents who choose to live there. Service users rooms are personalised and furnished in a manner that is suitable to their individual needs. EVIDENCE: Stoneleigh House DS0000026875.V250183.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 The home is staffed 24hrs each day by management, care/domestic workers to ensure that service users needs are met at all times. EVIDENCE: The home’s staff rota demonstrates that there are at least two staff on duty in the home from 8am to 8pm. Ms Edbrooke and her husband sleep-in and are on call throughout the night should anyone call for assistance: the family live in private accommodation above the home. As the service users who live in the home have low dependency care needs and undertake much of their own personal care the staffing arrangements are satisfactory. The home employs a total of 13 part-time care staff, their duties include domestic tasks, catering and associated tasks and social care in additional to personal care provision. Ms Edbrooke reported that the staff team is stable and that no new staff have been employed since the previous inspection. The home has yet to obtain a copy of the POVA guidance issued in July 2004 that relates to staff employment and CRB/POVA/POVAFirst checks: this Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 16 information also needs to be referred to in the home’s recruitment and employment policy and procedure. One resident said, ‘staff are helpful and kind’ while another commented that ‘staff are very efficient around the house and spend time talking with us and taking us out’. Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 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): 31 and 33 The registered provider/manager: Ms Edbrooke is suitably qualified, open to learning and has relevant experienced of residential care. The home continues to provide a high standard of care to residents, but a documented quality assurance system and business plan has yet to be set up to demonstrate how this is achieved. EVIDENCE: Ms Edbrooke has managed and run the home since registering in 1996: she is a qualified nurse and is currently undertaking the Registered Managers award. Her husband also assists with management tasks. One resident said that they are included in decisions made about the home particularly with issues regarding their care needs and social activities. Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 18 One resident said that ‘the atmosphere in the home is friendly and like being part of a big family’ and that they are ‘looking forward to the Christmas celebrations’. Last year Ms Edbrooke undertook a survey using a questionnaire to establish residents’ views about their care and representatives views of the home: all responses were entirely positive. Some time was spent considering the need to establish a quality assurance system in the home along with a business plan that demonstrates how the home meets it’s statement of purpose and consistently achieves a high standard of care provision. Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X X Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 20 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard OP29 Good Practice Recommendations The home’s policy regarding staff recruitment and employment should be updated to accurately reflect the POVA guidance issued by the Department of Health in July 2004. An annual development plan that incorporates a quality assurance/monitoring system to evidence the ways in which the home achieves the aims and objectives set out in the statement of purpose and guide should be drawn up. 1 2 OP33 Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Stoneleigh House DS0000026875.V250183.R01.S.doc Version 5.0 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. 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