Inspection on 09/06/05 for Blackwood House

This inspection was carried out on 9th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Blackwood House 16/10/06

Blackwood House 17/10/05

Blackwood House 17/11/04

Blackwood House 24/05/04

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 Blackwood House Roskear Camborne Cornwall TR14 8BA Lead Inspector Lynda Kirtland Unannounced 9 June 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. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Blackwood House Address Roskear Camborne Cornwall TR14 8BA 01209 713498 01209 613495 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 Limited Miss Diane Hicks Care Home 44 Category(ies) of Dementia - over 65 years of age (24), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (24), Old age, not falling within any other category (20) Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to Service users to include up to Service users to include up to (MD(E)) Service users not to exceed a 20 adults of old age (OP) 24 adults aged over 65 with dementia (DE(E) 24 adults aged over 65 with a mental illness maximum of 44 Date of last inspection 17 November 2004 Brief Description of the Service: Blackwood House is one of eighteen homes owned by Cornwall Care Ltd. It is registered to accommodate forty-four older people in need of personal care. The home has on the first floor a separate unit for twenty-four service users who have dementia or other forms of mental ill health. On the ground floor, separately accommodated are twenty service users who are elderly. The full range of community health care professionals visit the home on an as need bases or routinely. The home also provides a day centre and day care for up to twenty service users. There is no intermediary care facility. Admissions are planned and emergency admissions are avoided whenever possible. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited Blackwood House on the 9 June 2005 and spent the day at the home. This was an unannounced visit. On the day of inspection 40 service users were resident in Blackwood House. The inspector met with 21 service users and a number of staff and group manager to gain their views on the service that Blackwood House provide. The inspector also met with the relief and assistant manager who were responsible for the day-to-day operations of the home as the registered manager was on leave. In addition the inspector examined records, policies and procedures and toured the building. This report summarises the findings of this inspection. What the service does well: What has improved since the last inspection? Blackwood House have a stable management and staff team, which have allowed the day-to-day operations of the home to be run in a consistent manner. All service users felt that they knew staff well and that this assisted them in their care. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 6 Cornwall Care Ltd is continuously looking at how to develop the service they provide further. Future training in the areas of care planning is in process. Blackwood House has commenced the ‘food project’. The aim of this project is to provide high quality nutritious food in an attractive manner and to encourage service users to maintain their self-caring skills. The progress of this will be inspected in further detail at the next inspection. 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. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 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 Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 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) 3,4,5 Prior to admission, service users and their representatives participate in a pre admission assessment with members from the management team to identify individual care needs. Blackwood House provides a planned trail period of stay at the home. Emergency admissions are avoided wherever possible EVIDENCE: From discussion with service users, plus inspection of two service users files it was evident that they and their representatives are consulted in Blackwood House pre admission assessment. Care needs identified by the referring professional assessments were incorporated in the assessment process and transferred to care plans This assessment is detailed and identifies service users individual physical, emotional, social, educational and leisure needs and how the home would aim to address them. A months trail period is offered to all new service users after which a review is held with all parties present to consider if the placement is appropriate and if so a long-term placement will be provided. From records inspected and in discussion with service users they commented that the preadmission and ‘moving in period’ are carried out sensitively by staff Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 9 and could not see how this process could be improved. They also stated that this was undertaken with their participation and that their care needs were identified accurately. From observations of staff, plus inspection of training records it was evident that the staff team are experienced in the area of older peoples care and receive regular training to update their knowledge in this area. Throughout the inspection the inspector observed staff that displayed great skill in communicating and providing personal and emotional care to service users. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 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) 7,8,10 Service users and their representatives are consulted in the implementation and subsequent reviews of their individual care plans. Care plans ensure that physical, emotional, social, educational and leisure pursuits are assessed and action to address the care needs are detailed for all staff to meet in a consistent manner. Health care needs are met to a good standard. Service users are treated with dignity and privacy at all times. EVIDENCE: From discussion with service users, staff and inspection of documentation it was evident that individual care needs are identified appropriately. It is evident that Blackwood House 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. Monthly reviews of the individuals care plan are recorded. Service users commented that health needs are met by the staff at the home and by external professionals to a good standard. Detailed records of all health Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 11 professional visits to individual service users further evidenced this. The management team audit the numbers of falls within the home and ensure that appropriate risk assessments are undertaken to minimise further falls to individual service users. The accident book was inspected which evidenced minimal incidents occurring in the home. All service users spoken with gave examples of how staffs display a high standard of respect in their daily interactions. Service users commented that staffs ensure that their privacy and dignity is maintained and could not see how this area of care could be improved. In addition the inspector observed staff communicating with service users in a professional manner at all times. Cornwall Care Ltd has relevant policies on this area of care, which are incorporated, in staff’s induction process as well as through NVQ training. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 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) 12,13. Service users social, educational and leisure needs are identified and Blackwood House aim to provide a variety of activities in the home. Service users visitors are encouraged to visit their relative. Service users are encouraged to retain links with the local community. EVIDENCE: From discussions with service users the majority commented that there is ‘enough to do’ during the day. Service users were able to recall a variety of activities in the home for example keep fit, reading, entertainers, and recently arranging the hanging baskets for the garden. Cornwall Care Ltd corporate policies and documentation demonstrate that they aim to encourage service users to pursue their hobbies and interests. Individual interests are recorded in service user care plans and their ‘life story book’. Service users made positive comments to the inspector in the variety and quality of food provided. It was evident from discussions with service users, the representative and staff that there is a choice of main meal and that alternative meals will be provided. Kitchen staffs were aware of individual dietary needs. Cornwall Care ltd has implemented the ‘Food Project’. This has focused on the nutritional and social aspects of food. It’s aim is to provide a Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 13 service users focused meal provision encouraging meal times to be social occasions whilst allowing service users the opportunity to maintain their own independence and skills i.e. encouraging self serving of food, menu cards to be introduced and to improve the presentation of meals. As this has been implemented recently this will be inspected on the next visit. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 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, 17 Cornwall care Ltd has a corporate complaints and whistle blowing policy. The complaint policy is on display and the management team encourage service users and their representatives and staff to voice any concerns so that they can be addressed. Service users legal rights are protected. EVIDENCE: Cornwall Care Ltd has completed policies in respect of the complaints procedures. Blackwood House and CSCI have not received any complaints about the home. From the inspectors discussions with staff and service users all stated that they had no concerns and that if they had they felt able to approach the management team for these to be addressed. Service users confirmed that they have access to advocates, this can be via age concern, solicitors or via family representatives. The relief manager confirmed that all service users who wished to participate in the recent General Election were encouraged to do so. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 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) 19,20,21,22,23,24,25,26 Blackwood House provides a good standard of décor and furnishings creating a comfortable and safe environment for those living there and visiting. EVIDENCE: The home has on the first floor a separate unit for twenty-four service users who have dementia or other forms of mental ill health. Service users have access to two lounges, one dining room, all have single bedrooms and sufficient toileting facilities. A lift, or stairs, allows access to the ground floor. It is planned that service users will have separate and more convenient access from this unit to the attractive gardens. On the ground floor, separately accommodated are twenty service users who are elderly. Service users have access to a variety of lounges/dining rooms, single bedrooms and sufficient toileting facilities. The main kitchen, laundry and offices are also located on this floor as is the day centre that the home provides. There is no intermediary care facility. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 16 From inspection of the premises it was evident that Blackwood House is well maintained, decorated and furnished to a good standard throughout the home. Service users stated they were ‘pleased’ with their ‘comfortable rooms’ and ‘pleasant’ surroundings. Service users plus staff also expressed positive comments about the ‘homely’ atmosphere of Blackwood House. The home was clean and odour free throughout. The attractive secure garden areas were in use during the inspection by service users. The home provides day care to up to 20 service users in the community. There is a designated day care room with eating facilities. However there are no separate toilet facilities and therefore the day care service users have to use the facilities in the main home the consequence being that they enter the permanent service users home and this encroaches on their privacy. The group manager stated that discussions with Cornwall Care Ltd have taken place and that they aim to include proposals in their business plan in how to address this. The previous requirement to review the toilet facilities for the day care area remains within timescale for compliance. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 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 Blackwood House ensure that suitable trained staffs are employed in sufficient numbers at all times EVIDENCE: On the day of inspection six care staff, plus domestics, handyperson, kitchen staffs, laundress, administrator and managers were on duty. Staffing ratio during waking hours is aimed to be 1:6. At night there are two waking night staff plus a manager sleeping in who is on call. The assistant manager stated that the home has not needed to employ agency workers. The assistant manager stated that there is one vacancy for a night carer. Service users were all complimentary about the care and approach they receive from the staff team. From discussion with staff they all commented that they felt that there is sufficient staff on duty and that they ‘work as a team’. The inspector observed staffs that were competent in their work. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 18 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) 35 Service users financial interests are safeguarded. EVIDENCE: Cornwall Care Ltd have cooperate policies in the management of service users monies. Service users are encouraged to manage their own monies and hold their own accounts. However they can sign an agreement to request that Cornwall care assist them in the management of a small amount of their monies. From inspection of service users monies records were accurate and tallied. The inspector recommended that the home keep a inventory of what is stored in the homes locked cabinet as many items where not accounted for i.e. personal belongings. This will assist for insurance purposes as well as if a service user or their representatives queried if the home had located a specific item. This would then allow a record of what happened to the particular item. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 19 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 x x 3 3 3 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 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 3 2 3 3 3 2 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x x x x x 2 x x x Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 20 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 OP21 Regulation 23(2)(j) Requirement The registerd manager must review the toilet facilities for day care service users in order that they do not impact on permananent service users facilities or privacy. (third notifcation) all water pipes in service users bedrooms must be boxed in to prevent health and safety risks. This is renotified to you. Timescale for action 30.09.05 2. OP25 13(4) 30.10.05 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. Refer to Standard OP35 Good Practice Recommendations The registerd manager should ensure that a inventory of service users belongings being stored by the home is kept. Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 21 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 Blackwood House D52_D04 S8909 Blackwood House V222077 090605 Stage 4.doc Version 1.20 Page 22 - 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!