Inspection on 14/04/05 for Atlantis

This inspection was carried out on 14th April 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

Atlantis 16/12/08

Atlantis 30/01/07

Atlantis 15/11/05

Atlantis 28/09/04

Atlantis 14/04/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Atlantis Polperro Road Polperro Cornwall PL13 2JE Lead Inspector Elaine Bruce Announced 14 April 2005 9:30 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. Atlantis Version 1.10 Page 3 SERVICE INFORMATION Name of service Atlantis Address Polperro Road Polperro Cornwall PL13 2JE 01503 272243 01503 273061 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) Mr Steven Paul Brailey Mrs Catherine Brailey Care Home 20 Category(ies) of Dementia - over 65 years of age (10) registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (10) Old age, not falling within any other category (10) Atlantis Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28/09/04 Brief Description of the Service: Atlantis provides care for twenty older people, ten of whom can be admitted to the home with a dementia or mental disorder. Communal acommodation for the service users with a dementia and or a mental disorder is in a separate locked facility. Atlantis is a large detached house, part of which is a more recent extension. It stands in its own large grounds consisting of lawned areas, orchard with views over the surrounding countryside and distant sea views. Parking is available in the grounds of the home. Garden furniture offering seating and table facilities is available on the level patio area outside the front entrance and the garden is accessible to service users by the way of slopes and steps. Accommodation is provided on two floors which are connected by stairs and a stair lift. There are sixteen single rooms with six of these being en-suite and two double rooms having en suite facilities. Day care, respite care and meals on wheels are provided within the home, collecting and returning service users to their home for day care. There are three communal lounge areas, one of which can also be used to dine within and one of which is a sun lounge. There is a separate dining room but service users are able to exercise choice and can choose to eat in their own private room. Atlantis Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 14th April 2005 over seven and a half hours and was carried out as an announced inspection. A tour of the premises took place and service users and staff were spoken to. Care records, staff files and policies and procedures were inspected. Positive feed back comment cards were received before the inspection and on the day of the inspection. Both registered providers were present during the course of the inspection. What the service does well: What has improved since the last inspection? The registered providers have worked to make the environment safer for the service users to include the guarding of the central heating radiators in the home and the fitting of pre set valves to the taps for safe bathing. Atlantis Version 1.10 Page 6 The new management structure has been well planned with specific tasks delegated to particular staff. These changes are relatively recent and the next inspection will establish further how well this is working. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Atlantis Version 1.10 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 Atlantis Version 1.10 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 and 4 The home’s statement of purpose and service user guide documentation as well as a brochure provide prospective service users with details of what the home provides helping an informed decision about admission to the home. Senior management staff are involved in the service user pre admission assessment procedure to ensure that the home will be able to meet their care needs. EVIDENCE: The home has a statement of purpose document in place that meets all the requirements of The Care Homes Regulations (2001). The statement of purpose document is available in the home. A service user guide document is available for each service user and all potential service user admissions to the home. In addition a brochure is provided. Atlantis Version 1.10 Page 9 The home has in place an admission procedure to guide staff. Each service users has an assessment of care needs undertaken prior to admission by senior staff to ensure that the home can meet individual needs. All staff employed in the home receive regular training to include specialist training. Specialist Dementia training is due to be cascaded to staff by one of the registered providers and a senior staff member. Atlantis Version 1.10 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) 7,8 and 9 The service user’s health, personal and social care needs are being met by the staff and multidisciplinary staff as required. Medication is being administered correctly to the service users. EVIDENCE: Full and comprehensive individual plans of care are in place for each service user. The service user and their representative are involved in care planning. Evidence is in place of regular monthly reviews taking place. It is though recommended that reviews are dated for the month. The care plans are supplemented by day and night recording to include information on personal care delivery for example. It is noted that consideration has been given to including a life history on each service user. Each service user has a risk assessment in place that pays particular attention to the risk of history of falls. All care staff are involved in recording. Care planning clearly evidences health care needs and how these are being met. Evidence is available of visits and telephone conversations with external professionals. The home has a good working relationship with external professionals for example consultant psychiatrists. Dental and optician Atlantis Version 1.10 Page 11 services are provided in the home or locally if required. Chiropody services are available monthly in the home. Service users are regularly weighed. Health care professionals are involved in staff training to the home. A medication policy and procedure is available in the home to guide staff on good practice. All senior staff who have responsibility for medication administration have recently received updated accredited training. Medication records were found to be completed appropriately on the day of the inspection. Atlantis Version 1.10 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) 15 The meals provided in the home are very good with special diets catered for and a choice offered at all meals. The cook knows the service users well and is able to cater for all specific dietary preferences. EVIDENCE: The menu at the home rotates over a four week period with a wide variety of meals to include traditional roasts, curries and lasagnes for example. The menu is displayed in the pleasant dining room. Extra food is cooked and frozen into individual portions for the service user’s favourite dishes as alternatives to the main meal of the day if required. The cook knows the service users well and in particular their likes and dislikes. All cakes and biscuits are home made. The cook is well qualified to include City and Guilds qualifications in baking. He is supported in his duties by another cook when he is on his days off. An inspection of the kitchen by the District Council Environmental Health Officer on the 12th March 2005 identified that all statutory requirements were being met. Service users spoken to during the course of the inspection expressed very positive comments on the standard of the meals in the home. Atlantis Version 1.10 Page 13 Atlantis Version 1.10 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has a satisfactory complaints procedure provided to the service users in the service user guide. The home has in place adult protection policy and procedures and training to provide staff with the knowledge and understanding of adult protection issues to protect service users from abuse. EVIDENCE: The home has a complaints policy and procedure and each service users and their representative has received this documentation in their service user guide. The home has received no complaints. The home has in place an adult protection policy and procedure. Documentation on whistle blowing is also available. All the staff in the home who are undertaking or have completed NVQ training have studied in detail adult protection issues. Supervision of staff covers adult protection discussions. The home have plans to for staff to receive adult protection training from Cornwall Social Services Department. Atlantis Version 1.10 Page 15 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) 19,20,21,22,24,25 and 26 The standard of the environment within Atlantis is good providing service users with an attractive and homely place to live. EVIDENCE: The home is well maintained externally and internally. The registered providers employ a maintenance person and records of all work undertaken are kept. The gardens are large and well maintained. Service users spoken to during the course of the inspection expressed positive comments on the pleasure they have sitting outside in the summer. Communal areas include two lounges, one sun lounge and a dining room. Furnishings and soft furnishings in the home are of a good quality. Bedrooms are situated on the ground and first floor of the home. A stair lift is available to the first floor bedrooms if required. Bedrooms are all very individual and homely. Assisted bathing facilities are available if required on the ground and first floor of the home. Radiators are guarded for the safety of the service users and pre Atlantis Version 1.10 Page 16 set valves are in place on taps again for the safety of the service users. The home was found to be very clean on the day of the inspection. It is recommended that locks to bedroom doors are provided for the service users that are suitable to meet their capabilities. Atlantis Version 1.10 Page 17 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) 27,28,29 and 30 Staffing levels are appropriate to meet the needs of the service users. Staff training is very much encouraged by the registered providers and is ongoing. The staff team are a stable group with few staff changes since the last inspection. EVIDENCE: In addition to the care staff two cleaners are employed, two cooks and one maintenance person. Two waking night staff are employed. The two recently recruited staff members that have been employed by the home from overseas are settling in well to the home. The inspection of staff files employed evidenced that the correct recruitment procedures are being followed although there was one staff member employed without a current criminal records bureau check clearance. This was discussed in detail with the registered providers who immediately contacted the umbrella organisation that they use for further clarification on their procedures. Staff are encouraged to undertake NVQ training and over 50 of the staff have an NVQ 2 in care. The registered providers are committed to having a trained work force. Training is brought in from Saltash college covering a wide range of subjects. In addition training is provided by health care professionals. Statutory training to include fire prevention, moving and handling and first aid is all up to date. Good practice training is also taking place to include for example a recent NHS study day and swallowing and speech training is due to Atlantis Version 1.10 Page 18 take place. Dementia training has commenced and more staff are due to receive this training. Atlantis Version 1.10 Page 19 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) 31,32,33,35,36, and 38 The registered providers and their two senior care staff members are all family members, they are passionate about the jobs that they are doing and are aiming to exceed the requirements of The National Minimum Standards. EVIDENCE: One of the registered providers is a first level nurse and an NVQ assessor and verifier. She is presently in the process of studying for the registered managers award. Both the registered providers are very involved in the running of the home to include working alongside staff as and when required. The registered providers are supported in their duties by two senior care management staff members who are family members. Both of these staff have NVQ 3 in care and are studying for their NVQ 4 (care and management). They have specific management responsibilities in the running of the home. Atlantis Version 1.10 Page 20 All staff are involved in the running of the home to include attendance at staff meetings. Visitors to the home have been included in a quality monitoring system which has resulted in positive feedback on the running of the home. The registered providers do not handle any money for any service users but suggest that help be obtained from family members or friends. The registered providers will assist service users with paying bills for example hairdressing/chiropody and then invoice the representative accordingly. Health and safety risk assessments are in place. Ongoing maintenance records are in place for equipment and essential services to the home. The difficulty of contracting an electrician for the hard wiring maintenance is acknowledged but it is recommended that written information is provided to the CSCI as to when this work will be undertaken. Atlantis Version 1.10 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 N/A 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 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 3 3 x x 3 3 x 3 Atlantis Version 1.10 Page 22 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 29 Regulation 19 Requirement To ensure that criminal records bureau checks take place prior to the employment of staff.. Timescale for action Immediate 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. 3. Refer to Standard 7 24 38 Good Practice Recommendations To date the monthly reviews To provide locks to bedroom doors suitable to the service users capabilities. To provide written documentation to the CSCI when maintenance work will take place on the electrical hard wiring. Atlantis Version 1.10 Page 23 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall, 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. Extracts may not be used or reproduced without the express permission of CSCI Atlantis Version 1.10 Page 24 - 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!