Inspection on 03/11/05 for Cann House

This inspection was carried out on 3rd 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

Cann House 01/09/06

Cann House 22/04/05

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 Devon PL5 4LE Lead Inspector Mandy Norton Unannounced Inspection 3rd November 2005 11:10 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 Cann House DS0000003577.V263355.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. Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cann House Address Tamerton Foliot Road Tamerton Foliot Plymouth Devon PL5 4LE 01752 771742 01752 771742 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) 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 (5), Physical disability of places over 65 years of age (50), Terminally ill over 65 years of age (4) Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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 To admit 5 service users in the PD category between the ages of 18 and 65 years. 22nd April 2005 Date of last inspection 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 able to take a maximum of 5 persons between the ages of 18 – 65). 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 consist of 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 DS0000003577.V263355.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 over 3 hours and 35 minutes (between 11.10 am and 2.45 pm) and was conducted with the deputy matron and the providers. The inspector spoke to 7 patients during the inspection. One of the purposes of this inspection was to assess the key standards that were not considered during 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? What they could do better: Several patients said that the meals could be improved upon in their particular case. It was recommended that steps be taken to ensure individual requirements are recorded and acted upon at each mealtime. Adult protection training needs to be undertaken and an annual update commenced to ensure staff have a working knowledge of protection issues. (The deputy matron made a call to the adult protection co-ordinator to enquire about training before the end of the inspection). Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 6 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. Cann House DS0000003577.V263355.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 Cann House DS0000003577.V263355.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): 4 The assessed needs of the patients are met with evidence of appropriate staff training and good multidisciplinary working taking place. EVIDENCE: During the inspection trained nurses were heard discussing patients care needs and well- being and care plans examine had been reviewed/ updated in view of changing needs. Care plans had details of other professionals involved in a patients care and a GP visited during the inspection. The deputy matron was able to show evidence of recent relevant staff training and that out of 36 care assistants 20 have NVQ level 2 and 3 also have level 3 and 5 have commenced level 2 and 5 are commencing level 2 in November 2005. Cann House DS0000003577.V263355.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 and 8 The health care needs of the residents are identified and met. EVIDENCE: The plans of care examined included general information about the resident and a daily statement about their wellbeing, nutritional assessments, tissue viability assessments) and manual handling assessments. They detailed the actions to be to be taken by care staff to ensure health, personal and social needs of the patient are met. A tour of the home confirmed that equipment necessary for the promotion of tissue viability and the prevention or treatment of pressure sores was available throughout the home and in sufficient quantity for the size of the home. During the inspection patients were seen being encouraged to mobilise and have their capacity for self care supported. Cann House DS0000003577.V263355.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): 12 and 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 offer both choice and variety and cater for special dietary needs. EVIDENCE: Patients spoken to said that they enjoy the activities provided and were looking forward to the fire work display due to take place in the grounds on the coming Saturday. Patients spoken to were engaged in a variety of activities including painting, reading, phoning a friend, and watching TV in their own room. Visitors were seen coming and going freely during the inspection. Meal are taken in patients own rooms if they choose or in one of the 2 dining rooms, where staff are on hand to lend assistance as necessary. Although the menus offer choice and variety patients spoken to had mixed views about the meals provided. One said there was too much on the plate, another said there was not enough, another said the food was bland and not the same as you would cook at home. It was recommended that the staff look at ways to Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 11 ensure individuals requirements are recorded and the meals served on a more individual basis to try to meet the patients differing needs. Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 12 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): 18 Staff have a knowledge and understanding of adult protection issues which protects patients from abuse. EVIDENCE: The Alerters guide (procedure for reporting potential abuse) is available within the home and policies and procedures for responding to suspicion or evidence of abuse (including whistle–blowing) are kept at the nurses station. It was recommended that some of the trained staff attend the local adult protection one day training and then hold at least annual updates for staff around protection of vulnerable adults. (The deputy matron had already made a call to the adult protection co-ordinator asking about training dates before the inspection concluded). A high proportion of staff have NVQ level 2 qualifications and will therefore have had some information about adult protection during their training. Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 13 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): 19 and 21 The standard of the environment within the home and the grounds is good providing clients with attractive and homely place to live. EVIDENCE: A tour of the home confirmed that the standard of the environment remains high and patients spoken to enjoyed the communal facilities (if they use them) and their own rooms as they are able to personalise them to meet their own needs. All rooms have the benefit of en-suite facilities and the tour confirmed that there are sufficient and suitably adapted toilets and bathrooms throughout the home. Cann House DS0000003577.V263355.R01.S.doc Version 5.0 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 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 Staff morale is good resulting in a workforce that works positively with patients to meet their assessed needs and improve their quality of life. EVIDENCE: Records supplied by the deputy matron confirm that well over 50 of care staff have NVQ2 (20 out of 36 carers) and 3 also have NVQ level 3. Five more staff have commenced NVQ level 2 and five are beginning their course in November 2005. Members of staff spoken to were enjoying their work and felt they were well supported. Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 15 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): 31,35, There is good leadership and guidance for staff to ensure residents receive consistent quality care. The systems in place in the home promote and protect the welfare of the clients and staff. EVIDENCE: The matron is currently off sick and with the support of the staff and the providers the deputy matron is managing to run the home effectively. The deputy has worked closely with the matron for many years and as there are clear lines of accountability with the home and with external management she has been able to take on the role as required. Where monies are held in safekeeping for service users there are clear records kept of incoming and outgoing payments. Three patients records were checked Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 16 and the balances were as recorded. Secure facilities are provided for the safekeeping of money and valuables on behalf of the patient. Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 17 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 x x x 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 x 3 x x x x x STAFFING Standard No Score 27 x 28 4 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X x Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No 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 Refer to Standard 15 Good Practice Recommendations A system needs to be implemented that ensures patients dietary and meal requirements are recorded and acted upon at each meal time to ensure patients are having the meals that meet their individual needs. Cann House DS0000003577.V263355.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashburton Office 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 DS0000003577.V263355.R01.S.doc Version 5.0 Page 20 - 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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