Summerhill Home Care Home Service

Transcription

1 Summerhill Home Care Home Service Summerhill Road Aberdeen AB15 6HU Telephone: Type of inspection: Unannounced Completed on: 4 July 2018 Service provided by: The Trustees Of Summerhill Home Service provider number: SP Service no: CS

2 About the service Summerhill Home is a Christian ethos care home service situated in the West End area of Aberdeen. The service provides residential care and support for a maximum of 22 older people. The service provides an atmosphere where spiritual interests are maintained and says in its mission statement that it aims 'to provide a safe, secure and caring home environment conducive to the care of the elderly Christians requiring residential care'. The service's main aim is to promote the best quality of life for each resident. It also aims to provide a homely and secure environment where individuals are offered maximum choice with all aspects of daily life. The service employs a team of care, domestic and catering staff with varying degrees of skills, expertise and qualifications. This service has been registered since What people told us We spoke to five residents, who stay at Summerhill Home. We also spent time observing staff practice in the home and how the staff interacted with residents. We received very good feedback regarding the food and choices that were available. They said staff were 'wonderful' and that the 'staff care for you'. Other residents were very complimentary of the staff and the service provided. We saw residents and staff interacting in a warm, relaxed and friendly manner. We also sent ten questionnaires to residents, of which six were completed. Some were completed with the assistance of staff and/or relatives. All respondents indicated that they were very happy with the service received. Residents said: - 'They don't need to improve.' - 'I'm very happy.' - 'My sister phones and has gotten to know the staff and often says how lucky I am.' - 'All the staff are very kind.' - 'It's bonny here.' - 'I've a smashing room.' - 'Great place.' - 'I would prefer a bigger room so I can take in more of my stuff.' - 'I'm content and happy.' - 'Definitely much happier here.' - 'Girls are nice.' We spoke to three relatives or friends during our inspection. They all spoke very highly of the management and the quality of care. The relatives praised the high standard of care provided by the staff. They felt that communication with the staff was very good and that the staff were 'wonderful'. One relative spoke of the 'dignified care' provided by staff. Another relative said that their mum's quality of life had improved since coming into Summerhill Home. Relatives stated that they were made very welcome and comfortable visiting. We also sent ten questionnaires to relatives or friends of residents, of which six were completed and returned to us. The vast majority of relatives indicated that they were very happy with the service received. However, one page 2 of 8

3 relative felt that the way in which staff offer the daily choices to the residents and personal care could be improved on. We looked into these as part of the inspection. Relatives said that 'I feel relaxed and confident that mum is being well looked after and she is happy and content' and 'We are extremely blessed to have found dad an ideal home from home'. During the inspection residents, relatives and staff often described the service as being like a family. The views of the residents and their families have greatly informed the findings of this inspection and are included throughout this report. Self assessment The service had not been asked to complete a self assessment in advance of the inspection. We looked at their own, newly developed, improvement plan and quality assurance paperwork. These demonstrated their priorities for development and how they were monitoring the quality of the provision within the service. From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership 5 - Very Good 5 - Very Good not assessed not assessed What the service does well We assessed the service to be performing at a very good level. We were delighted to see that the service continued to build on the previous practice. All areas for improvement discussed and highlighted at the last inspection have all been put into practice. These have enhanced or promoted improved outcomes for the residents. Residents should experience care and support that is right for them. There was a strong stable, compassionate team of staff. It was clear that staff knew the residents very well. They were aware of how they like to spend their time and tried hard to ensure the residents remained as independent as possible within the home. Staff were able to discuss in detail, residents abilities and how they were encouraging and supporting them. One resident spoke of how well the staff supported him to maintain his faith. A family member said that there was 'an ethos of kindness in the home'. The home was often described as being a 'family'. Staff were also fully aware of the residents' families and the dynamics of each family. This assisted in supporting and safeguarding the residents. The treatment or interventions that residents experience should be effective. If a resident needs medication this should be given in the best way suitable for the resident's needs. We found the management of medication to be very good. Residents were receiving their medication in accordance with the prescriber's instructions. We received very good feedback regarding the communication and the way in which requests, advice and support had been put into practice. It is important that residents experience warmth, kindness and compassion. This is achieved by people working together. We were told that communication between residents, relatives and staff was very good. Relatives page 3 of 8

4 spoke highly of being involved in the life of the home and being made to feel welcome. Staff also spoke of the systems that were in place to ensure information regarding changes in the residents care and support needs were passed on to other staff. This had assisted in providing good continuity of care for the residents. Resident's personal plans should be right for them. It should set out how their needs will be met, as well as their wishes and choices. There was a stable, consistent staff group within the home. This resulted in the staff knowing the residents' very well, including their likes, dislikes, routines and habits. Unfortunately this information was not always reflected within the residents' personal plans. This resulted in the many positive improvements and achievements in the residents' welfare and wellbeing not being fully evaluated. The management team and staff had identified this and were working together to improve the documentation. It is important that residents live in an environment that is well looked after. Much effort had been made to ensure that the overall appearance of the home was very good. We found that the home was decorated and maintained to a high standard. Residents should be safe and secure. We observed that high standards of cleanliness had been achieved throughout all areas of the home. Personal protective equipment was available for staff in all toilets and bathrooms. Secure entry arrangements were in place. Effective arrangements were in place for in-house maintenance and routine safety checks. A range of external contracts were in place for the inspection, servicing and maintenance of equipment. The provider employed a maintenance person who ensured that any repairs were carried out promptly and that a routine schedule of health and safety checks was completed. Appropriate arrangements were in place for reporting and monitoring accidents and incidents. What the service could do better The home was often described as being a 'family', by residents, families and staff. This had led to familiar routines, custom and practice being followed by all. Although, new residents quickly fell into these routines, the management and staff could consider ways to encourage residents to be less structured in their daily routines. It is important that residents live in a home that has been adapted, equipped and furnished to meet their needs and wishes. The management team had undertaken an assessment of the environment to identify areas that could be improved to make the home more dementia friendly. The management team were in the process of continuing to develop the environment to ensure it continues to meet resident's needs and abilities. This included redeveloping the garden area. More appropriate signage could be put in place. This will assist in or improve the residents' ability to remain orientated, and remain independent. It is important that residents' needs are met by the right number of staff. One resident said that very occasionally they had to wait for staff. They said this was not a concern as they knew the staff were busy with other residents. The manager was informally reviewing the staffing levels and how staff were deployed within the home. We have encouraged the manager to assess the staffing levels using a specific staffing tool. This will assist in ensuring that the staffing levels and deployment of staff is based on the residents' needs and dependencies. page 4 of 8

5 Requirements Number of requirements: 0 Recommendations Number of recommendations: 0 Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at Inspection and grading history Date Type Gradings 26 Apr 2017 Unannounced Care and support 19 Apr 2016 Unannounced Care and support 23 Apr 2015 Unannounced Care and support 24 Apr 2014 Unannounced Care and support 14 Jun 2013 Unannounced Care and support page 5 of 8

6 Date Type Gradings 18 Jun 2012 Unannounced Care and support 16 Jan 2012 Unannounced Care and support 21 Apr 2011 Unannounced Care and support 19 Oct 2010 Unannounced Care and support 11 Jun 2010 Unannounced Care and support 3 - Adequate 14 Dec 2009 Unannounced Care and support 15 Apr 2009 Announced Care and support 28 Jan 2009 Re-grade Care and support page 6 of 8

7 Date Type Gradings 6 Jan 2009 Unannounced Care and support 27 Jun 2008 Announced (short notice) Care and support 2 - Weak page 7 of 8

8 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 8 of 8