Inspection on 08/11/05 for Sundial Cottage

This inspection was carried out on 8th November 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sundial Cottage 11/11/08

Sundial Cottage 07/12/06

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 Tracey Box Unannounced Inspection 8th November 2005 09:30 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.V261590.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. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sundial Cottage Address Badminston Drove Fawley Southampton Hampshire SO45 1BW 023 8024 3091 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 Beal Mrs Karen Lynn Perrin Care Home 17 Category(ies) of Dementia - over 65 years of age (17), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (17), Old age, not falling within any other category (17) Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 2005 Brief Description of the Service: Sundial Cottage is registered to provide personal care and accommodation for seventeen older people who may, or may not have a mental disability. The home is privately owned by Mr Neil Sykes and Mrs Lorraine Beale, the registered manager is Mrs Karren Perrin. The home is situated on a quiet country lane approximately one mile from the centre of Fawley village. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over five hours. The people living at Sundial Cottage prefer to be referred to as residents, therefore will be referred as this throughout the report. The inspector witnessed good interacting between the majority of residents and staff as they sat in the lounge watching the television and participating in hobbies, such as knitting and reading. Staff were observed knocking bedroom doors and waiting for a reply before entering, three residents said that they felt staff respected their privacy and dignity. The inspector looked at records and asked staff and residents for their views and experiences of living and working in the home. Three residents, when asked, commented on how polite, helpful and friendly the staff are at the home. The manager showed the inspector the layout within and surrounding the home, including communal areas and a few bedrooms, all areas appeared clean and comfortable, providing a pleasant environment for residents. What the service does well: What has improved since the last inspection? The home ensure appropriate employment checks are completed prior to a staff member starting work in the home. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 6 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 DS0000011857.V261590.R01.S.doc Version 5.0 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.V261590.R01.S.doc Version 5.0 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 the following standard(s): 3 A comprehensive procedure for assessing the needs of potential new residents is in place to ensure the resident’s and the homes needs are met prior to admission. EVIDENCE: The inspector saw two residents’ files that included a client assessment form completed by the manager prior to the residents admission to the home. The information included likes and dislikes, medical and family history and other relevant information to ensure the home is able to provide the care the individual requires. Family/representatives are invited to participate in the completion of the assessment to obtain as much information as possible The manager visits the prospective resident to assess their needs, with a social worker (if appropriate) with family / representative present, one resident recalled the manager visiting them prior to their admission, and that she visited the home to see if she liked it. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 9 Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 10 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): 9,10 Service users are protected by appropriately trained staff, who follow the homes policies and procedures for dealing with medicines Personal support within the home is offered in such a way as to promote and protect residents’ privacy and dignity. EVIDENCE: At the time of the inspection, staff administer all of the residents medication. Staff told the inspector that residents prefer them to store and administer resident’s medication for them, one resident told the inspector this was their wish. The inspector saw medication being correctly administered, staff followed the homes medication policy and procedure, (the home uses the monitoring dosage system and monitoring administration record sheets) the records kept in conjunction with medication received and returned to the pharmacist were found to be correct. Records of all staff trained to administer medication were found to be in order. The inspector saw a risk assessment completed by the manager for drug administration errors. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 11 The inspector witnessed staff address individuals in their preferred manner, as stated in individuals care plans. Staff were observed knocking bedroom doors and waiting for a reply before entering. All residents commented on how polite, helpful and friendly the staff are at the home. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 12 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): These standards were assessed at the previous inspection. EVIDENCE: These standards were assessed at the previous inspection. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18. The home has satisfactory procedures for protecting service users’ form abuse. EVIDENCE: The inspector saw the homes adult protection procedure, which includes the Department of Health “No Secrets” guidelines. The inspector saw staff training records, which indicated training had been provided. Awareness of abuse and the correct procedures to follow is covered in the induction process of new staff. Staff confirmed they discuss issues surrounding abuse policy and procedures at their monthly staff meetings with their line manager supervisions, and confirmed their awareness of the procedure and where to find it should it be required. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. Residents live in a safe environment, which is well maintained. The home is clean and hygienic, providing a pleasant environment for residents. EVIDENCE: The manager showed the inspector around the home, which appeared well maintained. The inspector saw records within the homes maintenance file, details included the fault and the action taken, all records are signed and dated to monitor progress. One resident said their room was very pleasant, clean and warm, they were encouraged to bring their own personal belongings, furniture and pictures to make it feel like home. “if I want anything fixing or putting up on my wall, all I have to do is ask and it’s as good as done.” A random selection of bedrooms were seen, all were found to be clean, warm and furnished with personal items. One resident said “I feel safe here, as well as being free to come and go as I please”. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 15 The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. The garden is well maintained and residents enjoy using it, to walk around, sit in or look at from inside the home. The inspector witnessed the homes procedures to ensure hygiene is maintained, staff were seen to use protective clothing whilst completing their duties of personal care and cleaning. The residents stated that the home is always clean, warm. The inspector detected no offensive odours. The inspector saw certificates of staff who have attended Infection control and food hygiene training. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29.(Standard 30was assessed during the previous inspection.) The number and skill mix meet the needs of the residents. The arrangements for the induction and training of staff are good, staff clearly demonstrate their understanding of their role and responsibility EVIDENCE: At the time of the inspection, appropriate numbers of skilled staff were on duty, ensuring the residents safety. The manager explained the recruitment process and showed the inspector the homes written procedure. Three staff files were sampled, two of which belonged to the two staff who were employed recently. The files contained photographs of the individual, along with other evidence of the individual’s identification. The inspector saw evidence of the CRB disclosure being completed. The files contained certificates of all mandatory training and records of induction and foundation training. Staff explained the variety of training they had received enables them to carry out their role effectively. One staff member explained they had recently attended Dementia training, which they found to be “a real eye opener, as it explains why some people behave the way they do, I found it very interesting” One member of staff said the skill mix of staff is good, as there is always someone to go to for advice or guidance of needed, and there are enough staff on duty to meet the residents needs” Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 17 Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. The home has a registered manager who runs the home in the best interests of the service users. The home follows policies regarding service users finances and health and safety. EVIDENCE: The registered manager is registered with The Commission for Social Care Inspection (CSCI) to run the home and has completed her registered managers award. The manager has developed a questionnaire, which will be completed by residents, and their relatives/representatives, the responses will be published. The manager confirmed she gets feedback on the running of the home on a daily basis by talking to residents, their families and staff. Staff training files were looked at, and staff said they receive adequate, relevant training on a regular basis which enables them to carry out their job effectively. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 19 The home has adequate risk assessments for working practices, staff, visitors and office space, thus ensuring a safe environment. The inspector witnessed good food hygiene techniques in the serving of the lunch. The inspector viewed certificates for the servicing of systems and radiators were covered and had thermostatic controls. Staffs confirmed their awareness of health and safety procedures, and were aware if the homes policy and procedures, and where to find them. Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 20 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sundial Cottage DS0000011857.V261590.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 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. 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