Inspection on 08/08/05 for The Cumberland

This inspection was carried out on 8th August 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 Cumberland 17/06/08

The Cumberland 08/11/06

The Cumberland 23/01/06

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 Unannounced 08/08/05 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 Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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 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 Registered Care Home 29 Category(ies) of Care Home for Older People (65 ) with registration, with number Dementia x 28 and and 1 service user with of places Mental Disorder The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) People with a mental infirmity is restricted to 1 person with a date of birth of 06/02/40 2) DE is restricted to 1 person whose date of birth is 31/01/50 Date of last inspection 29/03/05 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 H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The inspector arrived at lunchtime and spent some time observing staff providing care and interacting with residents. The inspector later interviewed three members of staff and viewed some records. 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 H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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 standard(s) None These standards were not assessed at this time. EVIDENCE: The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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 standard(s) 7, 8 9 and 10 Residents care needs are set out in individual plans which reflect that needs are fully met. The homes policies and procedures relating to medication ensure that residents are protected. Residents are treated with dignity and privacy. EVIDENCE: Four care plans were viewed during this inspection. They contain information about actions to be taken by staff to provide appropriate care for individuals. They are based on pre-admission assessments. They contain risk assessments and are regularly reviewed to ensure they are up to date. They cover a range of health and welfare care needs. Records are maintained to show the involvement of health care professionals such as dentist, optician, chiropodist and community nurses. The home retains the services of a local general practitioner who visits weekly on a regular basis. There is a nutritional assessment tool in use which includes an assessment, as well as monthly comments where necessary. Risk assessments regarding skin integrity and mobility are also undertaken. The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 Page 9 Staff members who give out medications have undertaken a safe handling of medication training course. There are policies and procedures in place including allowing for self-medication if appropriate. Storage and record keeping is appropriate. The inspector observed medication being given correctly and sensitively. A copy of the Royal Pharmaceutical Society of Great Britain’s guidelines is available to staff. Staff confirmed that dignity and privacy are an important part of the care provided at The Cumberland. The Mission Statement for the company emphasises this and each member of staff has a copy of this in their Orientation Folder which is part of their induction. Staff spoken to also confirmed that the ‘shadowing’ of an experienced member of staff during induction allows for these attitudes to be reinforced. Medical examinations would take place in the residents’ own room and personal care would be in own rooms or bathroom areas. There are 7 shared rooms, 1 of which has an en suite toilet and all have screens for privacy when required. Of the 15 single rooms, 8 have en suite facilities. There is a portable phone for residents to use which would allow for privacy. The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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 and 15 Wherever possible, within the limitations of an individual’s dementia, residents are given opportunities to make choices, therefore allowing for some level of control over their lives. The meals in this home offer both choice and variety and catering for special needs. EVIDENCE: Although there are some formal ‘activities’ sessions, the staff spoken to were clear that residents need to have opportunities for stimulation throughout the waking day. They confirmed that they are supported and encouraged by management to chat to residents and interact generally as well as encouraging sing–a-longs, ball games etc. Residents living at The Cumberland are limited in their abilities to make choices but the staff spoken to told the inspector that they try to make opportunities wherever possible such as asking about food choices at mealtimes, asking if someone wanted her food cut up or not today etc. Staff spoken to also confirmed that they try to enable residents to make choices about times to go to bed and get up, what clothes to wear etc. The emphasis is on taking time with individuals. One member of staff said “…take time, be aware…”. Another member of staff said that it was important to know the individual so you can help them to make choices. Staff are allocated to work with a small group of residents so they get to know them well and can encourage and facilitate as much choice as possible. The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 Page 11 The food seen on this occasion looked and smelt appetising. There are different areas for eating and the inspector observed staff providing help and support appropriately. The menu seen provides variety. Drinks are available throughout the day and snacks are prepared if required. Staff confirmed that residents’ likes and dislikes, so far as they are known, are noted and responded to. The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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) None These standards were not assessed at this time. EVIDENCE: The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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) None These standards were not assessed at this time. EVIDENCE: The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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 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) None These standards were not assessed at this time. EVIDENCE: The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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 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) None These standards were not assessed at this time. EVIDENCE: The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 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 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 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 x x x x x x x The Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 Page 17 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 Cumberland H56-H05 S23561 The Cumberland V241714 080805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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. 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