Inspection on 07/12/06 for The Chimneys

This inspection was carried out on 7th December 2006.

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 27/10/05

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 The Chimneys 1 Station Road Alford Lincolnshire LN13 9HY Lead Inspector Kima Sutherland-Dee Key Unannounced Inspection 7th December 2006 09:15a 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 Chimneys DS0000062493.V322182.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 Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Chimneys 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 The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 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) Date of last inspection Brief Description of the Service: The Chimneys 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. The fees for this service are £335.00 to £379.00 per week. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection site visit was carried out over 2 hours 45 minutes and took any previous information held by CSCI, about The Chimneys into account. The inspection consisted of case tracking a sample of the resident’s records and assessing their care. The inspector spoke with 7 residents, the manager, two of the providers and a member of staff. Parts of the home were seen during the inspection, and a review of a sample of the records was also included. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: The manager and the staff are very good at getting to know each resident and then caring for them as individuals. The residents are very satisfied with the care and they have made many positive comments which include; ‘ I have been in several homes and this is the best because the staff know how to talk to me properly.’ ‘The staff have got to know us and they have helped to increase our independence.’ ‘Each member of staff is a character and they are very kind.’ ‘My relatives care and support is superb, it could not be better. ‘ The manager has created an informal atmosphere where the residents feel they are very much part of the home and where their opinions and choices are respected. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 6 The manager and the staff are excellent at supporting each person to pursue their own routines. Some entertainment has been organised, but the residents say they don’t want a lot of events or entertainment. The residents and their relatives say that the food is really good home cooking, and they can make choices about what they eat. They said there is always plenty to eat and drink. The providers are continually improving the home and the gardens and they have recently built a large fishpond with seating around. The residents said they like to watch the fish. The manager has made sure that the staff are trained, and the whole team ensure that the standard of care is high whether the manager is at the home or not. 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 summary of this inspection report can be made available in other formats on request. The Chimneys DS0000062493.V322182.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 Chimneys DS0000062493.V322182.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): 1,2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager assesses prospective residents and they are offered the information they need to make an informed choice. The manager informs all the residents about any proposed changes. EVIDENCE: Thematic probe results. 3 people were asked the following standard questions. Q1. Two people said yes they were asked about their needs before they moved to the home, and one person said no, but it was 10 years ago before the current providers. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 9 The evidence was on the files that the current providers assess each person before they move in. Q2. All three people said they had a contract or terms and conditions. These were seen in their files and they had been signed. Q3. Two people said, yes their contract had changed and they were told or had a letter. 1 person said they didn’t know. Q4. Two people said they had received a copy of the service users guide and 1 person didn’t know. The guides are available to all in the home or on request. Q5 Three people said they were given information about changes to the cost. 2 said this had been done by letter. The comment cards that were sent to the commission said that 7 out of the 9 residents said they had contracts, one commented how friendly the manager had been and how useful the information was when making a decision about the home. The Chimneys DS0000062493.V322182.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): 7,8,9,10Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff know each resident very well, they care for them according to that residents wishes. The residents commented about how kind the staff were. One person said that they had been in several homes and this was the best because the staff knew how to talk to them properly. One resident said that the staff had got to know them and their relative and they had helped to increase their independence. The care plans are very detailed and the staff use this to inform their care. They keep daily records about the care each resident needed and about any changes. The residents are supported to get the healthcare they need and this is recorded. One resident said they were waiting for an operation. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 11 The manager stated that they had a good relationship with the local district nurses and the G.P’s. Previous inspections have found that the manager and the staff properly store and administer medication. The staff were seen to maintain dignity and privacy through shutting doors and speaking respectfully to people. They were also able to use humour in an appropriate way, that included the residents. One person said ‘each member of staff is a character and they are very kind. One relatives commented in the feedback to the commission that ‘ My relatives care and support is superb, it could not be better. The manager and her team have interpreted the information we gave them perfectly.’ The outcomes in this area are excellent because of the truly individual care and the relaxed atmosphere at the home. The manager maintains an environment where the residents are respected for what they can do, and they are cared for with dignity. The Chimneys DS0000062493.V322182.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): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents remain very happy with the choices, routines and meals that are available in the home. The manager and the staff encourage the residents to make choices and these are always supported. EVIDENCE: The residents and the manager described the entertainment that was arranged over the Christmas period. This included a visiting choir, and a band. The residents continue to be happy to follow their own routines. People spoke about visiting or going out with their families. One resident goes to the providers home to watch some T.V sports events. Some of the residents help around the home, such as laying the table or washing up, because they want to and it keeps them active. Relatives comments were very positive, both about the care at the home and the kind attitude of the manager and staff. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 13 The manager and the staff encourage the residents to make choices and these are supported. The staff follow the residents preferred routines. The staff talk to the residents every day and find out what they like or dislike, this is then put into practice. There is an informal atmosphere, where the residents feel free to express their views and chat. One person said there is always enough food and drink and some people can go to the kitchen and help themselves. There is always choice and the food is well cooked. Most of the residents choose to sit together and chat at lunchtime. The meal was home cooked and the resident said that it was one of their favourites. The pre inspection questionnaire gave a two-week menu that showed variety and balance. The Chimneys DS0000062493.V322182.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are confident that they can raise complaints. The manager and staff are trained and confident in protecting the residents from abuse. EVIDENCE: Thematic probe results. Q6. All three people asked said they would be happy to speak to the staff or the manager about any concerns, and one of the residents said they had seen a paper about complaints. The complaints procedure is available in the home. The pre inspection questionnaire stated that no new complaints had been recieved. The questionnaire also stated that staff had received training in dealing with suspicions of abuse, the staff files confirmed this. The staff are confident to raise any concerns with the manager. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 15 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The providers continue to improve the home for the benefits of the residents. The residents remain very satisfied with their home. EVIDENCE: The providers have complied with a requirement from the previous inspection, and all the upstairs windows now have restrictors. One provider talked about short and long term aims regarding the environment and they were all for the benefit of the residents. The providers have built a large raised fish pond in the front garden, this has seating around it. The residents said they like to watch the fish and they are pleased with it. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 16 The residents said they like the changes to the home and it is comfortable and very clean. The comment cards included ‘ cleaned to the highest degree.’ ‘ The home could not be any better.’ ‘Absolutely fabulous, very very fresh and very very clean.’ The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from a safely recruited and well trained staff team. EVIDENCE: The staff can meet all the residents needs, they said they have time and there were enough staff on each shift. The residents who say the staff care is very good confirmed this. The manager has just returned from 2 weeks abroad and the staff have managed very well. The manager said they were confident that the team could maintain very high standards of care in their absence. A member of staff said that they had completed the NVQ level 2 since starting at the home. They said they had the opportunity to take part in training and all the staff knew what they were doing. The staff files contained all the required information. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager and the providers continually seek to improve the service, they are effective at managing the home safely and for the benefit of the residents. The manager and the staff offer many opportunities for the residents to air their views and their comments inform some of the improvements. EVIDENCE: The manager has completed a registered managers award. They are able and competent to meet the aims of the home. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 19 The manager talked about how they put their aims into practice, and this was evident through comments from the residents and staff and through observation of the care. The residents said that the manager and staff talk with them every day. The residents said they don’t want formal meetings, and that they are happy to speak to anyone and they know that action will be taken. The last survey took place in August and these are done every six months. The questions change so they cover all aspects of the home and care. The results were very positive. The manager ensures that the staff apply the homes policies in practice, and the residents receive safe care. Risks are assessed in each persons acre plan. The pre inspection questionnaire stated when equipment had been serviced and when fire testing was done. The provider spoke about replacing the stair lift, although regular checks are done on the current lift. The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 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 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 3 4 4 X 3 X X 3 The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 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 The Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Chimneys DS0000062493.V322182.R01.S.doc Version 5.2 Page 23 - 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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