Inspection on 10/05/05 for The St John Home

This inspection was carried out on 10th May 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 St John Home 29/08/08

The St John Home 18/10/06

The St John Home 30/08/05

The St John Home 22/11/04

The St John Home 19/07/04

The St John Home 09/01/03

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 St John Home 1 Gloucester Road Whitstable Kent CT5 2DS Lead Inspector Tina Thomas Unannounced 10 May 2005 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 St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The St John Home Address 1 Gloucester Road, Whitstable, Kent, CT5 2DS 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 273043 The Priory of England & The Islands of The Order of St John Mrs Joyce Mitchell Care Home with Nursing 18 Category(ies) of Care Home for Older People (65 Years and over) registration, with number x 18 of places The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22 November 2004 Brief Description of the Service: St John Home is owned by The Priory of England and the Order of St John, and as such is a charitable organisation. The Home is a detached property, which has accomodation for 18 Service Users. Accomodation is situated on two floors and comprises of 16 single and one shared bedroom. The Home has a stair lift to provide access the first floor. All bedrooms have telephone points and there is a call bell system in operation. There is a large lounge dining room on the ground floor. The garden is well maintained to the front and side of the property, and there is on road parking available. The Home is within easy walking distance of the railway station at Whitstable and public transport is available a short distance away from the Home. The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. It was conducted between 10.20am and 3pm. The Homes Manager was not on the premises at time of inspection. The Inspection was conducted with the assistance of Lisa Bowers RGN. The Inspector viewed the premises; spoke with most Service Users, and some staff. The Inspector viewed documentation including Service User care plans. What the service does well: 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 St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 6 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 St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 7 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) 3,4,5 Service Users move into the home knowing that their needs can be met and that their independence will be maximised and promoted. Service users know that their goals and aspirations will be supported by the home. EVIDENCE: The Registered Manager conducts a thorough assessment prior to people moving into the Home. This ensures that the Home can meet their physical, psychological, social and religious needs. This information helps the Home to make a plan of care. Some people described to the inspector the process of coming into the Home. Some people that live in the Home had a variety of connections with the Home prior to living there, and for that reason had chosen to live at The St John Home. For example the Inspector spoke with one service user who had worked at the Home and another that had been on the Committee. People are welcome to visit the Home prior to moving in. Several people discussed such visits. The homes statement of purpose, and Service Users Guide (not inspected at this inspection), and last report are in the Hallway, so that visitors can view information about the Home. People who live at the Home are given a Service user guide prior to making the choice to live at the Home. The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 8 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) 7,8,10, The care planning system is clear and consistent and provides staff with the information they need to meet Service Users needs. EVIDENCE: Personal goals are reflected in individual plans, which describe how staff should assist and enable people who live in the home, any potential risks are suitably managed. For example care plans have manual handling risk assessments. Care plans are regularly reviewed on a monthly basis. Visits by other health care professionals are recorded. Two people in the home have pressure sores; one of these people came to the home with the pressure sore. The recording of the treatment of these sores was very good and included body mapping. The Home had suitable equipment and aids to prevent pressure sores. Discussion with staff and the people that live at the Home indicated that they all thought needs were being met. People that live in the home expressed that the staff maintained their privacy and dignity, for example people that live in the home said that staff always knocked on the door before entering. The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 9 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) 12,13, Social activities provide stimulation and interest for people living in the home. EVIDENCE: People who lived in the home expressed that they could make choices about their day to day activities. For example they could go to bed at night and get up in the morning when they wanted. People who lived in the home expressed that there were plenty of activities within the home. Each care plan had an activities report. The home has a large selection of large print books, and games. Some people that live in the home are able to go out independently. The home has a visitors book which shows that visitors go to the home at a variety of times. People in the home expressed that they could entertain visitors in their own rooms or the communal lounges, including a smaller upstairs lounge. The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 10 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) Not inspected at this inspection. EVIDENCE: The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 11 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) 19,20,21,24,25, 26 The standard of the environment within the home is good providing Service Users with an attractive,safe and homely place to live. EVIDENCE: The location and layout of the home is suitable for its purpose. The décor and furnishings in the home are attractive, homely and of good quality. The grounds are safe and tidy. There are a selection of communal rooms that include a ground floor lounge and dinning room. The upstairs lounge offers views over Whitstable stretching to the sea. The ground floor lounge appeared to be over crowded with chairs and they were arranged in an institutional manner. A good practice recommendation was made regarding this matter. (Recommendation 2 Part A) The Home has bathrooms, toilets and washing facilities to meet the needs of service users. Some bathrooms have aids i.e. hoist, raised toilet seats. As previously mention bins were not of the pedal variety and a good practice recommendation has been made regarding this matter (Recommendation 1 part A) The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 12 Individual rooms had been personalised with people’s own belongings. Doors all have locks and some people choose to use the locks. The Home was suitably warm. Radiators have covers to prevent burns. The temperature of water run from hot taps was suitable. The home was clean and free from offensive odours. The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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) Not inspected at this inspection EVIDENCE: The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 37,38 The management of this home is satisfactory overall and records are well managed. EVIDENCE: Records within the home are well maintained, examples are care plans, risk assessments, accident book and visitors book. Records are stored appropriately, secure, up to date and in good order. The Registered manager ensures the health, safety and welfare of the people that live in the home and the staff by ensuring suitable risk assessment, staff training including manual handling and COSHH . The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x x 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x 3 3 The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 16 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 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 26 25 Good Practice Recommendations waste bins in bathrooms should be of the pedal variety. The Registered Manager, in consultation with service users, should consider the layout of the seating arrangements and if necessary reduce the quanity of chairs in the lounge to create a more homely evironment The St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 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 St John Home H56-H05 S35046 St John Home V225850 100505 Stage 4.doc Version 1.30 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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