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Inspection on 14/04/05 for Summerleaze Retirement Home

Also see our care home review for Summerleaze Retirement Home for more information

This inspection was carried out on 14th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents said that the home does everything well. Staff felt the same. Summerleaze is a home which is consistently maintained to a high standard. The fabric and furnishings are of good quality. It is spotlessly clean and fresh and the premises are homely. Residents are supported to live their lives as they wish. The manager provides good leadership and conveys a clear sense of how she wants her staff to achieve a good quality service. There is good mutual respect between manager and staff, who receive regular training, good support, and close supervision. The owners of Summerleaze go out of their way to provide a good service. They will accompany a resident to health appointments when requested and they ensure that any reasonable request is met.

What has improved since the last inspection?

The home is continuing its programme of covering radiators to protect residents from the risk of burns. they have now provided radiator covers in areas where the level of risk was highest, and many others besides. They are about half way to completing this task. A room is being upgraded by the addition of a walk-in shower unit, which will greatly assist residents` with mobility difficulties who prefer to shower.

What the care home could do better:

The residents, visiting family or staff could not think of anything that the home could do better. Occasionally it is suggested that more organised activitiesmight be a good idea, but most residents don`t want this. The home`s information for prospective residents makes it clear that group activities are not regularly provided.

CARE HOMES FOR OLDER PEOPLE Summerleaze Retirement Home 79 Salterton Road Exmouth Devon EX8 2EW Lead Inspector Anita Sutcliffe Announced 14 April 2005 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 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. Summerleaze Retirement Home Version 1.00 Page 3 SERVICE INFORMATION Name of service Summerleaze Retirement Home Address 79 Salterton Road, Exmouth, Devon EX8 2EW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01395 279349 01395 224904 Summerleaze Home Limite Mrs Lorraine A Covell Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Conditions of registration Date of last inspection None 17th November 2004 Brief Description of the Service: Summerleaze is a residential care home providing accommodation and personal care for up to fourteen older people in need of minimal assistance, who enjoy their independence. It is situated in a residential area within the town of Exmouth. Access to the first floor can be made by stair lift. All rooms are single and en suite. The owner/providers live in the grounds of the home and have daily contact. The home does not take emergency admissions and does not routinely provide waking night staff. Summerleaze Retirement Home Version 1.00 Page 4 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over 4 hours and was arranged in advance. Prior to the inspection the home had completed a pre inspection information questionnaire. On the day of the inspection 9 completed comment cards were received from residents and 10 were received from relatives and visitors of residents. 1 resident was visited in her room, and discussion was held with 5 as a group; the 3 staff on duty were interviewed, and discussion held with a visitor. The inspector looked around some of the building and a number of records were inspected. Both providers, Mr. and Mrs. Covell, were present. What the service does well: What has improved since the last inspection? What they could do better: The residents, visiting family or staff could not think of anything that the home could do better. Occasionally it is suggested that more organised activities Summerleaze Retirement Home Version 1.00 Page 5 might be a good idea, but most residents don’t want this. The home’s information for prospective residents makes it clear that group activities are not regularly provided. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Summerleaze Retirement Home Version 1.00 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 Standards Statutory Requirements Identified During the Inspection Summerleaze Retirement Home Version 1.00 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 standard(s) 1,4 and 6 Prospective residents are able to make a fully informed choice about whether the home is suitable for them. Their needs are met by the way the home is run. EVIDENCE: The Statement of Purpose and Service User Guide is clearly presented and contains details of the service provided, the environment, management and staff structure. Each resident has a Guide in their room. In addition, the home has its own web site from which information can be obtained. The last inspection report is available and found in the main lounge. The resident’s said that their needs were fully met and they could think of no other way in which they could be met more effectively. Summerleaze does not provide an Intermediate Care service, so Standard 6 does not apply in this case. Summerleaze Retirement Home Version 1.00 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 standard(s) 10 Resident’s are treated with respect and their right to privacy is upheld. EVIDENCE: Comments received from residents, and those spoken with at the inspection visit, confirm that they are treated respectfully at all times. This was also observed by the inspector on this, and in previous visits. Residents also confirmed that their privacy is upheld. The inspector observed staff knocking and waiting to be invited into rooms. Summerleaze Retirement Home Version 1.00 Page 9 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 standard(s) 12,13,14 and15 Residents are able to maintain control over their daily lives, with support as requested by them. Their experiences at the home match their expectations and wishes. The home provides a nutritious and well balanced menu with choice, variety and special diets catered for. EVIDENCE: The home imposes very few restrictions on residents other than those relating to basic health and safety and the comfort of other residents. Residents confirmed that they are able to plan and live their lives as they choose, and the staff and owners help them to do this as needed. Each is given their own email address to help them to maintain contact with family and friends. Residents confirmed that they handle their own financial affairs and are able to handle their own medicines if they wish to, in order to continue to be in control of their lives. There are few organised activities, and the majority of residents confirmed that this is as they like it. Many are able to go out and about as they wish and others are assisted. Outings have been enjoyed and residents occasionally get together for a quiz, which was also appreciated. The Service Users’ Guide is clear that activities are not organised on a routine basis. Summerleaze Retirement Home Version 1.00 Page 10 All written comments about the food were positive and resident comments, included “very good” and “excellent”. The dining room is attractive following a refurbishment in the past year. Special diets are catered for and the cook, staff and residents said that any reasonable request is met. Summerleaze Retirement Home Version 1.00 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 standard(s) 16,17 and 18 The home owners are open and receptive to complaints which would be dealt with promptly and effectively. Residents’ legal rights are protected and they are protected from abuse and in a safe environment. EVIDENCE: Neither the home nor the Commission have received any complaints about the home. Residents said they could think of nothing to complain about and that they only have to mention something they like and it is usually provided. Residents confirmed that they will mostly use the postal vote at the forthcoming election, but the owners will take any to the polling station that wish to go. The registered manager has completed a course in how to protect vulnerable adults from abuse and how to train staff in this. All staff have undertaken training. Policies and procedures weren’t examined on this occasion, but were looked at in detail at the last inspection. Summerleaze Retirement Home Version 1.00 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 standard(s) 19 and 26 The home is well maintained, safe, suitable for its purpose and meets residents’ needs. EVIDENCE: The home was well presented, clean, fresh, safe and comfortable. The residents said they are very satisfied with the environment provided. There is a lounge with television, music equipment and books, and a quiet, smaller lounge in addition to the dining area. A hearing loop available. All rooms contain fixtures and fittings of good quality and appeared comfortable. The grounds were very well maintained and have the recent addition of a terrace with seating. 2 rooms were visited, one which was empty so as to show the new shower facility being installed and the second to show the type of radiator covers being fitted, of which half are complete. This is within the timescale agreed with the Commission at the last inspection visit. The occupied room had the advantage of 2 call bells, one by the bed and one by a favourite seat. Summerleaze Retirement Home Version 1.00 Page 13 The fire safety records were seen and they indicated that fire safety was being addressed properly at the home. Staff talked about the fire safety training they had received. Summerleaze Retirement Home Version 1.00 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 Recruitment practice, staff training, the numbers and skill mix of staff, ensure that residents are safe. EVIDENCE: The residents said that there are sufficient staff, who knew what they were doing. Staff talked about the different training they had received, which included diabetic care and the protection of vulnerable adults, and said that this gave them the information they needed to do a good job. Induction records were seen which covered all aspects of care and good practice. The Inspector looked at the recruitment records of 2 staff and found that the approach had been thorough and safe. At the previous inspection it was recommended that 50 of care staff reach NVQ level 2 by 2005. This target has not been met, but residents confirmed that staff are providing a good quality service in which they have confidence. The registered providers are keen for staff to undertake NVQ training, but with only a small staff team, achieving this is very difficult when staff are reluctant to do so. Summerleaze Retirement Home Version 1.00 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35 and 38 The home is well managed, run in the interest of residents, and health and safety are well maintained. EVIDENCE: Each of the 9 comment cards received stated that the residents did not wish to be more involved in decision making at the home. However, the providers and staff seek out opinion and so residents and staff have influence over what happens at the home. Staff confirmed that they received formal supervision, that their work is regularly appraised and that they have regular meetings. The registered manager / owner has achieved NVQ level 4 in management and keeps her knowledge of care practice up to date. She leads the staff team, sets high standards (which are met) but also maintains a friendly, comfortable relationship with residents and staff. This was observed during this and other visits. Summerleaze Retirement Home Version 1.00 Page 16 Health and safety are managed well at the home through staff training, maintenance and servicing of equipment, and continual re-investment in fabric of the building and furnishings. Summerleaze Retirement Home Version 1.00 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 4 x x 4 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 2 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 Standard No 16 17 18 Score 3 3 4 3 x 3 x 3 x x 3 Summerleaze Retirement Home Version 1.00 Page 18 Are there any outstanding requirements from the last inspection? yes - within timescale 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 OP25 Regulation 13(4)(c) Requirement The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated [this refers to pipework and radiators being covered or having guaranteed low temperature surfaces - this requirement is still within timescale from the previous visit and has in part been achieved already] Timescale for action 31/12/05 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. Refer to Standard OP28 Good Practice Recommendations A minimum ratio of 50 trained members of staff (NVQ level 2 or equivalent) should be achieved by 2005. Summerleaze Retirement Home Version 1.00 Page 19 Commission for Social Care Inspection Suite 1 Renslade House, Bonhay Road Exeter EX4 3AY 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 Summerleaze Retirement Home Version 1.00 Page 20 - 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. 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