Inspection on 20/06/05 for The Old Rectory

This inspection was carried out on 20th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Old Rectory 23/07/08

The Old Rectory 11/09/06

The Old Rectory 15/10/05

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 Harbledown Lanfranc Gardens Harbledown Canterbury CT2 8NJ Lead Inspector Wendy Gabriel Announced 20/06/2005 at 09:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Old Rectory Harbeldown Address Lanfranc Gardens, Harbledown, Canterbury, Kent, CT2 8NJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01227 768004 01227 471159 rectory_home@yahoo.co.uk Mr Jaykant Bhovanbhai Jobanputra Mrs Cecilia Marsh Registered Care Home 20 Category(ies) of Older People registration, with number of places The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01/02/05 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 Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspector spoke to the Registered Owner, Deputy Manager, administrator, Registered Manager, eight residents and two members of staff during the Announced inspection. An accompanied tour of most of the home was undertaken. Members of staff confirmed that the Registered Owner was approachable and would willingly provide anything that was identified to improve the lifestyle of the residents. Without exception the residents who spoke to the Inspector said that the staff were very caring and worked hard to make them comfortable. Comments about staff included: ‘whatever we want they will do their utmost to help us’, ‘however busy they are, they are always so polite and don’t make me feel I am wasting their time’. There was also a very genuine affection for the Registered Owner with comments stating that: ‘he visits us every week and comes in to see all of us’, ‘he is so very kind’, ‘he can’t do enough for us’, ‘can’t praise him highly enough’. Many residents said that although there were various activities offered regularly; most of them preferred their own company in their bedrooms surrounded by their treasured possessions and with their newspapers, books or televisions and radios. Also several residents said that because they had telephones in their rooms they were able to keep in contact with friends and families. The home was in good order being clean, tidy and well maintained and decorated. The Registered Owner agreed to have a very small area of brickwork to the exterior of the home checked as pointing between some bricks looked loose. The home is listed and the Registered Owner said certain work has to be agreed to meet those requirements and added he would contact the appropriate person. There are plans for a bathroom to be converted into a specialised shower room this year. Discussions have taken place between the manager and some residents to identify this need. The statement of purpose is being reviewed to provide a more professional looking presentation. What the service does well: Comments from the residents confirmed that the management, staff and the Registered Owner actively treat them in a dignified and caring manner. Residents also said that the meals are ‘very good’, ‘well presented’ and with fresh produce always used. They commented that the cook always listens to The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 6 their special requests over and above the daily menu choices. One resident said she had remembered a favourite dish from years ago. When she told the cook, the cook had searched for the recipe and prepared the food for her and other residents. Several residents said that they had put on weight since living in the home because of the good cooking. 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 Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-6 The home provides sufficient information for prospective residents to make an informed decision about moving into the home. Pre-admission assessments are made and visits by the resident and family are enabled to judge the suitability of the home to meet needs. Contracts are provided for residents. EVIDENCE: Written information is provided for residents and their families and this is currently being reviewed and added to and is to be to reformatted to provide a more professional presentation. There is a contract of terms and conditions and during discussion the administrator made decisions to add further information for the residents benefit. A ‘Welcome Pack’ includes the aims and objectives of the home. The Deputy Manager said that visits are always undertaken by a representative of the home to assess a prospective resident. Assessment records are maintained. These provide basic information for the home to enable a decision about the suitability of the resident for the home, also to ensure that the home can meet the needs of that resident. The Deputy Manager said that care plans are compiled and the assessment is reviewed once the resident has come into the home and the ‘settling in’ period is over. Prospective residents are welcomed into the home for trial visits as are their The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 9 relatives. A very new resident in the home said that she had been made most welcome by the staff and that they had been consistently kind and thoughtful to her. Although short term or respite care is undertaken, intermediate care with specialised staff and equipment is not. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7-11 The health, personal and social care needs of the residents’ is met. EVIDENCE: Care plans are in place and identify health care needs and procedures to address these. Personal and social needs are identified. Regular checks were seen on risk assessments and the Deputy Manager has reviewed and clarified the format still in use in some of the plans. There is written evidence of the input of Health care professionals. Useful body maps are in place to note any changes to the skin of residents. Medication is stored securely. Medication administration records are kept and records are kept of procedures to receipt and return medication. Some loose, out of date medication was found in the office and a requirement was made for it to be immediately returned to the pharmacy. However, the Inspector is satisfied it was not related to the current practices the home has in relation to medication. Staff uphold the privacy of residents and locks are on bedroom and bathroom doors. There is a procedure for the care of the dying. The advice and help of Health care professionals is sought to assist terminally ill residents remain in the home unless hospital care is required. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 11 The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 Residents’ lifestyles are suitable for their choices, expectations and needs. Family and community contact is enabled. The meals in the home are good providing choice and variety. EVIDENCE: Residents said that activities are provided however many of them added that they preferred to remain in their own rooms where their treasured possessions were and they had their newspapers, televisions, radios and books or craft equipment such as needlepoint work. Some residents have their own telephones and commented that this was ideal for them to keep in touch with friends and relatives in the privacy of their own room. Activities include entertainers visiting the home who conduct sing-a-longs and slide shows. Weekly exercise groups are held and a ‘beauty ad nails’ session is held every two weeks. Staff said it was very difficult to motivate residents and most preferred one-to-one chats with the staff. Residents meetings are held occasionally and staff ask for any suggestions for activities but usually little feedback is given. A large print questionnaire is given to residents twice a year and a comment seen on one from a resident stated: “I’m quite happy being on my own knowing there are people nearby to help”. Families are welcomed to the home. The church visits once a week for communion and residents may be taken to church, the cathedral or church The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 13 related festivals like a flower festival. Residents were clearly able to express their choices and confirmed that their chosen routines are honoured by staff. As indicated in the summary, meals are greatly enjoyed. The cook was praised by some residents for her attention to requests made for favourite meals. Residents also commented that fresh produce is used and that meals are nicely presented. The cook is completing NVQ in catering. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16-18 Residents’ know that their complaints will be listened to and acted on. The home promotes staff awareness of adult protection. EVIDENCE: Residents and staff who spoke to the Inspector confirmed that the Registered Owner and Deputy Manager would take their concerns seriously. A complaints procedure is on display in the home and in the welcome pack given to all new residents’. Staff are aware of the whistle blowing procedure and have to sign a document to state they have read and understood the abuse policy. The Deputy Manager confirmed her commitment to challenge abusive practice. She is revising the information for staff on understanding abuse by making the policy and procedure simpler to understand using key information available rather than a large, management led document. Some staff are awaiting a course in October on awareness of POVA (Protection of vulnerable adults). Residents’ are enabled to participate in the political process such as voting. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19=26 The standard of the environment in the home is good providing the residents’ with an attractive and homely place to live. Bathroom and specialist facilities are suitable and sufficient for residents. EVIDENCE: There are up to date maintenance certificates for the home. The communal, bedroom and bathroom facilities are sufficient for the residents’ needs. Twelve bedrooms also have en-suite facilities. Although the home is registered for twenty residents, the double bedroom is currently a single occupation and could be used as a double if requested, for example by a married couple. The dining room is comfortably presented and the communal rooms and the conservatory offer a choice for residents’ to spend their time. Several residents said that they loved their own rooms and spending their time in there. Bedrooms are comfortably furnished and decorated and are individual with personal possessions making them homely. Specialist equipment may be obtained via the District Nurse. A resident said that during a spell of poor health she had been provided with suitable aids to make her comfortable and enhance her independence. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 16 The home is clean comfortable and hygienic. There are up to date maintenance certificates for the home. The Registered Owner agreed to have checked some pointing in a very small area on the outside of the building. The grounds are accessible and several residents’ were observed walking and sitting in the attractively kept gardens to the front of the premises. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27-30 Recruitment procedures support the homes’ policies and practices. The training of staff is satisfactory but hindered by lack of places on suitable training courses. EVIDENCE: The rota was fully covered for the home despite one temporary vacancy due to sickness. The home has suitable recruitment procedures and some staff files seen included references, CRB (criminal record bureau) checks and terms and conditions including the whistle blowing policy. The administrator discussed adding further information to the contracts to promote staff awareness of various issues. TOPSS (The national training organisation for social care) Induction training is undertaken and staff have a three months trial period. During this time supervision is given for different aspects of care and policies and procedures are gradually introduced to the new worker. As previously discussed, spaces on some training courses have been difficult to find and some staff have not yet undertaken all of the required courses under Standard 38 of the National Minimum Standards and the Deputy Manager has undertaken in-house training until suitable courses are available. Some courses have been booked and the Inspector recommends that the remaining staff receive the training as soon as possible. Some of the basic training is obtained via the NVQs 2 and 3 that are promoted in the home. Several residents’ commented that staff practices were aimed at enabling residents to lead comfortable and secure lifestyles. One stated that staff ‘understood how I had lost confidence and helped me until I felt secure again’. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 18 The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-37 The Registered Owner is well supported by management and staff who are able to demonstrate an awareness of their roles and responsibilities. Residents’ benefit from a well run home that promotes their health and welfare. EVIDENCE: The Registered Owner takes his responsibilities seriously and many positive comments were received stating that his approach to running the home is based on a good understanding of the needs of the residents. The Deputy Manager is completing suitable qualifications and applying to become registered as manager of the home. The current Registered Manager has chosen to step down from the position for personal reasons but is still regarded by the Registered Owner and residents as a valued member of the team. Many residents singled out the current Registered Manager as popular and being concerned with their welfare. Insurance cover is provided for the The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 20 business. No advocacy is undertaken by the home. Some small amounts of cash are held for some residents and receipts are kept of all transactions. Staff supervision and appraisals are undertaken and recorded. Care practices are recorded and reviewed. Recorded information is available on a ‘need to know’ basis and is secured appropriately. Although Standard 38 was not fully inspected at this time; the home provides TOPSS specification induction for staff. Regular maintenance checks of the environment. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 4 3 3 3 3 3 x The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 9 Regulation 13 Requirement Identified medication to be taken to the pharmacy for disposal. Timescale for action 22/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 30 Good Practice Recommendations Suitable courses be accessed to complete all staff training needs. The Old Rectory Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford 0Kent, 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 Harbledown H56-H05 S23608 The Old Rectory Harbledown V225361 200605 Stage 4.doc Version 1.30 Page 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!