Inspection on 13/12/05 for The Cottage

This inspection was carried out on 13th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Cottage 22/01/08

The Cottage 18/01/07

The Cottage 12/08/05

The Cottage 09/11/04

The Cottage 15/07/04

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Hawkhills

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The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE The Cottage 2050-2052 Hessle Road Hessle Hull East Yorkshire HU139NW Lead Inspector Malcolm Stannard Unannounced Inspection 13th December 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 Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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 Cottage DS0000000841.V274279.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Cottage Address 2050-2052 Hessle Road Hessle Hull East Yorkshire HU139NW 01482 645098 01482 633395 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) Mr Ian Crowther Mrs Karen Serena Harrison Care Home 30 Category(ies) of Dementia (30), Old age, not falling within any registration, with number other category (30) of places The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th August 2005 Brief Description of the Service: The Cottage is situated on the outskirts of Hull, adjacent to the town of Hessle. The home is registered to provide care and accommodation for up to 30 older people. Accommodation is provided on two floors, with a passenger lift allowing access to the first floor. Access to two rooms on the first floor still requires the negotiation of a short flight of stairs. Local shops, health services and large retail shops are within close proximity to the home, with local bus services available adjacent to the home. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over 4 hours. The manager and deputy manager were spoken with, a tour of the premises was undertaken and residents were spoken with. Whilst the home is registered for 30 residents, they presently accommodate 26, the shared rooms being used as single accommodation. What the service does well: What has improved since the last inspection? What they could do better: Work remains to be needed to the premises. The exterior paintwork requires attention and those radiators, which do not have covers or low surface temperature provision still need to be addressed. Only a quarter of the homes care staff are qualified to a level equivalent to NVQ level 2, The requirement is for at least 50 of staff to be qualified. This matter must be addressed urgently. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 Page 6 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 Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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 Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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 of the above standards were looked at on this visit, all having been assessed at the previous inspection and been met at that time. EVIDENCE: The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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): 8 & 10. Health care needs of residents are met and their privacy is respected. EVIDENCE: One resident spoken with at length explained how his health care needs had been promoted and met with the assistance of the homes management. He still had some unresolved issues following treatment and the homes management were helping him to ensure these were not forgotten. The resident explained that his privacy was respected by all staff at this difficult time. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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): 12 & 13. Contact with visitors and the local community is encouraged. Activities and entertainment continues to be provided. EVIDENCE: Activities and entertainment within the home continues to be provided on a regular basis, with specific themes having been planned for the forthcoming Christmas festivities. One resident said he didn’t wish to join in the entertainment at the minute but enjoyed watching sport on the television in his room. Visitors continue to be able to call at any reasonable time of the day, one male resident said that his wife visits six days a week. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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): None of the above standards were looked at during this visit, both of them having been assessed at the previous inspection and met at that time. EVIDENCE: The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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 & 25. The home provides a comfortable and clean environment for residents. Some areas of maintenance must be addressed. EVIDENCE: The home continues to be generally well presented and was clean and hygienic. The small lounge has now been completely redecorated and the larger lounge has redecoration underway. All the downstairs areas of the home are to have new carpets fitted in the spring of 2006. More radiator covers have been provided since the last inspection, however there are still some that are unguarded. The manager explained that these covers were having to be made to measure and that they would be fitted as soon as possible. These must be provided as soon as possible. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 Page 13 The external paintwork to the home has not received any attention since the last inspection, the manager stated that this would be addressed as soon as the weather allowed. A sash cord was observed to be broken on one of the downstairs windows. It is important that this is addressed and all other windows are checked as soon as possible in order to ensure safety. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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. The mix of staff member’s skills enables resident’s needs to be addressed. Formal qualifications do not meet the required standard. EVIDENCE: The home employs a group of sixteen care staff, who are a mixture of young and more experienced carers. There are two male carers employed in this group. The differing backgrounds and experience of care staff ensures that the day to day needs of residents can be met. The number of care staff who hold an NVQ qualification at a level 2 or equivalent remains low. Only three staff have completed the qualification, approximately 20 of the care staff group. Four staff members are undertaking the course and five more have recently registered. The home is using the services of the HYA training organisation. The home has three staff that are NVQ qualified assessors. The assistant manager is undertaking an NVQ 3 qualification. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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): 35. Resident’s financial interests are safeguarded by the homes practice. EVIDENCE: The homes management does not act as an appointee for any residents; solicitors or family members are used where appropriate. A policy is available in regard to this area. All fees are paid directly to the homes proprietor. Any resident’s monies held are held individually with a record of all ins and outs held which is audited on a weekly basis. Any valuables held on resident’s behalf are recorded on individual care plans. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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 X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X 2 X STAFFING Standard No Score 27 3 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 OP25 Regulation 16,23 Requirement The registered person must ensure that radiators are guarded or have guaranteed low surface temperatures. The exterior paintwork, namely window frames, must be maintained to an acceptable standard All sash windows must be audited to ensure their safety and correct operation. Timescale for action 28/02/06 2. OP19 17,23 28/02/06 3. OP19 17,23 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP28 Good Practice Recommendations The registered provider should have at least 50 of the care staff trained to NVQ level 2 or equivalent. The Cottage DS0000000841.V274279.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Cottage DS0000000841.V274279.R01.S.doc Version 5.1 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. 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