This inspection was carried out on 19th November 2008.
CSCI found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Suddon House Nursing & Residential Home West Hill Wincanton Somerset BA9 8BP The quality rating for this care home is: The rating was made on: zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Barbara Ludlow Date: 1 9 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Suddon House Nursing & Residential Home West Hill Wincanton Somerset BA9 8BP 0196333577 0196331175 suddon.house@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Deverill Holdings Limited care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia 29 29 Over 65 43 29 Conditions of registration: Persons, not less than 60 years, who require nursing care by reason of progressive mental disorder. Up to 29 places for nursing care only in the categories DE, MD, DE(E) and MD(E) Up to five persons in the range 50-60 years, who require nursing care by reason of a progressive mental disorder. Up to 14 places for personal care DE(E) Registered for a total of 43 places in categories DE, MD, DE(E) and MD(E) Room 10Q must only be occupied by a person who is independently mobile, has a low risk of falls and can manage their personal care needs independently. The person admitted to this room must meet this criteria when they move in. This must be evidenced through the pre-admission assessment and monthly reviews. Should the person`s needs change during their stay a multi-professional and service user/representative review must be held to determine the adequacy of the Care Homes for Older People
Page 2 of 12 accommodation to meet their needs. Date of last inspection Brief description of the care home Suddon House is a care home registered to accommodate and provide personal and nursing care services for up to forty-three people. Up to thirty-eight over the age of sixty years. Conditions have been agreed to enable up to five persons over the age of fifty years to be admitted depending on their care needs. Suddon house is approximately one mile from Wincanton town centre set in its own grounds with pleasant views onto surrounding farmers fields. The home is approached by a long private drive off the main road in West Hill. The home has two entrances with the main entrance to the front of the property. The second entrance is to the side. There is ample car parking to the front and side of the home. The main entrances are kept locked at all times for security of the home and the people who live there. The home has ample communal space and outside areas that can be accessed with the support of staff. Bedroom accommodation is provided on two floors. The home provides nursing and personal care for older people with dementia and other mental health needs. The home provides twenty-four hour nursing care by registered nurses who are experienced in mental health and general nursing. Care staff are experienced in delivering personal care. The provider stated that the fees for the service at the time of this inspection are 625.00 pounds to 845.00 pounds per week. Care Homes for Older People Page 3 of 12 What we found:
This was an unannounced random inspection visit by B.Ludlow and J.Poole for CSCI. The visit was made in order to monitor the progress of the service which was quality rated as poor at the last key inspection. A tour of the premises was made in order to see the defective windows that had been reported to CSCI and are subject to an improvement notice by the Health and Safety Executive who have visited recently. The home has been given supplementary management by Somserset County Council. Three experienced care home managers have been actively assisting the registered provider to improve the service outcomes for people living at Suddon House. What the care home does well: What they could do better:
Staff were spoken with who appeared on the duty rotas to be working as many as ten days without a break. Some of the shifts worked had only a nine hour gap between one and the next, this is not sufficient for safe working. The registered provider was advised that staff must not work excessively long hours. This could place people being cared for at risk, should the person become too tired to work safely. The registered provider is asked to address this to ensure safe working practice. Staff working with work permits and visas should have information in their files confirming the status of their employment. Care Homes for Older People
Page 4 of 12 One wardrobe was seen that was insecure, this must be re-secured safely to the wall. Some bedrooms are not ideal in shape and the furniture in one did not fit in very well. The accommodation should be reviewed for each person to ensure the best use of the space. Shabby and / or damaged furniture that is in use should be reviewed. Equipment and furniture that is available at the home but which is not currently in use should be utilised for the comfort of people in residence. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 12 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 1 4 (1) The registered person must 30/10/2008 ensure that the statement of purpose is reflective of the services offered in the home and that it contains all the information required. (Previous timescale of 31/03/08 and 30/04/08, not met) 2 2 Schedule 4(8)17(2) The registered person must 31/08/2008 ensure that all residents are given a terms and conditions of residency which makes clear any charges they are liable for. This was not fully met by 09/06/08 3 7 12 (1) (3) 15(2) The registered person must ensure that care plans are fully reflective of service users needs and wishes. Previous timescale not met (30/04/08) 15/09/2008 4 8 12(1) Care plans must give full and 31/08/2008 accurate information about the health care needs of the individual. All information
Page 6 of 12 Care Homes for Older People must be held together or clearly cross referenced. 5 10 12(4)(a) The registered person must 31/08/2008 ensure that all staff promote and respect the privacy and dignity of individuals in their care. The registered person must ensure that all service users have opportunities to take part in social activities and receive social stimulation. Previous timescale not met (30/04/08) 31/08/2008 6 12 16 (2) m 7 14 12 (2) (3) The registered person must 31/08/2008 ensure that service users are given opportunities to make choices. Evidence seen did not support that this requirement was met. 30/04/08 8 22 23(2)(n) The registered person must 30/09/2008 ensure that suitable adaptations are in place to promote the independence of service users. This includes the provision of clear signage in the home and other orientation adaptations and cues. This also includes the provision of door locks that are suitable for the individual service user. Not met at this inspection. Previous date 30/04/08 Care Homes for Older People Page 7 of 12 9 27 18(1) (a) The registered person must 31/08/2008 ensure that there is sufficient staff working at the home as is appropriate for the health and welfare of service users. This was not met at this inspection, by 30/04/08 This refers to staff working excessive number of consecutive shifts, without a day off. 10 29 18(1)(a) There must be a system in 31/08/2008 place for checking nurse registration and reregistration with the Nursing and Midwifery Council The registered person must 31/08/2008 ensure that all staff receive up to date training appropriate to their roles and that records are maintained of all training undertaken. Not met at this inspection. Previous date 24/04/08 11 30 18(1) 12 31 12(1)(a) 12 (5)(a) There must be clear leadership and clear lines of accountability in the home. The registered person must maintain good professional relationships with staff 11/08/2008 13 32 12(5) 11/08/2008 14 33 24 (1) The registered person must 31/08/2008 establish and maintain a system for reviewing and improving the quality of care, which includes consultation with service users and/or their representatives.
Page 8 of 12 Care Homes for Older People This was not assessed at this inspection, previous date 30/04/08. 15 35 16(2)(l)17(2) The registered person must Schedule 4 ensure that service users (9) personal belongings are treated with respect. Any items held must be securely stored and accurate records be maintained. 31/08/2008 16 37 17(1)(2)Sche All written records must be 31/08/2008 dule 3 and 4 accurately maintained, up to date and securely stored. 13(4)(c) Staff must receive health and 30/09/2008 safety training that is appropriate to Suddon House and the needs of the people that live there. 17 38 Care Homes for Older People Page 9 of 12 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 19 13 (4)(a)(c) The premises 11/01/2009 should be safely maintained. This refers to the window frames on the first floor and the health and safty requirments made by the HSE. 2 19 13 (4)(a)(c) The wardrobe that was not secured must be fixed and made secure. To prevent the risk of injury should the wardrobe topple forwards. 11/01/2009 3 24 16 (2)(c) Bedrooms must be equipped to meet the needs of people using them. This refers to missing or broken bedside cabinets, lack of bedside lighting provision. Curtain or curtains that do not fully close, this compromises the respect, dignity and privacy of people using these rooms. 11/01/2009 4 26 16 (2)(k) Malodour must be well 11/01/2009 controlled. Care Homes for Older People Page 10 of 12 One bedroom was malodourous and should be addressed with sufficient cleansing. 5 27 18 (1)(a) The registered provider must ensure that staff do not work for long periods without a break or without a suffient break between shifts. To ensure safe working practices and ensure that staff do not become overtired by their work patterns. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 11/01/2009 1 29 overseas staff work permits and visas must be up to date and their status verified in their staff file to demonstrate safe and legal employment practice. Care Homes for Older People Page 11 of 12 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 12 of 12 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
