Inspection on 05/10/05 for Mont Calm Lydd

This inspection was carried out on 5th October 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

Mont Calm Lydd 01/09/08

Mont Calm Lydd 11/03/08

Mont Calm Lydd 11/10/07

Mont Calm Lydd 18/10/06

Mont Calm Lydd 24/05/05

Mont Calm Lydd 24/11/04

Mont Calm Lydd 08/06/04

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

CARE HOMES FOR OLDER PEOPLE Mont Calm Lydd Manor Road Lydd Romney Marsh Kent TN29 9HR Lead Inspector Wendy Mills Unannounced Inspection 5th October 2005 13:30 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 Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mont Calm Lydd Address Manor Road Lydd Romney Marsh Kent TN29 9HR 01797 321127 01797 321127 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 Stephen Anthony Castellani Mrs Julie Ann Downham Care Home 22 Category(ies) of Dementia - over 65 years of age (22) registration, with number of places Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users under the age of 65 are restricted to one (1) whose DOB is 27/11/1940. Service users under 65 years of age to be restricted to one (1) whose DOB is 22/08/1946. 24th May 2005 Date of last inspection Brief Description of the Service: Mont Calm Residential Home, Lydd, formerly known as The Manor House, is a care home, registered for twenty-two older people with failing mental capacity. It is situated in the small coastal town of Lydd. There are some local shops and a church nearby. There is easy access, by road, to the larger towns of New Romney, Hythe and Folkestone. The registered provider for the Home is Mr Steven Castellani. Mrs Susan Page is the manager for the Home and her application for registration with the CSCI is currently being processed. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection began at 1.30pm and lasted for three hours. The inspector spoke to the, the manager, four residents, one relative and two members of staff during the course of the inspection. A tour of the Home was undertaken and direct and indirect observations were made throughout. Key documentation, including a sample of care plans, was examined in detail. The Home continues to make progress in achieving the National Minimum Standards and to improve the environment. All the residents appeared well cared for on the day of inspection. The inspector thanks everyone for their assistance during this inspection. What the service does well: What has improved since the last inspection? More bedrooms have been re-decorated and fitted with new carpets. The home has improved the way it looks after the health of the residents. There is now a shady, paved area in the garden with tables and chairs. Some of the residents have enjoyed sitting here during the summer. The home has improved the way in which it responds to complaints Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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 Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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): No standards in this section were inspected during this visit EVIDENCE: Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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 & 11 The home threats the residents with respect and values their dignity. It has improved the way it cares for their health and manages end of life issues very well. EVIDENCE: A sample of care plans was examined. This confirmed that all appropriate healthcare professionals have been consulted and their advice implemented. All the residents were in good health, appeared well cared for and were well dressed on the day of inspection. A relative said that he is happy with the care the home gives and that they always make him welcome when he visits. Mrs Page, the manager, said that the home aims to care for residents at the end of their lives providing they can meet their needs. Staff were observed to treat the residents with kindness throughout the time of inspection. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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): 12, 13 & 14 The Home works to provide a lifestyle in the Home that meets the expectations of the residents and their supporters. The home helps the residents maintain contact with their friends and family. The home has improved the way in which it supports choice, however, some work is still required in this area. EVIDENCE: An activities co-ordinator visits the Home three times a week. Life histories of the residents are recorded in the care plans. A relative said that he is always made welcome and that he can visit at any time. Mrs Page talked about the way the home recently gave support to a familiy of a terminally ill resident. It was clear that every effort was made to help the family through a very difficult time. Some staff said that they think that some residents are still getting up too early. This means that they are tired and often fall asleep in their chairs during the day. They said that these residents sometimes look uncomfortable. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 Page 11 The manager should check to see if this is the case. The home should also consider if it would be appropriate for some residents to rest on their beds, rather than sleeping in chairs, if they look uncomfortable. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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): 16 & 18 The complaints system is satisfactory and the home has improved the way it responds to complaints. There are sound policies and procedures in place in respect of the Prevention of Abuse. EVIDENCE: The CSCI received one complaint since the last inspection. This was partially substantiated. The home acted in a timely way to rectify the concerns and learned valuable lessons from the handling of this complaint. Staff said that they are aware of the need to protect the residents from abuse. They would not hesitate to report concerns if they arose. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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, 23, 24, 25 & 26 The environment of the home is god, providing the residents with a comfortable and homely place in which to live. EVIDENCE: Since the last inspection further re-decoration has taken place. Several bedrooms were inspected. All were well decorated and tastefully furnished. Work in the garden is nearly complete. There is now a shady patio area with garden furniture. Some of the residents have been able to enjoy this area during the summer months. The area is soon to be planted and a sensory garden with scented plants is planned. A tour of the Home confirmed that all areas were clean and hygienic. There were no offensive odours noted. No health and safety hazards were noted on the day of inspection. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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, 29 & 30 Staff demonstrate clear understanding of their roles and responsibilities and there is a good level of training. Staff morale is mostly good but some do not always feel valued by the registered provider. Recruitment policies and procedures in the Home are satisfactory. EVIDENCE: Organisational structures for the Home define clear roles and responsibilities and staff are aware of these. Generally staff morale is good, however, some said that they do not feel valued. Recruitment policies and procedures are sound. A sample of staff files was examined. This confirmed that the appropriate checks have been carried out. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 Page 15 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): 38 The home is well maintained. This ensures that the residents have a safe place in which to live. EVIDENCE: There are sound health and safety policies and procedures. Staff are aware of these and their responsibilities in respect of health and safety. Since the last inspection glass has been removed from the door to the rear staircase. An improved arrangement to allow access to the key in case of fire, has been put in place. No health and safety hazards were noted on the day of inspection. Documentation inspected was found to be in order and up-to-date. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 Page 17 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. 1 Refer to Standard 14 Good Practice Recommendations The manager should make checks to ensure that the residents’ choices are respected. In particular, she should ensure that residents are not getting up to early if they do not wish. Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Mont Calm Lydd DS0000057128.V257080.R01.S.doc Version 5.0 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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