Inspection on 08/02/06 for Ilford Park Polish Home

This inspection was carried out on 8th February 2006.

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

Ilford Park Polish Home 14/06/07

Ilford Park Polish Home 07/09/05

Ilford Park Polish Home 19/01/05

Ilford Park Polish Home 17/08/04

Ilford Park Polish Home 02/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Ilford Park Polish Home Stover Newton Abbot Devon TQ12 6QH Lead Inspector Megan Walker Announced Inspection 8th February 2006 09:45 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 Ilford Park Polish Home DS0000028772.V272226.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. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ilford Park Polish Home Address Stover Newton Abbot Devon TQ12 6QH 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) 01626 353961 01626 335088 Veterans Agency Clare Thomas Care Home 95 Category(ies) of Dementia - over 65 years of age (81), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (81), Old age, not falling within any other category (81), Physical disability over 65 years of age (95) Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only 14 beds for the provision of nursing care in category PD (E) One Service User (named elsewhere) who is under the age of 65 may continue to be accommodated. 7th September 2005 Date of last inspection Brief Description of the Service: This is a very spacious, purpose-built home set around a large courtyard garden, and within extensive grounds that are easily accessible. It is in a rural location about three miles from Newton Abbot, and is reached via a long private drive. The home is administered by the Veterans Agency, under the Ministry of Defence. The home provides care for people aged sixty-five and over, who must satisfy conditions of eligibility for admission under the Polish Resettlement Act 1947. Those accommodated may include people suffering from dementia, mental disorder or physical disability. The home is registered to provide personal care for up to 81 service users, and there is also a nursing unit for up to 14. The home does not provide Intermediate Care. There is an emphasis on promoting Polish culture, many of the staff are Polish speakers and there is a resident Catholic priest. All documentation is available in Polish and/or English. The different areas of the home have Polish names. There is a small shop offering Polish foodstuffs, open every day to service users and also to the general public. A Polish style diet is offered at mealtimes. The home offers accommodation for service users’ visitors in a separate bungalow within the home’s grounds. A small “Bed and Breakfast” fee is charged for use of this accommodation. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on Wednesday 8th February 2006 between 09h45 and 16h00 conducted by Rachel Proctor and Megan Walker. The inspectors toured the premises, and looked at care plans, residents’ files, medication records, and other documents and databases. (Some information is only currently available on computer databases.) Interaction between staff and residents, and staff attitudes towards residents were observed throughout the inspection. Clare Thomas (Registered Manager), Linda McVeigh (Nursing Manager), Jos’ Rice and Mary Collings (Care Managers), and Colin Carter (Care Officer) were present for most of the inspection to provide information about their responsibilities within the home. The inspectors also spoke to other staff. A Pre-Inspection Questionnaire was received prior to the inspection. Four residents and a relative visiting during the inspection offered opinions about living at Ilford Park Polish Home. Nine Service Users’ Comment Cards (five in Polish), and three Relatives/Visitors Comment Cards were received prior to the inspection. The Registered Manager suggested that English word “Sometimes” when translated into Polish on the Service Users’ Comments Cards needed to be re-phrased because it was misrepresenting the Polish understanding and therefore response to some questions. What the service does well: What has improved since the last inspection? Expiry dates for medication and medication no longer required are managed in an improved way thereby reducing the previous risk. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 6 Residents who were asked stated that staff knock on bedroom doors and try as much as its practicable to ensure the resident has heard the knock, before entering the bedroom. Staff were observed as being conscientious in this practice. 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. Ilford Park Polish Home DS0000028772.V272226.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 Ilford Park Polish Home DS0000028772.V272226.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 When it is feasible a prospective resident has a pre-assessment by the home. EVIDENCE: The home receives referrals for prospective residents who fit the criteria set out by the Veterans Agency, i.e., for people aged sixty-five and over, who must satisfy conditions of eligibility for admission under the Polish Resettlement Act 1947. Staff at the home are thereby restricted in their abilities to fully pre-assess anyone prior to moving into the home. Also due to some people already having advanced stages of dementia it is not always possible for staff to have information because the individual concerned is unable to give it to them. Individual residents’ files inspected showed limited information. In one case this was due to the circumstances under which this person moved to live at Ilford Park. Staff have subsequently built up sufficient details to create a comprehensive plan of care for this resident. In conversation with this resident it was confirmed that information was restricted prior to the move for reasons of safety and protection. This resident also confirmed that this practice had continued since living in the home and it was the resident’s prerogative to Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 9 disclose information when desired to other residents, staff, and/or other parties. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 10 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): 8,9,10 Residents can feel confident that measures are being taken by staff to ensure privacy and dignity. A competent staff team meets the residents’ health care needs. EVIDENCE: The residents’ care plans viewed in the nursing unit and two-day space areas clearly stated how the resident’s health care needs would be met. Clear wound care planning was evident in the nursing unit. This demonstrated wound healing and recorded the types of treatment used. A record of all GP advice following a resident consultation was clearly recorded and changes to the care plan reflected this advice. There was a clear record of involvement of other members of the multidisciplinary team in the resident’s plans of care. One resident who had been identified as at risk of falls had been provided with gel like protectors, recommended by the Falls clinic. This resident’s family was supportive of staff actions and this was documented in the individual’s plan of care. The way “medication given” is recorded, and the disposal of unwanted medication, were reviewed in the nursing wing and two day space areas. The controlled drug record book on the nursing wing was checked against the stock Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 11 and found to be correct. The nursing unit manager had introduced the drug disposal system in line with pharmaceutical recommendations since the last inspection. The record of the disposal of drugs through the system had been signed and witnessed by the manager. The manager further advised that the drug disposal bin was kept in a locked cupboard until the clinical waste company collected it. The records of medication given were checked for six residents; staff administering the medication had signed the records. A copy of the self-medication assessment form was available during the inspection. The care manager advised that this was used to assess individual residents’ ability to manage his or her own medication. Since the last inspection the RNID (Royal National Institute for the Deaf), has been requested to visit for an onsite assessment of the premises. It is hoped by the management that advice about practical aides such as flashing doorbells, may be suggested. The management and staff will then consider installation of any devices they perceive will act to enhance and enable more privacy and dignity for residents. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 12 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): 12, 13, 14, 15 Residents can be confident that daily life and social activities are managed in such as way to be relevant to them. EVIDENCE: On the day of the inspection everyone living in the home was of a Christian faith and of Catholic denomination. A Polish Catholic priest is resident in one of the bungalows within the grounds of the home and is available to provide ministry to residents at a time of need as well as regular services of worship, confession and Hoy Communion. The home also has a chapel which is used daily by residents. People from the local community can join with the residents to attend Sunday worship and Mass. This is very much a focal and integral part of life for many of the residents. It also provides a regular common interaction with the local community enhanced by regular contact from the Bishop with home. The Registered Manager stated that in the past the home has had residents who are of Jewish and Russian Orthodox faith. In each instance a relevant member of the clergy (Rabbi and Russian Orthodox Priest) has visited the individuals. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 13 At the time of the inspection the Registered Manager stated that there were some residents about whom little is known because of their advanced stage of dementia, and this included their religious faith, if any. The majority of the residents living at the home on the day of the inspection were of Polish birth, however there were others who were English and Italian. These residents had met the criteria for admission to the home under the Polish Resettlement Act 1947. One of the residents spoken to confirmed that having lived at the home as a married couple for several years, it was a continuation of a way of life, being part of a Polish culture and helping in coming to terms with the death of a spouse. This resident did not think that a care home catering for predominantly English culture would meet needs other than care, and therefore preferred to remain living in a home offering a Polish culture that had become a way of life for over fifty years. Residents spoken to confirmed that their families and friends could visit when they choose. Relatives’ Comments cards stated: “…always made very welcome and there is somewhere to stay when I visit.” “…I feel Ilford Park has a welcoming atmosphere,” “...The community of Polish people is warm and friendly.” The home has five bungalows within its grounds and one of these is available to any visitors who wish to stay. Staff confirmed that this is a popular option for many family members who travel long distances because this accommodation affords the possibility to spend more than a few hours with their relative. One resident stated that her family were coming to visit for a week from Poland and would be using the bungalow. She also confirmed that they would have the opportunity to eat in her room with her, in the dining room with other residents, or they may go out! A staff member agreed that families were always welcome to eat with their relative although preferably with advance notice. Menu plans seen were written in both Polish and English. They showed a variety of dishes available at all meal times, with Polish as well as more traditional English menus. On the day of the inspection steak and kidney pie with cabbage and potatoes was the main course being served. Sandwiches and salads were also on the menu if preferred. Comments received from residents both on Comments Cards and verbally stated that food was generally good although not like “home cooking”. Staff spoken to stated that it was difficult to meet everyone’s preferences because the same Polish dish would be cooked differently dependent on the region from which a resident came. It was also commented that this was much like trying to please everyone with such a national variety of “typically” English foods. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 14 Since the last inspection a Torbay Hospital Dietician has approved the home’s menus as suitable for diet-controlled diabetics because all the food is prepared low in fat and low in sugar. A member of staff stated that since this report four weeks prior to this inspection, all residents with Diabetes have been on the same menu as those residents without special diets, and all blood counts and other relevant tests have proved to be stable. Staff also stated that it made it easier for residents who were confused because “they no longer felt hard done by being given a different pudding”, for example. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were inspected on the previous inspection. EVIDENCE: Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 16 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, 26 Residents live in a well-maintained, clean, safe environment. EVIDENCE: Since the last inspection a new carpet has been fitted in “Day Space One”. A footpath has been built around the building to enable residents easier and better access to walk around outside. Twenty more fire door closures are due to be fitted by the end of this month, February 2006. A risk assessment has been completed for a resident who does not want a regulated water valve on the shower and wash hand basin. The Registered Manager stated that this would be kept under review. Several cleaners were working in the home during the inspection. One relative commented that the home is always clean and fresh. Clinical waste disposal is managed through a yellow bag system, which is clearly marked. Staff providing personal care for residents had easy access to gloves, aprons and hand washing facilities. One visitor commented that their relative’s personal clothing was well cared for by the staff. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 17 Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 18 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): 28, 29, 30 Residents are protected by robust recruitment procedures and training plans for staff. EVIDENCE: Files of staff who have started working at the home since the last inspection were seen. They had two written references, copies of birth certificates, passports and photographs on the files. There was also evidence of CRB checks, a Health Declaration, and a Notification of Security Clearance from the Defence Vetting Agency. This is because all staff employed at the home are subject to Ministry of Defence vetting procedures. All recruitment packs (application forms) are held by the Head office and not in the home. Staff are very proactive about training. For training providers the home uses Age Concern, Market Training (an independent trainer/consultant), Impact, Lifeboat, and the Suzy Lampoon Trust (for personal safety). The Registered Manager stated that the home tries to use as many different training providers as possible. Most courses are arranged at the home so trainers can run courses to fit in with staff shifts, either between 09h00 and 16h30, or short courses during the morning and repeated in the afternoon. Mary Collings and Martin Thompson, (both Care Officers), are responsible for all Manual Handling training. Mary Collings confirmed that staff are due for an update on the 22nd February 2006 and she is currently working out a training plan for half-day courses for staff. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 19 Local GPs provide monthly In-House training such as in January they ran a course on E.C.G.s, and this month, February, they will be doing a course in First Aid. Physiotherapists and District Nurses also come in to the home to give short sessions or whole day courses on alternative months. A Training database was seen and this provided up to date information on each member of staff and all the courses attended and completed. It also gave information about the most recent training for staff since the last inspection. This included details of fifteen staff that have completed P.O.V.A. training. In supervision of care assistants, the Care Officers highlight “gaps” in training; for example, one care assistant interested in arts and crafts attended a course run by Age Concern about “Crafts and Older People”. This care assistant now runs an art group for residents wishing to participate in this sort of activity. Distance Learning courses are currently being set up with North Devon College to include Infection Control, Healthy Eating, and Hygiene In Care. A Care Manager confirmed that a meeting with assessors and trainer has been arranged for the 15th February 2006. A Care Officer has recently successfully completed a Dementia Mapping Course with Bradford University and a Care Manager is due to study a BSc Hons in Dementia Care course starting in September 2006. Consequently this staff member is to visit homes around the country that specialise in Dementia Care. Both members of staff are planning an exercise in Dementia Care Mapping. This will involve each of them spending a six-hour period with a specified group of residents, watching and recording their interactions with one another, staff, their environment, etc, during those six hours. The Care Manager explained that this is based on the Person Centred Approach to Care and it is intended that the results will be used to assist in all future care planning and reviews of individual residents’ needs. Its ultimate aim is to provide staff with personalised care plans. The Care Manager confirmed that when this exercise starts it will be in “Day Space Three” from lunchtime onwards and will be an observation of a group of at least four residents. Jos Rice is the Falls Co-Coordinator for the home. She has linked in with the Falls Clinic at Newton Abbott and an exercise group run by a care assistant has recently been started at the home. A new “Falls” database is being set up by the home and was seen as part of this inspection. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 20 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): 33,35, The residents at Ilford Park can have confidence that they will be consulted about the things that affect them. EVIDENCE: The Registered Manager provided the results of stakeholder and residents questionnaires completed in 2005. The comments received from stakeholders included everyone is always very approachable and willing to help; we have a very good relationship with the residential units and also the nursing unit, working together for the benefit of the patients. The relatives response to the question Do you feel the standard of care at Ilford Park is… responded with good or very good. The comments received from the relatives included Ilford Park is a wonderful place, the staff are efficient and very kind. The Registered Manager confirmed that a quality assurance assessment through questionnaires is completed annually. The copy of the last quality assurance completed was provided for inspection. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 21 Residents’ financial interests and how these are safeguarded was discussed. Records of individual bank accounts for named residents were seen and funds paid in and out balanced. Those residents who are unable to manage their own financial affairs have withdrawals from their accounts authorised by the Registered Manager and any money spent has receipts provided. One resident’s record was checked. Individual bank statements and receipts were available for money withdrawn and money spent on behalf of the resident. Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 22 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 A 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 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 4 X X X X X X 4 STAFFING Standard No Score 27 X 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 4 X 3 x x x Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 23 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. 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. Refer to Standard Good Practice Recommendations Ilford Park Polish Home DS0000028772.V272226.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. 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