Inspection on 05/05/05 for Sycamore Cottage

This inspection was carried out on 5th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sycamore Cottage 09/12/08

Sycamore Cottage 16/06/08

Sycamore Cottage 17/12/07

Sycamore Cottage 05/06/07

Sycamore Cottage 04/10/06

Sycamore Cottage 25/10/05

Sycamore Cottage 07/10/04

Sycamore Cottage 15/04/04

Sycamore Cottage 30/09/03

Sycamore Cottage 23/01/03

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

CARE HOMES FOR OLDER PEOPLE Sycamore Cottage Skippets Lane West Basingstoke Hampshire RG21 3HP Lead Inspector Tracey Box Unannounced 05.05.05 9:30am 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 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. Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sycamore Cottage Address Skippets Lane West, Basingstoke, Hampshire, RG21 3HP 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) 01256 478952 Mr A Vanderslott Mrs K Vanderslott CRH 20 Category(ies) of OP - 6, DE(E) - 20 registration, with number of places Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 07.10.04 Brief Description of the Service: Sycamore cottage is registered to provide accommodation and personal support to twenty residents over the age of sixty five years with dementia type care needs. The home is situated within a private residential lane close to an industrial estate on the outskirts of Basingstoke. The home is privately owned by Mr and Mrs Vanderslott, Mrs Vanderslott is the homes registered manager. Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 5 hours, the inspector was supported during the inspection by Mr and Mrs Vandeslott. Two service users, three staff, a hairdresser and the community psychiatric nurse also spoke with the inspector. The home appeared clean and comfortable. What the service does well: What has improved since the last inspection? The facilities have improved a great deal, as a result, most previous requirements have been being met. The community psychiatric nurse commented on how much “the general atmosphere has improved over the past six months”. Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 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. Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 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 standard(s) These standards were not assessed during this inspection. EVIDENCE: Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 9 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 standard(s) 7,8,9 The home have clear, comprehensive care plans in place for each individual service user which are reviewed on a regular basis. This leads to care which is well delivered. The risk assessment system is poor, thus placing the residents and staff at potential risk. The home has good links with the community Doctor, district nurse, chiropodist, community psychiatric nurse and hairdresser. The system for the administration of medication is good, with clear guidelines in the form of a policy. EVIDENCE: One service user explored their care plan with the inspector, which demonstrated the amount of involvement the service user has in completing all aspects of their care plan. The care plans are reviewed on a monthly basis, the provider must ensure each resident or their representative agrees with the plan. Risk assessments for individual residents and for the building were not available, this remains an outstanding requirement. Records kept in care plans show visits to health professionals, one resident confirmed one record of a visit by the chiropodist. Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 10 The hairdresser commented that each resident she sees seems to be appropriately cared for in between her visits, she said all residents seem to be appropriately dressed when she visited. At the time of the inspection, staff administer all residents medication using a monitoring dosage system. Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 11 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 standard(s) These standards were not assessed during this inspection. EVIDENCE: Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 12 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 standard(s) These standards were not assessed during this inspection. EVIDENCE: Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 13 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 standard(s) 19,26 Recent investment has significantly improved the appearance of this home, the provider must ensure these improvements continue to ensure a comfortable, safe environment. Limited progress has been made to ensure robust infection control practices are in place. EVIDENCE: The inspector viewed the communal areas of the home, and three bedrooms (two vacant). The majority of the areas highlighted for improvement at the last inspection have been addressed, the provider must ensure the improvements continue in the lounge area, as this is well used by residents. The inspector viewed a staff training plan, which identified that all staff require infection control training. Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed during this inspection. EVIDENCE: Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,38 There is no clear quality assurance procedure in place, therefore the home does not review aspects of its performance. The procedure for recording accidents in the accident book is poor. To ensure service users, staff and visitors are safe, risk assessments for activities must be completed . EVIDENCE: The provider told the inspector of his plans for a quality management tool, this must be put into practice to ensure monitoring of the quality of the service to the users. The inspector witnessed incomplete details of individuals completing the reports, insufficient detail of accident ,and the storage of the records needs to be reviewed. The inspector viewed records to show service certificates. There was no evidence of risk assessments for activities, such as moving and handling, thus placing the service users and staff at potential risk. Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 16 Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 2 x x x x 2 Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 18 Yes 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 OP 8 Regulation 13(4) Requirement The provider must ensure relevant risk assessments are in place for individuals , staff and the building. Timescale (30/11/04) Not met. The provider must ensure that the lounge is of good decor Staff to undertake infection controll training The provider must develop and implement an annual auditing system The provider must implement an annonymous quality assurance consultation process for residents,relatives/representativ es, other proffessionals. Timescale for action 5/7/05 2. 3. 4. 5. OP 20 OP38 OP 33 OP 33 23(2) 13 (3) 24 (1) 24 (1) 31/10/05 5/7/05 30/6/05 30/6/05 6. 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 Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Sycamore Cottage H54 S11821 Sycamore Cottage V224188 050505.doc Version 1.30 Page 20 - 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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