Inspection on 07/11/05 for Stroud House

This inspection was carried out on 7th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Stroud House 24/04/07

Stroud House 05/12/06

Stroud House 12/05/05

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 Inspection 7th November 2005 10:30 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 Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stroud House Address Rothercombe Lane Stroud Petersfield Hampshire GU32 3PQ 01730 261474 01730 260689 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) Western Health Care Limited Mrs Irene Patricia Morton Care Home 25 Category(ies) of Dementia - over 65 years of age (12), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (12), Old age, not falling within any other category (25), Physical disability over 65 years of age (6) Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A total of 12 service users may be admitted in the categories MD(E) & DE(E) at any one time. 12th May 2005 Date of last inspection 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. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two annual inspections and was unannounced. The visit lasted approximately six hours, during which the inspector met the Registered Manager and Group Manager, three residents, a visitor to the home and two members of the support staff. Samples of the home’s records were inspected. The inspector looked mainly at the key standards not assessed at the last inspection and therefore this report should be read in conjunction with the previous report. There was one requirement made as a result of this visit. What the service does well: 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. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 6 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 Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 7 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): None of these standards were assessed on this occasion. EVIDENCE: In relation to standard 6 the home does not provide intermediate care. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 8 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): 10 Working practices within the home uphold residents’ dignity and individuality and residents felt that they are treated with respect. EVIDENCE: All twelve of the residents who returned comment cards indicated that they felt well cared for and that staff treated them well and respected their privacy. Similarly all of the eight relatives/visitors who returned comment cards confirmed that they can visit their relative/friend in private and that they were satisfied with the overall care provided. The home also conducts its own residents’ survey that includes questions on privacy and dignity and two examples of this were seen. Both residents had given positive answers in relation to being asked if they felt they have the right to be left alone or undisturbed; if members of staff knock and wait for a reply before entering their room; when receiving help with personal care are the staff caring and supportive; and were they addressed by the name and title they preferred. Residents who spoke with the inspector also confirmed that the staff were courteous and polite and respected their privacy and dignity when assisting Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 9 them with their personal care. Members of the staff team confirmed that the home’s induction process included instruction on how to treat residents with respect at all times. The home has relevant written policies in place such as assisting residents with bathing. The registered manager confirmed that care plans are reviewed on a monthly basis. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 10 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): 14 Working practices in the home support residents to exercise choice and control in everyday living. EVIDENCE: Residents were observed throughout the inspection exercising their autonomy and choice, moving around the communal areas without restriction and doing tasks for themselves according to their wishes and abilities. Some were seen entering the kitchen and laundry areas to get drinks and items from the cupboards and staff confirmed that residents are individually risk assessed in relation to daily living activities. This approach enables those residents who wish to take part in the daily running of the home to do so. Through conversation with residents it was confirmed that they are entitled to bring personal possessions with them, to an extent agreed prior to admission, for example items of furniture. The home provides information about an advocacy scheme for the area. Residents manage their own financial affairs as they wish. As identified at the previous inspection, 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 Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 11 and had previously consulted with the Commission for Social Care Inspection (CSCI) about this. The inspector advised of a possible alternative system now being operated through a high street bank and the group manager said she would look into it. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 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): 18 The home’s clear policies, procedures and staff training ensure that residents are protected from abuse, neglect and self-harm. EVIDENCE: The home has relevant written policies in relation to adult protection issues including a whistle blowing policy. Staff at the home received adult protection guidance as part of their NVQ training and a clear record is kept of those who have achieved the award or who are in the process of obtaining it. At the previous inspection a number of staff had demonstrated knowledge of what to do in the event of a disclosure or suspicion of abuse. The home has a policy on managing verbal or physical aggression, although there were no reported issues in this respect. There is a structured induction programme and staff had been on a training course about dementia. There are also policies relating to staff receiving gifts and gratuities, residents’ money and residents accessing their personal records. All twelve of the residents who returned comment cards indicated that they felt safe living in the home. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 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): 26 The provision of effective infection control systems ensures that residents live in a safe and comfortable environment. EVIDENCE: The home has systems in place to control the spread of infection and staff confirmed they had infection control guidance as part of their NVQ training. There is a laundry procedure, policies on waste disposal including clinical waste and personal protective clothing such as gloves and aprons are provided for staff. The home had completed an infection control risk assessment. The laundry area is sited so that items for washing are not carried through areas where food is stored, prepared, cooked or eaten and do not intrude on residents. The floor to the laundry room had an impermeable finish and the walls were readily cleanable. The washing machine had a hot wash programme suitable for disinfecting soiled linens and the home used a washing powder that helps disinfect at lower temperatures. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 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 and 29 Residents’ benefit through the home encouraging staff to undertake relevant care qualifications. The procedures for all new employees starting work need to be adhered to in order to better protect service users. EVIDENCE: The home encourages its staff members to undertake NVQ training a record of those who had completed or were on a course was available. The registered manager reported that those staff currently on NVQ level 2 training were due to complete this by March 2006 and those on level 3 awards were due to complete by August 2006. A sample of six staff personnel records was seen including those of three recently recruited staff. With regard to the longer serving members of staff the records were complete with all the required information including Criminal Records Bureau (CRB) checks and written references. However in relation to the three new staff members there was no evidence of satisfactory POVA First checks (Protection of Vulnerable Adults) having been obtained prior to them starting employment, although CRB checks had been applied for. In two of these cases only one written reference had been obtained at this time. The registered manager reported that these staff members were being supervised while awaiting the return of satisfactory checks and the staff rota confirmed that they were supernumerary to normal staffing levels. It is a requirement that all relevant checks are carried out prior to staff commencing employment. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 36 Residents’ benefit from a well run home with appropriately supervised staff. EVIDENCE: The registered manager has an advanced management qualification and plans to complete an NVQ level 4 in June 2006. The manager also attends in-house training with the staff team in order to keep her knowledge and skills up-todate. The manager said she felt well supported by the group manager and the registered provider and this included informal supervision on a regular basis. There are clear lines of accountability within the home and management structure. A quality assurance monitoring system had been developed to ensure service user views are regularly obtained and acted upon and evidence of this was seen during the inspection. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 16 Staff confirmed that they have regular formal supervision and the manager keeps records of these on an individual basis. Supervision includes discussion of training needs, care practices, resident issues, staff team issues, setting objectives and following up on actions agreed at the previous meeting. At the last inspection it was reported that some staff were being trained as shift supervisors. During this visit it was confirmed that these staff were now taking more responsibility in leading the staff on shift and training was under way to enable them to take a more active part in keeping care plans up-to-date, monitoring and reporting any changes in resident’s needs. Through discussion staff demonstrated understanding of and commitment to their roles. Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 17 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 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 3 X X Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP29 Regulation 19(1) Schedule 2 Timescale for action The registered person must 07/11/05 ensure that staff are employed in the home only once a POVA First and two satisfactory written references and a full employment history has been obtained. Each time a member of staff is ready for employment without their full CRB declaration being available the registered person must inform CSCI of the home’s decision. Requirement 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 Stroud House DS0000032866.V259006.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton 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 DS0000032866.V259006.R01.S.doc Version 5.0 Page 20 - 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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