Inspection on 28/11/06 for Summerfields

This inspection was carried out on 28th November 2006.

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 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 18/11/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Summerfields 10 Church Road Selsey Chichester West Sussex PO20 0LS Lead Inspector Mrs A Taggart Key Unannounced Inspection 28th November 2006 09:00 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 Summerfields DS0000014748.V315027.R02.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. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerfields Address 10 Church Road Selsey Chichester West Sussex PO20 0LS 01243 606587 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) Mrs Susan Lorraine McIndoe Mr Gary Richard McIndoe Mrs Carol Ann Belcher Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2005 Brief Description of the Service: 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. Belcher is the newly registered Manager. Current fees are £350 to £400 per week. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection visit was carried out at 9.15am and lasted for 4.5 hours. Prior to the visit the inspector spent time planning by reading the last two inspection reports and any other documentation and correspondence relating to the home. A pre-inspection questionnaire was sent to the manager, survey forms were sent to residents and comment cards to families and other professionals. The inspector also spoke to a family member via the telephone. As part of this unannounced inspection ,the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service users guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. During the visit, the inspector spent time talking with all of the fifteen people currently residing in the home, to the staff on duty and three visitors. A tour of the home was undertaken during which residents were happy to show their bedrooms and the inspector saw lunch being prepared and served. Records for the running of the business were seen including staff recruitment records, the medication system, fire and maintenance records and two Requirements were made regarding staff training. The manager of the home had completed and returned the pre-inspection questionnaire and a large number of comment and survey forms were also returned. All made very positive comments about the care provided in the home. The inspector thanks everyone who helped on the day of the visit and also the people who agreed to be part of the survey. What the service does well: Summerfields provides an attractive, homely and well-maintained environment for the people who live there. Residents, families and other professionals speak Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 6 highly of the caring and committed manager and staff team and say that people are well supported. There is good information available to inform the staff team of the individual needs of the people they support and residents receive a contract detailing the terms and conditions of residency. There are a variety of fresh, home cooked meals and activities and outings provide interest and stimulation. Residents say that any concerns or complaints are dealt with straight away and also say that their lifestyle choices are respected. What has improved since the last inspection? 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. Summerfields DS0000014748.V315027.R02.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 Summerfields DS0000014748.V315027.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 4 and 5 Quality in this outcome is Good This judgement has been made using available evidence including a visit to the service. Prospective residents and their families can be confident that they will be given information about the home, their needs will be assessed and they will be provided with a contract detailing the terms and conditions of residency. EVIDENCE: The Statement of Purpose and Service User Guide have recently been reviewed and updated and service users and their families said that they had received sufficient information about the home prior to moving in. The three residents who agreed to be part of the sample survey said that they already knew about the home by reputation, had asked to be put on a waiting list for and had been kept updated by the manager regarding vacancies. Two residents said they were not sure if they had a contract and another person said that their relative dealt with all of their affairs. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 9 The contracts for the three people in the sample group were seen to be on file and all contained the terms and conditions of residency, fees and the number of the room occupied. The documents had been signed by the resident and the proprietor and had been witnessed by a family member or advocate. The manager, Mrs. Belcher, said that the proprietors of the home write to families or legal representatives annually to alert them to any fee changes and a family member confirmed this. A visitor to the home said that a pre-admission assessment had been carried out for their family member prior to moving in and one of the residents in the sample said, “ The manager came to the other home I used to live in to see me and I visited this home with my family. Another person said, “ I was assessed on what I needed and what I could bring with me”. Summerfields does not provide intermediate care. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 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 and 11 Quality in this outcome is Good This judgement has been made using available evidence including a visit to the service. In order to ensure that the people living in the home receive the care they need, there are comprehensive care plans in place, residents say they have access to good medical care and medication is well managed. EVIDENCE: For each person living in the home there is a comprehensive plan of care in place, which has been devised using information from the pre-admission assessment. The care plans of three people were tracked and all contained current information to enable the staff team to support people in the way they wish. The home is to be commended on the work it has undertaken with residents and their families to build up a life history of the people being supported as this clearly helps the staff team to see people as individuals with individual needs and wishes. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 11 In order to ensure that healthcare needs are met the home works with a variety of professionals such as local doctors and district nurses and the people confirmed that they could access the dentist and chiropodist on a regular basis. A district nurse said in a comment card, “ The home is always clean and tidy and the staff are friendly and helpful”. The manager of the home keeps a “transfer to hospital” sheet updated for each person at all times, so that if people are admitted for any reason a précis of their care needs goes with them. Medication is safely stored and the Medication Recording Sheets were current and in good order. For one resident who chooses to self medicate, there is an agreement in place signed by the person’s doctor and the manager of the home monitors the person’s health. Staff members who administer medication have received accredited training but some people need an update. Mrs. Belcher said that she would address this. Also for each resident there is an end of life plan in place, which clearly sets out all of his or her last wishes. The plans have been signed by the resident and witnessed by family members or advocates. Residents were very happy with the care they receive and one person said, “ Everyone is so kind and caring, I had a stroke and the manager was really good to me and helped me to talk and write again”. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 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 is Good This judgement has been made using available evidence including a visit to the service. There are activities available to provide interest and stimulation, resident’s lifestyle choices are respected and the home provides a variety of fresh, home cooked meals. EVIDENCE: The residents of the home in the home said that one of the things they liked living there was that their lifestyle choices were respected and that the home was not regimented in any way. One person said, “ It’s lovely to live here, you are not harassed at all and I am very happy here. They really look after you. There is a variety of activities including bingo, gentle exercise and visiting entertainers and during the visit residents showed the inspector a printed list of the activities on offer building up to Christmas. Four people also go to a club every Friday. Almost everyone in the home said that they especially enjoyed the nondenominational service, held by the manager of the home every week and Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 13 family members also attend on special occasions. A resident said, “ I thoroughly enjoy the Sunday evening service and look forward to it all week”. Three people visiting the home said that they were made welcome at any time and said that the staff were friendly and supportive. The daughter of one resident said, “The standard of cleanliness is high and the food is good. Everyone makes you so welcome and all the staff team are very helpful. We are all supported and this is a home from home for all the family”. Menus show that a variety of fresh, home cooked meals are available and the cook said that special diets could be catered for. Lunch, which was the main meal of the day was, tomato soup, savoury mince with potatoes, carrots and leeks with bread and butter pudding to follow. People were very complimentary about the food provided and comments included, “Food is always nicely presented, plenty of fresh veg and good choices”, and, “ Food always nice and hot, well presented and a good choice”. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 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 and 18 Quality in this outcome is Good This judgement has been made using available evidence including a visit to the service. Complaints and concerns are dealt with in an effective and timely manner and families are aware of the procedure to follow if they have a complaint. All staff should attend adult protection training. EVIDENCE: The home has a complaints procedure in place, a copy of which is included in the Statement of Purpose. There is also a copy of the procedure posted in the home in a situation where it can be easily seen. The three residents who answered the sample questions said they were not aware of any formal procedure but were aware of who they would go to if they had any concerns or complaints. All of the people spoken to said that they were very confident that the manager of the home would take complaints very seriously and act on them straight away. One person said, “ If it was anything to do with care I would go to the manager, if it was about the building I would go to the owners as that is their responsibility”. Another person said, “Any queries or concerns are dealt with quickly and efficiently, I am aware of the complaints procedure but never had to make one. I have been here for five years and wouldn’t want to be anywhere else”. A family member visiting the home was aware of the procedure and said that they also were confident that any complaint would be addressed in a satisfactory way. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 15 A complaints book is in place but no complaints have been recorded in the last year. The home has a copy of the West Sussex Adult Protection procedure but the staff team have not attended the relevant training. All of the staff spoken to said that they would report an abuse of any type but were not aware of the protection of vulnerable adults procedures. To ensure that the staff team are aware of all adult protection issues a Requirement has been made for training to be attended. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 16 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 24 25 26 Quality in this outcome is Good This judgement has been made using available evidence including a visit to the service. The home provides a warm, clean and attractive environment for the people who live there and there is a programme of ongoing environmental improvements in place. EVIDENCE: Summerfields provides a warm, homely and attractive environment for the people who live there and was very clean and hygienic throughout. As well as the main lounge there is a “quiet” lounge and there are other sitting areas situated throughout the home. There is a large attractive conservatory dining room leading to a well-maintained garden and people said they really enjoyed sitting out in better weather. During the past year there has been a programme of redecorating and refurbishment underway and the small lounge has been redecorated with new Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 17 curtains fitted and the hallway and entrance has had a new floor laid and has also been decorated. A requirement made at the last visit for radiators to be covered has been met and radiators are now safely covered throughout the home. Private bedrooms are all attractively decorated, homely and have been personalised with furniture and belongings brought to the home by residents and a number of people had their own telephones installed. There are handrails, grab rails and other specialist equipment such as bath hoists in place to aid independence and mobility. A resident said, “ I have a lovely room. I have been here for a long time. It’s such a good home, always clean and the food is good. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome is Good This judgement has been made using available evidence including a visit to the service There is a caring and committed staff team in place, the recruitment process is robust and outcomes for residents are good. To ensure that skills are maintained and updated a Requirement has been made in respect of staff training. EVIDENCE: There are sufficient numbers of staff on duty to meet the needs of the current resident group and the staffing rota matched the people on duty on the day of the visit. The people living in the home spoke very highly of the staff team and said they were kind, caring and attentive. Comments from people included, “I receive far more care than I need, nothing is too much trouble and the staff always willing”. “Have been here a long time, you couldn’t wish for a better place, people are so kind and always quick when you ring the buzzer”, and “Staff are willing to help and very supportive, someone is always on hand to help, nothing is too much trouble”. In order to ensure that residents are safely supported, there is a robust recruitment process in place. Three staff files were seen and all contained the required documentation including a current Criminal Bureau Check and two references. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 19 Staff members confirmed that they received supervision every eight weeks and records were seen on file. Two staff members hold the NVQ award and training records show that training courses have been accessed including mandatory training, in house training, medication and dementia care. However most of the training is now out of date and in order to ensure that staff skills and knowledge are current, a Requirement has been made for all of the staff team to receive training updates. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 20 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 36 37 and 38 Quality in this outcome is Good This judgement has been made using available evidence including a visit to the service A committed and capable manager runs the home and most records are in good order. A quality assurance process has been started and resident’s monies are safely managed. EVIDENCE: The home is being run by a caring and competent manager and residents; families and the staff on duty were very complimentary about her approachable and supportive management style. One person said of Mrs Belcher, “Carol is a dream, so kind, caring and responsible” and other comments included, “The manager is on call 24 hours a day and supports me in any way possible”, and from a staff member, “Carol is very supportive and helpful and I can go to her with anything”. Mrs. Belcher is currently undertaking the NVQ4 registered Manager’s Award. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 21 The home has begun a quality assurance process by publishing a quality statement and Mrs. Belcher said she was going to send out questionnaires to residents, families and other professionals involved with the home. Most people living in the home have their financial affairs managed by their families or legal representatives. Where the home does hold monies on behalf of residents, there is a clear recording system in place and all receipts are kept on file. One person’s records were seen and were in good order. Records for the running of the business were seen including fire records, the maintenance book, accidents and incidents and staff fire training. Most records were in good order but the gas certificate and electrical appliance testing certificates were not to hand. Mrs. Belcher says that these were with the proprietor and she would forward copies to the Commission as soon as possible. As a result of this visit Requirements have been made regarding staff training updates and the need for all staff to receive training in the protection of vulnerable adults from abuse. Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 22 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 17 X 18 2 3 3 X 3 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 23 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. 1. Standard OP30 Regulation 18 Requirement The registered manager should ensure that all mandatory training is updated and that all staff receives three paid training days per year. To ensure that staff members are made aware of the correct procedures, all of the team should attend training in the protection of vulnerable adults from abuse. Timescale for action 30/03/07 2. OP18 13 (6) 30/03/07 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 Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Summerfields DS0000014748.V315027.R02.S.doc Version 5.2 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. 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!