Inspection on 18/01/06 for Uvedale Hall Residential Home

This inspection was carried out on 18th January 2006.

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

Uvedale Hall Residential Home 18/06/09

Uvedale Hall Residential Home 19/06/07

Uvedale Hall Residential Home 29/06/05

Uvedale Hall Residential Home 17/03/05

Uvedale Hall Residential Home 07/12/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Uvedale Hall Residential Home Coddenham Road Needham Market Suffolk IP6 8AX Lead Inspector Jane Higham Unannounced Inspection 18th January 2006 11:15 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 Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 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. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Uvedale Hall Residential Home Address Coddenham Road Needham Market Suffolk IP6 8AX 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) 01449 722250 01449 722250 Pri-Med Group Ltd. Mrs Sally Shadbolt Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: Uvedale Hall is a large period house, situated in Needham Market, between Ipswich and Stowmarket. The town, situated within walking distance of the home, has a selection of shops, banks, a post office and library. The home provides care and accommodation for up to 29 older people and is owned and administered by the Pri-Med Group, a provider organisation based in East Anglia. Accommodation consists of two lounges, a quiet room, dining room, conservatory, bathrooms, toilets and hairdressing room. The bedrooms, which all have an ensuite facility, vary in size. There are some larger rooms within the home which have their own sitting, dining and kitchen areas and an ensuite bathroom. Access to the first floor of the property is via the main stairway or passenger lift. Within the ground there is a sheltered housing scheme, car park and well maintained gardens. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection of Uvedale Hall, a twenty-nine bedded residential resource for older people situated in the town of Needham Market and owned and administered by the Pri-Med Group. This was the second inspection in the inspection year 2005/2006. The inspection took place on 18 January 2006 over a period of three and a half hours. All core standards have been assessed over the two inspections and this document should be read in conjunction with the report of the Announced Inspection dated 29 June 2005. The home was inspected against the National Minimum Standards: Care Homes for Older People and the Care Standards Act 2000. The National Minimum Standards and Care Homes Regulations 2001 are referred to throughout this report and any non compliance identified. The Registered manager of the home was present during the inspection as was the Chairman of Pri-Med, Mr. Tim Barrett. On this occasion, core standards not assessed as part of the previous inspection were examined and any requirements made at that time were re-assessed. During the course of the inspection, the Inspector spoke to eleven residents who provided feedback in relation to the standard of accommodation and care. Two staff members were spoken to briefly and asked for their opinion on the levels of staffing provided at the home. What the service does well: The home provides accommodation for residents which is both elegant and of a high standard. Bedroom accommodation is varied and residents can choose to occupy a single room or one of the four home’s bed-sitting rooms which enables service users to enjoy a greater level of independence and autonomy. The home has a dedicated staff group who work well as a team and carry out their roles in a professional but warm manner. The home places a strong emphasis on the provision of meaningful activity for residents and endeavours to ensure that residents feel they play a significant role in the daily life of the service. The home has a happy feel about it and a sense that the majority of residents really enjoy living there. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 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. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 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 Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 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, 5 and 6 Prospective service users can expect to have a detailed assessment of their needs carried out prior to moving into the home and if required to “try out” the service before making a decision on whether they would wish to live there on a permanent basis. EVIDENCE: On the day of the inspection, the pre-admission information for the most recently admitted resident was examined. The resident in question was enjoying a trial stay at the home before making a decision on whether they would like to live there on a more permanent basis. The home was able to evidence that a detailed pre-admission assessment was carried out prior to the prospective service user being admitted. The assessment provided a detailed outline of the service user’s needs and allowed the management of the home to ensure that these needs could be met appropriately. The home does not offer an intermediate care service. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 9 Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 10 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 and 9 Residents can expect to be provided with a plan of care which ensures that their assessed needs will be met and that their preferences will be catered for. Residents can also expect that they will be protected by the home’s procedures on the safe storage and administration of prescribed medication. EVIDENCE: On the day of the inspection, the care plan for the most recently admitted resident was examined. This document provided a clear and detailed outline of the assessed care needs of the resident and the interventions and support required by staff to ensure that these needs would be met. Additionally the care plan stated the preferred daily routines and preferences of the service user in areas such as food and drink. A risk assessment, around the request of the service user to have a hot water bottle at night, had been completed as had a falls risk assessment and a moving and handling assessment. A review sheet was incorporated in the care plan to enable staff to log the monthly reviews. The home was able to evidence that the procedures employed for the safe keeping and administration of resident medication were both appropriate and Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 11 secure. All prescribed resident medication was held securely in a “fit for purpose” drugs trolley, which in turn was kept in a locked cupboard. One member of the senior staff has the responsibility for booking in all the medication which is received from the pharmacy. Additionally one senor member of staff on each shift is responsible for the administration of prescribed medication to service users. The Medication Administration Record for the most recently admitted service user was examined against the medication held in the drugs trolley. All medication had been recorded appropriately and medication administered had been signed for by the designated staff member. The storage of Controlled Drugs was examined and found to be appropriate and secure. A record of controlled drugs administered was maintained and balanced with the number of drugs contained within the Controlled Drugs storage cupboard. All staff responsible for the administration and storage of service user medication have received appropriate training via the companies own trainers who had in turn undertaken the Boots Advanced Medication course. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 12 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 and 15 Residents can expect to be offered a range of activities and functions and play a significant role in the day to day life of the home. Residents can also expect that, if desired, the home will pro-actively support them in maintaining contact with family and friends. Residents can expect to be provided with a high standard of meals and to have their preferences catered for. EVIDENCE: Whilst all the above standards were assessed as part of the Announced Inspection on 29 June 2005, during the course of this inspection, some of these standards were revisited. The home continues to offer a programme of activities for residents and these are described in the previous inspection report. On this occasion the home was able to evidence that it had provided residents with a Trafalgar Day Celebration. The home had been decorated for the occasion, a service had been held and a play performed by staff and members of the owning organisation. The Pri-Med group had also issued a newsletter in January which reported on the events that had been held in all five of the group’s homes. This newsletter was entitled Pri-Med News and included colourful pictures of the recent Trafalgar and Christmas Events. Residents spoken to at the time of the inspection reported that they were looking forward to a charity Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 13 presentation which was taking place in the afternoon. They reported that the presentation was to the Suffolk Air Ambulance to donate the proceeds of a raffle held at the home. The Manager reported that the family member of one resident, who lives in America, sends letters and photographs via the home which are printed out by the Manager and passed on to the resident concerned. On the day of the inspection a visit to the home’s kitchen was undertaken and discussions held with the Chef. The Chef reported that meals are provided from a menu based on a four-week cycle. A two-course lunch is provided every day with various options and the evening meal consists of sandwiches and a hot option. The Chef reported that they were studying an NVQ level 2 in Food Preparation and would like to undertake a distance-learning course on Nutrition. The home was able to evidence that fresh vegetables were included in the main meal everyday. The kitchen was maintained to a good standard of cleanliness and hygiene and a daily and weekly cleaning rota was maintained. The Chef reported that “themed” meals had recently been introduced. Residents had enjoyed a Christmas Buffet over the festive period and a special Valentines dinner was being planned. Residents make a choice of where they would like to eat their meals. On the day of the inspection, two residents were having their lunch in one of the smaller communal rooms. They reported that they preferred to have their lunch in this room as they preferred the quiet environment and liked to talk together about life in the country. They advised that the meals provided were always of a high standard and enjoyable. Feedback gained from various residents in relation to the quality of meals provided was very positive. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 14 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): 18 Residents can expect to be protected from abuse by the home’s policies, procedures and training provided to staff members. EVIDENCE: The home was able to evidence that it had a copy of the revised local authority procedure on the Protection of Vulnerable Adults. The Pri-Med group also has its own procedure which makes reference to the local reporting procedures. The home was able to evidence that all staff receive training on the reporting of abuse. This consists of a half day training module which is included in the Foundation Training package undertaken by all staff. The training is provided by accredited trainers employed by the owning organisation. Since the previous inspection, the Commission has received no complaints in relation to this service. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 15 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 - 26 Residents living at the home can expect to be provided with a high standard of accommodation which is elegant, comfortable, well maintained and appropriate to their needs and abilities. EVIDENCE: Whilst all standards with regard to the environment were assessed as part of the previous inspection, an environmental tour was undertaken on this occasion. As in the previous inspection, it was found that accommodation provided was of a high standard. The home has two communal lounges which are very attractively decorated and comfortably furnished. A conservatory can be accessed via one of the lounges. This facility overlooks the well cared for and pleasant gardens, is furnished comfortably and provides a very pleasant environment in which residents can socialise with each other or with their visitors. The elegant main hallway has a staircase leading to the first floor accommodation, has a galleried landing and is lit by a very impressive Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 16 chandelier. The main dining room is accessed from the hallway and again provides a very elegant environment in which residents can enjoy their meals. This room is spacious, furnished in red and gold and has large floor to ceiling windows. In addition to the main dining room residents can also enjoy their meals in the quiet room or one of the lounges which has a dining table. There are 29 single bedrooms all of which have ensuite facilities. For those residents who wish to have a more independent lifestyle, the home has four studio flats which comprise of a large room sufficient for both dining and lounge furniture and a sleeping area which is separated by a low partition wall. The bathroom is accessed via a small hallway and in addition to toilet facilities includes either a bath or shower. One resident who occupied one of these rooms commented that they really appreciated being able to bring their own furniture with them from their previous accommodation. This resident had been able to bring their own three piece suite and china cabinet with a variety of personal ornaments on display. One couple accommodated at the home had been provided with two rooms and were able to use one as a bedrooms and the other as a living room. Residents spoken to at the time of the inspection gave very positive feedback in relation to the standard of accommodation provided. The owning organisation has responded pro-actively in ensuring that all radiators accessible to service users are provided with guards. The programme of providing covers for radiators will be completed well within the agreed timescale. In conclusion the home provides a very high standard of accommodation to service users which is very elegant, comfortably furnished and maintained to a high standard of decorative order and repair. All areas of the home were maintained to a good standard of cleanliness and no unpleasant odours were detected. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 17 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 and 28 Residents can expect to be supported and cared for by a level of staffing which is sufficient to meet their individual needs and abilities. Residents can expect to be cared for by staff who have a sound knowledge base of the needs of older people. EVIDENCE: On the day of the inspection, the home was being staffed by the Registered Manager, the Deputy Manager and four care staff. This level decreases during the afternoon and evening period when three care staff are on duty. During the night period, residents are assisted by two members of the care staff who are on duty on an “awake” basis. The staffing rota seen at the time of the inspection, correctly reflected the numbers of staff on duty. It was positive to note that the staffing level provided during the morning period had increased by one. Four members of care staff have achieved an NVQ in Care qualification. Two of these have attained level 2 and two level 3. An additional four members of the care staff are currently undertaking levels 2 and 3 which they hope to complete by the end of February 2006. Feedback from residents in relation to the quality of staffing was very positive. One resident commented that staff were really kind and nothing was too much trouble for them. Another resident reported that “you only had to ask for Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 18 something once and it was done” and another commented that “you would have to go a long way to receive better care”. Two staff members spoken to commented that they felt staffing levels were appropriate, although one commented that some mornings were busier than others. During the inspection, staff were observed to interact well with residents and carried out their roles in a warm but professional manner. Staff appeared to work well as a team and had a clear knowledge of their roles and responsibilities. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 19 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): 35 and 38 Residents can expect that the homes policies and procedures in relation to the administration of resident finances protect their financial interests. Residents can also expect that, as far as practicably possible, their health, safety and welfare is ensured. EVIDENCE: During this inspection, the procedures for the safekeeping and administration of residents’ finances were examined. In the majority of cases, the home operates a system whereby the financial representatives of residents are invoiced for any incidental expenditure. This may include such costs as hairdressing etc. The home does hold monies for six residents. These monies were found to be held securely and any transactions carried out by residents or their representatives are documented and two signatures required. The balance of monies held for one resident was checked and found to tally with the balance as recorded in the register of expenditure. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 20 The home provided a safe environment for both service users and staff. As stated earlier in the report, the programme of providing guards for radiators is nearing completion. During the inspection the home was able to evidence that working practices within the home do not present a risk to service users and that detailed risk assessments are completed for each resident. Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 21 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 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 4 4 3 3 4 4 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 3 Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? NO 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. N/A Standard N/A Regulation N/A N/A Requirement Timescale for action 18/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. NA Refer to Standard NA Good Practice Recommendations NA Uvedale Hall Residential Home DS0000024516.V278352.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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. 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