Inspection on 13/12/05 for The Old Rectory

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Old Rectory 06/06/06

The Old Rectory 18/07/05

The Old Rectory 05/10/04

The Old Rectory 06/07/04

The Old Rectory 23/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Old Rectory (The) High Street Stalbridge Sturminster Newton Dorset DT10 2LL Lead Inspector Gloria Ashwell Unannounced Inspection 13th December 2005 11:00 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 Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 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. Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Old Rectory (The) Address High Street Stalbridge Sturminster Newton Dorset DT10 2LL 01963 362624 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) Mrs Grietje Wagner Mr Richard Wagner Mr Richard Wagner Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Additional assisted bathing facilities must be provided prior to registration of the proposed Phase 2 of building work, to ensure compliance with the ratio stated in 21.3 of the National Minimum Standards and present arrangements must, until additional available facilities are provided, accord with the identified needs and wishes of service users accommodated. One service user (details known to the Commission) may be accommodated in category DE(E). One service user (details known to the Commission) may be accommodated in category MD(E). 18th July 2005 2. 3. Date of last inspection Brief Description of the Service: The Old Rectory is a large traditional style house, recently extended, in the centre of the village of Stalbridge. The village has bus transport to local towns, including Blandford, Dorchester, Sherborne, Wincanton and Yeovil. The Old Rectory is within walking distance of local amenities including shops, post office, church and a public house. The registered providers are Mr Richard Wagner and Mrs Grietje Wagner. Mr Wagner has been the registered manager since October 2003. Resident accommodation is on the ground, first and second floors. A passenger lift provides access to all floors. There are 28 single bedrooms; all except 4 have en-suite hygiene facilities comprising at least a toilet and wash hand basin. There are 2 assisted baths, for use by residents with impaired mobility. On the ground floor are communal rooms, comprising a lounge at the front of the house and another lounge combined close to the dining room. There is also a small lounge on the top floor. To the front of the home is a small walled garden, at the rear is a large walled garden laid to lawns and flower-beds with chairs and a table on the terrace. There are spaces for 6 cars to be parked at the rear of the premises, off-road parking is unlimited and there are usually spaces close to the home. Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two statutory inspections required in accordance with the Care Standards Act 2000. The previous inspection took place on 13 July 2005; since that inspection no complaints against the home have been investigated by the Commission. The inspector spoke to most residents, and together with Head of Care Mrs Kelly Henshall considered other evidence relating to the National Minimum Standards, as described in this report. Additional information used to inform the inspection process included reports routinely sent to the Commission by the provider and the 2 Comment Cards completed and returned to the Commission by health care professionals; the cards indicated general satisfaction. In recognition of the circumstances and history of this home, which at the previous inspection was found to meet almost all National Minimum Standards this inspection was relatively brief in duration (lasting 3 hours) and focussed on discussion with residents. With 2 exceptions, standards assessed and found met during the previous inspection were not reassessed during this inspection; this report should therefore be read in conjunction with the report of the previous inspection. What the service does well: What has improved since the last inspection? Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 6 The report of the previous inspection contained no requirements and only one recommendation; the recommendation related to greater understanding of wound care (which is carried out by visiting nurses) – from discussion with Head of Care Mrs Henshall there was evidence that this has been met. The premises are subject to a programme of continuous improvement, to ensure that residents have a comfortable, well maintained and suitably equipped home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 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 Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 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): Standards 2, 3, 4, 5 & 6 were assessed and found met at the previous The home does not provide Intermediate Care so Standard 6 does not apply. EVIDENCE: Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 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): 10 (Standards 7, 8, 9 & 10 were assessed and found met at the previous) Residents feel they are treated with respect and kindness by staff of the home. EVIDENCE: Discussion with residents indicated that staff are kind, polite and suitably knowledgeable regarding their needs, and properly promote their privacy, dignity and wellbeing. Comments received by the inspector included “they’re (the staff) never rude and always listen to what you have to say”. Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 (Standards 12, 13, 14 & 15 were found met at the previous inspection) There are insufficient social and recreational activities so residents frequently feel bored. EVIDENCE: Since the resignation of the Activities Hostess during November 2005 residents have been without an adequate programme of social and recreational activities although some seasonal events have taken place and more are planned – local Brownies have visited the home to sing carols and later this month those residents wishing to attend will be taken to a local pantomime. The post of Activities Hostess, for 20 hours each week, is at present being advertised. Until such time as this post is filled it is recommended that the home delegate care staff to arrange a programme of recreational and social activities, to ensure that residents needs are satisfied and they are able to participate in appropriate pastimes. Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 11 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): 18 (Standards 16 & 18 were assessed and found met at the previous) One resident frequently disturbs and distresses other residents and is not suitable to be accommodated in this home. EVIDENCE: The needs of one resident have increased and can no longer be properly met at The Old Rectory; for more than 2 months the home has been seeking to discharge this person to a suitable environment but delays have occurred. The inspector noted that the behaviour of this person frequently distressed and disturbed other residents and a number commented to the inspector that they felt this person should no longer be accommodated in the home. During discussion with Head of Care Mrs Henshall the inspector recommended that these circumstances be referred to the local Social Services office, to ensure that discharge arrangements be made as a matter of urgency, in accordance with ‘adult protection’ procedures (in consideration of the needs of the other residents, and the potential risks to the deteriorated resident, whose needs can no longer by met by The Old Rectory). Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 12 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): Standards 19, 20, 22, 23, 24, 25 & 26 were found met at the previous EVIDENCE: Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 13 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): 30 (Standards 27 & 29 were assessed and found met at the previous) Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: Staff receive training appropriate to their needs and are supported and encouraged to train for National Vocational Qualifications. At present the home employs 14 care staff; 4 have an NVQ in care, 2 are training for these awards and 2 hold nursing qualifications (but do not work as nurses in this home, which does not provide nursing care). Staff trained in First Aid and health care are on duty in the home at all times. Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 14 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): Standards 31, 32,33, 36 & 38 were found met at the previous inspection. EVIDENCE: Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP12 OP18 Good Practice Recommendations Staff should be delegated to arrange recreational and social activities for residents. In respect of a particular resident, discharge arrangements should be made as a matter of urgency, in accordance with ‘adult protection’ procedures. Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Old Rectory (The) DS0000026853.V270839.R01.S.doc Version 5.0 Page 18 - 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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