Inspection on 07/12/06 for Sundial Cottage

This inspection was carried out on 7th December 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

Sundial Cottage 11/11/08

Sundial Cottage 08/11/05

Sundial Cottage 02/06/05

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 Hampshire SO45 1BW Lead Inspector Mr Rodney Martin Unannounced Inspection 7th December 2006 10:00 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 Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 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. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sundial Cottage Address Badminston Drove Fawley Southampton Hampshire SO45 1BW 023 8089 1031 023 8089 1031 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) Mr N Sykes Mrs L Beale Gillian Elizabeth Veal Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22), Old age, not falling within any other category (22) Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: Sundial Cottage is registered to provide personal care and accommodation for twenty-two older people who may, or may not have dementia. Mr Neil Sykes and Mrs Lorraine Beale privately own the home. The registered manager is Mrs Gillian Veal. The home is situated on a quiet country lane approximately one mile from the centre of Fawley village. The home has seventeen bedrooms, five of which are doubles, and offers a separate dining room, two lounges, and one with a conservatory that overlooks the garden. Accommodation is arranged over two floors, with a passenger lift providing easy access between floors. In May 2006 approval was given for an increase in the home’s registration from seventeen to twenty-two residents. An additional five single bedrooms with en suite toilet facilities were added, along with a quiet lounge and utility room. The aim of Sundial Cottage is “to provide a secure, warm and homely atmosphere for elderly people who require attention daily. Every effort is also made to treat each and very resident as an individual”. The current fees are £327 to £530 per week. This information was confirmed on the day of the inspection. There are additional charges for hairdressing, chiropody, newspapers, and toiletries and for hospital visits, where the resident is accompanied by a staff member. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 10.10am and 3pm. The process included an examination of documents and records, observation of staff practices, where this was possible without being intrusive and discussion with residents, a visiting phlebotomist and a visitor. The inspector was also able to speak individually to staff as well as attend the staff handover meeting where there were seven staff members present and speak to them, without the manager or deputy manager present. An opportunity was also taken to look around the home, including communal/shared areas, the home’s kitchen and laundry and a sample of bedrooms. The home’s registered manager was present throughout the visit and was available to provide assistance and information when required. The people living at Sundial Cottage prefer to be referred to as residents, therefore will be referred as this throughout the report. On the day of the visit twenty-two residents were accommodated and of these four were male and eighteen were female. The home is currently full and has a waiting list. No resident was from a minority ethnic background. One resident was admitted in 1998. Since the last inspection, on 8 November 2005 there were eleven deaths in the home. In line with the Commission’s policy, all the key standards were inspected on this occasion. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service users guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: The home provides a good service, especially for those with dementia and the needs of residents are met within Sundial Cottage. There is a very relaxed and Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 6 friendly atmosphere in the home. The home is well managed with the involvement of both staff and residents. There is a good staff team, who are suitably trained and supervised to provide a good standard of care for residents. A visitor and a visiting phlebotomist said that the staff were very helpful and there was also very positive comments from a recent questionnaire completed by relatives. There is a commitment to staff training within Sundial Cottage. The home provides a clean environment free from adverse smells. 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. The summary of this inspection report can be made available in other formats on request. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 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 Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their representatives are given sufficient information to enable them to make an appropriate judgment about Sundial Cottage. The admission process is well managed with an assessment completed, to ensure that Sundial Cottage can meet the prospective service user’s needs. Sundial Cottage does not provide intermediate care. EVIDENCE: On 2 May 2006 approval was given for the home to increase the number accommodated from seventeen to twenty-two service users. On the day of the inspection Sundial Cottage was accommodating twenty-two residents, which included a resident who was in the home on a seven-week short stay. The Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 9 home also takes people for day care and on the day of the inspection was accommodating one person from 8am to 4pm. The manager reported that the home has been generally full and that the current day care client is due to be admitted next week, as a permanent resident, when the short stay client leaves. The majority of residents have a diagnosis of dementia and there was evidence that the home is able to meet their needs. As part of this inspection additional information was obtained as part of the Commission’s ‘Inspecting for Better Lives’ to obtain information about the quality of specific aspects of social care services. All residents are given a copy of the client’s handbook, which contains the statement of purpose and service users guide, as well as the complaints procedure and a survey questionnaire. A resident was able to show the inspector their copy, which is kept in their room. The terms and conditions of residency [contract] is usually given to the family prior to admission. All residents have been issued with a terms and conditions of residency that is either signed by the resident or relative. A resident, spoken to, confirmed this. The registered person reported that the contract has recently been revised, although Hampshire Care Association have recently issued another template contract for homes to consider using, and so he may make some minor changes. A letter is sent out in March to relatives advising of any increase in fees from April of that year, as well as giving an explanation as to why there has been an increase with a breakdown of what it costs to run the home. This was confirmed, on the day of the inspection. The manager explains to new residents and/or their family how the charge for residential care is made up, which many families are not aware of. Often a family member has been told by the hospital that their loved one needs a care home and gives them twenty-eight days to sort it out. Just under a half of the residents are privately funded. Referrals come from various sources, including hospital, Adult Services and private individuals. The manager reported that the home has a good relationship with Bournemouth Social Services. Following an initial inquiry, when basic details are obtained, the family are invited to come have a look around the home, even if there is currently no vacancy. As stated above, the home is normally full and Sundial Cottage has a waiting list, which is worked through when a vacancy becomes available. The prospective service user is invited to come and spend the day in Sundial Cottage, which would include having a complimentary lunch with the residents. The manager and deputy manager would visit the prospective service user in their own home or in hospital. Residents’ case notes are kept together in one file, which contains personal data, the pre-admission assessment, a dependency profile and various risk factors identified that detailed relevant information for the home to make an Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 10 informed judgment regarding whether they could meet the perceived needs of the resident or not. The inspector was able to view questionnaires completed by relatives on 16 November 2006. One relative had written, “happy with the care provided, X seems happy and settled”. A visiting phlebotomist said, “There are no problems here”. A resident, spoken to, said, “I would certainly recommend anyone coming here”. Sundial Cottage does not provide intermediate care, although prospective residents can come for a short respite stay, if there is a vacancy. Short stay residents are assessed in the same way as permanent residents. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ physical and emotional needs are being met, with evidence of good support from health professionals. The home has clear arrangements in place ensuring the medication needs of residents are met. Working practices in the home ensure the promotion of privacy and independence for service users. EVIDENCE: The home has one file that contains the personal details of the resident with their photograph, various risk assessments, including a falls risk assessment, an activities record, a dependency score, a nutritional risk assessment, the care plan detailing various aspects of activities of daily living, as well as a psychological and physical assessment and review of the care plan. The home also has a separate care plan. This includes a manual handling assessment, details regarding death and funeral arrangements and an inventory of the resident’s belongings. Several residents took part, this year, in the Alzheimer trial from Moorgreen Hospital. Permission was obtained from both the resident Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 12 and relatives to participate in the trial. As previously noted the majority of residents have dementia. Residents’ needs regarding dementia are detailed as part of dementia mapping, with the home using the Bradford dementia group well-being profile. One care plan file is kept and updated by the staff and the resident keeps the other. The personal and oral hygiene of each service user is maintained and recorded. Residents are registered with Blackfield surgery, Forest Side surgery in Dibden Purlieu and one resident is registered with Solent surgery in Hythe hospital. A record is kept of all health professional visits. Residents can see their GP in the privacy of their own room. The manager reported that there is very good support from the GPs, as well as the community psychiatric nurse from the community mental health team. The GP leaves a prescription, which is then faxed through to the chemist. It was noted that the GP signs the medication administration record sheet when changing medication. Any change to the resident’s medication is always faxed through by the GP surgery. Medical examination is always done in the privacy of the resident’s room. Residents have access to all other health professionals on an as needs basis. A chiropodist comes every month to the home. Optical health care is when required. A dentist visits once a year. Some residents go out for medical appointments and one resident organises their own transport to see their GP. There was evidence from individual service users’ files of appointments with the dentist, optician, chiropodist and other health professionals. The home has a relevant medication policy, which satisfactorily details the receipt, recording, storage, handling, administration and disposal of medicines. Although residents are able to self medicate within the home’s risk management framework, currently none are self-medicating, apart from creams and the use of an inhaler. On the day of the inspection the home had received the monthly supply of medication from the pharmacist and the deputy manager was checking it off. The home operates a monitored dosage system for administering medication. This is kept in a locked drugs trolley and in a locked cupboard. The home currently has one resident on Temazepam and another on liquid morphine. The drug administration sheets, which contained a photograph of the resident plus p.r.n details [as and when required] and any antibiotics, were satisfactorily recorded, with no omissions. All staff have received medication training. All residents spoken with confirmed they are well-supported, treated with dignity and respect, and that they receive a high quality, consistent level of care. One visitor said, “Residents are well cared for here”. Staff members supported service users with kindness and sensitivity, using service users’ preferred names and supporting gently with care giving. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of appropriate age-related activities in the home. Residents are supported to maintain contact and positive relationships with family and friends. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: The home endeavours to meet individual resident’s needs by ensuring the activity is geared to fulfilling their interest and taste. As previously noted, the majority of residents have a diagnosis of dementia and maintaining interest and concentration span is important in providing a fulfilling life, as the use of activities can significantly improve the quality of people’s lives. The home does have communal activities for residents to participate in, such as flower arranging, bingo, quizzes and having their nails done. The home sent out a letter to relatives inviting them to attend a relatives’ support group meeting, which took place on 16 November 2006, when seventeen relatives attended. A handout on the implications of someone having dementia was given out. The relatives made various suggestions and these have been implemented. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 14 Contact with family and friends is maintained and all residents have visitors. On the day of the visit the inspector met a visitor and spent some time with them. They were very complimentary about the home, stating that they were made welcome and there was a very relaxed atmosphere in the home. Visitors can visit at any reasonable time and residents can see their visitors in the privacy of their bedroom or in the communal areas in the home. Residents are encouraged by the staff to make choices in their daily life and these choices include choosing which clothes they will wear and what time they get up and go to bed. For example, residents can choose to stay in their room and have their meals in their bedroom, if they wish. Residents are also encouraged to take control in their daily life. There was evidence that residents had brought their own personal possessions. The home is not appointee for any resident. Residents are not offered a choice for the midday meal unless they do not like what is on the menu. The resident’s keyworker helps them complete a questionnaire, which includes meal preferences. Sundial Cottage does not employ a cook, as the management prefer that each staff member take it in turn to cook. Residents’ dislikes are recorded. The home has a four-week menu, which indicated that residents prefer traditional meals. The inspector was able to have lunch with the residents. The midday meal was plated and residents had fish and chips from a local fish and chip shop. Some residents had fish cakes and mashed potato. On the day of the inspection a resident was celebrating their birthday and the home was organising a buffet tea. Another resident was due to celebrate their birthday on Sunday. Fawley church were due to come for a carol service and the resident was happy to have the mince pies, following the carol service, as part of their birthday celebrations. Residents, spoken to, enjoyed their lunch and said that the meals were good in Sundial Cottage. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure, which residents feel able to use and an adult protection procedure, which protects and safeguards residents from abuse. EVIDENCE: The home has a detailed and relevant complaints procedure, which was on display in the entrance hall. Residents, spoken to, were aware of whom to complain should they have a need to and confirmed they had received a copy of the complaints procedure. One resident said, if they had a complaint, “I would go straight to Gill [the manager] or Neil [registered person] and his wife”. The home has a complaints log, although none were recorded. Sundial Cottage has all the relevant documentation relating to adult protection, including a whistle blowing and the adult protection policy. The inspector was able to speak to seven staff members at a handover meeting and they aware of the various forms of abuse and the issues involved. Staff have received adult protection training. There have been no incidents of abuse notified to the Commission. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A very good standard of accommodation is provided ensuring that residents live in a homely, safe and comfortable environment. Residents have individualised their bedrooms, to meet their needs. EVIDENCE: Sundial Cottage is situated in a quiet country lane in Fawley. The home has a large garden to the front of the property, with ample car parking space. Sundial Cottage has five double bedrooms and twelve single bedrooms, five provided with en suite toilet facilities. Since the last inspection the home has increased from seventeen residents to twenty-two, with the addition of five new single bedrooms, with en suite toilet facilities, a new quiet lounge and a utility room. There is a patio area between the old and new building, which residents enjoyed sitting out during the summer months. A new conservatory Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 17 has been erected off the existing lounge. Although the building work is complete it was noted that it is still to be furbished. The inspector spoke in private with a resident who was very complimentary about the home’s facilities and said, I like my room and am very comfortable”. A visitor told the inspector that the home is “pleasant, clean and roomy, now that the building works have finished.” There was evidence of residents’ personal belongings in the rooms. There were no adverse smells noted. The home has a separate laundry room, which is situated away from food preparation. The laundry room was clean and tidy. There was evidence of COSHH [control of substances hazardous to health] policies and procedures in place and staff were observed to be complying with infection control procedures and practices. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels and residents are supported by sufficiently trained and supervised staff, to ensure that their needs are met. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: Sundial Cottage employs a manager, deputy manager, twenty carers and two bank staff. The home does not specifically employ domestic or cooking staff as care staff rotate their duties between caring, cooking and domestic chores. The home operates a three-shift system of 7.30am to 2.30pm, 2.30pm to 9pm and 9pm to 7.30am. On the day of the inspection there were four carers on duty, with three staff members on duty in the afternoon, plus the manager and deputy manager. The inspector was able to speak to staff individually as well as a group of seven at handover time, at 2.30pm. There was evidence that the staff team worked well together. A relative had written in a recent questionnaire, “staff always welcoming and friendly”. Six staff members have obtained NVQ [national vocational qualification] in care at level 2 or 3 and a further nine carers are currently on an NVQ course, which will result in 75 of staff with an NVQ and this is to be commended. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 19 With an increase in the number of residents accommodated and some staff leaving, the home had recruited eleven staff members, since the last inspection on 8 November 2005. Sundial Cottage endeavours to employ staff with the right attitude towards the care of the elderly and consideration is given to the applicant’s general manner, caring nature et cetera, an understanding of the client group and that they possess the necessary attitudes and aptitudes for their role within the home. Following the home advertising locally in the ‘New Forest Post’, the process of selecting new staff consists of an interview with the manager and deputy manager, completing an interview questionnaire, completing an application form, with proof of identity and the name of two referees for a reference and the completion of the CRB [Criminal Records Bureau check] and PoVA first check [Protection of Vulnerable Adults]. There was evidence that the home had followed the necessary checks before staff commenced their duties. A new staff member receives a comprehensive induction package, through an external training organisation and is supernumerary for a number of shifts. The home has a full complement of staff. Training is provided in-house as well as staff going on external courses. Sixteen of the twenty staff have obtained a vocationally related qualification at level 2 in dementia course, through Southampton City College. Staff also receive training in the core training subjects of first aid, manual handling, food hygiene, health and safety, infection control, medication awareness, fire safety, protection of vulnerable adults, as well as challenging behaviour, blood glucose training [which involves four residents] and wound dressing. A system of supervision is in place, which is split between the manager and deputy manager. There is a commitment to staff training within Sundial Cottage. Staff files were seen that indicated that there are regular supervision sessions. Staff, spoken to, were appreciative of the style of management in Sundial Cottage and enjoyed working in the home. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is approachable and has an open style of management. She provides good leadership, which ensures staff are supported and residents’ health, safety and welfare promoted through the home’s practices. EVIDENCE: Since the last inspection Gillian Veal was registered as manager of the home, in May 2006. She has worked in Sundial Cottage for twelve years and is suitably qualified having obtained the registered managers award for NVQ level 4 in management and care as well as having done ‘train the trainer’ in dementia and also in abuse. She communicates a clear sense of direction and leadership within the home and has been able to cascade relevant training to the staff. The manager is supernumerary to the main duty rota and her hours are flexible although she does cover weekends. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 21 There is an open, friendly and transparent atmosphere within the home, which was also confirmed by a visitor and visiting phlebotomist and evidence obtained from recent questionnaires completed by relatives, on 16 November 2006. Residents spoke warmly of staff and the way the home is run. The home uses questionnaires to further ensure a quality control within Sundial Cottage [these have been referred to in various parts of this report]. A number of residents were spoken to and they were able to voice their opinions. The manager is not appointee for any resident. Some residents’ pay directly for additional charges, such as chiropody and hairdressing and others are billed by the home on the monthly fee invoice. The home is currently holding money for seven residents. Financial records were checked and were correct. The fire logbook was inspected and the records indicated that the fire safety equipment had been tested and serviced within the guidelines. Staff have received fire safety training and the home last had a fire drill on 10 November 2006. The manager ensures the safe working practices by planning courses on health and safety within Sundial Cottage, including first aid, adult protection, manual handling, food hygiene, fire and medication. Risk assessments are in place. There are current and up to date contracts on electrical equipment as well as kitchen and domestic appliances et cetera. COSHH [control of substances hazardous to health] policies and procedures are in place. Window restrictors are in place on the windows above ground level, to ensure safety for residents. From a check of the records and practices observed in the home during the inspection, the health and safety measures taken in the home ensure the welfare and safety of the residents. Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 3 3 3 X X X 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Sundial Cottage DS0000011857.V323259.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000011857.V323259.R01.S.doc Version 5.2 Page 25 - 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. 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