Inspection on 18/06/08 for Stoneleigh House

This inspection was carried out on 18th June 2008.

CSCI found this care home to be providing an Good service.

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 04/04/07

Stoneleigh House 21/03/06

Stoneleigh House 16/11/05

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Stoneleigh House 2 Rowlands Hill Wimborne Dorset BH21 1AN Lead Inspector Tracey Cockburn Unannounced Inspection 09:25 18th June 2008 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.V362992.R01.S.doc Version 5.2 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.V362992.R01.S.doc Version 5.2 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.V362992.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4/4/07 Brief Description of the Service: Stoneleigh House is a substantial older style property close to the centre of the market town of Wimborne; 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. Communal space includes 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 residents are not excluded from these areas. The kitchen and laundry area are sited on the ground floor and there are sufficient communal bathing and toilet facilities throughout the home for the number of residents. Current weekly fees range between £350 and £450. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection, which took place on a weekday. The provider was not given any warning. The inspection was undertaken as part of the normal inspection process legally required in accordance with the Care Standards Act 2000. Information was gathered through general observation, discussion with Ms Edbrooke and staff on duty. A tour of the premises and examination of the records kept in the home provided further information. There were 9 people living in the home and 7 were seen and talked to as part of the inspection. Some people were seen individually either in the lounge or their own room and several participated in a discussion after lunch. The service has submitted and annual quality assurance assessment which forms part of the planning for the inspection as did any regulation 37 notifications, which tell us about any incidents which occurred in the home and how they handled it. Survey forms were returned from people who live in the service as well as relative, carer or advocates and health care professionals. 9 survey forms were returned from people who use the service. Comments include: “ very happy and well looked after” “ it is a lovely, caring home from home” “ I enjoy the weekly minibus outing” 5 survey forms were returned from people who know someone in the home. Comments included: “ “ “ “ the care home looks after my mother in an outstanding way” especially good with helping my mother adjust to living in the home” I am thankful that such a wonderful home exists in Wimborne” the staff are very helpful” 3 survey forms were returned from health care professionals. Comments included: “Good, well run care home, caring attitude, efficient” (GP) “ This is the best home I have come across” (GP) “lack of understanding of basic principles for infection control” (healthcare professional) 1 survey form was returned by a member of staff who commented: Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 6 “there is always room for improvement and all the staff recognise this and are willing to change and adapt” What the service does well: What has improved since the last inspection? At the last key inspection in April 2007 there were 7 requirements and 2 recommendations. The pharmacy inspector undertook a random inspection in August 2007 and this was followed by another random inspection to review the requirements made in April 2007. Progress had been made and 6 of the 7 requirements had been met, 2 recommendations had been met from the April 2007 inspection. 3 recommendations were made at the random inspection in August 2007. People who are considering moving into the home have an assessment completed before the home says yes. Once the assessment has been Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 7 completed prospective people are sent confirmation in writing that the home can meet their needs. People living in the home have individual plans of care, which outline their care and support needs, this is done with the individual. Medication is stored correctly and safely and people who manage their own medication have participated in a risk assessment with the registered provider. People who live in the home are protected by the home’s recruitment process. The home gathers the views of both people living in the home and people who visit and puts together a report so that people can see that the service is being run in the interests of those who live there. Work has been completed on covering exposed radiators and pipe work ensuring that that the health safety and welfare of the people in the service is maintained. Copies of letters sent to people coming to the service to live are retained on their personal file. Individual care plans are signed. Care plans and daily records are factual and contain the information required using appropriate language. There is regular audit of the medication. 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. The summary of this inspection report can be made available in other formats on request. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 8 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.V362992.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 standard 6 is not applicable to this service Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who are considering moving into the home only do so following a pre admission assessment so both them and the home can be clear that their needs can be met. EVIDENCE: ”Prospective residents are encouraged to visit prior to admission and often several times. They are encouraged to spend time alone talking with current residents. The service user guide is given to them to read. Their care needs are assessed, and a letter sent to confirm whether we are able to meet their needs. Also a contract with terms and conditions explained. A signed copy of this is kept on file. All residents are encouraged to come for a month trial on a holiday basis to see if the home suits them” statement from homes AQAA Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 10 The care files for 2 people who live in the service were seen, both contained pre admission assessments that were carried out before they decided to move in. Both people said that they were sent a letter stating that the home could meet their needs. The assessment covers areas such as foot care, diet and weight, medication usage. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service receive health and personal care based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: “Residents now involved in 3 monthly review of care plans and their signature evidences this. All staff have received training on medication procedure and recording information in care plans.” Statement from AQAA The care files for 2 people who have recently moved into the service were seen both contained care plans, which detailed the level of support they need with personal care. The plans are updated with the individual and if there are any changes a new plan is written, dated and signed with the old plan being scored through to indicate that it is no longer valid. 1 person spoken to said that they are asked about their care plan. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 12 People who live in this service are very able and independent and undertake personal care tasks, such as washing and dressing without support. 1 person said that staff assist with bathing but only to be there when they get into the bath and when they need to get out. The provider, Mrs Edbrooke said that an electric bath seat has been purchased to assist residents. The 2 care files seen both contained information on health care visits such as sight and hearing tests. There was also advice on 1 file regarding nutritional needs of 1 person. People participate in activities such as walking, 1 person said that they are able to walk into town when they want to keep fit. Since the last key inspection there was a visit from the pharmacy inspector, staff said that they system has changed and it has taken some time but they understand the reason why it had to change and they have adapted. The records were seen as part of the inspection and found to be in order. 1 file seen contained a risk assessment regarding the individual’s ability to selfadminister medication. Everyone spoken to say the staff were very helpful and assisted them in a way, which they found to be very respectful. Some people living in the home have their own telephone line in their bedroom to keep in touch with family and friends. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service are able to make choices about their lifestyle and are supported to develop their own interests ad maintain contact with the people they want to. People say they are offered good healthy food. EVIDENCE: “Community involvement actively sought and arranged for residents. We have increased flexibility and creativity towards our service users needs. Flexible times/arrangements for resident’s meals to have in house or packed up to take away. Increased contact with local community especially young visitors as part of Duke of Edinburgh community service scheme. Residents are able to come and go to suit their lifestyle e.g. Ability to attend football matches, baby sit grandchild etc.” statement from AQAA Residents see mealtimes and outings as particularly sociable times and described themselves as a group that gets on well. Residents said that they like to spend time reading in their rooms, doing puzzles, watching TV and listening to the radio. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 14 People said that they are able to participate in activities, which interest them, 1 person was on their way to do conservation work. 1 person said that they really enjoyed the trips out in the mini bus, they all said that Mrs Edbrooke goes to a lot of trouble to make the trips interesting and they enjoyed a trip recently to the new forest to see the foals and have a picnic. 1 person commented in the survey forms that they thought there should be more activities, however on speaking to the people living in the service they said that they enjoyed the routines that they have. People living in the home also said that they are able to lead the life they want to 1 person especially liked having breakfast in their bedroom “ very civilised” The care staff prepare meals. On the day of the site visit, sausage casserole was on the menu with fresh vegetables, the pudding was home made and people were offered a choice. After lunch people were having coffee and chatting in the dining room. Lunch is the main meal of the day, there is afternoon tea at 3:30pm and supper in early evening, people said there is always choice, the food is very good and there is “ plenty of it” Dietary needs are recorded on the assessment and followed up in the care plan if there are any concerns. A diary is kept in the kitchen of each meal. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and have access to a complaints procedure. The home’s policy and training on safeguarding adults should protect the people living in the service. EVIDENCE: The home has a complaints procedure and a complaints form is readily available in the lounge. The Commission has received no complaints regarding Stoneleigh House over the past year and no formal complaints have been received in the home. Residents said that they would feel comfortable raising any issues of concern they had with staff. The complaints policy had been updated on 10/03/08 with the commission’s new regional address and contact details. The home’s adult protection policy has been shared with staff. Ms Edbrooke and staff spoken with at the visit have undertaken the local training concerned with ‘No Secrets’. More training in this area is currently being advertised at the home. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People live in a safe, well-maintained and comfortable environment, which meets their needs. The home is clean. EVIDENCE: “Kitchen and utility room refurbished, 3 bedrooms refurbished, implemented cleaning schedule and no smoking legislation.” From AQAA Stoneleigh House is a substantial property set back off a main road in Wimborne near to the range of town amenities including shops, the post office, churches and pubs. Bedrooms are on the ground and first floors. Access to the majority of bedrooms is via a staircase to the first floor. Residents who do not reside on the ground floor must have sufficient mobility to manage the stairs safely. Bedrooms are personalised by residents as it suits them. All bedrooms have en suite facilities. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 17 Stoneleigh House is homely and well maintained with appropriate facilities provided for the comfort of residents. Routine maintenance is undertaken as required and rooms refurbished as they become vacant. 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 and garden furniture is available. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are trained and committed to supporting people who live in the home with their individual needs. EVIDENCE: The home’s staff rota demonstrates that there is at least two staff on duty in the home from 8am to 8pm every day. 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 within the home. The home employs a total of 10 staff, their duties include domestic tasks, catering and associated tasks and social care in additional to personal care provision. Staff on duty said that there had recently been a staff BBQ followed by a staff meeting and training. The homes recruitment process was reviewed and the file of a new member of staff was seen, the file contained the correct information including 2 references, Criminal Records Bureau check and application form. Staff said they have had food hygiene training and adult protection training and that they can have any training they request. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 19 On the AQAA completed by Mrs Edbrooke she states that 8 staff have NVQ level 2 or above. The new member of staff already had NVQ 2 and the certificate was on the file. There was also evidence in the staff file that the common induction standards were being worked on as part of induction. 1 person said that the “ staff can’t do enough for you” “ they do personal shopping for you every Tuesday” Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is run and managed by someone with the skills to ensure that people are listened to and cared for according to their needs. A quality assurance system has been developed to ensure that people’s views form the basis of the services development. EVIDENCE: “Quality Assurance survey conducted in June 2008. Staff trained in ‘Safer Food’ Cleaning schedule and opening and closing checks drawn up in conjunction with this.” From AQAA The surveys had been collated into a report and this was available in the service user guide. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 21 Residents said that they heard the regular tests of the fire bells. The home has completed a comprehensive fire risk assessment as required by law. The home keeps maintenance records and certificates issued by the various companies completing the servicing /inspections. The exposed radiator in the dining room, which was raised as a concern at the last inspection, is now covered and this programme of covering radiators and exposed pipe work has been completed. All staff undertake fire training, and several residents said that there had been a fire drill recently when they had been evacuated. The fire records, which include weekly checks of the system, were up to date. The accident book being used was data protection compliant. Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 22 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 3 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 3 3 X X X X 3 X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 23 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. 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 Good Practice Recommendations Stoneleigh House DS0000026875.V362992.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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