Inspection on 02/02/06 for Charlton House

This inspection was carried out on 2nd February 2006.

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

Charlton House 04/08/09

Charlton House 06/01/09

Charlton House 05/01/07

Charlton House 19/07/05

Charlton House 07/02/05

Charlton House 31/08/04

Charlton House 02/03/04

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

CARE HOMES FOR OLDER PEOPLE Charlton House 55 Mannamead Road Mannamead Plymouth Devon PL3 4SR Lead Inspector Jane Gurnell Unannounced Inspection 2nd February 2006 1:30pm 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 Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 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. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Charlton House Address 55 Mannamead Road Mannamead Plymouth Devon PL3 4SR 01752 661405 01752 661405 info@charltonhouse.eclipse.co.uk 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) Mrs Gill Boyes Tonya Gerry Tonya Gerry Care Home 42 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (42) of places Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 5 Service Users over the age of 65 may be admitted within the category DE(E) within the overall maximum of 40 Service Users A maximum of 42 Service Users over the age of 65 and within the category of OP may be cared for at any one time 19/07/05 Date of last inspection Brief Description of the Service: Charlton House is a large Victorian property, which is owned by Mrs Gill Boyes and her daughter, Mrs Tonya Gerry who is also the registered manager. Charlton House is registered as a care home for forty-two older people aged 65 years and over, of both sexes, to include up to 5 people who may have dementia. The home is a large and spacious with 5 lounge rooms which gives the feeling of living in a much smaller home. Thirty-four rooms have en suite facilities. A limited amount of respite or short stay care is available when vacancies permit. A ramp at the main entrance facilitates easier access for people with restricted mobility. The home is well situated in a residential area of Plymouth with local amenities and shops nearby. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place 2nd February 2006. Mrs Gerry, one of the owners and the Registered Manager of Charlton House was present during the inspection and she and her staff team assisted the inspector throughout the inspection. The focus of the inspection was to consult with the residents and review the care planning processes and staff training records. The inspector spoke to 18 service users, 3 visitors and 4 care staff, toured the building and examined care records and other documents. What the service does well: What has improved since the last inspection? What they could do better: 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. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 6 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 Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 7 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, 5 Thorough pre-admission assessment processes ensure that prospective residents can be confident that care staff are aware of their care needs and are able to meet those needs. EVIDENCE: Assessments are undertaken to identify residents’ needs prior to admission and these were evident for one recently admitted resident and one prospective resident who had visited the home the day before the inspection. The recently admitted resident said that she had been able to visit the home before making a decision to move in and had been made very welcome. Residents are given a questionnaire to comment upon their first impressions of the home and to ensure their questions were answered. Many of the staff have worked at Charlton House for a number of years and have a great deal of experience: all staff receive regular training relating to the care needs of older people. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 8 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 Residents’ health, personal and social care needs are being met and residents are treated respectfully. The home’s practices relating to medication administration protect the residents from risk. EVIDENCE: Residents said they could not be treated better and described living in the home “wonderful” and “marvellous” with nothing being too much trouble for the staff. The recently admitted resident said that she was very pleased she had chosen Charlton House and felt very much at home. Care plans detailed residents’ care needs and included risk assessments relating to activities of daily living, mobility and falls: these were reviewed each month. At the time of the monthly review residents are asked to complete a satisfaction questionnaire to ensure they remain happy with the care they are receiving, allowing them to comment upon any changes they would like to make to their care plan. Medication administration records were well maintained and medication was stored safely. The District Nursing Service visits twice each day to support residents with additional health care needs. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 9 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, 13, 14, 15 Social activities are managed well and provide daily interest for the residents. Meals are nutritious and varied. EVIDENCE: Residents said how much they enjoy the activities organised by the home and look forward to the trips to local places of interest: the owners hire a coach to ensure that all those residents that wish to go on the trip can. An organist and singer were playing in the home at the time of the inspection. A list the daily activities facilitated by the staff is on the notice board. Residents described how they are supported to continue with their hobbies and interests and have the freedom to come and go from the home as they wish. The visitors spoken to said that they are made very welcome. The Residents said that the meals were excellent and that there was always an alternative to the main menu. Many of the residents said that they enjoy breakfast in bed each morning. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 10 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): 16, 18 Complaints and suggestions from residents, relatives or other visitors to the home, are treated seriously. Residents are listened to and issues resolved promptly. EVIDENCE: Residents said that the owners and staff were very approachable and they were confident that any issues of concern would be listened to and dealt with. One resident said that “you only have to mention something and it is done for you”. No complaints had been received since the last inspection. A copy of the complaints procedure is available to all residents and visitors in the main entrance hall and a comments and suggestion box allows residents and their visitors to comment anonymously about the services provided. Staff have received training in issues relating to abuse and the protection of vulnerable adults. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 11 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, 20, 21, 24, 25, 26 Residents live in a very pleasant, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: All communal rooms and bedrooms were pleasantly decorated and furnished, reflecting the period of the building. Residents said that they found the home warm, spacious and comfortable. There are five lounge rooms and 2 dining rooms that provide ample communal space and the feeling of living in a much smaller home. Residents and visitors said that the home is always very clean. Bathing and shower facilities are suitable for residents with restricted mobility. Alterations are being made to one 2nd floor bathroom to provide disabled shower facilities and an en suite toilet to the adjacent bedroom. All radiators are covered and hot water temperatures controlled protecting residents from the risk of burns and scalds. The gardens are attractive and accessible and provide seating areas for residents. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 12 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, 29, 30 Residents are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. Preemployment checks for new staff ensure residents are fully protected. EVIDENCE: Residents described the staff as very kind and caring and confirmed they responded promptly to requests for assistance indicating that there are sufficient care staff to meet the needs of those currently living in the home. Care staff are supported by catering, domestic and management staff. Mrs Gerry, one of the owners, has the role of Registered Manager and as such works in the home daily: residents confirmed that she and Mrs Boyes are very approachable. A training programme detailed the ongoing training undertaken by staff ensuring that they have the skills to care for older people. The majority of care staff are qualified to at least NVQ2. The necessary documentation and Criminal Record Bureau checks are obtained for all newly appointed staff prior to their commencement. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 13 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, 32, 37, 38 Residents live in a well managed home. The owners and their staff team strive to provide a stimulating, safe environment that respects and protects residents’ rights. EVIDENCE: Residents said that they feel safe and secure in their home and that the home was well managed. They said that Mrs Gerry is available each day and has an “open door” policy. This was evident at the time of the inspection as the inspector witnessed a number of residents and their families in conversation with Mrs Gerry. Residents confirmed residents meetings are held monthly and residents are encouraged to comment upon the menus, activities and other services provided. Staff confirmed that they meet regularly to ensure that residents’ needs continue to be met and any issues dealt with promptly. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 14 Weekly and monthly testing of the fire alarm system was recorded the fire logbook and fire safety training for staff was documented. The kitchen was found to be clean and tidy and records of fridge and freezer temperatures were recorded daily indicating that regular cleaning and monitoring were being undertaken. All care staff were currently enrolled in the Certificate of Infection Control training at Plymouth College of Further Education ensuring they had the knowledge and skills to maintain good infection control practices in the home. Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 15 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 4 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 X X X X 3 3 Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 16 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. Refer to Standard Good Practice Recommendations Charlton House DS0000003473.V269116.R01.S.doc Version 5.1 Page 17 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. 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