Inspection on 12/09/05 for Myrtle Cottage

This inspection was carried out on 12th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Myrtle Cottage 27/01/09

Myrtle Cottage 28/02/07

Myrtle Cottage 19/01/06

Myrtle Cottage 23/02/05

Myrtle Cottage 14/09/04

Myrtle Cottage 04/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Myrtle Cottage 16 Fore Street St Blazey Par PL24 2NJ Lead Inspector Alan Pitts Announced 12 September 2005 09:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Myrtle Cottage Address 16 Fore Street, St Blazey, Par, Cornwall, PL24 2NJ 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) 01726 813806 Mrs Doreen Frances Pooley Mrs Doreen Frances Pooley Care Home 5 Category(ies) of Learning disability (5), Sensory impairment registration, with number (5) of places Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 5 adults with a sensory impairment (SI) Service users to include up to 5 adults with a learning disability (LD) Total number of service users not to exceed a maximum of 5 Date of last inspection 23/02/05 Brief Description of the Service: Myrtle Cottage is located in the centre of St. Blazey, on the outskirts of St. Austell. It is set back from the road within easy walking distance of the village centre. Myrtle Cottage is a care home for up to five younger adults who fall into the category of physical disabilities, sensory loss, and learning disability. Service users are encouraged to pursue leisure activities and hobbies of their own choice and are encouraged and enabled to play an active part in the dayto-day running of the home. Myrtle Cottage is a non-smoking establishment. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on Monday 12th September 2005. The inspector met with four service users. Myrtle Cottage is an established care home with an experienced Registered Provider, and the service users benefit from the relaxed, safe atmosphere and accommodation afforded to them. What the service does well: What has improved since the last inspection? What they could do better: Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 6 Further improvement could be made in respect of staff training and supervision. The home’s policies and procedures should be updated. 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. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 5 Prospective service users are assessed prior to admission, and each service user has a statement of terms and conditions. EVIDENCE: Service users are admitted to the home following a full needs assessment. Most of the service users have lived at Myrtle Cottage for some considerable time. The registered provider has developed a contract with the terms and conditions of the home. This has been discussed with individual service users, agreed and signed by individuals. A copy of the contract is included within the service users guide. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 9, 10 Service users were, without exception, complimentary about the care received. All the service users lead full and active lives. Records are stored securely. EVIDENCE: A care plan is written for all service users. The inspector noted that care plans are reviewed internally by the home. The service user and other agencies (care managers or case co-ordinators or other significant professionals) should be involved in this process. There is evidence of the home participating in care reviews for other care/social providers. As discussed at the time of the inspection, the care plan must accurately reflect the care needs of an individual service user (e.g. epilepsy). The Registered Provider should review and amend the care plans to ensure that care needs are accurately identified. The Registered Provider should ensure that service users, where possible, are consulted in care plan reviews. Risk assessments are well written and provide information, which minimises identified risks and hazards regarding personal safety, to avoid limiting service users preferred activity or choice. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 10 Records are kept securely, accurately and in confidence by the home. Service users have access to information, which is held by the home about them. Service users spoken to are aware that their confidences are kept and that information about them is handled appropriately. Service user privacy is respected. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 15 Service users lead active and fulfilling lives, participating in the local community and maintaining links with family and friends. EVIDENCE: Service users are given the opportunity to develop practical life skills. Staff support service users to become more independent and self-sufficient. Service users have the opportunity to fulfil their spiritual needs. Activities and education requirements are identified through assessments. Service users attend courses for creative skills learning and also attend the Churchtown Centre. Two service users are in the choir of the local blind association and attend the local club for dancing. One service user is a regular member of the local church. Service users are enabled to vote in the political process. Service users choose who they see and when and are supported in their involvement family and friends. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected at this time. EVIDENCE: Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Service users are protected from abuse, neglect and self-harm. EVIDENCE: The home has an adult protection policy, which includes whistle-blowing. The Registered Provider has a proactive approach to the welfare and protection of the service users. The Registered Provider should implement a Protection of Vulnerable Adults procedure, which gives staff clear instruction, and relevant contact details, to enable them to take appropriate action in the event of an allegation of abuse. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 25, 26, 27, 28 The accommodation is suited to the needs of the service users, who confirmed that they are happy in a safe and comfortable environment. EVIDENCE: Service user rooms were seen to meet the needs and lifestyles of the individuals. Individual rooms are adequately furnished, comfortable and provided independence. All have a wash hand basin and space for personal possessions, which express the service users individual needs, and lifestyle. There are 2 wc’s 1 bathroom and 1 shower room for the use of service users. The facilities provide sufficient privacy to meet the needs of the service users. Communal spaces include a lounge/dining room, kitchen and landing. There is a small front garden and a larger one at the rear for the enjoyment of the service users. A large wooden portable building has been erected in the back garden for use as an office. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35, 36 Staff have a good understanding of their roles and responsibilities. Further improvement could be made in respect of staff training and supervision. EVIDENCE: The Registered Provider has a good understanding of service users needs. Staff understand the role of the home and there are frequent discussions with the Registered Provider regarding any issues that occur. Job descriptions are in place. Two staff are undertaking NVQ level 4 in Care Management. Basic Food Hygiene training has been booked for two staff. The Registered Provider assured the inspector that additional training would be provided (e.g. 1st Aid). Supervision is taking place, but this was not evident for all staff. The Registered Provider agreed to include planned supervision dates, and two initials against sessions that have occurred in the supervision diary. The Registered Provider must ensure that all staff receive regular supervision. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 43 Service users benefit from an established home with an experienced Registered Provider. There is a small staff team with clear leadership evident. Service user’s rights and best interests are protected. EVIDENCE: The registered provider is registered to NVQ level 4 in management and care; she is also a Trustee for the Cornwall Blind Association and has been involved in the care of the blind for at least 15 years. There is an open, positive and inclusive atmosphere in the home. Staff and service users are encouraged to take part in the decision-making affecting the running of the home. The Registered Provider writes annually to relatives of service users inviting their comments on the home and the care provided. The Registered Provider should extend the quality assurance system to health/social professionals involved with the home. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 17 Those policies seen at he time of the inspection were dated 2001 and 2002. The Registered Provider must review and, where necessary, amend the policies and procedures. Records and information about service users are securely stored. Individual service user financial records are kept. The Registered Provider should ensure that there is a receipt, where possible, for all transactions. The Registered Provider must provide the Commission for Social Care Inspection with annual written confirmation from their bank/chartered accountants as to the home’s current financial viability. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 3 3 3 x x Standard No 11 12 13 14 15 16 17 3 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score 3 x x x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Myrtle Cottage Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 2 2 2 x 2 D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 19 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. 2. Standard 36 40 Regulation 18(2) 12, 13 Requirement Timescale for action 31/10/05 3. 43 25 The Registered Provider must ensure that all staff receive regular supervision. The Registered Provider must 01/01/06 review and, where necessary, amend the policies and procedures. The Registered Provider must 01/01/06 provide the Commission for Social Care Inspection with annual written confirmation from their bank/chartered accountants as to the home’s current financial viability. 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 6 Good Practice Recommendations The Registered Provider should review and amend the care plans to ensure that care needs are accurately identified. The Registered Provider should ensure that service users, where possible, are consulted in care plan reviews. The Registered Provider should extend the quality assurance system to health/social professionals involved with the home. D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 20 2. 39 Myrtle Cottage 3. 41 The Registered Provider should ensure that there is a receipt, where possible, for all transactions. Myrtle Cottage D52 D04 9198 Myrtle Cottage V237866 120905 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 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. 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