Latest Inspection
This is the latest available inspection report for this service, carried out on 6th May 2010. CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Summerville House.
What the care home does well All residents had an up to date care plan to help staff to support them to meet their personal, health and social care needs. Staff showed respect for residents` rights to privacy and dignity. The planned staffing levels were sufficient to meet the needs of the current residents and the manager made sure that there was cover for unplanned absences. Staff had received up to date training in health and safety, dementia care and safeguarding, which helped to ensure they had the knowledge and skills necessary to meet the resident`s needs and to promote their safety. The home had established a system for monitoring the quality of the service it provided. This included seeking and acting upon the views of people using the service, or their relatives. The QA system should be further developed to ensure that this is a continuous process and there is a clear plan as to how the service is to develop. What the care home could do better: Care plans to support people with complex behaviours should be more individualised to take into account potential triggers for the behaviour and specific interventions that help the person. Care plans to minimise risks associated with moving and handling, developing pressure sores and falls should also contain more specific information to assist that resident. The records of medicines administered to residents must provide an accurate record of what they have received. This is so that staff can be sure that people are receiving the correct treatment. Random inspection report
Care homes for older people
Name: Address: Summerville House Fenway Heacham Kings Lynn Norfolk PE31 7BH one star adequate 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Jane Craig Date: 0 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Summerville House Fenway Heacham Kings Lynn Norfolk PE31 7BH 01485572127 01485570640 raj.sehgal@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Nigel Playford Type of registration: Number of places registered: Conditions of registration: Category(ies) : ARMS Associates Ltd care home 24 Number of places (if applicable): Under 65 Over 65 24 24 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 Summerville is large detached, two storey, converted barn in the village of Heacham. The seaside town of Hunstanton is approximately five miles away. The home provides care for up to twenty-four older people with dementia. The home has sixteen single and four shared bedrooms. There is a large lounge and separate dining room. The home has a passenger lift and a chair lift for access to the first floor. There is a secure garden, which the residents have access to. Information about the home, including the range of fees and the latest inspection report, is available from the manager.
Care Homes for Older People Page 2 of 9 Brief description of the care home Care Homes for Older People Page 3 of 9 What we found:
After our last key inspection on 28th September 2009 we judged Summerville House to be providing adequate outcomes for people using the service. We made ten requirements for the service to be improved. These were in the areas of health and personal care, complaints and protection, staffing and management. We carried out this random inspection to check on the progress made towards meeting those requirements. Since our last inspection a new, electronic care record system had been introduced. There were standard care plans and risk assessments which staff altered slightly to reflect residents individual needs and preferences. In most cases the plans to support people to meet their personal care needs were sufficiently detailed. This helped to ensure that staff provided care in a way that promoted the residents independence and took account of their individual preferences and choices. However, care plans to support three different people with mental health needs or complex behaviour were very similar and did not take into account each residents individual needs and behaviours. For example, we spoke to 2 staff about how they supported a resident who became agitated and was very vocal. They both described very specific interventions to help the situation but the care plan did not reflect this. There had been improvements in recording the strategies to address identified health care risks. However, they were not always specific enough. For example, a plan to reduce the risk of the resident developing pressure sores did not specify the equipment to be used. The provider advised that the system could be adapted to increase the personal information on care plans but that staff were only just becoming familiar with the basics and this would evolve over time. One member of staff told us that they liked the plans and felt they gave enough information but was not sure about their benefit to new staff. However, another said they were relatively new to the job and had found the care plans had helped a lot. After our last inspection we made a requirement to keep care plans under review. At the time of our visit the care plans had all been newly compiled and as such were not due to be reviewed. However, the new system highlighted when monthly reviews were due, which should assist staff to keep plans up to date. We looked at how medicines were stored and recorded. We found that all medication administration records were complete and appropriate codes were used when residents did not require or declined to take medicines. The records of medicines in the monitored dose system were correct and matched the amount of tablets remaining. However, we found two discrepancies in medicines that were not in the monitored dose system, which could be an indication that staff are signing for medicines that have not been taken. The manager told us that in view of these discrepancies he was going to increase the amount of medicine checks to twice weekly and carry out supervised practice in an effort to improve practice. During the last inspection we noted that some practices did not respect residents rights to privacy and dignity and we made a requirement to improve this. We noted that privacy curtains had been put up in all shared bedrooms, which enabled people to receive personal care in private. The use of communal toiletries had ceased and everyone had their own store of toiletries in their bedroom. This promoted choice and dignity. During the course of our visit we observed staff speaking to residents in a polite and friendly
Care Homes for Older People Page 4 of 9 way, using appropriate terms of address. From looking at the duty rosters we found that the planned staffing levels, of four staff during the day and two staff at night, were usually met. The rosters indicated where there were shortfalls and who had covered the shift. The manager and staff we spoke with confirmed that as long as the planned numbers were achieved then there were enough staff to meet the needs of the current residents. On the day of our visit we noted that there was always at least one member of staff in the lounge at all times, to assist and interact with residents. At the last inspection we found that staff training in health and safety topics, dementia care and safeguarding was not up to date. It was apparent from the current training records that all staff had received recent training in these topics. Further training around the Mental Capacity Act had also been arranged. The manager had made some progress in the programme of staff supervision and he said he was considering delegating some responsibility for supervising care staff to seniors. Since our last inspection the provider had introduced systems for monitoring the quality of the service. Quality surveys had been sent out to relatives. The manager planned to collate the responses, draw up an action plan and communicate the findings. The computerised system in use for care planning also contained a quality monitoring tool which assisted in the audit of records and systems. For example, it identified when risk assessments had not been completed or when information was missing from recruitment files or training was out of date. The provider had also arranged for spot checks to be carried out at any time of the day or night. The most recent night check had identified areas of good practice. The results were communicated to the staff involved. After our last inspection we made a requirement to reduce risks to residents health and safety created by the use of bed rails and the use of wheelchairs without foot plates. The manager carried out weekly checks of bed rails to make sure they were in good working order and we were assured that wheelchairs were not used without foot plates. The manager confirmed that the fire risk assessment had been updated in March this year. What the care home does well: What they could do better:
Care Homes for Older People Page 5 of 9 Care plans to support people with complex behaviours should be more individualised to take into account potential triggers for the behaviour and specific interventions that help the person. Care plans to minimise risks associated with moving and handling, developing pressure sores and falls should also contain more specific information to assist that resident. The records of medicines administered to residents must provide an accurate record of what they have received. This is so that staff can be sure that people are receiving the correct treatment. 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 are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
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, 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 1 8 13 Medicines must be administered as they are prescribed. Staff must not sign records if the medicine has not been given. This is to ensure that residents receive the correct treatment and to produce a clear audit trail. 31/05/2010 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 1 2 7 33 Care plans should be more individualised to reflect each residents individual needs and support. The system for monitoring and improving the quality of the service should be further developed to ensure that it is a continuous process and leads to a clear plan as to how the service is to be improved. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 summary 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 noncommercial 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. Care Homes for Older People Page 9 of 9 - 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!
