CARE HOMES FOR OLDER PEOPLE
Stoneleigh House 2 Rowlands Hill Wimborne Dorset BH21 1AN Lead Inspector
Marion Hurley Unannounced Inspection 21st March 2006 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 DS0000026875.V286783.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. DS0000026875.V286783.R01.S.doc Version 5.1 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 DS0000026875.V286783.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 16th November 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. DS0000026875.V286783.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the normal inspection process legally required in accordance with the Care Standards Act 2000. Stoneleigh House was assessed according to the Care Homes for Older People, National Minimum Standards. The inspection took place over six hours, two and half were spent at the home with the residents and staff and checking records. The Registered Provider Ms Edbrooke was available throughout the inspection. Two residents and two staff were spoken with during the course of the inspection. Records and documents relating to those standards assessed were examined and read. The residents said they felt well cared for and liked living at Stoneleigh House. The inspector was grateful for the time and support provided by both the residents and the two members of staff during this inspection visit all of which were welcoming and helpful. What the service does well:
Stoneleigh continues to provide a good quality service to residents and this was confirmed by comments received from two residents and from observing staff working size by side with the residents and in the course of completing their other duties. There is a relaxed, homely and friendly atmosphere in an environment, which is comfortable and welcoming with staff having a good understanding of the specific and individual needs of residents. The home offers consistency of care with a full compliment of staff that have worked at the home for varying lengths of time. Care staff continue to be committed, competent and caring and treat residents with respect and consideration. This provides residents with a homely relaxed, and safe environment in which to live The residents spoken with complimented the owners and staff saying it was a well run home. DS0000026875.V286783.R01.S.doc Version 5.1 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. DS0000026875.V286783.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 DS0000026875.V286783.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): N/A The key standards were assessed and met at the previous inspection and were not assessed again at this inspection. EVIDENCE: DS0000026875.V286783.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 The arrangements in the home to meet the residents’ medication needs are good and provide safe working practices. EVIDENCE: Policies and procedures regarding the receipt, recording, storage, handling, administering and disposal of medicines were on the day of this inspection being accurately maintained. Following a risk assessment residents are able to administer their own medication if they wish and one resident at the present time has elected to do this. The home completes the order on their behalf and then the resident is provided with their months supply. The resident has signed a declaration confirming their capacity and willingness to self medicate. Records were seen of all medication received into the home and administered and all were signed and dated. Medication details are recorded with the Care Plans when a resident is admitted and any subsequent changes are recorded in the residents’ individual daily records.
DS0000026875.V286783.R01.S.doc Version 5.1 Page 10 A local pharmacist supplies the medicines and regularly audits the home’s procedures and practice. An MDS system is used. Any homely remedies used are detailed on the reverse of the MAR sheets. There are no controlled drugs held in the home. All staff have undertaken in house training and the Manager said three nurses were among the staff team of carers. DS0000026875.V286783.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): N/A All the key standards were assessed and met at the previous inspection and were not assessed again at this inspection. EVIDENCE: DS0000026875.V286783.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): N/A All the key standards were assessed and met at the previous inspection and were not assessed again at this inspection. EVIDENCE: DS0000026875.V286783.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): N/A All the key standards were assessed and met at the previous inspection and were not assessed again at this inspection. EVIDENCE: DS0000026875.V286783.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): 28, 29 & 30 Residents are protected and supported by the homes recruitment policies and procedures. Over 50 of care hours are provided by staff with an NVQ level 2 or higher or staff have related qualifications. Three carers are qualified nurses and another carer is a former Registered Provider. Care staff are competent, knowledgeable and caring. EVIDENCE: The home currently deploys two care staff to work during the daytime often assisted by the Proprietors/Manager. Care staff with the Proprietors undertake all the duties in the home including laundry, cooking and cleaning. Both care staff and the Proprietor/manager stated that the levels of staffing met the current needs of the residents. The Proprietors with their family live in and are on call/duty throughout the night. Residents stated that they felt were cared for and there were sufficient staff to always “be there for them and still produce excellent meals”. The home has a recruitment procedure in place. Staff records showed that two written references, CRB & POVA checks are acquired before appointing new staff. Two staff files were checked and illustrated that the home followed the recruitment procedures.
DS0000026875.V286783.R01.S.doc Version 5.1 Page 15 Two care staff were spoken with and both clearly had a wealth of knowledge and considerable understanding of issues associated with caring for older people in a residential setting. Staff records indicated that all mandatory training is kept up to date and the Manager confirmed all staff had recently completed fire prevention training. At the current time no residents require physical assistance however Manual Handling is routinely included in the induction training and two years ago all staff completed a course run by Pinnacle Training. All staff completed Basic Food Hygiene training organised by the District Council, October 2004. DS0000026875.V286783.R01.S.doc Version 5.1 Page 16 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): 35 & 38 All residents either manager their own financial affairs or have appointed a member of their family or solicitor to do so on their behalf. The home does not handle any monies on behalf of residents. Records and proccdedures relating to the health, safety and welfare of the residents and staff were being adhered to. EVIDENCE: Residents control all their own money whererever possible. In the event they are unable to family or solicitors take control of their finances. The home does not hold any personal money however for one person they do pay on their behalf the attendance costs of external day services and then invoice the family. A record of these tranactions is kept and receipts available. DS0000026875.V286783.R01.S.doc Version 5.1 Page 17 The manager confirmed and the records were available to evidence that all staff receive training in health and safety. Water temperatures are controlled thermostatically and there is oil fired centrally heating throughout the home with the system fully serviced annually. Other maintenance records clearly showed inspections are regularly made with maintenance certificates issued by the various companies completing the servicing /inspections. There are currently no aids or adaptations in the home though strategically placed handrails were evident. Both residents and the two staff spoken with during the course of the inspection visit spoke positively about the open inclusive atmosphere in the home and that this made them feel safe and cared about. DS0000026875.V286783.R01.S.doc Version 5.1 Page 18 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 N/A 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 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 DS0000026875.V286783.R01.S.doc Version 5.1 Page 19 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. 1. Refer to Standard OP33 Good Practice Recommendations 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. Please note this standard was not assessed at this inspection and therefore this good practice recommendation remains until the standard is assessed again. DS0000026875.V286783.R01.S.doc Version 5.1 Page 20 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
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