Inspection on 01/02/06 for The Noel

This inspection was carried out on 1st February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Noel 04/06/09

The Noel 28/04/09

The Noel 30/01/09

The Noel 17/03/08

The Noel 24/01/07

The Noel 27/07/05

The Noel 07/10/04

The Noel 07/04/04

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 Noel, The St Boniface Road Ventnor Isle Of Wight PO38 1PN Lead Inspector Annie Kentfield Unannounced Inspection 1st February 2006 15:45 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 Noel, The DS0000012516.V251393.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. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Noel, The Address St Boniface Road Ventnor Isle Of Wight PO38 1PN 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) 01983 852292 Miss Sandra Vivienne Phillips Miss Sandra Vivienne Phillips Care Home 12 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (12), of places Physical disability over 65 years of age (4) Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2005 Brief Description of the Service: The Noel is a large period house on the outskirts of Ventnor enjoying fine sea views to the front and views of St Boniface Down at the back. The home is owned and managed by one person and although registered for 12 older people, usually accommodates 8 residents, as the owner prefers to provide single accommodation, and the double rooms are used only if residents choose to share. The owner’s philosophy of care is to provide “tailor made” care that is relaxed and flexible to suit the individual needs of the frail older residents. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection in this inspection year and took place in the late afternoon. The inspector spoke to all of the residents and where able to, they expressed their satisfaction with all aspects of care provided by the home. At the time of the inspection there were five residents and the manager and three members of staff on duty. Inspection comment cards were left for residents and visitors to complete and return if they chose to. One comment card was received from a relative who wrote, “it is a super home, very caring”. What the service does well: What has improved since the last inspection? What they could do better: Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 6 The exterior of the building needs some painting and maintenance. This was noted at the last inspection and the owner is in the process of getting estimates for the work to be done. The front driveway needs some tidying up – being open to the road and near to the sea, it tends to gather litter during the winter. 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. Noel, The DS0000012516.V251393.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 Noel, The DS0000012516.V251393.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): 3 Standards 4 and 5 were assessed at the previous inspection. New residents are not admitted to the home without an assessment of their care needs. EVIDENCE: The home has not admitted any new residents to the home so records were not inspected. However, in discussion, the manager is very clear about the level of care that the home can offer given the particular layout of the house, staffing, and the needs of the existing residents, and does not admit anyone to the home unless it is clear that all individual care needs can be met. The manager is able to access specialist community services to meet individual care needs and has a good working relationship with the GP practices and community health services and the local Social Services care managers. Noel, The DS0000012516.V251393.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): 7,8 and 9 The other standards were assessed at the previous inspection. The manager and staff work closely with community health services to ensure that the residents’ health care needs are monitored daily and health care needs fully met. EVIDENCE: In discussion with some of the residents it was evident that they receive a high level of personal care and attention and are supported to access specialist health care services wherever appropriate. Residents are supported to either see health professionals in the home or attend hospital appointments with a member of staff. The home has it’s own mobility aids and equipment and the manager is prompt to access any other resources that the residents need to support them. The manager demonstrated a good knowledge and awareness of the health care needs of older people and is confident that her knowledge helps the residents to have prompt care and attention when needed. The manager is Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 10 prompt to seek advice and guidance to best meet the residents’ health care needs. For example, research and care has gone into making sure that the special liquid diet for one resident is attractive and appetising and the manager has sought best practice in measuring weight for residents who are not mobile. Records and medication are kept in the lower ground floor of the home that only staff have access to. Medication is stored appropriately and records were up to date. The home has procedures for the storage and recording of controlled drugs although there are none in the home at present. Medication is checked daily by the manager to ensure correct dispensing and recording. The manager and staff have a great deal of experience and skill in providing palliative care and work closely with specialist palliative care agencies when appropriate. Relatives and visitors are always welcome to stay with residents as long as they want to. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 11 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 - 15 The routines of daily living in the home are flexible and informal. Residents maintain contact with family and friends as they wish. Residents are offered a choice of menu to meet their needs and preferences. EVIDENCE: The manager is committed to ensuring that daily life in the home is organised around the choices and preferences of the residents. Times for getting up and going to bed are agreed by the individual residents. Meals can be taken in the sitting room, or in individual bedrooms, as residents choose. The home does not have a formal programme of leisure and social activities; however, residents said that they prefer to spend their day as they choose and had no wish to take part in organised activities. Staff are always willing to assist residents with games, activities or outings, wherever possible. If residents want to go and visit their own home, staff will go with them. Some of the residents enjoy trips out with family or friends. The manager makes a point of organising birthday celebrations and likes to arrange a special tea and invite relatives and friends. Likewise with Christmas festivities, there is always a communal event with special food. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 12 Some of the residents say they prefer their own company and always have done so and are happy to spend time in their own room with their books and possessions. All of the bedrooms have sufficient room for armchairs, tables and whatever possessions residents choose to have with them, and all bedrooms have a television. Residents were very happy with the food provided and one resident described it as “lovely home-cooked food”. The manager places high importance on residents having whatever they like to eat and meals being attractive and nutritious. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 13 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 - 18 There are policies and procedures to protect residents from abuse. Residents and relatives have confirmed that they are aware of the home’s complaints procedure. EVIDENCE: No complaints have been received; the manager said that the home has received lots of compliments. The policy of the home is that residents manage their own affairs or with support from relatives or independent advisors, or a care manager. The manager looks after small amounts of personal monies and liaises with the relevant care manager if there are any concerns about residents. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 14 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 All of the standards were inspected at the previous inspection. The home is warm and comfortable for the residents and they all have their own bedroom that is individually personalised. Although the home does not meet all of the environmental National Minimum Standards residents are very satisfied with the accommodation provided. EVIDENCE: Houses in this part of Ventnor are built on several floors with steps up from street level. There is an outside stair lift from ground to the front door. Inside, although the home does not have a passenger lift, there is a stair lift from the upper ground floor to the first floor and residents use this with assistance from staff. Residents do not have access to the basement or lower ground floor that houses the kitchen, office and staff accommodation. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 15 There is one communal room on the ground floor and although there is no separate dining room this does not appear to disadvantage the residents; most are happy to spend time in their rooms and the sitting room is not widely used. There is a bathroom on the ground floor and first floor. There is a garden area at the back of the house and residents cannot easily access this independently. However, all of the residents are aware of the difficulties of access and said that they would still prefer to be in this home, in spite of the difficulties of using the stairs or the stair lift. Residents enjoy the fine views that the home offers and most of the bedrooms are of sufficient size to offer a ‘bed-sitting room’ and residents can have their own furniture and possessions with them, if they choose. The last inspection noted that the exterior of the house needs painting and that a planned programme of routine maintenance and renewal needs to be provided. Since the last inspection the upper bathroom has had new carpet fitted, this has improved the bathroom although the fittings are old but serviceable. The manager is in the process of arranging estimates for the exterior painting work to be done when the weather is better. The front drive/entrance needs some tidying up. The manager explained that it is difficult to arrange decoration of the home without affecting the residents and usually rooms are decorated and refurbished as they become vacant. The home was clean and tidy and there were no unpleasant odours. Bathrooms have hand-washing facilities to ensure good standards of hygiene and infection control. Residents who are able to engage with the inspection process said that the home is warm and comfortable and “homely” and they have everything they need. The comment card from a relative also confirmed that they are satisfied with the overall care provided. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 16 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 and 29 The other standards were assessed at the previous inspection. Staff in the home are skilled and experienced and there are sufficient staff to meet the care needs of the residents. The manager ensures that residents are protected by the home’s recruitment procedures. EVIDENCE: In the last few years, staff have worked hard to achieve the national qualifications in care and five out of six of the staff have the NVQ level 2 or 3 in care. One new member of staff has been appointed since the last inspection and the manager is aware of the requirement to carry out checks on all new staff before they start working in the home, including a criminal record check and a check on the POVA (Protection of Vulnerable Adults) list and confirmed this has been done, and written references were satisfactory. Staff enjoy working in the home and work closely with the owner/manager and are always prepared to be flexible with their hours to cover staff holidays or absence. Noel, The DS0000012516.V251393.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): 33 and 35 Other standards were assessed at the previous inspection. Comments from residents and from a relative demonstrate that the home is run in the best interests of the residents. EVIDENCE: Not all of the residents are able to contribute feedback to the inspection due to some cognitive impairment but it is evident that the manager and staff protect the welfare and interests of the residents. The management approach of the home is open and positive and the manager works closely with relatives and health and social care professionals to ensure that the residents are safe and protected. Residents’ financial interests are safeguarded and the policy of the home is that the manager or staff do not act as appointee or have power of attorney. Where residents are not able to manage their own financial affairs, the manager makes sure they have family or independent support. Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 18 The manager has excellent communication skills and is pro-active and flexible in ensuring that the needs of the residents are met and their choices and preferences always valued. Noel, The DS0000012516.V251393.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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 18 3 2 X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? YES 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 OP21OP20 OP19 Regulation 23 Requirement There must be written evidence that there is a planned programme of refurbishment and maintenance to include the exterior and interior of the building (particularly the exterior windows and first floor bathroom) (This requirement from the last inspection has been partly but not fully addressed) Timescale for action 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Noel, The DS0000012516.V251393.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW 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 Noel, The DS0000012516.V251393.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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