CARE HOMES FOR OLDER PEOPLE
Summer Court Hall Residential Home Football Green Hornsea East Yorkshire HU18 1RA Lead Inspector
Ms Wilma Crawford Unannounced Inspection 6th February 2006 09:30 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 Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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. Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Summer Court Hall Residential Home Address Football Green Hornsea East Yorkshire HU18 1RA 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) 01964 532042 Hexon Limited Mrs Susan Ann Tyler Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 30th August 2005 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, close to all local amenities. The home 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, with a lift providing easy access for residents. The home provides a choice of communal areas. Since the last inspection a further two conservatories and four en suite bedrooms have been completed. This work is part of a schedule of work to provide a separate unit in the home for residents with Dementia. An application has been made to the CSCI for a variation to the homes current registration, in respect of this. Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over seven hours, including a site visit of the newly completed bedrooms and conservatories. A tour of the premises was conducted with the manager. The main method of inspection used was called case tracking which involved selecting four residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. Five residents, two members of staff and two relatives were spoken with. The general manager was also available during the inspection. The comments and views of people spoken with are included within this report. What the service does well:
The home provides a comfortable, clean and homely environment for residents. The staff group know the residents well and residents said they liked the staff and could talk to them if they had a problem. Staff were kind and courteous in their dealings with and assisted residents appropriately. Residents spoken with were very complimentary towards the staff and the care that they provided, comments included “The staff are all very good.” “ They are kind and helpful, nothing is any trouble.” Relatives were also very complimentary and keep us fully informed.” “ They discuss my relative’s needs The staff team are well supported in their roles through the supervision process, regular team meetings and attending regular appropriate training. 74 of staff have achieved a minimum of NVQ level 2. Several of the staff team also have achieved level three and four in addition to this. The home has a strong keyworker system in place and residents spoken with, were able to identify their named keyworker. Residents have detailed comprehensive care plans. What has improved since the last inspection?
Staff have attended a Dementia awareness course in order to meet some current residents needs and in preparation for the registration of the new unit. The first phase of the building work has been completed and has provided two additional conservatories and a further four en suite bedrooms, for residents use. This is currently awaiting registration.
Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 6 A new lift has been fitted for residents. 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 Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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 the following standard(s): 2,3,4,5, Residents are given the opportunity to visit the home before making a decision to move in. They can feel confident that their assessed needs will be met and are aware of the conditions of residence once admitted. EVIDENCE: The home has an admission policy and procedure, which includes an assessment being carried out prior to admission, this is undertaken to make sure that the home can meet prospective residents needs. This is confirmed in writing. All residents enter into a ‘contract’ with the home and a signed copy of this is held in a locked filing cabinet. Residents’ care plans showed that a needs assessment is completed for all residents. This is carried out prior to admission if possible and if not as soon as possible afterwards. For residents admitted under the care management approach this is in addition to that assessment.
Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 9 Three residents spoken with confirmed that this had taken place and they were able to visit the home before making a decision to move in. The needs assessment addresses all activities of daily living and strengths and needs of residents. There is evidence within the assessment that residents and their families are involved at this stage. Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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 the following standard(s): None These outcomes were not looked at. EVIDENCE: Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15 Residents have choice over the way the way that they live their lives and the choices available reflect individual preferences. EVIDENCE: Residents stated that they are encouraged to become involved in activities arranged by the home and their individual preferences are recorded in their files. Activities provided include craft,dominoes, videos, jenga, musical entertainers, hairdressing visits, motivation and Co to encourage flexibility and coordination, and a monthly church service. Key worker also spend one to one time with residents spending time with them in an activity of their own choosing, for example a walk out, or a manicure. Details of these activities are maintained by keyworkers in a daily log. The home operates an open visiting policy and this was confirmed by visiting relatives. Residents said that they enjoyed the meals provided, a choice was always available and they were consulted over menu options. Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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): 16,17,18 Residents are protected from abuse, their complaints are listened to and acted upon and can be assured that their rights are protected. EVIDENCE: Residents stated that they are listed on the electoral roll and are able to vote by proxy, or are taken to vote, should they wish to do so. This was confirmed during discussion with the manager. No complaints have been received since the last inspection. A comprehensive complaints procedure is in place and examples of this being previously implemented were recorded in the complaints log. Residents and relatives said that they felt that they would be listened to and their concerns would be acted upon should they have any reason to express any concerns. Staff spoken with demonstrated a good understanding of the home’s complaints and adult protection procedures and their role within this. Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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): 19,20,21,22,23,24,25,26 The residents live in a comfortable, pleasant and safe environment, with both private and communal space being generally suitable for their needs. EVIDENCE: A tour of the premises showed that the home was maintained to a good standard internally, was tidy, clean and free from odour. The grounds and gardens were well-tended and offered seclusion and privacy from the public. A raised garden has been created outside the new bedrooms in preparation for planting. The home employs housekeepers and a laundry assistant. There are three bathrooms, one with an assisted bath, 5 toilets and six rooms with en suite facilities. Specialist equipment is available throughout the home, including a new lift, assisted baths, raised toilet seats, grab rails and a call bell system Residents’ comments were positive about their bedrooms and each room viewed was individually decorated and furnished and contained personal items
Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 14 reflecting individual interests and tastes. One resident spoken with said that she particularly liked her room as she had been able to bring some of her own furniture into the home. All bedrooms are lockable and have a lockable facility within them. Radiators are fitted with covers and water temperature is regulated through a thermostatic valve. Water temperatures checked were found to be close to 43 degrees centigrade. Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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 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 Staff members are suitably trained, qualified and competent. EVIDENCE: Training records showed that 14 care staff had achieved the National Vocational Qualification at Level 2, and a further four staff are working towards level 3. The training plan showed that all statutory training was being undertaken, with the most recent training being on First aid, Medicines Management, Health and Safety, Dementia, Infection control, Protection of Vulnerable Adult, Continence Care and Food Hygiene. Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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 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): 31,32,34,36,37,38 The home is managed competently and the staff are supported and supervised to carry out their roles. The residents are involved in contributing to the running of the home. EVIDENCE: The manager is competent through her experience and qualifications to run the home She has extensive experience of working with older people and has completed the Registered Mangers Award. Staff said they are well supported and they are confident to approach the manager with concerns or ideas. The home has a quality assurance system, conducting regular surveys to monitor quality. The results of this have been very positive. However, the manager stated that should any action be identified from these, an action plan would be developed and implemented.
Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 17 Staff are regularly supervised both formally and during every day observation. Annual appraisals also take place. Assessments are documented in relation to health and safety issues that may arise from the environment of the home. Maintenance records are also kept. Records within the home are stored securely. Residents said they were aware that they can see them if they wish. A previous visit from Environmental Health had identified two actions to be taken , these had both been completed. Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X 3 3 3 Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 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. 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. Refer to Standard Good Practice Recommendations Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Summer Court Hall Residential Home DS0000042750.V281139.R01.S.doc Version 5.1 Page 21 - 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!
