Inspection on 08/11/05 for Mount Olivet Nursing Home

This inspection was carried out on 8th November 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 07/06/05

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 Unannounced Inspection 9th November 2005 11:00 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 Mount Olivet Nursing Home DS0000031279.V253130.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. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 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 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) 01803 555220 01803 555864 Robert@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 DS0000031279.V253130.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 07/06/05 Brief Description of the Service: Mount Olivet 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, parking is available for several cars to the right of the building. The home 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 physical 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 on the home is available on their web site. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 hours and was unannounced. This was the homes second statutory inspection of the year 2005-2006 readers may wish to consider the content of both reports to gain a full picture of the homes achievements. A partial tour of the home took place when some bedrooms and all communal areas were viewed. Individual records of care held on behalf of 3 residents and personnel records of 3 members of staff were inspected. The inspector spent the majority of the time talking with 15 residents, 3 visitors, 3 staff members the registered manager, one of the registered providers and the administrator and took time observing actual practise. What the service does well: What has improved since the last inspection? Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 6 To further improve the comfort of residents and safety of staff, there was evidence that the providers continue to invest in purchasing new equipment; this has recently included more special adjustable beds and treatment mattresses for those at high risk of developing pressure sores. There is evidence of a commitment to ensure the environment is always clean and odour free and the home now has its own industrial type carpet cleaner and ozone machine to neutralise any odours. The environment has been further enhanced through new carpeting to the halls. In an effort to retain good staff who provide consistent care the management team have recently arranged health insurance cover for all staff. 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. Mount Olivet Nursing Home DS0000031279.V253130.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 Mount Olivet Nursing Home DS0000031279.V253130.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): 3,5 A proper assessment is performed on people considering admission to this home this provides information to the homes staff so they can be sure they can meet the individuals needs. People are invited to visit the home before making a decision about admission. EVIDENCE: The inspector examined personal care records held on behalf of 3 recently admitted residents; all included pre-admission information supplied from care management or hospital settings. Information about 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. Residents told the inspector that the home had been recommended to them through word of mouth or that relatives had chosen it after viewing several in the area. All of those spoken to said they were pleased that they had moved to Mount Olivet one resident told the inspector ‘there’s no place like home, but its a very good second best’. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 9 Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 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): 7,8,10 Residents are referred to community and hospital health care professionals when specialist needs are identified to ensure their medical needs are met. EVIDENCE: The home provides a comprehensive care planning process for residents based on information received before and on admission as well as continual assessment of their needs. Three care plans viewed during the inspection were fully completed and appropriately reviewed. The review processes in the home include the resident’s views. All the residents spoken to said that they feel well cared for, are treated well by the staff and that their privacy is respected. Documentation provided evidence that General Practitioners, chiropodist, dentist and opticians visit residents and that they are referred to specialist community and hospital health specialists when necessary. One visiting specialist nurse said the care provided to the patients she sees is extremely good. Residents told the inspector that the staff respect their privacy and dignity, the inspector observed that when personal care was being provided this was done behind closed doors, the staff spoke to residents in a polite and cheerful manner and knocked on the doors to private accommodation before entering. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 11 Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 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): Social activities are organised and provide stimulation and interest for residents on most days. Meals are nutritious and balanced offering a healthy and varied diet for residents. EVIDENCE: Two people living at the home said that they did feel bored sometimes, both residents are unable to attend group activities in the lounge but told the inspector in addition to the staff regularly attending to their care needs they receive visitors on a daily basis. On the day of inspection 2 residents were being escorted to the theatre. Following admission to the home, the staff record details of each residents social history which includes past occupations, experiences, hobbies and interests this information aids the staff to put an individual social care plan in place. Some residents were seen socialising in the lounge or watching television others were spending time in their rooms, reading, listening to music and knitting. 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 cottage pie with carrots, swede and broad beans, one non meat eating resident was provided with a vegetarian alternative the main meal was followed by Treacle sponge and custard. 12 residents ate their meals whilst sat in the lounge at individual tables; those requiring assistance were given this in an Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 13 appropriate supportive manner. All other residents ate their lunch in their own accommodation. Records seen provided evidence that resident’s weights are regularly monitored. The people living in the home told the inspector they were happy with the visiting arrangements, visitors said they feel welcomed into the home and are able to visit their relative/friend in private. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 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 the following standard(s): 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 manager of the home told the inspector about a useful work shop she had attended last week on the protection of vulnerable adults and how to recognise and deal with actual or suspected allegations of negligence and abuse. Policies and procedures for the protection of residents and staff are in place and they include information about dealing with challenging behaviour. All of the residents spoken to confirmed they feel safe living in the home. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 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 the following standard(s): The home is well decorated and furnished and clean, pleasant and hygienic. EVIDENCE: A tour of the home provided evidence that the providers continue to maintain an attractively presented environment for residents and staff; the maintenance person was in the process of refreshing paintwork on the lower floor and stairway. 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 is 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 the provider told the inspector that they have recently supplied 3 additional pressure relieving mattresses for use by those Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 16 residents assessed as being at ‘high risk’ and a number of better quality adjustable beds have also been provided. Further improvements to the environment since the last inspection include: New carpets in the halls and some new individual tables. 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. The home has recently purchased an industrial type carpet cleaner and an ozone machine in their effort to maintain and improve the already clean environment. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 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 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): The procedures for the recruitment of staff are robust and offer protection to people living in the home. The deployment and number of staff on duty during the inspection met the needs of the residents. EVIDENCE: Most of 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’ one resident said it sometimes feels like it takes a long time for them to respond when called. The staff spoken to said that they felt there was sufficient numbers of staff on duty and said they had access to training and development. The inspector examined the personnel files of 3 recently employed members of staff these provided evidence that the recruitment process is fair, equitable and safe and all required checks are performed to ensure the safety and welfare of those living in the home. To further encourage staff retention the inspector was shown some detail of a private health insurance plan that the home now provides for all staff members. The inspector examined training records these indicate that the staff receive regular training/updates and now provide duration of training sessions/courses and therefore the inspector was able to ascertain that the staff receive at least 3 paid days training/year. Two relatives/visitors told the inspector that in their opinion there were enough staff on duty to meet the needs of residents. The home has the Investors in People Award. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 18 Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 19 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): 31,32,33,38 The home is being managed properly and there is evidence of clear leadership, guidance and direction to staff. 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, and formal meetings are held, the inspector examined the minutes of a meeting held recently for the registered nurses in the home, the minutes included information being shared from the carers meeting. The inspector examined the training records of the registered manager these confirmed that the manager attends regular training to update her skills and practise. The provider demonstrated a responsible attitude towards health and safety – all fire doors that were open were being held by ‘safe’ hold open devices and notices were displayed throughout the home. Risks to residents are individually Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 20 assessed and documented with an agreed plan in place to minimise risk where possible. Plans to replace curtains and bedding as well as a more modern lifting aid provide evidence of reinvestment in the business as does the recent increased provision of specialist mattresses, adjustable bedding, carpets, tables and cleaning machine. All of the records seen during the inspection were clear, well maintained and secure. Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 21 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 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 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 3 3 3 X X X X 3 Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 22 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 Mount Olivet Nursing Home DS0000031279.V253130.R01.S.doc Version 5.0 Page 23 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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