Inspection on 18/07/05 for Syne Hills

This inspection was carried out on 18th July 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

Syne Hills 12/01/09

Syne Hills 29/11/07

Syne Hills 01/08/06

Syne Hills 01/02/06

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 Lincs PE25 3DJ Lead Inspector Ken Hague Unannounced 18 July 2005 @ 8am 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. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Syne Hills Address Syne Avenue Skegness Lincs PE25 3DJ 01754 764329 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) Mrs Jean Sweeney Mr Christopher Sweeney PC Care Home Only 35 Category(ies) of LD - Learning Disability - 2 registration, with number OP - Old Age - 33 of places Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15 December 2004 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 C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a seven-hour period. A tour was made of the care home and care records and other documents were inspected. There were two members of staff formally interviewed. The main method used is called “case tracking” this involves selecting three service users and tracking the care they receive. This was done through the checking of records, discussion with them, the care staff and observations of how care was delivered. Discussions were held with the registered manager. Two visits were made as the Inspector had to attend an urgent meeting on the afternoon of the first day. The first day of inspection was made on the 27th of July and the second follow up visit was made on the 1st of August. What the service does well: What has improved since the last inspection? What they could do better: The records for staff supervision provided evidenced that only work related supervision was being provided. Staff were given tasks to carry out during their supervision. The supervisor then gave feedback whether this task had been carried out competently. There was no written evidence of personal development being discussed during supervision. The home is required to provide all staff with formal supervision at least six times per year. The record of formal supervision should contain evidence of discussions relating to the personal development of individual staff members. It should include agreed goals and objectives identified at the annual appraisal. Supervision should be used as a regular review of progress made towards specific goals. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 6 The home carries out checks on residents during the night period. It is recommended that night staff record these checks in the care records. 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 C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 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 Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 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) 1,3,6 The admission process enables service users to make an informed choice about coming to live at the care home. The assessment provides information to staff to enable them to meet the care needs of individual service users. The home does not offer intermediate care services. EVIDENCE: A statement of purpose which meets the National Minimum Standard is displayed in the care home. Service users confirmed that they were shown the document prior to them being admitted to the care home. The care records viewed as part of this inspection all contained a detailed initial assessment carried out before the service user was admitted. The manager stated that intermediate care is not offered by the care home. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 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) 7,8,10 The health and social care needs of individuals money are met, records evidenced service users are treated with respect. EVIDENCE: Records provided evidence that a detailed care plan was written after an initial assessment. The care plan sets out the care, social and health needs of each individual resident and details were recorded of opticians, district nurses, consultant and chiropodists visits. On each resident’s file there was a record of when they last saw the optician, dentist, GP and where appropriate, chiropodist. The individual residents wishes regarding the action to be taken in the events of their death is recorded. All files contained details of the medication at the time of admission and an updated statement of medication being provided at the present time. One resident recently admitted required his wound dressing by a district nurse. Arrangements were completed to register him with a GP. A district nurse visited on the second day of his stay in a home to dress the wound. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 10 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) Not inspected EVIDENCE: Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 11 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) 16,17,18 There are robust procedures in place for the management and handling of any complaint and any alleged incident of abuse. Staff are clear on what action to take to protect residents and report concerns or suspicions of abuse. Residents are confident in being able to make a formal complaint or raise concerns with any member of the management team. EVIDENCE: The home has within its procedures manual a complaints policy and adult protection policy which meets the National Minimum Standards. Staff were able to discuss these procedures in their interviews. They confirmed that they had been provided with training in the recognition and management of abuse. The complaints procedure is displayed in the reception area of the home. Service users stated that they were able to raise concerns with members of staff or the management if they were unhappy. One service user stated they would be confident to use the formal complaint procedure, but they did not feel this would ever be necessary. The discussions with the registered manager confirmed that the home has in place a policy to ensure that the legal status is recorded for service users ensuring that their legal rights are protected. A sample file inspected contained evidence that the service user was the subject to a power of attorney order. A service user stated “the home is very comfortable to live in and I feel very safe”. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 12 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) Not inspected The Inspector made a tour of the home with the registered manager, but did not formally inspect the standards. The home was seen to be clean and free from any offensive odour. EVIDENCE: Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 13 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) 27,28,29 and 30 There is always sufficient staff on duty to meet the identified needs of each resident. The home is a safe environment in which residents can live and staff carry a out their employment. The registered manager is following the recruitment policy of the home which ensures no new members of staff are employed who could endanger the safety of service users. EVIDENCE: The staff stated there is always sufficient staff on duty to meet the needs of service users. Service users stated that staff are always around to help them and they do not have to wait for assistance. The staffing rota provided evidence that staffing levels have not been reduced since April 2002. Staff confirmed that they are given sufficient warning of future shifts. They confirmed that staffing levels are always maintained. In addition to staff on the duty rota the proprietor and the registered manager can assist in times of crisis. Staff stated they felt safe working in the care home. Service users stated the home is a safe place in which to live. The inspection of the recruitment records provided evidence that the homes recruitment policy was being followed and the Care Home Regulations were being met. The registered manager provided evidence of the planning of ongoing training. He stated that the training needs of the individual staff are identified at their appraisal. The home is registered to take service users with dementia. Staff have not been provided with training in understanding the needs of service users with dementia. The Registered Manager showed the Inspector plans to introduce a new training system in August 2005. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 14 This will ensure that this training will be provided alongside other specialist training. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 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) 31,35, 36&38 An experienced proprietor and registered manager manages the home. Staff find the management team very supportive. Staff are not being supervised in accordance with they National Minimum Standards. The home has a health and safety policy which is being followed by all staff. EVIDENCE: The manager was registered successfully on 15/07/05. A tour of care home identified no environmental issues. The home was clean and free of any offensive odour. The home has an infection control policy which staff were able to discuss at their interview. Service users are provided with a satisfactory environment. There are procedures within the homes procedure manual to ensure that the financial interest of service users are safeguarded. The staff were able to describe these procedures to the Inspector. Staff are receiving work supervision, but there was no evidence of personal development supervision been provided and recorded. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 16 Staff stated that all managers are supportive and encourage them to take advantage of training. The inspection of personal files provided evidence that not all staff were receiving supervision at a planned frequency. One member of staff had only received one supervision in 2005.The Inspector recommended to the registered manager that he reviewed his procedures to ensure that supervision is carried out at regular intervals over the year. He also recommended that the registered manager should ensure evidence of discussions on the personal development of staff are recorded and linked into annual appraisals. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 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 3 x 4 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x x x 3 2 x 3 Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 18 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 30 Regulation 18 Requirement The registered person must ensure that persons employed at the home received training appropriate to the work which they perform. Timescale for action November 05 2. 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. 2. Refer to Standard 7 36 Good Practice Recommendations It is recommended that night staff ensure night checks are recorded one care records. This should include any action taken to assist a service user during the night-time period. The registered person must ensure that persons working at the home are properly supervised. Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Syne Hills C53 C04 S2431 Syne Hills V238780 18-7-05 Stage 4.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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