Care Home: Stonehaven

What the care home does well When we spoke to three of the residents, comments confirmed a satisfactory experience of living in the home. One resident told us that the food is good and there is plenty of it. Another resident said that they could not think of anything they would improve about the home. Residents have access to several communal areas; a large and comfortable lounge, a smaller lounge area, a large dining area, and a spacious entrance hall that provides seating and areas for residents to meet with visitors. The entrance to the home is safe and the building is furnished and decorated to provide a homely and comfortable environment. What the care home could do better: We made three recommendations for good practice for action by the registered person: It is recommended that staff sign the medication record sheets when medication is received into the home. This ensures that there is a clear audit trail and lines of accountability. It is recommended that when staff have to hand write medication on to the medication record sheets, that this is signed and witnessed by two members of staff. This is safe practice and reduces the risk of errors in the recording of medicines and dosages. Seek professional advice from an infection control specialist to confirm that practice in the home meets best practice in the control of infection and the risk of cross infection, with regard to sluicing procedures in the home. In addition, the registered person must confirm that the storage for controlled drugs meets the amended regulatory requirements for the storage of controlled drugs in care homes. The manager has a copy of the guidance on controlled drugs that is available on the Commission website www.csci.org.uk Inspecting for better lives Random inspection report Care homes for older people Name: Address: Stonehaven 23 Carter Street Sandown Isle Of Wight PO36 8DG two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Annie Kentfield Date: 2 5 0 2 2 0 0 9 Information about the care home Name of care home: Address: Stonehaven 23 Carter Street Sandown Isle Of Wight PO36 8DG 01983402213 01983405215 rayslegs@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Raymond Cowen,Mrs Margaret Joan Cowen care home 27 Number of places (if applicable): Under 65 Over 65 0 27 0 dementia old age, not falling within any other category physical disability Conditions of registration: 27 0 27 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: Old age, not falling within any other category (OP) Dementia (DE) Physical Disability (PD). The maximum number of service users to be accommodated is 27. Date of last inspection Brief description of the care home Stonehaven is a large and spacious care home situated in a pleasant area of Sandown close to the seafront. The accommodation is on two floors with access provided by a passenger lift or short stair lift. The building is accessible. Care Homes for Older People Page 2 of 9 Brief description of the care home All bedrooms are for single occupancy, some with ensuite facilities and some with sea views. There is a car park to the front of the home and large garden with ramped access from the lounge. The home does not have a registered manager at present but a new manager has been appointed who will be applying for registration. The weekly fees vary according to the room occupied and the level of care provided. There are additional charges and these are listed in the service user guide. Care Homes for Older People Page 3 of 9 What we found: We made an unannounced visit to the home on 25 February 2009, this was with one inspector (Annie Kentfield) and the visit lasted for 3 hours. During the visit we spoke to three residents, the manager, and some of the staff. The registered providers were not in the home when we visited. We looked at medication procedures and records, staff rotas and staff recruitment records, menus and food, and infection control procedures in the home. The home has not had a registered manager for almost twelve months. However, a new manager was appointed in December 2008. This person plans to apply for registration with the Commission, to become the registered manager. The manager told us that she already has a level 4 National Vocational Qualification (NVQ) in management, with considerable management experience in both residential care and domiciliary care settings. The new manager has reviewed and updated the medication procedures for the home to ensure that residents receive their medication as prescribed, and there is a record of medication received into the home, dispensed, and returned. The manager has sought professional advice from a pharmacist with the Primary Care Trust. However, when medication is checked as received on the medication administration record, staff are not signing the record. Staff are not signing and countersigning when medication has to be written in by hand on the medication administration record. We have made two recommendations for good practice. The manager is going to download a copy of the up to date guidance on medication practice in care homes, from the Commission website. The home has separate storage for controlled drugs and controlled drugs are recorded and up to date in the controlled drugs register. The regulations for the storage of controlled drugs in care homes have been amended and the registered person must seek advice and confirm that the current storage cupboard meets the requirements of the amended regulations. The manager told us that medication is dispensed by senior care staff who have received training in the safe administration of medication. Training updates are being arranged with a pharmacist. The home employs two chefs who cook the main lunchtime meal. Residents are consulted in the morning about the daily menu and are offered an alternative if they wish, to the main meal on offer. We observed that meals are individually served and kept hot with plate covers, residents who had requested smaller portions, or meals without gravy, received these. One resident is on a special diet and we noted that there is dietary information in the kitchen, supplied by a hospital nutritionist. One resident was eating a meal that had been liquidised, however, the meal had not been separately liquidised in its different parts. Residents that we spoke to said the food is good and the portions are generous. When we sat in the lounge with residents, staff brought round soft drinks for all of the residents. We were told that drinks are provided throughout the day and also on request. The home employs an activities co-ordinator on three days each week and residents told us that they enjoy quizzes, games and organised events. One resident told us that they like to join in with the quizzess, and at other times, are happy to read or do Care Homes for Older People Page 4 of 9 crosswords. One resident told us that the TV is not on all day and thought this was a good thing. The home has a wide selection of DVDs if residents want to watch these. We looked at some of the infection control procedures in the home, particularly the procedures for cleaning commodes. This had been a requirement from the last inspection of the home. The manager told us that staff follow procedures to disinfect commode pans in the laundry and pans are then returned to rooms. Staff are provided with gloves and aprons as good practice. As the home does not have a dedicated sluicing area we recommend that the registered person seeks advice from an infection control specialist to confirm that procedures in the home meet good practice for the control of infection and prevention of cross infection. At the last inspection we made a requirement for windows on the upper floors to have restricted openings to protect residents from the risk of harm. The manager told us that all upper floor windows have been fitted with restrictors. We looked at the recruitment records for three new members of staff. The records show that required checks are carried out before new staff start working in the home, and demonstrate that staff are suitable to work with residents in the home. New staff do not start work until the home has received a satisfactory POVA check and two written references (one from the previous employer). New staff are supervised until the home has received a satisfactory criminal record check. Written references are verified by telephone. The manager told us that she is in the process of producing a staff training matrix to show what training has been completed by staff and when training updates are due. We spoke to a member of staff who confirmed that they had completed mandatory training in safe moving and handling, and that other areas of mandatory training in safe working practice had been covered in the homes induction programme. The member of staff told us that short training sessions in specific health conditions are often arranged for care staff. We looked at the current staff rota for the home. There are 27 residents in the home. The staff rota shows that between 8 am and 8pm there are three care staff on duty. In addition the manager works Monday to Friday from 9am to 5pm. There is a chef each day to prepare the lunch time meal who works from 9am to 2pm. There is a cleaner, maintenance person and an activities co-ordinator on three days each week. There are two care staff on duty at night. The manager told us that the home does not employ agency staff and shortfalls in the rota are covered by existing staff. The registered providers are also working in the home on several days each week and there is a parttime administrator. When we spoke to residents they told us that staff always respond promptly when they use the alarm call system and we saw evidence of this when we were in the home. Two residents said that they were happy with the care provided, one resident was happy but said they would prefer to get up at a later time than 8am, whilst another resident said they liked to get up early in the mornings. When we discussed staffing levels in the home with the manager, we were told that some residents are more independent and one resident required assistance from two members of staff with personal care and support with mobility. The manager told us that the home is currently advertising for new staff. What the care home does well: Care Homes for Older People Page 5 of 9 When we spoke to three of the residents, comments confirmed a satisfactory experience of living in the home. One resident told us that the food is good and there is plenty of it. Another resident said that they could not think of anything they would improve about the home. Residents have access to several communal areas; a large and comfortable lounge, a smaller lounge area, a large dining area, and a spacious entrance hall that provides seating and areas for residents to meet with visitors. The entrance to the home is safe and the building is furnished and decorated to provide a homely and comfortable environment. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 03000 616161 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. 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