Inspection on 18/10/05 for Collamere

This inspection was carried out on 18th 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

Collamere 30/01/07

Collamere 17/05/05

Collamere 10/11/04

Collamere 20/07/04

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 Collamere Grenville Road Lostwithiel Cornwall PL22 0RA Lead Inspector Alan Pitts Unannounced Inspection 18th 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 Collamere DS0000009005.V257679.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. Collamere DS0000009005.V257679.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Collamere Address Grenville Road Lostwithiel Cornwall PL22 0RA 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) 01208 872810 01208 872810 Pinerace Mr Russell Stevens Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (6), Terminally ill over of places 65 years of age (6) Collamere DS0000009005.V257679.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: Collamere is a large traditional house with purpose built extension, registered to provide nursing and social care for a maximum of 45 people to include elder care, care for the terminally ill and care for a maximum of 6 physically disabled people. The home offers both permanent and respite care. A registered nurse is on duty at all times.The property is situated just on the outskirts of Lostwithiel. Most accommodation is provided on the ground floor but there is a passenger lift for access to first floor rooms. The home is currently operating at reduced capacity whilst en-suites are added to the 1st floor rooms. The home has two lounges and a large dining room. Twenty -eight of the single; and four of the double rooms have en-suite toilets; building is in progress to provide en-suites throughout. Assisted bathing facilities are available. The majority of corridors are wide and most have handrails. There is good wheel chair access on the ground floor. The grounds can also be accessed by wheelchair and extend around the home. There is a sheltered central courtyard with seating. There is a car park with good wheelchair access to the main front door. Collamere DS0000009005.V257679.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 18th October 2005 between 9am and 1.30pm. The inspector met with 4 service users and 2 visitors, toured the premises, and inspected documentation. The home has undergone a period of significant change and this continues with ongoing building works and additional proposed developments. There has been a significant and noticeable change in ethos at this home. There is an evident commitment to service user welfare and happiness, staff training and the development of services. What the service does well: What has improved since the last inspection? Prospective and current service users have the information they need to make informed choices. The home has made efforts to improve the social/recreational life available to service users and this improvement is still ongoing. Staffing levels and staff training demonstrate an increasing commitment to the welfare of service users and the value of staff. The Registered Manager has introduced a healthy atmosphere of inclusion within the home and this is demonstrated by the comments of service users and visitors. Collamere DS0000009005.V257679.R01.S.doc Version 5.0 Page 6 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. Collamere DS0000009005.V257679.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 Collamere DS0000009005.V257679.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, 5 Service users and their representatives know that the home has the facility to meet their needs. EVIDENCE: Four recent service user admissions occurred on the basis of recommendations, and some service users currently staying for respite care plan to move in permanently. The home enjoys good links with other healthcare professionals, (e.g. tissue viability nurses) and the senior nurse is expanding the role of link nurses within the home. The Registered Manager states that it may be possible for prospective service users to visit for meals, or to stay for a day. The Registered Manager should review and amend the Statement of Purpose and Service User Guide to reflect the facilities available to prospective service users for trial visits or stays at the home. Collamere DS0000009005.V257679.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): 8 Service user health care needs are met. EVIDENCE: The home has a number of link nurses and the senior nurse explained that this is planned to be expanded further. There are currently link nurses in place for dementia care, tissue viability, infection control and continence care. The home maintains good links with visiting health care professionals. The home is now ascertaining service user wishes in respect of dying and death as identified at the previous inspection. Collamere DS0000009005.V257679.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 Service users maintain contact with family, representatives, and friends as they wish. EVIDENCE: Service users and visitors spoken with confirmed that visiting is open and free from restrictions, and many service users are from the local community in and around Lostwithiel. A visitors book is kept in the entrance. Collamere DS0000009005.V257679.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): 16, 17 Service users and visitors were confident that they would feel able to express any concerns. Service user legal rights are protected. EVIDENCE: Service users and visitors were confident that they would feel able to express any concerns. There is a complaints policy in the home’s Statement of Purpose and Service User Guide. Service users are registered on the electoral roll and mail is delivered unopened, though assistance is available if requested or mail is kept for the service user’s representative. The Registered Manager attended a recent conference on multi-agency responses to abuse and stated that he would be implementing new procedures to staff to reflect this. The Commission for Social Care Inspection has received one complaint about the home since the last inspection. This was found to be partially upheld, though it must be noted that the home was fully cooperative in the investigation. Collamere DS0000009005.V257679.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, 23, 24, 25 Service users live in a safe, well-maintained environment, which is suited to its stated purpose. EVIDENCE: Collamere is a clean, well-maintained and easily accessible home. The home has a spacious feel with a large dining room near the main entrance, and a large lounge. There are safe internal areas where service users can sit or wander around as they wish. There is an internal courtyard, which affords seating in more clement weather. Furnishings within the communal areas were appropriate and of a good standard. The communal areas are smoke free. Wheelchair users can access the grounds. The corridors are wide and internal access is level. The home provides various aids/equipment and has sufficient assisted toilets and baths. Grab rails are located in most areas of the home. Rooms are individually and naturally ventilated and are centrally heated (gas). Heating can be controlled in each room. Service user rooms were personalised to varying degrees and all offered comfortable, spacious, pleasant accommodation. Emergency lighting is provided throughout the Home. Pre-set Collamere DS0000009005.V257679.R01.S.doc Version 5.0 Page 13 valves have been installed on baths throughout the home and all new rooms have pre-set valves on the sinks. Staff were seen to carry their own alcohol solution for hand washing, in addition to the facilities provided in lavatories and bathrooms. Part of the home is currently not in use and the Registered Provider and Registered Manager are submitting an application to the Commission for Social Care Inspection in respect of this. As a result the current registration for 45 beds needs to be reviewed, and in practice the home is operating at 32 beds for full occupancy. Collamere DS0000009005.V257679.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): These standards were not fully inspected at this time as they were covered at the previous inspection. EVIDENCE: The Registered Manager has, since the last inspection, introduced an induction programme provided by an external company. The Registered Manager should ensure that this complies with the National Training Organisation (Skills for Care) programme (www.topss-england.net). The Registered Manager should implement a National Training Organisation compliant induction programme. Collamere DS0000009005.V257679.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, 32, 36, 37, 38 The Registered Manager and the senior nurse were cooperative and informative throughout the inspection. The Registered Manager has introduced a healthy atmosphere of inclusion within the home and this is demonstrated by service user comments. EVIDENCE: The Registered Provider should ensure that Regulation 26 reports are provided to the Commission for Social Care Inspection every month and much more detail is provided in the reports. Service users and visitors confirmed that the manager of the home was accessible and they were complimentary about the attitude of the staff and the care provided. Collamere DS0000009005.V257679.R01.S.doc Version 5.0 Page 16 Supervision records are kept and these show that staff supervision is occurring regularly and frequently. Ten care staff have undertaken 1st Aid training. Comprehensive policies and procedures are in place, though these were not examined in depth. The Registered Manager has ensured that safe working practices are in operation and that staff receive relevant training in order to maintain service user’s health and welfare. Maintenance records are kept, and risk-assessments are used. Collamere DS0000009005.V257679.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 2 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 3 X 3 3 3 X STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X X X 3 3 3 Collamere DS0000009005.V257679.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. 1 Standard 31 Regulation 26 Requirement The Registered Provider must ensure that Regulation 26 reports are provided to the Commission for Social Care Inspection every month and much more detail is provided in the reports. Timescale for action 01/12/05 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 OP5 Good Practice Recommendations The Registered Manager should review and amend the Statement of Purpose and Service User Guide to reflect the facilities available to prospective service users for trial visits or stays at the home. The Registered Manager should implement a National Training Organisation compliant induction programme. 2. OP30 Collamere DS0000009005.V257679.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 Collamere DS0000009005.V257679.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. 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