Inspection on 27/10/05 for The Chimneys

This inspection was carried out on 27th October 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 Chimneys 07/12/06

The Chimneys 18/05/05

The Chimneys 26/01/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE St Oswald`s Rest Home 1 Station Road Alford Lincolnshire LN13 9HY Lead Inspector Kima Sutherland-Dee Unannounced Inspection 27th October 2005 09:05 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 St Oswald`s Rest Home DS0000062493.V260575.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. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Oswald`s Rest Home Address 1 Station Road Alford Lincolnshire LN13 9HY 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) 01507 462789 Miss Victoria Jacklin Mr Philip Taylor, Mrs Annette Jacklin, Mr Hugh Jacklin Miss Victoria Jacklin Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (11) 18th May 2005 Date of last inspection Brief Description of the Service: St Oswalds is situated close to the centre of the market town of Alford. Service users confirmed that all the towns amenities are within walking distance of the home. The property is on a recognised public transport route. The building is a detached two-storey property that is sited in a predominantly residential part of the town. The front garden is paved to make it accessible to service users. There is a garden to the rear with car parking spaces for two cars. Accommodation for service users is on two floors. Access to the first floor is by stair lift. There is a lounge and a lounge-cum-dining room on the ground floor. The home is registered to accommodate 11 older people in 9 single and 1 double room. It is a family owned business, which aims to provide personal care for service users over 65. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 1 morning and involved speaking with all the residents, the manager and the staff as well as a tour of the home and a review of a sample of the records. What the service does well: What has improved since the last inspection? The records kept at the home have continued to improve. The upstairs bathroom has been upgraded to a high standard and two new residents bedrooms are decorated and furnished. Staff are now formally supervised and these sessions are recorded. The home now has a protocol for staff when they are giving medication ‘as required’. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 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. St Oswald`s Rest Home DS0000062493.V260575.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 St Oswald`s Rest Home DS0000062493.V260575.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): 5 The home is welcoming for prospective residents and enables them to make an informed choice. EVIDENCE: One resident moved to the home in the last few weeks and they and their family were able to visit before the move. The manager and staff are happy to show prospective residents around the home and to answer their questions about the facilities and routines. St Oswald`s Rest Home DS0000062493.V260575.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): 9 The home does administer medication effectively and safely, taking into account the needs of each resident. EVIDENCE: 3 residents are responsible for administering their own medication and they have secure facilities for doing this safely. The pharmacist recorded that they were satisfied with the procedure at their last inspection. Risk assessments have been completed. The manager felt that this was an improvement in the resident’s independence and all 3 of the residents agreed that they valued this opportunity. This is kept under review and recorded. The staff now have clear guidelines in the medication file for administering medication ‘as required’. The file also contained information sheets for every medication kept at the home. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of the standards were assessed at the previous inspection and there have not been any significant changes. The residents continue to be extremely satisfied with the care at the home and with the food that is provided. EVIDENCE: St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 The home protects the resident’s legal rights and has all the procedures in place to deal with any complaints. EVIDENCE: The home has a complaints policy and the 4 residents asked were confident that they could raise any issues with the staff and manager. The complaints policy is included in the service user guide. Minutes form the residents meetings show that issues are raised and dealt with satisfactorily. There is a document where any complaints could be recorded but none had been received. The manager is aware of the advocacy service and they have previously contacted a solicitor for 1 resident. Residents can meet their legal representatives in private. The home offers all the residents the opportunity to vote and they are willing to accompany residents to the polling stations or to arrange postal voting. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,23 The home provides suitable toilet and washing facilities and the residents bedrooms are comfortable, warm and individual. The upstairs windows require restrictors to limit their opening. EVIDENCE: During a tour of the home the inspector saw that there were adequate toilet and washing facilities for all the residents and these are of a clean and comfortable standard. The upstairs bathroom has been redeveloped since the last inspection and it now offers a comfortable and pleasant area for bathing. The toilets and bathrooms are clean and fresh with no odour. A sample of the residents bedrooms were seen and they are personalised and comfortable. The manager stated that there are 5 left to decorate but the residents are happy with them at the moment and considering the number of improvements already made they will wait until next year. It was clear that residents had brought their own belongings to the home and they said that they like their own rooms. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 13 Upstairs the inspector saw that the windows are double-glazed and the top halve of these open fully outwards. There is a risk assessment in place and although risk assessed as low risk the inspector discussed with the manager the need for restrictors whilst still allowing adequate ventilation. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 14 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): 27,28,29 The manager ensures staff are competent and that the recruitment procedures are robust. EVIDENCE: There are staff in sufficient numbers to meet the needs of the current residents and the inspector saw the staff rota and that there were enough staff on duty. The manager has a robust recruitment procedure, which involves the checking of application forms and references and a formal interview. Staff files were completed and contained police checks. The staff are undertaking training and the manager is on call when not at the home. Recent training has included Fire training, Health and safety and first aid. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 37 The home does protect the resident best interests and safeguards the information they hold about each person. EVIDENCE: The records that were seen were well organised and they included the maintenance of the home and risk assessments for each area that the residents have access to. The records are stored securely and the residents know they can see their records. This is stated in the service users guide but the manager also said they would discuss this with each new resident. St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 16 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 2 x 3 x 3 x x x STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x 3 x St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 17 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. 1 Standard OP19 Regulation 13(4)(a) Requirement The registered manager must ensure that window restrictors are fitted to all the upstairs windows. Timescale for action 30/02/06 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 St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Oswald`s Rest Home DS0000062493.V260575.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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