Inspection on 13/09/05 for Exebank [Warren View]

This inspection was carried out on 13th 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 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

Exebank [Warren View] 20/06/06

Exebank [Warren View] 16/02/06

Exebank [Warren View] 28/02/05

Exebank [Warren View] 17/08/04

Exebank [Warren View] 09/03/04

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 Exebank (Warren View) Mudbank Lane Exmouth Devon EX8 3EG Lead Inspector Caroline Rowland-Lapwood Unannounced 13 September 2005 th 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. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Exebank (Warren View) Address Mudbank Lane, Exmouth, Devon, EX8 3EG 01392 381430 01395 222854 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) Mr Ian Rice, Devon County Council Mrs Deirdre Susan Jennings Care Home 30 Category(ies) of PD - Physical Disability (2) registration, with number PD(E)-Physical Disability over 65 (2) of places SI - Sensory Impairment (2) SI(E) - Sensory Impairment over 65 (2) OP - Old Age (28) Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 4/7/2003 This registration allows the admission of up to 2 persons, aged 50 and over, in the category of SI - Sensory Impairment 4/7/2003 This registration allows the admission of up to 2 persons, aged 50 and over, in the category of PH - Physical Disability Date of last inspection 28/02/2005 Brief Description of the Service: Exebank is a detached purpose built Local Authority home which provides care for up to 30 people over the age of 50 years, who may have a sensory or physical disability. The accommodation is arranged on two floors, each having two long corridors with bedrooms on both sides. There are two lounges, dining areas and communal bathroom facilities including a sluice room on each floor. All bedrooms are single, with 24 below 10 square metres. 8 bedrooms are approximately 14 square metres, and one room has an en suite facility.Each floor has a specialised purpose. On the ground floor respite care (for those whose carers need a break) and recuperative care are provided. There is one long stay service user on this floor, but it is not intended to provide long term care for any other service users in the future. On the first floor there is accommodation for physically frail service users who need help to improve their skills and level of independence. There is level access to the building and service users are able to enjoy the grounds, with pleasant lawns and patio area and outstanding views across the Exe estuary. A day centre shares the same building but has a separate entrance. The former staff flat on the first floor is to be converted to offices to enable improvements to resources for service users within the main part of the building. There is no plan to increase occupancy. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three and a half hours on 13th September 2005. The Registered Manager, Mrs Deirdre Jennings and the assistant manager Paul Andrews were present during the inspection. Residents, and members of staff on duty also took part in the inspection. The inspector looked around the building; a number of records were inspected, which included the pre inspection questionnaire, six comment cards received from relatives and the care plans. Nearly all of the residents were seen or spoken with during the morning by the inspector. Three care plans were picked at random and three residents were case tracked. What the service does well: What has improved since the last inspection? What they could do better: The home continues to provide high quality care with competent staff in a welldecorated and pleasant environment. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 6 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. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 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 standard(s) 1,3,5,6 Pre admission arrangements ensure that residents’ needs and wishes are fully understood and that they are helped make the right choice of home. EVIDENCE: Exebank has a very high rate of admissions and discharges. All service users admitted have a care plan generated from assessments. Those service users admitted for rehabilitation have care plans that are goal and problem solving oriented. Those admitted for respite or recuperative care have care plans, which are necessarily far less comprehensive. If service users use Exebank for regular short stays then their care plans are updated every six months. Written and verbal information is given to prospective residents before admission. Prospective service users have a thorough assessment before their admission to the home. Evidence was seen of this in the care plans. Families are encouraged to visit the home before their relative/friend are admitted if they so wish to. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 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 standard(s) 7,8,9 & 10 Service users’ privacy and dignity are met and promoted by the staff and management team at Exebank. In general procedures in relation to medication are very good. However, not all residents are being properly protected because the current medication policy is not being adhered to. EVIDENCE: The home promotes residents’ welfare in co-operation with families and health care professionals, evidence was seen of this in the individual care plans and visiting professionals notes. The inspectors looked closely at three residents’ experience of the home. Their care plans included detailed information about their needs. They were well laid out and easy to read. Staff were seen knocking on bedroom doors and treating residents with respect and kindness. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 10 All the residents that spoke with the inspector said that the staff were very helpful, kind and worked very hard to meet their needs. Some of the comments made included “very good place”, “the staff are kind” and “ I am very happy here”. Comment cards were received from some relatives prior to the inspection. All the comments made were extremely positive and praised the home and its staff. The comments made included “ My family and I have been impressed by the high level of care, the encouragement to my mother to be as independent as possible, and the respect, sensitivity, kindness and warmth always shown to my mother and all her visitors” and “ Excellent friendly staff and very caring”. The medication records were inspected all were seen to be in good order. The medication trolleys were looked at, one contained medicines, which were not labelled and were open, some medication was there that should have been returned. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 11 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) N/A These standards were not inspected on this occasion. EVIDENCE: Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 12 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) 16,18 Residents are confidant that they are listened to and their requests actioned. Arrangements for protecting service from abuse users are satisfactory. EVIDENCE: There is an information pack in each bedroom included in this is a copy of the complaints procedure. Residents confirmed that they felt able to voice any concerns or complaints to the staff and management. All staff have regular updates with regard to training in the protection of vulnerable adults. Six staff are about to have this training and a remaining six will be receiving the training in the near future. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 13 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) 19,20,23,24,25,26 Residents live in a safe, comfortable and clean environment that is well maintained. EVIDENCE: Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 14 The home is well maintained and decorated. The home is well located in a residential area, close to shops and bus services. There is limited car parking on site, and also car parking on the road outside. There is a large patio area ideal for sitting outside in warmer weather to the rear of the building with spectacular views overlooking the Exe estuary. There is level access into and around the home. The home is arranged over two floors, with a passenger lift between each floor. On each floor there is a lounge and dining room, toilets and bathrooms. The home has been well maintained and decorated throughout and appeared bright, airy and comfortable. There are no CCTV cameras in the home. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 15 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 The numbers and skill mix of competent staff are sufficient to meet residents’ needs. EVIDENCE: Residents spoken to said that the staff were kind and caring and were always there to help. During the visit staff were observed spending time with residents and responding to their needs promptly. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 16 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) 38 The inspector found that in general the health, safety and welfare of service users and staff are well provided for. EVIDENCE: This standard was not fully inspected. Water temperatures are regulated to prevent harm from scalding. The procedures in place to deal with dangerous substances were satisfactory. Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 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 x 3 x x x x x x x 3 Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 18 No 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. Standard 9 Regulation 13(2) Requirement The Registered person shall make arrangements for the recording,handling safe keeping, safe administation and disposal of medicines receinved into the care home. (This relates to unlabelled, open medicine in the medicine trolley). Timescale for action 30/09/05 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 Good Practice Recommendations Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Exeter Office, Suites 1 & 7 Renslade House Bonhay Road Exeter, EX4 3AY Tel: 01392 474350 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 Exebank (Warren View) D54-D06 S39189 Exebank V235715 130905 Stage 4.doc Version 1.40 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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