Inspection on 12/10/05 for Summerhill

This inspection was carried out on 12th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Summerhill 29/04/09

Summerhill 19/08/08

Summerhill 29/08/07

Summerhill 02/05/06

Summerhill 15/04/05

Summerhill 29/11/04

Summerhill 12/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Summerhill 46 Glenwood Road West Moors Ferndown Dorset BH22 0ER Lead Inspector Martin Bayne Unannounced Inspection 08:30 12 October 2005 th 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 Summerhill DS0000026878.V250309.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. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Summerhill Address 46 Glenwood Road West Moors Ferndown Dorset BH22 0ER 01202 870935 NONE 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 D K Farrar Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th April 2005 Brief Description of the Service: Summerhill residential home is registered to provide personal care and accommodation to 15 people with frailty of old age. The home is situated in a quiet residential area of West Moors with a level walk to the local shops and bus routes to the nearby towns of Poole and Bournemouth. The home is a detached property with a car park to the front and a wellmaintained secluded garden to the rear. All of the bedrooms are for single occupancy and are provided with en-suite WC facilities. A passenger lift provides access to the first floor. Residents share communal areas of a large lounge that leads to the garden, a small conservatory and a separate dining room. Mr & Mrs Farrar, the registered providers live in a property adjacent to the home and are actively involved in the management of the service. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place between 8:30am and 1:15pm. The first hour of the inspection was spent talking with residents about their experience and views of living at the home. In general all of the feedback was positive with residents reporting there was a homely atmosphere with a caring and respected staff team. Time was then spent with Mrs Farrar and the deputy manager following up on the three requirements made at the last inspection and evaluating the home against the core standards not inspected on the last inspection. A requirement was made concerning the records for administering medication and the requirement in respect of risk assessments remains in force. 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. Summerhill DS0000026878.V250309.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 Summerhill DS0000026878.V250309.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): Not assessed on this occasion. EVIDENCE: Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 8 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): 789 Residents would benefit from individual risk assessments being carried out to reduce the risk of falls. Resident’s health could be compromised through medications not being recorded when administered. Health needs of residents are met at the home. EVIDENCE: At the last inspection a requirement that risk assessments concerning risk of falls of residents be developed. It was found that a general risk assessment had been carried out of the building with respect to trip and slip hazards and care plans provided some advice to staff with regards moving and handling. There was however no individual risk assessment for each resident looking at all things that contribute to risk of a person having falls. It was agreed that the risk assessment process could be developed further and the requirement remains in force. The care plans were found to be concise and provided a clear and concise account of how the staff should assist residents. The residents spoken with all said that the staff were very caring and met their personal care needs. The care plans have a photo attached and provided information of all key contacts. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 9 In the case of one resident who was subject to a Care Programme Approach with the community mental health team a copy of the review was available to the staff recording the roles and contact numbers of the people involved in this resident’s care. The medication procedures and policies were discussed. Two cabinets in the kitchen are used as medication cabinets, one for stock and one for medications given out daily to residents. The staff administer directly from the containers supplied by the pharmacist. The two cabinets are kept locked with one member of staff being responsible for the keys. Medicines were found to be stored correctly. One of the residents is prescribed insulin and this was found to be stored correctly in a lidded and labelled container in the fridge. The medication administration records were viewed and it was found that in the case of two residents their medication had been administered that morning, however their records had not been signed. The need to record directly after administering medication to a resident was discussed. The deputy manager informed that she wrote up the medication recording sheets. A requirement was made that medication records are completed correctly and it was recommended that printed sheets be obtained from the pharmacist or duplicate labels, thus saving time and reducing the risk of errors in transcribing dosages from the labels to the recording sheets. From speaking to the residents and from the care plans it was evident that health needs of the residents are met at the home with referrals or appointments being made with appropriate health professionals. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 10 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 Residents benefit from a range of activities provided in and away from the home. Residents can receive visitors at any time. Residents are provided with a balanced diet served in pleasing surroundings. EVIDENCE: During the inspection one relative was spoken with who informed that they could visit at any time and that they were happy with the standards of care at the home. The residents said that there were activities held in the home, such as an exercise group, board and card games, quizzes and bingo. The home also has a mini-bus and trips are arranged away from the home as well as outings to theatres. One resident receives mass in the home each week and two other residents attend local church services. Residents spoken with said that they could get up and go to bed when they choose and that routines in the home were flexible. They are also able to bring their own possessions to personalise their rooms. There was a range of views of residents concerning the food, from some who liked the food to some commenting that they thought the range of the menu was limited. The relative spoken with said that when she visited there was always fresh food served and the food was of a good standard. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Residents benefit from having a complaints procedure accessible to them. The homes policies and procedures should be updated to reflect current legislation and practice. EVIDENCE: Since the time of the last inspection there have been no complaints made about the home. One resident spoken with commented that when she moved into the home Mrs Farrar had told her that should anyone be unkind she should report this to Mrs Farrar. All of the residents said that they had no complaints and had confidence in Mr and Mrs Farrar to sort out any problems. The residents all have access to the complaints procedure. Staff receive cascade training in adult protection and are required to read the policies and procedures relating to adult protection. It was agreed that the adult protection policy would be reviewed and updated to reflect the introduction of POVA and the guidance “No Secrets”. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 12 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 Risk assessments concerning covering of radiators should be updated in order to ensure the safety of residents. EVIDENCE: On the day of inspection the home was clean and in good decorative order. The radiators in the home have been risk assessed as to the hazard that they pose to residents in respect of burns and one radiator has been covered. In one of the resident’s rooms that was viewed the chair was positioned close to the radiator and in the judgement of the inspector could pose a hazard to this resident should they have a fall. It is recommended that risk assessments be reviewed and radiators that pose a risk be covered. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 13 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 29 Residents needs are met by a caring staff team who have the skills to meet their needs. EVIDENCE: The residents all spoke highly of the attitude and helpfulness of the staff. They also said that in their view there were sufficient staff to meet their needs. In general there are two care staff on duty throughout the daytime and in addition Mrs Farrar or the deputy manager are on duty during the night period. The cooking and cleaning is carried out by one of the carers. It is recommended that the management consider the appointment of a separate cleaner to provide more time allotted to care provision. At the last inspection a requirement was made that the staff be offered training in moving and handling. All of the staff have received training, which now requires updating. Mrs Farrar reported that all of the staff had been booked to do this training in September, thus meeting the requirement. There is a core of longstanding staff members who have worked at the home for many years with little staff turnover. All of the staff were found to have received core training in health and safety, first aid, fire safety, medication administration and basic food hygiene. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 14 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): 32 35 The home is well managed. EVIDENCE: From speaking with residents and one relative it was clear that Mr & Mrs Farrar run the home in an open and positive manner and good support is provided to the staff. A requirement was made at the last inspection concerning the records maintained of resident’s finances. Mrs Farrar reported that she no longer holds money on behalf of residents and therefore the requirement no longer applies Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 15 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 X X X X x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 X 11 X 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 X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X 3 X X X Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? yes 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 Individual risk assessments must be developed for each resident with particular reference to prevention of falls. This is an outstanding requirement from 31-01-05 Medication administration records must be maintained to provide an accurate record of medication administered to residents. Timescale for action 1 OP7 13 12/12/05 2 OP8 13 24/10/05 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 2 Refer to Standard OP7 OP19 Good Practice Recommendations It is recommended that printed medication administration records are obtained from the pharmacist. It is recommended that the risk assessments of the radiators be updated and any radiators that pose any risk to residents be covered. Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Summerhill DS0000026878.V250309.R01.S.doc Version 5.0 Page 18 - 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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