Inspection on 13/10/05 for The Anchorage Rest Home

This inspection was carried out on 13th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Anchorage Rest Home 21/07/08

The Anchorage Rest Home 18/09/06

The Anchorage Rest Home 05/05/05

The Anchorage Rest Home 09/02/05

The Anchorage Rest Home 18/05/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Anchorage Rest Home Coombelands Lane Pulborough West Sussex RH20 1AG Lead Inspector Mr E McLeod Announced Thursday, 13 October 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 Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Anchorage Rest Home Address Coombelands Lane, Pulborough, West Sussex, RH20 1AG 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) 01798 872779 Rhymecare Limited Mrs Sheila Marion Wyatt Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 30 Both of places The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5.5.05 Brief Description of the Service: The Anchorage is a Care Home registered to accommodate up to thirty service users in the category of older persons over the age of 65 years, not falling within any other category. The property is detached and is situated near Pulborough in West Sussex. Accommodation is provided on ground and first floor levels, and there is a passenger lift.The registered provider is Rhymecare Limited, for whom the responsible individual is Mr Nick Wyatt. The registered manager is Mrs Sheila Wyatt. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to update the assessments made at the previous inspection. The inspection lasted 4.25 hours. The inspector spoke with seven residents, five members of staff, and the registered manager. Four comments cards from residents, and two comments cards from relatives or friends were also received by the Commission. A partial inspection of the premises was made, and a number of policies, procedures and records were sampled. Five sets of care plans and two sets of staff records were also sampled. What the service does well: What has improved since the last inspection? One bedroom has benefited from a new en-suite toilet and shower, and an additional sluice has been provided. A risk assessment audit has led to improvements in the safety of the home and the home’s procedures. New policies and procedures and draft questionnaires have been produced to elicit the views of residents and their relatives and friends on how the home is The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 6 meeting its’ objectives. A review of activities provided for residents is being carried out. A change in catering arrangements has led to more fresh ingredients being used in cooking. 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 Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 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 The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 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) 3, 5, 6 Arrangements are in place to ensure that the home is admitting only residents whose needs can be met by the home. EVIDENCE: Three sets of pre admission assessments were sampled. The inspector was shown a new format for writing up pre-admission assessments which is being introduced in the home. Examples of the opportunities taken up by prospective residents to visit the home and have respite or trial stays before admission were noted, and the admissions process was discussed with registered manager Mrs Wyatt. The home does not provide planned intermediate care. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 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 Residents have an individual care plan agreed with them which details the care and support they will be receiving in the home. Where health needs are being identified, staff are assisting residents to access and receive treatment. EVIDENCE: Five sets of individual care plans were sampled by the inspector, and it was noted that care plans are being updated on a regular basis. Medication assessments were in place where a resident holds their own medication. Staff interviewed said that the content of care plans was discussed with residents, but that some residents said they did not wish to sign the care plan. Residents do not at present receive a copy of their care plan, but Mrs Wyatt said a copy can be made available to the resident on request. Care plans and discussion with residents indicated that residents are being assisted to access health care services they are in need of such as chiropody, district nurses, GPs, and sensory impairment services. Assistance can be providing in assisting residents to arrange transport to hospital or surgery, as transport for this is not provided directly by the home. A GP and a district nurse were visiting the home on the day of the inspection. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 10 Residents interviewed said that staff treated them with respect, and their wishes and privacy were being respected. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 15 Residents find routines in the home reasonably flexible, and say that the quality of meals provided is good. EVIDENCE: Residents interviewed said that routines in the home were reasonably flexible, and adjustable to their individual needs. Care plans seen indicated that some residents are independent enough to make use of facilities in the local community. Residents interviewed also referred to communion being held once a month in the home. Mrs Wyatt said that she planned to consult with residents about what activities would be of most interest to them that could be provided in the home. Facilities at present include theme days, for which a programme for the year ahead was seen, a visiting library, videos and DVD. Mrs Wyatt has also advised the Commission of three activity clubs in Pulborough that can be accessed by residents. Residents interviewed also that friendships developed within the home are an important contributor to their quality of life. Menus seen indicate that there is a choice of meals for residents, and that a balanced diet is being provided. Catering staff said that a change of catering The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 12 arrangements was resulting in more fresh produce being used in cooking. All residents interviewed said they enjoyed the meals provided. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 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) 18 The adult protection procedures in the home should be updated to further ensure residents will be protected. EVIDENCE: Training records indicate that training in adult protection is being arranged for staff, including training provided in the home. Mrs Wyatt said that the adult protection procedures in the home have not yet been updated to include reference to the local authority’s role in adult protection referrals, and the provider’s responsibility to refer staff for inclusion on the Protection of Vulnerable Adults (PoVA) register where applicable when an incident has taken place. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 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, 20, 21, 22 Residents are living in a clean and well maintained environment, which is homely and furnished to a good standard. EVIDENCE: The grounds, garden, and premises are being maintained in good order, and the house is brightly decorated, furnished to a good standard, and homely. Improvements to the service have included the addition of en-suite facilities to one more bedroom, and extra sluice facilities. The communal sitting rooms are arranged on the ground floor and close to the dining room, and there is good access to the garden which some residents said they enjoyed using during good weather. There is good provision in the home for washing, bathing and toilet facilities, and these were noted by the inspector to be clean and hygienic. Residents interviewed said that the home was being kept clean. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 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 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) 29, 30 Arrangements for careful staff recruitment and for staff training are in place. EVIDENCE: Mrs Wyatt has advised that 3 of the 17 care staff employed hold the National Vocational Qualification (NVQ) in care at level 2, that 3 care staff are due to complete NVQ2 by December 2005, and 3 care staff are awaiting a date to commence NVQ training. Records of staff training sampled indicated that training is being provided in core health and safety topics. Three sets of staff recruitment records were sampled, and were seen to include the required checks and references. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 16 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) 36, 37, 38 Health and safety checks and risk assessments are being carried out to ensure the environment and procedures are safe for residents. Formal supervision for staff should be commenced. EVIDENCE: The provider has advised the Commission of fire safety inspections, equipment checks, drills and training which have taken place. We have also been advised of electrical, central heating, and other systems and equipment checks which have taken place. Records of a risk assessment audit carried out in June 2005 were seen, and Mrs Wyatt advised that improvements to safety had been carried out in response to the assessments made. The provider has advised the Commission of required policies, procedures, and codes of practice which are held by the home. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 17 Mrs Wyatt has advised the Commission that the home does not handle the finances of residents or provide advice to residents on their financial affairs. A system for reviewing staff progress has been commenced, and this will assist in identifying the training and development needs of staff. Mrs Wyatt said that regular one to one supervision for all staff was planned but not yet in place. New policies and procedures and draft questionnaires have been produced to elicit the views of residents and their relatives and friends on how the home is meeting its’ objectives. The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A 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 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 x x x x x 2 3 3 The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 19 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 18 Regulation 13.6 Requirement Adult protection policies and procedures should be signed, dated, and include advice to staff on the referral of incidents to the local authority social and caring services, and to the referral of staff who have put residents at risk or harmed them to the Protection of Vulnerable Adults register Timescale for action 9.12.05 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 36 Good Practice Recommendations Care staff should receive formal supervision at least six times per year The Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Anchorage Rest Home H60-H11 S14767 Anchorage V246210 131005 Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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