Inspection on 02/02/06 for Exmouth House

This inspection was carried out on 2nd February 2006.

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

Exmouth House 02/04/07

Exmouth House 25/07/05

Exmouth House 16/03/05

Exmouth House 10/08/04

Similar services:

Fairfields Country Rest Home

Fairfax House

Claremont Nursing Home

Doveridge Care Home

Dunmore

Chatsworth

Dunraven Lodge

Eastleigh Care Homes, South Molton

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Exmouth House 12 Long Causeway Exmouth Devon EX8 1TS Lead Inspector Anita Sutcliffe Unannounced Inspection 2nd February 2006 09:15 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 Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Exmouth House Address 12 Long Causeway Exmouth Devon EX8 1TS 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) 01395 275926 01395 269084 Somerset Redstone Trust Ms Kathleen M Betts Care Home 31 Category(ies) of Dementia - over 65 years of age (31) registration, with number of places Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may admit one named person, aged under 65, in the category of DE Dementia The maximum number of placements, including that of the named individual, will remain at 31 On the termination of the placement of the named individual, the registered person will notify the Commission and the particulars and conditions of this registration will revert to those held on the 29th September 2003. 25th July 2005 Date of last inspection Brief Description of the Service: Exmouth House provides accommodation with personal care for 31 older people who may also have dementia. It is situated in a residential area of Exmouth close to the local health centre, hospital and schools and within a short distance of shops. The property is a detached, extended building. Bedroom accommodation is on the ground, first and second floors. All rooms are single occupancy and en suite. There is a passenger lift to both floors. A communal lounge, conservatory and dining room are situated on the ground floor. There is a small, enclosed garden area to the rear of the building and a car park at the front. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection began at 9:15 am and lasted 2 ½ hours. Several key standards were inspected, and the one requirement made at the last inspection to the home was assessed. The care of two service users (residents) was assessed by meeting them, reading records of their assessment and care planning, and visiting their room. Many of the home’s residents have profound communication difficulties, which limited conversation with them, but most were met during the visit. The home was toured, staff interviewed and records examined. Two visitors gave their opinion on the home. The person in charge for the inspection was the deputy manager. Contact details for the Commission were left at the home. What the service does well: What has improved since the last inspection? The revised kitchen-cleaning programme now ensures that cleaning is adequate; the kitchen was very clean on this occasion. The manager has reviewed the way the lounge and dining rooms are used, and made changes which staff feel are beneficial to residents. The home is now more secure so that only those entitled to enter can do so and residents are less likely to leave the building without family or staff assistance. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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 Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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 Care needs are met following thorough assessment and planning. EVIDENCE: Care needs are fully assessed and care is well planned from that information. The social history and interests of residents were particularly well written. Family felt that care needs were well met by a knowledgeable and dedicated staff. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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 & 10 Care is well planned, based on residents wishes, and health and care needs are fully met by well-informed staff. Residents are treated with respect and with full regard for their privacy and dignity. EVIDENCE: Staff take a pride in the standard of care they deliver and residents’ family were very satisfied with the standards achieved. Residents looked well cared for. Records indicated that the health care needs of residents are well met, with evidence of outside health care professionals giving advice and assistance on a regular basis. There is clear and consistent care planning based on good current practice. Personal and environmental risk assessments are included to ensure safety whilst promoting independence. The daily record of care given makes reference to the plan of how that care should be delivered, which is regularly reviewed. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 10 Staff were observed knocking before entering rooms and residents’ family confirmed that this is normal practice. Staff were observed being attentive and respectful to residents. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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 the following standard(s): Not inspected on this occasion. EVIDENCE: Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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 the following standard(s): Not inspected on this occasion. EVIDENCE: Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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 the following standard(s): 19, 20, 22, 24, 25 & 26 The home is clean, pleasant, well maintained and safe, and meets residents needs. EVIDENCE: The home is well maintained and all equipment regularly serviced. There is a regular programme of upgrading and revision. This has led to the dining and lounge areas having recently been changed around to provide more usable space. The home is exceptionally well equipped with aids to promote independence and safety. This includes a wheelchair lift to overcome steps, which might restrict the movement of less mobile residents. The home was clean and fresh throughout. The previously unclean kitchen was very clean on this visit. Hygiene is well managed through the provision of modern equipment, good staff hand washing facilities and protective clothing. Bedrooms are particularly pleasant. They have comfortable furnishings, are well decorated and show personal tastes, choice and interests. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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 & 30 The numbers and skill mix of staff were appropriate to meet the needs of current residents. Residents are protected by robust recruitment practice. Residents’ benefit from the home’s strong commitment to training, and staff knowledge will be further assured when more have achieved National Vocational Qualifications in care. EVIDENCE: The deputy manager, office administrator, two domestic staff, activities coordinator, chef and kitchen assistant, care supervisor, shift leader and three care staff were on duty for the inspection to meet the needs of residents. In addition, a newly employed member of care staff was being supervised. Residents’ family felt that the home provides sufficient staff, who they said were “dedicated and absolutely marvellous”. The records of two recently employed staff were examined. They contained all information necessary to ensure that residents are protected from persons unsuitable to work with vulnerable adults. Recruitment is approached methodically and systematically. Staff praised the home’s commitment to training, saying that they were encouraged to improve their knowledge and any relevant training they want is provided. Induction at the home is thorough, well organised and immediate; Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 15 staff do not work with residents until they are assessed as competent to do so. All staff are encouraged to undertake the NVQ in care Award to further assure their knowledge. Previously the home had achieved the standard of 50 , but currently 43 of staff have achieved it with 14.2 having started. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 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 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, 33, 35 & 38 The home is well managed, run in the best interest of residents, and their health and safety are properly attended to. EVIDENCE: The newly appointed manager, who has not yet been registered with the Commission, has clear ideas and has already made changes. Staff were in agreement that they are very well supported, and are pleased with the fair but direct approach of the manager who they say always listens to them. The organisation is very thorough in its approach to quality assurance. There are resident and family surveys, staff meetings, unannounced visits by the organisations representative and the manager undertakes audit of systems within the home, such as care planning and medicines administration. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 17 No current residents are able to fully manage their own financial affairs. Most keep an allowance with the home. These are kept securely with detailed, monitored records. The health and safety of residents is consistently managed to a high standard. Maintenance, servicing of equipment, training are all undertaken systematically and thoroughly. Recent changes include new security to the building, so that only those entitled to enter can do so and residents are less likely to leave the building without family or staff assistance. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 18 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 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 X 4 X 4 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 4 3 X 3 X X 3 Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 19 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 OP31 Regulation 8 Requirement The registered person shall appoint an individual to manage the care home where there is no registered manager in respect of the care home. [This refers to the requirement that the new manager be registered] Timescale for action 31/03/06 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 OP28 Good Practice Recommendations The home should achieve 50 care staff trained to NVQ level 2 (or its equivalent) as soon as possible. Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Exmouth House DS0000021936.V277941.R01.S.doc Version 5.1 Page 21 - 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. 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