Inspection on 17/06/05 for The Adelaide

This inspection was carried out on 17th June 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

The Adelaide 10/10/08

The Adelaide 12/10/06

The Adelaide 30/11/05

The Adelaide 20/01/05

The Adelaide 15/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Adelaide Adelaide Place Ryde Isle of Wight PO33 3DQ Lead Inspector Annie Kentfield Unannounced 17th June 2005 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. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Adelaide Address Adelaide Place, Ryde, Isle of Wight, PO30 2EA 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) 01983 568621 01983 568622 Isle of Wight Council Mrs Susan Gibbs Care Home 24 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (24), of places Physical disability over 65 years of age (2). The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 3 Persons between and including the ages of 50 to 65 years may be admitted for intermediate care. Date of last inspection 20/01/2005 Brief Description of the Service: The Adelaide is a Local Authority owned, purpose built resource centre situated in a pleasant residential area of Ryde and is close to local shops and buses. The complex includes sheltered housing, day care services and residential respite and rehabilitation care. The Commission regulates and inspects the respite care unit that is registered for up to 24 older people (including 6 places in the rehabilitation unit that is registered to also accommodate 3 people over the age of 50). The Day Care Service is not inspected although staff in the unit work in both day care and residential care and is managed overall by the registered manager. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place in the afternoon/early evening. The inspector spoke to 8 of the residents and 4 members of staff, including the registered manager. The inspection included a tour of the premises and looked at a number of records. At the time of the inspection there were 20 residents and 14 people using the day care service. Usually, people use the service for planned periods of respite either offering a break for carers or providing a break for people who otherwise live in their own homes. The rehabilitation unit has separate accommodation and facilities and is managed in liaison with the relevant health and social care services for periods of dedicated treatment and rehabilitation. Some of the residents were using the respite service for the first time and others had stayed in the home on previous occasions. All of the people spoken to were very positive in their comments (“smashing”, “wonderful”, “marvellous”) about the service and it was evident that all aspects of the service provided met the expectations of the people using it. Comment cards with stamped, addressed envelopes were left in the home for service users and/or visitors to complete and return to the Commission if they wished. A number of information leaflets about the role of the Commission were also left for service users and visitors. What the service does well: The building is accessible, well maintained and spacious and there is a wide range of communal rooms and garden areas for the use of people using the residential respite service or the day care service. The service is well managed with a good staff team; some of the staff have worked in the home since the service opened 20 years ago. The friendly and relaxed atmosphere was commented on by service users and it was evident that the management approach of the home is open, positive and caring. The manager works closely with the community health and social care services to ensure that the home can meet all of the assessed needs of the people using the service and has developed good community links in the local area. Various care groups use the facilities for meetings and the home is also supported by The League of Friends who run a small shop in The Adelaide. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 6 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 Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.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 The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.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) 3,4,and 6 Service users have their care needs assessed for every period of respite care. The Adelaide offers dedicated accommodation and specialised facilities for short-term intensive rehabilitation to enable service users to return to their own home. EVIDENCE: The inspection looked at 3 care assessments/care plans. A new assessment is done for every period of respite care, with the service user, and a new care plan is drawn up and added to any previous care plans. Staff like to give the service user a period of time to settle in before the care plan is agreed. All service users have a risk assessment and an agreement on whether medication is self-administered or dispensed by designated care staff. The philosophy of care in the home is to promote independence and the level of care and support provided by care staff is agreed to maintain independence as much as possible. The manager is very clear about the level of care need that the service can meet and all referrals for respite care require a care management assessment prior to admission. Service users using the rehabilitation unit are separately The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 9 assessed by the appropriate health care services and referred for dedicated treatment and therapy for specific periods of respite care. Care staff spoken to are happy that the care plans provided them with all of the guidance needed to meet the care needs of people using the respite care service. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 - 11 For everyone using the respite care service, the health, personal and social care needs are set out in an individual plan of care. Service users are encouraged to be responsible for their own medication, wherever possible. EVIDENCE: A new plan of care is agreed for each period of respite care. The care plans show that people using the respite care service are able to access the relevant health care services appropriate to their needs whilst at The Adelaide. There is a dedicated treatment room for service users and for use by the local community nurse team. Care staff record daily all care and support given to service users and any changes in care needs are noted. Service users are encouraged to maintain whatever usual routines they have for managing their own medication. Where agreed, medication is dispensed by senior care staff who have received regular training in the safe management of medicines. Staff have access to information and advice from the Community Pharmacist very easily, or will make specific enquiries to the prescribing GP if there are any queries or concerns about medication. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 11 Care staff have regular opportunity to familiarise themselves with information about specific medical conditions or disabilities, particularly those associated with old age. A chiropodist visits the home weekly and transport is available for service users to access appointments with other specialist services outside of the home, if required. The home has a clear policy that no-one enters private rooms without the permission of the service user and all doors to bedrooms and bathrooms are lockable. Every bedroom has its own telephone and service users are charged for any calls made when they leave. Service users spoken to confirmed that care staff always respect their wish for privacy and choice in all aspects of daily living activities in the home. A laundry service is provided during periods of respite care. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 - 15 Daily life and social activities in the home are flexible and informal. All meals are prepared and cooked on the premises by dedicated staff and served in the dining room. Service users are able to have visitors or friends visit as they wish. EVIDENCE: Service users expressed their satisfaction with the meals provided and all dietary needs are catered for by the catering staff. Soft drinks are available throughout the day. There is a daily menu posted in the main entrance with choices and alternative meals available as required. Service users spoken to during the inspection felt that The Adelaide offers a good variety of entertainment and activities with trips and outings also arranged on a regular basis. Some of the service users prefer to spend time in their rooms knowing that the opportunity to socialise is always available to them. The rehabilitation unit has its own dining room and lounge and there are a number of other communal sitting rooms and smaller lounges where service users can meet with friends or relatives if they wish to. In the warmer months there are additional seating areas in the gardens that service users and visitors can use. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 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 standard(s) 16 There is a complaints procedure and all complaints are taken seriously and responded to promptly and the outcome recorded. EVIDENCE: There have been no complaints since the last inspection but the manager has previously demonstrated that any complaints are dealt with appropriately and records kept. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 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 standard(s) 19 - 26 The home is safe, accessible and well maintained. There are sufficient toilet and bathing facilities for the service users and the home is clean, pleasant and hygienic. EVIDENCE: The home is purpose built and meets the needs of all the service users in a comfortable and homely way. There is a programme of routine maintenance, renewal and decoration provided by the Local Authority and the grounds are tidy, safe, attractive and accessible to all service users. All bedrooms are single with the exception of two; for people who choose to share or where additional space is required. The bedrooms are grouped around a shared bathroom and toilet (one for every three bedrooms) and all of the bedrooms have a wash-hand basin. There is a passenger lift to access the first floor rooms. Bedrooms are carpeted and furnished sufficiently and attractively and all have their own television and overhead and bedside lighting. The manager explained that all rooms are regularly checked and any decoration or refurbishment required is noted and included in the maintenance The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 15 programme. There is a call alarm facility and pendants are available for those who require them. The sitting room, dining room and reception area has a hearing loop facility. The home has dedicated housekeeping staff who work shifts up until 10.00 pm and dedicated laundry staff. The premises were very clean, tidy and free of unpleasant odours. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 16 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 - 30 There are sufficient numbers of staff employed that are skilled and experienced to meet the needs of the service users. EVIDENCE: The Adelaide employs 19 care staff and 18 ancillary staff and 80 of the care staff have achieved at least the NVQ level 2 in care. As well as the registered manager there is a team of duty managers who are on duty every day in shifts between 7.30 am and 10.15 pm. The registered manager maintains an overview of care staffing levels to meet the different levels of care required for the people using the respite care service, the rehabilitation service, and the day care service. This requires a high level of knowledge and skill and the evidence from both service users and staff is that the home is efficiently and well managed for the benefit of the service users at all times. There is an ongoing programme of staff training and development with dedicated regular times for staff supervision. The staff team is committed and constant and staff turnover is very low. Staff spoken to expressed commitment and enthusiasm for as much training as possible. Some of the staff have worked in the home since it opened – 20 years ago, and clearly enjoy working in the home and with the service users. It was noted that staff spend a lot of time with the service users and the manager explained that staff are positively encouraged to use time in the afternoons and evenings for this. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 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 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 - 38 The registered manager is qualified, competent and experienced and the home is run in the best interests of the service users. The management approach of the home creates an open and positive atmosphere. EVIDENCE: The registered manager has worked in the home for 18 years and has considerable experience and relevant qualifications. In order to meet the National Minimum Standard, the manager is currently enrolled to complete the necessary units to achieve the NVQ level 4 Registered Manager Award and already has other care and management qualifications. The manager is committed to regularly updating her professional training and development in specific areas relevant to her role. It was evident that the manager communicates clearly with service users and staff and there were numerous letters and cards thanking the manager and staff for their work from service users and their relatives. Service users are The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 18 asked to complete a satisfaction questionnaire after every period of stay and comments are noted and acted upon where appropriate. There are clear lines of responsibility within the home and regular inspections are made by the representative of the Local Authority (the registered service provider). The home operates a thorough staff recruitment procedure in liaison with the Local Authority personnel department including all of the required reference and criminal record bureau checks. Records inspected during the course of the inspection were properly maintained and securely kept to maintain confidentiality. All staff have received training in health and safety procedures for safe working practice and the manager has just completed a new health and safety audit of all working practice in the home with guidance from the Local Authority Health and Safety Advisor. The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 19 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 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 4 3 3 3 4 3 4 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 Standard No 16 17 18 Score 3 x x 3 4 3 x x 3 3 3 The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 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 The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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 The Adelaide H55-H04 S32184 Adelaide V218239 070605 Stage 4.doc Version 1.30 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!