Latest Inspection
This is the latest available inspection report for this service, carried out on 30th March 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Summerfields.
Annual service review
Name of Service: Summerfields The quality rating for this care home is: The rating was made on: three star excellent service 1 8 1 1 2 0 0 8 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Beth Tye Date of this annual service review: 1 2 0 1 2 0 1 0 Annual Service Review Page 1 of 10 Information about the service
Address of service: 10 Church Road Selsey Chichester West Sussex PO20 0LS 01243606587 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Lorraine McIndoe Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mrs Susan Lorraine McIndoe,Mr Gary Richard McIndoe Number of places (if applicable): Under 65 Over 65 0 16 The maximum number of service users to be accommodated is 16 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) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Summerfields is a care home registered to accommodate up to 16 residents in the category of old age, plus two day care visitors. It is a detached property located in the
Annual Service Review Page 2 of 10 1 8 1 1 2 0 0 8 seaside town of Selsey, comprised of 13 single bedrooms, 12 of which are en-suite, and one double bedroom. Mr. and Mrs. McIndoe privately own the service and Mrs McIndoe is registered as manager for the service. Annual Service Review Page 3 of 10 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? They sent us their annual quality assurance assessment (AQAA). It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that they are still providing a good service and that they know what further improvements they need to make. The AQAA from the home stated that the home has made the following changes as a result of listening to people who use their services: We have introduced a key worker system into the care plans, which give the residents the opportunity to discuss their individual person centred care with someone they are familiar with and trust. Increased social activities within the home, offering a choice of participation, or individual sessions. Our menus are adaptable offering choices and flexibility accounting for particular dietary needs and taste, as well as cultural beliefs. Formed a residents committee with staff and residents to organise activities and social meetings. Annual Service Review Page 4 of 10 We have made extensive improvements to the bathroom on the first floor, taking into account, the accessibility and preferences of assisting with personal care. The garden is continually improving in its outlook, and now has the benefit of fruit and salads grown in the greenhouse, and areas of sun cover gazebos to encourage our residents to make use of the surrounding gardens when entertaining their visitors or enjoying the company of other fellow residents. On going decor within the home, continually improves the appearance and impression of a homely home, and with comfortable furnishings, suitable for each person. The availability of a computer with internet access has proved popular with some residents who enjoy puzzles and games and research, providing stimulation and social activities. A quarterly newsletter is now being produced to inform residents of any changes within the home, forthcoming birthdays, shows and parties and entertainment dates. The AQAA stated that the home does the following to ensure that race, gender identity, disability, sexual orientation, age, religion and belief are promoted and incorporated into what we do: We respect our residents wishes to have private consultations with outside visitors, be it family, religious or professional, with a choice of seeing them in their own room or the use of the conservatory. We have undergone a vigorous and comprehensive range of training to staff, including Customer Care to raise and maintain their awareness as well as give staff a better understanding of equality and diversity. Staff Induction incorporates equality and diversity in their new employee packages There was reference in the AQAA to improvements that had been made since the last inspection. These include; We have updated with the homes new brochures. As owners we make ourselves available for showing around the home, any new residents and their families, as well as being available for the day to day management. The residents are contented with knowing the owners are available on the premises, on a daily basis and are providing hands on care also. We listen to the responses from meetings and act on them as a priority for the residents. Advocacy services are displayed to assist new residents or existing residents with information relating to their living in a care home. We have made significant changes in the decor around the home, after consulting with residents on choice and colours, and this has attracted a lot of positive comments from
Annual Service Review Page 5 of 10 families and friends when visiting the home. We have completed the website Summerfieldscare.co.uk, and have up and running along with the availability of the internet, on the homes computer. We also promote a day-care facility for any person who is looking at residential care, and through the usual pre-assessment procedure, offer this service as a way of making the move into care permanently, less stressful and more reassuring. We are able to provide a monthly newsletter to inform residents who do not use the notice board of in-house treatments as well as outside agencies who provide activities, offering choices of group sessions and one-to-one sessions.We have provided more activities. Staff have completed intense training, in First Aid, Moving and Handling, Adult Abuse, Medication, Customer Care, Food and Nutrition, Dementia Care, Infection Control, Health & Safety and Fire Safety. These have all been part of a restructuring programme to ensure our residents benefit from the knowledge and understanding fresh courses give to our carers to safeguard their well being. 75 of staff have completed their NVQ2 and are looking to do NVQ3. The home has been made more comfortable with the purchase of new furnishings and carpets, a large screen TV, that can be subtitled for programmes, and the addition of a computer for staff and residents to make use of. Staff are supervised on their medication rounds 2 x a year to ensure safe working practices and that residents privacy and dignity is maintained. We now have a regular domiciliary dentist who visits the home to provide treatment for residents unable to make outside visits. This has proved to be very beneficial in maintaining oral care for each resident and enhance their care plan with person centred care. We have held residents meeting as well as one to one discussions with residents to give them an opportunity to air their views and offer ideas and opinions in daily and social life at the home. This feedback enables us to improve on the service already on offer from the home, and involve the residents to participate in all general aspects of daily life. We have started to meet with other care home managers, to share information in staff training and activities. Staff and residents have use of a suggestion and comment box, where any particular ideas, or comments are brought up at handover and staff meetings. Some residents now have their own front door key to enable them to be quite independent, and feel they are in their own home and using their own front door. The home continues to provide a mobile shop with toiletries, stationery, sweets and small gifts for them to purchase at reduced prices, if they are not able to get to the shops.
Annual Service Review Page 6 of 10 Some independent and active residents often participate in cake making afternoons, when they can put on aprons and gloves (blue) and assist with supervision in cake making or decorating, whilst still following policy guidelines and procedures in food hygiene and cross contamination. Better communication with staff and residents through regular meetings and the owners having a more active and hands on role in the home. Enforced the importance and responsibility to all staff during meetings, of discreet monitoring of residents whilst assisting them with their daily living, and noting any changes. Staff have received intense training in all areas of Health & Safety, Fire Training, and Infection Control. All bathrooms, and washing facilities have had new hand washing and paper hand towels fitted to reduce any cross contamination, as well as alcohol gel available to reduce infection and minimise any risks. We have had a new system added to all doors so that they are connected to the fire alarm. This has had the added benefit of allowing residents who wish for their doors to stay open, the knowledge that they will automatically shut on the sound of the alarms. These are tested weekly, along with the fire procedures. The use of the sanitiser in the home has greatly reduced the risk of infections from hospitals and outside visitors. Provided a new colourful garden with plenty of seating, and and a gazebo, as well as a new water feature for the residents to enjoy, along with their visitors. New carpets have been fitted to rooms 1, 14 and stairs and landing. We have implemented an improved Induction system, which will confirm permanent employment on satisfactory completion. ( This is available for any current staff members to complete to enhance their knowledge and understanding in delivering care and improving their competence and confidence, despite having permanent employment contracts.) We have made sure that all present staff have completed their mandatory training as required by CSCI, and certifications are present in their files. Staff are aware of and are now using the new care plan system introduced at the beginning of November and updated throughout the past year. New policies and procedures applicable to all staff and relevant to their roles within the home have been issued and staff have been reminded to familiarise themselves with these and to sign a confirmation to this. Staff have shown willingness to cover for sickness, holiday and vacancies, along with the proprietors to ensure the home provides continuity of care.
Annual Service Review Page 7 of 10 We have introduced a new and improved drug and storage system. Regular staff meetings are giving all staff the opportunity to discuss the new changes, offer ideas and areas for improvement to the service we provide, and give meaningful attention to taking on new responsibilities. Minutes are taken and followed up within 24 hours to maintain staff awareness on new issues and changes. The addition of a Customer Care course for all staff has been an added bonus, combining all their skills and improving on the service we provide. This course also emphasised the need to portray a more professional image in keeping with the homes expectations and standards. Staff that have had delegated roles, covering, Health & Safety, Care planning reviews, Activity Committee, Medication Co-ordinators, Staff Rota and Infection Controllers, have enabled the home to function better than having just one person responsible. We have revised a complete new filing system for residents and staff and relevant paperwork. We have issued a comprehensive range of policies and procedures to promote and protect all aspects of living and working in the care home. We have reviewed and revised the Statement of Purpose, the Service Users Guide, risk assessments, COSHH systems, Admission Pathways, Recruitment Pathways, Service Users questionnaires to keep up with standards, revised risk assessments, contracts of residency and employment, hold regular meetings with residents and staff. Listened to the views of residents and staff and acted on any issues that have been raised. Selected a safer system to safeguard and manage individual residents money, by invoicing to the family and making provision for the home to purchase any extra services, or items of sundry, without the need to handle any money. We have maintained the high standard of care and support to our residents so they can continue to live in comfort and safety. We have completely updated and put into place new and improved systems for caring, staffing, H&S, and management of these new systems, to ensure the smooth running of the home. We have ensured that as a priority staff are well trained in all areas of care. Now have more staff qualified in NVQ 2 or more. We have improved the home environment with new furnishings, decor, facilities and gardens. We have new brochures, and set up the homes web site. Annual Service Review Page 8 of 10 The management and staff have agreed shared responsibilities within the homes organisation, giving staff satisfaction within their role and opening opportunities to progress further. We received survey comments from staff and service users and/or their relatives. All continue to be satisfied with the quality of the care provided, the training staff receive and the support from management. Some service users said; They look after me very well The management always respond quickly to my requests Staff are very friendly and helpful I am happily settled and content There is a very happy atmosphere Some staff said; Management will quite often put themselves out to cater for residents needs There is always a friendly and relaxed atmosphere Staff are encouraged and supported when needed Individuals are well catered for On occasion an extra pair of hands for the day shift would be beneficial If I have any problems I talk it through with my manager The service continues to work well with us and let us know about things that have happened since our last key inspection. They have shown that they manage issues well. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 31st January 2011. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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 copy of the findings in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Annual Service Review Page 10 of 10 - 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!
