Inspection on 21/11/05 for Summerfield

This inspection was carried out on 21st 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Summerfield 16/03/09

Summerfield 14/11/06

Summerfield 03/05/05

Summerfield 09/08/04

Summerfield 20/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Summerfield 4 Kidmore Road Caversham Heights Reading Berkshire RG4 7LU Lead Inspector Debbie Willcox Unannounced Inspection 21st November 2005 11:00 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 Summerfield DS0000011115.V254433.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. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Summerfield Address 4 Kidmore Road Caversham Heights Reading Berkshire RG4 7LU 0118 947 2164 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) Mr Colin Robbins Mrs Tracy Jane Clark Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 Brief Description of the Service: Summerfield is situated in a pleasant residential area on the outskirts of Reading. The home is Victorian in design and is similar to other residential properties within the area. Although on a main road the house is set back from the road by a drive, which provides parking for several cars. The home is on a bus route into Reading and located within easy reach of local shops. There is a pleasantly furnished lounge on the ground floor and a dining room adjacent to the homes kitchen. To the rear of the property are well maintained an attractive gardens. The rear garden has gravel covered patio area. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on a weekday by one inspector taking place over a period of 4 hours. During this inspection time was spent talking with the Proprietor, manager, staff and several service users and a relative. Time was spent observing care practice. A variety of documents relating to care planning, staff training, recruitment, supervision and medication were viewed. A new manager has been appointed to the home since the last inspection and has recently been registered with the CSCI. The manager was previously the deputy manager at the home. What the service does well: What has improved since the last inspection? What they could do better: There is an outstanding requirement for all thermostatic water valves to be regularly serviced to prevent risks of scalding for people living in this home. Medication administered must be signed for by staff responsible for administration and reasons for non-administration of prescribed medication recorded. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 6 The home must ensure that all staff are provided with mandatory training and manual handling refresher training provided. 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. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 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 Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 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): NOT ASSESSED AT THIS INSPECTION. EVIDENCE: Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,10,11 Service users can be assured their care and health needs are set out in a plan of care, which is comprehensive and reviewed regularly. Further improvement is needed to the recording of care given on a daily basis. Medication administered is not always signed for by staff and reasons for nonadministration not always recorded. EVIDENCE: It was evident from the viewing of care plans that these are comprehensive and reviewed regularly. Each service user file contained medication and health profiles. Weight is regularly monitored and nutritional assessments are undertaken. Recording in daily progress records contained sentences such as ‘All care given’ but no actual description of what care had been provided. Some written references referred to service users as ‘she’. The manger is looking to implement some training for staff in appropriate recording to raise staff awareness of what is good recording practice. Risk assessments highlight well identified risks but lack the action to be taken to limit risks. The manager will shortly be attending health and safety training. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 10 The standard of care planning and recording within the home is steadily improving and records are much more organised than seen previously. All service users spoken with commented positively on the care provided by staff and the manner in which staff carry out their duties. It was evident that service users rights to privacy and dignity are upheld. Two service users who have deteriorating health care needs were seen to be well supported by staff within the home and health care professionals. It was evident for one service user with a terminal illness that care staff were making every effort to ensure that appropriate support in terms of attention, pain relief and equipment was being provided. Discussions with this service users relative evidenced staff support in enabling family members to stay in the home overnight to be with their parent. Staff were seen providing support in a sensitive appropriate manner. A requirement was made at the last inspection for the home to implement a system for recording drugs returned to the supplying pharmacist and drugs destroyed. This requirement has been met with a system now in place to ensure appropriate records are maintained. The homes medication administration record sheets were viewed. Several gaps were found in the recording of medication administered or reasons for not doing so were not recorded. This is an outstanding requirement from the last inspection. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 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 Service users are helped to exercise choice and control over their lives. The home provides a wholesome, appealing, balanced diet. EVIDENCE: All service users spoken with were complimentary about the quality of care provided within this home. Relatives said they were made welcome and said that staff keep them well informed of any changes. The home provides a variety of activities such as sing-along, craft sessions, music and movement and garden parties. Everyone spoke highly of the quality of food provided. One service user said ‘the food is excellent here; you always get plenty of fresh vegetables. I look forward to my food and they don’t disappoint you.’ Service users are provided with a copy of the weekly menu delivered to their rooms each week. The menu has a choice of meals daily. One service user said ‘If you don’t like something you only have to say so and they will change it for you without hesitation’. Summerfield DS0000011115.V254433.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): NOT ASSESSED AT THIS INSPECTION EVIDENCE: Summerfield DS0000011115.V254433.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): 19,20,22,23,24,25,26 Service users can be assured that this home will provide a pleasant, comfortable environment where continual improvement of the environment is seen as a priority. EVIDENCE: Since the last inspection new carpeting has been provided to the communal lounge. At the last inspection it was highlighted that the communal lounge does not provide seating for everyone living in the home. Since the last inspection 2 more chairs have been added to this area, which brings the total of chairs to 11. Although the home is registered for 15 the inspector was informed that this does not present as a problem at present due to service users who choose not to use the lounge preferring their own rooms. Also highlighted was the difficulty service users were having in gaining access in and out of the rooms when there is a number of walking frames blocking access. The room has been reorganised to provide clearer access. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 14 Bedrooms were seen to be personalised and service users are encouraged to bring with them their own possessions. Lockable space has been provided to all rooms. The home was clean and odour free throughout. Service users expressed their appreciation of being able to live in such a clean well cared for environment. There was evidence of staff accessing equipment such as hospital beds from health care professionals to aid the care of service users with increasing care needs. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 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): 27,29,30 Further work is needed to ensure that all staff are provided with mandatory training in health and safety, food hygiene, manual handling and first aid. Staffing levels will need to be regularly monitored to ensure the home can meet the current care needs of all service users. EVIDENCE: Two staff are available on shift throughout the day and one member of staff on duty at night. The home has service users with increasing care needs due to ill health and require increased staff support. At present the manager is providing hands on care in addition to staff on duty and discussions with staff evidence that the situation is manageable but will need constant monitoring and regular review. A number of staff files were viewed at this inspection. There was evidence of two written references having been obtained and CRB and POVA checks undertaken. There were copies of staff contracts on file but no job descriptions. Staff files contained evidence of training attended Not all staff have been provided with mandatory training since commencing employment in the home and this must be addressed. Staff have recently been provided with Fire Safety training. There is a need to ensure that refresher training in manual handling is provided. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 16 There have been two staff meetings in the last year. Meeting minutes evidenced a variety of subjects being discussed including quality of care; issues relating to individuals care needs and staff terms and conditions. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 17 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): 31,32,35,36,37 This home is run in the best interests of the people that live here. EVIDENCE: Since the last inspection the previous Deputy manager has been successful in her application for the post of home manager and has recently been registered with the CSCI. The manager has obtained an NVQ level 4 qualification in management. It was evident from discussions with staff, service users and relatives that the manager is approachable and supportive of service users rights. All spoken with expressed confidence in the leadership skills of the manager. There was evidence of an attempt to ensure that all staff received regular supervision support. The manager is currently responsible for providing 1-1 formal supervision for all staff in the team and is considering delegating shared Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 18 responsibility for this as she is struggling to ensure all staff receive supervision support at least 6 times per year. Accounts of service users money held for safe keeping were viewed and audited. Accounts viewed were seen to balance. The accounts record book was difficult to follow. The accounts of all service users are recorded within one book and the manager is looking to implement a new system for recording with individuals account books being provided. Receipts are obtained for goods and services provided. Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 19 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 3 x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x 3 2 3 x Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? YES 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 9 Regulation 13(2) Requirement Staff to sign MARR sheets on administration of medication and reasons for non-administration of medication to be recorded. ORIGINAL TIMESCALE FOR COMPLAINCE WAS 03/05/05 All staff to receive mandatory training in health and safety, fire safety, manual handling, food hygiene, emergency treatments. Timescale for action 01/12/05 2 30 18 01/04/06 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 Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Summerfield DS0000011115.V254433.R01.S.doc Version 5.0 Page 22 - 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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