Inspection on 30/08/05 for Athelstan House

This inspection was carried out on 30th August 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 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 25/10/06

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 Priory Road Bodmin Cornwall PL31 2AE Lead Inspector Mike Dennis Announced 30 August 2005 09:30 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. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Athelstan House Address Priory Road Bodmin Cornwall PL31 2AE 01208 72713 01208 76497 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) Cornwall Care Ltd Mrs Christine Day CRH 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 D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Rooms 39 & 40 which are situated on the 2nd floor of the homemay only be occupied by service users who can manage the stairs and means of escape unaided. Service users to include one named service user outside the normal age range of the home for rehabilitation/intermediate care only Service users under the category PD must be over 50 years of age on admission Date of last inspection 21st April 2005 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 acessed 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 35 older people is provided on the lower ground floor. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 30th. August 2005 over a three and half hour period. The inspector met with the Registered Manager, the Intermediate Treatment Coordinator, the Physiotherapist and Occupational Therapist. A selection of staff from all departments were spoken with and eight service users. 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, including the Intermediate Care area, 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: The comments made at the last inspection remain pertinent and include the following:- In talking to a wide range of staff and service users it is apparent that Athelstan House is conducted on sound professional lines and provides the services that are expected of it. The service users spoken with were forthcoming with their opinions, but all were of the same accord in stating their overall satisfaction with the home. The management promote open communication by holding ‘residents’ meetings, staff meetings and endeavour to keep relatives well informed Staff informed the inspector that there was a good team spirit and support structures. A wide choice of activities, interests and hobbies are on offer. The choice of food, it’s preparation and the ambience of the dining area was seen to be quite positive. The inspector spent a considerable proportion of time in the Intermediate Care Unit and is pleased to report good working relationships between all partners of the scheme. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 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 Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 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) 1, 3 and 6 The Intermediate Care Unit was inspected. It provides a valuable rehabilitation service for those requiring the service. Standards 1, 3 and 7 were found to be complied with. EVIDENCE: The Intermediate Care Unit is situated on the lower ground floor and consists of 6 bedrooms, lounge, dining and kitchen areas. There is also a treatment room. The purpose of the unit is to admit and care for people, usually although not exclusively, those leaving hospital, for a period of approximately 6 weeks prior to their eventual return to their own home. Confidence building and rehabilitation being key aims. The inspector was able to meet the whole team consisting of the Coordinator, Physiotherapist, Occupational Therapist and the trained care worker on duty. The 6 service users were all being reviewed/assessed by the team following which appropriate arrangements/plans were being made for the discharge of some people. The inspector witnessed good examples of joint working between the agencies involved. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 9 A comprehensive Statement of Purpose and Service User Guide is available. These documents are regularly reviewed. Service users informed the inspector that they had knowledge of these documents. Six service user files were inspected and case tracked,(2 from the Intermediate Care Unit and 4 from the main home.) All contained information pertaining to pre-admission assessment. Documented care planning was seen to be available for those receiving rehabilitation. Staff were appropriately trained and supervised. Two service users stated that they approved the services being provided. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 9 The health care needs of service users are identified planned for and met. Comprehensive policies and procedures for dealing with medicines are followed EVIDENCE: From discussion with service users, their representatives, staff and inspection of documentation it was evident that individual care needs are identified appropriately. From inspection of service users files, and in discussions it is evident that Athelstan encourages service users and their representatives to express their views in the formation of their care plans. The care plans are detailed documents, which clearly identify service users skills and where assistance is needed. From this the care plan specifies what actions staff should take to ensure that the care need is approached in a consistent manner. The administration, storage and disposal of medication processes were inspected. From this the inspector noted that the Cornwall Care Ltd medication policy is comprehensive and evidenced that delegated staff have read the policy and that they receive annual training in the administration, storage and Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 11 disposal of medication. Those residing in the Intermediate Care Unit are encouraged to hold their own medication. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13 The routines of daily living and activities made available are flexible and varied. Service users receive visitors at any reasonable time throughout the day. 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. 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. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 13 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) These standards were fully inspected during the previous inspection and found to be satisfactory. EVIDENCE: Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 14 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, 22 and 26. The location and layout of the home is suitable for it’s stated purpose and provides a safe and well maintained environment. Specialist equipment is provided. 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 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. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 15 Specialist equipment is available for those who require it, especially in the Intermediate Care Unit. Service users and relatives commented favourably on the décor and facilities within the home. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 16 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) 28 The vast majority of staff have achieved NVQ training standards. EVIDENCE: These standards were not inspected in detail. The manager informed the inspector that an increase in care hours during the afternoon and an increase in domestic hours during the morning periods has been achieved. Agency staff have not been required. Training programmes continue. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 17 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) 34 and 35 Service users financial interests are safeguarded. EVIDENCE: Accounting procedures were inspected and found to be satisfactory. Insurance cover is in place. Appropriate records of all transactions are kept and regular audits occur. In the main, service users handle their own finances. All are encouraged to hold their own bank accounts and the majority do. A relatively small amount of savings is held in a “safe keeping” account. Records indicated that the interest gained from this account is minimal. Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 18 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 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x 3 x x x 3 STAFFING Standard No Score 27 x 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x 3 3 x x x Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 19 no 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 Regulation none 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 none Good Practice Recommendations Athelstan House D52-D04 S8954 Athelstan House V242118 300805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell PL25 4AD 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. 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