Inspection on 20/04/05 for Stradbroke Court

This inspection was carried out on 20th April 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

Stradbroke Court 15/10/08

Stradbroke Court 01/11/06

Stradbroke Court 16/12/05

Stradbroke Court 06/10/04

Stradbroke Court 23/04/04

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

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

CARE HOMES FOR OLDER PEOPLE Stradbroke Court Green Drive Lowestoft Suffolk NR33 7JS Lead Inspector John Goodship Unannounced 20th April 2005 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 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. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stradbroke Court Address Green Drive Lowestoft Suffolk NR33 7JS 01473 583000 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Suffolk County Council Mrs June Ann Gill Care Home 35 Category(ies) of DE(E) Dementia - over 65 (10) OP Old age (25) registration, with number of places Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One person whose name was made known to the Commission in August 2004,aged under 65 years of age, who requires care by reason of disability. Date of last inspection 6/10/2004 Brief Description of the Service: Stradbroke Court is a purpose built home for older people, which was refurbished a few years ago to a high standard. It currently provides 13 residential care places, 10 special needs places and 12 short-term care and rehabilitation places. The accommodation is all located on the ground floor and is divided into separate units. A day service is also provided in the building. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which followed an announced inspection in October 2004. The acting manager was present, although she was due to be moved to another County Council Home shortly to provide maternity leave cover. All 3 units were visited. 6 residents spoke to the inspector and all of them were very satisfied with their care. One person on the rehab unit had been anxious on arrival but now felt confident and ‘I’m looking forward to going home’. Another person on the same unit thought it was so good ‘I don’t want to go home.’ What the service does well: What has improved since the last inspection? A new permanent manager has been appointed, and the last 2 team leader posts have been filled. This will give more stability to the staffing of the home, and ensure that the training, supervision and qualification programmes continue. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 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 standard(s) 3,4,6. The home has different levels of service to meet the needs of people for rehabilitation, dementia or residential care. Needs are carefully assessed and reviewed with the residents and their relatives to ensure that the care is appropriate. Strict guidelines for the use of the rehab unit ensure no one stays longer than the planned period with an agreed programme of rehabilitiation. EVIDENCE: The home was able to offer different levels of care for a variety of needs. There were proper admission assessment procedures leading to appropriate care planning for each unit. The Statement of Purpose had been updated for the new organisational structure and names of staff, the Business Plan and training plan, the short break brochure, and the East Point care pathway for hospital and community services. The Service User Guide met the standard. There were 9 residents on the rehab unit. They stay for 6 weeks to prepare them to return home usually with a support package. A planning meeting for one resident was taking place within the unit. The 3 residents in the dining Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 9 area said how happy they were with the care and the staff. One said: “It’s so good here I don’t want to go home.” Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 10 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 standard(s) 7,8,9. Care plans are comprehensive and regularly reviewed to ensure residents’ current needs are being met, with appropriate use of outside professionals. The procedures for the administration of medicines, including for those who wish to self-medicate, ensured that residents were properly and safely medicated. EVIDENCE: Individual plans of care were drawn up on admission and regularly reviewed. The plans included appropriate risk assessments. Care information was very comprehensive, but there was a useful summary sheet prepared by keyworkers in the form of spider diagrams. Daily record sheets were comprehensive and provided clear information. Relatives were always invited to be present at reviews. Plans for those admitted to the rehabilitation unit were prepared in a different format after a multi-disciplinary planning meeting with the user. One resident with dementia was in hospital for re-assessment following some incidents of aggressive behaviour. Proposals on how to reduce or eliminate these incidents were being discussed by the staff. Drugs were properly stored on each unit. The Administration charts were fully completed and up-to-date. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 11 Staff treated residents with respect and gave support where needed. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 12 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 standard(s) 12,13,14,15. The home arranged many of the aspects of daily life around the residents’ wishes, to give them maximum independence and influence over their lifestyle. EVIDENCE: The home provided a variety of activities which the manager was hoping to expand to give more choice, as well as the activities in the day centre. There was a well equipped hobbies room. A digital camera was going to be bought for starting an activities file for residents. Photos on noticeboards in the units recorded special events. There was a reminiscence room with examples of everyday life over the past century. One new resident had already noted this room and liked it. Residents who wished to hold their own money were helped to do so and had secure facilities for storage. There were dining areas on each unit with a varied menu. Staff provided support and encouragement when needed. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 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 standard(s) 16,17,18 The low level of complaints reflects the home’s standards and its good relationships with residents and their families. Residents have protection of their rights and are protected by policies, training and supervision from abuse. EVIDENCE: 2 complaints were being investigated. The manager described them and explained that one had been upheld after an internal investigation, and the other was still being investigated. There was a list of those residents in the office who were eligible to vote through the post. Abuse policy and training was organised through the County Council. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 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 standard(s) ALL. This purpose-built home maintains good environmental standards, providing all the required facilities for residents. EVIDENCE: The home was built to meet the differing requirements for residential, special needs and rehab care. The home is visited weekly by an occupational therapist who can assess the equipment needs of new residents. There are assisted bathrooms with various kinds of specialist equipment. The home had experience last year of dealing with infection and can seek professional guidance when necessary. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30. The home is appropriately staffed in each unit for the needs of the residents. Staff have good training programmes which maintain their competence. EVIDENCE: There were no current staff vacancies. 2 team leaders had just started. There was an on-going NVQ programme which would shortly cover 50 of care staff. The training record lists all types of training and which staff have undertaken each one. The manager had a new training package on the Prevention of Abuse which all staff were scheduled to go through. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34,35,37,38. Residents are safeguarded by the home being part of the Suffolk County Council Social Care Services, with a full range of care, financial and health and safety policies, procedures and audits. EVIDENCE: A new permanent manager had been appointed on the week of this inspection. Evidence on Standard 31 will be collected during the Commission’s registration process. The home follows the County Council’s accounting and financial budgeting and control procedures. Those residents who wish to look after their own financial affairs do so. Relatives or legal advisers take that responsibility otherwise. If residents wish to keep small amounts of cash with them for everyday needs, they are able to use secure facilities in their rooms. Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 17 Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x x 3 3 x 3 3 Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 19 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. 1. Standard Regulation NONE 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 NONE Good Practice Recommendations Stradbroke Court I54 - I04 S37419 Stradbroke Court V223220 050627 Stage4.doc Version 1.30 Page 20 Commission for Social Care Inspection 5th Floor St Vincent House Cutler Street Ipswich IP1 1UQ 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. 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