Inspection on 22/04/05 for Cann House

This inspection was carried out on 22nd 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

Cann House 01/09/06

Cann House 03/11/05

Cann House 30/11/04

Cann House 07/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Cann House Tamerton Foliot Road Tamerton Foliot Plymouth PL5 4LE Lead Inspector Mandy Norton Announced 22/04/05 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. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Cann House Address Tamerton Foliot Road, Tamerton Foliot, Plymouth, Devon, PL5 4LE 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) 01752 771742 01752 771742 Cannhousepls@btopenworld.com Premiere Health Limited Mrs Francis Kirby Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (6), Physical disability over 65 years of age of places (50), Terminally ill over 65 years of age (4) Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: The Home is registered as a Care Home with Nursing for a maximum of 60 Service Users in the categories of PD(E) 50, OP 6, TI(E) 4 Date of last inspection 30.11.2004 Brief Description of the Service: Cann house is a country house originally built in 1863, situated on the edge of Tamerton Foliot, approximately 4 miles from Plymouth City Centre. The house has been modernised to provide a care home for a maximum of 60 persons over the age of 65 years. The home is registered to provide care for persons requiring nursing and/or personal care with physical frailty/illness or disability.The accommodation comprises of 38 single bedrooms and 11 double bedrooms, all bedrooms have en-suite WC and wash hand basin. The communal rooms provide one large lounge with sun lounge attached, one smaller lounge on the 1st floor, one dining room and a chapel. Cann house has 9 acres of attractive grounds with lawns, woodlands and a walled garden.The home is owned and administered by Premiere Health limited. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over 6 1/2 hours between 10am and 4.30pm and was conducted with the matron, deputy matron and one of the providers. The inspector spoke to 8 patients and observed several others taking part in a variety of activities in a group and individually. A number of completed comment cards were received from relatives /representatives prior to the inspection. One of the purposes of this inspection was to follow up recommendations made following the last inspection. A tour of the premises took place and a variety of records were inspected. What the service does well: What has improved since the last inspection? Risk assessments for radiators not covered or guaranteed low surface temperature are completed and reassessed when a new patient moves into a room. A quality assurance system has been introduced. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 6 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. Cann House D52-D04 S3577 Cann House V210586 220405 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 Cann House D52-D04 S3577 Cann House V210586 220405 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) 1,3 &5 Comprehensive pre admission assessments are made and therefore people are admitted to the home appropriately. Clear information and opportunities to visit the home are given to people to help them to decide if they want to live at Cann House. EVIDENCE: The matron said that prospective patients and/or their representatives are able to visit the home when they like to look around. Individual records examined had evidence of a pre admission assessment being carried out. The ‘resident enquiry’ form has a space ‘date visit arranged’ to be completed. The Statement of Purpose examined was informative and easy to read with nice coloured pictures of aspects of the home. The one kept in the entrance foyer was up to date. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 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 standard(s) 9 & 10 The medication at the home is generally well managed, promoting good health. Interactions between staff and clients promotes and protects patients privacy and dignity. . EVIDENCE: The deputy matron demonstrated the homes medicines management procedures, they are in line with laid down legislation. The drug fridge temperatures should be checked and recorded daily. Data sheets for all medications should be available and dated when received. Service User comment cards completed (5) and patients spoken to indicated that patients feel well cared for and safe and have their privacy respected. Plans of care identify the preferred name a patient likes to be known as. Staff were observed knocking on patients doors before entering the room. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 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 standard(s) 12,13 & 15 The staff have a good understanding of the patients cultural, social and recreational needs and the importance of maintaining contact with family and friends and engage the patients in a variety of ways. The meals in the home are good offering both choice and variety and cater for special dietary needs. EVIDENCE: Care plans examined contain information about interests and hobbies. An organist/singer was entertaining several patients with ‘old time’ music during the inspection. Completed Service User comment cards and patients spoken to had high praise for the home and one described it as ‘like a lovely dream’. A tour of the home saw patients engaged in a variety of activities independently and with the support of the staff. Menus provide prior to the inspection show that a balanced diet with plenty of variety is offered, with alternatives to the menu always available. Two of the 5 completed Service User comment cards said they like ‘some’ of the food the rest said they like it. One of the completed relatives/visitors comment cards said that the meals are sometimes not hot enough. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 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 standard(s) 16 The home has a satisfactory complaints system. EVIDENCE: The complaints log examined had details of complaints recieved and the actions taken to resolve the matter. Two minor complaints have been made since the last inspection and were satisfactorily resolved. The complaints procedure is displayed within the home and is in the Service Users guide a copy of which is given to everybody on admission. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 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 standard(s) 19,20,23,24,25 and 26. The standard of the environment within the home and the grounds is excellent providing clients with attractive and homely place to live. The overall quality of the furniture and fittings is good providing a safe environment. The home is clean and hygienic. EVIDENCE: A tour of the home confirmed that all of the communal facilities (ground floor lounge with sun room, first floor lounge, dining room and chapel) and the extensive gardens are accessible to clients. The fresh decoration and subtle colours combine to make the rooms light and airy. Patients rooms seen were comfortable, clean and contained many of their own possessions. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 13 Any repairs needing to be done are detailed in the handymans book and acted upon as soon as possible. Entries are dated and signed. Domestic staff were seen cleaning the home during the inspection and all areas were clean and tidy. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 14 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) 27,29 and 30. Clients needs are met by a satisfactory mix of nurses, carers and ancillary staff who are trained and competent to do their job. The homes recruitment policy and practice protect the clients EVIDENCE: The duty rota provided with the pre inspection questionnaire details the number of staff on duty and during the inspection people looked well cared for. The pre inspection questionnaire indicates that staff turnover is low. Agency staff are used on occasions. Three of the four completed relatives/visitors comment cards returned prior to the inspection said that they feel that there are ‘sufficient staff on duty at all times’. The matron explained the recruitment procedures used in the home and 2 randomly selected personnel records examined confirmed that 2 written references and a Criminal Records Bureau check are received prior to employment. The deputy matron takes responsibility for training and records examined were up to date. Certificates for training undertaken were seen in the staff files. A variety of courses have been accessed by staff in the last 12 months including – Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 15 NVQ’s 1 and 2, fire, manual handling, wound care and drug administration. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 16 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) 33 and 38. The systems in place in the home promote and protect the health and safety and welfare of the clients and staff. EVIDENCE: Staff meetings are held and minutes taken, the inspector viewed minutes from recent meetings held. The clients, relatives /friends and staff are asked about aspects of the homes performance. Responses received from a recent questionnaire, given to patients and relatives/representatives, were examined and the action proposed by the matron/provider to resolve any issues that arose was detailed on the response. A variety of up to date maintenance certificates were examined that included the passenger lift and hoists. The fire- log book was examined and was up to date. Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 17 Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 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. 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 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 4 3 x x 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 Standard No 16 17 18 Score 3 x x x x 3 x x x x 3 Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 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 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 Good Practice Recommendations Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Cann House D52-D04 S3577 Cann House V210586 220405 Stage 4.doc Version 1.20 Page 21 - 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!