Inspection on 23/01/06 for The Cumberland

This inspection was carried out on 23rd January 2006.

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 Cumberland 17/06/08

The Cumberland 08/11/06

The Cumberland 08/08/05

The Cumberland 29/03/05

The Cumberland 29/04/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOMES FOR OLDER PEOPLE The Cumberland 9-11 Beltinge Road Herne Bay Kent CT6 6DB Lead Inspector Christine Lawrence Announced Inspection 23 and 24 January 2006 10:00 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 Cumberland DS0000023561.V268056.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 Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Cumberland Address 9-11 Beltinge Road Herne Bay Kent CT6 6DB 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) 01227 375301 St Brelades Retirement Homes Limited Mrs Catherine Margaret Anne Chuck Care Home 29 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (27), Mental disorder, excluding learning of places disability or dementia (1) The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. People with a mental infirmity is restricted to 1 person with a d.o.b of 06/02/40 DE is restricted to one person whose date of birth is 31/01/1950 Date of last inspection 8 August 2005 Brief Description of the Service: The Cumberland is a Care Home providing personal care and accommodation for 29 women with dementia. It is owned by St Brelade’s Retirement Homes Limited which owns another Home close by. The Home is located in a residential part of Herne Bay very close to the town centre with all of its amenities. The Home was first registered/opened in 1991 and consists of a large detached house with 15 single rooms (7 with en suite toilet facilities) and 7 shared rooms (1 with en suite toilet facilities). There is a shaft lift. The front of the building is a planted patio area and there is a fenced area of garden to the rear. The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection for The Cumberland took place over two days and was undertaken in combination with the inspection of the home close by (St Brelade’s) which is owned and managed by the same people. Twenty one relatives’ comment cards were received by the Commission for Social Care Inspection and the information they contained is also used for this inspection. Records were viewed, a tour of parts of the building was made and the inspector spoke to the manager and other staff and also to some visitors to the home. 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. The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 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 The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 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 Residents have their needs assessed prior to moving into the home and thus can be assured that the home judges that it can meet those needs. EVIDENCE: Pre-admission assessments are carried out by the manager, Cathy Chuck or by the deputy manager, Neil McNeill. A care plan checklist is used to compile an assessment profile which is then used as the basis of a care plan. These preadmission assessments are based on visiting a prospective resident in their own home or in hospital. The subsequent initial care plan is in place on the day of admission and subsequently amended as the staff begin to get to know the person in his /her new surroundings. Information is sometimes received from a placing authority and examples of this were noted on records. Mrs Chuck also gave examples to the inspector of not admitting someone when the pre-admission assessment had identified that the home would not be able to meet their needs. The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 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): None These standards were not assessed at this time. Please see the report for the previous inspection of 8 August 2005 for more information. EVIDENCE: The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 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): None These standards were not assessed at this time. Please see the report for the inspection of 8 August 2005 for more information. EVIDENCE: The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 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 and 18 Complaints would be handled objectively and in keeping with the home’s appropriate procedures and residents/their representatives can be confident that any concerns will be listened to, taken seriously and responded to. Staff are aware of adult protection issues and there are systems in place which create an atmosphere for protecting residents from abuse. EVIDENCE: There is a Complaints Folder maintained and the inspector was informed that no complaints have been received in the past 12 months. The records show, and this is confirmed by staff members that even very minor things are noted and responded to. The home has a form entitled “Minor Complaint/Incident Form” which is used to facilitate this. The home’s procedure for complaints is clearly written and included within the service user guide. Twenty relatives (in the comment cards) said they were aware of the complaints procedure. There is information about how to contact the Commission for Social Care Inspection. Mrs Chuck said the ethos within the home was very much about trying to deal with any small issues before they become of concern to anyone. Staff spoken to were very clear about their responsibilities relating to protecting residents. There are policies and procedures in place which include whistle blowing and systems relating to protecting residents’ finances. The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 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): 19 and 26 Residents benefit from a well-maintained environment which is safe, clean comfortable and hygienic. EVIDENCE: Some changes have been made within the home to communal areas. One lounge are, which also used to have a dining area, is now only a lounge. A small dining area has been created close by. The home is located close to the centre of Herne Bay with all its amenities. The seafront is within easy walking distance. There are no outstanding requirements from the local fire safety office or environmental health department of the local council. The building is well maintained and staff are employed for maintenance and gardening. Furnishings and décor, including carpets, are domestic in style and attractive in appearance. New laundry systems are in place. This reflects the inspectors’ experience on the day of the inspection that the home was clean and had no offensive odours. New clothes washing machinery (ozone system) has been installed The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 12 which can provide appropriate washing cycles for foul or infected items. There is an appropriately secured cupboard for storage in keeping with the Control of Substances Hazardous to Health Regulations and there are hand-washing facilities. There are appropriate policies and procedures in place. One relative included “…no smells!…” in their comment card, as well as “…a bright cheerful place…where the standard of cleanliness is excellent…”. The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 13 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, 29 and 30 Residents’ needs are met by sufficient staff who are competent and trained. Residents are supported and protected by the home’s recruitment procedures. EVIDENCE: A rota is maintained indicating who is on duty and what their role is. Domestic, catering and maintenance staff are employed as well as a structured team of care staff. There is also a structured team of senior staff to provide guidance and back up for the team of care staff. More than 50 of care staff have achieved National Vocational Qualifications (NVQs). This is considered an important part of staff training and everyone is offered this opportunity within 6 months of starting work at The Cumberland. Karen Hughes is the Head of Care in The Cumberland and she has the responsibility for co-ordinating the NVQ candidates. There are three staff members who are under 18 but they are clearly designated as ‘Junior’ carers with a support role, not providing direct care. There is another senior member of staff, Angela Collins (Trainer/Administrator) who oversees the induction and ongoing training programme. Staff members spoken to confirmed that they were given opportunities for training. Staff records seen during this inspection were well maintained and provided information which showed that the recruitment procedures include two written references, Criminal Records Bureau checks, terms and conditions of employment and the provision of copies of Codes of Conduct published by the General Social Care Council. The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 14 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, 35 and 38 Residents benefit from the home being managed by someone who is competent, experienced and knowledgeable. Further work needs to be done to ensure the outcomes for Standard 33 are realised. Residents’ financial interests are safeguarded by the home’s procedures. The health and safety of residents and staff are promoted and protected. EVIDENCE: Cathy Chuck is the registered manager of The Cumberland. She is currently undertaking Level 4 NVQs in management and care. She has many years experience of managing. Neil McNeill is the deputy manager and he too is currently undertaking Level 4 NVQs. There is also a Head of Care (Karen Hughes, who has achieved her Registered Managers Award) and the Head of Care and Clinical Manager from St Brelade’s are also involved as required. The Trainer/Administrator, who is currently undertaking Level 4 NVQs, has responsibilities in both homes. This group of people work together to provide a The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 15 management team which is clear about the ethos of the home and the lines of accountability. The company is an ‘Investors in People’ organisation. Mrs Chuck has plans for questionnaires to be sent out to residents and/or their relatives or representatives as part of the quality monitoring process which is being developed. If any purchases are made for residents at the request of a relative, or if any extra services are provided then the appropriate person will be invoiced by the home. All residents are represented by a relative or another person responsible for their finances eg solicitors, local authority finance officer. The home is not directly involved with the finances of any resident. One of the maintenance staff has designated responsibility for undertaking regular health and safety checks throughout the building. A spot check on maintenance and service contracts showed that these are in place and monitored. Fires safety checks and accidents and incidents are appropriately recorded. Risk assessments are in place for a number of areas and activities within the home. There is a range of policies and procedures relating to health and safety. The Cumberland DS0000023561.V268056.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 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 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 17 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. 1 2 Refer to Standard OP31 OP33 Good Practice Recommendations The registered manager should complete her qualification course Further work to be done regarding consultation as part of the quality monitoring process. The outcome for this Standard should be achieved and Regulation 24 met. The Cumberland DS0000023561.V268056.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Cumberland DS0000023561.V268056.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. 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. 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