Inspection on 30/08/05 for The St John Home

This inspection was carried out on 30th August 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 10/05/05

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 Announced 30/08/05 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 V236428 300805 Stage 4.doc Version 1.40 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 Registered Care Home with Nursing 18 Category(ies) of Care Home for Older People registration, with number of places The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10/05/05 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 accommodation for 18 Service Users. Accommodation is situated on two floors and comprises of 16 single and one shared bedroom. The Home has a stair lift to provide access to 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 the side of the property, and there is on road parking available. The Home is within easy walking distance of the railway station at Tankerton and public transport is available a short distance away from the home. The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection conducted over a one day period. The Inspector spoke with people that live in the home, the Manager and Staff. The Inspector viewed documentation including Service user care plans and staff files. 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 V236428 300805 Stage 4.doc Version 1.40 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 V236428 300805 Stage 4.doc Version 1.40 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) Not inspected at this inspection. Standard 6 is not applicable to the home. Standards 3,4,5 were inspected on the unannounced inspection of 10th May 2005. The findings were: 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 The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 8 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 V236428 300805 Stage 4.doc Version 1.40 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 standard(s) 7,8,10, The care planning system is clear and consistent and provides staff with the information they need to meet the psychological, health and social needs of people that live in the home. People that live in the home feel that they are treated with dignity and respect. EVIDENCE: The inspector viewed a selection of care plans. 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. Each person has in his or her care plan a social activities report. People that live at the home had not signed agreement of their care plans. (Recommendation 1 Part A.) 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 V236428 300805 Stage 4.doc Version 1.40 Page 10 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) 12,13,14,15 People that live in the home consider they have their cultural, social, and religious needs met. They maintain contact with people they chose to. People that live in the home are enabled to exercise choice and control over their lives. Meals are wholesome and appealing. EVIDENCE: People that live in the home have their religious needs met in a number of ways. A lay preacher comes to the home twice a month. On one occasion he takes communion on the other he speaks with people that live in the home. One Catholic person has communion from a member of the Catholic Church. Once a month on Sunday afternoons a group comes to the home to deliver a service. No person from the home is of an ethnic minority. Each person that lives in the home has an activities report. The home has an activities afternoon on a Monday, the inspector viewed reports that showed that people were involved in activities such as cooking, artwork, reminiscence, and armchair exercises. On one occasion an African percussionist had visited the home. The Inspection was conducted during good weather, and some wheelchair users were being taken to the seafront by staff. People that live in the home told the inspector that they were able to have visitors when they chose to. The visitor’s book showed entries of visits through The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 11 out the day and early evening. Most people in the home have their own phone lines in their bedrooms. There are phone sockets in each room to facilitate this. The inspector spoke with people that live in the home and discussed whether the lifestyle they experienced in the home matched their expectations. They all agreed that they hadn’t known what to expect, but reflected that they were ‘happy and contented.’ They agreed that they were able to get up and go to bed when they wished, and that they had choices regarding the clothes they wore each day and the menu they choose. People in the home discussed the daily menu with the inspector. They expressed that meals were of good quality and plentiful. They could have something different from the main meal if they chose and felt able to ask for a snack if they wanted, although they all commented that they never needed to do this. The home has a varied menu, which includes fish on Fridays. The home has stores of good quality food. The home only provides bananas as fresh fruit, because in the past there has been a lot of wastage of other fruits. However, the inspector observed that the menu is supplemented frequently with stewed fruits such as apples and plums and dried fruits such as apricots. The manager and one member of are booked onto a course entitled ‘nutrition in older people.’ The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 12 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) 16,17,18 The home investigates complaints in a suitable manner in line with its own complaints procedure. Service users rights are protected. Service users are protected from abuse. EVIDENCE: The home has had one complaint since the last inspection, which was directed by the complainant to the Commission. This complaint was investigated in a suitable manner, by the home, through its own complaints procedure and the Commission found it to be unproven. Every one that lives at the home has postal votes. They are all able to speak on their own behalf or have relatives or friends that would be able to do this for them. There is a group called ‘Friends of the home’ who could act as outside advocates for the people that live in the home. Staff the inspector spoke with had a good understanding of adult protection protocols and were aware of different types of abuse. Staff have training in the prevention of adult abuse in their induction. Staff also cover this subject in their NVQ training. The homes whistle blowing policy is in place and has been reviewed. The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 13 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) 19,20,21,22,23,24,26 The standard of the environment within the home is good providing Service Users with an attractive, safe and homely place to live. EVIDENCE: The home is suitable for its purpose. The home is clean and well maintained. Furnishings, carpets and decoration were of good quality. There are no offensive odours throughout. Each room is decorated when it is vacated. People that live in the home have access to a selection of communal rooms including an upstairs lounge that has views across the coast. There is a small patio area outside the dinning room and some people that live in the home discussed how they enjoyed sitting out on it during the better weather. The bathrooms and toilets were extremely clean and had suitable aids, such as toilet raisers so as to enable people to remain independent. The home has two The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 14 assisted bathrooms with hoist. Radiators are all covered so as to prevent risk of scalds and burns. Some of the individual bedrooms are small in size, but are very homely personalised and clean. People the inspector spoke with said they found them quite big enough for their needs and were happy with their rooms. The washing machines are situated in the sluice area. This is not ideal as there is risk of infection. A risk assessment to minimise this should be in place (Recommendation 2 Part A). The home has sought advice from the infection control team who visited the home. The Manager informs the Commission that htye are satisfied with procedures that are in place to minimise risk. The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 15 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) 27,28,29,30 The needs of those living at the home are met by appropriate numbers and skill mix of staff. The homes recruitment and selection process protects people that live at the home. Staff are trained and competent to do their jobs. EVIDENCE: The staff rota indicates that staffing numbers and skill mix of qualified/unqualified staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home. The Inspector spoke with staff that indicated that they thought the home was always adequately staffed and that they had suitable time to spend with the people who live in the home. The Manager is very proud that 77 of the care staff of the home are qualified to NVQ Level 2. Five staff are in the process of completing NVQ Level 3. The expectation within the National Minimum Standards is that 50 of staff should be qualified to NVQ Level 2 or equivalent by 2005. The home has clearly exceeded this expectation. The home has a robust recruitment procedure based on equal opportunities and ensuring the protection of service users. The application form should be amended so that the prospective member of staff can sign a declaration that they are in good physical and mental health. Recommendation made regarding this matter. (Recommendation 3 Part A). Each member of staff has a CRB check and two references in place, prior to confirmation of post. The home does not have volunteers. The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 16 All staff receive an induction, which is conducted through a local training company, which is in line with Skills for Care. Staff have mandatory training and have at least three days paid training per year. The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 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 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) 33,35,38 The home is run in the best interests of the people that live there. People that live in the homes financial interests are safeguarded. EVIDENCE: The home endeavours to ensure a quality assurance process. The home has a management committee that meets four times a year. The committee speak with the people that live in the home. One of the Committee members fulfils the homes Regulation 26 visits, which are monitoring visits to ensure that the home is complying with the national minimum standards. Staff are well trained and supervised. The Manager meets with the people that live in the home on a daily basis when she is on duty. Some people living in the home are unable to look after their own money. In these cases written records of all transactions are maintained. Where the money of individuals is handled, the manager ensures that the personal allowances of these service users are not pooled and appropriate records and receipts are kept. All transactions are double signed. The inspector viewed The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 18 these records and audited one and found the total to tally with the amount of money held. Secure facilities are provided for the safekeeping of money and valuables on behalf of the service user. The inspector viewed a number of records including staff and service user files that were well maintained in line with the homes own policies. The Inspector observed that the Home is kept in a secure manner. The Manager as far as reasonably practicable ensures compliance with relevant legislation to ensure that the health, safety and welfare of Service User and staff is promoted and protected. The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 x 3 STAFFING Standard No Score 27 3 28 4 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 x x 3 x 3 x x 3 The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 20 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. 3. Refer to Standard 7 26 29 Good Practice Recommendations Service users should sign agreement of the care plans when able. A risk assessment should be in place to minimise risk of infection in the sluice/laundry area. prospective staff should indicate on their application form that they are of physical and mental good health The St John Home H56-H05 S35046 St John Home V236428 300805 Stage 4.doc Version 1.40 Page 21 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 V236428 300805 Stage 4.doc Version 1.40 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. 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