CARE HOMES FOR OLDER PEOPLE
Summer Court Residential Home Football Green Hornsea East Yorkshire HU18 1RA Lead Inspector
Karen Ritson Unannounced 30 August 2005 09.30
th 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. Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Summer Court Residential Home Address Football Green Hornsea East Yorkshire HU18 1RA 01964 532042 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) Hexon Limited Hazel Craven 25 Category(ies) of Older Person Mixed Gender registration, with number Dementia over 65 Mixed Gender of places Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection Brief Description of the Service: Summer Court Hall is located in the seaside town of Hornsea on the coast of the East Riding of Yorkshire. It is registered for 25 older people and has been converted to meet the needs of this service user group.The accommodation comprises 3 double rooms and 19 singles, which are arranged on both the ground and first floor. The home provides a choice of communal areas. The service users have restricted access to the grounds due to building work which is in progress and which will result in an application for a variation to CSCI registration. The home is close to all the local amenities. Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 30th August 2005 and took nine hours to complete, which includes time for preparation and writing the report. Two service users were spoken to during the inspection and three members of staff in addition to the manager. There was a relaxed atmosphere throughout the day and service users and staff alike were happy to chat. The manager was available throughout the inspection. Only a selection of core standards were assessed on this occasion and the summary comments apply only to these. 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.
Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 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 standard(s) 3 and 6 Service users are assured their care needs will be met. EVIDENCE: Full assessments of care are kept on the service user files. Risk assessments are included to cover falls and all other areas of concern. Service users are weighed regularly and a record is kept of this. A plan of care is developed from this assessment. Service users said that staff understood what was needed to attend to their care needs. The home does not offer intermediate care. Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 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 standard(s) 7,8,9 and 10 Service users’ wellbeing is protected. EVIDENCE: Care plans are kept, which include all areas required. The care plans are reviewed every month. Professionals are involved in drawing up care plans, for example district nurses or CPN’s. Service users said they had been involved in drawing up the care plan and at review. Medication is suitably kept. Service users said that they were treated with respect and with regard to their dignity. Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 9 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 Service users have choice over the way they live their lives and the choices available reflect individual preferences. EVIDENCE: Service users said that they were encouraged to become involved in activities arranged by the home and their interests are recorded on file. Staff assist service users to take part in cards or dominoes. Musical entertainment is bought in and there is a monthly church service at the home. Motivation and Co visit to encourage service users to take part in activities promoting coordination and flexibility. The home has regular clothes parties and key workers are allocated time to spend with service users as they choose, for example going out for a walk or having a manicure. The home operates an open visiting policy. Most service users have a relative or friend who handles finances. Some service users handle their own personal allowance. Service users said they enjoyed the meals and that they were consulted over menu options. Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 10 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 18 Service users are protected from abuse and their complaints are listened to and acted upon. EVIDENCE: The manager described two internal complaints, which had been dealt with through the homes complaints procedure. Written responses to complainants were seen with outcomes recorded. Service users said that they felt they would be listened to and their concerns acted upon should they have reason to express dissatisfaction with an aspect of care. They also said they felt safe in the home and were all pleased with the plans to extend the building in order to provide care for service users with memory difficulties. At present there are occasional situations where service users who are confused and service users who are reasonably independent have had disagreements about personal space or possessions, the new extension, which is planned to offer more specialised care, aught to address much of this. There are plans to provide dementia awareness training for all staff and staff receive abuse awareness training in- house. Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 11 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 and 26 Service users live in a well maintained environment. EVIDENCE: The home is safe, well maintained, clean and hygienic. Service users said they were enjoying watching the building work and that they were receiving regular updates regarding progress. Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 12 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) 27,29 and 30. Service users benefit from well trained, appropriately recruited staff in sufficient numbers. EVIDENCE: Staffing rotas showed that sufficient staff were on duty at all times. Service users said that although they had been a little short staffed recently due to holidays, in general there was no problem and staff had time to complete their duties without rushing. Staff agreed with this. All staff are recruited according to policy and procedure and all receive appropriate induction and foundation training. There was a problem on the day of inspection, with planned training having to be postponed through lack of participants; however, staff said they were usually keen to take up training opportunities. Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 13 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) None of these standards were assessed. EVIDENCE: Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 14 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 15 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. Refer to Standard Good Practice Recommendations Summer Court Residential Home J53 JO4 S42750 Summer Court V243606 230805 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross, York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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