Inspection on 17/10/05 for Chyvarhas

This inspection was carried out on 17th October 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

Chyvarhas 17/02/09

Chyvarhas 05/03/07

Chyvarhas 19/05/05

Chyvarhas 07/12/04

Chyvarhas 01/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 Chyvarhas 22 Saltash Road Callington Cornwall PL17 7EF Lead Inspector Mike Dennis Unannounced Inspection 17th October 2005 09:30 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 Chyvarhas DS0000008995.V256324.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. Chyvarhas DS0000008995.V256324.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chyvarhas Address 22 Saltash Road Callington Cornwall PL17 7EF 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) 01579 383104 01579 384373 Cornwall Care Limited Rachel Dooler Care Home 40 Category(ies) of Dementia - over 65 years of age (30), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (30), Old age, not falling within any other category (10) Chyvarhas DS0000008995.V256324.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Total number of service users not to exceed a maximum of 40 Service users to include up to 30 adults aged over 65 with a mental illness (MD[E)) Service users to include up to 30 adults aged over 65 with dementia (DE[E)) Service users to include up to 10 adults of old age (OP) Service users to include one named person only who has a learning disability and suffers from a dementia and is aged below the agreed age range. 19th May 2005 Date of last inspection Brief Description of the Service: Chyvarhas is run by the organisation Cornwall Care Ltd., which is a registered charitable organisation, whose management team offer support regarding the running of the home. Members of the company visit regularly. Chyvarhas Care Home provides accommodation and care for older people in need of care due to dementia, mental disorder or old age. Accommodation and services are all located on the ground floor. The home consists of four wings, each with it’s own lounge area. Dining and further lounge areas are found centrally located. The home is a secure environment for the safety of service users. For those service users unable to get into Callington or who choose not to, services are provided within the home ie., hairdressing, dental and the services of the district nurses and G.P’s. Ample car parking is available. Chyvarhas DS0000008995.V256324.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 on the 17th. October 2005 over a four hour period. The inspector met with the Registered Manager and an assistant manager. A selection of staff were spoken with and three service users. Staff were observed to be tending to service user needs whilst respecting their dignity. Various records, policies and procedures were inspected. The inspector visited all parts of the building and noted a satisfactory standard of hygiene and maintenance. Service users commented favourably on the overall service received, and acknowledged the improvements being made. Positive outcomes were noted What the service does well: What has improved since the last inspection? Chyvarhas DS0000008995.V256324.R01.S.doc Version 5.0 Page 6 The standards set in this home are being maintained. Training opportunities continue to be made available. The company is pro-active in looking at ways to enhance and improve standards of care. The manager is continuing the process of looking at ways to improve the visual aspect of the premises with some success. 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. Chyvarhas DS0000008995.V256324.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 Chyvarhas DS0000008995.V256324.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 and 5 Service users are fully assessed prior to admission to the home. Prospective service users can visit the home to determine its’ suitability in meeting their needs. EVIDENCE: Four service user files were inspected and case tracked. All contained information pertaining to pre-admission assessment. The information provided included :- continence assessment, pain assessment, risk assessments and general details of daily care requirements, medication and health care requirements. During the course of the inspection, the inspector observed families being shown around. Each was given ample time to observe life at Chyvarhas and ask relevant questions. The process will have assisted in making a decision as to whether or not to choose Chyvarhas as a place to live. Chyvarhas DS0000008995.V256324.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 and 10 The health care needs of service users are identified, planned for and met. Service users are treated with dignity and respect. EVIDENCE: Four Individual Plans of Care were inspected. They were seen to contain full and relevant information, to include Risk Assessments, pertaining to the health, personal and social care needs of that individual. In addition information is gathered regarding the service users past life experiences and interests. This information will be used to promote an Active Care programme for that individual. Appropriate professionals from other disciplines frequently visit the home to provide for general health care, ie. G.P’s, Community Nurses, Opticians, Dentists etc. The inspector observed staff treating service users with respect and dignity. Privacy issues were maintained. Chyvarhas DS0000008995.V256324.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): 13 and 14 Friends and family maintain contact with service users. Service users are given opportunities to maintain control over their lives. EVIDENCE: A number of visitors were in the building throughout the inspection. The visitors book demonstrated that this is a regular occurrence. A policy of open visiting exists. Local community groups visit the home upon invitation. Service users are encouraged to exercise choice and where their capacity is limited friends and relatives can act as advocates. The majority of service users have brought personal possessions into the home. Access to personal records in accordance with the Data Protection Act is facilitated. Chyvarhas DS0000008995.V256324.R01.S.doc Version 5.0 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 the following standard(s): 17 Service users legal rights are protected. EVIDENCE: Evidence was produced by way of written documents and talking to staff and visitors to indicate that all service users are given the opportunity to vote at elections. Advocacy services are made available and in some cases have been taken up. Chyvarhas DS0000008995.V256324.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 This inspection focussed on the accommodation, facilities and equipment provided. The inspector considers that, overall, this home provides a good standard of accommodation. Bedrooms are on the small side but are individually decorated and suit service user needs. Good effort is made to present the home in a way most beneficial to service user need. EVIDENCE: The home provides a safe and well-maintained environment for the service users. The registered manager discusses refurbishment and development issues with the company at the annual finance meeting. This results in a maintenance and improvement plan being implemented. The home employs a general assistant who deals with minor defects and maintains general standards within the home. The building complies with the requirements of the local fire authority and environmental health department. Communal facilities are both ample and varied. At the hub of the building there is a large area used for a variety of purposes. Meals are taken here and Chyvarhas DS0000008995.V256324.R01.S.doc Version 5.0 Page 13 a variety of activities also occur at different times of the day. There are a number of smaller lounges and seating areas situated adjacent to the four accommodation wings of the house. These are individually designed and decorated in an attempt to stimulate service user interest and promote their quality of life. One area replicates that of a farmhouse kitchen, whilst another fulfils the role of a ‘sensory room’. The corridors leading to bedrooms have been individually designed, one of which replicates a street scene. Out side the grounds provide secure seating and walking areas to include a sensory garden. Bathing and toilet facilities are quite adequate as are the sluicing facilities. Various equipment is installed and/or available in the home to meet service user needs to include both permanent and portable hoists etc.. Individual bedrooms are mainly on the small side but service users indicated their satisfaction. All are personalised with individual possessions and are pleasantly decorated and furnished. Heating, lighting and ventilation within the home meets required standards. Infection control is maintained through the companies policies and procedures and the provision of suitable sluicing and laundry facilities. Chyvarhas DS0000008995.V256324.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): 27, 28, 29 and 30 Robust recruitment policies and procedures are implemented. All staff are supported and Inducted through good training opportunities. A positive number of staff are on duty to meet the service user’s needs EVIDENCE: The staff team shows a positive regard for service users and appears very organised. Additional staff are on duty at peak times of activity during the day. In addition to care staff there are 2/3 domestics and 1 laundry staff member on duty each morning. The duty rota indicates that 5/6 care staff are on duty during the mornings, 4 throughout the afternoon and 3 on duty in the evenings. Waking night staff number 3. In addition managers, domestic and catering staff are on duty Staff recruitment is conducted in line with the home’s policies and procedures. Evidence obtained from staff files indicates that references, CRB and POVA checks are taken up prior to interview. All staff undertake Induction Training. . NVQ training is encouraged as demonstrated by the majority of staff, having obtained awards at various levels. Individual training profiles for staff are kept up to date with accurate information of progress made. Staff are receiving supervision and an appraisal system is in place. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. Chyvarhas DS0000008995.V256324.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, 36 and 38 The management of Chyvarhas House strive to maintain and improve a good quality of care and lifestyle for the service users and promote their health, safety and welfare. EVIDENCE: 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. The manager has successfully completed the registered managers award and has a post graduate certificate in management. The manager is able to demonstrate that she has undertaken periodic training i.e. the dementia care certificate in order to keep herself updated. The manager stated that her job description enables her to take responsibility to fulfil her duties. Chyvarhas DS0000008995.V256324.R01.S.doc Version 5.0 Page 16 The records of the home demonstrated that all staff are appropriately supervised and subject to annual appraisals. The health, safety and welfare of service users and staff is promoted and protected. The registered manager has a good awareness of the legislation regarding health and safety. Statutory checks are made by appropriate agencies as evidenced from various service contract documents. Staff are trained in health and safety, manual handling, fire safety, first aid, food hygiene and infection control Fire records are up to date. Chyvarhas DS0000008995.V256324.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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 3 3 3 3 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 X X X X 3 X 3 Chyvarhas DS0000008995.V256324.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. Refer to Standard Good Practice Recommendations Chyvarhas DS0000008995.V256324.R01.S.doc Version 5.0 Page 19 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 Chyvarhas DS0000008995.V256324.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. 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!