Inspection on 15/10/05 for The Old Rectory

This inspection was carried out on 15th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 23/07/08

The Old Rectory 11/09/06

The Old Rectory 20/06/05

The Old Rectory 25/01/05

The Old Rectory 09/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Old Rectory Lanfranc Gardens Harbledown Canterbury Kent CT2 8NJ Lead Inspector Wendy Gabriel Unannounced Inspection 15th October 2005 09:35 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 The Old Rectory DS0000023608.V249068.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. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Rectory Address Lanfranc Gardens Harbledown Canterbury Kent CT2 8NJ 01227 768004 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) Mr Jaykant Bhovanbhai Jobanputra Vacant Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That within the next 6 months you obtain a place on a training course leading to the Regisitered Managers Award 20.06.05 Date of last inspection Brief Description of the Service: The Old Rectory is a large detached building situated near the City of Canterbury. It provides accommodation for up to twenty Service Users. Twelve of the bedrooms have en-suite toilets. All bedrooms have a call-bell and the majority have telephone points. Communal space includes a dining room, two lounges and a conservatory. There is ample parking space to the front of the building. There is a large well-maintained lawned area to the front of the building with mature trees and shrubs. Garden seats are available at various vantage points for Service Users to use in fine weather. There is close access to the A2 with links to London and the Home is approximately ½ an hours drive to Dover and Folkestone where there are Channel links to the Continent. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a Saturday morning. There were three care staff on duty including the senior carer and the cook. There was one residential vacancy and that was to be filled the following week. At the time of the visit the home was clean tidy and free from offensive odours. A requirement made at the previous inspection had been complied with. The Inspector discussed training issues with the senior carer and saw evidence of training courses having been booked for staff and had confirmation from staff that courses were regularly undertaken or updated. A bottle of medicine and a cleaning product was on the office windowsill and the senior carer removed them and secured them in appropriate facilities. An accompanied tour of most of the premises was undertaken and the Inspector was introduced to several residents in their rooms. The residents all commented on how ‘wonderful’ the staff all were. Some said they were ‘all so kind’ and that the home could not be bettered. There was genial banter between the staff and residents and the warm rapport was dignified and appropriate. The senior carer confirmed that the Registered Provider was highly thought of by everyone in the home, not least because he visited and spoke to every resident on his weekly visit to the home. The empty bedroom had been redecorated in readiness for the new resident and new carpets had been purchased for another bedroom. The halls had been repainted and the front entrance had a new concrete ramp to the door with the benefit of a handrail. The ramp had a very gently slope that could be accessed by a wheelchair user if necessary. The senior carer said that a bathroom that had been little used was to be converted into a shower room by request from some of the residents. There was a choice of menu being prepared for lunch that day, cottage pie and a pasta dish. The cook said that the second choice was usually a lighter option to the main meal being offered. What the service does well: Residents said that the staff were so friendly and kind and would help them at all times. The general consensus was that they (the residents) felt perfectly at The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 6 home because they were treated with respect by the staff and that their surroundings were comfortable and homely. What has improved since the last inspection? 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. The Old Rectory DS0000023608.V249068.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 The Old Rectory DS0000023608.V249068.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): 136 Prospective residents have written information to enable an informed choice to be made about where to live. Residents know their needs are assessed and will be met. EVIDENCE: Although not inspected at this time it has previously been noted that prospective residents are given written information in the form of a statement of purpose giving them the opportunity to make an informed choice about where to live. Assessments are made by a representative of the home to ensure the home is suitable for the needs of the prospective resident and that the resident meets the registration criteria for the home. The senior carer discussed the process of making a new resident feel welcome when they first move in. The resident will be shown their room and have routines and general way of life of the home explained to them. A welcome pack is in the room as well as fire procedures in event of the alarm sounding. A monthly newsletter is given to all residents and one will be in the room The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 9 waiting for the new resident. This contains daily activities as well as birthdays of residents, and by request, those of the staff also. These documents were seen by the Inspector in the empty bedroom to be occupied by the new resident the following week. Once the resident has settled in the staff and the Manager will compile the care plan with assistance from the resident if appropriate. Although short term or respite care is sometimes undertaken, intermediate care with specialised staff and equipment is not. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 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 the following standard(s): 7 10 Residents know that their health, personal and social needs are recorded and met. Residents know that their privacy is upheld and they will be treated with respect. EVIDENCE: The standards establish care plans as being central to the effective delivery and evaluation of residential care services, from which they are used to identify and manage potential risks to health welfare and safety. The staff maintains daily written reporting to care plans in addition to records of gp visits, bladder charts, ‘walk chart’ and flu charts all as required. Residents were able to confirm that their rooms are as private as they wish them to be. The senior carer said that bedrooms are kept locked if the resident leaves the home for visits or holidays. The locked medication facility is kept secured to the wall when not in use. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 11 The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 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 the following standard(s): 12 13 14 15 Residents know their social, cultural, religious and recreational interests will be met as appropriate. Residents’ families and friends are welcomed into the home. Residents are able to choose their daily routines. Menus and diets are wholesome and served in pleasing surroundings. EVIDENCE: There was evidence of a variety of games put out for use for the residents and the monthly newsletter identified activities every weekday. One resident told the Inspector that she was due to go on holiday to an hotel the following week. Families and friends are made welcome to the home and the conservatory is often used for private visits. Bedrooms contained personal items that reflected the interests of the residents. At the time of the inspection, cups of tea and biscuits were being taken round the bedrooms to all residents who had chosen to stay in their rooms. The kitchen was clean and tidy and the lunch being prepared had an appetising aroma. A variety of cakes were also being prepared for tea. The cook confirmed that at choice of meal was always prepared and one was usually a lighter option. Meals may be taken in the light, spacious and attractive dining The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 13 room or in residents’ own bedrooms. Communion is taken in the home twice a month and some residents attend the Cathedral services weekly. A church next door to the home may be visited if wished. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 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 the following standard(s): These standards were not inspected at this time. EVIDENCE: This standard was not inspected. However, some residents said they felt confident that they could turn to staff or the Registered Provider if they had any problems but that the home looked after them so well and the staff were so kind they could not ‘dream’ of ever having any concerns. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 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 the following standard(s): 19 20 23 24 26 Residents’ bedrooms are comfortable and reflect their needs and contain their own possessions. Outdoor facilities and the communal areas of the home are accessible to all residents. Residents know their home will be kept clean and hygienic EVIDENCE: Access from the front door into the front garden is now improved with the addition of a purpose built ramp that is user friendly and has a handrail. The gardens were looking well maintained and attractive despite it being autumn and a damp misty day. One resident pointed to a holly bush near her bedroom and commented how lovely it was and that looking from her bedroom window was like looking onto a Christmas card. Residents’ bedrooms were comfortable and reflected their own interests. They contained furniture that was comfortable and suitable for the residents needs. At the time of the inspection the home was clean and tidy and free from unpleasant aromas. The laundry was well maintained and the machines were capable of the high temperatures required for hygienic washes. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 16 The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 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 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 Residents know the staff compliment is fully maintained. EVIDENCE: The senior carer said that at that time there was a full compliment of staff with no vacancies. There were three carers on duty on the morning of the inspection including the senior carer. The senior said she had telephone contact with the Deputy Manager for advice or assistance in any emergencies. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 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 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): 31 The Registered Provider is well supported by management and staff and residents know their best interests are supported. EVIDENCE: All residents who spoke to the Inspector confirmed that the Registered Provider is genuinely concerned for their welfare. They said that he will visit them each in turn when he visits the home weekly and will listen to their points of view. Staff said that at staff meetings, the Registered Provider will tell them that it is their opportunity to tell him what they feel about any aspect of life in the home and he will act on it if it is appropriate. The Inspector was also told that the Registered Provider and the Deputy Manager are proactive in arranging training as requested. The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 19 The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 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 x 17 x 18 x 3 3 x x 3 3 x 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 4 X X X X X X X The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 21 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. Refer to Standard Good Practice Recommendations The Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Old Rectory DS0000023608.V249068.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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