Inspection on 28/02/07 for Myrtle Cottage

This inspection was carried out on 28th February 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Myrtle Cottage 27/01/09

Myrtle Cottage 19/01/06

Myrtle Cottage 12/09/05

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 Cornwall PL24 2NJ Lead Inspector Alan Pitts Unannounced Inspection 28th February 2007 09:30 Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 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 Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 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 Adults 18-65. 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. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Myrtle Cottage Address 16 Fore Street St Blazey Par Cornwall PL24 2NJ 01726 813806 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) Mrs Doreen Frances Pooley Mrs Doreen Frances Pooley Care Home 5 Category(ies) of Learning disability (5), Sensory impairment (5) registration, with number of places Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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 19th January 2006 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 DS0000009198.V315828.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on Wednesday 28th February 2007, over a period of approximately 5 hours. The inspector met with 3 residents, and the registered provider. Myrtle Cottage is an established care home with an experienced registered provider, and the residents 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: 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. The summary of this inspection report can Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 1, 2, and 4 were inspected This judgement has been made using available evidence including a visit to this service. The registered provider has produced an up-to-date Statement of Purpose and Service User Guide, and liaises well with professional agencies to ensure that residents’ care needs are met at the home. A trial period is always offered to any potential resident. EVIDENCE: The home has developed a statement of purpose and service user guide, which fulfils the requirements of the Care Homes Regulations 2001 Regulation 4 Schedule 1. A service user guide has been written and a copy has been made available to all residents. The registered provider shows a full understanding of the provisions of the home and how the needs and preferences of residents can be met. Specialist services are sought when needed. Prospective residents are given the opportunity to spend time living at the home before deciding about permanent residence. The period may be between 3 and 6 months or longer if required, depending on the individual resident. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 9 Admissions are not made to the home until the registered provider has undertaken a full assessment. The current residents have lived at the home for some time, and as such are an established group. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 6, 7, and 9 were inspected. This judgement has been made using available evidence including a visit to this service. The registered provider fully discusses any issues that may arise with the relevant resident, and provides assistance and support so that the resident may make an informed decision. Resident meetings are held regularly, and residents participate in all aspects of life at the home to varying degrees. EVIDENCE: Management and staff understand the importance of residents being supported to take control of their own lives, and to encourage and enable them to exercise their rights and make their own decisions and choices. Care plans are reviewed regularly involving the resident and, where agreed, their families. It is updated and action taken to respond to any changes. It focuses on how residents will develop their skills and considers their future aspirations. Staff provide support to residents to enable them to make decisions about their lives, with assistance, as needed. All decisions are recorded on individual care plans and risk assessments are in place, identifying limitations on facilities, choice and rights, made in the persons best interests and consistent with the Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 11 purpose of the service and the home’s duties and responsibilities. Residents are consulted on and participate in all aspects of life within this home. Regular discussions take place, particularly at meal times and at weekends, which provide valuable feedback to registered provider. Where necessary the registered provider has involved appropriate agencies (Adult Social Care) to assist in ensuring that resident’s care needs are met. The residents spoken with confirmed that they lead active lives, with activities in keeping with their interests, and are able to determine their participation as they wish. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 12, 13, 15, 16, and 17 were inspected. This judgement has been made using available evidence including a visit to this service. Residents confirmed that they lead active lives, and where they do not the registered provider is active in seeking the necessary activities and input. The registered provider is fully aware of the residents’ rights as individuals and supports them in this. The residents often eat lunch at their daily activity venue, coming home to a cooked meal or a lighter meal depending on the circumstances. EVIDENCE: Staff ensure that residents are encouraged and supported in pursuing their own interests and having a choice of entertainment both within the home and in planned outside chosen activities. All the residents have the choice to engage in appropriate leisure activities. Residents are involved in meaningful daytime activities of their own choice and according to their individual interests and capability; they have been fully involved in the planning of their lifestyle Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 13 and quality of life. Education and occupation opportunities are encouraged, supported and promoted. All residents have a key to the home. The registered provider shows an awareness of the need to afford residents with dignity and respect at all times. The registered provider together with care staff takes responsibility for laundry services, though some residents also make use of the local launderette out of choice for certain items. Residents can access and enjoy the opportunities available in their local community, e.g. using public transport, library services, the local pub, and local leisure facilities. The house has a no smoking policy that is recorded in the service user guide. The home offers a nutritious and varied diet and healthy eating is encouraged. Choices are offered and all meals recorded. Meals are taken together in a warm and pleasant dining room. Staff have undertaken the basic food hygiene training. The residents spoken with were complimentary about the food provided. The residents usually eat a hot meal at the venue they are attending during the week. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 18, 19, and 20 were inspected. This judgement has been made using available evidence including a visit to this service. The residents’ needs are well met in all areas by the registered provider, who has known most of them for many years. Some residents self-medicate, with a degree of assistance from the registered provider. The registered provider’s knowledge and understanding of the residents is second to none. EVIDENCE: Residents are able to make choices within the home, for example, deciding about times for going to bed and getting up, what clothes to wear and where to go during the days and evenings. Additional specialist support is provided as required and specified in individual planning. Staff ensure consistency and continuity of support for residents through family, friends and relevant professionals outside the home, subject to the residents’ consent. The registered provider and staff understand the key principles of giving personal support and are responsive to the varied and individual requirements of the residents. Where possible residents are supported and helped to be independent and responsible for their own personal hygiene and personal care. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 15 All residents are registered with local general practitioners and are supported as required in gaining access to all healthcare facilities. The registered provider and staff make sure that those residents who are fit and well enough are encouraged to be independent, have regular appointments and visit local health care services. The home has a medication policy and procedure in place that covers the receipt, recording, storage, handling, administration and disposal of medicines. Medicine Administration Records were seen to be in order. Some residents currently self-medicate, following individual risk assessments. All residents have a locked medicine cupboard in their bedrooms. A record book is kept for the receipt and return of any medicines. Medicines are reviewed annually by the residents’ GP. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 22 and 23 were inspected. This judgement has been made using available evidence including a visit to this service. There is a stable, established staff team, and the residents have lived at the home for some years, enabling a relationship of trust and respect. Residents are protected by the home’s practices and links to other agencies. EVIDENCE: The home has an up to date complaints procedure that includes the address and telephone number of the Commission for Social Care Inspection and the local Adult Social Care office. Residents spoken to are able to express any concerns and have regular opportunities to do so outside of the care home environment. The registered provider has made appropriate contact with the Commission for Social Care Inspection and other health care professionals over recent months to ensure the wellbeing of one resident in particular. The registered provider and staff have a good understanding of adult protection issues and good communication links with the relevant agencies. The home has an open culture, which enables residents to express their views, and concerns in a safe and none blame environment. Residents said that they are very satisfied with the service provision, feel very safe and are well supported. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 24 and 30 were inspected. This judgement has been made using available evidence including a visit to this service. The home provides a safe, homely and comfortable environment. Furnishings are of good quality, domestic in style and suited to the needs of the visually impaired. Service users have limited specialist equipment required to maximise their independence. The home is kept clean and hygienic. EVIDENCE: The home provides a safe, comfortable, domestic, and homely environment. Furnishings are of good quality and domestic in style. The residents have lived at the home for some considerable time and all are familiar with the layout of the home. There is evidence of ongoing maintenance and re-decoration. The residents told the inspector that they were happy in the home. The layout and design of the home allows for small clusters of residents to live together in a non-institutional environment. Residents are encouraged to personalise their bedrooms, and all have some personal belongings. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 18 Current residents have limited specialist equipment required to maximise their independence. The registered provider is aware of how to access specialist equipment if required. The home has a call alarm system in all private rooms. Current residents are able to use stairs. Care plans are typed in large print for the visually impaired and some information is available in Braille. The bathrooms and toilets are fitted with appropriate aids and adaptations to meet the needs of the people who use the service, and are in sufficient numbers. The inspection took place in the morning and the home was observed to be clean, hygienic and free from offensive odours. Residents are encouraged and supported to help with their own laundry, and to varying degrees in the housekeeping. Sheets and other large items are laundered externally. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 19 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 32, 34, and 35 were inspected. This judgement has been made using available evidence including a visit to this service. Residents are supported by sufficient numbers of staff that have an extensive knowledge of their care needs and capabilities. There is only a small number of staff employed and the registered provider ensures that the residents are protected. The registered provider supervises the staff regularly and records are kept. EVIDENCE: Competent and qualified staff support the service users. All of the staff are established and have been working at the home for several years. The home has a committed staff team complimented by reliable relief staff. The staff team is sufficient for the numbers of residents. Staff are on duty at all times with a member of stall on call and on the premises at night. Residents have confidence in the staff that care for them. The home is staffed efficiently, with additional staff available at busy times of the day and with the changing needs of the residents. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 20 The home has a recruitment procedure that includes equal opportunities. Staff files hold all the information required by the Care Homes Regulations 2001. The registered provider supervises the staff regularly and records are kept. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 21 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 37, 39, and 42 were inspected. This judgement has been made using available evidence including a visit to this service. Residents benefit from a home run in their interests by the registered provider. Appropriate and relevant policies and procedures are in operation at the home. The home is well maintained and safe, though the registered provider must arrange for a qualified electrician to check the electrical appliances annually, and the electrical system 5-yearly. EVIDENCE: The registered provider is in day-to-day control and the residents know this. The residents benefit from an established staff team, and the residents have lived at the home for some years now. The registered provider has reviewed the home’s policies and procedures. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 22 The registered provider maintains the home well, keeping relevant records to demonstrate this and the attendance at the home by external agencies, such as the fire officer. The health, safety and welfare of the residents and staff is promoted and protected. Maintenance records are up to date. Residents and staff undertake regular fire drills. The registered provider told the inspector that arrangements being made for the electrical system to be checked. Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 24 YES 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 YA42 Regulation 13(4) Requirement Timescale for action 01/05/07 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 Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Myrtle Cottage DS0000009198.V315828.R01.S.doc Version 5.2 Page 26 - 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. 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