Inspection on 22/09/05 for The Cotswold Home

This inspection was carried out on 22nd September 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 Cotswold Home 15/05/07

The Cotswold Home 21/02/06

Similar services:

Flint House

St Vincents

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Hillyfield Rest Home

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

CARE HOMES FOR OLDER PEOPLE The Cotswold Home Woodside Drive Bradwell Grove Burford Oxfordshire OX18 4XA Lead Inspector Philippa MacMahon 2nd Inspector Jane Handscombe Unannounced Inspection 22nd September 2005 09:30 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 Cotswold Home DS0000065413.V252108.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. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Cotswold Home Address Woodside Drive Bradwell Grove Burford Oxfordshire OX18 4XA 01993 824225 01993 824226 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) Elizabeth Finn Homes Ltd Mrs Marie Patricia Hamilton Care Home 51 Category(ies) of Old age, not falling within any other category registration, with number (51), Physical disability (51), Terminally ill (51) of places The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. On admission persons should be aged 60 years and over. Maximum of 30 persons with nursing needs. The total number of persons that may be accommodated at any one time must not exceed 51. 8th March 2005 Date of last inspection Brief Description of the Service: The Cotswold Home was purpose built in 1998 and is situated in open countryside two miles from Burford. The Cotswold Wildlife Park is nearby and residents who have the mobility and independence to walk to the Wildlife Park can do so if they wish. Country walks are also accessible from the home. The home is registered for 51 residents with a maximum of 30 places for people requiring nursing care. Two GP surgeries provide medical cover and on admission residents are asked which surgery they wish to be registered with. A dentist visits the home to assess residents but treatment is carried out at the dental surgery. Transport can be arranged in the home’s minibus. Physiotherapy is available twice a week. The services of an optician and chiropodist are also available. Accommodation is provided on two floors. The ground floor has 30 single bedrooms and these are for those residents requiring nursing care. The first floor provides 21 single rooms for residents with low to moderate dependency levels. Many of the residents on the first floor are fully independent. All bedrooms have en-suite facilities of toilet, washbasin and shower. A passenger lift provides access to the first floor. There is a wide range of recreational activities available and the home has a group of committed volunteers who help the residents in a variety of ways. The Cotswold Home has a delightful courtyard garden, as well as a garden at the rear of the home, providing pleasant outdoor space for the residents and their visitors. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of the inspection the registered manager was on annual leave and her deputy was managing the home in a professional, and confident manner. The inspectors were made to feel very welcome and the staff gave all cooperation, and this made the inspectors’ job all the more pleasurable. The inspectors spent a large part of their time talking to residents, relatives, visitors, and staff, and gaining their view of the service provided. A sample of individual resident’s care plans was examined. Following this the inspectors talked to the individual residents to find out if the care plans matched their needs. The menus were examined and observation of the serving of morning coffee, and lunch was undertaken. The inspectors did not inspect the environment on this occasion but observed during the course of the inspection the general appearance. What the service does well: The Cotswold Home feels very much a home rather than a care home. The residents are treated very much as individual people, and commented to the inspectors “it’s just like being at home …it was a relief coming here”, and “you couldn’t fault anything here its excellent, superb here”. The home is very well managed and one “bank” nurse commented, “I think it’s a lovely place to work, I get a lot of support, more so than other places I have worked, they are spot on”. There is a real feeling of team work, and clear lines of accountability, and a happy group of staff. The care provided is very good and clearly matches the individual person’s care needs. The standard of décor and furnishings is exemplary, and the cleanliness throughout the home. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 6 The activities programme is excellent and clearly matches the residents’ needs and expectations. Meals and mealtimes are very pleasurable and take into account individual people’s taste and choices. 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 Cotswold Home DS0000065413.V252108.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 The Cotswold Home DS0000065413.V252108.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): None The inspectors did not make a judgement on the outcomes in this section as none were inspected on this occasion. EVIDENCE: None of these standards were assessed on this occasion. The Cotswold Home DS0000065413.V252108.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): 7,8,10,11. Every resident has a comprehensive care plan, which is regularly reviewed to reflect the changing care needs. The attention to detail in the care provision to the individual residents ensures that all their health care needs are met. All the staff understand the issues around privacy and dignity, and the residents are treated with respect. The registered manager and her staff consider looking after people at the end of their lives to be a privilege, and make every effort to ensure the best possible care is provided at this time. EVIDENCE: The inspectors examined a sample of care plans on both floors, and found them to be comprehensive and reflected clearly the care needs of each resident and how these were being met. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 10 The care plans are computerised and the inspector noted that the nursing and care assistants were updating these soon after the care had been carried out. This is very good practice and is to be commended. Regular reviews of the care plan are undertaken and documented. Risk assessment for aspects such as moving and handling, falls, and risk of pressure sores, are undertaken regularly and clearly documented within the care plans. Nutritional assessments were included in the care plans and appropriate action taken where required. A physiotherapist is available in the home twice a week and she carries out treatments within the home. A music and movement class is provided for those residents wishing to take part and is led by a person who is trained to provide this form of exercise, and it is much enjoyed by those taking part. Dentist, chiropodist, and opticians are all readily accessible to the residents. The inspectors observed the staff communicating with the residents in an appropriate and respectful manner, always using their preferred form of address, and always knocking on doors before entering. The staff consider looking after people at the end of their lives to be a real privilege, and make every effort to support the families, and friends through what is a difficult time. Information about the resident’s wishes at the time of their death is obtained wherever possible at the time of their admission to the home, and the inspector observed this on examination of the care plans. Some of the staff have a wealth of experience in the specialist area of “palliative care”, and are able to use these skills, and to pass them on to colleagues. Residents spoken to are appreciative of the care provided and one person said “you couldn’t fault anything here!“ The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14,15. The daily life and social activities provided match the resident’s preferences and interest. All residents receive a wholesome nutritious diet, and every effort is made to ensure that meal times are a pleasurable experience. EVIDENCE: Residents spoken to said that they were able to choose how they wished to spend their day and were not made to feel uncomfortable if they chose to stay in their own room, and not join in the activities provided. Others were pleased to have a varied programme of activities to enable them to lead a full and active life. The staff make every effort to find out what the individual resident’s life style, and preferences are and these are documented in the care plans. The activities programme is very comprehensive and includes art classes, poetry, music, talks on a variety of subjects, and film shows. Shopping trips are arranged and various other outings. The inspector also noted that there was coffee in the village hall, so that residents are able to maintain contact with the local community. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 12 A volunteer visitor was in the home at the time of the inspection and she told the inspector how much she enjoyed befriending those residents who wished to have a visitor. The registered manager has a regular slot in the programme called “Cup of tea and a chat”, when residents are able to join her, and have the opportunity to raise any issues. There is an excellent very well stocked library within the home and a mobile local library visits the home on alternate Fridays. The beautiful courtyard garden is enjoyed by many of the residents and those interested are able to work in the garden assisted by the home’s gardener. There is a residents committee and notes are recorded and the inspector found a copy displayed on the notice board. It was noted within the minutes that sky television is to be installed following the residents’ request. Holy Communion is provided in the home once a week for those wishing to take part, and the inspector noted that Harvest Festival was to be celebrated soon. The inspectors observed lunch being served in the attractive well laid out dining room that allowed the residents to sit in small groups or on individual tables, as they wish. Lunch was served in an individual manner, and there was a calm happy atmosphere. The menus examined showed that a very varied but “homely” diet is provided and there is always a choice, and the chef notes individual preferences. There is a comments book in the dining room that is regularly filled in by the residents with both positive and negative comments, and there is always a response written by the chef. This is an excellent initiative. Themed lunches are arranged occasionally and the inspectors noted that “a trip to Italy” lunch had been held earlier in the month. Those residents who require special assistance take their meals in a small dining area where the staff are able to focus on their individual needs, without being distracted. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 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 the following standard(s): None The inspectors did not make a judgement on the outcomes in this section as none were inspected on this occasion. EVIDENCE: None of these standards were assessed on this occasion. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 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 the following standard(s): None The inspectors did not make a judgement on the outcomes in this section as none were inspected on this occasion. EVIDENCE: None of these standards were assessed on this occasion. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 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 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): None The inspectors did not make a judgement on the outcomes in this section as none were inspected on this occasion. EVIDENCE: None of these standards were assessed on this occasion. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 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 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): None The inspectors did not make a judgement on the outcomes in this section as none were inspected on this occasion. EVIDENCE: None of these standards were assessed on this occasion. The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 17 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X The Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 18 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. 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 Cotswold Home DS0000065413.V252108.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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. 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