Inspection on 22/11/05 for Summerfields Residential Care Home

This inspection was carried out on 22nd November 2005.

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... 01/03/06

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 Unannounced Inspection 22nd November 2005 09:15 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.V268085.R01.S.doc Version 5.0 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.V268085.R01.S.doc Version 5.0 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.V268085.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2005 Brief Description of the Service: Summerfields 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 and other facilities used by staff. All storeys are served by a passenger lift. Resident’s live in 19 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. Summerfields has a garden area to the front and a yard area to the rear. Work is progressing to update facilities at the home and the owner has plans to extend the property and provide a number of additional places. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Summerfields took place on Tuesday 22nd November 2005 over a period of 4 hours. It involved the examination of some records, a tour of the building, meeting with residents and discussions with the homeowner and manager. 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: 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.V268085.R01.S.doc Version 5.0 Page 6 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.V268085.R01.S.doc Version 5.0 Page 7 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, 5 and 6. Detailed assessments were being undertaken and new admissions were managed appropriately. EVIDENCE: The home’s statement of purpose and service users guide were being rewritten to take account of development works at the home and changes in staff. The documents will be examined in detail at the next inspection. Each of the residents had a contract/statement of terms and conditions of residency that was held on a separate file in the manager’s office. Three resident’s care files were examined during the inspection and each contained a detailed pre-admission assessment document completed by a senior member of staff at the home. One of the files also contained a comprehensive assessment document that had been completed by hospital staff. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 8 The home has been providing care and support to older people with Alzheimer or Dementia’s for some time and staff have experience with the effects of their condition. Routines in the home have been developed to ensure care is provided in a safe environment. Prospective residents and their families are invited to look around the home and to spend time with staff before making a decision to move in. They are also given time to settle into the routines of the home before they take the decision to stay. The home is not contracted to provide Intermediate Care. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected 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, though some developments are needed to more appropriately record reviews. The health care needs of residents were given appropriate priority with support from community health care professionals. EVIDENCE: Detailed care plans were evidenced on each of the resident’s files seen during the inspection. Daily write-ups refer to particular elements of the plan. However, staff had indicated that the care plan had been reviewed by writing a date and signature in various places across the care plan itself. The manager was advised to consider the structure of care plan documents and to make appropriate provision for the recording of information following a review. The home has good support from local GP’s and from visiting district nurses. A visiting optician, a local dentist and a chiropodist also support residents. The home has good links with the continence adviser and receives appropriate continence management products when they are required. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 10 Arrangements for the storage, management and safe-handling of medicines were examined during the inspection. Improvements had been made since the CSCI inspection in February 2005 and no errors were noted on this occasion. On the day of this inspection residents were seen to be treated with dignity and respect. All personal care tasks are carried out in the resident’s own bedroom or in one of the bathrooms. Visitors can meet with relatives in their own room or in one of the communal spaces around the home. Residents’ relatives have indicated that they would wish to be informed at the time of death and would attend to all funeral arrangements. The manager is aware that some of them have funeral plans in place. It is expected that at the time of death all rites will be respected and the resident will be treated with dignity and propriety. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected 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 welcome at any time and food served in the home was well prepared. EVIDENCE: The deputy manager at the home allocates half of her time to arranging and introducing activities. The inspector was shown a programme of activities that included visiting entertainers and in house events. All staff are expected to participate and to support residents in one-to-one or group activity. A realistic budget is provided and the home carries an expanding stock of games, videos etc. The inspector was impressed with the commitment of the homeowner, managers and staff to the range of activities provided. Relatives and friends are encouraged to visit the home at any reasonable time but are asked to avoid mealtimes if possible. All of the residents are encouraged to exercise personal choice and to remain as independent as they can be, within the scope of their capability. Arrangements for purchasing food for the home have been changed so that goods are ordered on-line and delivered by the supermarket provider. The menu’s showed that a variety of meals were being served and the cook told Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 12 the inspector that the likes and dislikes of residents are known and supported. An alternative meal is provided for residents who do not wish to take the main meal on offer and special diets are catered for. The inspector was present when the lunchtime meal was being served. As there is currently no dining room each of the residents had a small over-chair table. Residents appeared to enjoy the food that had been prepared. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18. Policies and procedures on complaints and adult protection, together with training for staff are provided to safeguard residents in the home. EVIDENCE: The home has a complaints procedure that is available to residents, their relatives and any other interested parties. The procedure is prominently displayed in the home. A complaints record book is provided but there have been no complaints made to the home or to CSCI in the past twelve months. All of the residents are listed on the Electoral Register and would be supported to vote in national and local elections if they choose to do so. The home has policies and procedures on adult protection and staff are familiarised with them during induction. The manager has arranged for training to be provided on adult protection and POVA matters. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 14 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, 23, 24, 25 and 26. Residents live in a safe and well-maintained environment. EVIDENCE: Summerfields is set in a residential area of Rock Ferry, Birkenhead, close to local transport routes. At the time of this inspection the home was being developed to create an additional four bedrooms and a dining room. The outside garden area to the front of the home has been landscaped and a new ramp put in place to access the basement rooms. The homeowner is investing a great deal of money into upgrading the home and at the same time increasing its potential occupancy. Plans are being considered to erect an extension to the current building and to create more bedroom and communal spaces. Builders were working with the home’s staff to ensure that residents could be supported safely whilst the building work was being undertaken. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 15 All of the home’s bedrooms have an en-suite WC and wash hand-basin, and all new bedrooms will have the same facility. Many of the bedrooms are spacious and have sitting areas. One of the bedrooms is registered as a double room but is generally used for only one resident. The homeowner would only use the room to accommodate a married couple or friends who asked to share. All of the bedrooms had been personalised to a greater or lesser extent depending upon the wishes of the resident. Assisted bathing facilities are available on each floor and the homeowner is considering the option to create a “wet” room from one of them. Al of the home’s radiators have guards to protect residents from 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.V268085.R01.S.doc Version 5.0 Page 16 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, rota arrangements and staff training programme. EVIDENCE: A manager and deputy manager, 18 care staff and 9 ancillary workers staff the home. A senior carer and three care staff plus the manager and deputy are on duty during the daytime hours and there are two care staff on wakeful duty each night. The home also employs 4 domestics, 2 cooks and 2 laundry staff as well as a handyman. 12 of the current 18 care staff have an award at NVQ level 2 or above and 2 other staff are studying for the same award. The deputy manager is also studying for an award at NVQ level 4. A sample of staff files confirmed that appropriate procedures were being followed in the recruitment of staff. Each file contained an application form and two references. Evidence was also available to confirm that POVA ad CRB checks were being carried out. The home employs some overseas staff and the appropriate employment documentation, as well as police and POVA checks were in place. The manager told the inspector that she is working with a training organisation to ensure staff have all the necessary, certificated training in place. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 17 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, 34, 36, and 37. The home is run in the best interests of residents. EVIDENCE: The home’s manager is qualified and experienced in the care of older people. Since the inspection in February 2005 she has been registered with the Commission. On the day of this inspection the home was busy with builders working in protected areas of the home, particular in the basement where the office is situated and on the second floor where bedrooms are being upgraded. Nevertheless, there was a relaxed and open atmosphere amongst the staff group and they got on with the work of supporting residents in a calm and friendly manner. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 18 Although audited accounts for running the home were not examined during the inspection, the level of building works and the commitment of the homeowner to the refurbishment and development of the home would indicate that the future of Summerfields is being actively supported. All records seen were written to a good standard, up to date and stored securely. Records of fire alarm tests, the testing of hot water temperatures and records of safety through the maintenance of equipment will be examined at the next inspection. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 19 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 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 X 3 X 3 3 X Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations The manager of the home should ensure that reviews of care plans are more detailed and are recorded appropriately. Summerfields Residential Care Home DS0000061741.V268085.R01.S.doc Version 5.0 Page 21 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.V268085.R01.S.doc Version 5.0 Page 22 - 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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