Inspection on 15/08/06 for The Robertson Sandie Home

This inspection was carried out on 15th August 2006.

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

The inspector 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 Robertson Sandie Home 18/02/06

The Robertson Sandie Home 23/06/05

The Robertson Sandie Home 15/02/05

The Robertson Sandie Home 29/09/04

The Robertson Sandie Home 04/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Robertson Sandie Home Vyner Road South Birkenhead Wirral CH43 7PR Lead Inspector Julie King Key Unannounced Inspection 15 August 2006 09:30 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 DS0000018960.V300782.R01.S.doc Version 5.2 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. DS0000018960.V300782.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Robertson Sandie Home Address Vyner Road South Birkenhead Wirral CH43 7PR 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) 0151 653 6613 Abbeyfield Wirral Extra Care Society Limited Pauline Susan O`Neill Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places DS0000018960.V300782.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th February 2006 Brief Description of the Service: The home is registered for personal care only. At the time of this inspection there were 14 service users resident in the home, which was observed to be clean, tidy and well maintained. Service users can access all parts of the home, including the well cared for gardens. The home is part of the Abbeyfield Charity group. The home is run in an open and inclusive way, both for service users and staff. All residents have private bedrooms, which are nicely furnished, and are encouraged to personalise their own rooms with furniture and photographs from home. Fees range from local social services rate to individually agreed rates made by private arrangement. Fees do not include newspapers, hairdressing or chiropody; etc. DS0000018960.V300782.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours, during which time resident’s care plans, staff personnel files, safety certificates and the environment were examined. The registered manager and Responsible Individual accompanied the inspector throughout this site visit. This care service continues to evidence improvement since the new management structure was put in place last year, and ongoing improvements were evident from the last inspection in January 2006. During this inspection all staff and some residents were spoken to by the inspector – all commented on how happy they are being at the home, and what a pleasant environment it was. What the service does well: What has improved since the last inspection? What they could do better: Further documented evidence of ongoing staff training could be evidenced in staff personnel files. Audits for training, care files and management could be better utilised to provide indicators for the forward planning of the home. DS0000018960.V300782.R01.S.doc Version 5.2 Page 6 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. DS0000018960.V300782.R01.S.doc Version 5.2 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 DS0000018960.V300782.R01.S.doc Version 5.2 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): 1,2,3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents assessed needs are being met, and the home is able to provide assurances to residents and their representatives that assessments will be a continuous process throughout the resident’s stay. EVIDENCE: Pre admission assessments provide a holistic assessment of actual and potential needs of each prospective resident; thus allowing a care plan to be developed. These assessments are completed by the registered manager and include demographic details of the prospective service user – next of kin, past history both medical and psychological / mental health; a specific mental health assessment and involvement of representatives as needed. Multidisciplinary healthcare team (MDT) input is evident in resident’s care files, and include reference to NHS out-patient’s appointments, opticians, dentistry, and district nurse (DN) input at the home as needed. This home does not provide intermediate care. DS0000018960.V300782.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning system in place for all residents. This provides staff with the information they need to meet the resident’s needs. Medication management was compliant with current good practice requirements and guidelines, thus helping to ensure the safety of residents. EVIDENCE: It was evident that the resident’s needs are currently being met through examination of the care planning process and conversations with residents and staff. Individual care plans have been developed with each resident, and those seen were in a continuous process of being updated and reviewed with the involvement of the resident’s families as far as possible. Systems are in place to ensure good communication between the care home, the NHS and other professionals involved in the care of the residents. All this contributes to the DS0000018960.V300782.R01.S.doc Version 5.2 Page 10 safety and well being of the residents. During this site visit, one of the district nurses was spoken to and asked for her professional opinion of care delivery at Robertson-Sandie. The DN informed the inspector that she had no cause for concern, and was very complementary about the care provided. Medications were examined as a routine part of this site visit, and were all found to be managed in accordance with current good practice guidelines. DS0000018960.V300782.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Links with the local community are good, and support and enrich the resident’s lives. Meals in Robertson-Sandie are good, offering choice and variety, and cater for resident’s special dietary needs. EVIDENCE: Residents in the home are asked on admission about their lifestyle, choice of foods, and choices and preferences of the social activities they would like to participate in. The residents informed the inspector that they enjoyed the variety of food in the home, and were looking forward to their lunch. On admission to the home the resident with help from a family member complete an initial care plan, which includes a social history as well as referring to hobbies, food likes and dislikes information, etc. This information is used to plan organised activities for the resident. Visitors are allowed in the home at any reasonable time for day, residents may entertain their visitors, in the communal lounges, or in their own bedroom. DS0000018960.V300782.R01.S.doc Version 5.2 Page 12 The gardens have been tidied and are an ideal setting for residents to sit with their relatives, especially in the summer months. An activities co-ordinator has recently been appointed, which has proved a very popular decision with residents and families. The co-ordinator has organised numerous outings to local places of interest in the past few months, and during wet weather has encouraged participation in indoor games and activities. The less able-bodied residents are also catered for and included with regular one-to-one sessions, such as hand massage, talking about past-times, reading newspapers together, etc. Residents spoken to told the inspector how pleased they were having this additional opportunity to enrich their lives. Records of activities were found to be well kept, and were enhanced with colour photographs of the recent events. DS0000018960.V300782.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaint and adult protection policy and procedure was in place that helps ensure the safety and welfare of residents. EVIDENCE: The residents, relatives and staff can access complaint policies and procedures as and if necessary. The procedure includes information on ‘whistle-blowing’, in accordance with current Department of Health guidelines. The CSCI has not received any complaints about this service since the previous inspection. Most of the staff have, or are in the process of completing training in adult protection, with the remaining having training planned for the near future. However all staff do receive basic training in the protection of vulnerable adults during induction. Residents are enabled to exercise their right to vote, either via post or in person; and there is no religious or political persuasion in the home. DS0000018960.V300782.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Most resident’s rooms are personalized, providing these residents with an attractive and homely place to live. EVIDENCE: Robertson-Sandie has pleasant gardens to the front and rear of the property that are accessible to residents. A patio area with seating, and a summerhouse in the rear garden is also provided. All communal areas and bedrooms were examined, and all were highly personalised, with many residents bringing in their own furniture and personal possessions. The overall fabric of the building is of a good standard. There is an ongoing programme of redecoration and refurbishment, with communal areas and resident’s bedrooms being done as needed. On the day of this unannounced site visit the home was clean and did not have any malodour; and the home DS0000018960.V300782.R01.S.doc Version 5.2 Page 15 has recently had a full Health & Safety audit and associated training (including moving & handling) from an external company. DS0000018960.V300782.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a consistency of care within the home provided by permanent staff, which helps to offer safety and stability for the residents. EVIDENCE: References were seen in all staff personnel files, and CRB and POVA information was also evident. The registered manager and responsible individual were clearly able to inform the inspector of their knowledge of the National Minimum Standards and accompanying regulations regarding the recruitment and retention of staff. Training and inductions, including specific training on the protection of vulnerable adults was seen for most staff. The manager has developed a training plan for all staff, accessing many external training providers. The range of training and development includes medication management, moving & handling, health & safety, pressure sore prevention and NVQ in Care. This improvement should continue to be built upon. The manager is also in the process of establishing “link people” to obtain additional information and training as needed. Their role will also extend to cascade new information to the remainder of the home’s staff. DS0000018960.V300782.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. This home benefits from a competent manager and staff team, thus helping to improve the quality of care given to residents. EVIDENCE: The manager (RM) is registered with CSCI, has completed her NVQ4 Registered Manager’s Award, and achieved the region’s highest result in her NVQ manager’s quality award. Since this manager and responsible individual (RI) have been appointed, they have, in conjunction with their staff team, made a commendable improvement to this service in the eighteen months they have been in post. Staff morale is high, and staff spoken to said they feel valued and appreciated, and are happy coming to work. DS0000018960.V300782.R01.S.doc Version 5.2 Page 18 Policies and procedures are regularly updated with relevant changes in accordance with legislation, and both the RI and RM were clearly able to demonstrate their ongoing professional development. Records are kept in accordance with the Data Protection Act 1998, and audits were available for most aspects of record keeping. Required health and safety certificates and service contracts were in place, valid and up to date. DS0000018960.V300782.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 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 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 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 4 4 3 3 3 3 3 3 DS0000018960.V300782.R01.S.doc Version 5.2 Page 20 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 OP33 OP28 Good Practice Recommendations It is recommended that additional audits, such as for care plan monthly reviews are implemented and utilised on a regular basis. It is recommended that at least 50 of staff, whatever their role, are trained to NVQ standard. DS0000018960.V300782.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 DS0000018960.V300782.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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