Inspection on 07/06/05 for Mount Olivet Nursing Home

This inspection was carried out on 7th June 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

Mount Olivet Nursing Home 15/04/10

Mount Olivet Nursing Home 18/04/07

Mount Olivet Nursing Home 08/11/05

Mount Olivet Nursing Home 02/12/04

Mount Olivet Nursing Home 15/06/04

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 Mount Olivet Nursing Home Great Headland Road Paignton Devon TQ3 2DY Lead Inspector Fiona Cartlidge Announced 7 June 2005 th 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 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. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Mount Olivet Nursing Home Address Great Headland Road, Paignton, Devon, TQ3 2DY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 555220 01803 555864 Mountolivet@Grayareas.co.uk Grayareas Limited Robert Hugh Gray Alison Homer Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30) of places Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 02/12/04 Brief Description of the Service: The home is situated in the Preston area of Paignton and is easily accessible by public transport. It is set in private grounds with a pleasant sheltered garden. The home overlooks the sea at Paignton and is approached from a driveway, where parking is available for several cars, to the right of the building. It occupies a position that overlooks Torbay with panoramic views across to Brixham. The home is registered to provide accomodation to a maximum of 30 people of either gender, over the age of 65 years requiring nursing and/or personal care because of physival frailty, illness or disability. A registered nurse is on duty at all times supported by a team of Health Care Assistants. The home has a range of equipment and adaptations to cater for the needs of the residents. Information about the home is available on their web site. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 and a half hours and was announced. Information was received from the registered provider before the inspection as was written feedback from 3 residents and 3 visitors/relatives. A full tour of the home took place and personal records of 3 residents and 2 staff were inspected. The inspector spoke to 2 members of staff on duty and 20 of the residents as well as the registered owners, manager and administrator. What the service does well: What has improved since the last inspection? A digital telephone system has been introduced in the home - this enables residents who do not have a private telephone system to be able to speak on a portable phone wherever they are in the home. It also means that staff can communicate with each other without having to run around the home and waste valuable time. The system is also linked to the nurse call system, which decreases the disruption to residents caused by noisy buzzers. All beds with the exception of 1 (the resident prefers a divan and is not assessed as requiring an adjustable bed) are now height adjustable. An additional 3 specialist mattresses have been purchased to benefit residents at high risk of skin damage due to pressure. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 6 New carpets have been ordered for the hall and new curtains and bedspreads have been ordered for resident’s accommodation. All clients requiring them have their own sliding sheets to enable them to turn in bed with assistance from staff; and all clients who are non weight bearing have been provided with their own hoist sling. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 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 standard(s) 1,2,3 People are provided with sufficient information about the services and facilities to make an informed decision about their admission to this home. The admissions procedure enables the staff to make a professional judgement about how the needs of individuals will be met. EVIDENCE: The home’s Statement of Purpose is easily available in the reception area of the home along with a copy of the latest inspection report. Each resident’s room had a copy of a useful information guide. The inspector examined the personal records held within the home on behalf of 3 of the residents (10 ) these contained copies of contracts and terms of residency. The inspector found that information about the individuals’ health, personal and social care had been sought and most residents are visited in their current settings to enable the registered nurses to make a professional judgement about how needs will be met before offering the individual the opportunity of admission. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 9 Residents told the inspector that the home had been recommended to them through word of mouth. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 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 standard(s) 7,8,9,10 The health care needs of residents are regularly reviewed and appropriate action is taken to meet those needs. EVIDENCE: The home provides a comprehensive care planning process for residents based on continual assessment of their needs. Three care plans viewed during the inspection were fully completed and appropriately reviewed. The review processes in the home also includes an annul review of the placement with the Service Users and their representatives. Feedback from 3 residents indicated that they feel well cared for, are treated well by the staff and that their privacy is respected. Documentation provided evidence that residents are visited by General Practitioners, chiropodist, dentist and opticians and that they are referred to specialist community and hospital health specialists when necessary. The inspector was informed that an aroma therapist also visits and residents enjoy both the therapeutic and relaxing benefit of this as well as the social contact. Written feedback from 3 relatives/visitors indicates that they are kept informed of important matters affecting their relative/friend and all were satisfied with the overall care provided. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 11 The medication system is managed by registered nurses; the inspector looked at storage and recording – controlled drug stock was checked against records and found to be correct. Storage was safe and orderly the home uses a monitored dosage system, which is well organised and easily audited. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 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 standard(s) 12,13,14,15 Social activities are organised and meet the needs of most residents. Meals are nutritious and balanced and offer a healthy and varied diet for residents. The visiting arrangements are flexible and meet the needs of residents and visitors alike. Residents are encouraged to make choices about how they live their lives within the community of this home. EVIDENCE: One person living at the home said that they did feel bored sometimes; others said that the activities arranged and offered in the home suited their needs and preferences. The monthly activity calendar displayed on notice boards in the home included an exercise class, an outing/trip, arts and crafts sessions and ‘mental stimulus’, which the inspector was told was quizzes. The residents told the inspector they enjoyed the quizzes, 1 resident has taken up a new hobby of painting since his admission to the home. The home employs a member of the care staff to specifically organise and offer the social activity programme. The written feedback received from 3 residents indicated that 2 of them were satisfied with the social activities provided in the home. The feedback about food was positive all of the residents spoken to said how good it was; on the day of inspection lunch was served, residents were offered ham, new potatoes, cauliflower cheese and mixed vegetables, one non meat Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 13 eating resident had salmon and one vegetarian had mixed beans served with the potatoes and other vegetables the main meal was followed by apple pie and cream or custard. Resident’s weights are regularly monitored and records seen by the inspector indicated that 3 residents had gained weight (not excessively) since their admission. The people living in the home told the inspector they were happy with the visiting arrangements, written feedback from 3 relatives/visitors indicate that they feel welcomed into the home and are able to visit their relative/friend in private. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 14 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 standard(s) 16,18 People are safe living in this home and know who to speak to if they are dissatisfied. EVIDENCE: The home has a comprehensive complaints procedure. This was available to residents in the ‘useful’ Guide found in their private accommodation and displayed in the reception area of the home. Those residents’, who were asked, said that they knew who to complain to if they had any concerns and felt confident that these would be dealt with in a sensitive way by the staff. The inspector also examined the Protection Of Vulnerable Adults policy and procedural manual; the 3 residents who provided written feedback to the commission indicated that they feel safe living in the home and know who to speak to if they are unhappy with their care. Written feedback was also received from 3 relatives/visitors, 2 of these indicated that they were aware of the complaints procedure all 3 said they had not needed to make a complaint. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 15 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 standard(s) 19,26 The providers maintain an attractively presented environment for residents and staff that is well maintained and safe. EVIDENCE: A tour of the home provided evidence that the providers maintain an attractively presented environment for residents and staff that is well maintained. Resident’s rooms contained personal items of furniture and ornaments and pictures. All of those spoken to said they liked their rooms, some were pleased that their rooms had sea views others were equally satisfied with rooms leading onto the enclosed attractive garden. The home appeared well equipped to meet the needs of those residents identified with moving and handling risks and disabilities that affect their capability to bathe. Specialist mattresses were seen in place for those residents requiring them as were height adjustable beds. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 16 The home was fresh and clean in its appearance hand washing facilities are available throughout the home as were protective gloves and aprons and procedures followed by the staff minimise the risk of cross infection. Safety notices were displayed throughout the home and written information given to the Commission by the provider indicates that fire equipment is regularly maintained and tested as are water temperature checks. The central heating system was checked in February by an approved contractor. The lift was last inspected in September 2004. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The procedures for the recruitment of staff are robust and offer protection to people living in the home. The number and skills of staff available in the home meets the needs of those living in the home. EVIDENCE: The residents told the inspector that there were enough staff on duty, they said they ‘worked hard’ and were ‘very caring’ –‘nothing is too much trouble’. The staff spoken to also advised the inspector that they felt there was sufficient numbers of staff on duty and said they had access to training and development. The home continues to be accredited with Plymouth University and the Nurses & Midwifery Council to facilitate placements for student nurses. The inspector examined the personnel files of 2 recently employed members of staff these provided evidence that the recruitment process is fair, equitable and safe. The inspector examined training records these indicate that most staff receive regular training/updates however the records did not provide duration of training sessions/courses and therefore the inspector was unable to ascertain that all staff receive at least 3 paid days training/year. Written feedback from 3 relatives visors was received 2 indicated that there is always sufficient numbers of staff the other indicates that ‘mostly’ there are enough. The home has the Investors in People Award. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,37,38 The home is being managed properly, there is clear leadership, guidance and direction to staff to ensure residents receive consistent quality care. EVIDENCE: Residents, visitors and staff made positive comments about the management team in the home saying they felt comfortable approaching them with Issues. Communication systems are regular through staff handovers, but formal meetings are not held, the provider said these had been held in the past but had not been found to be productive. Questionnaires/surveys are performed and include residents, visitors and staff information from these is collated generally the feedback is positive but where issues are raised actions are taken to improve the service. The inspector examined the training records of the registered manager these confirmed that the manager attends regular training to update her skills and practise. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 19 The provider demonstrated a responsible attitude towards health and safety – notices were displayed throughout the home. Equipment is regularly maintained and staff are trained on health and safety matters during their induction and updated regularly. Plans to replace carpets, curtains and bedding provide evidence of reinvestment in the business as does the recent increased provision of specialist mattresses and adjustable bedding. All of the records seen during the inspection were clear, well maintained and secure. One resident asked for some money which was being held in the office on her behalf, the administrator brought the records and the balance to her - the inspector witnessed that the money and records were held in individual envelopes and were seen to be checked and correct. Records are made of all transactions and receipts are maintained. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 x 29 4 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x x 3 3 Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 21 no 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. 1. 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 30 Good Practice Recommendations Training records should be presented in enough detail to provide evidence that all staff receive at least 3 days paid training/year. Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Mount Olivet Nursing Home D54-D07 S31279 Mount Olivet Nursing Home V214533 Stage 4.doc Version 1.20 Page 23 - 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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