Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 23/05/05 for The Coach House

Also see our care home review for The Coach House for more information

This inspection was carried out on 23rd May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Coach House offers airy en-suite bedrooms in an attractive house. Mrs. Waters employs help with the cooking and the cleaning, but in general the home is run very much as a family home, with Mrs. Waters joining the residents for meals. A resident who has only recently joined The Coach House commented "I couldn`t have better attention. The home is excellent"

What has improved since the last inspection?

At the previous inspection seven requirements were made of the Manager of The Coach House. It was seen at this inspection that Mrs. Waters had satisfactorily completed all of the requirements. Care plans were in place, as was insurance. Medication was seen to be stored correctly, and records regarding resident`s medication were seen to be in place. Mrs. Waters has attended a First Aid course, and has produced a revised Statement of Purpose and Service User`s Guide.

What the care home could do better:

On the day of inspection there was no evidence of a complaints book, clearly detailing the home`s complaints procedure, however Mrs. Waters assured the Inspector that there had been no complaints made about the service that she provides. The Manager is to provide a complaints book, in order to comply with the National Minimum Standards. Residents, and the District Nurse spoken to on the day of inspection, confirmed that they had never had cause to complain.

CARE HOMES FOR OLDER PEOPLE The Coach House 1 Hernbrook Drive Horsham West Sussex RH13 6EW Lead Inspector Jennifer Wright Announced 23 May 2005, 10:00 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 Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Coach House Address 1 Hernbrook Drive, Horsham, West Sussex, RH13 6EW 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) 01403 255197 Ms Sharon Anne Waters Ms Sharon Anne Waters Care Home (CRH) 3 Category(ies) of Old age, not falling within any other category registration, with number (OP) , (3) of places The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 November 2004 Brief Description of the Service: The Coach House is a family run care home providing personal care for older people, and is registered to accommodate up to three residents. The Coach House is arranged on two floors. Accommodation for residents is provided on the ground floor with the first floor reserved for the private dwelling of the proprietor and her family. Accommodation for the residents is provided in three single rooms all with ensuite facilities. The home provides for the needs of elderly people with a degree of mobility and independence. The home does not provide specialist equipment, or wheelchair access. There is a medium sized garden at the rear and front of the property which is mainly laid to patio, well maintained and easily accessible. Facilities include a comfortable lounge/dining area. The service is managed by Mrs Sharon Waters. The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. This was an announced inspection made at 10 o/clock in the morning, in order to meet the three residents, before they went out. A second unannounced inspection will be undertaken later in the year. As there are only three residents accommodated at The Coach House, and Mrs. Simpson does not employ any staff members who undertake any personal care, many of the National Minimum Standards do not apply with regard to this service, and this will be reflected in the body of the report. During this inspection the Inspector talked with the residents together in the sitting room, and also visited the residents in their own rooms, and chatted to them about how they found living at The Coach House. In addition the Inspector spoke to a District Nurse, who was attending one of the residents on the day of inspection, examined records about care being provided to the residents; as well as records of any accidents or concerns or complaints, to make sure that the people who chose to live at The Coach House are being taken care of. At this inspection it was found that the vast majority of the National Minimum Standards assessed, were met in full. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: What has improved since the last inspection? The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 6 At the previous inspection seven requirements were made of the Manager of The Coach House. It was seen at this inspection that Mrs. Waters had satisfactorily completed all of the requirements. Care plans were in place, as was insurance. Medication was seen to be stored correctly, and records regarding resident’s medication were seen to be in place. Mrs. Waters has attended a First Aid course, and has produced a revised Statement of Purpose and Service Users Guide. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 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 Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 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) 1,3,5 and 6 Prior to moving into The Coach House, people are given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. Before moving into the home, people are assessed, by the Manager to make sure they are suitable. People know exactly what they can expect from The Coach House, and what is expected from them. EVIDENCE: One resident spoken to on the day of inspection confirmed that they had been given information about The Coach House before they came to live there. Another resident added that she was confident that she would be well cared for by Mrs. Waters, and had no complaints whatsoever about the way she was being looked after. The Inspector looked at the care records of the residents, and found them to be satisfactory. The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 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) 7,8,9,10 and 11 The Manager informed the Inspector that all residents are involved with the drawing up of their care plans, and are informed of all services available under the National Health Service. Specialist help such as the District Nurse is enlisted where necessary. Correct medication procedures, including where residents choose to take control of their own medication, were seen to be in place, to protect the people living at The Coach House. EVIDENCE: Residents, who the Inspector spoke to on the day of inspection, confirmed that they were consulted at all times with regard to their care. From the comments made by the residents, and a District Nurse it would appear that the Manager respects the privacy and dignity of the people living at The Coach House. The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 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 standard(s) 12,13 and 14 and 15 The Coach House offers a lifestyle that clearly suits the residents who were living there at the time of this inspection. Residents are regularly consulted with regard to the menu, which is varied and to the resident’s tastes. Friends and relatives of the residents are welcomed. People living at The Coach House are able to make day-to-day decisions about how they want to live their life. All the residents are able to go out, and maintain a social life. EVIDENCE: A resident told the Inspector that their family visits often, and they are always made welcome by Mrs. Waters. When asked about the standard of the food at The Coach House, all the residents agreed that it was extremely good. The Manager informed the Inspector that should a resident not fancy what was on the menu, an alternative would always be offered. Residents confirmed this. The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 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 standard(s) 16 and 18 The Manager informed the Inspector that there is a copy of the homes Complaints Procedure available for residents and visitors, should they wish to complain, however there was no evidence of a book to record any complaints, should there be any. The Manager assured the Inspector that this matter would be addressed immediately. EVIDENCE: The residents, who the Inspector spoke to, confirmed that they had never had any cause to complain about any aspect with regard to The Coach House, and that they felt sure that should they have any concerns, then they would go to Mrs. Waters with them, and that “the matter would be dealt with immediately.” The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 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 standard(s) 19,20,21,23, 24, 25 and 26 On the day of inspection The Coach House appeared clean and well maintained, and the location of the home is suitable for the residents who live there. The grounds are safe and extremely well kept. EVIDENCE: By touring the home, and looking at maintenance records, the inspector concluded that residents at The Coach House live in a well-maintained and safe environment. The residents have access to a communal dining /sitting room, which is comfortably furnished and has a homely atmosphere. Residents have a television in their room. The Inspector spoke to a resident who confirmed that they were entirely satisfactory with the accommodation provided to them at The Coach House, and said that they “wouldn’t want to live anywhere else”. The Manager informed the Inspector that the plumber is in the process of installing new valves on all the sinks, showers and baths used by the residents. The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 13 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) 28 As The Coach House does not currently employ any staff members who provide personal care, the majority of these standards do not apply. The one staff member employed by Mrs. Waters has undergone a satisfactory Criminal Record Bureau check, plus first aid training. EVIDENCE: One resident told the Inspector that she was sure that Mrs. Waters would know what to do if she became unwell, and that she “couldn’t praise the home enough”. All training undertaken by the Manager and the staff member was seen to have been recorded. Residents told the Inspector that their call bell was always answered, although “sometimes quicker than others.” The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 14 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) 31,33, and 38 It would appear that The Coach House is run in the best interest of the people who live there, and that the resident’s health safety and welfare are promoted and protected. EVIDENCE: The Inspector chatted at length with the three residents who spoke highly of the care they are receiving. There is insurance cover in place to meet the National Minimum Standards. The Manager informed the Inspector that there is a business and financial plan with regard to the home, which would be open to inspection on request. The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 15 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 x 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 x 3 x x x x 3 The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 16 no 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 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. 1. Refer to Standard 16 Good Practice Recommendations That the Manager provide a book in which to record any complaints The Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 17 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 Coach House H60_H11 S14462 The Coach House V221086 230505 Stage 4.doc Version 1.20 Page 18 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!