Inspection on 22/09/05 for Ocean Hill Lodge

This inspection was carried out on 22nd 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ocean Hill Lodge 10/06/08

Ocean Hill Lodge 29/01/08

Ocean Hill Lodge 12/06/07

Ocean Hill Lodge 13/09/06

Ocean Hill Lodge 16/03/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 Ocean Hill Lodge 4/6 Trelawney Road Newquay Cornwall TR7 2DW Lead Inspector Kerensa Livingstone Unannounced 22 September 2005 10:00 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 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. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ocean Hill Lodge Address 4/6 Trelawney Road, Newquay, Cornwall, TR7 2DW 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) 01637 874595 Mrs Sandra Dunn John Howard Dunn Mrs Sandra Dunn Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (18), Old age, not falling within any other category (18) Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th December 2004 Brief Description of the Service: Ocean Hill Lodge is care home registered to offer personal care to eighteen over the age of sixty five who may have dementia (DE(E). The home is situated in the seaside town of Newquay, within walking distance of the shopping centre of Newquay and Trenance gardens although this is not a level walk and not suitable for incapacitated residents. For service users who are unable to get to town, services such as hairdressing and chiropody are arranged. On the ground floor there is a smoking lounge, lounge/dining room and patio garden area. There is a chair lift to the first floor. All rooms are singles, with the exception of two rooms which have been combined for a couple. There is limited parking to the rear of the home and on street parking to the front of the premises. The Service Users are encouraged to take their meals in the dining room, although this flexible depending on their wishes. Family and friends are welcomed to the home. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken between the hours of 10.00am and 16.15pm. The Inspector looked at records, care plans, Policies and Procedures. Staff recruitment, maintenance, administration and training were discussed with the Registered Provider. The environment was fully inspected and eight Service Users were met. All Service Users spoke very favourably about their home, the care and the staff. What the service does well: What has improved since the last inspection? What they could do better: Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 6 Standards of record keeping and managerial organisation need to be prioritised. Staff training, quality assurance, recruitment, staff roles and documentation must be improved prior to the next inspection. 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. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 4, & 5 There is a Statement of Purpose and Service User Guide giving information about the home. All prospective service users are assessed prior to moving into the home. EVIDENCE: The Service Users Guide and Statement of Purpose need to be up dated to include the role of one of the Providers. A copy of the Service Users Guide is available on the home’s notice board. There is evidence that the Registered Manager/Provider undertakes a comprehensive assessment on all prospective service users. Service Users and their relatives or representatives are encouraged to visit the home prior to moving in. Intermediate care is not offered in this home. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 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 standard(s) 7,8 & 10 The Service Users health and personal care needs are met. EVIDENCE: A comprehensive pre admission is completed. An individual plan of care is written for the Service User. The Inspector observed that two Service Users who had been admitted to the home had no care plan or risk assessment. There is evidence of involvement of the District Nurse team and review by General Practitioners. There are clear links with the Community Mental Health team. During the inspection the Inspector observed Service Users treated in a courteous, kind manner and their privacy respected. This was confirmed in conversation with several Service Users who spoke highly of the staff and Providers. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 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 standard(s) 12, 13, & 14 Service Users are encouraged to maintain contact with their family and friends. Individual wishes and choices are respected. EVIDENCE: On the day of the unannounced inspection a birthday tea party had been arranged for one of the Service Users. A vehicle has been purchased since the Providers took over the home; this is used to take Service Users out on a trip or home to see their family. This was demonstrated on the day of the inspection. Activities are arranged on a weekly basis, with ‘music and movement’ and bingo on alternate weeks. Entertainers visit the home playing the guitar and organ. A Church group visits and hold a service monthly. No records are kept and it is recommended that they be. Families and visitors are welcomed to the home and encouraged to join in any activities that on offer within the home. Service Users are encouraged to make decisions about how they wish to live their lives. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 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 standard(s) 16, 17 & 18 Evidence of further training, updated policies and procedures, which have been understood by all staff, is required. EVIDENCE: Service Users informed the Inspector that the Registered Manager would deal with any concerns that they may have promptly. The Complaints Procedure requires updating. Service Users have been assisted to seek legal advice and advocacy services as required. All Service Users are able to participate in the voting process, predominantly by using a postal vote. The Registered Manager has attended POVA training. A further six staff are booked to attend Protection of Vulnerable Adults training. There are several Policies and Procedures relating to Whistleblowing, Protection of Vulnerable Adults and No Secrets. These require updating and evidence that all staff understand their role in safeguarding Service Users. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26 The home provides a family type environment, with specialist equipment arranged on an individual basis. The environment meets the needs of the current Service Users. EVIDENCE: There is a smoking lounge and non-smoking lounge/dining room. All Service Users have a single room, these are personalised. There are four communal toilets, three bathrooms including two assisted baths within the home. There is no sluice or staff toilet in the home. Service Users spoke very positively about the environment that they live in and its homeliness. There is a garden and patio area to the front of the home, with wheelchair access to the home. New patio furniture has been provided. There is a small car park at the rear of the home. All doors are alarmed but not locked. Specialist equipment is arranged on an individual basis. Occupational Therapy advice is sought as required. The home has a chair lift. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 13 All rooms are lockable and Service Users provided with a key unless their risk assessment indicates otherwise. The outside of the home has been painted since the last inspection and work is being undertaken on the roof. The Inspector observed the home to be clean on the day of the unannounced inspection, however there was evidence that certain areas needed tidying and storage needs to be addressed. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The staffing numbers and skill mix meet the Service Users needs. EVIDENCE: Three staff and a cook are on duty in the mornings with two staff until night, when there is one waking and one sleeping member of staff on duty. The Registered Manager has taken on the legal role of Registered Provider that has resulted in an increase in workload. Strategies need to be introduced to make this feasible, as an example the need for regular administrative support. The Provider identified that generally record keeping had suffered due to workload pressures. A formal training plan is required and this will be inspected at the next inspection. Staff files need to be updated and organised. Service Users spoke very highly about the staff and the care that they receive, without exception. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 37 & 38 The Inspector and Registered Provider/Manager discussed the need to consider staff roles to ensure that the legal requirements of running the home effectively are fulfilled. EVIDENCE: The Registered Provider, who manages the home on a day-to-day basis, is qualified to NVQ Level 3 in care and is aware of the legal requirement to have completed the National Vocational Qualification Manager’s Award by December 2005. Other training attended includes Health and Safety, Infection Control, Dementia Care and Safe Handling of Medicines course. There is clear evidence of leadership. There is evidence of reinvestment in the home, financial viability was provided for the registration process earlier this year. Employers Liability insurance is in Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 16 place. A data protection compliant accident book is in place for staff, this needs to be replicated for Service Users. The Inspector was informed that regular Fire training and checks are being undertaken. The Inspector was advised that all water has been regulated with the exception of the kitchen area, all hot surfaces covered and all windows restricted with the exception of one. The Registered Manager/Provider is seeking advice on health and safety and staffing issues, as this needs to be formalised. The home’s Policies and Procedures need to be reviewed and updated. There are shortfalls in meeting the standard of record keeping as previously mentioned in the report e.g. care plans, risk assessments. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 3 1 2 3 x 3 x x 2 2 Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 18 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 OP1 Regulation 4,5,6 Requirement The Registered Providers must and review update the Statement of Purpose and Service Users Guide. This must include the role of the Provider, a copy must be sent to the Commission. The Registered Provider is required to prepare a written plan for each service user, after consultation with the service user and/or their representative and keep it under review The Registered Provider shall ensure that risks are identified and as far as possible eliminated for service users The Registered Providers are required to ensure that there is a robust Protection of Vulmerable Adults Policy and Procedure, staff are aware of it which refers to local procedures and whistleblowing. Previous timescale not met 1.12.03 The Registered Providers are required to provide adequate storage for the purposes of a care home. The Registered Providers are Timescale for action 1st Dec 05 2. OP7 15 1st Nov 05 3. OP8 13(4) 1st Nov 05 4. OP18 13(6) 1st Jan 06 5. OP19 23(2l) 1st Jan 06 6. OP38 Data 1st Jan 06 Page 19 Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Protection Act required to record all accidents/incidents in an accident book which complies with the Data Protection Act. 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. 2. 3. Refer to Standard OP12 OP27 OP31 Good Practice Recommendations The Registered Provider is recommended to keep a record of all activities and outings, to include who participates. To consider roles and responsibilities of all staff to enable the Provider/Manager role to be a feasible one. To complete the Registered Manager Award or equivalent by Dec 05. Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI Ocean Hill Lodge D52-D04 S63399 Ocean Hill UN V229179 220905 stage 4.doc Version 1.30 Page 21 - 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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