Inspection on 01/03/06 for Summerfields Residential Care Home

This inspection was carried out on 1st March 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 Residential Care... 08/08/06

Summerfields Residential Care... 22/11/05

Summerfields Residential Care... 16/02/05

Summerfields Residential Care... 06/12/04

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

CARE HOMES FOR OLDER PEOPLE Summerfields Residential Care Home 52-54 Rock Lane West Rock Ferry Wirral Merseyside CH42 4PA Lead Inspector Les Hill Announced Inspection 1st March 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 Summerfields Residential Care Home DS0000061741.V278868.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. Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Summerfields Residential Care Home Address 52-54 Rock Lane West Rock Ferry Wirral Merseyside CH42 4PA 0151 645 1573 0151 643 1503 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) Willowbrook Health Ltd Phyllis Valerie Lloyd Care Home 20 Category(ies) of Dementia - over 65 years of age (20) registration, with number of places Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Summer Fields consists of two large Victorian semi-detached houses that have been converted into one home. The building has four storeys, including a basement that provides offices, kitchen, dining room and laundry and other facilities used by staff. All storeys are served by a passenger lift. Resident’s live in 22 bedrooms, one of which is potentially available for sharing and all but one have en-suite facilities. There are two lounges and a number of assisted baths and showers around the home. Summer Fields has a garden area to the front and a yard area to the rear. Work to update facilities has been completed. The owner has plans to improve all areas of the home and to extend the property thereby providing a number of additional places. Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection of Summer Fields was undertaken on Wednesday 1st March 2006. It involved the examination of records, discussions with the managers and staff, meeting residents and a tour of the building. The manager had completed a pre-inspection questionnaire but none of the Commissions feedback forms for residents and their relatives were returned. The inspection was undertaken as part of the Commission’s responsibility to visit and report on each registered care home on two occasions each year. What the service does well: What has improved since the last inspection? What they could do better: A requirement has been made to ensure the statement of purpose is presented in line with Regulations has been made. Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 6 The inspector has requested that engineers attempt to ensure the internal doors on the lift can close properly and that more detail is included in the report from a review of the care plan. 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 Residential Care Home DS0000061741.V278868.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 Summerfields Residential Care Home DS0000061741.V278868.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): 1, 2, 3, 4, 5 and 6 The statement of purpose does not comply with Regulations. Detailed assessments were being undertaken and new admissions were managed appropriately. EVIDENCE: The home’s statement of purpose and service user guide had been updated but the statement of purpose did not comply with the requirements of the Care Standards Act 2000, particularly Schedule 1 of the National Minimum Standards, Care Homes for Older People. The homeowner should review both documents to ensure compliance with the appropriate legislation. Standards for the content of a service user guide are contained in Standard 1.2 of the same document. Each of the residents has a contract/statement of terms and conditions of residence that is held on a separate file in the manager’s office. Three resident’s care files were examined during the inspection, each contained a detailed pre-admission assessment completed by a senior member Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 9 of staff at the home. Assessment documentation form the placing local authority was evidenced on some of the files. The home has been providing care and support to older people with dementia for some time and staff have developed skills in caring for them. Routines in the home have been developed to ensure care is provided in a safe environment. Prospective residents and their families are invited to visit the home and to spend some time there before taking a decision to move in. They are also given tile to settle into the routines of the home before they decide to stay. The home is not contracted to provide intermediate care. Summerfields Residential Care Home DS0000061741.V278868.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 and 11. Detailed care plans are in place and although improvements have been made to the ways in which reviews are recorded, more detailed information would confirm them as working documents. The health care needs of residents are given appropriate priority and are supported by community health care professionals. EVIDENCE: Detailed care plans were evidenced on each of the residents care files seen during the inspection. Daily write-ups referred to particular elements of the plan. The arrangements for recording reviews of the care plans had improved since the CSCI inspection in November 2005 but would benefit from more detailed information that could be linked to the initial plan of care. The home has good support from GP’s, district nurses, a visiting optician, a local dentist and a chiropodist. Good links have been forged with the continence adviser but it can take up to eight weeks before the appropriate Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 11 equipment is provided and in the meantime, the home is expected to fund the costs of locally bought incontinence products. Arrangements for the storage, management and safe handling of drugs were examined during the inspection and found to be in good order. During the course of the inspection residents were treated with dignity and respect. All personal care tasks were undertaken in the privacy of their own room or in one of the bathrooms. Staff had noted the concerns of some residents about using the new dining room and were supporting them taking their meals in the lounge. Visitors can meet with their relatives in the lounges or in the resident’s own room. Records confirmed that staff had discussed the preferred arrangements for actions to be followed at the end of their life. The manager is aware that some residents have funeral plans in place and that most families would wish to make all the necessary arrangements themselves. It is expected that at the time of death, all death rites will be respected and the resident will be treated with dignity and propriety. Summerfields Residential Care Home DS0000061741.V278868.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 and 15. A full and varied programme of activities is in place. Relatives are welcomed at any time. Food served in the home is well prepared. EVIDENCE: The deputy manager at the home allocates half of her time to arranging and introducing activities. A programme that included visiting entertainers and inhouse events is prepared on a month-by-month basis and is carried through. All staff are expected to assist with the group activities and to provide one-toone support for residents where necessary. A realistic budget is in place and the home holds an expanding stock of games, videos and equipment. The inspector was impressed with the range and frequency of activity provided in Summer Fields. Relatives and friends are encouraged to visit the home at any reasonable time but are asked to avoid mealtimes if possible. All residents are encouraged to exercise personal choice and to remain as independent as possible, within the scope of their ability. Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 13 Food for the home is ordered on-line but the home has recently had to change provider, due to the volume of products purchased. The new provider is taking a little time to settle down but the chef is working to ensure improvements. Menus confirmed that a variety of foods were being offered and the chef confirmed that special dietary needs are supported and that residents who do not like, or wish to take, the food being offered are given an alternative. Staff have developed an understanding of the likes and dislikes of individual residents around particular foods and are able to plan menu and individual choices in advance. The food being served at the time of the inspection appeared to be well prepared and presented. Residents also appeared to be enjoying the meal. Summerfields Residential Care Home DS0000061741.V278868.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, 17 and 18 Appropriate procedures are in place to deal with complaints and the referral of any concerns about the support of residents. EVIDENCE: The home has a complaints procedure in place that is available to residents and their families or supporters. The procedure is displayed in the home and a record book is maintained to confirm the details and outcome of any matters raised. Only one complaint had been received by the home since the CSCI inspection in November 2005 and this had been dealt with appropriately. The Home’s statement of purpose does not include the full complaints procedure. All of the residents are listed on the Electoral Register and have the opportunity to vote in local and national elections. The home has policies and procedures in place to deal with any concerns about the treatment of residents inside or out of the home. Staff are familiarised with the procedures during their induction to the home. Arrangements for formal training have not yet been put in place. Summerfields Residential Care Home DS0000061741.V278868.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, 20, 21, 22, 13, 24, 25 and 26 Residents live in a safe and well-maintained environment. EVIDENCE: Summer Fields in set in a residential area of Rock Ferry, Birkenhead, close to local transport routes. Building work that was taking place during the previous CSCI inspection had been completed and the new facilities that had been created were in use. Some additional work is yet to be undertaken on landscaping the outside garden area to the front of the home and on creating an additional window in one of the upper floor bedrooms. The homeowner has plans for the continual upgrading of the furniture and decoration in the home and is developing proposals for an extension that would provide additional rooms. Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 16 The inspector raised concerns with the home’s manager about the internal doors on the lift that did not close fully. All of the resident’s bedrooms (except for one) have an en-suite WC and wash hand-basin. Many of them are quite spacious with sitting areas. One of the rooms is registered as a double room although it is only used as such for married couples or friends who choose to share. All of the bedrooms have been personalised by the resident to their own liking. Communal lounges are decorated and furnished in a domestic style. The new dining room is fitted out with sturdy pine furniture. Assisted bathing facilities are available on each floor and the homeowner is considering the introduction of a “wet room”. All of the radiators are fitted with protective covers to prevent residents coming into direct contact with the hot surface. On the day of this inspection the home was clean and free from any offensive odours. Summerfields Residential Care Home DS0000061741.V278868.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 and 30 Residents are protected by the home’s staff selection procedures, rota working arrangements and staff training programme. EVIDENCE: The home employs a manager, 15 care staff and 10 ancillary workers. A senior carer, and three care staff together with the manager and deputy manager were on duty during the inspection. Two care staff are on wakeful duty through the night. Cooks, domestics and a handyman are also employed. Nine of the current 15 care staff have an award at NVQ level 2 or above and the home will continue to fund NVQ training for care staff. Some overseas staff are employed through an agency that brings Eastern European workers into Britain. A sample of staff files confirmed that appropriate procedures were being followed in the recruitment processes and that all the necessary permissions and checks were in place for overseas workers. Each file contained an application form and two references. Evidence was also available to confirm that CRB and POVA checks are being carried out. The homeowner confirmed that he is supporting the continued training of staff through NVQ’s and is ensuring the basic training in moving and handling, food hygiene, fire awareness, health and safety and medication management are Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 18 provided and updated as necessary. Additional training is to be provided in the management of Dementia and of diabetes. Summerfields Residential Care Home DS0000061741.V278868.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, 32, 33, 34, 35, 36, 37 and 38 The home is run in the best interests of residents. EVIDENCE: The home’s manager is qualified and experienced in the care and support of older people and is registered with the Commission. On the day of this inspection the home was busy and staff were getting on with their work without having to constantly refer to senior managers for advice. Over all there was a calm and relaxed atmosphere and staff supported residents in a friendly and respectful manner. The home’s financial accounts were not examined during the inspection. However, the homeowner has invested a considerable amount of money in the refurbishment programme and is considering further developments on the site Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 20 and the Commission is not aware of any matters that would affect the continued operation of Summer Fields. The home’s staff manage only small amounts of money on behalf of individual residents. Detailed records are kept of all transactions and those examined by the inspector were being kept up to date with deposits and withdrawals supported by receipts. The home has begun the process of staff supervision and the arrangements will be examined in more detail during the next inspection. All of the records seen during the inspection were being kept to a good standard, were up to date and were being stored securely. The homeowner confirmed that policies and procedures required for the operation of a care home are in place. Records of fire alarm tests and of staff training in fire awareness were seen. The Environmental Health officers had inspected the kitchens in January 2006. The home’s gas and electric wiring safety certificates were up to date. A new call system was installed in January 2006. Checks on the water storage system for Legionella were undertaken in October 2005. Summerfields Residential Care Home DS0000061741.V278868.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 2 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 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 3 3 3 3 3 3 3 Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 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. 1 Standard OP1 Regulation 4 Requirement Timescale for action 30/04/06 2 OP19 23(2)(b) The registered person must ensure that the home’s statement of purpose contains all matters identified in Schedule 1 of the National Minimum Standards Care Homes for Older People. The registered person must 31/03/06 ensure that the internal doors on the lift close properly and do not constitute a risk to residents. 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 OP7 Good Practice Recommendations The manager of the home should ensure that reviews of care plans are more detailed. Summerfields Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Residential Care Home DS0000061741.V278868.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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