Inspection on 03/10/08 for The Sheridan Care Home

This inspection was carried out on 3rd October 2008.

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

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 Sheridan Care Home 09/10/07

The Sheridan Care Home 20/11/06

The Sheridan Care Home 09/06/06

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Sheridan Care Home 14 Durlston Road Parkstone Poole Dorset BH14 8PQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Martin Bayne     Date: 0 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: The Sheridan Care Home 14 Durlston Road Parkstone Poole Dorset BH14 8PQ 01202735674 01202735674 reshadkoussa@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): RYSA Ltd Name of registered manager (if applicable) Mr Reshad Koussa Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home The Sheridan cares for up to 23 people, who may have dementia or mental health problems, in an attractive converted house. It is set in a residential part of Poole in Lower Parkstone. The home has a large paved car parking area and a garden to the rear. Public transport is available nearby. The accommodation for residents in the home is over the ground and 1st floors with a passenger lift between. There are a variety of aids and adaptations around the building to allow residents to move about more independently. There are 19 single rooms and two doubles, fourteen of which have en suite facilities. There are additional communal toilets and bathrooms around the home. In October 2007, the weekly fees were 485 pounds 560 pounds per week Care Homes for Older People Page 4 of 26 care home 23 Over 65 23 23 0 0 Brief description of the care home dependent on the level of care needs and the accommodation offered. Additional charges were made for hairdressing, chiropody, etc. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We, the Commission, carried out a key inspection of The Sheridan Care Home between 9.30am and 3pm on 3rd October 2008. The inspection was carried out by one inspector, but throughout the report the term we is used, to show that the report is the view of the Commission for Social Care Inspection. The aim of the inspection was to evaluate the home against the key National Minimum Standards for older persons, and to follow up on the one requirement and four recommendations made at the last key inspection in October 2007. We were assisted throughout the inspection by Mr Koussa, the Registered Manager. Throughout the inspection, we tracked the personal care files for three people living at the home to evidence the records that the home is required to keep up to date under Care Homes for Older People Page 6 of 26 the Care Homes Regulations 2001. At the time of this inspection there were 21 residents accommodated at the home, 14 of whom had been placed through care and management arrangements and seven who were privately funded. During the inspection we were able to speak with four different groups of relatives who were visiting people living at the home, two members of staff and with a district nurse who was visiting the home that day. We also spoke with a number of the people living at the home, however due to their mental frailty they were only able to provide limited information about what it was like to live at the home. Additional information that helped form the judgements contained within this report was obtained from the Annual Quality Assurance Assessment document (AQAA) completed by the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 8 of 26 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home benefit from their needs being assessed prior to being offered a place at the home, this ensures that the home only admits peole whose needs can be met. Evidence: People who wish to move into the Sheridan Care Home are invited to visit the home to assist them in choosing a suitable placement. At this point they are provided with a copy of the homes Service User Guide, which provides full details of the accommodation and services provided at the home. Should they wish to go ahead at this time in arranging a placement, Mr Koussa told us that he would arrange to go out and carry out an assessment of the persons needs. This ensures that no one is admitted to the home unless their needs can be met. We looked at the personal care files for the three residents we tracked through the inspection and saw that there was a copy of the pre-admission assessment contained within the file. We saw that the Care Homes for Older People Page 11 of 26 Evidence: assessments covered all of the topics detailed within the National Minimum Standards for older persons. Where people are admitted through care management arrangements, the home is provided with a copy of the care management assessment. The home does not provide an intermediate care service. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home benefit from a care planning system that informs staff on how to meet assessed health needs, from being treated with respect and dignity and from having medication administered safely. Evidence: Once a person has been admitted into the home, a care plan is developed with the resident and their relatives from the assessments of need. We looked at the care plans and related documentation for each of the residents we tracked through the inspection. We saw that there was a photograph of the person concerned at the front of their records, so that they could be readily identified. We found that the care plans provided sufficient information to allow care staff to meet the identified needs of each resident. We also saw that the home had obtained a short life history about each resident to assist staff in knowing how to care for the person concerned. We also saw that each care plan had been signed by relatives, providing evidence that they had been involved in the care planning process. There was evidence of care plans being reviewed monthly or when the needs of the person changed. We saw that the risk Care Homes for Older People Page 13 of 26 Evidence: assessments had been completed to inform staff on how to minimise the risk of harm to residents when following through care plans. These included moving and handling assessments and in the case of one persons records we saw, a risk assessment for the use of bed rails, that had also been signed by the persons relative. We saw that peoples weight was being monitored and nutritional assessments put in place to ensure that the dietary needs were being met. One resident was being cared for in bed at the time of the inspection and we saw that a turning chart was being maintained by staff to prevent skin breakdown. We also saw that care staff completed daily recording records concerning how residents needs were being met. We found evidence within the care planning documentation that health needs of residents were being met. In the case of one person, a referral had been made for community psychiatric nursing support. In the case of a second person, a referral had been made for district nursing support. We were able to speak with a district nurse who was visiting the home on the day of the inspection. We were told that the home makes appropriate referrals and that there was good communication between the staff at the home and the district nursing team. We saw within peoples records, that other health needs relating to chiropody, dental care and eye care needs were also being met. All of the relatives with whom we spoke told us that they were very pleased with the way their relatives were being cared for within the home. They told us that when they visited, their relatives were dressed in clean clothes with attention paid to the personal grooming. We looked at how medication was managed within the home. Due to the mental frailty of the residents living at the home, all had their medication administered by the staff. We looked at all the medication administration records and found that these were being completed fully with no gaps in the records. We saw evidence of good recording practice such as, where staff had had to enter by hand an entry on to the medication administration records, a second member of staff had signed to say that the entry had been entered correctly. We also saw that any known allergies were recorded at the top of the medication administration records and there was a photograph of the person concerned at the front of their medication recording sheets. The home uses a unit dosage system with medication being delivered to the home by the pharmacist. We looked at how medication was being stored and found that the home had appropriate storage facilities. These are kept locked with accountability for the keys. We saw that medications were being stored appropriately. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home benefit from their social and recreational needs being assessed and met, from being able to maintain contact with friends and families and from being provided with a good standard of food. Evidence: As mentioned earlier in the report we found that the home had sought information about peoples life histories to assist in meeting their social, leisure and recreational interests. We saw that the home had a programme of daily activities such as movement to music, word games, art and crafts, singalongs and sensory stimulation activities. On the day of inspection we saw staff involved in both group and individual activities with residents. We were told that on occasion, a minibus is hired to take residents out on trips away from the home. Staff escort residents who wish to go for walks outside the home. We saw within daily notes completed by staff a record of activities carried out with residents. The relatives we spoke with told us that they could visit unannounced at any time and that they will always made welcome at the home. Care Homes for Older People Page 15 of 26 Evidence: We saw that religious needs form part of the assessment when a person moves to the home. We were told that the Church of England service is held in the home every four weeks and that a priest comes to see one resident every Sunday. All of the relatives we spoke with told us that the food provided at the home was of a reasonable standard. On the day of the inspection we were able to observe staff assisting residents at lunchtime. There was a choice of main meal on offer to residents, with their meals looking wholesome and adequate in portion. We looked at the records of food provided to residents and found that records provided sufficient detail to know what each resident had been provided with. The records provided evidence of a balanced diet. We saw within peoples assessments infromation about their dietary needs. We saw that specialist diets were catered for such as in cases where residents require a pureed diet or assistance from staff with feeding. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home benefit from the complaints procedure being wellpublicised and through the staff being trained in adult protection. Evidence: The complaints procedure for the home is provided within each residents bedroom and is also detailed within the Service User Guide for the home and the terms and conditions of residence. Residents and their relatives are therefore informed of how to make complaints. We saw that the complaints procedure provided details of contact information concerning the Commission. The home maintains a complaints log for the recording of complaints. Since the last key inspection there have been no complaints made about the home and none have been brought to the attention of the Commission. We saw within training records that all of the staff had been provided with adult protection training from an outside trainer. As found at previous inspections, the home has copies of all the relevant policies and procedures for reporting suspected abuse. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home benefit from a safe and well-maintained environment. Evidence: On the day of our visit, the home was found to be clean, free from unpleasant odours and in a good decorative order. Relatives with whom we spoke told us that when they visited the home was always clean and well presented. The home has an enclosed well maintained garden that residents can access safely, as there is a ramped access leading into the garden. The returned AQAA informed of both plans to extend the property and also the arrangements made for routine maintenance and redecoration. Window restrictors have been fitted on the windows above ground floor and radiators have been covered to protect people living at the home from the risk of receiving burns from hot surfaces. Thermostatic mixer valves have been fitted to hot water outlets to protect residents from scalding water. During the inspection we had the opportunity to view some of the residents bedrooms. Rooms were adequately furnished and we saw evidence that residents were able to bring their own furniture and possessions to personalise their rooms. We also saw within residents personal files that an inventory was kept of possessions and things of value that residents brought with them into the home. Care Homes for Older People Page 18 of 26 Evidence: We saw that the laundry area was set aside from food preparation areas and was adequate in meeting the laundry needs of the home. It was noted that there were no handwashing facilities within the laundry area and Mr Koussa told us that he would have a hand washing basin fitted. This will be followed up at a future inspection. We saw that staff were provided with protective clothing in line with the homes infection control policies. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home benefit from staff being recruited appropriately, from the staff being trained and there being sufficent staff on duty to meet peoples needs. Evidence: We saw the duty rosters for the home and found that these informed of staff who were to work for the week ahead with a record of who had covered shifts the previous weeks. We found that the home maintains the same staffing levels as at the time of the last key inspection in October 2007. Between 7 a.m. and 7 p.m. there are three carers on duty. Between 12:30 p.m. and 2 p.m. there is an additional member of staff on duty to assist with the busy lunchtime period. The manager is rostered to be on duty between 9 a.m. and 5 p.m. on week days. During the night-time period from 7 p.m. to 7 a.m. there are two members of staff who are on an awake duty. The home employs cooks seven days a week and employs cleaning staff for 30 hours each week. The home also employs a handyperson to carry out small maintenance needs of the home. We were told that the home does not use agency staff and that there is a stable long-standing staff team. We looked at the employment and recruitment records for two members of staff employed since the last key inspection. We found that all the necessary checks and Care Homes for Older People Page 20 of 26 Evidence: records required to be in place under Schedule 2 of the Care Homes Regulations 2001 had been complied with. We recommend however, that the records make clearer the date that a new member of staff starts working in the home. We also recommend that the staff application form be amended to request information in line with information required under the Care Home Regulations, such as requesting that applicants account for gaps in their employment history, the reasons they left a position of care and ensuring that if relevant, one reference be obtained from a persons last place of work when working with vulnerable adults or children of more than three months duration. We looked at the training records for the two staff files that we tracked through the inspection. We saw that new members of staff had been given induction training compliant with the Skills for Care. Staff had been provided with core training in such areas as moving and handling, fire safety, first aid, basic food hygiene, safe administration of medication, infection control and prevention of abuse. We also saw that some specialist training had been provided in caring for people with dementia. We found that the home had achieved a level of above 50 of staff trained to NVQ level 2 or above. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home benefit from the home being well-managed and run in their interests. Evidence: Mr Koussa has completed the Registered Managers Award qualification at NVQ level 4 and has managed the home for many years. We saw that the home carries out regular surveys with relatives and people involved with the home as part of a quality assurance programme. Generally we found that the home was being run in the interests of people living at the home. We were told that the home does not manage or safe keep any money on behalf of people living at the home, with relatives taking on this responsibility. We saw that the home certificate of registration was displayed, so too the homes Care Homes for Older People Page 22 of 26 Evidence: public liability insurance certificate. The AQAA informed of data servicing of equipment within the home. We looked at the fire logbook and saw that tests and inspections of the fire safety system were taking place to the required timescales. No hazards were identified during the inspection. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 29 We recommend that the staff recruitment records make clearer the date that a member of staff starts working in the home and that the staff application form be amended. This should request details in line with information required under the Care Home Regulations 2001, such as requesting applicants account for gaps in their employment history, the reasons they left a position of care and ensuring that if relevant, a reference is obtained from a persons last place of work when working with vulnerable adults or children of more than three months duration. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!