Inspection on 21/09/05 for Applethwaite Green

This inspection was carried out on 21st September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Applethwaite Green 10/07/06

Applethwaite Green 27/03/06

Applethwaite Green 26/01/05

Applethwaite Green 09/06/04

Applethwaite Green 17/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Applethwaite Green Phoenix Way Windermere Cumbria LA23 1BY Lead Inspector Paula Banham Unannounced 21 September 2005 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 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. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Applethwaite Green Address Phoenix Way Windermere Cumbria LA23 1BY 015394 62440 015394 42637 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cumbria Care Anne Hutton Care Home 28 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia, over 65 of places Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. A maximum of twenty eight older people (28OP) may be accommodated of whom twelve may have dementia (12DE(E)). 3. The staffing levels for the home must meet the Residential Forum Staffing Formula for Older Adults. 4. When single rooms of less than 12 sqm become vacant, they must not be used to accommodate wheelchair users and where wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. 5. Two service users may share a bedroom of at least 16 sqm useable floor space only if they have made a positive choice to do so, and when a shared space becomes vacant the remaining service user has the opportunity to choose to share, moving to a different room if necessary. Date of last inspection 26 January 2005 Brief Description of the Service: Applethwaite Green is a residential care home registered with the Commission for Social Care Inspection to provide care and accommodation for up to twenty-eight residents. Accommodation is provided in three living units, one of which specialises in providing care for people with dementia. The home is owned by Cumbria County Council and operated on its behalf by Cumbria Care, a business unit of the County Council. The home is a purpose built two-storey building located on the outskirts of Windermere and is close to shops, pubs, a post office and other amenities. Accommodation for residents is provided on the ground and first floor of the home and all bedrooms are for single occupancy. Three bedrooms have ensuite toilet and bathing facilities and there are suitable toilets close to all the accommodation used by residents. The home is set in an attractive location with pleasant and safe garden areas with views towards the town and a playing field. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced carried out on Wednesday 21st September 2005. The inspection focussed on how well the services provided meet the needs of the residents living in the home. This was assessed by speaking to residents and staff, observing activity in the home and examining the records which care homes are required to hold. What the service does well: What has improved since the last inspection? What they could do better: A number of areas of the home should be redecorated in order to provide a comfortable and pleasant environment for residents to live in. Toilets and bathrooms need to be cleaned more thoroughly and the scuffmarks on the assisted baths should be repaired. An assessment of the risk to residents when using the assisted baths should be carried out to ensure their safety. One assisted bath could not be used as the hoist was out of order, this hoist must be repaired or replaced so that residents can use the bathroom safely. Appropriate storage areas must be provided for equipment away from those areas used by residents. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 6. The home has a good admissions procedure and residents know that the services provided will meet their needs. The home does not provide intermediate care. EVIDENCE: Residents’ needs are assessed before they are offered accommodation in the home to ensure that the services and facilities provided are suitable to provide the support they need. The home provides a high standard of care and residents’ needs and preferences are known to the staff who support them. Residents said “I can’t think of anything that would make this place better”. Applethwaite Green does not provide intermediate care and standard 6 does not apply to the home. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10. Residents’ health and personal care needs are identified and met by the services provided. Residents are treated with respect and their privacy and dignity are protected. EVIDENCE: Records are held of residents’ health and personal care needs and staff are aware of the support which individuals need. Residents are encouraged to self-care as far as they are able so that they maintain their independence. Health care services are provided by local GP practices and specialist health services and residents’ health and wellbeing are maintained. The home focuses on treating people as individuals and their preferences and opinions are taken into account. Care staff treat residents with respect and take appropriate actions to protect their privacy and dignity. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 and 14. Residents are supported to make choices about their lives and the decisions they make are respected. EVIDENCE: Residents make choices about their lives in the home including how they spend their time and the visitors they receive. The choices residents make are respected by the staff in the home. Visitors are made welcome and residents are invited to attend events in the local community. Residents said “I choose what I do just like when I was at home”. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents know how they can raise concerns about the services in the home and that their complaints will be handled appropriately. EVIDENCE: Residents have been given information about how to make complaints about the home and a copy of the complaints procedure is displayed in the entrance hall. Residents said they had raised concerns with the supervisors in the home and had been satisfied with the response given. The complaints procedure details agencies outside of home to whom complaints can be made including the contact details of the Commission for Social Care Inspection local office. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 22, 23, 24 and 26. Although the home is generally well maintained there are a number of areas which require attention in order to provide clean and comfortable accommodation for residents. EVIDENCE: Applethwaite Green was purpose built as a care home for older people and the accommodation is suitable to meet the needs of the residents living there. The home has a maintenance plan which includes the planned redecorated of a number of bedrooms, hallways and stairwells. A number of areas of the home are rundown and in need of redecoration. Residents said they are “very happy” with their bedrooms and that they had been able to being their own possessions into their rooms when they moved in. The home has three assisted bathrooms, one of which could not be used safely as the ambulift hoist was out of order and was being stored in the bathroom. All the assisted baths had been scuffed by the hoist seats. The marks on the baths must be repaired and the risks to residents using the hoists must be assessed. Bathrooms and toilets are unhygienic and require thorough cleaning. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30. Care staff are trained and competent and provide a high standard of care to residents. EVIDENCE: Care staff have received a range of training to give them the skills and competence to provide a high standard of care. Residents receive the support they need in a manner which takes into account their personal preferences and respects their rights and dignity. Residents are comfortable around the staff and supervisors in the home and requests for assistance are answered promptly. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, and 35. The home is well run and residents’ rights and interests are protected. EVIDENCE: The atmosphere in the home is welcoming and relaxed and residents know they can affect how the home is run. The home has systems in place to obtain the views of residents and visitors about the services provided. There are good procedures in place to ensure that residents’ safety, welfare and financial interests are protected. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 x 1 2 3 3 x 1 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x 3 x x x Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 16 Yes Are there any outstanding requirements from the last inspection? 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 19 Regulation 23 Requirement All areas of the home must be maintained in a reasonable state of decoration. The lounge on Windermere living unit must be redecorated. All areas of the home must be maintained in a reasonable state of decoration. The ceiling in toilet room 12 must be redecorated. Equipment provided to assist residents must be maintained in good working order. Scratches on the sides of the assisted baths must be repaired. Equipment provided to assist residents must be maintained in good working order. The assisting bathing facilities must be in good working order and available for residents to use. The ambulift which is out of order must be repaired or replaced. This requirement was made at the previous inspection in January 2005 and has not been met . F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Timescale for action 30/11/05 2. 19 23 31/10/05 3. 21 23 30/11/05 4. 22 23 30/9/05 Applethwaite Green Version 1.30 Page 17 5. 22 23 6. 26 23 Suitable storage facilities must be provided. Storage facilities must be provided to ensure that equipment is not stored in areas provided for residents. All areas of the home must be kept clean. Toilets and bathrooms must be thoroughly cleaned and maintained in a hygienic condition. 31/12/05 31/10/05 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. 2. Refer to Standard 19 21 Good Practice Recommendations An action plan should be developed for the continued redecoration of the home. An assessment should be carried out of any risk to residents while using hoists and assisted bathing facilities. Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 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 Applethwaite Green F58 F10 s35565 applethwaite green v253303 210905 ui stage 4.doc Version 1.30 Page 19 - 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. 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