Care Home: Stockdove House

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What the care home does well Stockdove House is a small home and as of previous inspections this home continues to be run by mainly family members and a small staff team who have been working at the home for a while. With only six residents the staff are able to build good relationships and support the residents on a more individual basis ensuring they get the care and attention needed. One Comment from a resident spoken to said, "Its cosy being a small home we get good help from the staff". One member of staff said, "I like it because we are a small home and can really support the residents". Residents spoken to were happy with the environment and found it a pleasant place to live. Residents commented about how they feel at home at Stockdove House and the respect and support given to them by the staff, manager and owner Comments included, "Yes they are very helpful". And, "Friendly, homely place to live". What has improved since the last inspection? We had a walk around the building and found some refurbishment and redecoration has taken place inside and outside the home, in particular new carpets in resident`s rooms and some redecoration in resident`s bedrooms. A new driveway to the approach to the home has been completed which makes access easier for people in wheel chairs. One residents spoken to said, "It`s a very comfortable nice home". Medication practices have improved, the pharmacist has visited and systems put in place to ensure residents receive correct medication and only staff administer medicines that are trained. One member of staff spoken to said, "Yes I have done training I know only those who have give medicines out". Care plan recording has improved and activities/ interests of residents are identified and residents are able to follow their choice of social activities. One member of staff spoken to said, "We involve the relatives and friends to see what each resident likes to do". CARE HOMES FOR OLDER PEOPLE Stockdove House 12 Stockdove Way Cleveleys Lancashire FY5 2AP Lead Inspector Mr Kevan Royston Unannounced Inspection 17th September 2008 09:30a 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 Stockdove House DS0000009711.V367210.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. Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stockdove House Address 12 Stockdove Way Cleveleys Lancashire FY5 2AP 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) 01253 855967 Mr David Joseph Lalgee Manager post vacant Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2007 Brief Description of the Service: Stockdove House is an adapted property that has retained a great deal of the atmosphere of a large family house and is situated in a residential area close to local shops and amenities. The home is registered to accommodate a maximum of 13 persons over the age of 65years. Accommodation comprises of a lounge and dining room on the ground floor. There are three double bedrooms, one of which has en -suite facilities and seven single bedrooms, two having en -suite facilities. The double bedrooms are occupied as singles unless persons wishing to share make a specific request. There are sufficient toilet and bathing facilities to meet the needs of the residents. A passenger lift enables residents easily access the first floor. The fees for the home range from £380.00-£410.00. There are additional charges made for hairdressing and chiropody, which may vary. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. Stockdove House DS0000009711.V367210.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 unannounced visit was part of the key inspection process and took place on the 17th of September 2008 and lasted approximately 4.0 hours. We spoke to residents, staff, and the owner; we also had a walk around the premises both inside and outside of the building. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. This is a small home with six residents at the time of the visit; there was little response from surveys/questionnaires sent to residents and staff for their views on how the home is run. However the comments we did receive were all positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. What the service does well: Stockdove House is a small home and as of previous inspections this home continues to be run by mainly family members and a small staff team who have been working at the home for a while. With only six residents the staff are able to build good relationships and support the residents on a more individual basis ensuring they get the care and attention needed. One Comment from a resident spoken to said, “Its cosy being a small home we get good help from the staff”. One member of staff said, “I like it because we are a small home and can really support the residents”. Residents spoken to were happy with the environment and found it a pleasant place to live. Residents commented about how they feel at home at Stockdove House and the respect and support given to them by the staff, manager and owner Comments included, “Yes they are very helpful”. And, “Friendly, homely place to live”. Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The person responsible for running the care home should be registered with us the Commission for Social Care Inspection (CSCI), have the necessary qualifications and is suitable and competent to run a care home. The owner said they are putting forward the manager to be registered. Staff recruitment practices are not robust and procedures must be in place so that all the required checks are undertaken to ensure only suitable staff are employed at the home for the safety and protection of the residents. The manager should seek the views of families, residents and friends to show how the home is achieving its stated aims and objectives. There should be a system in place for monitoring residents weight and fluid intake so that any problems can be identified and appropriate action taken. Please contact the provider for advice of actions taken in response to this Stockdove House DS0000009711.V367210.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. Stockdove House DS0000009711.V367210.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 Stockdove House DS0000009711.V367210.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): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is admission and assessment procedures in place to ensure the care needs of people are met. . EVIDENCE: We looked at assessment information of people living at Stockdove House. Resident’s admitted had assessment information including their religious/cultural and relationship needs. One resident had a complex assessment provided by Social Services. The owner informed us they undertake their own assessment to ensure they can provide the care and support potential residents need before they move in. One resident said, “From the start I felt it a warm friendly home”. A member of staff spoken to said of the assessment procedure, “ I was impressed the way the residents and relatives are treated when we first meet”. Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 10 Members of staff are aware of the importance of getting to know people before they move in so that they are aware of the needs and wishes of the person entering the home. One staff member wrote, “We prefer people to visit a few times to get to know them before they move in permanently”. Standard 6 was not assessed, as the home does not provide intermediate care. Stockdove House DS0000009711.V367210.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, people’s welfare is monitored and health needs are met. EVIDENCE: We looked at individual records for resident’s, each had a plan of care setting out the action that is needed to be taken by care staff to ensure all aspects of health, personal and social care needs of people living at the home were met. Significant events had been recorded and daily entries made setting out the care given. One care plan looked at confirmed the involvement of a family member to ensure social activities and interests information had been recorded so that the staff could monitor daily the involvement of the person in events and activities to ensure he was provided with sufficient stimulation as this had been a area of concern. One staff member spoken to said, “It has worked well with the relative we record what he has been doing daily and keep a check” Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 12 Care plans did not have any monitoring of residents weight or nutrition intake. They should ensure nutritional screening is undertaken periodically and each person’s weight loss or gain is recorded so that appropriate action could be taken if any problems are noted. We spoke to the owner and checked medication records and found improvements to the medication procedures. A pharmacist has been into the home to discuss medication practices and staff have had training in administering medication. We observed practices at lunchtime and found good systems in place to ensure residents are protected. We looked at the storage of medicines, creams and cough syrups and found they are stored properly and in a locked cupboard. The owner spoken to said, “Only the trained people administer medicines”. One staff member spoken to was well aware of equality, respect and dignity issues and observation whilst walking around the home found staff knocking on doors before entering rooms and helping people individually and in a sensitive manner. One resident said, “It’s a small home with good care and respect from nice people”. Stockdove House DS0000009711.V367210.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed and provide daily variation and interest for people living in the home. EVIDENCE: Staff prepare meals for the residents and all have completed their Food and Hygiene training there was evidence of certificates and discussion with the owner and staff confirmed this. Comments about the standard of food were good and included, “The food is good”. Also, “We try and prepare good home made meals”. We had a look around the kitchen and found staff using fresh fruit and vegetables and making home produced meals to ensure residents receive good wholesome well-prepared food. We were invited to look in some of the residents rooms and found personal belongings are allowed into the home to provide a homely atmosphere for each individual. One lady who recently had her 100th birthday had all her presents and cards around the room. Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 14 Care plans looked at now contained information about individual interests, preferred activities, hobbies, family and social contacts. There is only six residents at the moment so trips out, games and activities can be centred individually and to suit there needs and wishes. One staff member spoken to said, “With only a few residents I generally take people out on a one to one if they want to”. Residents at the time of the visit were playing a game of scrabble in the lounge area and all said they enjoyed the staff joining in with the activities. Comments from residents and staff included, “It’s very relaxed here” And, “Routines are to suit the residents”. There is a visitor’s policy, which allows friends and relatives to come any time of the day. Stockdove House DS0000009711.V367210.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: There is a complaints procedure, which is made available to all residents on admission and written in the Statement of Purpose and Service User Guide to ensure they feel protected. Staff and residents spoken to are aware of how to make a complaint and who to speak to if they have any problems. One resident spoken to said, “No never had to moan it’s a lovely home”. A member of staff when asked about complaints procedures said, ““Yes I would know what to do I know the policy”. There has been one complaint since the previous inspection made to us the Commission for Social Care Inspection (CSCI) and this was sent to the manager to look at following their complaints procedures and was unfounded, records show appropriate action taken and people concerned notified of the outcomes. An open approach to encourage comments through resident and staff discussions goes some way in ensuring that concerns are looked at prior to them becoming formal complaints. We looked at records and found there is a procedure and policy for dealing with allegations of abuse and safeguarding adults to protect people living at the home. One staff member spoken to said, “National Vocational Qualification Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 16 (NVQ) training talks about safeguarding issues”. The owner said, “We are looking to ensure all staff have safeguarding training updated in the near future”. Stockdove House DS0000009711.V367210.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to a good standard providing comfortable surroundings for the residents. EVIDENCE: A walk around the building found the home to be clean and tidy so residents live in comfortable clean premises. There have been improvements to the home by some redecoration and refurbishment, in particular new carpets in bedrooms; new dining room furniture and some redecoration of resident’s rooms to ensure residents live in pleasant, comfortable surroundings. One person wrote in a survey, “It is a nice clean home with lovely furniture”. The outside of the premises has been improved with a new driveway so that people in wheelchairs have easy access. One member of staff spoken to said, “With it being a nice building it’s a pleasant place to work”. Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 18 There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. Stockdove House DS0000009711.V367210.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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff need to be more robust to ensure suitable staff are employed to safeguard the residents. EVIDENCE: Looking at staffing rotas and staff on duty at the time of the visit confirm there are sufficient staff on duty to support the small resident group. This is a small mainly family run staff team however there has been additions to the work force since the last inspection. We looked at staff recruitment records for two people recently employed. Files contained application forms, Criminal Records Bureau (CRB), Protection of Vulnerable Adults (POVA disclosures. However only one reference was available for one member of staff, there were no medical declarations, evidence of qualifications were not kept at the home and one record had no photograph or copy of birth certificate for identification purposes. Recruitment procedures must be robust to ensure all required checks are in place prior to employment starting and ensure suitable staff are employed. A requirement to improve the process of checking staff prior to starting work has been outstanding from the last inspection. Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 20 Training is ongoing for staff development and people are encouraged to attend courses to ensure they are competent and have the skills to provide the care and support for the residents. Induction training records were available and one member of staff spoken to said, “The induction procedure was thorough and helpful”. Records looked at and discussion with the owner confirm there is over 50 of care staff that has completed National Vocational Qualification (NVQ) level 2 in care, a recognised qualification to ensure they have the competencies to support residents who live in the home. We spoke to a member of staff about training and comments included, “I am now doing NVQ level 3”; also, “Yes they are supportive with training courses”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. One resident spoken to about the support provided by staff said, “With only being a few of us the staff are really good and helpful”. Stockdove House DS0000009711.V367210.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): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed with systems, policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. EVIDENCE: Their remains a recommendation the registered person should complete the Registered Managers Award equivalent to NVQ level 4 in management and care. The owner said about the manager, “He has nearly completed the qualifications and we will be putting him forward to register with CSCI”. Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 22 This is a small family run home with only six residents at the time of the visit and views are sought from residents and staff of how the home could be improved or do better mainly on an informal basis. However feedback from relatives and friends should be sought on how the home is achieving its goals for the residents and how they feel the home could be improved. One staff member said, “With only a few we informally chat to relatives and residents frequently to get their views”. We looked at random residents finamcial records and found good systems in place for residents to control there own money where possible and ensure safeguards are in place for there protection. Examination of records confirmed regular tests to emergency lighting, fire procedures and electrical equipment had been carried out ensuring the safety of residents and staff is maintained. Although we did not receive many responses from surveys people were very positive in their comments about the service being provided and how the home is run and they included, “I like it because we are a small home and can really support the residents”. Also, “Yes they are very nice people”. Stockdove House DS0000009711.V367210.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 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X 3 3 Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP29 Regulation 19 Requirement Residents living at the home must feel safe and staff employed must have all recruitment checks required by legislation in place. (Timescale of 30/11/07 not met) Timescale for action 30/11/08 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 OP31 Good Practice Recommendations The registered person should complete level 4 National Vocational Qualification (NVQ) or equivalent in management and care. The views of families and friends should be sought on how the home is achieving its goals for the residents. DS0000009711.V367210.R01.S.doc Version 5.2 Page 25 2. OP33 Stockdove House 3 OP8 The manager should ensure nutritional screening is undertaken periodically and each person’s weight loss or gain is recorded so that appropriate action could be taken if any problems are noted. Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Stockdove House DS0000009711.V367210.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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