Inspection on 04/07/05 for Uplands

This inspection was carried out on 4th July 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

Uplands 22/01/09

Uplands 02/02/07

Uplands 21/11/05

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 SSO 8EG Lead Inspector Carolyn Delaney Un-announced 4th July 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. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 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 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 Vacant CRH 27 Category(ies) of Older People (OP)27, Terminally Ill (TI) 6 registration, with number of places Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Old age, not falling within any other category (OP) 27 Terminally ill (TI) 6 Nursing and personal care to be provided for up to twenty-seven older people. Nursing care for service users with aterminal illness not to exceed six Nursing and personal care to be provided for up to a maximum of six service users who are over the age of fifty -five years, who do not have a terminal illness, included within this number, up to a maximum of three people who are over the age of forty, who do not have a terminal illness. Date of last inspection 2/12/04 Brief Description of the Service: Uplands provides accommodation for up to twenty seven people who require nursing care. The property is situated in a quiet residential area of Westcliff within close proximity of the local town and sea front. The accommodation provided includes thirteen single bedrooms and seven shared bedrooms on two floors, which are accessed by a passenger shaft lift. The majority of bedrooms have ensuite facilities. Service users have access to two lounge areas; a large atrium on the ground floor and a small well maintained garden area. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which was carried out on the 4th July 2005 between the hours of 1pm and 7pm. During this inspection a number of records in respect of staff recruitment, training and supervision were examined. Four members of staff were spoken with. Care plans and records of assessments in respect of residents needs, such as nursing; care and safety needs for a six residents were examined and four residents were spoken with during the course of this inspection. A brief tour of the premises was carried out and records in respect of fire safety were examined. What the service does well: What has improved since the last inspection? Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 6 A number of improvements were noted at the last inspection such as improvements in the way in which the home is managed. The improvements in care practices have been maintained. There have been no complaints made about the home since the last inspection and resident’s comments about the care that they receive were very positive. The deputy manager, who has responsibility for staff training has worked to ensure that staff have regular training so as to ensure that they can safely and effectively carry out their duties. Records in respect of residents wishes regarding ‘end of life’ such as what treatment they would like and if they would prefer to be treated in hospital or remain at the home were in place and reviewed periodically so that staff can ensure that these wishes can be met in the event that a persons condition deteriorates suddenly. 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 I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 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 standard(s) 1 & 3 Prospective residents nursing and care needs are fully assessed by suitably qualified nursing staff, and where it is practicable, people are invited to visit the home to determine its suitability to meet their needs, before they make a decision to move in. EVIDENCE: Assessments of nursing and care needs were well documented and clearly identified how individual’s needs affected their ability to carry out daily activities. Residents made very positive comments about the home and the care provided by staff. The acting manager only admits residents to the following an assessment of their needs and having taken into account the needs and dependencies of the people already living at the home. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 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) 7,8,9,10 & 11 Records in respect of resident’s nursing care, general wellbeing and safety needs are recorded, kept up to date by regular review, so as to provide staff with sufficient information to meet these needs. Measures are in place so as to ensure that residents receive medication as prescribed to treat them. EVIDENCE: Care plans were well written and reviewed on a regular basis. Some care plans did not include resident’s wishes and choices for activities such as washing and dressing. Detailed assessments of potential risks to residents health and safety are carried out, recorded and reviewed on a regular basis and where a risk is identified a plan to manage the risk is completed so as to ensure that all staff are aware and carry out care accordingly. Two residents living at the home retain and administer their own medication. All other residents receive medication at appropriate intervals as prescribed. A Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 10 recent audit carried out by the manager indicated that a number of staff were not consistently signing Medication Administration Records (MAR). Measures were put in place to supervise and monitor staff practices in respect of the administration of medication accordingly. Staff were seen to treat residents in a manner, which respects the individuals dignity and privacy. There were detailed plans in place for dealing with resident’s wishes for when they became seriously ill and ‘end of life’ issues such as the treatment the wished to have and if the wished to be treated in hospital or remain at the home. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 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 standard(s) 12 &15 The provision of meaningful social, leisure occupational activities does not always meet the needs of people living at the home. Residents have a choice of meals, which are well presented and meet each individual’s nutritional needs and choices. EVIDENCE: Residents who chose to, and are capable, may access a variety of social and leisure activities outside of the home and there is a ‘Tuesday Club’ where residents can participate in games and exercises. There was little in the way of ‘one to one’ activities provided for those residents who due to their illness or physical condition were not capable of participating in these activities. The acting manager said that once the premises were refurbished that this would afford more appropriate communal spaces where activities could be provided and that consideration was being given to the employment of a dedicated activities coordinator. While there is a daily menu, this does not reflect the choices available. However the cook speaks with residents on a daily basis and if they do not wish to have the meal as planned on the menu he will offer to cook a variety of Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 12 alternatives. Residents said that the food was very good. Meals were noted to be well presented and served to residents in the dining room or their rooms according to their wishes. Residents are monitored regularly for weight loss/ gain and appropriate action taken by staff as required. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 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 standard(s) 18 Staff working at the home act in a manner so as to protect the safety and welfare of residents living at the home. EVIDENCE: Staff receive regular training and up to date information in respect of the protection of vulnerable people living at the home. Staff who were spoken with during the course of this inspection could demonstrate that they understood issues related to the protection of vulnerable people and that they were aware of the appropriate action to take if they witnessed or suspected any form of abuse. There had been no complaints made in respect of the service since the last inspection and therefore this standard was not fully assessed. However residents said that they felt that staff would deal with any concerns or complaints properly. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 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 standard(s) 19 & 26 The layout of the premises, general décor and furnishings in the home are not suited to the needs of residents living at the home. EVIDENCE: The home employs maintenance personnel to regularly carry out and deal with general day to day maintenance of the premises. The communal areas and some of the furnishings such as in the atrium lounge are not particularly suited to residents who live in the home. There are no hand washing facilities provided for staff using the homes sluicing facilities. There are plans for a major refurbishment of the premises, which would address these issues. Residents may personalise their bedroom with items of furniture etc and suitable equipment is provided according to each individuals needs. The home was noted to be clean and free from odours during the inspection. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 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) 27,28,39 & 30 Staff working at the home are recruited, trained and supervised in a manner, which promotes the wellbeing and safety of residents living there. EVIDENCE: Staff are employed in suitable numbers to meet the assessed needs of residents living there. Recruitment files included evidence that all of the appropriate checks are carried out to ensure the suitability of the individual to work at the home. Staff receive regular mandatory and specialist training so as to ensure that they can meet the needs of people living at the home. Staff are aware of residents needs and feel that they supported by the homes management structure to enable them to meet these needs. Residents feel that they are well cared for. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 16 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) 31,33 &38 The homes acting manager ensures that the management of the home reflects the needs and promotes the interests of the people living there. EVIDENCE: The homes acting manager has been employed at the home for a period of ten months. During this time the ethos and care practices within the home have been improved so as to make life better for residents who live there. Residents, relatives and staff can discuss any issues freely with the acting manager and feel that these will be resolved. Wherever it is possible residents and /or their relatives are involved in any management decisions, which directly affect the wellbeing of people living at the home, such as making decisions about the care and treatment they receive etc. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 17 The premises are maintained well with regular assessments in respect of the risk of fire and other potential hazards carried out to minimise risks to residents, staff and visitors to the home. Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 18 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 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 2 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 x 3 x x 4 x 3 Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 19 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 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 30/08/05 2. OP19 OP26 To be agreed 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 Good Practice Recommendations Uplands I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 20 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 I56-106 S59860 Uplands V228632 040705 Stage 4.doc Version 1.30 Page 21 - 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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