Inspection on 09/05/06 for Summerfield Rest Home

This inspection was carried out on 9th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 19/06/07

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 Mr David Bacon Key Unannounced Inspection 9th May 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 Summerfield Rest Home DS0000061493.V293859.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. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 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 summerfield@resthome.wanadoo.co.uk Summerfield Rest Home Ltd Mrs Julie Quinn Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38), Sensory impairment (1) of places Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 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) 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 accomodated is 38. 2. 3. Date of last inspection 1st August 2005 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. There are thirty-two single bedrooms and three double rooms. The doubles and twenty-eight of the singles have en-suite facilities, although all single bedrooms have a toilet. A stair lift is installed to provide access to the first floor. There is a choice of 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 landscaped and 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.V293859.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit took place over 4.5 hours; it was unannounced and was carried out by one inspector. A tour of the premises was conducted, service users care records and staff records were inspected along with some policy and maintenance records. The home has changed ownership since the previous inspection. The inspector spoke with the registered manager, who was previously the acting manager, four service users and three staff members. Seven completed service user satisfaction questionnaires were received prior to the inspection and seven others were viewed from a separate recent survey undertaken by the home. What the service does well: What has improved since the last inspection? Some improvements have been made regarding the management of service users care records. For example, assessment and care plans clearly identified individual’s care needs and how these were to be met by the home. Only minor alterations are needed. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 6 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. Summerfield Rest Home DS0000061493.V293859.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 Summerfield Rest Home DS0000061493.V293859.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, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory procedures in place for the introduction of residents to the home. EVIDENCE: The service users spoken with were satisfied with the homes admission arrangements. Comments included: “I don’t remember it all but I was given information about the home, which I still have and the staff were kind and put me at ease”. “The staff helped a lot, they are always about and could answer any questions”. “They handled it all as you would hope, with respect”. Following an initial assessment being undertaken the home administrator will write to service users and confirm where the home is able to meet an individuals care needs. Service users are provided with written terms and conditions of residence contracts and signed copies are maintained. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 9 The service users care records viewed identified that an assessment of each service users care needs had taken place, which included an assessment of risk and how these were to be minimised. Service users or their representatives, where appropriate are consulted with regarding the plan. The home does not provide intermediate care services. Summerfield Rest Home DS0000061493.V293859.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): 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. Service users care records are well maintained overall although service users care needs must be regularly reviewed. The service users spoken with are treated with respect and satisfied with the care provided. Procedures for the administration of medication are appropriate. EVIDENCE: The care records viewed identified individuals care need and instructed staff how any care needs were to be met. Care records are all generally updated daily although they are not all reviewed each month. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 11 The care plans viewed identified service users health care needs and how these were being met. For example, one service user was receiving district nurse input and their care records detailed the care being provided by the nurses and any given instruction or advice. A local District Nurse and several General Practitioners had recently completed quality satisfaction questionnaires, which indicated that they were satisfied with standards of care in the home. The service users spoken with confirmed that staff respected their privacy and dignity. Comments included: “Oh yes, of course they do, they are very good, you don’t have to remind them”. “The staff have always been respectful, yes, no question”. The staff were observed carrying out care tasks during the visit and they were respectful to the service users throughout. The homes medication system was well maintained and clearly documented medicines as receipted into the building, where administered and systems are in place to dispose of unused medicines. Medicines are securely stored and staff administering medication receive training regarding this subject matter. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 12 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Visitors are made welcome and service users are supported to express their views regarding life within the home and the care they receive although there are limited opportunities for residents to participate in other social and recreational interests in the home and community. Service users choices regarding meals are not fully promoted although service users are satisfied with the quality of foods provided. EVIDENCE: The service users spoken with confirmed that their visitors were made welcome, that there were no restrictions as to how they spend their time and that they enjoyed the homes provision of activities but that these were not regular or sufficient. The care records inspected identified service users interests but not that these were being catered for. Service users comments included: “I enjoy the bingo, it’s held twice each week and we can easily entertain ourselves but there could be more to do”. “I know some people don’t want to get involved but there is not a great variety”. “The staff will sit and talk, which is nice but it would be good if there was more on offer”. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 13 A four-week menu is in place, which is varied and an alternative is available at each meat time although the service users spoken with were not fully aware of this. Many of the meals provided are home prepared and a soup starter is available at the lunchtime meal. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 14 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, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel able to express their views regarding the care they receive and complaint guidelines are in place regarding this. Staff are aware of the homes abuse and whistle blowing policies and procedures. EVIDENCE: The service users spoken with said that they felt able to voice any opinions regarding the home. Comments included: “I have not needed to complain, everything is fine overall”. “You can speak with the care staff or the manager and we have some information about this”. Complaint policies and procedures are in place and made available to service users. The three care staff spoken with were aware of the homes complaint, whistle blowing and abuse policies and procedures. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, tidy and very well maintained environment and are able to make their own rooms more homely by bringing with them some of their personal belongings. EVIDENCE: The service users spoken with were satisfied with the physical environment and their own accommodation. Comments included: “You can see it, it’s wonderfully clean, always”. “The staff keep it all nice and tidy and it’s homely”. Domestic staff keep the home clean and odour free and health and safety policies and procedures provide guidance to staff. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 16 Each radiator is covered and water temperature restrictors are fitted to water outlets and water temperatures are monitored. Fire safety systems are maintained as per fire safety regulations. The home has a variety of aids and adaptations to assist service users with mobilising and the care staff said that they receive training to use these. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is being staffed to meet the current needs of residents and staff receive some induction and training to ensure this although some alterations are required regarding this. Minor adjustments are needed with the homes recruitment procedure to ensure as far as possible residents are protected. EVIDENCE: The service users spoken with confirmed that their care needs were met and that there were sufficient numbers of staff deployed in the home. Comments included: “I’m satisfied with the care, they all seem to do their best”. “You occasionally wait for assistance but sometimes everyone can want help at the same time”. “The staff work hard, they look after you how you would want them too, you can’t really complain”. The staff records viewed were well maintained overall although during the visit part of a recruitment check could not be located for one staff member. Newly appointed staff receive only a basic induction and they sign to confirm where they receive instruction and guidance regarding the homes policies, procedures and care practices although this is not fully sufficient. Some Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 18 alterations have been made with this system although this is yet to be implemented. The three staff members spoken with said that they had received an induction upon commencing work at the home and training to enable them to carryout their role. A rolling programme of training is in place and records of these are maintained although staff must receive awareness training regarding health and safety and infection control. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are satisfied with the standards of care and the management of the home and their financial interests are safeguarded although their views are not fully sought regarding life within the home. The health and safety of service users is promoted overall although minor adjustments are needed. EVIDENCE: The service users and staff members spoken with confirmed that they were satisfied with the management of the home and the care provided. Service users said they felt able to express their views regarding life within the home and that these generally would be acted upon although they do not feel that Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 20 they are fully consulted with about the provision of meals or activities. It is acknowledged that service users views are partially sought through questionnaires. Health and safety policies and procedures are in place, giving guidance to staff and servicing records are maintained although staff have not received awareness training regarding health and safety and infection control. Risk assessments have been completed for all service users and of the premises. Some systems are in place to minimise risks to residents prone to wandering, which includes the fitting of door alarms to some external doorways although further alterations are required to be made to minimise risks to an acceptable level. The home refrain from involvement in service users finances where possible although safeguards and records are in place where this occurs. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 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 X 3 3 3 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 X X 2 Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 22 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 2 Standard OP7 OP12 Regulation 14 (2) 15 (2) (b) 15 and 16 (2) (n) Requirement The plan for every service user must be reviewed each month. The registered person shall prepare a plan as to how the service users needs in respect of health and welfare are to be met. Therefore, it is required that the daily living and recreational needs of service users are met. Staff recruitment procedures must be followed to ensure that a POVA and CRB check is undertaken for all staff prior to them commencing work within the home (previous timescale of 18/11/05 not met). Staff must receive an induction and ongoing training to give them the skills to promote and make proper provision for the health and welfare of service users Staff must attend statutory training appropriate to the work they perform. For example, health and safety and infection control. DS0000061493.V293859.R01.S.doc Timescale for action 31/08/06 31/08/06 3 OP29 19 31/05/06 4 OP30 12 (1) (a) 31/05/06 5 OP38 18 (1) (c) (i) 31/05/06 Summerfield Rest Home Version 5.1 Page 23 6 OP38 12 (1) 13 (4) c The registered person shall promote and make provision for the health and welfare of service users. Therefore, further action taken to minimise risks to service users prone to wandering. This must include design solutions. 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP15 Good Practice Recommendations The home should demonstrate the variety and choice of foods provided to service users. Summerfield Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Rest Home DS0000061493.V293859.R01.S.doc Version 5.1 Page 25 - 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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