Inspection on 01/02/06 for Syne Hills

This inspection was carried out on 1st February 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

Syne Hills 12/01/09

Syne Hills 29/11/07

Syne Hills 01/08/06

Syne Hills 18/07/05

Syne Hills 15/12/04

Syne Hills 17/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Syne Hills Syne Avenue Skegness Lincolnshire PE25 3DJ Lead Inspector Mr Ken Hague Unannounced Inspection 09:00 1 February 2006 st 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 Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Syne Hills Address Syne Avenue Skegness Lincolnshire PE25 3DJ 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) 01754 764329 info@synehills.co.uk Mrs Jean Sweeney Mr Christopher Matthew Sweeney Care Home 35 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (33) of places Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Syne Hills care home set in a quite residential area of Skegness. It provides accomadation for 35 service users - 2 with a learning disability and 33 old age not falling within any other category. The home is a large Victorian building set in extensive landscaped gardens, which leads to sand dunes and the seafront. The home is a two storey building with access to the second floor being provided by stairs and a passenger lift. Recently a ground floor extension has been added to be used for short term care. The home offers accommodation in 21 single rooms and seven double bedrooms. Public transport passes the care home. The home is close to shops, pubs and other local amenities. A car park is provided at the front of the care home. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 4.5 hours. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of the premises was conducted, and care records were inspected. Three residents, two members of staff and the Registered manager were interviewed. What the service does well: What has improved since the last inspection? The home has reviewed its training programme to ensure that all staff are provided with appropriate training to be able to meet the needs of the residence. Supervision is now being provided in accordance with the National Minimum Standards. The home has introduced a formal system for monitoring residents during a night-time period. This provides evidence of the frequencies of checks made during the night shift for each individual resident of the care home. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 & 3 There are satisfactory procedures for the introduction and assessment of people to the service, ensuring that care needs are met. The home supplies new residents with sufficient information to enable them to make an informed choice of whether their needs can be met by the resources of the care home. EVIDENCE: The care home has a service users guide and statement of purpose which sets out the resources of the care home enabling new residents to match their needs against the resources of the care home. The Inspector looked at three files for residents who were being case tracked as part of this inspection. All files contained an assessment completed prior to the residents be admitted to the care home. Risk assessments were in place for all of the residents, where a risk was identified the management of that risk was recorded. A statement at the terms and conditions for residents to stay at the care home was found on each individual resident’s file. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9 & 10 Care plans identify all areas of need and provide detailed care instructions for staff; this enables staff to provide appropriate care. Residents’ health needs were being met. The privacy and dignity of residents is respected by staff. The medication policy of the care home is being followed that lockable facilities are not been provided for residents self-medicating. EVIDENCE: Care plans are written in a consistent manner which enables the reader to quickly established the needs of each resident. The files of individual resident’s have been organised so that all information is stored in exactly the same order enabling staff to quickly identify specific information. A comprehensive assessment is carried out prior to admission resulting in a detailed care plan which identifies the social and care needs of residents. The information on care plans states the manner in which residents wish personal care to be provided. Choices of menu and daily activities were recorded. Night checks are now being formerly recorded, signed and dated by the members of staff on duty. There was evidence of visits from GPs, district nurses and chiropodist. Staff stated that the home arranges appointments with dentists and opticians. The care records inspected contained details of the above services being provided to the individual residents. Residents spoken to confirmed that the information Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 10 recorded in their files in respect of foot care, dental care and eye care was correct. Care records provided evidence that appointments had been made and residents were enabled to keep these appointments. A resident stated “Staff have taken me to the hospital to see a consultant they organised and provided transport”. A Resident stated “Staff provide my care in a very sensitive manner. I do feel they maintain my dignity and respect my privacy”. “This is a fantastic place the staff are kindness itself”. The medication policy of the care home was being followed but one resident who were self-medicating had not been provided with a lockable facility within their bedroom in which to keep medication. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14,& 15 The home provides a regular activities programme. Residents and relatives felt that staff make relatives’ very welcome at the home. The home provides a varied menu, which meets the dietary needs of all residents. EVIDENCE: The home provides a number of activities, board games are provided and local entertainers visit the home. The home has a minibus which it uses to take residents into the community to attend local events. The care records of one resident confirmed that she went out into the local community. Residents spoken to during this visit confirmed their satisfaction with the activities offered by the home. The deputy manager stated that a local minister visits the home to provide a religious service for residents. Residents confirmed that these services do take place. A resident interviewed stated “My family come to the home regularly and are made very welcome by staff”. The home has a visiting policy which meets the National Minimum Standards and is displayed in the public area of the care home. Residents confirmed that a choice of menu is offered. They were able to state what the menu of the day was and the alternative choice. A resident said “The food is very good here”. A second Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 12 resident stated “My dietary needs are being met by the care home I have no complaints”. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 & 18 The home has robust procedures for handling allegations of adult abuse. Staff were clear on the action to take in the event of this occurring. The home has a complaints procedure which is displayed in the home and is known to staff and service users. Service users are able to raise any complaints or concerns through this procedure or resident’s meetings. EVIDENCE: The home has a complaints policy, which meets the National Minimum Standards and is displayed in the care home. Service user stated that they were confident that they could raise any concerns or complaints with the management of the care home. The home has a whistle blowing policy and a abuse policy which is contained within the home’s procedures manual. There is a copy of the Lincolnshire County Council vulnerable abuse procedure in the care home. Staff have been provided with training in the recognition, prevention and management of abuse. The legal status of all residents is recorded on the individual file. The policy for managing and administration of residents finances was found to have been followed by the registered manager. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 &26 The home is well maintained and decorated and is homely and comfortable, odour free, and was found to be cleaned to a high standard throughout. There are appropriate aids and adaptations provided in the home to maintain residents’ independence. EVIDENCE: A tour of the home included two residents’ bedrooms. Residents who were spoken to confirmed that they were very happy with their rooms and had been encouraged to personalise them. The communal lounges were clean and provided a homely atmosphere. The external garden area of the property is well maintained. All areas of the care home smelt fresh. There was ongoing cleaning being carried out in the home throughout the period of inspection. Staff stated the home was a safe environment in which to work. Residents spoken to confirmed they felt comfortable and safe in the environment. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 &30 The home has a stable workforce who provides consistency of care for residents living in the home. The registered manager takes into account the skill mix of his staff and the dependency levels of residents when planning rotas. The registered manager promotes a safe recruitment procedure, followed by staff induction and training. EVIDENCE: Staffing rotas provided in the pre inspection material demonstrated that the home was meeting the minimum staffing levels with an adequate number of care staff on duty 24 hours a day. Residents confirmed that they felt there was always sufficient staff on duty to meet their personal care needs. They stated call bells are answered promptly. The company has a comprehensive training programme, which includes an induction. Staff records showed that they had received regular supervision and appraisal sessions. Each staff member’s file contains a development plan, which highlights his or her training needed. Records and staff comments confirmed that training had taken place as planned, this included; adult protection, manual handling, fire safety, health and safety and basic food hygiene. The register manager confirmed that staff had received training by an outside agency in the administration and management of medication. He stated that a yearly training programme has been written which links into their supervision and appraisals ensuring that individual staff member ’s development needs are being met. A sample of recruitment records were inspected which provided evidence that the Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 16 recruitment policy of the home, which meets the National Minimum Standards, is being followed. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,36 &38 The home is well run, with good leadership and guidance from the registered manager who has worked for many years in the provision of community care. The health and safety and welfare of residents is promoted. EVIDENCE: The home has an experienced registered manager in post who is supported by a deputy manager. There were no health and safety issues identified during this inspection. Residents stated their satisfaction with the attitude of all staff who they describe as caring helpful people. Staff stated that supervision and appraisals were being provided in accordance with the National Minimum Standards. The registered manager confirmed this information to be correct. Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 18 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x 3 x 3 Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 19 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. 1 Standard OP9 Regulation 13-2 Requirement a lockable facility for the storage of medication for residents selfmedicating must be provided Timescale for action 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Syne Hills DS0000002431.V272392.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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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