Inspection on 11/01/06 for Sussex Clinic

This inspection was carried out on 11th January 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

Sussex Clinic 11/11/08

Sussex Clinic 20/11/07

Sussex Clinic 20/11/06

Sussex Clinic 17/08/05

Sussex Clinic 05/10/04

Sussex Clinic 06/05/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

Thorndene

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Sussex Clinic 44-48 Shelley Road Worthing West Sussex BN11 4BX Lead Inspector Gill Davis Unannounced Inspection 11th January 2006 15:30 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 Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 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. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sussex Clinic Address 44-48 Shelley Road Worthing West Sussex BN11 4BX 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) 01903 239822 Sussex Clinic Limited Mrs Elaine Baird Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 25 services users who require nursing care may be accommodated. Of whom 6 may have a Physical Disability (PD) and (PD)(E). Date of last inspection 17th August 2005 Brief Description of the Service: Sussex Clinic is a detached; two - storey building that was once previously registered as a private hospital. It is situated approximately ¼ of a mile from the centre of Worthing town with all its amenities and ¼ of a mile from the sea front. It is a privately owned Care Establishment providing residential and nursing care for up to forty residents in the category of Older Persons. Within those registered beds is a provision for up to six persons under the age of 65yrs with a physical disability Accommodation is provided in twenty-four single and nine double rooms. Four of the single rooms and one of the double rooms have en-suite facilities. The rooms are arranged on two floors with a lift giving access to all but two. Two lounges and a separate dining room provide the communal space. There is a generous parking area to the front of the building and a secluded and well tended garden to the rear, which is suitable for wheelchair users Mrs Manejeh Shoai – Naini represents Sussex Care Ltd as the responsible person. The Registered Manager is Mrs Elaine Baird, a Registered General Nurse Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of the two inspections (minimum) that an inspector must make in a year. On this occasion this inspection was unannounced and took place during the afternoon and evening on the 11th of January 2006. The aim of this inspection was to observe to routines and procedures of the afternoon and evening and seek the residents’ opinions of the service they receive. A tour of the home was undertaken on the day of inspection. It was observed that a copy of the Statement of Purpose and previous inspection report was available to all and displayed on the table in the hall entrance along with the signing in book. Some of the home’s records and policies and procedures were examined. All of the staff on duty, and most of the residents were spoken to during the course of the inspection. The residents were of the opinion that the staff members were good at their job and looked after them well, “The staff are lovely-kind.” A visitor informed that she considered that the staff and respected those visiting the home and the residents “They pay attention to our privacy when I visit my Mother.” The food was considered to be good, “ The food is brilliant, I had a problem with my digestion which has got better since I’ve been here”. The staff group confirmed that they found the senior staff members supportive and that they were given enough information about the residents to be able to meet their emotional and physical needs. Throughout the inspection the Inspector was able to observe the interaction between staff members and residents, which was relaxed, good humoured and professional. There have been no complaints concerning the service made to the Commission for Social Care Inspection and there were no requirements arising from this inspection. One recommendation has been made. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? Apart from the continuing refurbishment of areas in the home there have been no significant changes since the last inspection. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 7 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. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 8 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 Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 9 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): 9.11. All prospective residents, or their representatives, have a number of opportunities to make an informed choice about whether they want to live at Sussex Clinic and have their needs assessed prior to admission by a senior member of staff. Intermediate care is not provided at the home. EVIDENCE: The home provides a comprehensive Statement of Purpose and Service User Guide to all prospective residents, their families and their Care Managers. Everybody concerned with the prospective resident is encouraged to visit as often as they like and a four-week trial period is used to allow the new resident to settle in and make sure that they are happy with the situation. One resident was very positive about their experience when first moved into the home” I was made to feel very welcome”. Some were unable to speak to the inspector about their experiences on admission because their disability precluded it. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 10 Mrs Shoai confirmed that all residents have a personal contract although the inspector was unable to evidence this due to the fact that in the absence of the registered manager they were not accessible for inspection. The inspector recommended that a copy of the signed contract be kept on each individuals’ personal file Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9.11. Where possible residents or their relatives/representatives are involved with the drawing up of their care plans, which contain detailed information of how the care and health needs of the residents should be met including the administration of medication. All aspects of the persons’ physical and emotional health needs are met. From evidence gathered it would appear that the staff group respect the privacy and dignity of the people living at Sussex Clinic. EVIDENCE: Residents are involved with the drawing up of a plan of their individual needs and preferences. Where a resident is not able to be involved with the drawing up of their care plans, then the residents relative or advocate is involved as far as possible. The care plans included up to date information regarding the residents’ current health status and had been reviewed on a monthly basis. Staff members with the appropriate skills are employed to ensure the health needs of the residents are fully met. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 12 There are appropriate procedures and policies in place concerning the storage, administration and disposal of medication. A trained nurse administers all medications and another member of staff witnesses each transaction. There is one person self administering medication currently. Observation of care staff members interacting with the residents confirmed that they were respectful and considerate in their approaches to the residents. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 The residents are provided with some opportunities to follow their chosen lifestyle. Where the resident is unable to make those choices and decisions for themselves, family or representatives are consulted. A wholesome and balanced diet is provided EVIDENCE: All preferences and interests are recorded on the care plans. The inspector witnessed staff members helping the residents who had memory loss to make choices that were within their capacities Suitable activities are provided and the home provides a variety of activities during the week according to the preferences and abilities of the residents, although a large number of the residents are frail and incapacitated to a degree which prevents them participating in anything other than one to one activities. The position of the home enables those that are more mobile the opportunity to enjoy all the facilities of the centre of the town. Other entertainments are organised on a monthly or bi-monthly basis. The residents confirmed that they enjoyed the various activities arranged for them. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 14 One resident informed the inspector “I was pretty depressed when I first came here but my mood has risen – I have been given an indoor - outdoor wheelchair which gives me a bit of freedom”. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 The residents or their representatives are sure that they can trust the home to protect them as far as possible from bad practice and unacceptable behaviour from others. EVIDENCE: Most of the residents are able to complain and were aware of whom to complain to. The home has policies and procedures in place to ensure that action is taken if a resident or their representative was worried and records are maintained of any issue that might arise and the outcomes. The home has clear instructions for staff members as to what to do if abuse of a resident is suspected and the members of staff that were spoken to were knowledgeable about the procedure to take following recent training in the Protection of Vulnerable Adults. Residents’ legal rights are protected and the home will ensure an advocate is obtained if possible. The inspector was able to evidence this from recent action taken by the home to protect one resident from financial abuse. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22.23.25. The home is well decorated and maintained to a good standard both inside and in the garden areas. It is furnished to a reasonable standard and specialist aids to mobility are provided. Each resident has a room that has been furnished to meet their wishes and needs, and there are suitable washing facilities and lavatories. There was a good standard of cleanliness. EVIDENCE: During the course of the inspection the majority of rooms were visited to make sure that the environment was safe and comfortable for people who live there. The garden is level and well maintained. Wheelchair users are unable to access the chapel and garden from the rear exit door and the inspector recommended that a small ramp be provided to the interior lip of the door to enable wheelchair users to exit independently. It was seen that many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. One Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 17 resident had requested that a shower should replace the bath to allow for more independence and the registered provider had undertaken this. Specialist Occupational Therapy aids have been obtained to provide support for those with physical disability. Care is taken to match physical need with the provision of accommodation that suits the needs of the individual. On the day of inspection, Sussex Clinic was clean, and free from offensive odours in all areas. Risk assessments regarding the safety of the building were in place. Policies and procedures were available for staff about the control of infection, and the safe disposal of clinical waste. Health and Safety training has been provided to the staff group. The home employs the services of a handyman who maintains a safe environment. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28. Sussex Clinic has an adequate number of staff members with appropriate training and skills to provide safe and competent care to the residents at all times. EVIDENCE: The home enjoys a generous staffing /resident ratio currently. At the time of inspection there were three trained nurses, five care assistants, one kitchen domestic and one cook on duty. Robust recruitment procedures are employed to ensure the suitability of the prospective carer. Appropriate induction training had been undertaken with the newest members of staff. Some of the staff team have undertaken training in a number of work related topics. 30 of the non-qualified care staff has achieved National Vocational Qualification level II. Formal supervision of staff members is undertaken on a regular basis and minutes of those meeting are kept on file. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 19 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): 36. The home is run in a manner that offers protection to most aspects of the residents’ interests EVIDENCE: The Registered Manager of the home is a Registered General Nurse with many years experience of managing a Care Home and has all the skills and competence to discharge her responsibilities fully. Care staff members confirmed that they found the Manager and other senior staff very supportive and that they considered that they were given enough information about the residents to carry out their duties competently. In the absence of the registered Manager, it was confirmed by the senior nurse on duty that supervisions were being undertaken on a regular basis, this was supported by a written list of supervisees and identified supervisors. There are comprehensive policies and procedures in place to provide protection to the residents and guidance to staff members on how to carry out their Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 20 duties; records were found to be accurate and up to date. In particular the individual care plans contained vital information regarding the residents’ health and welfare needs and promote a uniform approach to the care and protection of the residents. The personal finances of the residents are managed by himself/herself or a representative and recorded appropriately. The health, safety and welfare of the residents are protected by the policies and procedures of the home. Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 21 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 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X 3 3 X 3 x STAFFING Standard No Score 27 X 28 3 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X X 3 X x Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 22 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. 1 Refer to Standard 2 Good Practice Recommendations A copy of the signed contract/statement of terms should be kept on each individual’s personal file Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Sussex Clinic DS0000024221.V277018.R01.S.doc Version 5.1 Page 24 - 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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