Inspection on 10/09/08 for The Gouldings

This inspection was carried out on 10th September 2008.

CSCI found this care home to be providing an Good service.

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 Gouldings 03/10/06

The Gouldings 01/12/05

The Gouldings 19/07/05

The Gouldings 13/12/04

The Gouldings 03/06/04

The Gouldings 19/02/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 01/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Gouldings St Andrews Way Freshwater Isle of Wight PO40 9HW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Annie Kentfield     Date: 1 0 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: The Gouldings St Andrews Way Freshwater Isle of Wight PO40 9HW 01983752135 01983756039 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Aileen Sandra Macaulay Type of registration: Number of places registered: Isle of Wight Council care home 35 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 35. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) Physical disability (PD). Date of last inspection Brief description of the care home The Gouldings is a three storey detached building located in a residential area of Freshwater and is owned and managed by Isle of Wight Council. The home offers residential respite care, rehabilitative care, and day care. There is a range of single and shared bedrooms with ample communal space and gardens. The building is accessible Care Homes for Older People Page 4 of 26 Over 65 0 0 0 0 0 0 Brief description of the care home and there is a passenger lift to access the upper floors. People using the service are usually referred to The Gouldings via a community health or social care professional. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We made an unannounced visit to the home on 10 September 2008, this was with one inspector (Annie Kentfield) and the visit lasted for 4 hours. We sent surveys to 20 service users, 20 staff and 3 health and social care professionals. We received completed surveys from 15 service users and 11 staff. We also received the Annual Quality Assurance Assessment from the service when we asked for it. This is a selfassessment and provides evidence of what the service does well, what they could do better and what improvements are planned. During the visit to the home we looked at communal areas and some of the bedrooms and bathrooms, and spoke to some of the people using the service. We looked at some of the homes records including care plans and medication records, staff training records and some health and safety records, with the assistance of the registered manager and some of the staff. Care Homes for Older People Page 6 of 26 We received very positive feedback from people using the service both in the written surveys and in personal discussion with some of the service users. The last inspection on this service was completed on 3rd October 2006. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users have the information they need about the service. Service users have their care needs assessed before using the service and can be assured that these will be met. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home Evidence: We looked at the information that is given to people using the service and this clearly sets out all of the information that people will need during their stay in The Gouldings. The guide includes a welcome from the registered manager, details of the service mission statement, and an evaluation form for people to comment on their stay. The guide is set out in large print that is easy to read and the manager told us that they Care Homes for Older People Page 10 of 26 Evidence: would look at alternative ways of producing the service user guide for people with specific communication needs, where necessary. When people are referred to The Gouldings for a period of respite care, the manager or assistant managers carry out an assessment of care needs. The service also requests a care needs summary from the referring care manager with Social Services. This ensures that people using the service can be confident that The Gouldings can meet their care needs, before they are admitted. This information is updated for people who use the respite care service on a regular basis. The Gouldings has a separate area of the building that provides intermediate care for people receiving rehabilitative care before returning home. This unit is staffed by a multi-disciplinary team of health and social care professionals. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each service users health, personal and social care needs are set out in an individual plan of care and their health care needs are fully met and their right to privacy and dignity is promoted. There are systems in place for the safe administration of service users medication and people using the service receive their medication as prescribed. Evidence: Each person using the service has a care plan that provides care staff with the information needed to meet all health and personal care needs. Daily records are kept of the care provided and staff have a hand over period at each shift to ensure that changes in care needs are communicated to all staff. People using the service have access to a visiting District Nurse and can either see their own GP or a local GP. The home has a treatment room to ensure that people receive health care in a private area. People have access to chiropody services and other specialist health care services as needed. The rehabilitation service is supported by occupational therapists, Care Homes for Older People Page 12 of 26 Evidence: speech therapists and physiotherapists. We spoke to some service users and also received 15 surveys from people who use the service. Comments confirmed a high level of satisfaction with the care provided. People told us that care staff are polite and caring. We looked at the medication procedures in the home including storage, recording and dispensing of service users medication. Storage is safe and records were up to date and accurate and this demonstrated that service users receive their medication as prescribed. Since the last inspection the service has notified us when there has been an error in medication procedures. The service has taken these incidents seriously and has taken prompt and appropriate action to improve the medication policy and procedures. Medication practice and procedures are regularly monitored and reviewed and staff receive regular updates of training in safe medication administration. Wherever possible and subject to a risk assessment, people using the service are supported to manage their own medication and suitable and safe storage is provided. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service aims to provide a range of activities to meet the social and recreational needs of the people using the service. Improvements are planned in this area. The service is committed to providing a choice of freshly cooked and nutritious meals each day in a pleasant and relaxed atmosphere. Evidence: We looked at what people told us in the surveys, we also spoke to some of the people staying in the home, and looked at what the service has told us in the Annual Quality Assurance Assessment. Some people told us that they were happy with the choice of social activities provided and some people said they would like more activities. Some of the suggestions that people made were for organised outings and more organised entertainment to be arranged. The service aims to offer activity choices that meet personal preferences and aspirations and there are a number of activities on offer such as bingo, games, quizzes, hand massage and art and craft groups. The home has monthly visits from a PAT dog. There is a library and a stock of videos and DVDs as well as books in large Care Homes for Older People Page 14 of 26 Evidence: print. People using the service can take part in religious worship as they choose. There are regular tea parties and special celebrations, for example, The Gouldings and the staff and service users recently hosted a visit by HRH The Duke of Edinburgh, who opened the new reablement centre. The manager told us that in response to service user feedback, a member of staff has recently been appointed to co-ordinate activities in the home and develop further activities that have been requested. The home has a shop and coffee lounge that is run by The Friends of The Gouldings. We received lots of positive feedback about the meals and the daily menu choices. Meals are taken in the dining room that is attractively furnished with new tables and chairs, matching table linen and flowers. People can choose to have their meals in their room or in the lounge if they prefer. There are daily choices of freshly prepared and wholesome food for the benefit of people using the service. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service can be confident that their views will be listened to, taken seriously and acted upon. People using the service are protected from the risk of harm or abuse. Evidence: People using the service told us that they know how to make a complaint - although they had never needed to. People also told us that they felt safe in the home. The complaints procedure is made available to anyone using the service or visitors and is also clearly set out in the service user guide. The stated aim of the service is to provide a welcoming and caring environment and the manager and staff are committed to listening and working in liaison with others involved in the service users care to ensure those aims are met. In the Annual Quality Assurance Assessment the service told us they plan to continue to improve communication with service users, families and carers so that issues can be addressed and at times anticipated and prevented and certainly dealt with speedily. The manager and staff demonstrate a clear understanding of their responsibilities to protect people using the service and there are specific policies and procedures for staff to follow. Staff receive training and regular updates on safeguarding or protection of service users including how to recognise potential or actual harm or abuse. Care Homes for Older People Page 16 of 26 Evidence: Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building provides a clean, comfortable and homely environment for the people using the service. There is a planned programme of refurbishment and decoration to further improve the facilities offered. Evidence: We looked at all of the communal areas of the home, some of the bedrooms and bathrooms, the intermediate or rehabilitation wing, and the laundry and sluice areas. We found the whole building to be clean and well maintained and people using the service have a good choice of communal space including outside areas with seating. People can choose to sit in a quiet lounge or one with a television. The rehabilitation wing has separate communal areas. The service user guide clearly sets out all of the rooms and facilities that are available and what can be found on each floor of the building. We spoke at length to three people who were staying in The Gouldings for a temporary period and they confirmed that the home provided everything they needed. The home has a passenger lift. The bedrooms vary in size with some being large enough to accommodate wheelchair users or people who choose to share a room. All of the bedrooms have a wash-hand basin, sufficient furniture, bedside lighting, an alarm call system, and a television. The service is aware that these facilities would be enhanced if all of the bedrooms had enCare Homes for Older People Page 18 of 26 Evidence: suite facilities and told us in the Annual Quality Assurance Assessment that they would have to carefully consider the impact on the service of providing this. The 9 bedrooms in the lower ground floor rehabilitation area have en-suite facilities. Special aids and equipment are available to maximise independence for the service users. Since the last inspection there have been a number of improvements to the building including a new ground floor bathroom with parker bath, and decoration and refurbishment. There are plans to further improve the building particularly the bedrooms and bathrooms, and to create a shower room. The building is also used on occasions by community care groups, there is an activity room of the first floor for this purpose. However, people using The Gouldings are also able to use the activity room and join in the activities group if they want to. The manager is aware of issues of safety and security and there are procedures for people entering and leaving the building to ensure safety and security. A room in the staff area of the home will be used by Wightcare home care staff for training and office work but the manager explained that community staff will have separate access to the building to minimise disruption to the comfort and privacy of service users who are staying in the home for respite care. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are protected by thorough staff recruitment procedures and the care needs of the service users are met by a skilled and competent staff team. Evidence: We looked at surveys that had been returned to us from 11 members of staff and 15 service users, we also looked at some of the staff training and supervision records, and the Annual Quality Assurance Assessment completed by the service. There is a clear commitment to providing staff training and support so that the care and support needs of the service users are consistently met by a skilled and qualified staff team. The home has a good support structure in place for the care staff and the domiciliary care staff and the records demonstrate that staff training is regularly updated and training and support needs reviewed. People using the service told us that they were very satisfied with the quality of care provided, the staff are friendly and helpful, and people told us that usually there are sufficient numbers of staff on duty for the support they need. Some people told us that occasionally the home is short staffed or staff are sometimes very busy but this does not happen all of the time. The manager explained that she aims to organise the staff rota with enough flexibiility to meet changing care needs and there is a small Care Homes for Older People Page 20 of 26 Evidence: bank of staff available to meet any temporary shortfalls on the staff rota - to cover training and staff holidays. The Isle of Wight Council operate thorough staff recruitment procedures. These ensure that people using the service are protected and demonstrate that staff working in the care home are suitable to work with the service users. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed in the best interests of people using the service. The health and safety of peole using the service, and the staff, is promoted and protected. There are systems in place to regularly review the quality of the service that include the views and feedback of people using the service. Evidence: We received written feedback from 15 people who use the service and we also spoke to 3 people currently staying in The Gouldings. The feedback demonstrated a very high level of satisfaction with all aspects of the service. People told us that they could not think of anything that they would want to change and one person wrote we are very lucky to have such a place in our area. The management approach of the home is open and positive and the manager told us that she speaks to each resident every day to ensure that any concerns are dealt with promptly and to ensure a positive experience when staying in The Gouldings. The Care Homes for Older People Page 22 of 26 Evidence: Annual Quality Assurance Assessment that the home sent to us provided lots of evidence of how the service promotes equality and diversity in the practice of the home. This was also confirmed from our observation of practice and from feedback from people who use the service. The health and safety of service users and staff is promoted and protected with systems in place to ensure that practice in the home is safe and meets regulatory requirements. One of the assistant managers has delegated responsibility for health and safety and this includes ensuring that health and safety risk assessments are reviewed and updated, and that staff receive appropriate training in safe working practice. The arrangements for fire safety have recently been reviewed and improvements made. The service had a food safety inspection in February 2008 and received a 5 star rating for food hygiene and safety. The service actively seeks feedback from people using the service as part of their quality monitoring systems and we saw evidence of where improvements have been made as a result of this feedback. For example, service users have requested place names on dining tables and more activities and these improvements have been put into place. We found evidence that the service is committed to continually improving the quality of care provided. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!