Inspection on 12/07/07 for Cool Runnings Too

This inspection was carried out on 12th July 2007.

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

Cool Runnings Too 13/11/08

Cool Runnings Too 15/05/08

Cool Runnings Too 05/11/07

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 Cool Runnings 58/63 The Park Yeovil Somerset BA20 1DF Lead Inspector Barbara Ludlow Unannounced Inspection 12th July 2007 10:00 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 Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 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. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cool Runnings Address 58/63 The Park Yeovil Somerset BA20 1DF 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) 01935 414611 Cool Runnings Residential Home Ltd Mrs Maria Adele Hallett Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Both premises will be staffed by separate staffing rosters with not less than two staff on duty through the day/evening and one at night in each house. No more than 9 service users to be accommodated in No 58 The Park, and not more than 12 service users to be accommodated in No 63 The Park. To accommodate one lady, under 65 years, as named in application date 28/05/06. To accommodate one gentleman, under 65 years, as named in application dated 16/05/06. Date of last inspection Brief Description of the Service: Cool Runnings and Cool Runnings Too are residential care homes for older people. They are registered as one service with CSCI, named Cool Runnings Residential Home Ltd. The homes are located on opposite sides of a road in a quiet residential area of Yeovil, close to the town centre. The service has been reregistered with CSCI as a limited company, with no change to the ownership or management. The service is owned and managed by Mr Paul and Mrs Maria Hallett, who live close by. Cool Runnings accommodates 9 residents in single bedrooms and has a lounge/dining room and a conservatory. Cool Runnings Too accommodates 12 residents in single bedrooms and has a large lounge and dining room. Both homes are two-storey buildings and are staffed independently. Bedrooms are provided on both ground and first floors. Residents who are ambulant and able to use stairs are accommodated in first floor bedrooms. Those who are not able to use stairs either use the ground floor bedrooms or use stair lift if placed on first floor at number 58 The Park. Both homes have gardens and ample parking. Day care is provided to a limited number of non-resident service users and the home offers short break residential care when vacancies permit. The current fees range from £373.00 to £385.00 per week. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This unannounced inspection visit was carried out by two inspectors for CSCI over one day. The visit commenced at 10am. 20 service users in total were in residence at the two homes. Staff were on duty in each home, Mrs Hallett had been sleeping in overnight and had gone home, Mrs Hallett returned to the home when informed of the start of an unannounced inspection. Questionnaires had not been received at the home and were re-sent to service users and relatives for completion. An allowance of two weeks was added to the inspection programme to give time for responses to be returned to CSCI. Comments are included in the report taken from the responses of eleven service users and five relatives. Visitors, staff and the service users in each house were met and spoken with. Time was spent in the communal areas and in private with service users to hear about daily life at the homes. Lunch was observed at each home and a tour of the two care home premises was made. Records were sampled these included staff recruitment, care plans, maintenance and servicing records. Medication management and recording was checked. What the service does well: Cool Runnings offers a small homely environment for the service users. Mealtimes are social occasions where service users can if they wish, eat together. This was observed to be nicely done and a friendly rapport between the residents was heard. Visitors spoken with at Cool Runnings Too said they are made welcome when visiting and they had got to know the other residents. Visitors and families responding to CSCI with one exception expressed their appreciation of the environment, staff and the care given to their relatives in the home. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 8 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 Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. Prospective service users have the opportunity to visit the home and information about the home is available. Prospective service users are assessed prior to moving into the home to ensure that their care needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Hallett said she would visit prospective service users to make an assessment before an admission is made to the home, this ensures that care needs can be met at the home. One recent person recently admitted to the home had come along for an afternoon to see if they liked before coming in to stay. This was reported to have been enough to help the decision to move in. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 10 The first four weeks of residence is considered a trial period. Care plans were sampled for pre admission assessment and information from community professionals assessing the service user using the Single Assessment Process (SAP). Evidence was seen on file of this information being gathered to assist the admission and inform care planning. One relative was seen when visiting and they said the home had ‘worked wonders’, the resident confirmed that they were settled and ‘happy here’. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Service users asked said they are treated respectfully. Care plans are in place and provide personalised information. Service users have signed to agree to their plan of care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were sampled, these demonstrated a good level of information held to inform the personal care given and the health care support required to manage chronic ill health conditions. The care plans held detailed information about the person and how they like to spend their time. The records included good evidence of emotional care as Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 12 they held information about coping with anxiety and any triggers, usual sleep patterns and any pertinent warning indicators of ill health. Health care away from the home at clinics was recorded in the daily diary record. One relative said their relative was looking healthier since their admission to the home. Written feedback indicated that service uses felt they receive the medical support they need and staff are there when they need them. One relative said their relative was ‘better health wise and welfare wise since moving into the home’. One relative was concerned about the communication from the home following an accident, they were alerted days later. Another relative praised the care given to their relative when they were very ill, saying that the staff ‘did a wonderful job’. Personal care is delivered well, all services users looked well kempt and their clothing was nicely managed. More than one service user commented that bathing is on a rota basis and only one bath per week is planned per person. No one complained about this but it was brought to the attention of Mrs Hallett for her information. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. Service users spend their time as they chose and activities are organised between the two houses. Relatives are made welcome. Meals are nicely presented, social occasions, but a choice of menu was not clearly made. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are encouraged to live as independently as they are able. Service users asked said they could choose what time they get up and what time they retire at night. Bedrooms were personalised and looked comfortable. Service users who choose to stay in their rooms were seen and were content to do as they wished. Meals were taken to the rooms of people choosing to stay on their own. These meals were well presented and there had been a choice of meal made. Activities are offered and events are organised between the two homes. Service users, who are able to get out and about independently, do so. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 14 Service users and one visitor were met during the inspection in both houses. One service user said of living at the home a good thing is ‘ being able to do what I like’, The inspectors heard that service users go out to the nearby park, a very short walk from both houses. Also going into town or out with family and friends when they choose was enjoyed. Some of the service users said they knit, watch television. Events such as the bingo was also popular and attracted service users from both houses. Two service users currently keep cars at the home. The communal areas are well used and the conservatory at Cool Runnings Too leads onto well kept level gardens. The gardens are used for social events such as barbeques. Lunch was seen served in both houses. Meal times are social occasions and service users who choose to eat together were seen in the dining rooms. The meals were plated, nicely served, hot and well presented. The menu was liver, bacon, new potatoes and peas. Fruit squash to drink was available at the meal table. Service users offered various comments about the meal, no one complained but a common theme was that it was you ‘eat what you are given’, there is ‘no other choice’. ‘I don’t really like liver but I eat it anyway’. The manager said there is a choice and those wishing to have something else could. The inspectors felt this should be explored to ensure service users know that they can have a choice and a say in the menu offered at the home. The home has a four week menu that offers two included roast dinners per week. The kitchen was clean and tidy and all records seen for the kitchen were up to date. One relative commented that the home provides excellent meals; another said they thought the food was of poor quality. Service users comments were all positive about the food offered at mealtimes. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 Quality in this outcome area is good. There is a complaints policy and service users said they would be able to raise any concerns. Recruitment practice and procedures protect the service users from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints policy and procedure. Service users and their families confirmed that they would be able to raise any concerns they may have, with the home’s management. One person said they ‘’would speak up’ if unhappy about something. CSCI has received no complaints and the manager reported having received one complaint, this had been dealt with. Recruitment procedures and practice examined at this inspection. One new employee record was examined and this was complete. Recruitment practice would protect service users from harm. One service user who had been at the home for more than a year was asked whether or not there was an opportunity to go to vote in local elections. It was Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 16 confirmed that they were on the Register of Electors and would be given the opportunity to vote. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. Both houses were clean, homely and well maintained. Service users found their accommodation comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the both premises was made. The bedrooms were sampled and were found to be personalised with pictures and photographs. Both premises were clean and tidy, communal rooms were comfortable and provided both lounge and dining space. No unpleasant odours were detected. Service users have keys to their rooms and some chose to lock their doors when they leave them or go out away from the home. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 18 The management of laundry was reported to be well done. Communal bathrooms did not have paper towels for staff hand washing. This is recommended as good practice to reduce the risk of cross infection, as there are fewer hazards than when an ordinary washable hand towel is shared. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30 Quality in this outcome area is good. Staff recruitment was managed safely for the protection of service users. Staff were reported and observed to be very kind and respectful. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users spoke highly of the staff team saying they are ‘approachable’, ‘nice’ and ‘respectful’. One relative confirmed this and another stated they couldn’t ‘thank them enough’ and ‘nothing was too much trouble’. Care staff working at the home undertake caring duties but also the cooking and cleaning of the home. Two staff were spoken with in detail, one held a National Vocational Qualification and one was just starting an NVQ Level 2 course. One staff had Health and Safety training, first aid and catering training. Both said they enjoyed their work and had time for one to one with the service users. Time would be taken to offer manicures and chat. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 20 Staff are deployed as allocated Key workers to perhaps one or two service users. One staff explained that this means in effect that they would make sure the person allocated to them had any shopping they may need or help with buying presents or cards. Care plan reviews are made with the key workers reading through the care plans with the service users and agreeing any amendments. The manager has a daily presence at the home and oversees the care and service given at the home. The manager has pride in her staff team and has had only one leaver and one new starter in the past twelve months. No agency staff have been used in the past twelve months. Staff have worked extra hours to provide any cover needed giving continuity to the service. The staff team has achieved over 60 qualified to National Vocational Qualification, Level 2 or above. This exceeds the minimum standard that was set for 50 by 2005. One relative felt there could be more trained staff at night. Manual handling training is given at induction. This training is in house and is not given by a qualified manual handling instructor. This was discussed with Mrs Hallett who agreed to look into resources available locally for this. This remains as a requirement brought forward from the last inspection. The staffing at this inspection was found to be two care staff in each house. The night staffing is one sleep staff in at Cool Runnings and one waking night staff at Cool Runnings Too. No concerns with regard to the staffing of the home were heard at the inspection visit. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,37,38 Quality in this outcome area is good. The owner / manager is experienced. The home is run in the best interests of the service users. Quality Assurance monitoring is required this will ensure that the service develops and improves in line with the service user’s wishes. Maintenance is carried out for the health and safety of the service users in residence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Owner / manager Mrs Hallett is experienced and spends a lot of time at the home. Mrs Hallett says she has an open door management style. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 22 The home does not have an annual Quality Assurance policy or procedure to formerly monitor how the service users and their relatives find the service. This is required to ensure service users have the opportunity to offer feedback and as continuing best management practice in line with the National Minimum Key Standards. The home is well maintained and a new call bell system is currently being installed in Cool Runnings Too. The stair lift and bath lifts have been serviced in line with lifting and handling equipment safety legislation (LOLER). The fire alarm tests had been carried out and fire safety equipment had been serviced. A hot water monitoring system has been introduced for storage and safe delivery temperatures, this was recorded. Records are stored safely and access is appropriately restricted. Staff supervision records did not demonstrate recent staff supervision sessions. Supervision was recorded in December and January for a total of thirteen staff. The national Minimum Standards indicates supervision being given six times per year. Regular staff meetings are held. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 23 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 1 X X 2 3 2 Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP33 Regulation 24(1)(3) Requirement The Registered person shall establish and maintain a system for reviewing the quality of care provided at the care home. This system must be developed and evidence commitment to developing and improving the care service to meet the service users needs. The registered manager must ensure that staff received statutory training. This remains outstanding from 29.09.06 A suitably qualified manual handling instructor must give manual handling training. Timescale for action 06/09/07 2. OP30 18(1)(a) 06/09/07 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 OP38 Good Practice Recommendations The registered manager should purchase a Health and DS0000068414.V338186.R01.S.doc Version 5.2 Page 25 Cool Runnings 2. 3. OP26 OP36 Safety Executive accident book to standardise the recording of accidents within the two homes. Disposable paper towels should be available in communal hand washing facilities for staff. Staff supervision should be provided and recorded up to six times per year for care staff. Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Cool Runnings DS0000068414.V338186.R01.S.doc Version 5.2 Page 27 - 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!