Inspection on 18/11/08 for Summerfields

This inspection was carried out on 18th November 2008.

CSCI found this care home to be providing an Excellent service.

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

Summerfields 28/11/06

Summerfields 10/10/05

Summerfields 06/06/05

Summerfields 15/11/04

Summerfields 29/06/04

Summerfields 18/12/02

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Summerfields 10 Church Road Selsey Chichester West Sussex PO20 0LS     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Edward McLeod     Date: 1 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Summerfields 10 Church Road Selsey Chichester West Sussex PO20 0LS 01243606587 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Lorraine McIndoe,Mr Gary Richard McIndoe Type of registration: Number of places registered: care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 16 The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Summerfields is a care home registered to accommodate up to 16 residents in the category of old age, plus two day care visitors. It is a detached property located in the seaside town of Selsey, comprised of 13 single bedrooms, 12 of which are en-suite, and one double bedroom. Mr. and Mrs. McIndoe privately own the service and Mrs McIndoe is registered as manager for the service. Care Homes for Older People Page 4 of 29 Over 65 16 0 Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection was carried out by one inspector over a period of four hours to assist us in assessing the homes compliance with previous requirements and with the key standards of the Care Homes for Older People national minimum standards. Planning for the visit took into account information received on the service including the homes CSCI annual quality assurance audit (the AQAA) which was completed by the manager Mrs McIndoe. We also obtained CSCI survey form responses from five people living in the home and five members of staff which assisted in the planning for this visit. This report includes some of the information obtained from these sources. During our visit we spoke with five people living in the home, a visitor, the manager, Care Homes for Older People Page 6 of 29 and two members of staff. We sampled three sets of admission assessments and the individual plans of care for three people living in the home. Other records sampled included recruitment and training records for three members of staff, the record of complaints, and some health and safety records. We visited the main communal areas of the home and three bedrooms, and observed a lunch being served. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident the home can support them. This is because there is an acccurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. If people decide to say in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. Evidence: People who live in the home told us in their CSCI survey forms that they had received a contract and terms and conditions for living at the home, and that the home had given them enough information on the service before they entered the home. Care Homes for Older People Page 10 of 29 Evidence: The manager advises us that the information on the service is available in large print and can be provided in different languages. People who live in the home told us during our visit of the arrangements that had been made for them or their relatives to visit the home before they moved in. During our visit we looked at copies of contracts for three people and found that these included information such as the room to be occupied and who pays what part of the fee. We looked at three sets of assessments on peoples needs which were carried out before they were admitted to the home. We found that these were recording what people said their needs were and the homes assessments of their needs. This information was found to be contributing to the care plan for the person. Care Homes for Older People Page 11 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social care needs are being met. The home has a plan of care that the person or someone close to them has been involved in making. If they take medicine people manage it themselves if they can. For people who cannot manage their medicine the care home ensures this is safely administered. Peoples right to privacy is respected. The support they get from staff is given in a way that maintains their dignity. Evidence: We looked at three sets of care plans and found that appropirate risk assessments were being carried out and that care plans were being regularly reviewed. There was also evidence of how people were being supported to access the health care services they were in need of. Care Homes for Older People Page 12 of 29 Evidence: Part of each care plan was the arrangements for morning care, which included when the person would normally wish to have a morning cup of tea and when they would wish to have breakfast. Discussion with people whose care plans we had sampled confirmed that they were receiving their morning care at their preferred times. The manager has advised us that improvements to care plans have included creating individual files for each resident and more substantial risk assessments. The manager also tells us that relatives input into the care plan is obtained and that relatives sign the care plan. We talked to two people who were not able to hold a full conversation about how their needs were being met but we did note that they were well dressed and cared for and seemed relaxed and content. Staff we talked to gave us examples of how they observe peoples privacy and dignity when providing personal care. People living in the home told us in their CSCI survey forms that they are receiving the care and support that they need and that staff listen to them and act on what they say. One person said on their form if I needed to be in care I cant think of anywhere Id rather be. The manager has told us that in addition to the care plans each individual has their care trackedd if it differs. An example of this given was that one persons temperature was being monitored daily and that this is recorded in the handover diary and staff message book. The manager has told us that the handover diary and staff message book record all significant changes and are written into the care plans at the end of the day. We discussed with Mrs McIndoe the three care plans we sampled, and indicated why some parts of the care plan may need to be more detailed to ensure staff are taking a consistent approach to issues such as helping orientate one person who was suffering from confusion. Our discussions with people living in the home indicated that people do feel very well cared for. Discussions with staff and people living in the home, and care plan evidence, indicates that a consistently high standard of care is being provided. Care Homes for Older People Page 13 of 29 Evidence: One person we spoke to said that staff have been quick to recognise and respond to any changes in his care needs or medical needs. The CSCI annual quality assessment audit (the AQAA) completed by the manager Mrs McIndoe has told us that residents choose their own GP and staff provide escort for medical visits. The AQAA tells us that the homes medication system has been updated and that all staff have received the mandatory training in administering medicines. People told us in their survey forms that they are receiving the medical support they need. We looked at the improvements made to the storage and administration of medicines in the home. Mrs McIndoe advised us that daily audits are carried out by senior staff on the medication records to better ensure peoples safety. Care Homes for Older People Page 14 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrrangements for activities and meals in the home ensure that each person is treated as an individual and the care home is responsive to his or her age, disability and culture. The care home supports people to follow their personal interests and activities. People are supported to be as independent as they can be and to make the most of their abilities. People are provided with an appealing and balanced diet in pleasing surroundings at times convenient to them. Evidence: We found that peoples social history and interests were being recorded in the admission assessments we looked at. During our visit we looked at the record of a staff and residents meeting arranged to plan activities for Christmas, which included dates and times when activities would Care Homes for Older People Page 15 of 29 Evidence: take place. People we talked to told us there was an activities co ordinator in the home who was arranging outings and things to do. Two people told us they particularly enjoyed the light exercise class and when musical entertainers visit. People told us that visits from churches helped them practise their religion and that for people who were catholic there was a church two doors away. One person told us he was accompanied by staff to attend church. We asked staff what was provided for people who did not often take part in the activities arrranged. One member of staff advised us that they believed it would make it easier for one person to socialise if they could be moved to a bedroom closer to the communal areas so that possibility was being looked at. A mobile shop is now being provided for people living in the home, which gives them the opportunity to easily purchase things like greetings cards and chocolates. The AQAA tells us that residents are helping grow vegetables in the green house in the garden, and that staff are doing weekly foot spas and manicures for people who would like this. In their survey forms people told us they enjoyed the meals provided. The AQAA tells us there are new menus and people have a choice at each meal. People we talked to during our visit told us that the kitchen staff were happy to provide something they asked for if they did not wish to have any of the choices on the menu. One person we talked to said the meals were often excellent and never less than very good. Care Homes for Older People Page 16 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people have concerns about their care then they or other people close to them know how to complain. The care home safeguards people from abuse and neglect. Evidence: We looked at the record of complaints and found that complaints were being dealt with fairly and in accordance with the homes published complaints procedure. People living in the home told us in their CSCI survey forms that they would know who to talk to if they had concerns and that they know how to make a complaint. One person living in the home told us that staff are always quick to address any issues that arise. Mrs McIndoe tells us in the AQAA that there have been no incidents in the home in the past year where a resident was put at risk of harm or neglect. One member of staff told us in their CSCI survey form that the home provides a caring and safe environment. Care Homes for Older People Page 17 of 29 Evidence: Mrs McIndoe has told us that all staff have had training and refresher training in safeguarding vulnerable adults and that at staff meetings and staff supervisions staff are reminded of the importance of raising safeguarding issues. Training records seen indicate that all staff have undertaken training in safeguarding vulnerable adults, and the previous requirement concerning this was assessed as met. We discussed with a member of staff how staff manage incidents when one person becomes frustrated and aggressive. The member of staff gave examples of how staff are expected to respond calmly and ensure safety in such situations. Care Homes for Older People Page 18 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stay in a well maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. Their room feels like thier own and is comfortable and they feel safe when they use it. Evidence: We visited all the communal areas of the home and found them to be being well maintained, including external and garden areas. There is good natural light in the home, and the home is decorated and furnished to a high standard. The environment is homely and comfortable and tidy. Improvements to the home since our previous visit have included new carpets in four bedrooms and in the communal lounges, and a computer system has been made available for people to use. The manager has told us that two people living in the home hold a key to the front door. Care Homes for Older People Page 19 of 29 Evidence: All bedrooms on the ground floor have an en suite shower or bath. On the first floor where there are four bedrooms there is one communal bathroom and one bedroom which has an en suite facilities. Sinks and baths are fitted with thermometers and checks on the temperature of hot water used by residents are regularly carried out. Communal areas are seperate so that the area where people might do arts and crafts is seperate from the main sitting room. There is not a lift in the home so people in upstairs bedrooms need to be able to use the stairs. We talked to one person who has an upstairs bedroom who told us that he has no trouble with the stairs but that the manager had extra handrails fitted in case he did. We visited two bedrooms which were found to be decorated and furnished to a good standard and people told us they were happy with their bedrooms. People had personalised their bedrooms with pictures, photographs and other personal effects. The manager has told us that peoples bedrooms are personalised to meet the wishes and needs of the person accomodated there. The providers have consistently ensured that the accomodation provided is of a high standard. The manager tells us in the AQAA that staff are provided with protective aprons, gloves and antibacterial hand washes to help maintain good hygiene. Staff training records we looked at indicated that staff are receiving training in such topics as infection control, health and safety, and fire safety. All areas of the home which we visited we found to be clean, pleasant and hygienic. People told us in their CSCI survey forms that the home is always clean and fresh. Care Homes for Older People Page 20 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough competent staff on duty at all times to ensure people have safe and appropriate support. Staff working at the home have had satisfactory checks completed to make sure that they are suitable to care for people in the home. Staff working at the home have received the relevant training and support to enable them to carry out their work. Evidence: In their survey forms people living in the home and staff both told us that there are enough staff on duty at all times to meet peoples needs. On the day of our visit people who were being assisted were not being rushed and staff were taking time to talk and joke with the people they were assisting. A member of staff told us in their CSCI survey form that the atmosphere is always friendly and happy. Staff told us in their CSCI survey forms that they receive up to date information on Care Homes for Older People Page 21 of 29 Evidence: each persons individual care needs, and that they feel they have the right skills, knowledge and experience to meet peoples needs. During our visit Mrs McIndoe told us that ten care staff are employed, eight of whom have achieved the national vocational qualification (NVQ) in care at least to level 2. We looked at recruitment records for three members of staff, and found that appropriate references and checks are being obtained for staff before they commence work in the home. Staff told us in their survey forms that they had received criminal records bureau checks before they started work in the home. The manager has told us that all employment issues are covered by an outside company who provide the home with staff contracts and legislation to follow. We looked at staff training records and found that staff are receiving regular training in such topics as safeguarding and manual handling. Staffing records seen also indicated that some staff have undertaken relevant training which is not statutory including training in diabetes. Training records sampled indicated that staff are receiving refresher training to ensure that their knowledge and skills are being updated. The previous requirement made concerning this was assessed as met. Staff told us in their CSCI survey forms that they were receiving training relevant to their role, and that their induction training had covered everything they needed to know when they first started the job. We looked at the induction training programme for one new member of staff. Mrs McIndoe told us that induction training has been updated. One member of staff told us they had found a training course in preventing falls particularly helpful, and had been able to bring some of the ideas from the course into the job. Another member of staff said that NVQ training had been helpful. One member of staff told us in their survey said that the provision of more staff training was helping staff care for the service users better. Care Homes for Older People Page 22 of 29 Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being managed well and managers are ensuring that people are receiving quality care and are protected. The home is obtaining the views of people living in the home to ensure the home is run in their best interests. Staff are appropriately supervised. The health and safety and welfare of people living in the home and staff are promoted and protected. Evidence: Since the previous inspection Mrs McIndoe, one of the owners of the home, has returned to managing the home. Care Homes for Older People Page 24 of 29 Evidence: Mrs McIndoe has continued to update her training and to initiate improvements in the service provided, for example in providing more staff training and improving risk assessments for people being cared for. The AQAA indicates the areas in which Mrs McIndoe is seeking further improvement. Mrs McIndoe has told us that she uses CSCIs key lines of regulatory assessment as a guide to providing high standards to work to. Mrs McIndoe has told us that people living in the home comment that they feel happier when she or her husband (the owners) are on the premises. Mrs McIndoe told us that she and her husband are seen as open and approachable, and that by working some care shifts herslf she is helping show their commitment and dedication to providing the best for people in their care. One person living in the home told us in their survey form that everyone is always bright and cheerful, and on the day of the visit we found there to be positive interactions between staff and people living in the home. Staff told us in their survey forms and in interviews during our visit that the home is being managed well and that everything is done to ensure that people are receiving a good quality of life. A system is now in place for monthly checks to ensure the service is complying with national minimum standards. There have been recent surveys of people living in the home, family, friends and staff at meetings and in written forms to obtain their views on the service. The home no longer holds cash for people living in the home. The exception to this is when people are being assisted to cash cheques, for which receipts are being provided. We looked at staff supervision records for three members of staff. These indicated that a system of regular staff supervision is being put in place which includes discussion on the staff members training and career needs. The AQAA advises us of the most recent equipment and service tests and checks that have been carried out. Staff training records we sampled indicated that staff are undertaking regular training in health and safety topics. Care Homes for Older People Page 25 of 29 Evidence: Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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!