Inspection on 19/07/05 for The Gouldings

This inspection was carried out on 19th July 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 Gouldings 10/09/08

The Gouldings 03/10/06

The Gouldings 01/12/05

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Gouldings St Andrews Way Freshwater Isle of Wight PO40 9HW Lead Inspector Neil Kingman Unannounced 19th July, 2005 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 Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Gouldings Address St Andrews way, Freshwater, Isle of Wight, PO40 9HW 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) 01983 752135 01983 756039 sandra.weller@iow.gov.uk Isle of Wight Council Mrs Anne L. Willis Care Home 35 Category(ies) of Dementia - over 65 years of age (7), Old age registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (10). The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 4 persons between and including the ages of 50 to 65 years may be admitted for intermediate care Date of last inspection 13/12/04 Brief Description of the Service: The Gouldings is a purpose built three storey detached property located in a residential area of Freshwater. The town centre with its shops and amenities is about a half mile from the home. The stated aim of The Gouldings is to provide service users with intermediate and rehabilitative care with accommodation on all three levels. Service users are afforded ramped access from the car park into the home and to all areas of the building via a large passenger lift. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place unannounced over 6 hours. The inspector toured the building, viewed a selection of the home’s records and spoke with 2 care assistants, 8 service users and 3 visitors. There were sufficient staff on duty to fully meet the needs of the service users. The atmosphere was relaxed and very sociable and the outcomes were positive. What the service does well: What has improved since the last inspection? What they could do better: There were no identified requirements or recommendations and based on the outcomes from this inspection the home is providing a good service in line with its aims and objectives. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 6 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 Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 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 standard(s) 6 The Gouldings provides a dedicated intermediate care service with accommodation, facilities and equipment to deliver short term intensive rehabilitation, enabling service users to return home. EVIDENCE: The home’s dedicated rehabilitation unit is sited on the lower ground floor. The inspector toured the unit with the manager and had an opportunity to speak alone with service users and their visitors. The comments made about the service were very positive. During the morning an occupational therapist was going through an exercise routine with the service users and a district nurse was visiting those who needed treatment. The rehabilitation unit was seen to provide high quality accommodation with a range of equipment and facilities for therapies, treatment and the promotion of daily living and mobility. Records showed that a range of support professionals visit the unit each week, and close liaison is maintained with professional staff in the hospital who are involved with rehabilitation. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 9 As at previous inspections service user comment cards contained very positive comments about the quality of the service. While the service at The Gouldings is primarily intermediate care there are two long term residents, one having lived there for eleven years. From the comments received from this resident it was clear that her care was not in any way compromised by the intermediate care function. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 8 The home has a system of care planning with an individual plan for each service user. They demonstrate that residents’ health care needs are identified and met. EVIDENCE: The inspector looked at a sample of two care plans from the rehabilitation unit and one from the part of the building where service users are admitted for intermediate care. The sample included an emergency admission. The manager said that the turnover of service users in the rehabilitation unit was high. This was reflected in their care plans; information being concise and kept to a minimum. The other care plan was more comprehensive with information built up over time. Those in the sample provided an assessment of need and a plan of care, which took account of service users’ physical, emotional and medical needs. They set goals and expected outcomes, and included manual handling and risk assessments. Daily recording of information was seen to be detailed and meaningful. The manager said that large print care plans could be made available for those with sight impairments. Two service users confirmed that they were aware that staff kept records about their care. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 11 The manager confirmed that at the time of the inspection one service user had a low grade pressure sore that was attended to by the District Nurse. Records showed appropriate management of pressure areas by staff. One resident could not praise staff highly enough for the attention they gave her during a period of illness. Currently the Continence Nurse undertakes continence assessments. However, the manager said that plans were in place for staff to be trained to carry out their own assessments. Records showed that all other healthcare professionals were sought as and when required. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 The Gouldings offers a flexible and varied service where choices and preferences are encouraged and supported. Food served is nutritious, varied and well prepared. EVIDENCE: With the high turnover of short stay services users and the two long term residents the manager recognised the importance of flexible routines. The main meal of the day is arranged in two sittings in the large dining room. The home will oblige those who prefer to take meals in their rooms. The inspector had an opportunity to spend the lunchtime with some day care users. They all showed satisfaction with the meals provided. In discussions about the service provided they said the home collects them from, and returns them to their homes for each visit and they variously enjoyed the activities on offer, the assisted baths and most importantly the company of other service users. Since the last inspection the home has created an activities room on the ground floor, additional to the one on the first floor, which is mainly used for crafts and the art group. Daily activities are published on the notice board and include flower arranging, quizzes, exercises, games and reminiscence. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 13 Menus are arranged on a six week rota and reviewed every three months. They showed food to be varied and nutritious with a choice of two main meals of the day. Alternatives are always available and were in evidence on the day of the inspection. A trolley service provides hot and cold drinks, cakes and biscuits throughout the day. Every service user spoken with was complimentary of the food. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home treats residents’ complaints seriously and responds appropriately. EVIDENCE: The home has a complaints policy and procedure, which is set out in the Service Users’ Guide to the home, a copy of which can be found in each service users’ room. The manager said that the home’s complaints procedure is currently under review. A complaints register was available for inspection. It gave details of four complaints received since December 2004 together with outcomes. Six comment cards expressing satisfaction were received from service users, two of which were extremely complimentary. No concerns were raised. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 25 and 26 All areas of the home are clean, hygienic and free from unpleasant odours. Rooms are centrally heated and naturally ventilated. They meet the various environmental health and safety requirements. EVIDENCE: The inspector toured the building with the manager. All areas were found to be clean, hygienic and free from unpleasant odours. Industrial cleaning equipment was in use during the day of the inspection. The home is equipped with emergency lighting throughout. Rooms are naturally ventilated and centrally heated. Radiators are guarded throughout. Pre-set valves have been fitted in bathrooms to ensure water is provided close to 43ºc. The manager confirmed that the storage and distribution of water in the home is adequate to prevent risks from Legionella. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 16 One comment card from a service user highlighted the cleanliness and tidiness of the home. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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) 27 and 30 Staff at The Gouldings have the necessary skills and experience and are deployed in adequate numbers to meet the needs of the people who live there. EVIDENCE: On the day of the inspection The Gouldings had a full compliment of staff. On duty at the time were seven care assistants, domestic, catering and maintenance staff, the manager and an assistant manager. Staff rotas showed that safe levels were maintained and service users were full of praise for the staff group. A selection of staff training profiles showed that all statutory training is scheduled and regularly refreshed. Staff spoken with confirmed that training is both comprehensive and frequent. The home is committed to NVQ training with 55 having completed the NVQ at level 2 and 38 at level 3. There was evidence that staff induction is to TOPSS England standards and additional to statutory subjects the home accesses training in dementia awareness, Parkinson’s disease, palliative care, adult protection and medication. The manager confirmed that training for staff is sourced from a range of providers. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 36 and 38 Staff receive regular and appropriate supervision. Policies, procedures and staff training are in place to ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. EVIDENCE: The inspector was shown evidence of a programme of formal staff supervision where the assistant managers supervise care staff and the home’s manager supervises her assistants and administrative staff. Care staff spoken with confirmed that both staff meetings and supervision were regular. In addition to individual supervision the home organises group supervision sessions for care, domestic and catering staff. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 19 Health and safety issues are co-ordinated by a nominated assistant manager. Staff receive scheduled training in manual handling, fire safety and health and safety. There is always a qualified first-aider on duty on all shifts and all minibus drivers are first aid qualified. There was evidence of a health and safety policy in place together with good infection control procedures. The premises were noted to have adequate security measures in place. The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x 3 x 3 The Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 21 No 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 Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Mill Court Newport Isle of Wight PO30 2AA 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 Gouldings H55-H04 S32200 The Gouldings V218039 190705 stage 4.doc Version 1.40 Page 23 - 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!