Inspection on 10/02/09 for The Old Malthouse

This inspection was carried out on 10th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Old Malthouse 11/02/08

The Old Malthouse 29/03/07

The Old Malthouse 17/10/05

The Old Malthouse 11/05/05

The Old Malthouse 21/02/05

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

Thorndene

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Old Malthouse 33 High Street Selsey Chichester West Sussex PO20 0RB     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: Sheila Gawley     Date: 1 0 0 2 2 0 0 9 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. that people have said are important to them: They reflect the things 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 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 24 Information about the care home Name of care home: Address: The Old Malthouse 33 High Street Selsey Chichester West Sussex PO20 0RB 01243605410 01243602380 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Selsey Care Company Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 34 Number of places (if applicable): Under 65 Over 65 34 0 old age, not falling within any other category physical disability Additional conditions: 0 34 The maximum number of service users to be accommodated is 34 The registered person may provide the following category of service: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home The Old Malthouse is a care home with nursing and is registered to provided accommodation for up to thirty two service users in the category older persons, six of who may also be aged 50 years and over in the category physical disability. It is a large detached property, which is located off the main road in Selsey village. The local shops, amenities, and the sea front are within walking distance of the home. Care Homes for Older People Page 4 of 24 Brief description of the care home Accommodation is provided in thirty single and one double bedroom located over two floors. There is a passenger lift between the floors and levelled access to all rooms. All bedrooms, except for one, have en suite facilities and in addition, assisted bathing facilities are also provided. There is a sitting room and two dining rooms. Selsey Care Company Ltd owns the home and the responsible individual is Laura Bow. The fees charged are £500- £650. There is not a registered manager at present. Care Homes for Older People Page 5 of 24 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: This site visit as part of the inspection was carried out on 10/02/09. The Deputy Manager facilitated the inspection and the provider was also available throughout. The Commission for Social Care Inspection was in receipt of an Annual Quality Assurance Assessment from the home, which contained the information we required. Prior to the inspection all files held by the Commission including comments and complaints were reviewed. Any records or documents required on the day were made available. We were in receipt of a survey from a general practitioner who expressed satisfaction Care Homes for Older People Page 6 of 24 with the nursing care offered in the home. Three people who use the service who returned surveys all expressed satisfaction with all aspects of the home. On the day people who use the service were spoken to, all comments were positive.Staff were spoken to and they stated there have been improvements in the home since the new provider took over. 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 24 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 24 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. People who use this service experience good outcomes in this area, as there is a clear assessment and admission process. Evidence: People who use the service have their needs assessed prior to admission. These assessments were seen in the care plans inspected. Areas assessed include medical history, personal care, nursing needs, social history, food likes, sleep, religion, mobility and moving and handling needs, and equipment required. A service user guide is available and can be supplied in large print if needed. Care Homes for Older People Page 10 of 24 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. People who use this service experience good outcomes in this area because all needs are assessed and met, set out in a plan and residents are treated with respect. Medicines are handled appropriately Evidence: All residents had a plan of care. Three people who use the service were case tracked their care plans and medicine administration charts were inspected. The care plans inspected contained information on health, nursing, personal and social need. The care plans were drawn up following an assessment of these needs. This included nutritional assessments, mobility, hygiene, continence, pressure areas and wound care, and risk assessments. The risk assessments covered falls, nutrition, choking, wandering, skin assessment, nursing and personal care needs such as the number of carers to move the person or the need for hoist to be used. The care plans were up to date and had evidence of monthly review. Weight is monitored. Blood glucose monitoring is in place for those people with diabetes as documented in the care plan. The persons preferred form of address is recorded. Access to specialist health support is available as required Care Homes for Older People Page 11 of 24 Evidence: including general practitioner, chiropodists, and the palliative care team. A survey received from a general practitioner commented that there was good nursing care in the home, good record keeping, clean rooms and that the home appropriately sought medical back up. There is monthly audit in place to ensure care plans, observations, waterlow and nutritional scores, weighe and manual handling assessments are all up to date. Blood testing equipment is calibrated monthly. Staff were observed offering care in a respectful and encouraging manner and three surveys received from people who use the service commented that they always receive the care and support they need. Medicines are received, stored, administered and recorded appropriately. Medicine administration charts inspected were up to date. Care Homes for Older People Page 12 of 24 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. People who use this service experience good outcomes in this area because the lifestyle in the home suits the people who live there. Evidence: All files and AQAA reviewed.Outcome good last inspection. AQAA state good activities programme. Specialist activities organiser visits 3 times a week and two staff members are responsible for activities at other times. There is an activities programme in place and this is displayed on the notice board. This includes in house activities such as bingo, music, outings,pap a pet, sherry mornings, afternoon games/crafts, flower arranging and some external entertainers. There was information on seasons on the noticeboard. People who use the service spoken to stated that they were happy with daily life in the home. Activities participated in are recorded on an activities log. One person who uses the service has been involved in growing a vegetable patch. People spoken to also stated that they could receive visitors as they choose. People spoken to stated that they have freedom in daily routines such as when to go to bed Care Homes for Older People Page 13 of 24 Evidence: and where to take meals. Visitor spoken to stated that they are made welcome in the home. The chef was spoken to. There is varied menu in place and choice is offered to residents. The meal seen prepared and served today appeared nutritious and people who use the service said they enjoyed it. Staff were seen offering assistance to those who required it to eat their meal. They were relaxed and chatting to the people who use the service. The kitchen meets the requirements of the most recent environmental health report. Care Homes for Older People Page 14 of 24 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 who use this service experience good quality outcomes in this area because a complaints system is in place and systems are in place to protect them from abuse. Evidence: There is a clear complaints procedure which is on display and which is included in the Statement of Purpose and Service User Guide. The procedure clearly identifies whom a complaint should be addressed to and the timescales in which a complaint would be addressed. People who use the service spoken to were clear as to whom they can raise concerns with. The people stated that they did not need to complain. There are safeguarding policies and procedures in place and staff have ongoing safeguarding training. Staff spoken to demonstrated an awareness of safeguarding procedures. Care Homes for Older People Page 15 of 24 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. People who use the service experience good quality in this outcome area because they live in a well-maintained and homely environment Evidence: The home was neat, clean and free from offensive odours. Decoration is ongoing with the corridor being painted today. There are comfortable communal areas which have comfortable furnishings, domestic in style. Bedrooms are personalised and people stated that they are happy with their rooms. All but one have en suite facilities. Improvements have been made since the last inspection such as the provision of toilet roll holders in all toilets, a new sluice and the provision of alcohol gel through out the home. The home has purchased new nursing beds. The kitchen meets the requirements of the most recent environmental health report and the home meets the requirements of the local fire authority. There are sufficient bathing and toilet facilities throughout the home to meet the needs of the people who live there. Care Homes for Older People Page 16 of 24 Evidence: The home has met the requirements of the last inspection. Care Homes for Older People Page 17 of 24 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 who use the service experience good quality in this outcome area because needs are met by suitably qualified staff. Evidence: There was sufficient staff on duty to meet the residents care and nursing need as assessed. Staff spoken with confirmed that they were happy with staffing levels and that this was supportive place to work. All have had an individual meeting with the new provider. One staff member stated that there have been improvements since the new provider took over. People who use the service spoken to stated they were happy with the number of staff at the home and found them to be kind and caring. They confirmed that they were well cared for. Training files were seen and staff confirmed that mandatory and National Vocational Qualifications are provided. The provider has a new common induction programme in place for all new staff. Supervision, although in place was not all up to date and this will be addressed by the provider. Two staff files were checked. One staff member employed before the new provider took over did not have references and the other employed since the new provider took over had all of the required documentation to ensure protection of residents. Two Care Homes for Older People Page 18 of 24 Evidence: references were in place and Criminal Records Bureau Clearance and POVA check had been undertaken. Care Homes for Older People Page 19 of 24 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. People who use the service experience good quality in this outcome area because the home is run in the best interests of the people who use the service. Evidence: There has not been a registered manager in place since the current provider took over in August of last year and the and the provider is recruiting. Theres is an acting manager and a deputy manager who are registered nurses managing the day to day running of the home. Quality assurance systems are in place to elicit opinion from the people who use the service and relatives on how the home is run. There are quarterly staff meetings. The home has facilities to hold money for people who use the service separately and securely if requested to do so. Staff supervision although in place is not up to date and the provider stated he would Care Homes for Older People Page 20 of 24 Evidence: address this. This will be arequirement of this inspection. The health and safety of residents and staff are ensured by the provision of mandatory training and policies on health and safety. Evidence of utility and equipment testing and maintenance is held and was available for inspection Care Homes for Older People Page 21 of 24 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 22 of 24 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 1 36 18 The registered person shall insure that persons working in the home are appropriately supervised. To ensure care practices meet needs and people are protected. 13/04/2009 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 23 of 24 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 © (2009) 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 24 of 24 - 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!