Inspection on 23/08/05 for Swiss Cottage

This inspection was carried out on 23rd August 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

Swiss Cottage 17/01/07

Swiss Cottage 25/01/06

Swiss Cottage 14/02/05

Swiss Cottage 12/08/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 Swiss Cottage 130 Roman Road Winklebury Basingstoke RG23 8HF Lead Inspector Debbie Hawkins Unannounced 23 August 2005 rd The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Swiss Cottage Address 130 Roman Road Winklebury Basingstoke RG23 8HF 01256 324 828 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) MACA Mrs S Ingleby CRH 6 Category(ies) of MD Mental Disorder registration, with number of places Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14.02.05 Brief Description of the Service: Swiss Cottage is a detached property set back from a busy main road in Basingstoke. It is within easy reach of the local shops and a bus ride away from the local college and the main town centre. MACA is the registered provider and Mrs Sue Ingleby is the registered manager. The home is registered to provide care and accommodation to six service users who have mental health issues. The home comprises of six single rooms, two sitting rooms, a dining room, a kitchen and laundry facilities. The garden is well maintained, providing additional recreational space. The staff at Swiss Cottage encourage service users to retain their own privacy and endeavours to support them in reaching their own personal goals. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours and during the visit the manager, the deputy, the service users and the staff on duty assisted the inspector. An opportunity was taken to look around parts of the home, view some records and talk to staff and services users. The inspector spoke with three staff members and three service users. There were no other visitors in the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The statement of purpose and licence agreements need to be updated so service users have all the relevant information on where they live. All staff need training in abuse so they are able to support service users appropriately. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 6 There needs to be clear documentation to show staff have received fire training twice in a twelve month period. The health and safety officer needs to prepare a risk assessment for the garage door and speak to MACA and London and Quadrant to ensure the garage door is safe and does not place anyone at unnecessary risk. 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. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 and 5 Further information will enable prospective service users to make an informed choice about where to live but the home has a system of assessment, which identifies prospective service users needs and how they will be met Each service user has a written statement of terms and conditions with the home but further information is needed to ensure they are aware of their rights within the home. EVIDENCE: The inspector viewed the statement of purpose and although it gives service users most of the information needed to make an informed choice about where to live, further information is needed such as therapeutic techniques not being used in the home, that all inspections are now unannounced and not one being announced and updating the name of the Commission. The manager confirmed the statement of purpose would be updated to reflect the above information. The home has had no new admissions since the last inspection but the deputy manager confirmed the assessments for existing service users remain in place. It was also discussed that any new service user moving in would need an assessment prior to moving in. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 9 Each service user has a licence agreement but it was discussed that rooms to be occupied needs to be included so service users cannot be forced to move rooms without their permission. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service user’s needs. Risk assessments are in place and ensure service users are able to take risks as part of an independent lifestyle. EVIDENCE: The home is now in the process of redesigning the support plans and the inspector saw two. They are now personal life plans and they show the areas service users want to develop such as every day life skills and for some to move onto more independent living. The service users have total responsibility for the plans and keep them in their bedrooms. One service user discussed how happy they are with their plan and how it will eventually enable them to move on. A staff member was also spoken to about the new plans and they agreed it is assisting people to become more independent. It also shows service users areas where they need more support such as excessive smoking. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 11 As they are new plans there have been no reviews but this will be looked at during the next inspection. Risk assessments are in place and show that service users are supported to take risks but again as they are new assessments there are no reviews and this will be viewed during the next inspection. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Service users experience a stimulating and varied life at the home having the opportunity to experience many different activities with good relations and support from friends and families. EVIDENCE: Service users continue to enjoy activities both in the home and the local community including local clubs located in Basingstoke, visiting the shops and going to football matches. One service user spoken to goes to a karaoke night once a week at the local pub and some others went to Southsea for the day. Service users spoken to said they have regular contact with family members. Some visit their parents while others have families and friends come to see them. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Service user’s health and personal needs are being met to ensure they are supported in the way they prefer. EVIDENCE: Two service user’s plans were sampled and they contained clear information on each service user’s specific needs. Some service users require more support than others and this is clearly detailed. Service users spoken to said they felt staff are meeting their needs. Service user’s physical well-being is documented in the plans showing visits to their doctors, dentists and opticians and service users spoken to confirmed this. It was also confirmed that some service users access health practitioners independently whilst others have staff support. One service user does not want intervention relating to their health and the relevant documentation is in place to support this. The inspector also sat in on the handover and service user’s health needs were discussed. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Arrangements for protecting service users and responding to concerns are satisfactory but further training would enhance this. EVIDENCE: The complaints procedure was seen and this covered all the relevant information. Service users said they would tell staff about any concerns and know it would be dealt with. One service user is chairperson of the service user meetings and said service users can come to them if they have any issues. One service user had a minor issue and this was passed to the manager. The manager confirmed that in the complaints book it now states who has taken the complaint and the documentation for this was seen although there have been no new complaints. The home has all the relevant documentation relating to adult protection including a whistle blowing procedure, the adult protection policy and the ‘no secrets’ guidance. It was discussed with the manager that all staff must receive relevant training in abuse. However staff spoken to were confident what to do in the event of an allegation of abuse. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 A comfortable and safe standard of accommodation is provided for the service users, which meet their needs. EVIDENCE: The home is generally well maintained and suited to the service user’s needs. It is decorated to a standard that creates a comfortable and homely ambience. Since the last inspection there are now paper towel dispensers in all the bathrooms and toilets and everyone has worked hard to make the garden look good. Starting in September all bedrooms will be redecorated. Two service users spoken to had no problems with the building and the staff member spoken to said there are no major issues relating to the environment. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home ensures that staff are trained to meet service user’s individual and joint needs. EVIDENCE: Staff spoken to confirmed they have received the relevant training to enable them to do their job. The training includes work in forensics; administration of medication and infection control and staff training files will be viewed at the next inspection. The manager said there is now a new training manager and although some training has not been available this will now start to improve. Most of the staff team have worked in the home for many years with lots of experience supporting people with mental health issues. Most staff are either working towards their National Vocational Qualification or have completed this. One service user spoken to finds staff very co-operative and said ‘I feel they have the right training and experience to support us’. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health, safety and welfare of service users is fully promoted with staff being well trained and showing a sound knowledge within the areas of health and safety. EVIDENCE: All policies and procedures relating to health and safety are available in the home and the staff spoken to knew where and how to access them and had a satisfactory understanding of health and safety. Staff have also received the relevant training in areas such as health and safety and food hygiene. It was discussed with the manager that although staff are up to date with their fire training the documentation to support this needs to be available in the home. Service users spoken to said the home feels safe and everyone is responsible for the health and safety in the home and some have also been able to attend some of the training such as fire safety and food hygiene. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 18 The domestic was spoken to and confirmed they have received training in health and safety, manual handling and the in house fire training. The manager confirmed there are the relevant records and certificates in place to ensure the environment is safe and secure, this includes portable appliance testing and gas checks. There is an issue in relation to the garage door, it is currently loose and rusty with the doorframe rotten and it was agreed this now needs to open from the side as there is a risk this will fall on someone in its current state. The health and safety officer has agreed to write to MACA and the housing association to determine whose responsibility it is, a risk assessment will also be put in place. Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Swiss Cottage Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 Good Practice Recommendations Swiss Cottage H54 S12309 Swiss Cottage V237275 230805.doc Version 1.40 Page 21 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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