Inspection on 27/10/05 for Upper Mead

This inspection was carried out on 27th October 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

Upper Mead 04/07/07

Upper Mead 13/09/06

Upper Mead 23/01/06

Upper Mead 23/09/04

Upper Mead 20/05/04

Upper Mead 25/11/02

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Upper Mead Fabians Way Henfield West Sussex BN5 9PX Lead Inspector Sheila Gawley Announced Thursday 27 October 2005, 10:00am th 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. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Upper Mead Address Fabians Way, Henfield, West Susex, BN5 9PX 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) 01273 492870 Dr Shafilk Hussien Sachedina Mrs Theodora Susan Verner Care Home 48 Category(ies) of Care Home with Nursing 48 registration, with number of places Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Accomodation is provided in two units. 2.Unit one is for up to eleven service users in the category dementia over 65 years of age. 3. Unit two is for up to thirty seven service users in caregory older persons not falling within any other category. 4. Unit two may include in its numbers up to seven persons in the category physical disability aged 50 years and over. Date of last inspection 24 09 04 Brief Description of the Service: Upper Mead is a care establishment, that provides nursing, and is registered to accommodate a total of 48 residents. Upper Mead is a large detached property located in the West Sussex village of Henfield, close to housing and shops. it has pleasant accessible grounds. Sussex Health Care privately owns the service, and the responsible person acting on behalf of the company, is Mr S Boghani Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 27th October and the home was inspected against the National Minimum standards. Residents, visitors and staff were spoken to and all expressed satisfaction with the quality of care in the home. Their comments and those expressed in comment cards received will be used in compiling this report. 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. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 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 Upper Mead H60-H11 S24232 Upper Mead V244260 271005 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) 1 Prospective residents have the information they need to make an informed choice about where to live. Standard six is not applicable. EVIDENCE: A statement of purpose is in place to set out the aims, objectives, philosophy of care, services and facilities and terms and condition of the home. This insures that prospective residents have the information that they need to make an informed decision about moving into the home. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 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) 7,8,9 The resident’s health, personal and social care needs are set out in an individual plan of care. Residents make decisions about their lives with assistance as needed. Residents, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Care plans inspected set out in detail the health, personal and care needs of residents. There was evidence of regular review. The manager stated that it is intended to introduce new care plans on an organisational level. Residents spoken to adapted that they are happy in the home and can make decisions about their care. They stated that they enjoy activities, especially outings. Sight, dental and audiology appointments are made according to need and audiology and dental care can be done in the home. Policies and procedures are in place for the safe receipt, storage, administration and disposal of medicines. Medicine Administration Charts inspected were mostly up to date with the exception of topical agents, which are not currently signed for. This was discussed with the manager. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 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, 15 Resident find the lifestyle experienced in the home matches expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Residents expressed satisfaction with the activities on offer at Upper Mead. One did state that outings had been reduced since having to share a bus with other homes. This was rectified today when the area manager stated that another bus had now been allocated to the home. Recreational activities on offer are displayed. All residents stated that they were happy with the food. The food seen being prepared and served was sufficient and nutritious. The chef was spoken to; menus, temperature charts and cleaning schedule were available for inspection and were up to date. Kitchen staff are up to date with food and hygiene training. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 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) 16,18 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse EVIDENCE: There is a written complaints procedure, which is provided to service users in the Statement of purpose and Service Users Guide, and was seen to be displayed on the entrance wall. Residents spoken to stated that they would know how to make a complaint and were confident that it would be dealt with. Systems and procedures and training are in place to protect service users from harm. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 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, 20,26 Residents live in a safe, well-maintained environment. Residents have access to safe and comfortable indoor and outdoor communal facilities. The home is clean, pleasant and hygienic EVIDENCE: The home is clean and well maintained. It is a safe environment for residents. There are comfortable lounges, dining room and pleasant grounds with outdoor seating. The home was clean and free from offensive odours today. There are suitable laundry facilities. The issue of correct mop storage and the practice of soaking clothing in the laundry sink were discussed with the manager and will be addressed. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 12 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) 27,28,30 The numbers and skill mix of staff meets resident’s needs. Residents are in safe hands at all times. Staff are trained and competent to do their jobs. EVIDENCE: Staff rota were available for inspection and adequate numbers were on duty to meet residents needs. A letter received in respect of the service stated that the care staff were also doing cleaning duties. The manager stated that recruitment of cleaning staff is difficult in this area and the area manager stated that the company is considering recruiting from abroad. It was further stated that some of the carers did extra shifts to cover the cleaning. There is a comprehensive staff training programme in place. Records were seen and staff confirmed that they receive this training. A new induction system is planned. These processes ensure that residents are in safe hands at all times. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 13 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) 31,32, 38 Residents 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. Residents benefit from the ethos, leadership and management The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager was interviewed under the Commissions Fit Person criteria today and demonstrated the ability and experience to manage the home. Residents and staff spoken to stated that the manager is approachable and is available to them. The health, safety and welfare of service users and staff are promoted and protected by the training which is in place and the compliance of the home with requirements of statutory bodies. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 14 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 2 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x x x 3 Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 15 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 9 Good Practice Recommendations The registered person to make suitable arrangements to prevent infection, toxic conditions and the spread of infection. record to be kept of all madicines administered in the home. Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Upper Mead H60-H11 S24232 Upper Mead V244260 271005 Stage 4.doc Version 1.40 Page 17 - 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. 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