Care Home: Sevington Mill Residential Home

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well People who live in the home benefit from living in a pleasant and homely environment where visitors are always welcome. Staff members are caring and committed and there is a strong management team. People who live in the home are protected through safe systems of medication storage and administration in compliance with recognised legislation and guidelines. The routines of daily living and activities, is enhanced by the work undertaken by the activities coordinator. Choice and opportunity to have involvement with decision-making processes is offered in a way that residents can comprehend. Food is offered and prepared in a way, which takes account of the nutritional needs of older people and their preferences. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 What has improved since the last inspection? Since the last inspection as a result of listening to people living in the home the service has implemented more flexible meal times, rearranged the dining room seating and purchased new tableware. Lighting has been improved in the corridors and a 50” screen television purchased for the lounge for the benefit of residents with poor sight. Two new stair lifts have been fitted to aid the mobility of residents and new equipment purchased for the kitchen. There has been ongoing maintenance to the environment. What the care home could do better: We are of the opinion that the service is still providing excellent outcomes for people living in the home but the registered person must ensure that staff members receive regular, recorded supervision meetings at least six times a year with their senior/manager in addition to regular contact on day to day practice. Key inspection report CARE HOMES FOR OLDER PEOPLE Sevington Mill Residential Home Sevington Lane Willesborough Ashford Kent TN24 0LB Lead Inspector Paul Stibbons Key Unannounced Inspection 14th September 2009 11:00 DS0000023520.V377102.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sevington Mill Residential Home Address Sevington Lane Willesborough Ashford Kent TN24 0LB 01233 639800 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) Kent County (Residential Homes) Ltd Mrs Anne Elizabeth Hooper Mr Michael Dore Cruickshanks Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Sevington Mill Residential Home DS0000023520.V377102.R01.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: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 50. Date of last inspection 14th September 2006 Brief Description of the Service: Sevington Mill provides accommodation for a maximum of 50 Service Users, which comprises of 45 bedrooms, five of which are registered as double rooms. The fees are in the range of £328.65 - £454.00 per week. Shared rooms are only used at the Service Users request. The Home situated on the rural outskirts of Ashford but within easy travelling distance of the town centre, shops, hospital, health centres etc. The house consists of wings, several of which have small dining and lounge facilities nearby. For general communal use there are several lounge areas, with dining facilities, one within a large conservatory with pleasant views of the courtyard garden and a third, away from the main lounges, where smoking is permitted. TV and music facilities are available in some communal areas. There is a dedicated dining room off the conservatory. The Home has adequate bathing facilities with hoists available as needed and there is a hairdressing room. There is a large wellmaintained garden available for residents’ use. Parking spaces are limited, but there is additional street parking nearby. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection on this service was completed on the 14th September 2006. This unannounced inspection was conducted on the 14th September 2009 over a period of 4 hours from 11:00 until 15:00 hours. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. The home returned a completed AQAA (Annual Quality Assurance Assessment) when we requested it and it included excellent evidence to support compliance with the required standards. The registered provider was present during the inspection. Discussions were held with the provider, catering staff, 4 members of care staff and a number of service users. A variety of documents and records were examined that included care plans, risk assessments, recruitment and training records, staffing rosters, medication records and health and safety records. Observations were made of interactions between management, staff and service users. What the service does well: People who live in the home benefit from living in a pleasant and homely environment where visitors are always welcome. Staff members are caring and committed and there is a strong management team. People who live in the home are protected through safe systems of medication storage and administration in compliance with recognised legislation and guidelines. The routines of daily living and activities, is enhanced by the work undertaken by the activities coordinator. Choice and opportunity to have involvement with decision-making processes is offered in a way that residents can comprehend. Food is offered and prepared in a way, which takes account of the nutritional needs of older people and their preferences. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 6 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 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. Sevington Mill Residential Home DS0000023520.V377102.R01.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 Sevington Mill Residential Home DS0000023520.V377102.R01.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents have sufficient information on which to make an informed decision as to whether the home can meet their needs. A trial period and full assessment of needs is conducted before a permanent placement and written contract of terms and conditions is offered to prospective residents. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 9 EVIDENCE: We wanted to look at the information provided to people prior to moving into the home to see whether it was sufficient enough on which to make an informed decision as to whether the home would meet their needs. The home provides a statement of purpose that is specific to the individual home and the resident group they care for. It clearly sets out the objectives and philosophy of the service and is supported by a service users guide. Residents also receive a welcome pack with a list of scheduled social events and activities and a booklet of sample menus over a seven week period. The pre-admission assessments of three recently admitted service users were examined and these demonstrated that significant time and effort is spent planning to make admission to the home personal and well managed. A social activities coordinator is employed by the home and they endeavour to maintain the current interests and hobbies of the resident. Prospective residents are encouraged to spend time at the home prior to admission to assess whether the lifestyle meets their expectations. Before agreeing admission the service carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. All residents receive a contract to which they or their representative have agreed and it gives clear information about fees and extra charges which are reviewed and kept up to date. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have an individual plan of care that sets out how their health, personal and social care needs will be fully met. People living in the home are protected by the homes policies and procedures for dealing with medication. People living in the home are treated with respect and their right to privacy is upheld. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 11 EVIDENCE: We wanted to look at whether peoples health care needs were being met and whether the care was being provided in a manner acceptable to the individual. We looked at 3 care plans and these indicated that personal support is responsive to the varied and individual needs and preferences. Particular attention was paid to the care plan of a service user who had been recently admitted. Personal preferences were clearly documented that included, how they wished to be addressed, sleeping routines, food likes and dislikes and guidelines for staff in promoting independence with dignity and respect. Risk assessments are included in care plans that cover mobility, mental capacity assessment, malnutrition screening and medical information. Charts and records were viewed that monitored medication administered, weight, eating and drinking, elimination and other health care appointments with the optician, dentist and chiropodist. There is evidence of the care plan and risk assessments having been recently reviewed to ensure that the requirements of service users’ are current. The health care needs of service users unable to leave the home are managed by visits from local health care services. The home has their own transport to accompany residents to health care appointments. Residents have the aids and equipment they need to maximise their independence and safety and these are well maintained to support them and staff in daily living. The home has an efficient medication policy supported by procedures and practice guidance, which staff understand and follow. Medication records are fully completed, contain required entries, and are signed by appropriate staff. We observed the interaction between staff and service users and there was mutual respect with staff members responding in a manner and at a pace appropriate for the service user. We observed that service users were appropriately dressed, clean, relaxed and generally appeared cheerful. Internal quality assurance responses were viewed, 50 surveys sent out received 37 responses of which the majority were either excellent or good. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have the opportunity to participate in a range of activities that meet their social and recreational interests and needs. People living in the home enjoy a healthy and varied diet that is of their choosing. EVIDENCE: We wanted to know whether the lifestyle experienced by people living in the home provided variety and stimulation as wanted by the individual. The home employs an activities coordinator who with input from service users, relatives and staff actively encourages and provides imaginative and varied Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 13 opportunities for people using the service to develop and maintain social, emotional, communication and independent living skills where appropriate. Examples of activities available for residents to participate in included, art and craft, gardening, bingo, crosswords, musical entertainment, shopping trips, trips out, video and talking books. The home has also installed a 50” television in the lounge for residents. There is sufficient communal space within the home for quiet relaxation away from television and radio should that be the individual’s choice. Visitors are made welcome at any reasonable time and encouraged to maintain contact with their relative. The home employs a cook who is knowledgeable about the specialist nutritional needs of the elderly and specifically those requiring specific diets. Menus viewed indicated a wholesome and balanced diet and the provider states that the cook consults with service users about their choice of meals. Two service users spoken with confirmed the food at the home was to their liking and in sufficient quantities. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home can be confident that their views will be listened to, taken seriously and acted upon. People living in the home are protected from abuse. EVIDENCE: We wanted to know whether people living in the home are protected from abuse and that procedures are in place to address any complaints they may have. There is a copy of the complaints procedure displayed in the entrance hall on the notice board, in the welcome pack and the signing in book. The provider states that a copy is provided to all service users/representatives and explained to them. The AQAA states that there have been 3 complaints raised in the last 12 months that have all been resolved within 28 days. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 15 The home has good recruitment practices to ensure that only suitable people are employed for the safety of people living in the home. Training records viewed indicated that all staff members have received training in safeguarding vulnerable adults and discussions with 3 members of staff demonstrated that they had a good understanding of recognising abusive practices and the reporting procedures. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a safe, well-maintained environment with ample personal and communal space to meet their needs. EVIDENCE: The home employs a full time maintenance person and adequate domestic, catering and administration staff. All parts of the building are clean and well maintained with a refurbishment program that is ongoing. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 17 Since the last inspection two new stair lifts have been installed and commercial equipment for the kitchen. The home has assisted bathing facilities and there are adequate hoists and specialist equipment available to maximise residents’ independence. Bedrooms viewed were comfortably furnished with personal possessions on view, three residents spoken with confirmed they were happy with their rooms. There is ample personal and communal space in the home with a large garden area for the enjoyment of residents. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are in safe hands at all times supported by a trained staff team in adequate numbers. People living in the home are protected by robust recruitment policies and procedures. EVIDENCE: We wanted to look at whether people living in the home were in safe hands at all times with sufficient knowledge and skills available to meet the specific needs of service users. We looked at the recruitment procedures and practices to ensure only suitable persons were employed for the safety of people living in the home. Three personnel files were examined that confirmed appropriate checks such as Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 19 Criminal Record and POVA list, references, identity and interviews were carried out. Two Training records were examined that showed new employees had undergone induction that met with Skills for Care standards. Other training undergone included dementia, medication, manual handling, infection control, fire awareness and first aid. The AQAA states that the vast majority of carers have achieved at least the NVQ level 2 in care and this was confirmed by the provider. Observations of carers during the visit demonstrated an enthusiastic and dedicated care team. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,38 People using the 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 benefit from living in a home that is run by a competent manager and the ethos, leadership and management approach of the home. The home is run in the best interests of the residents and their health, safety and welfare is promoted and protected. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registration certificate is displayed in the entrance to the home and correctly states the category of people living in the home. The registered provider is in charge of day to day running of the home and has many years of experience in providing care for elderly people. They provide an increased quality of life for residents with a strong focus on equality and diversity issues and promoting human rights, especially in the areas of dignity, respect and fairness. The manager leads and supports a strong staff team who have been recruited and trained to a high standard. The AQAA contains clear, relevant information that is supported by a wide range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. The data section of the AQAA is accurately and fully completed. The service has sound policies and procedures, which the manager effectively reviews and updates, in line with current thinking and practice. The home works to a clear health and safety policy and all staff members are fully aware of the policy and are trained to put theory into practice. The registered provider has the skills and ability to deliver good business planning, and effective financial controls, they provide a quality assurance and monitoring process to ensure efficient running of the home, which gives value for money and delivers effective outcomes for the people who use the service. The registered provider acknowledged that staff supervisions had not been as frequent as the Care Homes Regulations require. This was confirmed by three staff members spoken with following this inspection who felt they had issues that needed resolving. It is a requirement of this report that the registered person shall ensure that persons at the care home are appropriately supervised. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 3 3 2 X 4 Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP36 Regulation 18(2) Requirement The registered person shall ensure that persons at the care home are appropriately supervised. Timescale for action 12/11/09 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 Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 24 Care Quality Commission Care Quality Commission South East Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Sevington Mill Residential Home DS0000023520.V377102.R01.S.doc Version 5.2 Page 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. 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!