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Inspection on 03/03/06 for Mount Pleasant, Camborne

Also see our care home review for Mount Pleasant, Camborne for more information

This inspection was carried out on 3rd March 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The registered manager Mrs Dart has done an excellent job to improve the home. As a consequence all the national minimum standards on this inspection were met. Service users spoke positively regarding Mrs Dart`s approach, and the care and support they received from staff. Mount Pleasant provides a pleasant environment for older people. There are two shared lounges and the majority of bedrooms have en suite facilities. The home is clean and well maintained. Records are maintained to a good standard. The registered persons have a good approach to ensuring staff are appropriately recruited and trained. Health and safety precautions are carried out appropriately, and suitable external checks are completed so service users can be assured they live in a safe environment.

What has improved since the last inspection?

Mrs Dart has taken appropriate action to ensure previous statutory requirements notified on the last inspection in October 2005 have been met. This includes improving care planning, providing increased opportunities for service users to have recreational opportunities; ensuring staff recruitment checks are completed, and staff training opportunities have been improved.

What the care home could do better:

This inspection has resulted in no statutory requirements or recommendations for good practice. Service users all said they were happy with the service provided.

CARE HOMES FOR OLDER PEOPLE Mount Pleasant Pentalek Road Camborne Cornwall TR14 7RQ Lead Inspector Ian Wright Announced Inspection 3rd March 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 Mount Pleasant DS0000009165.V276805.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. Mount Pleasant DS0000009165.V276805.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mount Pleasant Address Pentalek Road Camborne Cornwall TR14 7RQ 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) 01209 716424 Mr Alan Herbert Blight Mrs Deborah Jane Blight Mrs Jacqueline Ann Dart Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Mount Pleasant DS0000009165.V276805.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: Mount Pleasant provides care for 19 older people. The home is situated near to the centre of Camborne. The registered providers are Mr and Mrs Blight. The registered manager is Mrs J Dart. The property offers spacious accommodation for service users use. Shared rooms include two lounges and a dining room. The majority of bedrooms are en suite and there are no shared bedrooms. There is a pleasant garden which includes a summerhouse. The ground floor of the home and the garden are accessible to wheel chair users. The upper floor of the home is only accessible via a stair lift. The home also offers a day care service. Mount Pleasant DS0000009165.V276805.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over nine hours. The inspection focused on previous statutory requirements and the key standards which were not inspected at the last inspection. The inspector was able to speak to many of the service users, and was able to observe care practices. The inspector also spoke to some of the relatives of service users. The inspector examined care and service records, and toured the building. What the service does well: What has improved since the last inspection? What they could do better: This inspection has resulted in no statutory requirements or recommendations for good practice. Service users all said they were happy with the service provided. Mount Pleasant DS0000009165.V276805.R01.S.doc Version 5.1 Page 6 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 Pleasant DS0000009165.V276805.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 Mount Pleasant DS0000009165.V276805.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): 1, 2, 4, 5 Suitable information is provided to enable service users to know what services are available to them, and enable them to be aware of their rights and responsibilities. The registered persons have developed suitable links with external professionals to assist staff to meet the needs of service users. EVIDENCE: Copies of the statement of purpose and service user guide were inspected. The registered persons said all service users had received a copy of the service user guide. Copies of suitable statement of terms and conditions of residency / contact were observed on service user files. The registered manager said there is suitable access to external professionals such as social workers, community psychiatric nurses, dentists, opticians and chiropodists etc. to assist staff to meet service users’ health and social care needs. Representatives from Age Concern visit service users, funded by social services, to check service users’ needs are being met. The registered manager said service users and their representatives could visit the home before formal admission is arranged. Service users are offered a trial stay if this is required. Mount Pleasant DS0000009165.V276805.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): 7, 8, 9, 11 Suitable care plans are in place to enable service users to receive satisfactory care from staff. Suitable arrangements are in place to ensure health care needs are met. Medication procedures and practices are satisfactory to ensure service users medication is managed safely. The registered persons have developed a suitable policy regarding the care of people who are dying. EVIDENCE: Care plans inspected are comprehensive to enable staff to provide service users with appropriate care. Care plans are regularly reviewed. Suitable links have been developed with GP’s, district nurses etc. Interventions by health care professionals are documented. The medication system was inspected and is satisfactory. Administration records appear to be accurate. Staff have received suitable training regarding the handling of medication. Staff were observed administering medication appropriately. Some over stock of medication was noted. Mrs Dart said she would monitor these items were not reordered until the stock was used up. The registered persons have developed a satisfactory policy regarding the care of service users who are dying. Mount Pleasant DS0000009165.V276805.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): 12, 13, 15 Routines are suitable to meet individual service users needs. Service users can receive visitors when they choose. Meals provided for service users are to a good standard. EVIDENCE: Service users said they could get up and go to bed when they wished, and have autonomy how they organised their time. The registered manager said activities are arranged for one hour in the afternoon. Some social trips are arranged. Monthly visits occur from a Methodist Minister. Interaction between service users and staff seems positive. Service users said suitable arrangements are in place for service users to receive visitors. Service users can meet with their visitors either in their bedrooms, the dining room or the lounge. The inspector shared a meal with service users, which was to a good standard. The registered manager said a choice of meal is offered. Staff were observed providing appropriate support to service users at lunchtime. The registered manager said appropriate arrangements are made for people with special diets. Mount Pleasant DS0000009165.V276805.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): 16, 17 The registered persons have developed a suitable complaints procedure. Service users legal rights are protected. EVIDENCE: Service users receive appropriate information how to make a complaint. The Commission for Social Care Inspection or registered persons have not received any formal complaints. The registered manager seems committed to trying to resolve any minor concerns service users or their representatives may have. The registered manager said appropriate arrangements are in place to enable service users to vote. Suitable information is also provided regarding advocacy services for example in the service user guide. Mount Pleasant DS0000009165.V276805.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): 19, 26 Mount Pleasant provides suitable accommodation to meet the needs of service users living there. The home is clean, pleasant and hygienic. EVIDENCE: The property is well maintained, appears to be safe, is comfortable and homely. Furnishings and decorations are of good quality. The home has two lounges and a dining room. Other facilities such as bathrooms and toilets are suitable. The home was clean and hygienic on the day of inspection. Bedrooms are suitable for purpose, individual and pleasantly decorated. All bedroom doors are lockable, and service users also have a lockable safe box in their bedrooms. Mrs Dart said service users can bring their own furniture as long as there was suitable space, and it met health and safety regulations. One bedroom seemed a bit cold. The registered manager said she would check the radiator was appropriately adjusted. Appropriate moving and handling equipment is provided. For example there is a mobile and a bath hoist. The home also has a stair lift, which is suitably maintained. The ground floor and garden is accessible to wheelchair users. Mount Pleasant DS0000009165.V276805.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): 28, 29, 30 Suitable information is obtained regarding the recruitment of staff. The registered provider has an appropriate approach to ensuring staff receive a National Vocational Qualification. Staff training meets the national minimum standard. EVIDENCE: The registered persons have a suitable approach to enabling staff to obtain a National Vocational Qualification in care. 10 out of 16 staff (60 ) have at least NVQ 2. Suitable information is kept on staff files regarding how staff are recruited. Information includes two references, a Criminal Record Bureau check / Protection of Vulnerable Adults check and an application form. There is evidence that staff receive an appropriate induction. The registered providers have a suitable approach to ensuring staff are appropriately trained. Staff either have training required by law or obtain this within the first six months of service (i.e. fire, first aid, manual handling, infection control and food handling). Mount Pleasant DS0000009165.V276805.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): 31, 32, 34, 35, 36, 38 Service users benefit from a home, which is suitably managed, and run in their best interests. EVIDENCE: The registered manager has suitable skills, knowledge and experience to manage the home. For example Mr Dart has an NVQ 4 and registered managers award. Service users commented that Mrs Dart is good at resolving any difficulties they may have, and many described her as ‘kind and caring’. Mrs Dart works alongside her staff when possible and there appears to be positive relationships between staff and management. Staff are suitably supervised on a day-to-day basis and appear well developed, caring and effective. 2-3 staff meetings occur per annum, and staff also receive one to one supervision. Records examined regarding the home’s management, and regarding service users care and monies are appropriate. Policies and procedures appear Mount Pleasant DS0000009165.V276805.R01.S.doc Version 5.1 Page 15 satisfactory. The registered manager said financial accounts are maintained. The home’s insurance is valid. Health and safety precautions are satisfactory for example in regard to servicing of fire, gas, electrical equipment etc. Suitable records regarding these precautions were inspected. Suitable health and safety risk assessments have been completed and were inspected; for example there is a risk assessment regarding the prevention of Legionella and suitable precautions are in place regarding this. Appropriate records are maintained regarding any accidents, and there seems to be appropriate measures taken to minimise service user falls. Mount Pleasant DS0000009165.V276805.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 3 3 X 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 3 X 3 3 Mount Pleasant DS0000009165.V276805.R01.S.doc Version 5.1 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. Refer to Standard Good Practice Recommendations Mount Pleasant DS0000009165.V276805.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 Mount Pleasant DS0000009165.V276805.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!