Care Home: Oak View Care Home

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What the care home does well The service provides a comfortable and clean place for people to live and people living in the home are well cared for. There is a high degree of satisfaction with the service people receive and this was demonstrated in conversation with service users and feedback from relatives. Staff working in the home are conscientious and spend time ensuring people living there are well cared for and happy. The home is well managed and the Manager demonstrates efficiency and focuses the service around the needs of people living in the home. What has improved since the last inspection? This is the first inspection for this newly registered home. CARE HOMES FOR OLDER PEOPLE Cornelia Parks 47/49 Beach Road Hayling Island Hampshire PO11 0JB Lead Inspector Nick Morrison Unannounced Inspection 10:00 5 March 2008 th 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 Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornelia Parks Address 47/49 Beach Road Hayling Island Hampshire PO11 0JB 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) 02392 465473 Mr Stephen Richard Geach Rachel Adey Care Home 29 Category(ies) of Dementia (0), Physical disability (0) registration, with number of places Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) (29) Physical Disability (8) The maximum number of service users to be accommodated is 29. 2. Date of last inspection Brief Description of the Service: Cornelia House is a large detached building situated on the main road from Fareham to Portchester. It is set back from the main road and is accessed by a large driveway. Accommodation consists of twenty-six single and two double bedrooms, all of which have an en-suite facility. Communal rooms include a large lounge area with a conservatory, dining room and attractive, well-maintained gardens to the front and rear of the building. The home is in good decorative order throughout and provides service users with a comfortable, friendly environment. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit that occurred on 5th March 2008 and lasted five hours. During this time we went into each room, looked at service users’ files and met with people living in the home. We also met with the Manager and spoke with two members of staff and four people who live in the home. All records and relevant documentation referred to in the report were seen on the day of inspection. We sent out a number of surveys and received replies from nine members of staff, seven relatives of service users and two healthcare professionals. We have also referred to the Provider’s Annual Quality Assurance Assessment (AQAA). What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were made as a result of this inspection. The home continues to develop around the needs of people living there and to respond to issues highlighted in its own quality assurance processes. The home is also about to begin a major refurbishment. Please contact the provider for advice of actions taken in response to this Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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 Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their needs assessed prior to moving into the home. EVIDENCE: Examination of service users’ files showed that each person living in the home had had an assessment of their needs prior to admission. Assessments were comprehensive and contained input from service users, their families and relevant health professionals. The home also writes to potential service users after the initial assessment in order to confirm that they are able to meet their needs and to give details of the room available and the fees. Service users had the benefit of trial periods in the home before deciding to move in permanently. The home does not provide intermediate care. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from being able to exercise choice and control and have stimulating activities. They also benefit from good support in maintaining contact with friends and families and a good, balanced diet. EVIDENCE: The home has recently introduced a new care-planning package, which is comprehensive and thorough. Examination of six files showed that there were care plans in place for each service user. The plans had clearly been written in response to those needs identified in the pre-admission assessment, as well as to those needs identified as staff in the home got to know service users better. The plans were all reviewed on a monthly basis and changes made where necessary. Changes were also made to the plans in-between the monthly reviews if it was clear that needs had changed. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 10 The healthcare needs of service users were monitored daily and formally monitored on a monthly basis. Records were kept to demonstrate any changes in the person’s health and staff in the home liaised with other healthcare professionals whenever necessary. Care plans included risk assessments where necessary and these were also reviewed and updated on a regular basis and as necessary. Medication in the home was well managed. There was a clear medication policy in place and staff involved in administering medication had all received training. All medication was stored safely and securely in the home and records were kept of all medication administered. Records were also kept of all medication coming into and going out of the home. Observation throughout the inspection visit showed that staff understood how to respect the privacy and dignity of service users. Staff were courteous at all times to all service users. One relative told us that “staff treat the residents with care, consideration and above all respect, they are treated as individuals each with their on particular needs” All responses from relatives and healthcare professionals regarding how people in the home were treated were positive. Service users’ mail was not opened by staff, but given to the person it was addressed to or, where necessary, their representative. All service users seen and spoken with on the day of inspection were well presented and, where necessary, had support from staff to maintain their appearance. The induction training for staff provided them with guidance on the rights of service users and on ways to actively demonstrate respect and maintain peoples dignity. Service users had locks on their doors so that they could maintain their own privacy if they felt the need to. Staff observed on the day of the inspection always knocked and waited for a reply before entering people’s rooms. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from being able to exercise choice and control and have stimulating activities. They also benefit from good support in maintaining contact with friends and families and a good, balanced diet. EVIDENCE: Staff had received training and were skilled in communicating with people living at the home. Service users’ methods of communication were recorded and there was close liaison with families over the needs, choices and wishes of each service user. Service users confirmed that all the staff in the home were very good at communicating effectively with them and that they were respectful of the choices they made. Care plans emphasised the need for staff to interact with service users as much as possible and observation throughout the day of the inspection visit showed that staff did this well. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 12 Staff gave time and consideration to all service users and attempted to respond to their wishes at all times. They spent time listening to people and engaging them in conversations. One relative told us “over two years we’ve seen great improvement and he is very happy.” Visitors were encouraged to come to the home at any time and family members confirmed that they felt able to visit whenever they wanted to. The home also had a very positive attitude to addressing the nutritional needs of service users. On admission each service user had an assessment of their nutritional needs and individual nutritional care plans and risk assessments were devised in response to any issues highlighted in the assessment. Food was always served in the best way for each service user to consume it and staff were available to provide support for people who needed it. The menu showed a range of meals with an emphasis on using fresh ingredients and homemade meals. On the day of the inspection visit we observed a member of staff going to each service user in the morning explaining what options were available for lunch and recording what each person wanted. All service users spoken with said the food was very good and that portions were sufficient. All feedback from relatives and from service users spoken with on the day was positive about the food. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from a clear and effective complaints procedure and are protected by the home’s adult protection procedures and practices. EVIDENCE: The home has a clear and effective complaints policy in place. The policy is made available to service users and their families on admission and a copy is also available in the lounge. Relatives of service users told us they were aware of the complaints policy and how to use it. The home has a system in place for recording and responding to any complaints that may be made. Discussion with staff and examination of training records showed that all staff had received training in adult protection issues and were aware of their responsibilities within the adult protection procedures. The Manager was clear about the reporting procedures and how to use them. Service users spoken with said they felt safe in the home and with the staff who supported them. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from living in clean, well-maintained environment. EVIDENCE: All parts of the building were kept very clean and the home retained a homely and comfortable appearance. The furniture in the home was of very good quality and was replaced whenever necessary. There was also a programme of routine maintenance and records were kept to demonstrate that maintenance issues were responded to swiftly. The home employs adequate numbers of domestic staff to maintain the appearance of the building. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 15 Infection control policies were in place and were posted in places throughout the building to ensure that staff were able to refer to them throughout their work. The Provider currently has a comprehensive plan of refurbishment in place for the home which will result in more rooms being available for a larger number of service users. As part of this refurbishment all rooms will have en-suite facilities and a new passenger lift will be added. Communal space in the home will also be significantly increased including a new dining room and two additional lounges. Service users and families spoken with during the inspection visit said they felt the home was well-maintained and that standards of cleanliness were high. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service Service users benefit from being supported by adequate numbers of sufficiently trained staff and are protected by the home’s recruitment policies and practices. EVIDENCE: Training records were clear and demonstrated that staff training was well managed. Staff spoken with confirmed that training was available to them and that the training they had received had been of good quality. One member of staff told us “I always receive up-to-date training.” Records showed that the home ensured staff training was kept up-to-date. Examination of recruitment records showed that the home ensured that all necessary pre-employment checks were in place for all staff before they were employed by the home. All staff were interviewed before being offered a job and clear records were kept of all interviews. Staff spoken with confirmed they had to undergo necessary checks prior to being employed in the home. Staff observed on the day of the inspection visit appeared to be conscientious and to respond to the needs of people living in the home. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 17 All relatives who provided feedback about staff were positive. One told us “they all seem very skilled, especially with dementia” and another said that all staff were “well trained and very friendly” another said they were “impressed by the knowledge staff have of individuals.” Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from a service that is well-managed and which focuses on their needs and wishes. Their financial interests are protected and health and safety issues are well-managed. EVIDENCE: The Manager is registered and has the skills, knowledge and experience to manage the service. Any incidents or accidents were recorded clearly and these records were regularly reviewed to ensure that practices were changed where necessary. All Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 19 staff received regular training and updates in health and safety issues. All fire records within the home were up-to-date. Where the home looked after money for people who live there, clear records were in place and receipts were kept for all transactions. Access to service users money was restricted to the Manager and the Deputy. At present the home regularly seeks the views of people who use the service through questionnaires. Service users are asked to state whether or not they are satisfied with each aspect of the service and to make any further comments if they choose to. There was evidence that the home had responded to issues highlighted by service users through this process, including changing activities and improving the décor and furniture in the home. There are also regular visits by the Provider, which identify areas for improvement in the service. Staff spoken with said they felt supported by the Manager and that she was always available when needed. All aspects of the home and the service provided demonstrated good management practices. Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 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 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 21 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. 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. Refer to Standard Good Practice Recommendations Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Cornelia Parks DS0000070904.V364336.R02.S.doc Version 5.2 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!