This inspection was carried out on 9th October 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Cowbridge Nursing Home Rosehill Lostwithiel Cornwall PL22 0JW The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Diana Penrose Date: 0 9 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Cowbridge Nursing Home Rosehill Lostwithiel Cornwall PL22 0JW 01208872227 01208873109 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Cornwallis Care Services Limited care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia 0 0 Over 65 30 30 Conditions of registration: Service users to include one named adult under 65 years of age with a mental disorder (MD). Date of last inspection Brief description of the care home Cornwallis Care Services Ltd, own two nursing and one residential care home in Cornwall. Cowbridge Nursing Home is registered to provide accommodation and care to 30 residents who may experience mental health problems or dementia. Cowbridge Nursing Home is a detached property situated on the outskirts of Lostwithiel. The original house has a modern day extension. The grounds are extensive with views over the surrounding countryside. There is an area of garden and a patio that are enclosed and accessible to people using the service. Accommodation is provided on two floors with a very small passenger lift for access. There are rooms for both single and double accommodation - only one room has en-suite facilities. Assisted bathing and shower Care Homes for Older People
Page 2 of 9 facilities are provided. All rooms have call bells. There are three sitting rooms and a dining room. Refurbishment is currently taking place. Information about the home is available in the form of a statement of purpose and residents? guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from 478.67 pounds to 600 pounds per week; this information was supplied to the Commission on 28/03/08. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Care Homes for Older People Page 3 of 9 What we found:
We met with the manager to review the requirements and recommendations set at the last key inspection on 28 March 2008. An improvement plan has been received in respect of the requirements. An expert by experience accompanied the inspector on this inspection to talk with residents and staff about life in the home. This is a record of our findings. Requirement 1 We were shown information provided to people using the service regarding their fees and the nursing contribution was shown separately. This requirement is now met. Requirement 2 The risk assessment document for the use of restraint has not yet been developed fully, the manager assured us that this would be done within one month of this inspection. The restraint policy has been updated. Requirement 3 We were told that the new controlled drugs cupboard had been ordered. Since this inspection we have been informed that it has arrived. This requirement is now met. Requirement 4 The manager stated that there is currently no covert administration of medicines. This requirement is now met. Requirement 5 Medicine charts were examined and there were records of all medicines received included on the charts. This requirement is now met. Requirement 6 The training matrix supplied to us shows all care staff have received abuse training. Three ancillary staff are booked to attend by the end of November 2008. This requirement is now met. Requirement 7 The wet room has been completed and has vastly improved the bathing facilities for people using the service. This requirement is now met. Requirement 8 We toured the building and found that all the major issues in respect of the environment have been dealt with. Further re-decoration has taken place and the doors to bathrooms and toilets have been colour coded to help people identify them. The plastering that was required upstairs has been completed and the adjacent room is now occupied by one person which gives much more space for the occupant and for staff to work in. New pictures have been displayed in the corridors and a second piano has been provided in the dining room. A new boiler has been installed and has improved the heating system. We were told that new carpet has been ordered for the downstairs corridor and lounge. This requirement is met. Requirement 9 More Registered Mental Nurses (RMN) have been employed and there is one on duty at all times, which ensures someone skilled in the care of people with dementia or a mental illness is available for people using the service and for staff to consult. The manager said she has an assessment tool for assessing the competency of nurses to be in charge of the home should the need arise. This requirement is now Care Homes for Older People Page 4 of 9 met. Requirement 10 The electronic training records were supplied to us and show that a great deal of training has been provided since the last inspection and that statutory training is now up to date. This requirement is now met. Recommendation 1 Individual life histories have been compiled for all residents. The manager said that she hopes to improve on the present format. Recommendation 2 There is one person that has insulin injections, her medicine chart was seen and the injection sites are now recorded. Recommendation 3 The door at the bottom of the stairs remains locked, the manager stated this is for the safety of the residents and she feels it is appropriate at this time. A risk assessment has not yet been undertaken to see if an alternative method could be used to allow better access to staff and visitors. Recommendation 4 There has been no sluice provided upstairs Recommendation 5 The manager said she intends to review the homes policies in due course. She has only been employed since May 2008. The expert by experience found that the staff working in the home are very kind and caring and that they were very attentive to peoples needs without being patronising. They knocked on doors and respected residents privacy while she was there. She found that there were no offensive smells and that the home was clean, warm and comfortable. She spoke to staff including the cook who has worked there for many years. She says the menu is set but special needs are catered for. The dinner being served looked well cooked and nutritious. I would think no one goes hungry. She was told that singing plays a big part in residents lives and that someone comes in to encourage them to do various types of movement in the afternoons. People go outside when the weather is fine and have planted some pots of flowers. Knitting and other crafts are done by those who are able. What the care home does well:
The home employs staff that are kind and caring. The care documentation is detailed and life histories have been compiled for all of the people using the service. The environment has improved since the last inspection and makes the home a much more pleasant place to live in. The wet room has vastly improved the bathing facilities for people using the service. The home is warm and comfortable with no offensive odours. Care Homes for Older People Page 5 of 9 Peoples privacy and dignity are respected. Training is provided for staff to improve their knowledge and skills. Electronic records are maintained and kept up to date. More Registered Mental Nurses have been employed and there is one on duty at all times, which ensures someone skilled in the care of people with dementia or a mental illness is available for people using the service and for staff to consult. A member of staff is responsible for activities and this area has improved since the last inspection. Training has been provided for the manager and the activities co-ordinator. The meals provided are nutritious and there are some choices. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 13 The homes risk assessment 15/12/2009 for the use of restraint such as bed rails must be completed tospecify the risks to individuals and the action to be taken by staff This will ensure the safety and welfare of people using the service Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 19 The locking of the door at the bottom of the stars should be reviewed to improve the access for residents, as appropriate, staff and visitors. A sluice with a washer disinfector should be provided upstairs for infection control purposes. Policies should reflect the actual practice to be undertaken, so that staff know what is expected of them, this includes quality assurance, accidents and residents money 2 3 24 33 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
