Inspection on 14/02/06 for Lowenva

This inspection was carried out on 14th February 2006.

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

Lowenva 15/05/07

Lowenva 27/09/05

Lowenva 28/10/04

Lowenva 14/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Lowenva Rescorla St Austell Cornwall PL26 8YT Lead Inspector Alan Pitts Unannounced Inspection 14th February 2006 10:00 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 Lowenva DS0000044957.V277246.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. Lowenva DS0000044957.V277246.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lowenva Address Rescorla St Austell Cornwall PL26 8YT 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) 01726 850823 01726 850823 Margaret Ellen Eaton Mr John Michael Eaton Mrs Caroline Old Care Home 5 Category(ies) of Old age, not falling within any other category registration, with number (5) of places Lowenva DS0000044957.V277246.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 5 adults of old age (OP) Service users to include one named person only under 65 years of age on admission with a mental illness (MD) Total number of service users not to exceed a maximum of 5 For one named service user who falls into the category of learning disability (LD) and physical disability (PD) under the age of 65 years To include one named service user under the age of 65 who falls into the category of learning disability (LD) 27th September 2005 Date of last inspection Brief Description of the Service: Lowenva is a dormer bungalow home in the peaceful village setting of Rescorla. Far-reaching countryside views are enjoyed from several of the rooms. The Home is registered to provide personal care for five Service Users over the age of sixty-five, to include the service users as listed above. The facilities that conform to the new environmental standards. All rooms have ensuite facilities and are on the ground floor. There is a lounge with adjoining dining room and a conservatory, which are decorated to a high standard. Considerable work and refurbishment has taken place since the home opened. A car park has been built at the front of the home and there are plans to build another conservatory to the front of the home. Wheelchair access is available to the rear of the property. The well-stocked gardens are accessible from several exits in the property and are well cared for. There is a patio area and water feature. The Registered Providers live at the home and supervise the day-to-day running of the home. Lowenva DS0000044957.V277246.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a morning on 14th February 2006. Three of the Service Users were out attending day activities, and the Inspector spoke with the two Service Users who remained in the home. The inspector spoke with the registered provider, the registered manager, other members of staff, inspected records and toured the premises. What the service does well: What has improved since the last inspection? What they could do better: Lowenva DS0000044957.V277246.R01.S.doc Version 5.1 Page 6 The registered provider could improve the service user financial records in the home, and the frequency and recording of staff supervision. 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. Lowenva DS0000044957.V277246.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 Lowenva DS0000044957.V277246.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 Each service user has a written contract or Statement of Terms and Conditions, which they sign. EVIDENCE: A sample Statement of Terms and Conditions and contract was seen, which the relevant service user had signed. Lowenva DS0000044957.V277246.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): 9 The home operates an appropriate medication policy, which protects the service users. Medicines are administered safely. EVIDENCE: Medicine Administration Records were inspected and seen to be in order. The home keeps copies of repeat prescriptions. A medication policy is in operation. Where it is necessary to manually transcribe medicine prescriptions onto the Medicine Administration Records the registered provider should ensure that two initials are entered to show that the entries have been checked and are correct. The registered provider should not use Tippex on any records. Lowenva DS0000044957.V277246.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): These standards were inspected on 27th September 2005, and were therefore not inspected at this time. EVIDENCE: These standards were inspected on 27th September 2005, and were therefore not inspected at this time. Lowenva DS0000044957.V277246.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): 18 Service users are protected form abuse by a Protection Of Vulnerable Adults policy and the registered provider’s proactive approach to the welfare of the service users. EVIDENCE: There are up to date Protection of Vulnerable Adults and whistle blowing policies. Staff training has been undertaken and this is recorded within the staff training records. The registered provider should ensure that there is a clear Protection Of Vulnerable Adults procedure, which gives step-by-step instruction to staff (including relevant contact information), as to what to do in the event of an allegation of abuse. The service users have good contact with other agencies via social/recreational activities, and the registered provider maintains good links with other professional agencies (Social Workers) and service user’s family and representatives. Lowenva DS0000044957.V277246.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): These standards were inspected on 27th September 2005, and were therefore not inspected at this time. EVIDENCE: These standards were inspected on 27th September 2005, and were therefore not inspected at this time. The inspector did tour the premises though, which were pleasantly decorated, furnished, and clean throughout. Service user accommodation was seen to be comfortable and reflected individual service users personalities. Lowenva DS0000044957.V277246.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, 30 A sample staff employment file was inspected and seen to support the home’s use of a robust employment procedure. The registered provider has made an ongoing commitment to staff training and development in order to ensure that staff are optimally skilled for the jobs they do. EVIDENCE: A sample staff employment file was inspected, which demonstrated the home’s adherence to a robust employment procedure. There are 5 staff employed at the home, of which 1 is commencing LDAF training later this year, 1 is undertaking the Registered Managers Award, and 2 have already achieved NVQ Level 2 or above. The registered provider confirmed a commitment to ongoing staff training and development, and discussion occurred regarding the use of resources such as ARC and BILD. The registered provider advised the inspector that all the staff have received a General Social Care Council handbook. The registered provider should make arrangements to ensure that the home’s induction programme is a National Training Organisation (Skills for Care – www.topssengland.net) compliant induction programme. Lowenva DS0000044957.V277246.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): 35, 36 There is no reason to doubt that service user’s financial interests are safeguarded, though the recording of financial interactions could be improved. Staff are being supervised though improvements could be made in the regularity and recording of this. EVIDENCE: Most service users handle their own monies. There is a Management of Service user’s Money and Financial Affairs Policy. One service user needs assistance with financial matters and the registered provider should ensure that there is a relevant record for each transaction. The registered provider has already taken steps to ensure the provision of a bank account for this service user. The records demonstrate that all staff are receiving supervision and have an appraisal annually. Staff meetings and training supplement this process. Whilst the Commission for Social Care Inspection reserve the right to inspect Lowenva DS0000044957.V277246.R01.S.doc Version 5.1 Page 15 supervision records, this would not be done routinely, but evidence of regular and frequent supervision happening is required. As discussed, the registered provider could ensure that there is evidence of supervision being planned and occurring in the home’s diary (supported by two staff initials). The registered provider should make arrangements to ensure that supervision occurs more regularly. Lowenva DS0000044957.V277246.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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 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 2 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 2 2 X X Lowenva DS0000044957.V277246.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 OP9 Good Practice Recommendations Where it is necessary to manually transcribe medicine prescriptions onto the Medicine Administration Records the registered provider should ensure that two initials are entered to show that the entries have been checked and are correct. The registered provider should not use Tippex on any records. The registered provider should ensure that there is a clear Protection Of Vulnerable Adults procedure, which gives step-by-step instruction to staff (including relevant contact information), as to what to do in the event of an allegation of abuse. The registered provider should ensure that there is a relevant record for each service user financial transaction. The registered provider should make arrangements to ensure that supervision occurs more regularly. 2. OP18 3. 4. OP35 OP36 Lowenva DS0000044957.V277246.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 Lowenva DS0000044957.V277246.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. 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!