Inspection on 20/09/05 for Chatsworth

This inspection was carried out on 20th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chatsworth 21/07/09

Chatsworth 18/07/07

Chatsworth 21/09/06

Chatsworth 19/04/05

Chatsworth 31/08/04

Chatsworth 20/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Chatsworth Seymour Road Mannamead Plymouth, Devon PL1 5BE Lead Inspector Kim Fowler Unannounced 20 September 2005 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. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Chatsworth Address Seymour Road, Mannamead, Plymouth, Devon, PL1 5BE 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 660048 01752 671201 Mr Geoffrey Rhodes Mrs Heather Rhodes Mr Stephen R Davey & Mrs Janet V Davey Mr Geoffrey Rhodes Care home 26 Category(ies) of Old age, not falling within any other category registration, with number (26), Physical Disability - over 65 years (26), of places Dementia - over 65 years (26) Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19/04/05 Brief Description of the Service: Chatsworth is a large detatched property situated in the Mannamead area of Plymouth. The home is registered to provide residential accommodation and personal care for a maximum of 26 people over the age of 65 years who may also have dementia or a physical disability. Accommodation is provided over three floors, and offers 22 single bedrooms, 7 of which have en suite toilet facilities, and two double rooms, one of which has an en suite toilet facility. Stair lifts provide access to all floors. On the ground floor there is a large lounge that has patio doors opening on to the garden, and a large dining room. There is a call bell system in operation in the home. The home has a chair lift to all floors. Various activities and trips are regularly offered at the home. The garden is attractive and accessible to the service users. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was Unannounced. The visit to this care home lasted over 3 1/2 hours. A full tour of the premises took place and various records were inspected. The Registered Providers, the Manager and 12 of the service users were spoken with during this inspection. 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. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 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 standard(s) 2 The information provided in the homes Statement of Purpose and Service Users Guide will assist the service users and relatives to make an informed choice of a care home. EVIDENCE: One service user spoken with during this inspection discussed his contract in detail. This service user informed the inspector that he had a copy of his contract and that it also had the terms and conditions of occupancy on this contract. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 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 standard(s) 8/9/10/11 The home continues to provide excellent personal support for service users in the home. EVIDENCE: The file held from the District Nursing service was seen as evidence for one service user. This service user showed the inspector the file that contained information on the treatment that this service user was receiving and also information for the care staff to follow. One service user informed the inspector that he self medicates and case tracking provided evidence on his care plan that a risk assessment had been completed by the home as recommended in the last inspection report. The Controlled drug box was checked during this inspection and found to be left unlocked as was the drug cupboard. All service users spoken with confirmed that they are treated with respect and dignity. One service user confirmed that they had discussed with staff that they could remain in the home until their death. The home would provided additional services when needed. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 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 standard(s) 13/14/15 The service users in Chatsworth House can be confident that this home will enable them to make decisions about their own lives. EVIDENCE: Many service users spoken with during this inspection confirmed, as did evidence from fresh flowers and greeting cards in individual bedrooms, that many service users receive visits from family and friends on a regular bases. 2 service users confirmed that they often go out on their own choosing to do so when they wish. All service users spoken with confirmed that the food was excellent, plentiful and that the home offered a varied and wide choice. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 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 standard(s) 16/17 Service users can be confident that their complaints or concerns will be listened to and acted upon. EVIDENCE: Several of the service users spoken with felt that if they had any concerns or complaints that they would be able to approach staff and managers. Also they were confident that the concerns and complaints raised would be listened to and acted upon. One service user confirmed he had seen a solicitor to manage his finances and personal affairs and visits this solicitor regularly. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 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 standard(s) 22/23/24/25 Chatsworth House continues to maintain a suitable environment for its stated purpose. EVIDENCE: Several of the homes service users confirmed that they have the appropriate specialist equipment they may require to maintain their independence. The facilities seen by the Inspector, and confirmation by service users, leads to the conclusion that their rooms suit their individual needs. All bedrooms are safe, comfortable and had many of the service users personal possessions in. The homes kitchen door was found wedged open during this inspection, the manager stated that they are planning to replace the broken hold open door devices. A tour of the premises confirmed that the home was found to be clean and hygienic during this unannounced inspection. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 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 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 Staff training is supported and promoted enabling service users to receive the best possible service. EVIDENCE: The inspector spoke with 12 of the service users in the home during this inspection and all stated that the staff in Chatsworth House are skilled in their jobs. Evidence was seen on the staff notice board of courses book for the coming months including Manual Handling and Food Hygiene. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 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 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) 32/33/35 The Management team within this home is very good and ensures that records are effectively maintained. The staff team are well trained and above all service users are happy and their needs are met. EVIDENCE: All service users confirmed that the homes management team are excellent, approachable and benefits from the leadership of the manager. Many service users confirmed that they manage their own finances either with family support or via a solicitor. The money the home hold for some of the service users was checked during this inspection and was found to be correct and well recorded. The manager confirmed that all water outlets have now been fitted with safety values as required in the last inspection report. Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x 3 3 3 2 x STAFFING Standard No Score 27 4 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 4 3 x 3 x x x Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 Page 15 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. 2. Standard 9 25 Regulation 13 23 Requirement The homes drug cupboard and contriolled drug box must be kept locked at all times. All fire doors must be kept shut or have hold open devices fitted. Timescale for action 31st October 2005 31st October 2005 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 Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 Page 16 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 Chatsworth D52-D04 S3474 Chatsworth V241956 200905 Stage 4.doc Version 1.40 Page 17 - 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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