Inspection on 21/07/08 for The Anchorage Rest Home

This inspection was carried out on 21st July 2008.

CSCI found this care home to be providing an Good service.

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 Anchorage Rest Home 18/09/06

The Anchorage Rest Home 13/10/05

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE The Anchorage Rest Home Coombelands Lane Pulborough West Sussex RH20 1AG Lead Inspector Liz Palmer Unannounced Inspection 21st July 2008 09:50 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 The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 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. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 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 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) 01798 872779 rhymecare@care-homes.org Rhymecare Ltd Mrs Sheila Marion Wyatt Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (0) of places The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only – (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP) The maximum number of service users to be accommodated is 35. Date of last inspection 18th September 2006 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 DS0000014767.V367750.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection included a site visit to the home over a period of just over four hours. During this time three staff were interviewed and the assistant manager and registered manager assisted with the inspection. Three residents and one were met and spoken to privately. Care plans, medication records, policies and staff records were sampled. Other information used to make judgements about the standard of care in the home included the home’s Annual Quality Assurance Assessment (AQAA) that they completed and returned to us. The last Annual Service Review of the home. We also looked at seven surveys that residents returned to us, the last key inspection report and other information received by us since the last inspection including notifications of any events in the home. What the service does well: What has improved since the last inspection? The home has worked on improving care plans. New training has been introduced. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 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 The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People who use the service experience good quality outcomes in this area. People who use the service are assessed to ensure that only those whose needs can be met are admitted to the home. Standard 6 does not apply. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA states that a pre-admission assessment is undertaken before each admission. Followed by an intensive assessment period once someone moves in. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 9 Three pre-admission assessments were sampled. They all included full details of care needs and other relevant information about the person including their medical history, mental health needs, care needs, religious preferences, hobbies and interests, next of kin and the general practitioners (GPs) name and address. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. People who use the service have their health and personal care needs met. Arrangements are in place for the safe handling of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were sampled. These are drawn up from the initial assessments. The care plans contain detailed information and are kept under regular review and changes are made as necessary. There was written evidence that medical assistance is sought when needed and residents confirmed they can ask to see a doctor if the need to. They said they felt well cared for and in safe hands. The administration, storage and recording of medication were observed during lunchtime. The medication trolley was seen to be suitably secure, clean and The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 11 organised. No errors or omissions were seen on the records. The home uses a weekly blister pack system delivered by a local pharmacy. The member of staff administering has completed a course in safe handling of medicines and was knowledgeable and competent. She said only senior staff who have been trained administer the medication. Residents said they were confident that ‘everything was taken care of’ in this area. Arrangements are in place for those residents who wish to look after and administer their own medication. Risk assessments are in undertaken as necessary for this. The residents spoken to said they are treated with respect by staff that are always ‘polite’. They felt their privacy is respected and their dignity upheld when receiving personal care. Staff were observed on the day speaking in a polite and friendly way to residents. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience adequate quality outcomes in this area. People say they do not have enough activities in the home. Not everyone is satisfied with the food provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Few organised activities are available in the home. Three of the seven surveys said that there were not enough activities arranged by the home and people spoken to on the day confirmed this. There is no programme of activities on offer. The manager stated that when activities are offered residents do not want to join in. She stated that they have busy lives with lots of visitors and their own hobbies. The AQAA states that they ask residents what they would like to have provided and they have arranged these whenever possible. There was no evidence available to show that they had consulted people and acted on what they said. Written evidence of some activities offered, for example, The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 13 outside entertainers have proven to be popular and well attended. This type of entertainment is provided occasionally. People are encouraged and supported to pursue their own hobbies and remain independent as far as possible. Residents said their visitors are welcome and some residents have their own telephones to enable them to keep in touch with friends and family. They said visitors can have lunch in home and one visitor spoken to on the day said he was always made welcome and never felt in the way. A new area where residents can have a private lunch with their visitors has been created. Views on the food provided in the home were mixed. Five of the seven surveys were slightly critical of the food provided. Some said it depended who the chef was. The manager agreed that there were ongoing issues with the food and they were in the process of dealing with this through the catering company that they use. Lunchtime was observed to be calm and relaxed. Residents said there are always three choices and the helpings are generous. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. People who use the service are able to complain and are protected by the home’s policies for safeguarding them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is displayed in the home. Residents spoken to say they know how to make a complaint and feel that any concern they may have would be dealt with by the staff or the manager. Residents were observed making requests and expressing their views during the inspection. There was an open and relaxed atmosphere in the home. A record of complaints was seen and showed that the home records and addresses issues raised. Staff were asked about the homes procedure for safeguarding adults. They have received training and were confident about their responsibilities if they suspected any abuse or were told of any. There are no ongoing safeguarding issues, however a recent incident shows that the home is aware of it’s responsibilities in this area and responds quickly and in line with procedure thus promoting the safety and protection of residents. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 15 The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience excellent quality outcomes in this area. People who use the service benefit from a clean and homely environment, which is well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inside and outside of the home are maintained to a high standard. There is a routine maintenance programme and a rigorous cleaning schedule. Residents say their rooms are cleaned regularly and staff were seen to be wearing suitable gloves and aprons. Risk assessments are in place to promote the health and safety of residents and staff are trained in issues relating to The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 17 health and safety. Residents commented on the high standard of hygiene promoted in the home. The AQAA states that policies and procedures are in place in relation to infection control, clinical waste, fire safety and environmental health. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. The arrangements for recruiting staff protect the people who use the service. The training and support enables staff to carry out their roles confidently and competently. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection there were suitable numbers of staff on duty to attend to the needs of service users and spend time with them socially. Residents spoken to said there were enough staff on duty during the day and night to meet their needs. They said call bells were answered promptly. Staff were observed interacting in a positive and respectful manner. The staff spoken to during the inspection were confident and competent at their jobs. They spoke confidently about the needs and preferences of service users. They said there is on going training provided including mandatory courses such as, first aid, food hygiene, infection control, health and safety, safeguarding adults and fire training which are provided to all staff. Comments such as ‘the training is great’ and ‘I really enjoy the training’ were made. Staff turnover is low and The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 19 moral is high at this home. The home has over 50 of its staff having or working towards NVQ level 2, or above. The home operates a robust recruitment procedure. The recruitment file of three new staff members was looked at. These contained the records required to meet the standards. For example; an application form, two suitable references, a criminal record check and a protection of vulnerable adults check. New members of staff undergo a ‘skills for care’ induction programme. The home rarely employs agency staff. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. People who use the service benefit from the home being well managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has many years of experience and is registered with the Commission. Residents spoke highly of the management of the home and said they felt it is well run and they are in safe hands. There is a clear line management structure and staff say they feel well supported and all ‘work as a team’. They have confidence in the manager and their colleagues. The home The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 21 undertakes their own quality assurance; this includes questionnaires to residents and staff. They say they act on the things that people tell them, however, a quality assurance has not been undertaken since 2006. Regulation 37 notices are sent to the Commission with regard to significant events in the home and the policy for reporting safeguarding is in place and accessible to staff. The home does not hold cash for any residents; their relatives or power of attorney supports those who require assistance. Staff said regular testing of the fire alarms takes place and records relating to servicing of equipment including the home’s lift was sampled and found to be up to date. The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 22 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 23 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 OP12 Regulation 16 Requirement After consultation with the people who use the service the home must provide them with a programme of social and recreational activities. Timescale for action 30/09/08 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 The Anchorage Rest Home DS0000014767.V367750.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000014767.V367750.R01.S.doc Version 5.2 Page 25 - 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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