Inspection on 12/05/05 for Stroud House

This inspection was carried out on 12th May 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

Stroud House 24/04/07

Stroud House 05/12/06

Stroud House 07/11/05

Stroud House 21/01/05

Stroud House 21/05/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Stroud House Rothercombe Lane Stroud Petersfield Hampshire, GU32 3PQ Lead Inspector Laurie Stride Unannounced 12/05/05 10.00am 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. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stroud House Address Rothercombe Lane, Stroud, Petersfield, Hampshire, GU32 3PQ 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) 01730 261474 01730 260689 Western Health Care Limited Mrs Irene Patricia Morton CRH 25 Category(ies) of DE(E), MD(E), OP, PD(E) registration, with number of places Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A total of 12 service users may be admitted in the categories MD(E) and DE(E) at any one time. Date of last inspection 21/01/05 Brief Description of the Service: Stroud House is a large house on the main road through the village of Stroud, near to Petersfield. The home is registered for up to twenty-five older people, some of who may have dementia, mental disorders and/or physical disabilities. Accommodation is provided by fifteen single and five double rooms for people who have chosen to share a room with each other. The home is owned by Western Health Care Ltd and the Responsible Individual is Mr. Paul Rogers. The Registered Manager is Mrs. Irene Morton. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of two annual inspections and was unannounced. The visit lasted six hours, during which the inspector met the Responsible Individual, Registered Manager, a service user, a visitor to the home and three members of the support staff. Samples of the home’s records were inspected and a tour of the premises was undertaken. There were no requirements made as a result of this visit. What the service does well: What has improved since the last inspection? What they could do better: A previous recommendation that care plans should be reviewed monthly had been taken up and the home was working towards improving on this standard. The home is clean and comfortable and situated in pleasant surroundings, but would benefit from additional storage space for necessary equipment. The recording of residents’ meetings would assist in providing evidence of quality assurance monitoring. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 6 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. Stroud House H54 S32866 Stroud House V223198 120505.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 Stroud House H54 S32866 Stroud House V223198 120505.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 Service users have their needs assessed and have opportunities to visit the home prior to admission. EVIDENCE: There had been three new admissions to the home since the previous inspection and an assessment of each individuals needs had been recorded or was being completed. The home’s assessment format was thorough and a care manager’s assessment and hospital transfer notes had also been obtained when applicable. The manager said she liked to go through the assessment and review forms with the individual as they settle in. One of the people recently referred had visited the home prior to admission. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 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 standard(s) 7, 8 and 9 There are clear systems in place for support planning, healthcare and the safe administration of residents’ medication, but care plans are not reviewed on a monthly basis in order to ensure any changes are monitored and recorded. EVIDENCE: A sample of three care plans was seen and these provided clear information and guidance for staff in relation to the individual’s needs. Each care plan was linked to the initial assessment and included risk assessments, for example in relation to falls. Moving and handling risk assessments followed a ‘traffic light’ format indicating whether the person was independent or needed help or supervision in relation to various movements and transfers. Guidelines were attached to these detailing actions to take to eliminate or minimise the risks. The front section of each care plan contained a photograph and pen picture of the resident. This provides a summary of needs in an individualised form regarding personal care, mobility, dietary needs, communication, social and behaviour patterns. A mini-card system is used by staff on a daily basis and shows what needs to be done to support each resident. The manager reported that care plans were not reviewed on a monthly basis, as previously recommended, but that staff monitored residents’ needs and communicated with the manager and each other regarding any changes. Staff Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 10 confirmed this and written handover records were kept on file. Furthermore, the home was in the process of developing some staff members into senior/supervisory roles and this included delegating some care planning responsibilities. This would assist the manager who currently writes and reviews all the care plans and enable senior staff to undertake and record more frequent reviews of resident’s needs. Daily reports, weight and blood pressure charts, details of health and personal contacts were all available. There is a communications book and a diary is kept of resident’s health appointments. The District Nurse’s notes for each visit are held in the home with details of the care given. The manager reported good links with healthcare agencies in the Petersfield area. An eyetest clinic and chiropodist make regular visits to the home and there are opportunities for residents to have massage. A member of staff demonstrated the procedure for administering resident’s medication. Most medication is delivered in blister packs from the pharmacy and these are kept in a locked metal trolley. The member of staff checks the medication records against the contents of the blister pack, gives the medication and signs the record. Staff confirmed that they all receive training in giving medication and the manager checks to see that medication is being administered properly. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 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 standard(s) 12, 13 and 15 The home is good at providing recreational activities to suit residents’ needs and preferences and enabling residents to maintain contact with relatives and social networks. The dietary needs and preferences of residents are well catered for with a varied selection of food available. EVIDENCE: The home provides a wide range of activities for residents and these were listed in a communal area. Activities include mini-bus rides and mystery tours, gentle exercises to music, quizzes, church services, musical entertainers, massage, flower arranging, board games, arts and crafts, the mobile library, gym at an external facility, a visit to Gilbert and Sullivan’s ‘The Mikado’, shopping in Petersfield, birthday toasts and buffets. A resident said they enjoyed the activities and day trips and could choose whether or not to take part. Staff reported that there was something happening every day for residents. During the afternoon there was a music and movement session with a large number of residents taking part. A visitor commented that the home was very good at providing activities to stimulate and entertain residents with different needs and abilities. The home has a visitors’ policy that welcomes visitors at any time and this was posted within the building. A resident confirmed that they were able to meet Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 12 with their visitors in private. During the inspection visitors were observed coming and going and approaching the staff and manager if they wanted to discuss or ask something. Coffee mornings are held that support and encourage residents, their friends and relatives to maintain contact and also serve as fund-raising events for further activities. Care plans contained information on residents’ dietary needs. The menu indicated that varied and appealing meals were offered and a resident confirmed that the food was good. At lunchtime the kitchen staff referred to a list of resident’s individual needs and preferences and meals were then individually served to residents in the dining room. The dining room was pleasant and comfortable and the atmosphere was leisurely and relaxed. Staff were seen giving appropriate assistance where needed. Fresh fruit was available in the lounge/dining area. Stroud House H54 S32866 Stroud House V223198 120505.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 and 17 The home upholds residents’ rights and has a suitable complaints procedure to ensure that residents’ concerns are listened to and acted upon. EVIDENCE: The home has a clear complaints procedure and system for recording and responding to any complaints. The written procedure had been amended to include the timescales within which complaints will be responded to. The contact details of the Commission for Social Care were also included. A resident said that they knew who to complain to if they felt it was necessary. The manager reported that about half of the home’s residents had participated in voting at the recent elections. The majority had chosen to use the postal vote and one had walked to the polling station. Information on local advocacy services was displayed on a communal notice board. Stroud House H54 S32866 Stroud House V223198 120505.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) 19, 21, 22 and 23 The home provides a pleasant, clean and comfortable environment for residents but would benefit from having additional storage space for necessary equipment. EVIDENCE: The premises are situated on the main road through the village of Stroud and there are pleasant, well-kept grounds with seating areas provided. The home is well maintained, homely and comfortable and the manager reported that the company are responsive to any maintenance or improvements required for the comfort of residents. The home cares for a number of people who have mobility problems and/or need assistance from staff and the bathroom and toilet spaces are not all ideally suited to the needs of these residents or staff giving assistance. The manager said that the company were aware of the problem and had been looking into ways to improve the premises but that there were also issues regarding planning permission. Toilets and bathrooms were adequately equipped and sufficient in number to meet the needs of residents. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 15 The premises are fitted with ramps for ease of access and grab rails throughout the home. A call system was in place connected to each resident’s bedroom and calls could only be turned off at source. At the time of the inspection a hoist had been left in a lounge area and a number of wheelchairs were stored in another lounge off the dining room. The home is currently short of suitable storage space for equipment and the manager said the company had been looking into the matter. Radiator covers and window restrictors had been installed and hot water outlets were fitted with thermostatic safety mixer valves where required. A number of resident’s bedrooms were seen and these were well equipped with good quality, comfortable furniture and had been personalised by the occupants. Screening was available in double rooms. A resident confirmed that the accommodation was satisfactory. Each resident had lockable storage space including recently fitted wall cabinets. From the windows all bedrooms seen had pleasant outlooks. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 16 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 and 30 Residents are supported and protected by suitable numbers of trained and supervised staff. EVIDENCE: The staff rota showed a minimum of three day care staff on duty working shifts between 8 a.m. and 9p.m. There were two care staff on duty at night and the home also employs a cook. The manager when on duty in the home was in addition to care staff numbers. Staff were observed providing assistance to residents and visitors in a friendly and respectful manner. A resident commented that the staff and manager were good at giving support and were helpful and approachable. Three members of staff talked to the inspector about their work, including what they would do if they suspected a resident was being abused or if this was reported to them. Staff demonstrated understanding of and commitment to their roles. Some staff were currently on three month probationary periods while being trained as shift supervisors, it is planned that these staff will lead the staff on shift and take a more active part in keeping care plans up-to-date, monitoring and reporting any changes in resident’s needs. Staff confirmed that the management were accessible and approachable and that they received training in first aid, food hygiene, fire safety, moving and handling, infection control, dementia and holistic care. The manager also reported plans for five members of staff to commence NVQ3’s and a further four staff to commence NVQ2’s. The home provided opportunities for Polish care staff to further their knowledge and use of the English language. Staff Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 17 reported that they had regular recorded supervision at work, approximately once a month. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 18 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) 33, 35 and 38 Systems are in place to safeguard resident’s financial interests and safe working practices are observed to ensure the health and welfare of service users. Improvements in the quality assurance monitoring process would ensure service user views were both obtained and acted upon. EVIDENCE: The manager stated that residents are issued with a survey questionnaire on admission to the home, but there appears to be no system of using these to gather information on a regular basis. A file is kept of thank you letters received by the home and the home sends out letters to families thanking them for their support including participation in fundraising events. Residents meetings take place approximately once a month to provide a forum for residents to discuss any issues. However, these are not all recorded. The home has an open door ethos. The inspector observed visitors approaching the manager to discuss issues. The manager was responsive and visitors were able to freely discuss any matters whilst confidentiality was respected. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 19 The home has a policy that they do not take responsibility for holding large amounts of resident’s money. Service users are provided with lockable drawers and have access to a safe via the senior staff. The home uses a system whereby resident’s monies are pooled and had previously consulted with the Commission for Social Care Inspection about this. Records were seen regarding resident’s personal accounts and transactions. Two signatures are required for each transaction and letters are sent to residents updating them regarding their accounts. Environmental risk assessments are carried out, which include fire safety, risk areas in the physical environment such as steps and thresholds, safety procedures and moving and handling. The manager confirmed that fire equipment is regularly tested and fire drills are carried out for staff. There is an accident and emergency procedure file, which contains relevant contact numbers. Staff told the inspector that they receive statutory health and safety training. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 20 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 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x 3 2 3 x x x STAFFING Standard No Score 27 3 28 x 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 x x x 2 x 3 x x 3 Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 21 NO 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 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. 2. 3. Refer to Standard 7 22 33 Good Practice Recommendations Care plans are reviewed on a monthly basis. Storage areas are provided for aids and equipment, including wheelchairs. A quality assurance monitoring system is developed to ensure service user views are regularly obtained and acted upon. Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 22 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire, SO15 1GW 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 Stroud House H54 S32866 Stroud House V223198 120505.doc Version 1.30 Page 23 - 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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