Inspection on 02/06/05 for Sundial Cottage

This inspection was carried out on 2nd June 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 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

Sundial Cottage 11/11/08

Sundial Cottage 07/12/06

Sundial Cottage 08/11/05

Sundial Cottage 03/02/05

Sundial Cottage 09/12/04

Sundial Cottage 03/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Sundial Cottage Badminston Drove Fawley Southampton SO45 1BW Lead Inspector Tracey Box Unannounced 02.06.05 9:30am 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. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sundial Cottage Address Badminston Drove, Fawley, Southampton, SO45 1BW 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) 023 8024 3091 Mr N Sykes Mrs K Perrin CRH 17 Category(ies) of OP - 17; MD(E) - 17; DE(E) - 17 registration, with number of places Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 03.02.05 Brief Description of the Service: Sundial Cottage is registered to provide personal care and accommodation for 17 older people who may, or may not have a mental disability. The home is privately owned by Mr N Sykes and Mrs L Beale, the registered manager is Mrs K Perrin. The home is situated on a quiet country lane approximately one mile from the centre of Fawley village. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over six hours, the inspector was assisted during this time by the deputy manager, both Mr Sykes and Mrs Beale were also available. The people living at Sundial cottage prefer to be referred to as residents. Sixteen of the seventeen residents were at the home and the inspector spoke with the majority, along with three staff and the hairdresser. The environment within and surrounding the home was good, providing the service users with an attractive and homely place to live. The inspector witnessed good interacting between service users and staff. The deputy manager showed the inspector around the home, including most bedrooms and all communal areas, one service user showed the inspector their bedroom. The inspector spent time with one service user as they looked at their care plan. The inspector looked at records and asked staff and service users for their views. What the service does well: The home benefits from well trained staff who integrate well with the residents. Residents and visitors spoken with said the staff were friendly and provided them with the care and support they require. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 6 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. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 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 standard(s) 6 EVIDENCE: Sundial Cottage does not provide intermediate care. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 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 standard(s) 7,8 Residents health, personal and social needs are fully met, as set out in individuals care plans and risk assessments, with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: One resident explored their care plan with the inspector, they explained what was included in their care plan and risk assessments which demonstrated the amount of involvement the service user has in completing all aspects of these documents. The manager explained care plans and risk assessments are reviewed on a monthly basis, unless needs change sooner. The inspector witnessed this procedure. Two more care plans were witnessed by the inspector. All records were found to include appropriately information, and showed evidence of visits to healthcare professionals and access to specialist support. One resident informed the inspector that she really enjoys it when a lady visits the home once a fortnight to complete chair exercises with the residents. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 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 standard(s) 12,13,14,15 Residents social, cultural, religious and recreational needs are met. Contact with family/friends/representatives and local community is encouraged as the individual wishes. Practices in the home demonstrate that the home promotes individual choices and encourages residents to have control over their lives. Dietary needs of residents are well catered for with a balance and varied selection of food available that meets residents taste and choices. EVIDENCE: Posters advertising activities within the home are visible on the wall in the entrance hall. The inspector asked a small group of six residents what sort of activities they participate in, all explained how much they enjoy Holly communion which is held at the home once a month, flower arranging, bingo, beauty sessions (at the time of the inspection the inspector witnessed one member of staff carry out manicures to some of the residents, this was recorded on their care plans to monitor) a lady who does a “sing along” visits, so does an accordion player. One resident enjoys visiting the local pub, and the Royal British Legion club. The inspector witnessed a resident inform the deputy manager that they were going shopping using their own car, and often takes another resident along. The deputy manager explained one of the staff is the homes dedicated dementia care co-ordinator, as they have received appropriate training to provide support to individuals within this area for six hours a week. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 11 The inspector witnessed invitations being sent to residents families, representatives and whomever they wish, requesting they attend an “Open day, which will be held at the home on the first July 2005. A record of visitors to the home was seen, which showed family, friends and social workers (the chiropodist was visiting a resident during the inspection). Transport to enable residents to attend appointments is either supplied by family or hospital transport, taxis are also used to attend places of interest / local amenities. Some residents prefer to handle their own financial affairs, as recorded in their care plan. There was a the procedure for storing and monitoring residents money, which was found to be working well, as this enables the resident to purchase personal items and pay for hairdresser and chiropodist as examples. The inspector witnessed the use of newly introduced itinerary sheets which show a record of individuals personal items which they have brought with them to the home. Copies of individuals care plans can be found in each residents bedroom. The inspector witnessed each resident receive their choice of lunch, as requested earlier in the day. The choices are displayed on a notice board. All residents ate in the dining room with Staff support if needed. Two residents confirmed they could eat wherever they wished. There was a well stocked fridge, freezer and store cupboard, fresh fruit and vegetables were available, frozen vegetable were used on this occasion. The home does not restrict times for activities such as meals/bed/visitors or going out. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 12 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 The home has comprehensive complaints procedures, however, the procedure for logging complaints requires revising. EVIDENCE: The inspector witnessed the homes complaints procedure, which gives clear guidelines of process, and includes contact details to the Parliamentary Ombudsman. A copy of this procedure is held in the homes policy file, in the complaints log file, in each “service users” guide, along with a copy in the main entrance hall. The inspector saw the complaints log. One complaint log was made, however it was recommended that the log be reviewed to include more detail of the complaint, timescales, action taken and outcome, thus enabling the home to monitor its complaints more effectively. The residents spoken with, and the hairdresser were aware of the procedure, but have not felt the need to do so, they were confident the home would take appropriate action should a complaint be made. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 13 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) EVIDENCE: These standards were not assessed on this occasion. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 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) 29,30 Since the last inspection the standard of vetting required as part of the recruitment process has declined with appropriate checks not being carried out and potentially leaving residents at risk. The arrangements for the induction and training of staff are good, staff clearly demonstrate their understanding of their role and responsibility. Staff are trained and competent to do their job. EVIDENCE: The inspector witnessed the files of two staff. Two references that are required were not available for one staff member, all other checks had been completed appropriately. The deputy manager assured the inspector that the staff member had received constant supervision whilst working, this was evident from the staff rota, however this is not seen as good practice. The inspector witnessed the homes induction/foundation pack which had been completed by a member of staff who has worked at the home for many years, who found completing the pack beneficial to their working practices. Thirteen out of twenty staff are either qualified, or studying for a National Vocational qualification at levels 2, 3 and 4. The home has a staff training plan, and the staff explained they accessed the award via a local college. The home is a member of the Hampshire Care Association, the deputy attended Abuse training for managers, and has cascaded her training to all staff at the home. Forthcoming training opportunities are advertised on the notice board, certificates of attendance are stored on the staff file. Staff explained the variety of training they had received enables them to carry out their role effectively. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 15 The home ensures staff are trained to meet the residents individual needs, Dementia care and mental health training is provided by Community psychiatric nurse, a large company provide diabetes and blood sugar testing training. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 16 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) EVIDENCE: These standards were not assessed on this occasion. Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 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. 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 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x x x x x x x Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 18 NO Are there any outstanding requirements from the last inspection? 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 29.2 Regulation 19 (1)(b)(i) 19, 4(c) Requirement The registered manager obtains two satisfactory references for all staff before employment commences. Timescale for action 2/7/05 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 Good Practice Recommendations Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 Page 19 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sundial Cottage H54 S11857 Sundial Cottage V229620 020605.doc Version 1.30 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. 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