Inspection on 25/10/06 for Athelstan House

This inspection was carried out on 25th October 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Athelstan House 30/08/05

Athelstan House 21/04/05

Athelstan House 27/10/04

Athelstan House 21/04/04

Athelstan House 21/04/04

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Poldhu

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

CARE HOMES FOR OLDER PEOPLE Athelstan House Athelstan House Priory Road Bodmin Cornwall PL31 2AE Lead Inspector Mike Dennis Key Unannounced Inspection 25th October 2006 09:30 X10015.doc Version 1.40 Page 1 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 Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 2 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. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Athelstan House Address Athelstan House Priory Road Bodmin Cornwall PL31 2AE 01208 72713 01208 76497 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cornwall Care Limited Mrs Christine Day Care Home 42 Category(ies) of Dementia - over 65 years of age (8), Learning registration, with number disability over 65 years of age (3), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (8), Old age, not falling within any other category (42), Physical disability (6) Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Room nos. 39 & 40 which are situated on 2nd floor of the home may only be occupied by residents who can manage the stairs and means of escape unaided. Service users to include one named person outside the normal age range of the home for Rehabilitation/Intermediate Care only Service users under the category of PD must be over 50 years of age on admission 30th August 2005 Date of last inspection Brief Description of the Service: Athelstan House is one of 18 care homes registered by Cornwall Care Ltd. Cornwall Care Ltd. are registered in respect of Athelstan House to provide personal care and accommodation for up to 42 older persons, some of whom may also have a mental or physical disability. The accommodation is offered in 38 single rooms and some shared accommodation is available. A passenger lift assists service users moving between the ground and lower ground floors. The two rooms located on the first floor are accessed by stairs. Athelstan House is situated close to local shops, community facilities and public transport links. The home is a large building situated in well maintained grounds with car parking facilities available. In addition to the registered care home, various community services are organised from the home and a day centre accommodating up to 35 older people is provided on the lower ground floor. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 25th. October 2006 over a seven and half hour period. The inspector met with the Registered Manager, and a selection of staff from all departments. Eight service users were spoken to during the course of this inspection. During the course of the day the inspector observed groups of service users engaged in a number of activities. Staff were observed to be tending to service user needs whilst respecting their dignity. Various records, policies and procedures were inspected. The inspector visited all parts of the building, and noted a satisfactory standard of hygiene and maintenance. Service users commented favourably on the overall service received. Positive outcomes in all areas were noted. What the service does well: What has improved since the last inspection? Reports from relatives were extremely positive, particularly in respect of the care and attention their loved ones received when nearing the end of their lives. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 6 The presentation of food and appearance of the dining room is appealing. Meal times are unhurried. The home continues to present as clean, homely and well maintained. What they could do better: 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. The summary of this inspection report can be made available in other formats on request. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with the information they require in order to make an informed decision about admission to the home. Each service user has a written contract/statement of terms and conditions. Service users are fully assessed prior to admission to the home. Service users may visit prior to admission. EVIDENCE: It is time for management to consider the need to review the Statement of Purpose to ensure it still fully reflects the services provided by the home. The pre-admission assessments form the basis of the initial care plan. Training is supplied to support this programme. The assessment process is undertaken Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 9 by the managers and care staff of the home. Assessments are undertaken with the service users family or representatives, health professionals, and a copy of the social services assessment is obtained where applicable. The assessment includes a scoring system for calculation of dependency. Service users files contained signed contracts/ terms and conditions of the home. The contracts clearly stated that fees are reviewed annually in line with inflation/DSS increases. Service users and their families are encouraged to visit the home prior to making a decision about becoming resident. Relatives and service users confirmed the above processes. The Intermediate Care Unit was not inspected on this occasion. It received a full inspection on the previous inspection. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Up to date individual plans of care are in place for all service users. Service user’s health care needs are met by community health care services. Comprehensive policies and procedures for dealing with medicines are followed. Care of the dying is of a high standard. EVIDENCE: Four Individual Plans of Care were inspected. They were seen to contain full and relevant information, to include Risk Assessments, pertaining to the health, personal and social care needs of that individual. In addition information is gathered regarding the service users past life experiences and Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 11 interests. This information is used to promote an Active Care programme for that individual. The home’s medication policies are adhered to by all staff. The manager and assistant managers are the nominated persons who administer medication. The majority of the drugs are in blister packs. All medication including controlled drugs was recorded correctly as received, administered and disposed. . Service users told the inspector that they were satisfied with the care they receive and that the staff treat them with dignity and respect their privacy. The policies and procedures of the home indicate that service users and their families are treated with care, sensitivity and respect. The inspector was informed by the relatives of two deceased service users that the care and consideration given throughout that most stressful and sad time was of a very high standard. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities made available are flexible and varied. Service users receive visitors at any reasonable time throughout the day. Flexibility is built into eating regimes and good wholesome food with choices is provided. EVIDENCE: The service users individual care plan has a detailed section regarding their interests and choice, and activities are planned to encompass these interests. The home arranges and facilitates visiting entertainment and in-house activities. Regular outings are arranged. Planned activities are displayed on a notice board. Flexibility is achieved throughout all aspects of daily living. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 13 Social Profiling or Active Care is promoted at this home. This in turn allows staff to target individual service users with activities most likely to provide stimulation The above statements were confirmed by service users and staff. Visitors are made welcome. The inspector observed visitors in the home and the visitors book indicated that relatives and friends frequently visit the home. Contact with the community is maintained in various ways. Service users are supported to venture into the community by way of group outings or as an individual. Various organised groups also visit the home from time to time. The midday meal was observed and appeared appetising. Service users informed the inspector that they enjoyed the food provided. A varied menu is displayed each day giving choice. Mealtimes are unhurried and flexible. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered persons ensure that service users are protected from all forms of abuse. The complaints procedure is well publicised and used when required with staff having knowledge through training of Adult Protection issues which helps to protect service users. EVIDENCE: A comprehensive complaints policy and procedure is kept within the home. This procedure includes timescales and who will deal with the complaint. The home also keeps a complaints log for ease of reference. Service users indicated that they were aware of the procedures. The home has a comprehensive policy and procedure in place to protect service users from abuse. Policies are also available in regard to physical and / or verbal aggression from service users. Staff are made aware of these procedures during the induction period. The registered manager is also aware of the local social services procedure within “No Secrets” to investigate any complaints regarding the suspected abuse of any service user. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 15 CRB and POVA checks are undertaken, with Cornwall Care being the umbrella body to obtain these checks. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for it’s stated purpose and provides a safe and well maintained environment. The home was clean, hygienic and free from offensive odours providing an attractive and homely place to live. EVIDENCE: The home provides a safe and well-maintained environment for the service users. The registered manager discusses refurbishment and development issues with the company at the annual finance meeting. This results in a maintenance and Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 17 improvement plan being implemented. The home employs a general assistant who deals with minor defects and maintains general standards within the home. It was noted that, on inspection of the premises, all was found to be clean and tidy. Equipment was working correctly and in order. Policies and procedures for the control of infection were available and in order. Specialist equipment is available for those who require it, especially in the Intermediate Care Unit. Communal and personal living areas are well decorated and suit service users tastes. Individual bedrooms are personalised according to the occupants wishes. Service users and relatives commented favourably on the décor and facilities within the home. Fire prevention equipment is in place and evidence was seen to indicate all has been appropriately serviced. The kitchen and laundry areas are well maintained. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 18 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment policies and procedures are implemented. All staff are supported and Inducted through good training opportunities. A positive number of staff are on duty to meet the service user’s needs. EVIDENCE: The staff team shows a positive regard for service users and appears very organised. Additional staff are on duty at peak times of activity during the day. In addition to the duty managers, the care staff, domestics, catering staff, laundry staff, and general assistants are on duty. Staff recruitment is conducted in line with the home’s policies and procedures. Evidence obtained from staff files indicates that references, CRB and POVA checks are taken up prior to interview. All staff undertake Induction Training. . NVQ training is encouraged as demonstrated by the majority of staff having obtained awards at various levels. Individual training profiles for staff are kept up to date with accurate information of progress made. Staff are receiving supervision and an appraisal system is in place. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 19 There has been some staff changes of late. Management are aware that in a few cases supervision has fallen behind and they are taking steps to bring this area of work up to date. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 20 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36, 37, 38. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management of Athelstan House strive to maintain and improve a good quality of care and lifestyle for the service users and promote their health, safety and welfare EVIDENCE: The manager is qualified and experienced. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 21 Internal audits of quality assurance are undertaken at 12 monthly intervals. A survey taken from a cross section of service users and carers/relatives plus opinion from District Nurses provides the information. An annual development plan for the home is drawn up between the company and the registered manager and priorities are agreed. The health, safety and welfare of service users and staff is promoted and protected. The registered manager has a good awareness of the legislation regarding health and safety. Statutory checks are made by appropriate agencies as evidenced from various service contract documents. Staff are trained in health and safety, manual handling, fire safety, first aid, food hygiene and infection control Fire records are up to date. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 3 3 Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP36 Good Practice Recommendations Continue to bring staff supervision up to date. Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Athelstan House DS0000008954.V314423.R01.S.doc Version 5.2 Page 25 - 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. 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