Inspection on 09/09/05 for The Cottage

This inspection was carried out on 9th 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 Cottage 27/02/07

The Cottage 03/05/05

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 Cottage, The Linstone Drive Norton Yarmouth Isle of Wight PO41 0RL Lead Inspector David Coulter Unannounced Inspection 9th 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 Cottage, The DS0000028749.V248991.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. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cottage, The Address Linstone Drive Norton Yarmouth Isle of Wight PO41 0RL 01983 760527 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) 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 Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 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. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Cottage is a unique service that was established to meet the needs of the home’s two current residents. During the inspection a tour of the premises was undertaken, a range of records and documents examined and discussions held with the proprietor/manager and residents. From the evidence collected it was clear that the needs of the residents were being appropriately met and that they were still living full and active lives. What the service does well: 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. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 6 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 Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 7 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): 3&6 The home has a well established admissions system which requires all prospective residents to undergo an assessment of their care needs. EVIDENCE: Each of the current residents was subject to a full assessment prior to admission. The proprietor/manager said that on admission information was gleaned from a variety of sources including the residents themselves and family members. There are, according to the proprietor/manager, no plans to increase the home’s occupancy. Through discussions with one of the residents, it was evident that his care needs were still being appropriately met. The home does not offer any intermediate care and both the current residents have resided in the home for a number of years. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 8 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 From the evidence obtained it was evident that the care needs of both residents were being appropriately met. EVIDENCE: It was noted that each resident has a care plan that aims to reflect how their care needs are being met. The proprietor/manager was able to speak with authority on the specific needs of both residents and had clearly identified all potential risks associated with their lives in the home. If and when any significant events occur they are noted in the resident’s care plan. The home has a daily diary that notes all significant events within the home including visitors, appointments etc. The healthcare needs of residents are closely monitored by the proprietor/manager who will seek out specialist services as and when required. The proprietor/manager will accompany residents to medical appointments. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 9 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): These standards were inspected during the last inspection. EVIDENCE: Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 10 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): 16 & 18 The home has a complaints procedure and all residents are made aware of it on admission. EVIDENCE: One of the residents confirmed that both the proprietor/manager and her one member of staff were pro-active in regularly seeking out his views and addressing any concerns before they developed into major issues. Being a small family run unit the interaction between the proprietor/manager and the residents is informal and for example, mealtimes offer regular opportunities for the discussion of daily events. Residents and their families have received information on CSCI and its role in regards to complaints. The home has not received any complaints since the last inspection. The proprietor/manager was conversant with the home’s responsibilities in regard to adult protection issues. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 11 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): 26 The home provides high quality care in a domestic, family orientated setting. EVIDENCE: During the inspection a brief tour of the building was undertaken that included visiting the lounge/dining area, both residents’ rooms, the home’s kitchen and one of the bathrooms. All the areas were found to be extremely clean, tidy and decorated to a high standard. The accommodation is domestic in nature and furnishings are homely and of good quality. One of the home’s great assets is its garden and patio area. Both residents clearly gained a lot of pleasure from the garden and its surroundings. The home has a purpose built laundry and utility area fitted out with modern equipment. The laundry/utility area has an impermeable floor and wall finishes that can be easily cleaned. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 12 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): 29 & 30 The home is run by a proprietor/manager who has many years’ experience of providing care for the elderly who is supported by a part-time member of staff EVIDENCE: The home is run by the proprietor/manager who lives on the premises. She employs one member of staff on a part-time basis who has worked in the home for eight years and has no plans to employ any others in the foreseeable future. The records relating to the part-time member of staff had been examined on past inspections and found to contain all the relevant information including references. The proprietor/manager has many years’ experience of providing care for elderly residents and was able to talk with authority on the care needs of the present residents. Through discussions it was evident that she keeps abreast of developments in the fields of health and care. Through discussions with residents it was clear that their care needs were being appropriately met by extremely experienced and competent staff. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 13 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 & 38 The domestic nature of the home allows residents to exercise choice over all aspects of their daily lives from the food they eat to the activities they engage in. EVIDENCE: The proprietor/manager explained that it is the policy of the home not to involve itself in the management of residents’ finances. Both of the home’s residents have family members who can assist them with their financial affairs. One of the residents spoken with was perfectly satisfied with the present arrangements. The home has a range of policies and procedures relating to the protection of residents and staff. It was noted that one of the residents self-medicates and was, after a risk assessment, deemed competent to do so. The home’s equipment and facilities are subject to regular safety checks and for example the fire alarm system is regularly tested and bath hoist regularly serviced. Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 14 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 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x x 4 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 3 Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 15 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 Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW 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 Cottage, The DS0000028749.V248991.R01.S.doc Version 5.0 Page 17 - 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!