Inspection on 06/12/05 for Old Roselyon Manor

This inspection was carried out on 6th December 2005.

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

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

Other inspections for this house

Old Roselyon Manor 13/03/07

Old Roselyon Manor 17/08/05

Old Roselyon Manor 16/12/04

Old Roselyon Manor 12/05/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Old Roselyon Manor Old Roselyon Par Cornwall PL24 2DW Lead Inspector Alan Pitts Unannounced Inspection 6th December 2005 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 Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Old Roselyon Manor Address Old Roselyon Par Cornwall PL24 2DW 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) 01726 814297 01726 813757 Mr John Graham Mobbs Mrs Marine Nicole Mobbs Mr Anthony James Small Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30), Terminally ill (30) of places Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 30 adults of old age (OP) Service users to include up to 30 adults with a physical disability (PD) Service users to include up to 30 adults with a terminal illness (TI) Total number of service users not to exceed a maximum of 30 Date of last inspection 17th August 2005 Brief Description of the Service: Old Roselyon is a detached 400-year-old Manor House that was converted for nursing home use in 1973 and has subsequently been extended. The home is registered to provide care with nursing for up to 30 service users. Service user accommodation is provided on two floors. The first floor is serviced by a stair lift. Single and double rooms are available. All rooms have washbasins and some have en-suite facilities. The property has pleasant well tended gardens and there is adequate car parking. The registered manager, Mr S. Small, has day-to-day responsibility of the home. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 6th and 14th December 2005, over a period of approximately 6 hours. The inspector met with the registered provider, staff and service users, inspected documentation, and toured the premises. What the service does well: What has improved since the last inspection? What they could do better: The registered provider should introduce a National Training Organisation compliant induction training programme for new staff. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 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. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 The registered provider has provided a statement of purpose and service users guide that details the facilities and services available within the home. The registered provider assesses all prospective service users prior to admission to ensure that the home can meet their care needs. EVIDENCE: An appropriate Statement of Purpose and Service User Guide is in place. Service users confirmed that they feel that they have the information they need. A member of the nursing staff also confirmed that communication is one of the strengths of the home. Prospective service users and relatives are invited to the home and given appropriate information. The records for recent admissions were inspected and the assessment process and liaison with other agencies was detailed and recorded appropriately. The registered provider has developed a comprehensive full assessment form that illustrates each service user’s individual needs and how these will be met in the home. The assessment includes consultation with all necessary agencies and ward staff to consider the service users social and nursing needs. Care plans are thorough Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 9 and demonstrate the involvement of specialist professionals as needed. Service users and relatives spoke highly with regard to the standard of care within the home. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10, 11 The health care needs of service users are met, with evidence of multidisciplinary working taking place on a regular basis. EVIDENCE: Personal care is carried out with due regard to privacy and dignity, and staff were observed interacting with service users in a respectful and relaxed manner. Service users are able to accept visitors in the privacy of their own rooms, or if they wish, in one of the communal areas. Relatives are also welcome to stay overnight if they wish. Service users confirmed that the staff treat them with respect, and all felt that their right to privacy was upheld. The care documentation allows for the collection of information relating to service user’s wishes and preferences. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 11 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): 14, 15 Service users exercise their choice to enjoy the privacy of their own rooms or join other service users in communal areas for company or meals. Service users maintain contact with visiting relatives and friends at the home. EVIDENCE: Service users rooms are personalised to varying degrees, and service users confirmed that they are able to exercise choice and autonomy over their own lives. The home has flexible routines that allow for personal preferences and dependency levels. The inspector discussed the catering arrangements and kitchen responsibilities with the cook. A 3-week rotational menu offering a choice of nutritious meals is provided. Meals are unhurried and service users requiring assistance to eat are supported discreetly by staff. Hot and cold drinks and snacks are available at all times and offered regularly to service users. The cook and service users confirmed that an alternative is always available. The cook asks service users for their choice of meals on a daily basis. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 12 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, 18 Service users confirmed that they would feel able to express any concerns or dissatisfaction should the need arise. Service user legal rights are protected. The registered provider ensures staff have an appropriate understanding and information to protect service users from abuse. EVIDENCE: A complaints policy is in operation and widely distributed. Neither the home nor the Commission for Social Care Inspection have received any complaints about this home in the last 12 months. Service users confirmed that they would feel able to express any concerns or dissatisfaction should the need arise. Service user mail is delivered unopened, assistance is available if required or where necessary the mail is kept unopened for the service user’s representative. Service users confirmed that they have the opportunity to participate in civic processes. A Protection Of Vulnerable Adults procedure is in place. The registered provider should review and amend the Protection Of Vulnerable Adults procedure to ensure that it provides clear step-by-step practical instruction on what to do in the event of an allegation of abuse (with reference to county procedures) and the relevant contact information for staff. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 13 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): 23, 24, 25, 26 Service user rooms are comfortable and appropriate to the service user’s care needs. The home offers safe, clean, and comfortable surroundings. EVIDENCE: Service user rooms are personalised to varying degrees. The home provides furnished accommodation, but service users may choose to bring items of furniture and belongings to personalise their rooms. Reclining chairs are provided in all rooms. Heating, lighting and ventilation within the home is sufficient. Radiators are guarded and water temperatures are regulated. The registered provider stated that the existing radiators and covers would gradually be replaced by a more decorative version as part of the homes development plan. The home has an infection control procedure. Laundry facilities are located separate from the home and appliances are commercial in nature. Protective clothing is available and used by staff. The home is clean and free from offensive odours. The home provides a sluice on each floor level, personal laundry is provided for by the in house equipment and bed linen is provided for through an external contractor. The home uses liquid soap Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 14 dispensers and alcohol solution for hand washing. The liquid soap dispensers are refillable, and the registered provider should implement a regular cleaning schedule for these to ensure that they are not over-filled and then become contaminated. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 15 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): 29, 30 Care staff have a good understanding of service users support needs and sufficient, competent, staffing are provided to meet these needs. EVIDENCE: The home is supported by a stable team of staff, sufficient in numbers and skill mix to meet the needs of the service users. In addition to the registered provider there is usually 1 qualified nurse and 5 care assistants per shift throughout the day. At night there is 1 waking qualified nurse and 1 waking care assistant. All staff left in charge of the home are at least 21 years of age. The home was organised to provide for the welfare of service users. Service users spoken to expressed approval of the attitude of care staff, they did not have to wait for attention from staff and that they felt safe at the home. The home has a recruitment policy and procedure. All prospective staff fill in an application form and attend an interview prior to appointment. All staff are issued with a statement of terms and conditions and a copy of the General Social Care code of conduct and practice. Enhanced Criminal Records Bureau checks are completed for all staff. The home has a comprehensive ‘in-house’ induction package and the registered provider presents short training sessions to staff on a regular basis. A record of attendance and content is kept for these sessions. The evidence of NVQ training, other courses, and the requirement for on going qualified nurse development is recorded at the home. Only the absence of a National Training Organisation compliant induction programme for new staff prevents this home achieving excellence in respect of its commitment to staff training. The registered provider should implement a National Training Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 16 Organisation compliant induction programme for new staff (Skills for Care – www.topss-england.net). Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 17 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): 34, 36, 37 The registered provider is providing clear and effective leadership and management to maintain a safe and comfortable home for service users. EVIDENCE: The registered manager is a registered nurse who has achieved NVQ level 4 in care and management. Mr Small has extensive experience of managing a home. The registered provider is open and approachable and communicates a clear sense of direction and leadership. There are clear lines of accountability within the home. The home has established, secure, financial procedures. Staff are regularly observed carrying out various aspects of their duties, and these observations are recorded. There is an annual staff appraisal programme. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 18 The registered provider keeps detailed and efficient records securely. Appropriate policies and procedures are in operation. Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 19 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 X 4 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 X X X X 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 X 3 3 X Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 20 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. 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. 1. Refer to Standard OP18 Good Practice Recommendations The registered provider should review and amend the Protection Of Vulnerable Adults procedure to ensure that it provides clear step-by-step practical instruction on what to do in the event of an allegation of abuse (with reference to county procedures) and the relevant contact information for staff. The liquid soap dispensers are refillable, and the registered provider should implement a regular cleaning schedule for these to ensure that they are not over-filled and then become contaminated. The registered provider should implement a National Training Organisation compliant induction programme for new staff (Skills for Care – www.topss-england.net). 2. OP26 3. OP30 Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 21 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 Old Roselyon Manor DS0000009200.V270743.R01.S.doc Version 5.0 Page 22 - 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!