Care Home: Ingleside

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What the care home does well People considering moving into Ingleside receive a full assessment and are provided with the opportunity to visit and spend time at the home in advance of admission. Visitors to the home are welcomed and offered refreshments during their visit. The home is comfortably furnished, attractively decorated and clean. Staff are patient, kind and conscientious and treat residents with respect. Residents and their representatives are satisfied with Ingleside; letters recently sent to the home included the following compliments "Thank you for all your kindness and support, it was so comforting to know X was coming back to Ingleside after hospital admission", "Very appreciative of the excellent care and homely, friendly atmosphere, particularly grateful for the nice friendly way, for keeping X cheerful, for the reassurance you gave, lovely personal service". During the inspection a resident told us "It`s my home; it suits me very well". What has improved since the last inspection? Since the previous inspection the home has worked hard to meet the recommendations of the last inspection and in particular has improved the standard of recreational and social activities for residents, aspects of medicine handling, risk assessment and care planning processes, quality assurance, and equipment and premises safety provision. What the care home could do better: This report contains no requirements for improvements; the National Minimum Standards are met. To promote good practice and ensure the overall satisfaction of each resident the home intends to further increase the provision of recreational and social activities for residents and to provide them with more information in these regards, and in forward planning of menus. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ingleside 648 Dorchester Road Upwey Weymouth Dorset DT3 5LG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Gloria Ashwell     Date: 2 2 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Ingleside 648 Dorchester Road Upwey Weymouth Dorset DT3 5LG 01305812667 01305813383 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Christopher James Webb care home 17 Number of places (if applicable): Under 65 Over 65 17 old age, not falling within any other category Additional conditions: Two rooms may be used as doubles. Date of last inspection Brief description of the care home 0 Ingleside Residential Care Home is a large semi-detached house set back from the main Dorchester to Weymouth road in the village of Upwey. The home is registered to accommodate 17 older people and has been owned by Christopher Webb for over 20 years; since the last inspection Mrs Anne-Marie Raisbeck has become the registered manager. The home provides fifteen bedrooms in a combination of 13 single and 2 double rooms. Bedrooms are situated on the ground and first floor of the house. The first floor is accessed by chairlift on the main staircase or by a back staircase. Some bedrooms are at a slightly higher level and a chairlift is also fitted to this short flight of stairs. Communal facilities include two lounges, a separate dining room and a conservatory Care Homes for Older People Page 4 of 25 Brief description of the care home that overlooks the front garden. Laundering of clothing and household linen is carried out within the home at no additional cost to residents; items requiring dry cleaning are charged additionally because it is necessary to send them out of the home for this service. A hairdresser visits the home each week; there is an additional charge for this service. A public transport bus stop, for buses to the nearby town centre, is close to the home. Fees are charged weekly; the fee range quoted in the service user guide at the time of inspection was (per person) from £345 to £512. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a statutory inspection required in accordance with the Care Standards Act 2000. This inspection was carried out by one inspector, but throughout the report the term we is used, to show that the report is the view of the Commission for Social Care Inspection. There have been no inspection visits to the home since the previous key inspection, Care Homes for Older People Page 6 of 25 which took place during May 2008. This inspection was unannounced; the inspector arrived at 09.00 on 22 May 2009, toured the premises and spoke to residents, visitors, staff, observed staff interaction with residents and the carrying out of routine tasks and together with Registered Manager Anne Marie Raisbeck discussed and examined documents regarding care provision and management of the home. During the inspection, particular residents were case tracked; for example, for evidence regarding Standards 3, 7 and 8, records relating to the same residents were examined and the residents spoken with. In advance of the inspection an Annual Quality Assurance Questionnaire was completed by Mrs Raisbeck and returned to the Commission; the information it contained has been used to inform the findings of this inspection. During this inspection compliance with all key standards of the National Minimum Standards was assessed. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. Evidence: All new admissions are planned to minimise distress to the new resident and to ensure that staff have available relevant information in order that they can properly meet each persons needs. The records of two residents assessed for admission since the last inspection included clear details recorded by the manager while visiting the prospective residents at their previous addresses. In advance of making the decision to enter the home the prospective residents or their representatives visited the home to view the premises and meet residents and staff. Care Homes for Older People Page 10 of 25 Evidence: Following pre admission assessment of each persons needs and circumstances the home writes to them confirming the agreement and ability to provide accommodation and care. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care needs of residents are met by suitably trained staff. Doctors and other professionals visit as necessary and residents receive the medicines they have been prescribed. Care is planned to promote the individuality of each resident and to provide staff with sufficient information to enable the needs of each person to be properly met. Residents are treated with respect and their privacy and dignity are promoted at all times. Evidence: The care records of 4 people who live at the home were examined and found to contain risk assessments forming the basis for care plans and daily records describing the care of each person. There was evidence that individual residents or their representatives had been involved in the development and review of planned care provision. The home has properly met the recommendations made in the last Care Homes for Older People Page 12 of 25 Evidence: inspection report to improve aspects of care planning and associated record keeping. Medicine handling is carried out by staff trained in this work. Residents wishing to do so can manage their own medicines in accordance with a risk assessment process. Medication records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts. Since the last inspection the home has improved storage and handling arrangements by obtaining a purpose made medicines trolley and refrigerator, regularly checking and recording the temperature of the latter, and has installed a cabinet for the storage of Controlled Drugs and commenced use of a Controlled Drug register. Residents spoken to during the inspection said they are treated with respect , their privacy and dignity is protected at all times, staff are well known to them and they trust the staff and feel safe in their care. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have opportunities to engage in social and recreational activities and are encouraged and supported to pass the time according to individual preference. A choice of menu is provided and meals are nutritional and appetising. Evidence: The home arranges seasonal activities and celebrations and frequently engages external professionals including an exercise therapist who attends the home to lead a gentle fitness session and entertainers who lead sing songs and similar events. In accordance with a recommendation made in the report of the previous inspection, improvements have been made to activity provision by designating specific hours to the deputy manager and a care worker to carry out activities focussed on 1 to 1 aspects, such as manicure, hand massage and board games. Visitors are welcome at any time and residents spoken to during the inspection said their visitors are always made to feel welcome and placed at ease by the staff. Meals provide good nutrition and are liked by residents. Most residents take meals in the dining room on the ground floor and others receive them in their bedrooms. Care Homes for Older People Page 14 of 25 Evidence: Residents said they have plenty to eat and the quality of meal provision is very good. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and are confident their complaints would be listened to. Residents are safeguarded against risks of abuse in its various forms. Evidence: Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home has a complaints policy and procedure. No complaints have been received and there have been no allegations or investigations regarding the safeguarding of vulnerable adults. All staff receive training on the safeguarding of vulnerable persons and the home has a written policy and procedure for the protection of vulnerable adults. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is properly equipped, comfortable, clean and suited to the needs of residents. Evidence: Ingleside is a traditionally built house which has been extended to provide additional accommodation. On the day of inspection the home was clean, tidy and comfortable throughout; there were no unpleasant odours. The home provides fifteen bedrooms in a combination of 13 single and 2 double rooms. Bedrooms are situated on the ground and first floor of the house. The first floor is accessed by chairlift on the main staircase or by a back staircase. Some bedrooms are at a slightly higher level and a chairlift is also fitted to this short flight of stairs. Residents are encouraged to personalise their bedrooms and all rooms seen during this inspection were comfortable and well furnished. There is a separate dining room and two lounges including one opening onto a conservatory overlooking the front garden. Care Homes for Older People Page 17 of 25 Evidence: There are bathrooms equipped for the use of persons requiring assistance. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. The home promotes the achievement of nationally recognised care qualifications. Evidence: Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. All staff spoken with during the inspection were enthusiastic about their work and felt that they provided a good standard of care to residents and are properly supported by the management and training provision. The staffing complement is stable with very low levels of turnover, most staff have worked at the home for a number of years. The records of a recently employed staff member was examined and found to contain Care Homes for Older People Page 19 of 25 Evidence: all essential information including written references and evidence of identity. Criminal Records Bureau (CRB) disclosures are obtained for all staff in advance of employment. The home has developed and implemented a comprehensive induction process for all staff, designed to ensure their familiarity with all aspects of the home and a clear understanding of their responsibilities. There is an enthusiastic approach to staff training and all staff undertake and as necessary update training in core subjects including fire safety, moving and handling, food hygiene and emergency aid. The home meets the standard for at least 50 of staff to hold the National Vocational Qualification (NVQ) in care. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is properly managed and maintained in the best interests of service users. Evidence: Ingleside has been owned by Mr Christopher Webb for more than 20 years, he visits the home on most days, including at weekends. Mrs Anne Marie Raisbeck is the registered manager and has worked at the home for approximately 10 months, having been engaged shortly after the previous inspection. Mrs Raisbeck is an experienced care home manager who holds the Registered Managers Award. Mrs Raisbeck is supported by a deputy manager who has been employed at Ingleside for approximately 20 years. Prior to this inspection the home completed an annual quality assurance assessment Care Homes for Older People Page 21 of 25 Evidence: (AQAA), identifying what the home considers they do well and setting out plans for further improvement over the next twelve months. Annual questionnaires are issued to residents and their relatives to monitor their satisfaction with the service. Questionnaires issued during 2008 gained the following comments Always made welcome at all times. Friendly staff but also respect your special time with relatives. Friends have said the same. Always warm and comfortable. Dignity and respect always evident. A home from home. The home has a selection of written policies and procedures to guide staff in their work. Mr Webb manages the finances of most residents with regard to the safekeeping of monies for personal expenditure, the sample of documents checked tallied with the balance records. During the inspection a sample of records regarding equipment servicing and maintenance were examined and found to be in good order and the home has recorded a fire safety assessment and Major Incident Evacuation Plan including specific reference to the currently accommodated residents. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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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