Inspection on 21/11/05 for Uplands

This inspection was carried out on 21st November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Uplands 22/01/09

Uplands 02/02/07

Uplands 04/07/05

Uplands 02/12/04

Similar services:

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Claremont House

Oak Ridge

Sun Court Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Uplands 27-31 Cobham Road Westcliff On Sea Essex SS0 8EG Lead Inspector Carolyn Delaney Unannounced Inspection 13:00p 21 November 2005 st 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 Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Uplands Address 27-31 Cobham Road Westcliff On Sea Essex SS0 8EG 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) 01702 352752 0208863 0955 Uplands (UK) Limited Jacqueline Mary Lepley Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27), Terminally ill (6) of places Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Nursing and personal care to be provided for up to twenty-seven older people. Nursing and personal care to be provided for up to a maximum of six people who are over the age of fifty-five years who have a terminal illness. Nursing and personal care to be provided for up to a maximum of six people who are over the age of fifty-five years who do not have a terminal illness including up to a maximum of three persons who are over the age of forty years. 4th July 2005. Date of last inspection Brief Description of the Service: Uplands provides nursing care and accommodation for up to a maximum of twenty seven people, including up to a maximum of six people who have been diagnosed with a terminal illness. The home is an older style property situated in a residential area of Westcliff on Sea, close to the sea front and some local shops. The premises are in need of some modernisation and there are plans for extensive renovation due to commence early next year. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection carried out on 21st November 2005 between the hours of 13.00 15.30. Carolyn Delaney, Lead Inspector for the home, carried out the inspection. Records including care plans and assessments in respect of residents’ needs and risks to health, safety and welfare were examined. Three residents were spoken with and their views about the home, how it is managed and the care provided were obtained. Records in respect of staff training were assessed and three members of staff were spoken with during the inspection. Records in respect of the maintenance and safety checks for the home were assessed. A brief tour of the premises was carried out. What the service does well: Uplands provide nursing care in a safe well-staffed environment and wellmanaged environment. Resident’s needs are assessed on a regular basis and detailed care plans are developed to meet these needs. Staff offer support and care in a positive way and wherever possible residents personal wishes are recorded and they are assisted to fulfil these. Staff receive regular training updates so as to ensure that residents receive care and treatment according to current good practice guidelines. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 6 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. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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 Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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): 3&4 Staff working at Uplands act so as to ensure that each individuals nursing, care and safety needs are assessed and that these needs will be met. EVIDENCE: Records in respect of assessments carried out for residents prior to them being offered a place at the home were examined. Each individuals nursing, care, welfare and safety needs were comprehensively assessed and records were clear and included where possible the residents understanding of their illness and treatment was recorded. Assessments were kept up to date through regular evaluation. Staff working at the home are supported and trained in respect of meeting the needs of the people who live there. Uplands does not provide intermediate care. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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 Staff working at Uplands act in an appropriate manner in accordance with detailed care plans and risk assessments so as to ensure that the medical, nursing, care, privacy and safety needs of the people who live at the home are met. EVIDENCE: Care plans, and assessments in respect of potential and actual risks to the health and safety of people living at the home were clear and detailed. All documentation examined in respect of information about residents was kept up to date and accurate so as to ensure that all staff working at the home had clear guidelines to follow and that they were aware of the needs and any changes to the needs of the people living at the home. There was evidence of the involvement of specialist healthcare professionals in the planning of care including dieticians and tissue viability nurses where appropriate. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 10 Records in respect of the receipt, administration and disposals of medicines were well maintained and there was detailed information in respect of the medical treatment provided for each individual. Some perishable medicines were not labelled with the date upon which they were opened and this was discussed with the manager. Handwritten Medication Administration Records were not consistently checked by two members of staff, which is considered good practice and would minimise the risk of errors in recording. Residents who were spoken with said that staff treated them in a manner, which respected their privacy, and dignity and staff were seen to interact with residents in an appropriate manner. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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 The provision of meaningful, occupational and stimulating activities is not consistently suited to the needs of the people living at the home. Residents are supported making decisions about their lives and in maintaining contact with their families and friends. The home employs a dedicated chef and residents are provided with a choice of meals each day. Staff act so as to ensure that each residents nutritional needs are met. EVIDENCE: Since the previous inspection the homes manager has advertised for activities coordinator staff but has been unsuccessful in recruiting suitably qualified people. In order to provide more stimulating activities including more opportunities for residents to be supported to go out shopping etc, the manager proposes that some care staff will be employed extra hours for the provision of activities for residents living at the home. This had not commenced at the time of the inspection. The home offers an open visiting policy and residents are invited to social events held within the home. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 12 The home has a dedicated chef who meets with residents on a daily basis to discuss the planned menu and alternatives. Residents who were spoken with said that the choice and quality of food provided was good. Resident’s nutritional needs are assessed on a regular basis, including regular monitoring of weight gain and loss, missed or refused meals etc and dietician input is sought as appropriate. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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): Complaints made in respect of the services and care provided by the home are dealt with in an appropriate manner. Staff are trained and supported in a manner so as to minimise the risks of abuse to residents living at the home. EVIDENCE: There have been no complaints received by the Commission for Social Care Inspection in respect of this home since the last inspection. Staff at the home deal with any complaints in an appropriate manner and people who were spoken with on the day of this inspection said that they felt confident that any concerns or complaints would be dealt with and resolved. Staff working at the home receive regular training updates in respect of the protection of vulnerable people from abuse and those who were spoken with could demonstrate that they were aware of the appropriate actions to take if they witnessed or suspected that anyone living at the home was being subjected to any abuse. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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, 23, 24, & 26 Uplands is an older style property in need of modernisation and there are plans to commence major renovation works early next year. EVIDENCE: Residents are provided with comfortable bedrooms, which may be personalised according the individuals wishes. It is positive to note that some bedrooms, which were previously provided as double bedrooms, are now being used as single bedrooms due to their size. Residents have access to a small dining area and two seating areas. Resident’s bedrooms, bathrooms and communal areas were noted to be clean and free from any unpleasant odours. It was reported that the boiler system is in needs of replacement due to its age and inefficiency in providing a continuous supply of hot water, which may affect resident’s choices for having baths. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 15 All of the issues have been identified in plans for the refurbishment of the home, which is planned for early next year. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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 & 30 Uplands is staffed with appropriately numbers of trained staff in order to meet the assessed needs of the people who live at the home. EVIDENCE: At the time of this inspection there were seventeen people living at the home. The staffing levels had not been reduced in light of this. Staff working at the home do not work excessive hours without appropriate off duty time. The home employs a core tram of staff, many of who have worked at the home for over ten years, which promotes continuity of care. All nursing staff working at the home have undertaken training in respect of meeting the needs of people who have a terminal illness and all staff receive regular training in core mandatory topics and specialist areas of care so as to ensure that residents needs are best met. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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): 31,32,33,35, 36 & 38 The home is managed in an open and positive manner on order to best serve the interests of the people who live there. EVIDENCE: The registered manager liaises with the Commission for Social Care Inspection on a regular basis and informs the Commission of any issues or changes in the delivery of service provision as appropriate. The Commission receives regular reports in respect of the statutory visits to the home in accordance with Regulation 26 of the Care Standards Act 2000. Residents who were spoken with on this and previous inspections confirmed that their views and comments were well received. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 18 Resident’s monies, which are held by the home for safekeeping, are stored securely and detailed records in respect of the receipt and expenditure are maintained and regularly checked. There are some environment issues as discussed within the report and there are plans for refurbishment of the premises, which is due to commence in March 2006. However measures are taken so as to minimise the impact of these issues such as old inefficient hot water boilers on the lives of the people who live at the home. Regular checks in respect of maintaining safety such as fire safety, gas and electric safety and maintenance checks are carried out so as to provide a safe environment for the people who live at, work in, or visit the home. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 2 X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 x 3 4 X 3 Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? YES 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 OP12 Regulation 16(2) (m) Requirement The registered persons must ensure that meaningful activities are provided which meet the needs and wishes of residents living at the home. The registered persons must ensure that the personal and communal accommodation provided by the home are suited to the needs of residents. Timescale for action 31/12/05 2 OP20 23 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations It is recommended as good practice that any handwritten Medication Administration Records (MAR) are checked and countersigned so as to minimise the risks of recording errors. Uplands DS0000059860.V265365.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Uplands DS0000059860.V265365.R01.S.doc Version 5.0 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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