Inspection on 07/03/06 for Fistral House

This inspection was carried out on 7th March 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

Fistral House 01/09/08

Fistral House 03/09/07

Fistral House 30/05/06

Fistral House 22/09/05

Fistral House 03/03/05

Fistral House 07/09/04

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 Fistral House 3 Esplanade Road Pentire Newquay Cornwall TR7 1PY Lead Inspector Alan Pitts Unannounced Inspection 7th March 2006 09:00 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 Fistral House DS0000008927.V273558.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. Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fistral House Address 3 Esplanade Road Pentire Newquay Cornwall TR7 1PY 01637 878423 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) Mr Geoffrey Ernest Dowling Mrs Rita Gladys Dowling Mr Geoffrey Ernest Dowling Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include accommodation for two named persons only outside of the age range and other category of the home. 22nd September 2005 Date of last inspection Brief Description of the Service: Fistral House is a care home providing personal care and accommodation for up to thirteen older people. The home is located in a residential area of Newquay directly opposite Fistral beach. The home provides a conservatory for service users to enjoy the views. The home has all en suite (toilet and wash hand basin) bedrooms on the ground and first floor. There is a stair lift facility to all the bedrooms on the first floor. Communal accommodation is on the ground floor and consists of a lounge, dining room and conservatory. The home has a spacious level back garden and car parking is available at the front of the home. Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of care standards at Fistral House, which took place over a period of approximately 5 hours commencing at 9.30am on 7th March 2006. The inspector met with 5 service users, a number of staff and the registered provider, and toured the premises. All the service users spoken to were complimentary about the home generally and the kindness of the care staff. What the service does well: What has improved since the last inspection? What they could do better: Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 6 The home could make better use of the information gleaned from quality assurance questionnaires by publishing a summary that is available to service users and their representatives. 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. Fistral House DS0000008927.V273558.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 Fistral House DS0000008927.V273558.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): 2, 5, 6 The registered provider provides a written contract to each service user. Prospective service users and/or their representatives have the opportunity to visit and assess the suitability of the home. The home does not provide intermediate care. EVIDENCE: Written contracts are provided to each service user and their representatives, and a Statement of Purpose and Service User Guide are also provided. Prospective service users are invited to see the home and are involved in the completion of the pre-admission assessment documentation. Intermediate care is not provided at Fistral House. Fistral House DS0000008927.V273558.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): 10, 11 Service users confirmed that staff knock before entering rooms and are respectful of their right to privacy. Service users are cared for with sensitivity and respect. EVIDENCE: Staff were observed to deliver personal care with respect for the service user’s privacy and dignity. All the service users spoken to expressed very positive comments on the staff employed by the home. One bedroom is presently being shared in the home with the other bedroom being used as a sitting room for two service users. A number of service users have their own telephone lines in their bedrooms, but calls can be made and received in private without this facility. The home has in place a policy and procedure on death and dying to guide staff in this sensitive area. The home encourages service users to stay at the home with the support of the community nurses for health care needs when required. Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 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): 14 The service users spoken with confirmed that they would feel able to express a choice and that they were free to largely determine their own lifestyle. EVIDENCE: The service users spoken with confirmed that they would feel able to express a choice and that they were free to largely determine their own lifestyle. The service users said that they thought the registered provider and staff were approachable Social care needs are identified in each service user care plan and the daily records evidence how individual social care needs are being met. Staff currently document what a service user has been doing during the course of a day in an activity record, and discussion took place as to the merits of this information being entered in the individual service user’s file instead. Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 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): 17 Service users said that they felt that their legal rights were respected. EVIDENCE: All service users are entered on the electoral roll and therefore have the opportunity of participating in the civic process. Mail is delivered unopened, though assistance is available if desired. All the service users have someone, external to the home, identified as acting in their interests. Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 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): 21, 24, 25 There are sufficient lavatory and bathing facilities available to service users. Service users live in safe, comfortable, and pleasant accommodation. EVIDENCE: All service user rooms are en-suite, and all but three offer a shower or bath). There is one communal lavatory and one communal bathroom. The baths have mixing valves to control the supply of hot water. The home generally offers level access, stair lifts, pressure relieving equipment, call bell system, moving and handling aids and a variety of grab rails are provided. Various bedrooms have been redecorated and the gardens are well maintained. The heating is provided through radiators in each room with individual controls and protective guards. Appropriate ventilation and window restrictors in bedrooms are provided. The home is clean, well decorated and furbished throughout and service users were seen to enjoy personal possessions in their rooms. Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 13 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): 29 Service users are protected by the home’s employment procedure. EVIDENCE: A sample of staff personnel files was inspected and seen to demonstrate adherence to a robust employment procedure, including the acquisition of relevant references, Protection Of Vulnerable Adults, and Criminal Records Bureau checks. There is an evident commitment to ongoing staff training with approximately 70 of care staff having achieved NVQ Level 2 or above. Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 14 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): 33, 34, 35, 36, 37 This is an established, well managed home. There are accurate financial records. Regular and frequent staff supervision is occurring. Policies and procedures are operational and are under ongoing review. Records are stored securely. EVIDENCE: There are effective quality assurance and monitoring systems in use, which seek the views of service users and other relevant parties (e.g. District Nurses). The registered provider should consider how best to publish the findings and make them available to current and prospective service users, or their representatives (the option of publishing in the home’s Service User Guide was discussed). Appropriate and current insurance cover is in place. The registered provider looks after the money of a small number of service users. Each service user has their own record book, and all financial transactions are recorded with supporting receipts. Care staff receive regular supervision, a Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 15 sample of records being seen at the time of the inspection. Records are stored securely and are kept up-to-date. Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 16 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 3 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X 3 X X 3 3 X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 3 3 3 3 X Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 17 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. Standard Regulation Requirement Timescale for action 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 OP33 Good Practice Recommendations The registered provider should consider how best to publish the findings and make them available to current and prospective service users, or their representatives (the option of publishing in the home’s Service User Guide was discussed). Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 18 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 Fistral House DS0000008927.V273558.R01.S.doc Version 5.1 Page 19 - 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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