Care Home: Somerforde Ltd

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What the care home does well The people living in the home and their relatives were complimentary about the home, the staff and the care provided. They said that the care was excellent, that nothing was too much trouble and that the staff treated them with respect. They also said that the meals were good and that the home is spotlessly clean. Relatives said that they are always made welcome, that they are kept informed and that any questions they might have are readily answered. They also said that thought is given to each individual’s needs and one person said that they had peace of mind knowing that their family member is well cared for. The home provides a range of activities and people living in the home said that there is usually something available for them to participate in. Peoples’ preferences with regard to their daily routines, how they spend their time, the food they wish to eat and any other choices which are important to them are respected and recorded in their care plans.Staff said that they felt well supported and that they have good training. The home is clean and hygienic and is regularly maintained and redecorated. What has improved since the last inspection? Improvements to the home are continually being made. The home has compiled an evidence file to show what has been achieved within the home. CARE HOMES FOR OLDER PEOPLE Somerforde Ltd 2-3 Forde Park Newton Abbot Devon TQ12 1DE Lead Inspector Susan Samways Unannounced Inspection 3rd October 2008 11:00 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 Somerforde Ltd DS0000064556.V372674.R01.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. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Somerforde Ltd Address 2-3 Forde Park Newton Abbot Devon TQ12 1DE 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) 01626 361786 01626 361786 andmo@tesco.net Somerforde Ltd Maureen Maclean Susan Hill Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24), Physical disability (24) of places Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2006 Brief Description of the Service: Somerforde is a care home that provides service for older people and for older people with physical disabilities. Somerforde has 20 single bedrooms and two double bedrooms over two floors and all but four bedrooms have en-suite toilet facilities. The second floor is accessed through the homes passenger lift. The home is set in private grounds and overlooking the nearby park. The home is near to local shopping facilities and the centre of Newton Abbott. The home has several communal sitting areas and a large dining room. The proprietors currently live on the premises. In addition to the weekly fees charges are made for dry cleaning, chiropody, hairdressing, outings, newspapers and activities (bingo) and transport. Somerforde Ltd DS0000064556.V372674.R01.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 was an unannounced inspection which lasted for 9 hours. The registered providers and the registered manager were present during the day. Time was spent in discussion with the providers and the manager. Various documents including care plans and staff records were examined and staff and people living in the home were spoken to. Before the inspection took place surveys had been sent to some of the residents and their relatives. Six surveys were completed by relatives and four by residents. Prior to the inspection the Annual Quality Assurance Assessment, completed by one of the registered providers, had been received. This provided information about how the national minimum standards had been met, what had improved since the last inspection and future plans for Somerforde. What the service does well: The people living in the home and their relatives were complimentary about the home, the staff and the care provided. They said that the care was excellent, that nothing was too much trouble and that the staff treated them with respect. They also said that the meals were good and that the home is spotlessly clean. Relatives said that they are always made welcome, that they are kept informed and that any questions they might have are readily answered. They also said that thought is given to each individual’s needs and one person said that they had peace of mind knowing that their family member is well cared for. The home provides a range of activities and people living in the home said that there is usually something available for them to participate in. Peoples’ preferences with regard to their daily routines, how they spend their time, the food they wish to eat and any other choices which are important to them are respected and recorded in their care plans. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 6 Staff said that they felt well supported and that they have good training. The home is clean and hygienic and is regularly maintained and redecorated. What has improved since the last inspection? What they could do better: The registered providers and the registered manager should clearly define their roles and responsibilities to ensure that there is no confusion over whom staff, residents and visitors should approach about different aspects of the running of the home. The quality assurance system should be extended to include a continuous selfmonitoring internal audit that is objective, reviewed and involves the people living in the home. Please contact the provider for advice of actions taken in response to this Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 7 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. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 8 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 Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 9 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): 1,3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving to Somerforde can be confident that that their needs will be assessed to ensure that they can be met by the home. EVIDENCE: Before anyone is admitted to the home they have a thorough assessment carried out by the registered provider or the registered manager. This ensures that the person’s needs are identified and it is established whether the home can meet them. The assessment includes information from health care professionals, relatives and others involved as well as the person themselves. The assessment also ascertains the person’s likes and dislikes, information Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 10 about how they like to spend their time and any dietary requirements. All this information is then used to devise an appropriate care plan. Prospective residents and/or their relatives are invited to visit the home and meet other people living there and some of the staff. They are also provided with written information about the home an updated version of which was available on the day of the inspection. The files for three people living in the home were examined. Each was found to have a comprehensive assessment which clearly identified the person’s needs and preferences. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and social care needs of those living in the home are clearly identified and regularly reviewed. People living in the home are treated with respect and their dignity is maintained at all times. EVIDENCE: The care plans for three people living in the home were examined. These were detailed and had been reviewed. The care each person requires is clearly identified. The registered provider stated that each day staff are allocated specific people for whom they provide care. It is then that member of staff’s Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 12 responsibility to complete the daily records for those individuals. These were found to be in good order. The records also included details of all visits by health professionals and any appointments the person had attended. Risk assessments had been completed in particular with regard to pressure care and manual handling. Evidence was also seen of nutritional screening, the monitoring of peoples’ weights and attention being paid to their emotional and psychological well-being. During the inspection people were seen to be treated with respect by the staff and this was confirmed by those spoken to. They said that staff listen to what they say and act upon it and that they are usually available when they need assistance. One person said that they felt very well cared for. Another said that they had been anxious about moving into the home but had found that they were treated as an individual and were being encouraged to remain as independent as possible. Medication records and procedures were checked. Only certain named members of staff who have been trained are permitted to administer medication. Medication, including controlled drugs, was found to be correctly stored and recorded. There is also a lockable fridge in the drug room for the storage of insulin and some creams and eye drops. Medication administered had been signed for by the member of staff responsible. Controlled drugs had been checked and signed for by two staff. Records showed that at the end of each month any medication no longer required had been returned to the pharmacy. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are encouraged to maintain contact with their family and friends and with their local community. The meals provided are varied, well balanced and nicely presented. EVIDENCE: As part of the assessment process the home endeavours to find out about each person’s interests, any hobbies they might have and how they like to spend their time. Activities are then provided which it is thought they might enjoy. People living in the home said that staff took trouble to find out their likes and dislikes and that they had the freedom to choose how and where they spent their time. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 14 The home has links with local churches and services are held at the home each week. Those who do not wish to attend are able to use other communal areas of the home or remain in their own rooms as they wish. People spoken to said that they can have visitors at any reasonable time and that the staff of the home always make them welcome. This was confirmed by a visitor who also said that any questions they might have are readily answered and that they are kept informed about their relatives well being. Relatives also said that they can see their family member in private if they wish. Those living in the home are encouraged to maintain contacts with their local community and are enabled to go out with family or friends when they want. The registered provider stated that daily routines such as getting up and going to bed are kept as flexible as possible to enable people to live their lives as they wish. This was confirmed by those spoken to. People living in the home who were spoken to and those who completed surveys were complimentary about the meals provided. They said that they were very good and they have choice. The registered provider stated that drinks are available throughout the day and snacks are provided on request. Residents’ food preferences are recorded and taken into consideration when menus are planned. Meals can be taken in the dining room, lounge or in the person’s own room as they choose. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 15 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that any concerns or complaints they might have will be taken seriously and acted upon. People living in the home are safeguarded by staff training in the protection of vulnerable adults. EVIDENCE: Residents spoken to and those that had completed surveys were clear about what to do should they be unhappy with any aspect of their care or the running of the home. The registered provider stated that many potential problems are sorted out during normal contact with the residents during the day and this was confirmed by residents spoken to. The home has a complaints procedure which is included in the Service Users’ Guide a copy of which is given to everyone living in the home. No formal complaints had been received by the home during the previous twelve months and no complaints about Somerforde have been received by the Commission for Social Care Inspection. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 16 The home has policies and procedures in place regarding the protection of vulnerable adults, copies of which are included in the staff handbook, and training in this is included in the induction programme for all new staff. It also forms part of the NVQ level 2 in care. All staff contacted said that they were aware of adult protection procedures. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 17 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Somerforde provides a clean, comfortable and homely environment in which to live. EVIDENCE: The inspection included a tour of the premises. The home was found to be clean, hygienic and free from offensive odours. It is well decorated and furnished in a homely way. Bedrooms were seen to have been personalised with some of the person’s own furniture and other items being used to furnish the rooms if they wish. The home is well maintained and there is an established procedure for staff to report any repairs or other problems which Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 18 need to be dealt with. Records showed all repairs, maintenance and improvements to the environment made over the previous twelve months. These ranged from replacing a tap to upgrading fire precautions and installing a new boiler. People living in the home and relatives who completed surveys said that the home is kept spotlessly clean. Staff have training in infection control and they stated that there are sufficient supplies of gloves, aprons and cleaning materials for them to use in order to reduce the risk of cross infection. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff recruitment procedures and staff training safeguard people living in the home. EVIDENCE: This was an unannounced inspection and on arrival sufficient staff were found to be on duty. The rotas seen showed that this was the norm and residents and relatives also said that there are always sufficient staff on duty. At night there are two staff on duty. Cooks and domestic staff are also employed so care staff can concentrate on directly caring for the people living in the home. Staff files examined showed that an adequate recruitment procedure had been followed including taking up references, checking identities and carrying out police checks. This was confirmed by the staff spoken to. Each member of staff has an individual training record and plan. A range of training is arranged for staff during the course of a year. All new staff follow an induction training programme. Of the 18 care staff six have NVQ level 2 in Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 20 Care or above and four others are undertaking it. Other training includes fire safety, medication, basic food hygiene and manual handling. Those living in the home and their relatives were complimentary about the staff. They described them as being skilled and experienced and said that they provide excellent care with nothing being too much trouble. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 21 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): 31,32,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management style is open and receptive to the views of the residents and others involved with the home. The policies, procedures and safe working practices provide protection for both the people living in the home and staff. EVIDENCE: Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 22 The registered manager has achieved NVQ Level 4 in Care and the Registered Managers Award. Those living in the home spoke highly of her and felt confident in approaching her as well as the registered providers with any concerns. Staff said that they felt well supported. The registered providers are present in the home on a daily basis so are aware of what is going on but this potentially could cause confusion over who people should go to about what. During the inspection it was observed that staff, residents and visitors approached the registered providers and the registered manager with confidence. Visitors said that they were kept well informed and that any questions they might have were readily answered. The home surveys the views of the people living in the home annually. The questions cover various aspects of life in the home such as the care provided and the quality of the meals. The results of the most recent survey, carried out a month before this inspection, were very positive and were included in the Service Users Guide. Lockable storage is provided in bedrooms for those who wish to look after their own money. For others the home keeps their money in the safe and keeps records of all transactions with receipts. These records are available for inspection by the person concerned and/or their relatives. The registered provider stated that each member of staff receives a minimum of 20 minutes supervision every two months. A written record of each supervision session is made. Staff are trained in safe working practices and the registered provider stated that they have all necessary equipment to provide safe care and a safe environment. Radiators are guarded, water temperatures controlled and windows on the upper floor have restricted opening. Accidents and untoward incidents are recorded. Records show that policies and procedures have recently been reviewed and that equipment, including fire equipment and gas appliances, has been regularly serviced. Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 23 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 x 3 x 3 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 3 3 x 3 3 x 3 Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 24 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. 1 Refer to Standard OP32 Good Practice Recommendations The registered providers and the registered manager should clearly define their roles and responsibilities to ensure that there is no confusion over who staff, residents and visitors should approach about different aspects of the running of the home. The quality assurance system should be extended to include a continuous self- monitoring internal audit that is objective, reviewed and involves the people living in the home. 2 OP33 Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Somerforde Ltd DS0000064556.V372674.R01.S.doc Version 5.2 Page 26 - 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. 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