Inspection on 19/06/07 for Summerfield Rest Home

This inspection was carried out on 19th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Summerfield Rest Home 09/05/06

Summerfield Rest Home 01/08/05

Summerfield Rest Home 25/05/05

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Summerfield Rest Home 10-12 Park Road East Sutton On Sea Lincs LN12 2NL Lead Inspector Vanessa Gent Unannounced Inspection 18th June 2007 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 Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 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 Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerfield Rest Home Address 10-12 Park Road East Sutton On Sea Lincs LN12 2NL 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) 01507 441969 01507 442329 summerfieldresthome@btinternet.com Summerfield Rest Home Ltd Mrs Julie Quinn Care Home 38 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (38), of places Sensory impairment (1) Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) - 38 Dementia - over 65 years of age (DE(E)) - 9 Sensory impairment (SI) - 1 The category SI is for a service user as named in the Notice of Proposal to register dated 26 May 2005. The maximum number of services users to be accommodated is 38. 2. 3. Date of last inspection 9th May 2006 Brief Description of the Service: Summerfield Rest Home is a detached two-storey building situated in a quiet residential area in the seaside resort of Sutton-on-Sea and is close to all local amenities. It is a care home providing personal care for up to thirty-eight people of both sexes over the age of 65 years, some of whom may have the diagnosis of dementia. There are various facilities within a mile of the home, including shops, pubs, a church, theatre, amusements and the sea front. The residents are housed in thirty-two single bedrooms and three double rooms, all of which are ensuite with toilet and sink. A stair lift provides passenger access to the upper floor. There are six lounges, plus a bar room which is also the area designated for smokers and there is one main dining area. The surrounding gardens have been attractively landscaped and off-street car parking is available to the front and side of the building. The care fees range from £330 to £415 per week. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made to the home as part of a key inspection. It started at 11.00 and lasted 6 hours. Information already held on file was used to plan the visit. The main method of inspection used is called ‘case-tracking’, which involves selecting a proportion of residents, and tracking the care they receive through the checking of records, discussion with them, the care staff and observation of care practices. The site visit focused on whether key standards and requirements from previous inspections had been met and how the residents feel about the service provided. Four residents’ assessments and care plans were examined to ensure the health, safety and welfare of the residents is checked and that residents are allowed dignity, autonomy and choice. A partial tour of the home was made and a sample of other records examined. Three staff on duty and many of the residents, including those being casetracked, spoke with the inspector. The manager was present throughout this inspection. What the service does well: What has improved since the last inspection? Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 6 The manager has taken action to address the requirements raised at the last inspection. She is keen to continue to implement any improvements as they become evident through the communication methods in place for residents, relatives and staff to have their say. 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. The summary of this inspection report can be made available in other formats on request. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 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 Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who move into the home have full information about the service beforehand and the home is aware of the resident’s needs and that they can meet them. EVIDENCE: A copy of the up-to-date statement of purpose and service user guide is kept in the main foyer near the front door. A copy is given to people enquiring about the home and prospective residents. Whenever any detail changes, the statement of purpose is amended accordingly. Relatives say they are aware of them and know they can look at them any time. A comprehensive pre-admission assessment is done by the manager who visits all prospective residents, as seen in the care plans reviewed. Any assessment done by Social Services is also taken into consideration, as well as any other relevant information. They are then kept in the resident’s care plans after they come to live at the home. These are then used to form the basis of the care plans for the resident. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good care planning, excellent contact with healthcare professionals and the monitoring of any issues ensure that the health and emotional needs of residents are met. Privacy and dignity is observed by staff at all times. Good medication practices keep the residents safe. EVIDENCE: Care plans examined are orderly, well completed and comprehensive documents that give the reader an appropriate amount of relevant information about the resident. The manager and staff are in the process of making the care plans more person-centred. They are changing the daily information sheets into personal diaries so that the residents and their representative are empowered to be involved in them. The staff will ask the resident if they want help to write entries in these each day. Care plans are now reviewed monthly. Liaison with healthcare professionals and others is good and well-recorded in the care plans. Appropriate advice is sought when needs arise. After discussion with the district nurse, a resident who is now permanently in bed has been Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 10 provided with an airflow mattress to make them more comfortable and keep their skin in good condition. Good records are kept in the care plans of visits from all professionals. Relatives who visit regularly say they are kept up-to-date with day-to-day as well as important issues of change. The home’s supplying pharmacist visits regularly to audit the home’s medication practices, reporting at each visit that they are good. Staff receive training to give the medicines out safely. Residents who take their own medicines without staff overseeing them have an appropriate lockable facility in the rooms. All residents say they are treated with a great deal of dignity, and privacy is respected for all aspects of their personal care all the time. This was observed during the inspection visit. Staff say the manager encourages them to always consider the residents’ feelings and be thoughtful. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given sufficient activities, choice and autonomy in all aspects of their lives. Visitors are welcomed as part of the home’s family. Food is nutritious, tasty and as varied as the residents want. EVIDENCE: Residents say that although not many organised activities are provided, mostly they are happy with how they spend their days and that there is plenty to do. Some of the residents enjoy chatting, one likes knitting, others enjoy reading. A resident says “I just like people to talk to and I get lots of that here. And the staff always have time for a chat – they never seem in too much of a hurry to spend some time with you.” The manager says the home is in the process of employing an activities organiser who understands the age group at the home and will be able to co-ordinate appropriate activities for the residents. Visitors say they are always made welcome. They know they can stop for meals if they want. There are plenty of quiet communal areas that afford enough privacy for residents to meet with their visitors. Relatives say they are happy to get involved in the activities of the home. Residents say they have full choice in all aspects of the home. One resident looks after her own medicines and says staff encourage her in this. Residents Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 12 say they get up, go where they please, do what they want, go to bed, whenever and however they want at all times. The menu for the day’s meals is written clearly on a chalkboard and residents say they know they can choose a different meal if they don’t want the food provided. The inspector joined in the lunch meal, which included fresh vegetables and a flavoursome home-cooked meat dish, followed by a deliciously light sponge pudding. Gravy and condiments are served separately so residents can help themselves. The tables are laid with linen serviettes and tablecloths and the dining rooms are light and airy. Residents say the food is “OK”; “alright”; “excellent”; “fine” and that they have a good rapport with the cooks. A record of all food provided is kept in the kitchen to check that the residents’ diets are nutritious enough. A resident whose birthday it was, enjoyed a birthday tea with the other residents. A home-cooked birthday cake was provided. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are polite, thoughtful and considerate and residents and relatives are happy with the excellent care provided. Staff are well-trained to keep residents safe at all times. Residents feel safe and are happy and comfortable in the home. EVIDENCE: The complaints policy is kept in the statement of purpose, which is clearly available and visible for all to see and read. No-one spoken with has felt the need to use it since the last inspection. It was advised that the manager keep a specific file for concerns, complaints and compliments. This will ensure the outcome of any complaints that may be received will be audited, responded to appropriately and within the timescale as stated in the complaints policy. Residents all say they never have any complaints to make about the home and that everything is lovely. “What would I want to complain about? This place is so good!” Relatives say, “The manager and staff do everything they possibly can for the residents and we have never had reason to complain. We can see how lovely the staff are with [Mum] and all the others when we visit. They are very, VERY patient.” They say the manager and staff chat with them every time they visit and they are kept fully informed of every aspect of care. Staff files confirm they are all up-to-date with safeguarding adults training. Staff say, and residents and relatives agree, they are respectful to the Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 14 residents and their visitors at all times. Staff say they would not hesitate to ‘whistle blow’ if it was needed but that all the staff team are very close and get on together really well. One respite resident says, “I keep coming back, so it must be OK!” The home has made referrals regarding staff issues and keeping residents safe from harm since the last inspection. They have been dealt with appropriately and within a reasonable timescale. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean, attractive environment to ensure the residents are well cared for and feel ‘at home’. EVIDENCE: Residents say that everywhere is spotlessly clean, smells lovely, is very tidy and nicely decorated. They say they are proud of ‘their’ home. The communal areas are very attractive, with lots of smaller lounges for residents to gather in small groups and to take visitors to for privacy. From the communal lounges, there are attractive views of the beautifully maintained gardens. The maintenance man works 25 hours a week doing home maintenance, gardening and driving the residents in the home’s own minibus with tail-lift. One resident says, “My room is lovely: big enough and I like having my own toilet and sink. The water’s fine: hot enough for me to wash in.” Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 16 The Fire Safety Officer visited on 25th Oct 2006 and found no issues outstanding. New fire risk assessments are in place, which the officer approved. The Environment Health Officer (EHO) last visited on 21st March 2006, at which time it was recommended that the old kitchen cupboards be replaced. Subsequent to this visit, the kitchen was totally refurbished in stainless steel, with new gas cookers, re-decoration and flooring replaced. The kitchen now complies with and exceeds hygiene standards. No other requirements or recommendations were made by the EHO. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff provide a homely atmosphere, conscientious care and ensure dignity and respect for the residents in their care. There are sufficient staff on duty to make sure that all the residents’ needs are met at all times. EVIDENCE: Relatives say they “can’t speak highly enough of the staff” for the “tender and conscientious care they give”. They say they “consider the staff more as friends; they really DO care”; “all the residents look neat and are dressed appropriately”; that “they are very, very patient with the residents. Residents say “They (the staff) are wonderful”; “they are brilliant”; “can’t fault them in any way”; “always so thoughtful and lovely”; cheerful and always smiling”. One resident who stays for respite care says, “Well I keep coming back, so it must be OK”. A staff member, who chose the home for her mother to live in, says she “looked at other homes but this one was the best”. The staff member says she is also very happy working at the home and gets on well with the other staff. Most residents say there are always enough staff on duty. Several said, “they don’t keep you waiting at all”. One said, “there aren’t enough staff to take me to the shops but they bring stuff in like clothes and shoes that we can buy from, so it’s alright. Anyway, there aren’t any decent shops in Sutton.” Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 18 Another resident said, “Sometimes, the driver takes us out if we want”. The residents were at ease with the staff during the inspection. The staff had a good rapport with residents, were pleasant and smiled easily, even when not aware of being observed. Satisfactory staff recruitment procedures are followed to ensure that safety checks are undertaken for all staff prior to them commencing work within the home. Staff say their training is “really good and plenty of it”. Staff files examined show that their training is up-to-date and varied enough to meet their needs in caring adequately for the residents. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents and staff, by an enthusiastic provider and manager. Residents feel safe, happy and enjoy living at the home, whilst staff are happy with their jobs, are well-supported and enjoy coming to work. EVIDENCE: The providers and the manager are well respected by all involved with the home. Staff, residents and visitors all say there are “absolutely no problems with or complaints about them.” “The owner and manager do everything they possibly can. We can see how lovely everyone is with Mum and all the others when we visit.” Surveys are given to residents, relatives, staff and stakeholders, the last being on 19th September 2006. The manager audits and monitors the service Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 20 provided and the provider visits the home regularly to ensure the residents are comfortable, feel at home and everything is their satisfaction. Staff supervisions are done regularly, with staff saying that feel valued and respected and they can speak openly with the manager at any time. Maintenance of the home is kept up-to-date, with good records being kept. Reports from the Fire Safety Officer and Environmental Health Officer show no issues are outstanding. Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 21 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 3 X 3 X X X 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 4 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X X 3 X 3 Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 22 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. 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 Summerfield Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottinghamshire Area Office Edgeley House Tottle Road Riverside Business Park Nottingham NG2 1RT National Enquiry Line: 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 © 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 Rest Home DS0000061493.V342977.R01.S.doc Version 5.2 Page 24 - 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. 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