Inspection on 03/05/05 for The Cottage

This inspection was carried out on 3rd May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Cottage 27/02/07

The Cottage 09/09/05

The Cottage 26/11/04

The Cottage 25/06/04

The Cottage 02/03/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Cottage Linstone Drive Norton Yarmouth PO41 0RL Lead Inspector David Coulter Unannounced 3 May 2005 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 Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Cottage Address Linstone Drive, Norton, Yarmouth, Isle of Wight, PO41 0RL 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) 01983 760527 Mrs Sonia Mary Price Mrs Sonia Mary Price Care Home 2 Category(ies) of Old age, not falling within any other category registration, with number (2) of places The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26/11/04 Brief Description of the Service: The Cottage is a small well appointed home that provides care for two elderly residents. It is situated in a quiet residential area by the coastal town of Yarmouth. The home operates as a domestic unit and the residents are made to feel part of the family. Both residents are accommodated in their own ground floor rooms. The home is a detached property that sits in its own grounds. There are various sitting areas situated around the well stocked garden. The home backs onto open countryside and provides fine rural views. The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? * One of the residents’ rooms had been redecorated * Residents had undertaken a number of social outings The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 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. The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 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 Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 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) x EVIDENCE: These standards were not inspected during this inspection The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 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) 8,9 10 Discussions with residents indicated that the physical, social and emotional needs of residents were being appropriately met. EVIDENCE: Both residents were spoken with in private during the visit. From the discussions held it was clear that both felt their individual care needs were being appropriately met. They particularly mentioned the comfort of their surroundings, the quality of the food and the kindness and dedication of the owner/proprietor. While both remain remarkably fit and active for their years, it was evident that medical intervention was sought as and when required. The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 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&14 Discussions with the residents indicated that routines etc are kept to a minimum and that daily activities are planned around their particular needs. It was evident that the residents lived full and active lives. EVIDENCE: The manager/proprietor ensures that the care on offer is ‘non-institutional’ in character and for example set routines are avoided and spontaneous activities such as outings regularly take place. Both residents are encouraged to participate in various aspects of domestic life from accompanying the manager/proprietor on shopping trips to offering advice on the further development of the home’s garden. Residents can exercise choice over many aspects of their lives including when to rise and have breakfast. Meal times fit in around the activities and commitments of residents. It was observed that both of the residents had telephones in their rooms. Family and friends are encouraged to visit and comment cards from relatives confirmed that they were always made welcome. The residents are assisted in maintaining links with the local community and the home has a large estate vehicle, which is used for transport to local events. Residents are encouraged to remain as independent as possible and are encouraged to assume responsibility over as many aspects of their lives as is The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 11 both practical and safe. While the residents can exercise choice over most aspects of their lives they are encouraged to participate in many aspects of family life including social occasions. From discussions with both residents it was clear that the domestic family orientated approach of the care on offer suited them both well and that The Cottage was considered ‘home from home’. It is the policy of the home for staff not to accept responsibility for the management of residents’ personal finances. The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 12 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) EVIDENCE: These standards were not inspected during this inspection The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 13 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, 22, 23 &24 The home provides high quality accommodation in a domestic, family orientated setting. EVIDENCE: Both residents are accommodated in rooms on the ground floor. Each room was observed to be appropriately laid out so as to provide ease of movement and clear access to wardrobes etc. Both the residents’ rooms were found to be clean, tidy and each contained an easy chair, bed, bedside table, drawers and hanging space. It was evident that residents had personalised their rooms by the introduction of small pieces of furniture and pictures. One of the residents rooms has an en-suite while the other is situated opposite a bathroom. The home has central heating and is double-glazed throughout. The home has a large lounge/dining area, that provides a central focus in the home. According to a member of staff the residents spend quite a lot of the time in their rooms but will have their meals together in the dining area. The The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 14 lounge area was observed to be furnished with comfortable seating and a television. One of the great assets of the home is its rear garden and patio area that backs onto open countryside. Both residents commented on how much pleasure they derived from the garden and its surroundings. Both residents are still mobile and can get around the home and gardens with the aid of walking sticks. The ground floor bathroom is fitted with an assisted hoist to aid residents get in and out of the bath. The home has a range of additional equipment such as an Oxford Hoist, wheelchairs, zimmers etc. which can be utilised if required. The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 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 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) 27 The home is run in the best interest of residents by a very experienced manager/proprietor who is supported by a part-time member of staff and when necessary members of the manager/proprietor’s family. EVIDENCE: The manager/proprietor lives on the premises and provides most of the care. She is assisted by a part-time member of staff who averages twenty hours a week. However, her hours can be increased in line with the changing needs of residents. At the time of the inspection the manager/proprietor was on holiday and care was being provided by the part-time member of staff and two members of the manager/proprietor’s family, one of whom was a qualified nurse. Both residents confirmed that assistance was available at all times. The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 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 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) 32 &33 The home is effectively run and operates as a domestic unit in which the residents can exercise choice over many aspects of their daily lives from the food they eat to the activities they wish to engage with. EVIDENCE: The home operates as a small domestic unit in which residents are treated as part of the family. Discussions with both residents indicated that they enjoyed being ‘part of the family’ and appreciated their inclusion in many of the family activities. Both residents recounted their personal experiences of their stays in other larger homes and indicated their preference for life within The Cottage. Both residents clearly felt they were members of an inclusive social group, which included the proprietor’s family and grandchildren, friends and neighbours. Residents’ comments indicated that they felt at home in such a setting and had control of their lives within it. It was obvious during the inspection that a relaxed friendly atmosphere permeated the home and the The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 17 social interaction between the members of the manager/proprietor’s family and the residents was observed to be both spontaneous and warm. The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 x COMPLAINTS AND PROTECTION 4 3 3 3 3 4 x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x 3 3 x x x x x The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 19 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 Good Practice Recommendations The Cottage H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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 H55 H04 S28749 The Cottage V218122 030505 Stage 4.doc Version 1.30 Page 21 - 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!