Inspection on 10/11/05 for Cathedral View Residential Home

This inspection was carried out on 10th 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

Cathedral View Residential Home 04/04/07

Cathedral View Residential Home 12/07/05

Cathedral View Residential Home 27/01/05

Cathedral View Residential Home 26/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 Cathedral View House Residential House Kenwyn Church Road Truro Cornwall TR1 3DR Lead Inspector Ian Wright Unannounced Inspection 10th November 2005 9:15 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 Cathedral View House Residential House DS0000046330.V258484.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. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cathedral View House Residential House Address Kenwyn Church Road Truro Cornwall TR1 3DR 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) 01872 240974 Cathedral View Limited Mrs Lynde Gilbert Care Home 34 Category(ies) of Dementia - over 65 years of age (15), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (15), Old age, not falling within any other category (34) Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 15 adults aged over 65 with dementia (DE{E}) Service users to include up to 15 adults aged over 65 with a mental illness (MD{E}) Service users to include up to 19 adults of old age (OP) Total number of service users not to exceed a maximum of 34 Date of last inspection 12th July 2005 Brief Description of the Service: Cathedral View Limited owns two registered care homes. These are Cathedral View Residential Home and the other is Cathedral View Nursing Home. Both homes are located on the same site. Cathedral View Residential Home is registered to accommodate 34 elderly service users requiring personal care, some of whom may be suffering with a degree of mental disorder or dementia. The home provides single bedrooms for the majority of service users although two rooms are registered for shared accommodation. Bedrooms are situated on three floors and there is a lift. There are two lounges, a large dining room and a conservatory for service user use. All facilities for service users are accessible for those who may have limited mobility or in need of specialist equipment such as wheelchairs. There are extensive accessible gardens for service users use. There is sufficient parking outside the home. The home is situated near to the centre of Truro city, which has good transport links into the main town and surrounding areas. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in seven and a half hours. The inspection was carried out on an unannounced basis. The inspector was able to speak to the majority of service users. The inspector also met with Ms L. Gilbert-the registered manager. The inspector examined the care and business records, and inspected the building. What the service does well: What has improved since the last inspection? What they could do better: There are no statutory requirements made at this inspection. All service users the inspector spoke to all stated they were very happy with care and facilities. Two recommendations for good practice were made. Firstly the registered persons should expand their death and dying policy to state what care they provide. The current policy just covers what staff should do when someone has died. However the care of the dying appears to be to a high standard. Secondly, the pharmacist appears to be oversupplying some medication contrary to what is ordered. The registered persons should liaise with the pharmacist / GP regarding this. Please contact the provider for advice of actions taken in response to this Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cathedral View House Residential House DS0000046330.V258484.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 Cathedral View House Residential House DS0000046330.V258484.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): 3,4 5 A suitable pre admission assessment procedure is in operation to enable the registered persons to ascertain whether they can meet service users needs. Suitable links with external professionals are in place so the registered persons can meet the needs of service users. Service users and their representatives are able to visit before formal admission is arranged. EVIDENCE: Mrs Gilbert outlined a suitable process of assessment for service users who have recently moved into the home. Assessments are appropriately documented. Suitable care plans are subsequently developed from initial assessments. Service users and their representatives are able to visit before they have to make a decision to move in. Mrs Gilbert stated suitable links are developed with GP’s, community psychiatric nurses, district nurses etc. Mrs Gilbert outlined a suitable approach for ensuring staff have the opportunity to gain a National Vocational Qualification (NVQ). Cathedral View House Residential House DS0000046330.V258484.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, 8, 9, 10, 11 Service users personal and health care needs are met appropriately and service users are treated with respect and dignity. A suitable policy and approach regarding the care of the dying is in place. EVIDENCE: Care plans inspected were satisfactory to enable staff to provide service users with appropriate care. Mrs Gilbert said care plans are regularly reviewed. Mrs Gilbert said suitable links have been developed with GP’s, district nurses etc. Mrs Gilbert said support from external professionals is to a good standard. The medication system was inspected. This was generally satisfactory, although there were a handful of gaps where medication had not been signed for. There was also some oversupply of medication from the pharmacist. All service users the inspector spoke to, said their rights were respected and they were treated with dignity by staff. Staff were observed working with service users in an appropriate manner. All service users personal care appeared to be maintained to a high standard. Service users confirmed they felt their personal care was carried out according to their wishes. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 10 The registered persons have a suitable policy regarding death and dyinghowever this could be expanded to include a section on the care of the dying. The records of a service user who has recently passed away were examined. Care seemed to a good standard for example staff and external professionals (such as district nurses) seemed appropriate. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 11 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): 15 Meals provided for service users are to a good standard. EVIDENCE: The inspector shared a meal with service users, which was to a good standard. Staff were observed providing appropriate support to service users during meal times. Appropriate arrangements are made for people with special diets. Drinks are available to service users throughout the day. Suitable records are maintained regarding meals provided. Although a choice is not indicated on the menu-service users said staff are aware of their likes and dislikes, and an alternative is always provided. Cathedral View House Residential House DS0000046330.V258484.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 Cathedral View Residential Home has a satisfactory approach regarding adult protection. EVIDENCE: The inspector observed a satisfactory adult protection procedure. Mrs Gilbert said staff receive information and training regarding abuse at induction. Mrs Gilbert said some staff have also attended training regarding adult protection run by social services. Cathedral View House Residential House DS0000046330.V258484.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): 19-26 Cathedral View provides suitable facilities to meet the needs of service users. The home is well maintained, clean, comfortable and homely. EVIDENCE: The property is suitably maintained, appears to be safe, is comfortable and homely. For example furnishings and decorations are to a good standard. An on going maintenance programme is in place. On the day of the inspection a new bath was being fitted, and the bathroom was being decorated. The property has pleasant gardens, which service users can use. There is a conservatory attached to the dining room. The home has two lounges where service users can choose to relax. There are also other ‘sitting areas’ in hallways situated around the home. Bedrooms were observed to be pleasant and well decorated. Some bedrooms have en suite facilities. Service users all said they were happy with the facilities. Bedrooms and communal spaces are of a suitable size. Access is good for example there is a passenger lift to the upper floors. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 14 Bathrooms and toilets are suitable. For example there is assisted baths / showers. The home was clean and hygienic on the day of inspection. Suitable laundry facilities are provided. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 15 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): 27, 28 Staffing levels are suitable to meet the needs of service users. The registered provider has an appropriate approach to ensuring staff receive National Vocational Qualification. EVIDENCE: The inspector observed there was a suitable number of staff on duty on the day of the inspection. Rotas also provided evidence that staffing levels are generous i.e. usually five staff on duty during the morning, four staff on duty in the afternoon and evening, two waking night staff and one member of staff who sleeps in. Mrs Gilbert said opportunities are provided for staff to be able to study towards a National Vocational Qualification in care. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 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 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): 33, 35, 36, 38 The registered persons have a suitable approach to quality assurance. Service users moneys are appropriately looked after. Staff are appropriately supervised. Health and safety precautions are satisfactory. EVIDENCE: The inspector observed a suitable quality assurance policy. Mrs Gilbert said service users and other stakeholders are sent a questionnaire on an annual basis. The results are collated in an annual survey report. Mrs Gilbert said there are regular resident meetings where service users can make comments regarding the care provided. These are minuted. The inspector spoke to the majority of service users who said they were happy with the care and facilities provided. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 17 Staff look after some service user moneys (e.g. for toiletries etc.). These are held in a pooled, non-interest paying, account. Suitable records are maintained regarding service users moneys. Day to day supervision is to a good standard. For example a senior member of staff is on duty throughout the 24-hour period. Staff also receive one to one formal supervision from the manager and receive an annual appraisal. The registered persons have a suitable health and safety policy and procedure. Health and safety checks are completed on a monthly basis. Records demonstrated there are suitable checks completed on fire, gas and electrical appliances by staff and suitably qualified persons. Suitable safety checks are also completed regarding the prevention of Legionella. The lift and moving and handling equipment (e.g. hoists) are suitably maintained. Suitable health and safety risk assessments are completed. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 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. 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 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 3 x 3 Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 19 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 OP9 OP11 Good Practice Recommendations The registered manager should liaise with the GP and pharmacist regarding the oversupply of some medication. The registered persons policy regarding death and dying should be expanded to outline their approach regarding the care of people when they are dying. Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 Page 20 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 Cathedral View House Residential House DS0000046330.V258484.R01.S.doc Version 5.0 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. 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