Inspection on 19/01/06 for The Gatehouse

This inspection was carried out on 19th 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 Gatehouse 13/01/10

The Gatehouse 26/09/07

The Gatehouse 08/05/07

The Gatehouse 08/02/07

The Gatehouse 21/08/06

The Gatehouse 22/07/05

The Gatehouse 18/01/05

The Gatehouse 24/08/04

The Gatehouse 18/09/03

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 Gatehouse 64 Becton Lane Barton-on-sea New Milton Hampshire BH25 7AG Lead Inspector Keith Hopkins Unannounced Inspection 19th January 2006 10:40 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 Gatehouse DS0000012359.V277522.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 Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Gatehouse Address 64 Becton Lane Barton-on-sea New Milton Hampshire BH25 7AG 01425 613465 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) Mr E Breckon Mrs J Breckon Mrs Sally Price Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (21) of places The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd July 2005 Brief Description of the Service: The Gatehouse is set in a semi-rural location on the outskirts of the town of New Milton at Barton-on-Sea with access to local amenities. It provides residential care for up to 21 elderly residents, some of whom have dementia. The home is on ground and first floors and there is a stairlift between these. There are a variety of aids and adaptations to allow residents to move about more independently. Nineteen of the bedrooms are single, and one is a double. All of the bedrooms bar one single have an en-suite facility. There is a communal bathroom with toilet on the ground floor, and two bathrooms with toilets on the first floor. There are large gardens around the building, and car parking space to the front for about six vehicles. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three and a quarter hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the owner and manager. The inspector also spoke with two members of staff. Most of the residents were seen to be using the communal areas and several were spoken with in the main lounge. Two residents were spoken with at greater length in private. The inspector was unable to speak with any visitors to the home on this occasion. What the service does well: What has improved since the last inspection? Increased staffing levels have enabled more time to be dedicated to the care of residents, and in enabling them to be supported in undertaking activities of their choice. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 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 Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 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 Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 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): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 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 the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14 and 15. Residents enjoy varied lifestyles and undertake activities of their choice. The provision of a wide range of opportunities for recreational activity is appreciated by residents, as is a varied and nutritious diet. EVIDENCE: At the time of the inspection several residents were enjoying playing bingo in the main lounge, and others were relaxing in the conservatory or their bedrooms. Music and movement is held once a fortnight and once a week children from a local school visit to play board games with residents. The inspector was informed that a communion service was held on a regular monthly basis for four residents and that one resident had communion on a private basis on occasion. Two residents attend a Baptist Church every week and the ‘New Life’ church visits every month to provide musical activity. Two residents were reported to particularly enjoy going out for walks and one of them confirmed to the inspector how much she enjoyed this. A member of staff said that there was time to accompany residents who needed support in going out. Other residents confirmed the extent to which there were choices over everyday activities, one saying, for example, that she could ‘come and go as you please’. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 11 A mobile library visits the home every three weeks and several residents took a daily newspaper. Visitors are welcomed at any time but asked to avoid early mornings if possible. The inspector was informed that most residents received visitors, and that one visitor stayed for lunch every Sunday. The home’s menus and meals taken book were examined and indicated a nutritious and varied diet with residents having an alternative to the main meal if they wish. The inspector was informed that other than one diabetic diet, there was currently no need for the preparation of any other special diets. An attractively presented meal was observed to be served at lunchtime, and the inspector was informed that residents had breakfast at a time of their own choosing. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 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 the following standard(s): 16 and 18. The home has a suitable complaints procedure, which residents are aware of and feel able to use. Residents are protected through an adult protection policy and procedure known and understood by staff. EVIDENCE: The Gatehouse has a well documented and comprehensive complaints procedure, a copy of this being contained in the policies folder. The home has dealt with one formal complaint recently, documentation examined regarding this confirming that it had been dealt with appropriately and in a timely manner. All residents spoken with said that they no complaints. The home also has a policy and procedure relating to adult protection. Staff have been trained in this and confirmed their understanding of what to do in the case of suspected abuse. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 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 the following standard(s): 19, 23, and 26. A comfortable clean and safe standard of accommodation with suitable communal and private spaces is provided. EVIDENCE: The home is well maintained and suited to residents’ needs. It is decorated and furnished to a standard that creates a homely ambience and there is a programme of redecoration and refurbishment in place. There is a stairlift between ground and first floors. There is a lounge with a large adjoining conservatory and a separate dining room. Four residents’ bedrooms were inspected and were adequately furnished and looked homely, as residents had been able to bring items of their own furniture and possessions with them. One resident said she had brought her own bed into the home and also said that it ‘was important to have your own things’. All areas of the home smelled pleasant and were cleaned to a high standard. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 14 There are large and attractive gardens appreciated by residents. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 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 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 and 30. Staff at the home are well trained, are employed through a robust recruitment procedure, and are deployed in sufficient numbers to meet residents’ needs. EVIDENCE: Staff were observed during the inspection to be providing assistance to residents in a calm and unhurried manner. Further observation during the inspection confirmed that staff were able to spend time socialising and talking with residents. The staff rota indicated there to be four or five care staff on duty each morning with two or three each afternoon and evening. Management and domestic staff, including a cook, supported these staff. There is one ‘waking’ member of staff on duty each night, and a further person ‘sleeping in’ in case of emergency. Care staff levels have been increased since the previous inspection and staff said that there were generally enough of them on duty. The increased staffing levels have meant that care staff are able to spend more time with residents. One resident said that staff ‘were all wonderful’, and that ‘they were well picked’ Three staff records examined indicated a recruitment process, which included the obtaining of written references, and of Criminal Records Bureau disclosures being obtained. Staff themselves confirmed this and the fact that new staff The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 16 ‘shadowed’ existing staff until they were confident about undertaking their duties. There had been a variety of courses undertaken by staff, including for example, food hygiene, people handling and fire safety. The inspector was informed by the manager that seven staff members had been trained to NVQ Level 2 and a further three to NVQ Level 3, the home continuing to work towards further staff being trained. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 17 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. The home is well managed with residents having a clear and accessible means of influencing policy and practice. Residents’ welfare is promoted through sound policies and procedures, although the safeguarding of financial interests needs enhancing. EVIDENCE: The manager has a considerable number of years experience in a senior capacity, and has completed the Registered Managers Award. There are clear lines of accountability within the home to the owner, and the manager explained that she had a good level of delegated authority. The inspector saw questionnaires completed by residents, as a part of the home’s quality assurance programme, which confirmed satisfaction with the services offered. Residents spoken with also all commented on how nice the The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 18 home was, saying variously that the home provided ‘a nice environment’ and ‘I like it here’. The manager confirmed that there was a little involvement by the home in helping three residents deal with financial matters, by way of safekeeping of personal monies. One of the records of monies held did not tally with the amount in the safe. This was believed to be the result of a lack of a receipt, which the manager was to investigate. The inspector observed no immediately obvious hazards to health and safety during the inspection. Staff were clearly aware of their responsibilities under health and safety legislation, although the home was unable to positively evidence that staff had read the appropriate documentation. The home’s laundry is provided with a washing machine capable of dealing with any soiled laundry, and there is a procedure for dealing with this. A sample of policies and records required by regulation were inspected and were in order and up to date. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 19 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 X X X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 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 2 X X 2 The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 20 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 OP3535 OP3838 Good Practice Recommendations It is recommended that receipts are obtained and kept of monies spent on behalf of residents. It is recommended that staff sign to say they have read the home’s policies. The Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Gatehouse DS0000012359.V277522.R01.S.doc Version 5.1 Page 22 - 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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