Inspection on 05/08/08 for Sutton Court Care Home

This inspection was carried out on 5th August 2008.

CSCI found this care home to be providing an Excellent service.

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

Sutton Court Care Home 16/08/06

Sutton Court Care Home 23/01/06

Sutton Court Care Home 13/09/04

Sutton Court Care Home 24/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Sutton Court Care Home Priestsic Road Sutton In Ashfield Nottinghamshire NG17 2AH Lead Inspector Keith Williamson Unannounced Inspection 5th August 2008 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 Sutton Court Care Home DS0000008803.V369569.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. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sutton Court Care Home Address Priestsic Road Sutton In Ashfield Nottinghamshire NG17 2AH 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) 01623 443003 01623 441150 duncan.scaife@ashmere.co.uk www.ashmere.co.uk Ashmere Care Homes Alison Riley Care Home 59 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (59). of places Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Sutton Court Residential Home is registered to provide personal care only, to service users of both sexes in the following categories: Old age, not falling within any other category OP (47). Dementia, over the age of 65 years DE(E)) (12). Physical disability over the age of 62 years PD (1). Sutton Court Residential Home can accommodate a maximum of 59 service users. 16th August 2006 2. Date of last inspection Brief Description of the Service: Sutton Court is part of the Ashmere Care Homes Group, and is one of their three homes situated on Priestic Rd Sutton in Ashfield, Nottinghamshire. With easy access for residents, the home is only a few minutes walk from local amenities including a supermarket and newsagent. The accommodation comprises of two floors with a specialist 12-bedded area for people with dementia. All bedrooms have en - suite facilities and there were 7 lounge / quiet areas and a large and small dining room. In addition the home had some shared bathing facilities and extensive garden areas. The home also boasts a swimming pool, Jacuzzi, physiotherapy suite, hairdressing room and coffee bar area for the resident’s enjoyment. The fees currently charge at the home range from £307 to £520 per week. Copies of the last Commission for Social Care Inspection report are available from the office. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections is on outcomes for residents and their views of the service provided. The main method of Inspection used was ‘case tracking’ which involves selecting a sample number of clients and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case four residents were chosen. This visit took place over one day, commencing at 9.30am and took seven hours to complete. An opportunity was taken to talk with residents, relatives and staff, look around the home, view records, policies and care plans. Information was obtained from the Annual Quality Assurance Assessment (AQAA), which gives information on the home, and is filled in by the manager. The majority of the residents were seen, and a number of those spoken with along with a relative, three staff members, the registered manager and the Registered Person. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. What the service does well: The home is purpose built with a number of public areas used by the resident group. Residents care needs are assessed and a number of areas documented to ensure their safety and that of the staff assisting them. Residents have a number of choices and variety of activities based around their individual needs, and promoting people’s independence, choice and decision-making. Residents are encouraged and assisted to keep in contact with relatives, and the greater community. Residents have questionnaires and formal meetings and to discuss issues such as meals and menus pastimes and outings, as well as informally comments through the suggestion box. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 6 Staff operate a secure process when administering medication and make sure others being returned to the chemist are recorded in the paperwork. Decisions that the residents make are recorded in the daily notes. Complaints information is displayed throughout the home, and is also available in the paperwork issued prior to moving in to the home. Staff are aware of how the complaints and whistleblowing procedures works. Staff employed in the home have an extensive process to go through prior to being allowed to work at the home. Supervision, which is a meeting between the manager and staff on a one to one basis, continues on a regular basis. The safety of residents and staff is seen as vitally important and there are a number of the safety processes that goes beyond what we would expect as the norm. 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. Sutton Court Care Home DS0000008803.V369569.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 Sutton Court Care Home DS0000008803.V369569.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 & 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents receive information on the homeand have their needs assessed before moving into the home. EVIDENCE: Prospective residents can expect to have their needs assessed before they move into the home; this would ensure that staff have experience to meet peoples needs. All the residents’ files were found to include an assessment of their needs completed by a social worker or the senior staff member form the home. A relative visiting on the day of the visit explained that someone from the home had visited their relative before they moved in and that she had been Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 9 given the opportunity to look around the home to decide if it was the right place for their relative to live. The relative also confirmed a Statement of Purpose, which sets out the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing, was given out to the family, and a Service User Guide was left with the resident. Contracts outlining the terms and conditions of the persons stay were also seen. Comments received included: “I had heard the home was good, I had a look around and fortunately they had a room available”. “My daughter was able to look around before I came in”. This home does not provide intermediate care. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are looked after well in a safe and secure environment, are treated with respect, dignity and their right to privacy is upheld. EVIDENCE: Residents have a plan, which details the care they receive whilst in the home. This is important so people know how they will be looked after. Care plans were up to date and had been reviewed regularly with the resident or a member of their family. The manager is in the process of transferring all the current care plans onto a new format, which is continually being developed. Care plans are also risk assessed, which gives staff vital information how to keep people safe in the home. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 11 From records kept by the home it was evident that health care services including General Practitioners and community nurses visit on the residents behalf. Staff working at the home are well aware of the individual care needs of the residents and residents and relatives spoken with stated that individual care needs were currently being met. Staff were overheard persuading a reluctant resident to allow urgent personal care to be undertaken by them. They showed sensitivity to the persons needs, but were persistent in encouraging the care to take place, this was important for the person’s dignity. Medication is securely held and administered by senior staff in the home. Staff when explaining how the system worked showed an excellent knowledge of the detailed system. This is important as it increases the security for residents around medication administration. All residents and relatives spoken with felt that the care workers treated them with respect and throughout the visit care workers were seen interacting with the residents in a professional and dignified manner. Comments received during the visit included: “They are ever so kind, you couldn’t find a better home”. “It’s a lovely, lovely home”. “They got me back on my feet” (and walking again). Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. There is a relaxed and homely atmosphere within the home and social care is encouraged to enable residents to maintain contact with relatives, friends and the wider community. EVIDENCE: Residents are offered choices on a daily basis. These include when to get up or go to bed, what to wear, a choice of meals and whether to join in the activities provided. An activities coordinator is employed and a range of activities are provided. The home boasts its own private swimming pool and Jacuzzi. One resident was very enthusiastic about its use and that due to exercises in the pool stated “They got me back on my feet” (and walking again). Other activities offered include arts and craft, music and movement, outside singers and cards and dominoes in the café lounge, which looks onto the pool area. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 13 Relatives and friends are encouraged to visit the home, one resident explained: “my sons come to see me regularly”. The home is currently installing a “cinema” type large screen in the dining room, one resident who had visited one of the other homes and viewed the “Sound of Music” said “I went to the pictures and had popcorn, nuts and a drink, it was great”. Other comments received during the visit included: “The staff are lovely, and polite too” “You always have a choice at meal times, if you don’t like what’s on, they will make you something else” “You can have anything you want at breakfast, I have egg on toast” “I have a key to my (bedroom) door”, Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 14 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 & 18 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: Residents are aware that there is a complaints procedure in place and were aware of who to go to should they have a concern of any kind. One resident stated, “if I wasn’t happy I would speak to Alison” (the manager). A relative spoken with stated: “I’d speak to Alison” (the manager) or A (a senior care worker). The manager has received three complaints since the last visit. These were investigated appropriately, within the appropriate time scales. Care staff spoken with during the inspection were aware of what to do should they suspect any act of abuse and the manager is aware of the procedure to follow with regard to adult protection. The home has a suggestion box situated just inside the main door, which gives residents and visitors another way of raising concerns indirectly with the homes management. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 15 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 & 26 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The standard of the accommodation within this home is very good, providing residents with an attractive and homely place to live. EVIDENCE: Residents can enjoy this purpose built home, with all rooms being en-suite and well maintained. Decoration in the home is of a very good standard and furnishings in the communal areas are domestic in character and in good condition. A selection of public and bedrooms were seen during the visit. Both were clean, appropriately furnished and included items personal to the residents. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 16 All areas of the home seen on this occasion were clean, fresh and well cared for. There is a secure enclosed garden within the home, and other gardens to the front and rear. The decked area to the rear of the home is accessible via a ramp leading from the lounge area. One resident explained: “I can get out on my own, but for long distances they (staff) push me out in my wheelchair in the nice weather, it’s lovely”. All staff have received training in infection control and observations during the inspection confirmed that staff used appropriate protective clothing when carrying out their duties. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 17 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 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents’ safety is promoted by the recruitment process, and staff employed in sufficient numbers to meet their individual needs. EVIDENCE: There were sufficient numbers of staff on duty on the day of the visit to meet the current needs of the residents. Residents and a relative spoken with felt that there were enough staff on duty to meet residents’ individual needs. Residents are protected by an extensive recruitment procedure; this involves a detailed process prior to staff being appointed. Two staff files were checked, both were found to include all the necessary information including an application form, two references and Criminal Records Bureau checks. Training is recognised as vitally important and courses for staff are sought from a range of private, voluntary and public sources. Training courses completed included; first aid, dementia awareness, moving and handling, safe handling of medicines and food hygiene. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 18 An infection control awareness course is arranged for August 2008. Courses are run several times a year to ensure maximum staff coverage, and the manager keeps an accurate record of all staff attendances. Residents’ and staff meetings are arranged at the beginning of the year and the dates posted in the office, this ensures people are aware when and what is to be discussed, as agendas are forwarded in advance. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are protected by the ethos of the management, staff, and detailed policies and procedures of the home. EVIDENCE: The registered manager has many years experience in care, has worked in the home since it opened and has completed her NVQ level four, National Vocational Qualification (a nationally recognised course for staff in caring) and Registered Managers Award. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 20 Staff spoken with stated that they were well supported and positive relationships between residents; their relatives, management and staff were evident throughout the visit. Residents and staff are consulted with regard to how the home is run and resident and staff meetings are held on a regular basis. A suggestion box is also in use. It was evident throughout the visit that the residents benefit from the ethos, leadership and management that the manager provides. One resident stated, “You couldn’t get a better home”. Policies and procedures required for the safeguarding of residents are in place and all records seen on this occasion were accurate, relevant and up to date. There is an extensive programme of maintenance operated by the handyperson. This is a paper-based programme of daily, weekly, monthly and annual checks, with individual tasks signed off by him on completion. Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 4 4 X X X 3 4 3 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 X 3 3 X 4 Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 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 OP8 Good Practice Recommendations The registered person could put in place, a selfadministration policy and procedure to aid the staff checking residents who hold and administer their own medication. The policy and procedure on self-administration of medicines could be updated to cover the checks necessary to ensure residents safety The complaints information could be updated, with the current details of the Commission for Social Care Inspection. The information about quality assurance has yet to be fed back to prospective residents through the Service User Guide. 2 3 OP9 OP16 4 OP33 Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Sutton Court Care Home DS0000008803.V369569.R01.S.doc Version 5.2 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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