Inspection on 29/06/05 for Uvedale Hall Residential Home

This inspection was carried out on 29th June 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

Uvedale Hall Residential Home 18/06/09

Uvedale Hall Residential Home 19/06/07

Uvedale Hall Residential Home 18/01/06

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 Announced 29 June 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. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Uvedale Hall Residential Home Address Coddenham Road Needham Market Suffolk IP6 8AX 01449 722250 01449 722250 Sally@pri-med.co.uk Pri-Med Group Ltd 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) Mrs Sally Shadbolt Care Home 29 Category(ies) of OP Old Age (29) registration, with number of places Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17 March 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 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 I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Announced Inspection of Uvedale Hall, a 29 bedded residential home for older people, situated in the town of Needham Market and owned and administered by the Pri-Med Group. This was the first scheduled inspection in the inspection year 2005/2006 and was carried out by Jane Higham, Regulation Inspector with the Commission for Social Care Inspection. The inspection took place on 29 June 2005 over a period of 6 hours. The Registered Manager of the home and the Operations Manager were both present for the duration of the inspection. During the inspection, feedback was sought from residents and their families and a selection of their comments are included in this report. Additionally before the inspection took place, the home was provided with both service users and relative/visitor comment cards for distribution. Two service user and three relative /visitor comment cards were returned to the Commission. All comment cards received contained positive feedback in relation to both the care and accommodation provided at the home. A selection of comments gained from the comment cards is included in this report. What the service does well: The home provides a high standard of varied accommodation which gives some residents the opportunity to live a relatively independent life with support. It was apparent through the inspection that residents appreciate their very pleasant surroundings and much effort has been made to provide a very homely atmosphere. Additionally the home ensures that residents are provided with a range of activities, encourages the use of local facilities and provides a warm welcome to all visitors. Staff have a warm relationship with residents and a mutual respect and interest in each other exists. One resident summed up their feelings about the home in their returned comment card by stating “everybody does their best to live up to the home’s slogan of “It is your home not ours””. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 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 I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 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 Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 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) 1,2,3, and 5 Prospective residents can expect to be provided with sufficient information about the services and accommodation on which to base a decision on whether they would like to live there. Prospective residents can also expect to have their needs assessed prior to admission and to be provided with information about the terms and conditions of their stay. EVIDENCE: Residents and family members spoken to on the day of the inspection, confirmed that on admission to the home they had received a copy of the home’s Statement of Purpose and Service User Guide. The home also produces a colour brochure which includes photographs of the interior of the home and the gardens and includes comments from residents and visitors about the quality of both the care and accommodation. Pre-admission documentation was examined in relation to two residents who had recently been admitted. In both cases a detailed pre-admission assessment had been carried out to ensure that the home could meet the needs of the prospective resident. Both residents had been provided with a placement contract and a copy of the terms and conditions of residence, a copy of which is held in each resident’s room. The home was able to evidence that prospective residents are invited to visit Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 9 the home along with their family members or in the case of several people, they had decided to become permanent residents after enjoying regular periods of respite care. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 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 standard(s) 7, 8 and 10 Residents can expect to be provided with a plan of care which details their assessed needs. Residents can also expect to have their physical and mental health needs monitored by the home and to be treated with respect and dignity. EVIDENCE: During the course of the inspection, the care plans of the two most recently admitted residents were examined. Both care plans were very detailed and set out clearly the individual needs of each resident covering areas such as maintaining a safe environment, socialising, and personal cleansing. A goal is identified in relation to each assessed need as is the intervention required to meet that goal. It was evident from examining the two care plans that both were reviewed by staff on a regular basis. Care plans evidenced that residents are enabled by the home to access community health resources such as district nursing, hospital outpatient services and GP surgeries. All bedroom accommodation is provided for single occupancy and has the benefit of ensuite facilities which assists in promoting the privacy of residents. On the day of the inspection, one resident had opted to eat their meal in the home’s small dining room as they had a disability and felt quite self-conscious about eating in public. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 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, 13, 14 and 15 Residents living at the home can expect to be provided with a range of optional activities appropriate to their needs and abilities and that they are assisted to maintain contact with family and friends and be provided with information about local events. Residents can also expect to select their preferred meal option from a menu that consists of appetising and nutritious food. EVIDENCE: Residents spoken to on the day of the inspection confirmed that the home provides a varied programme of activities. A copy of this programme is provided to all residents. One resident reported that they enjoyed the weekly visits of an art therapist and it was noted that resident’s artwork was displayed around the building. Some residents were quite content to keep themselves occupied, others looked forward to the activities provided. Residents had recently enjoyed a barbeque held at the home to which friends and family were invited. This was a great success and a member of the local community had written a letter to say how much they had enjoyed it and how impressed they had been with the way in which the home was run. The home also produces a newsletter which is available to all residents and their families which reports on both previous and forthcoming events. Family members spoken to reported that they were always made welcome when visiting the home and were always offered refreshments. One resident reported that they were being visited by a Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 12 friend who was going to be accommodated at the home for two nights. It was noted that a copy of the Needham Market newsletter was available in the hallway of the home and also that a range of birthday and special occasion cards were available for sale so that residents could send cards independently. A family member spoken to at the time of the inspection commented that the home was very good at encouraging residents to maintain their independence. The larger bedrooms contained a small kitchen area where residents could prepare drinks and light snacks. On the day of the inspection, residents joined together for lunch in a very pleasant dining room. Feedback gained from residents, during the meal was very positive in relation to the standard of food provided. One resident reported that that the meals were always good and that a varied choice was also available. This was also confirmed by other residents who were spoken to in the privacy of their own rooms. Tables were attractively laid and fresh vegetables were provided on each table so that residents could help themselves to as little or as much as they liked. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 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) 16 Residents can expect to be provided with sufficient information to enable them to raise any concerns and complaints through the appropriate channels and to rest assured that any complaints received by the home will be investigated. EVIDENCE: On the day of the inspection, the home was able to evidence that each resident is provided with a copy of the complaints procedure on admission. The procedure gives clear details on how to make a complaint and provides the name and address of agencies other than the home to whom residents could refer. Contact information for the Commission for Social Care Inspection was included. All complaints received by the management of the home are logged and the action taken and outcome are recorded. It was noted that a copy of the Complaints Procedure was not displayed within the home, although there was a document entitled “our promise” which directed residents and family members to direct their complaints to the manager. It is recommended that a copy of the full Complaint’s Procedure is displayed within the home so that it is available to all resident and visitors to the premises. Since the previous inspection, no complaints have been received in relation to this service. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 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 Residents can expect to be provided with a high standard of accommodation which is attractively decorated, well maintained, safe and offers a homely and comfortable environment which meets the individual assessed needs of each person. EVIDENCE: Accommodation provided at the home is of a very high standard. There are two communal lounges which are very attractively decorated and comfortably furnished. Additionally the home has a south facing conservatory which overlooks the very pleasant gardens which includes a pond with a water feature. On the day of the inspection, the weather was warm and several residents were either sitting outside or in the conservatory. In addition to the main dining room, residents can also enjoy meals in the quiet room or in one of the lounges which has a dining table. On the day of the inspection one of the residents was entertaining a friend to lunch in this room. There is a centrally sited staircase which is very imposing, lit by a large chandelier and with a marble pillared galleried landing. The home also has a shaft lift for residents who are unable to use the stairs. There are 29 bedrooms all for Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 15 single occupancy and all with ensuite toilet facilities. For those residents who wish to have a more independent lifestyle the home has four “studio flats” which comprise of a large room with a lounge/dining area, a sleeping area and an ensuite with bath or shower facilities. Occupants of these rooms reported that they felt this accommodation gave them a good balance of being independent but provided with support. All bedrooms seen on the day of the inspection were furnished to a high standard and maintained to a good standard of decorative order and repair. Residents had obviously been encouraged to bring personal possessions and small items of furniture with them in order to make their rooms look more homely. Some rooms had wall mounted televisions and some had been decorated by using attractive wallpapers. In addition to ensuite facilities the home has an adequate number of communal baths and showers. Throughout the building the standard of soft furnishings and carpeting was high. Appropriate aids and adaptations were available throughout the building to assist residents with mobility problems. Feedback from residents and family members was very complimentary about the high standard of accommodation provided and the cleanliness of the building. Feedback contained in a relative/visitor feedback card described the accommodation as “first class, clean and very comfortable”. The home is aware that a risk assessment needs to be carried out on all residents who are at risk from central heating radiators which are not provided with a cover or are not of the low surface temperature variety The Management of the home advised that an audit and risk assessment of all radiators would be carried out in August of this year and it is hoped that all radiators will be provided with covers within the next 12 months. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Residents can expect to be cared for by staff who receive appropriate and relevant training to carry out their roles and responsibilities. The homes recruitment procedures seek to protect vulnerable people. EVIDENCE: On the day of the inspection, the Manager was in attendance and the home was staffed by three care staff throughout the waking day. During the night period two care staff are in attendance on an “awake” basis. The home also employs a range of ancillary staff including a house-keeper, domestic staff and kitchen staff. At the time of the inspection, the home was accommodating 27 residents. Taking into consideration the number of residents accommodated the home is running at a minimum staffing level to ensure the needs of residents are met. However, the Manager advised that she works as part of the care team when required. Personnel records examined confirmed that the home has a robust and safe recruitment procedure which seeks to protect vulnerable adults. A detailed record of training undertaken by staff was provided as part of the pre-inspection questionnaire and confirmed that all staff receive training in mandatory areas and in associated subjects such as care planning and Adult Abuse. Information contained within the pre-inspection questionnaire indicated that 25 of care staff had obtained an NVQ qualification and 6 were qualified first-aiders. A relative advised that staff were very approachable and were always available. Another family member stated that relationships between staff and residents was mutually caring. This was borne out by the fact that some residents had attended the recent Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 17 wedding of a staff member and a “hen morning” had been held at the home before the wedding took place. The staff member concerned visited residents on the day of the inspection to share her wedding photographs with them. Staff spoken to reported that they felt Pri-med were a good company to work for and that they were provided with a good level of training. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 18 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) 32,33,36 37 and 38 Resident living at the home can expect to have access to the Manager and to be consulted on the quality of the service provided. Residents can expect to be cared for in an environment that is safe and by staff who are trained in safe working practices. Operational policies and procedures are carried out by staff in the best interests of residents. EVIDENCE: A visitor spoken to at the time of the inspection reported that the Manager of the home was always available. Visitors have to pass the door to the Manager’s office on their way into the building and reported that there was an “open door” policy. Staff were clear about their roles and responsibilities and carried out their duties in a competent and confident manner. Resident and relative meetings are held every three months and the owning organisation carries out an annual quality control audit where residents are issued with questionnaires. The home was able to evidence that all staff are provided with Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 19 formal supervision sessions the contents of which are recorded. The Manager reported that there was no plan of frequency for these sessions, although the target of 6 times per year is met. Required records, policies and procedures were referred to throughout the inspection and found to be in place and available. The home endeavours to provide residents with a safe environment. Accidents occurring within the home are recorded appropriately and 6 staff members are trained in first aid. Staff also receive training in health and safety and fire safety. Moving and handling assessment are completed for each resident as are risk assessments in relation to falls. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 20 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 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 4 3 3 3 4 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 3 3 x x 3 3 3 Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 21 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 25 Regulation 3(4)(a) & (c) Requirement The Registered Persons must ensure that residents are not at risk from central heating radiators. The home must produce an action plan which will detail how a risk assessment will be carried out on each resident who is likely to be at risk from radiators which are not provided with a cover or are of the low surface temperature variety. The action plan must identify how this risk will be minimised. The Registered Persons must ensure that a minimum level of 50 of care staff have attained an NVQ Level 2 qualification or above. Timescale for action 12/09/05 2. 28 18(1) 31/10/05 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 6 Good Practice Recommendations The Registered Persons should display a copy of the homes complaints procedure within the building so that it is accessible to all residents, staff and visitors to the home. I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 22 Uvedale Hall Residential Home 2. 27 The Registered Persons should cotninually monitor the level of staffing provided to ensure that it is sufficient to meet the individual assessed needs of residents. Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 23 Commission for Social Care Inspection 5th Floor St Vincent House 1 Cutler Street Ipswich 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. Extracts may not be used or reproduced without the express permission of CSCI Uvedale Hall Residential Home I54 - I04 S24516 Uvedale Hall V226962 050707 Stage4.doc Version 1.40 Page 24 - 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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