Inspection on 30/11/05 for The Adelaide

This inspection was carried out on 30th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 17/06/05

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 Adelaide, The Adelaide Place Ryde Isle of Wight PO33 3DQ Lead Inspector Annie Kentfield Unannounced Inspection 30th November 2005 11.00 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 Adelaide, The DS0000032184.V250855.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. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Adelaide, The Address Adelaide Place Ryde Isle of Wight PO33 3DQ 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) 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) Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 persons between and including the ages of 50 to 65 years may be admitted for intermediate care. 22nd August 2002 Date of last inspection 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 it is managed overall by the registered manager. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection in the inspection year and took place over four hours during the morning and afternoon. The inspection covered discussion with some of the residents and staff and the registered manager, and looked at a sample of the home’s records. A tour of the premises was also undertaken. At the time of the inspection there were 17 people resident for respite or rehabilitative care and 12 people using the day care service. Inspection comment cards were left during the inspection and four were returned; all with positive comments about the service. What the service does well: What has improved since the last inspection? There is an ongoing programme of maintenance and refurbishment. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 6 The home offers facilities for a number of local groups to meet, including a carers group; any residents using the respite care service can join these groups if they want to. 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. Adelaide, The DS0000032184.V250855.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 Adelaide, The DS0000032184.V250855.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): Standards 3, 4 and 6 were assessed at the last inspection. None of these standards were inspected on this occasion, as there have been no changes to the Statement of Purpose, Service User Guide or the systems for assessing the care needs of potential service users. EVIDENCE: Adelaide, The DS0000032184.V250855.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): 8 and 11 (The other standards were assessed at the previous inspection) Two service users who were spoken to individually were satisfied that the service was meeting their particular healthcare needs. Where the need arises, the manager is able to access the appropriate palliative care services and the manager and care staff are clear that service users and their families always receive sensitive care and support in whatever way they choose. EVIDENCE: The individual care plans identify the particular health care needs of people using the respite care and rehabilitative service and people using the service maintain contact with their own GP’s or can see a local GP on a temporary basis. The District Nurses hold a twice- weekly clinic in the Adelaide and there is also a regular continence clinic. The Adelaide has a dedicated treatment room. The aim of the respite care provided is to maintain service users’ independence for when they return to their own homes. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 10 The health care in the rehabilitation unit is provided by a multi-disciplinary team including occupational therapists and physiotherapists and is supported by the care staff in the Adelaide according to individual care plans. Service users are encouraged to maintain whatever usual routines they have for managing their own medication. Where palliative care is needed for someone using the respite care service, families are encouraged to stay in the home with their relative if they wish to, for however long they want to be there, and the manager is always available to come in at any time of the day or night to support relatives, and staff on duty. Adelaide, The DS0000032184.V250855.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): These standards were assessed at the previous inspection. EVIDENCE: Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 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 the following standard(s): 17 and 18 (Standard 16 was assessed at the previous inspection) People using the respite care service or the rehabilitation unit stay in the home for short periods of time. Staff are aware of the policies and procedures for protecting vulnerable adults. EVIDENCE: In discussion with staff in the home, it was evident that there is a clear policy that staff do not get involved in service users financial affairs, and this also precludes staff from any action that involves service users’ financial or legal affairs such as witnessing documents. People using the respite care service who need any kind of advocacy would be referred to their care manager for assistance. In discussion, it was recommended that the manager review the policies and procedures to check and ensure that this is a written policy for staff. There is also a clear written policy that precludes staff from accepting gifts or hospitality from service users. The home can look after small amounts of money or valuables while service users are staying for respite and these are kept in the safe and all monies are recorded and receipted by the administrator. The manager has recently updated her training in adult protection and the home has had a number of new leaflets on display around the building with information on how to respond to suspected or alleged abuse of vulnerable older people. It is planned that all staff will update their adult protection training when this can be arranged. Staff spoken to during the inspection were confident that they knew what to do if they had any concerns about service users health and welfare. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 13 Adelaide, The DS0000032184.V250855.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 (All of these standards were assessed at the previous inspection) The building is well maintained, decorated and furnished and comfortable in a ‘homely’ way that is suitable for the people using the service. The whole building was very clean and tidy and warmly heated at the time of the inspection. EVIDENCE: People using the service told the inspector that the Adelaide is “lovely” and they “could not fault it in any way”. It is evident that the manager and duty managers oversee all aspects of the running of the home to ensure that a high standard of cleanliness and hygiene is always maintained and there are housekeeping staff employed to meet this. The building is accessible for service users who need assistance with mobility and there is a passenger lift to access the upper floors. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 15 There are smaller private seating areas for service users and attention is given to ensuring that all areas of the building are attractive, comfortable and personalised with flowers, plants and pictures. The main sitting room is divided up with seating to allow smaller social groups and there is an attractive and spacious dining area. All of the bedrooms are single occupancy with space in two bedrooms for wheelchair users or for people who choose to share. Service users said they were very happy with the accommodation provided. Bedroom doors and bathrooms are lockable and all rooms are fitted with televisions and telephones. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 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 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 - 30 There are sufficient numbers of staff employed that are skilled and experienced to meet the needs of the service users. EVIDENCE: The inspector spoke individually to a number of the staff during the inspection and they all said they felt confident that they have sufficient training opportunities to enable them to meet the care needs of the people using the service. During the day there are usually 5 care staff on duty with the manager, duty manager and ancillary staff in addition. During the afternoons, one member of staff has the responsibility for organising social and leisure activities for service users. Systems for running the home are efficient and there is good communication between staff at all levels with regular meetings and supervision. The turnover of staff is low and the manager and many of the staff have worked in the home for some years enabling a good continuity of care for the service users. Staff spoken to said they enjoyed their work and particularly enjoyed working in The Adelaide, it was evident that staff felt valued and supported and feel they are providing a valuable service that is appreciated by the service users. There is an ongoing programme of staff training that includes all aspects of safe working practice, NVQ training, and training in specialist areas of the conditions associated with older age. The duty managers have a training programme in NVQ, management, and medication. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 17 The duty managers explained that the supervision of staff is delegated and they each have a number of care or ancillary staff that they are responsible for. The duty managers also ensure that they talk to each service user at least once every day and that they monitor each service user regularly while they are receiving respite care. The recruitment of staff is managed by the Local Authority and records show that sufficient information is kept in the home to record that all checks are carried out on new staff before they start working in the home. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 18 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 and 32 (All of these standards were assessed at the previous inspection) The service is very well managed and comments from service users and staff demonstrate that the home is run in the best interests of the service users. EVIDENCE: The registered manager is experienced, skilled and qualified and has recently completed the required units to give her an additional management qualification; the NVQ 4 registered manager award. In addition, there is a commitment to professional training and development for the team of duty or deputy managers. During the inspection it was evident that the manager and staff know all of the people using the service, by name, and are experienced and knowledgeable about the individual care needs of everyone using the service. Some of the service users spoken to in a group in the sitting room made it clear that they Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 19 always enjoy staying at The Adelaide and look forward to the next time. Service users are given opportunities to feedback their experience of staying in the home and it is evident that these are always noted and acted upon where necessary. The manager and staff have excellent working relationships with other health and social care professionals who are involved in the care of the service users. The service has the advantage of a dedicated team of ancillary staff including an administrator, cooks, housekeeping and laundry staff and also has the services of a maintenance team and gardeners. This is a large service to manage but it is evident that the registered manager has a positive and energetic approach and is skilled in ensuring that systems are in place to run the home in the best interests of the people using the service. There is a constantly changing group of people using the service and the management team and staff are skilled in ensuring that they are able to meet the very different care needs of a large number of service users. A range of records were inspected including the accident book, fire safety records, recruitment records and equipment servicing records, and all were in good order and up-to-date and available for inspection. Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 20 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 4 X X X X X X X 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 4 X X X X X X Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 21 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. 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. Refer to Standard Good Practice Recommendations Adelaide, The DS0000032184.V250855.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW 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. 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