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Please note that the information on this website is now out of date.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 19/06/06 for The Cottage Residential Home

Also see our care home review for The Cottage Residential Home for more information

This inspection was carried out on 19th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 service users spoken with said they were satisfied with standards of care, that they were treated with respect and that they can chose how they spend their time. The home is clean and tidy and service users said they found it to be comfortable and homely although some refurbishment is required. The staff were observed to be kind and attentive when speaking to and caring for service users. The management of the homes administration is well maintained overall and staff recruitment policies and procedures are in place.

What has improved since the last inspection?

Improvements have been made regarding the recording of the administration of medicines, which now document medicines as administered to service users. Staff now receive induction upon commencing work at the home, which is signed as completed.

What the care home could do better:

Action must be taken to ensure the overall the health and safety of service users. For example, all fire safety regulations must be adhered to and actionmust be taken to minimise risks to service users prone to wandering, which was identified at the previous inspection. Some refurbishment of the home is required. For example, several carpets throughout the home are worn or stained although the responsible person stated that these are due to be replaced. It is recommended that systems are put in place to regularly enable service users and their representatives to further express their views regarding the care provided and life within the home.

CARE HOMES FOR OLDER PEOPLE The Cottage Residential Home Nocton Hall Nocton Lincs LN4 2BA Lead Inspector Mr David Bacon Key Unannounced Inspection 19th June 2006 08:00 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 Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 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 Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Cottage Residential Home Address Nocton Hall Nocton Lincs LN4 2BA 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) 01526 320887 01526 323055 BSB Care Limited Mrs Sharon Sills Care Home 26 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (26) of places The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: The Cottage Residential Home is a period converted two storey building situated seven miles from the south of the city of Lincoln in the grounds of Nocton Hall. The home provides personal care for up to 26 residents over the age of 65 years of age. The home is approached by a long tree lined driveway and is not on a bus route but is within walking distance of the village of Nocton. Car parking is available to the front of the home. There are gardens surrounding the property, which are on one level and easily accessible for pedestrians and wheelchair users although some building work was preventing complete access during this site visit. There are also garden chairs and tables at the front of the home. Accommodation is provided on both ground and first floors. The first floor is served by a shaft lift. The care fees range from £335 to £420 per week. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit took place over 4 hours; it was unannounced and was carried out by one inspector. A tour of the premises was conducted, service users care records and staff records were inspected along with some policy and maintenance records. The inspector spoke with the senior carer, four service users and three staff members. Service user satisfaction questionnaires were sent to the home prior to this inspection although none had been returned by the time of the site visit. A separate survey had recently been undertaken by the home and six of these were viewed. What the service does well: What has improved since the last inspection? What they could do better: Action must be taken to ensure the overall the health and safety of service users. For example, all fire safety regulations must be adhered to and action The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 6 must be taken to minimise risks to service users prone to wandering, which was identified at the previous inspection. Some refurbishment of the home is required. For example, several carpets throughout the home are worn or stained although the responsible person stated that these are due to be replaced. It is recommended that systems are put in place to regularly enable service users and their representatives to further express their views regarding the care provided and life within the home. 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 Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 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 Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory procedures in place for the introduction of residents to the home. EVIDENCE: The service users care records viewed identified that an assessment of each service users care needs had taken place, which included an assessment of risk and how these were to be minimised. Care assessment information clearly identified service users care needs. For example, one service user had been assessed as having dementia and the records regarding this informed staff as to how the individual was affected by this and any related care needs. The care plans seen were updated regularly and evidenced that service users, or their representatives are consulted with regarding their care plan where this is possible. Service users are provided with written terms and conditions of residence contracts. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 9 The service users spoken with confirmed that they were satisfied with admission arrangements, which was further evidenced in the completed service users satisfaction surveys seen. Comments included: “The staff are all kind and helpful to us and were good when I came here”. “Yes, they help you to settle and tell you what’s what, very good really”. “I don’t quite remember but the staff are always kind and helpful”. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 10 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, 9, 10, 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users care records are well maintained and the service users spoken with are treated with respect and satisfied with the care provided. Procedures for the administration of medication are appropriate. EVIDENCE: The service users spoken with confirmed that staff respected their privacy and dignity. Comments included: “I can’t complain because I am looked after very well here, they are good to me “. “They do treat you properly, how you would want to be treated”. “They do respect you, you call and they will help and they do the job nicely”. The staff were observed carrying out care tasks during the visit and they were respectful to the service users throughout. The care records viewed identified individuals care needs and instructed staff how any care needs were to be met. For example, one service user had been The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 11 assessed as having an allergy and care records instructed staff as to how this may be minimised. Care records are updated daily and where service users care needs change and they are reviewed each month. The care plans viewed identified service users health care needs and how these were being met and any specific end of life needs or preferences. The homes medication system was well maintained and clearly documented medicines as receipted into the building, where administered and as disposed. Medicines are securely stored and staff whom administer medication receive training regarding this subject matter. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to maintain and develop community links as they prefer and regarding the care they receive. The meals and activities provided by the home are mostly enjoyed by service users. EVIDENCE: The service users spoken with confirmed that they were able spend their time as they liked and that they enjoyed the homes provision of meals and activities, which was further confirmed in the completed satisfaction surveys seen during the visit. Service users said. “I’m happy doing what I do, there are things laid on but I’m not interested”. “There seems to be a few things to do, yes I’m happy with them”. “The food is okay but it could be improved”. “There is enough to do for me”. Records of activities undertaken are maintained. A record of all meals provided is maintained along with meal and equipment temperature records. A four-week menu is in place. The home cook said that kitchen staff aim to speak regularly with service users to ascertain satisfaction The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 13 levels and that the foods provided are adjusted accordingly. The service users spoken with made no suggestions to improve the provision of meals. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory procedures in place overall to ensure that service users are protected and they can raise concerns should they wish to. Staff are made aware of the homes abuse and whistle blowing policies and procedures to ensure that residents are protected. EVIDENCE: The home has a whistle blowing policy and adult protection and abuse awareness policies and procedures are in place and the staff members spoken with were fully aware of the correct procedures required to be taken in the event of an issue of abuse being identified. Also, most staff have received abuse awareness training and training regarding this subject matter has been identified for any newly recruited staff. Complaint policies and procedures are in place and information regarding these is provided to service users and displayed in the home. No complaints have been received by the CSCI since the last inspection. The service users spoken with said that they felt able to express any views regarding the care provided and that these would be appropriately acted upon. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 15 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, 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The standard of the physical environment is adequate overall although fire safety precautions put service users at risk. EVIDENCE: The home was clean and tidy throughout although several of the homes carpets are stained. For example, in main corridor areas. The responsible person said that these were soon due to be replaced. Cleaning materials were safely stored and staff receive awareness training regarding this subject matter. Some building work is currently taking place and two external fire escape doors were blocked and an immediate requirement was placed upon the home regarding this, which was addressed during the visit. Other fire safety precautions were undertaken as per fire safety regulations. The service users spoken with were satisfied with the physical environment. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 16 Hot water temperatures are monitored on a regular basis, and a risk assessment for the prevention of legionella has been conducted. Separate cleaning staff are employed. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 17 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, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being staffed to meet the current needs of residents and staff are appropriately recruited and receive induction and training to ensure this. EVIDENCE: The service users spoken with confirmed that their care needs were met and that there were sufficient numbers of staff deployed in the home, which was further confirmed within the completed satisfaction surveys seen during the visit. Comments included: “They are very good, very caring and they give you the help you need”. “The staff are amazing, top of the pile”. “You can’t complain because there is no reason to, you get well looked after here”. The staff records viewed were well maintained overall and demonstrated where employment procedures and checks had been undertaken prior to staff commencing work at the home. The staff members spoken with said that they had received an induction upon commencing work at the home, of which records are maintained and staff confirmed that they receive training to enable them to carryout their role. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 18 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): 31, 33, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported to express their views regarding life within the home and the care provided. The staff are trained to meet service users care needs. The premises are well maintained overall although some safety systems must be improved. EVIDENCE: Risk assessments have been completed for all service users and for the overall safety of the premises. The systems in place to minimise risks to residents prone to wandering are inadequate. For example, a door alarm is fitted to the front door although this was switched off at the time of this inspection, which places service users prone to wandering at risk. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 19 Maintenance records are kept and made available for inspection. The service users and staff members spoken with were satisfied overall with the manager’s approach to the role. Quality satisfaction questionnaires are sent to service users although not regularly and service users meetings are not regularly held, which would further enable service users and representative opportunity to express their views regarding life within the home. The six completed satisfaction questionnaires seen identified that service users overall were satisfied with the care provided by the home. The staff attend statutory training of which records are maintained. The staff members spoken with were aware of safe practices, they attend training regarding this and policies and procedures are in place. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 20 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 N/a 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 2 The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 21 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 OP19 Regulation 23 (4) (5) Requirement Fire safety systems must be undertaken as per the Fire Safety Officers instructions including fire exits. The registered person must arrange for the replacement of carpets in the dining areas, and areas of hallway that are showing signs of wear and tear. The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. Therefore, action must be taken to minimise risks to service users prone to wandering (including design solutions) (previous timescale of 28/02/06 not met). Timescale for action 19/06/06 2. OP19 23 (2) 31/08/06 3. OP38 12 (1) 13 (4) (c) 31/08/06 The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 22 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 OP33 Good Practice Recommendations It is recommended that systems are put in place to regularly enable service users and their representatives to express their views regarding the care provided and life within the home. The Cottage Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Residential Home DS0000056118.V300411.R01.S.doc Version 5.2 Page 24 - 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!