Inspection on 30/11/05 for Averlea

This inspection was carried out on 30th November 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

Averlea 03/03/09

Averlea 20/03/07

Averlea 23/06/05

Averlea 05/01/05

Averlea 14/09/04

Averlea 23/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Averlea Fore Street Polgooth St Austell Cornwall PL26 7BP Lead Inspector Alan Pitts Unannounced Inspection 30th November 2005 10:00 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 Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Averlea Address Fore Street Polgooth St Austell Cornwall PL26 7BP 01726 66892 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) Mr David Evely Mrs Julia Evely Mrs Beverley Easdon Care Home 14 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (14) of places Averlea DS0000008946.V269000.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 14 adults of old age (OP) Service users to include up to 4 adults aged over 65 with dementia (DE{E}) Total number of service users not to exceed a maximum of 14 Date of last inspection 23rd June 2005 Brief Description of the Service: Averlea offers accommodation and personal care for up to fourteen Service Users (Old age, not falling within any other category) and to include up to four Service Users who have Dementia and are over 65 years of age.Averlea is situated centrally in the small village of Polgooth approximately five miles from St. Austell. There is a small shop and post office within walking distance from the home. Accommodation is provided on two levels, with a stair lift to the first floor.There is an assisted bathroom on the ground floor.There are patio areas to the front and rear of the building.The home offers a limited number of day care places, often from the local community so that Service Users can keep in touch with the local community. Meals on wheels are provided from the Home and the Proprietors operate a Domiciliary Care independently from the Home. There is a small car park to the front of the home.Due to the central location of the Home, there are often visitors from the local community who know several of the Service Users Averlea DS0000008946.V269000.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 30th November 2005 over a period of approximately 5 hours. The inspector spoke with staff and service users, and inspected the premises and the care documentation. What the service does well: What has improved since the last inspection? What they could do better: Averlea DS0000008946.V269000.R01.S.doc Version 5.0 Page 6 The home could do more to ascertain the views of others and publish the summarised findings. 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. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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 Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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 the following standard(s): 1, 4, 6 Service users have the information they need in order to enable them to make informed choices. EVIDENCE: A Statement of Purpose and Service User Guide is provided to all service users, or their representatives, and the registered manager advised the inspector that the home is about to review these documents. Service users spoken with confirmed they feel they ‘know what’s going on’. Averlea does not provide intermediate care. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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 the following standard(s): 7, 10 Each service user has a plan of care, which is regularly reviewed. Service users were complimentary about the attitude of staff and the respect shown to them. EVIDENCE: A sample selection of care plans were inspected and seen to provide the information required, including a photo of the service user, past experiences and interests, etc. Individual risk-assessments are also in place, including falls, breathing, pressure areas, diet, moving and handling, and general health and safety. Staff were seen to address service users respectfully, and to knock on doors before entering rooms. Service users confirmed that staff are attentive and show due regard for their wishes and privacy. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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 the following standard(s): 14 Averlea is committed to maintaining service user’s individual lifestyle preferences, wherever possible. EVIDENCE: Visitors are welcomed. All Service Users are asked whom they wish or do not wish to see. Representatives from the local community visit the home, particularly at times of celebration. Service Users are encouraged to maintain their independence within the local community and risk assessments are undertaken. Service Users are encouraged to make choices in relation to their finances, independence, care and personal belongings. Specific preferences are clearly documented, for example preferred time of waking, meal times and where to eat, when assistance is required and entertainment wishes. Service Users said they enjoyed the food provided, they confirmed that alternatives are always available, as are hot/cold drinks and snacks. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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 the following standard(s): 17 Service users legal rights are protected. EVIDENCE: Service users confirmed that they receive their mail unopened, assistance being available when requested. Where necessary mail is kept unopened for the service user’s representative. Service users confirmed that they have the opportunity to take part in civic procedures and are registered on the electoral roll. Service users are encouraged to retain independence and control of their lives for as long as possible. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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 the following standard(s): These standards were not inspected at this time as they were completed at the previous inspection. This was the inspector’s first visit to this home and a tour of the premises was undertaken. The building throughout was clean, and pleasantly furnished and decorated. EVIDENCE: These standards were not inspected at this time. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 Eight out of ten staff at Averlea have achieved NVQ Level 2 or above, and the remaining two staff are undertaking this training. EVIDENCE: There is an evident commitment to staff training, particularly at NVQ Level. There is an induction programme for new staff, but in order to complete an otherwise excellent approach to staff training, the registered manager should implement a National Training Organisation compliant induction programme (Skills for Care – www.topss-england.net). Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35, 37 Comprehensive policies and procedures are in place, and records are stored securely. The home is well managed, well maintained, clean, and safe. EVIDENCE: The registered manager is undertaking the NVQ Verifiers Award, and the assistant manager is doing NVQ Level 4 and the NVQ Assessors Award. Service users confirmed that they would feel able to speak to staff and/or management about any concerns. Two service users have their finances managed by the home, and accurate receipts and records support these. The remaining service users handle their own finances or have representatives able to do so. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 Page 15 A quality assurance questionnaire is in use. As discussed, the registered manager should expand the current quality assurance surveys to include relatives and visiting professionals, and publish a summary of the findings (possibly in the Service User Guide). There are comprehensive policies and procedures in operation, which are currently being reviewed. Averlea DS0000008946.V269000.R01.S.doc Version 5.0 Page 16 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 X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 2 X 3 X 3 X Averlea DS0000008946.V269000.R01.S.doc Version 5.0 Page 17 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. 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. 2. Refer to Standard OP28 OP33 Good Practice Recommendations The Registered Manager should implement a National Training Organisation compliant induction programme (Skills for Care – www.topss-england.net). The registered manager should expand the current quality assurance surveys to include relatives and visiting professionals, and publish a summary of the findings (possibly in the Service User Guide). Averlea DS0000008946.V269000.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection St Austell Office 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 Averlea DS0000008946.V269000.R01.S.doc Version 5.0 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. 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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