Inspection on 01/10/07 for Overleat

This inspection was carried out on 1st October 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 but made no statutory requirements on the home.

Other inspections for this house

Overleat 05/10/06

Overleat 07/10/05

Overleat 06/05/05

Overleat 21/09/04

Overleat 04/05/04

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 Overleat Derby Road Kingsbridge Devon TQ7 1JL Lead Inspector Margaret Crowley Unannounced Inspection 1st October 2007 09:45 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 Overleat DS0000003768.V351107.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 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. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Overleat Address Derby Road Kingsbridge Devon TQ7 1JL 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) 01548 852603 01548 853017 Mrs Sharon Angela Hard Mr Richard Hard Mrs Maureen Ivy Pearson Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10), of places Physical disability over 65 years of age (10) Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category- Code OP Dementia, over 65 years of age- Code DE(E) 2. Physical disability, over 65 years of age- PD(E) The maximum number of service users who may be accommodated is 10. 5th October 2006 Date of last inspection Brief Description of the Service: Overleat is a small family run home situated near the centre of Kingsbridge. The home is a period property, and is set next to a small park on the level to the Quayside walk and the town centre. The home provides accommodation on two storeys, serviced by a chair lift, for up to 10 older people with or without physical disabilities and/or with mild confusion. Accommodation is in single rooms, which vary in size, and some have en suite facilities. The home also has level, easily accessible gardens and parking facilities. The weekly fees range between £314 and £450. Written information is available for people considering going to live at Overleat. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over seven hours on 1st October 2007. Maureen Pearson, registered manager, was present in the home throughout the inspection and Mrs Sharon Hard and Mr Richard Hard, registered providers, were present for part of the inspection and available for discussion. An Annual Quality Assurance Assessment of Overleat was completed by the management and sent to the Commission for Social Care Inspection prior to the inspection. This contained of information about the way the home is functioning from their prospective, as well as factual information about staffing and the maintenance of the premises. There were 10 people resident in the home during the inspection and one person who attended for day care. All were spoken with, including 3 people in more depth regarding the lifestyle in the home and the care services they receive. Staff were observed and spoken with in the course of their daily duties. Opportunity was taken to observe the general overall care given to current residents. A tour of the premises was made. Records were inspected, including care, medication and staff records. Surveys were received from 4 people who live in the home, 8 relatives and 5 staff. Feedback was also received from a general practitioner and the social services department. What the service does well: Overleat provides care of a very good standard. People who live at Overleat and their relatives praised the care given. Comments made included “ Its 1st class, I can’t fault the care and the love that are given to my mum” and “Its far beyond what I expected, extremely happy with the care”. A general practitioner and the social services department also made positive comments about the service provided. People are encouraged to maintain contact with family and friends. Most people lived locally before going to live at Overleat. Relatives value the personalised care provided, and said that they are always kept informed appropriately. Various informal activities and regular outings are made available and there are good links with the local community. People praised the meals and those provided during the inspection were of a good standard. The registered manager has a warm rapport with people living in the home and gets to know them well. People said Overleat is run for their benefit and in their best interests and that staff respect their privacy and dignity. Staff work well together as a team, supporting one another, and ensuring that care is Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 6 provided sensitively. Staff value their access to training and staff turnover is low 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 be made available in other formats on request. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 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 Overleat DS0000003768.V351107.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3,6.Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People receive information to assist them in choosing to live at Overleat and admission procedures ensure that their needs can be met. EVIDENCE: Two people had come to live at the home since the last inspection and were spoken with. One person had been admitted very recently and was in the process of adjusting to living in a care home. People said that staff were kind and welcoming. The registered manager confirmed that written information was provided prior to admission, and that a copy of the service user guide was available in each person’s bedroom on admission. A relative commented that the information was “very helpful and informative”. Care records were inspected and showed that the manager had visited prospective residents and undertaken a pre-admission assessment. Further Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 9 assessment of the person’s needs was undertaken following admission. A letter was sent to the person, or their relative confirming that their needs could be met. A contract is issued which details the care to be provided. Overleat does not provide intermediate care. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Overleat have their health and personal care needs met and they are treated respectfully. EVIDENCE: People living at the home and their relatives were all very positive about the care given and praised staff for their kindness and attention to their needs. They said that staff provided personal care sensitively and always respected people’s privacy. We observed staff interacting with people in a warm, attentive and appropriate manner. Records inspected contained risk assessments and care plans, which are reviewed regularly to enable people’s health and personal care needs to be addressed. A new risk assessment and a care plan format have been introduced since the last inspection. These state what care should be provided and what outcomes are intended for the person. Daily records now include both daytime and nighttime records, as recommended at the last inspection. These showed that peoples’ care is monitored and concerns are recorded and dealt with. Dietary preferences and needs were recorded in the care plans. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 11 People’s weight is monitored on a monthly basis and appropriate action taken to address any concerns identified. The home’s system for the administration of medicines was inspected. Medication administration records were in order and medicines were stored securely. All staff that administer medication have received training and a list of their names and signatures are now contained in the medication administration records. Since the last inspection a photograph of each resident has been attached to the medication records to ensure medicines are administered to the appropriate person. Controlled drugs were stored and administered correctly. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People continue to enjoy a varied life at Overleat, with visitors and local community links encouraged and maintained. EVIDENCE: People like the informality of living in this small care home and enjoy the friendly, relaxed atmosphere. They were seen making choices in their daily lives, including at what time they got up and whether they spent time in their own room or in the lounge. Staff undertake activities with people informally on a daily basis, both individually and as a group. Staff were also observed to spend time talking informally with people who choose not to take part in activities. Several people who live in the home are interested in crafts, knitting and sewing and participate in the Plymouth Age Concern annual competition. Trophies and certificates were on display and people were deservedly proud of their achievements. One relative commented, “ they have helped my mother to do things we thought she would never do again, she has a new lease of life”. People also benefit from being taken into Kingsbridge or to places of interest in the home’s people carrier. A trip was planned that week to the pottery centre in Totnes where people could choose to paint pottery. People living in the home and relatives confirmed that visitors are always made very welcome. A relative said “it’s a happy friendly environment, Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 13 everyone feels part of a big happy family, including visitors.” The home continues to operate an open visiting policy. People praised the meals and those provided during the inspection were of a good standard. Fresh vegetables and fruit are provided. The week’s menu was displayed in the dining room. Although there was no choice of menu displayed, the cook and the registered manager said that because of the size of the home they know people’s likes and dislikes well and an alternative is always available. People living in the home confirmed this and other choices were seen offered during lunch. Special diets are catered for, although there was no specific written information kept in the kitchen regarding dietary requirements and choices. With the planned increase in the number of residents a more formalised approach may be necessary. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Overleat and their relatives can feel confident that their concerns will be dealt with and that they will be protected from abuse. EVIDENCE: The home has a written complaints procedure, which is on display. It is also contained in the service users’ guide which is provided in all bedrooms. People living in the home and their relatives said they would make any complaint to the manager, but have not needed to do so. The manager said that no complaints have been received in the home since the last inspection. Any issues are dealt with at the time to prevent them developing into more serious problems. The Commission for Social Care Inspection has not received any complaints since the last inspection. There is an adult protection policy and procedure which is accessible to staff and in-house training sessions provided to raise staff’s awareness of protection issues. The registered manager has attended trainer’s course in safeguarding adults provided by Devon Social Services Department. She said she intends to provide staff with further training in safeguarding adults. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,26.Quality in this outcome area is adequate . This judgement has been made using available evidence including a visit to this service. People live in a home that is comfortable and clean, but several people would benefit from their bedroom being upgraded. EVIDENCE: A tour of the premises was made and all rooms were seen. Overleat provides homely accommodation and bedrooms are personalised to people’s taste. However, some people’s rooms need to be re-decorated. Relatives also commented about the tired state of the décor. One bedroom has recently been re-decorated and re-carpeted, but others also need to be upgraded. There have been some delays in routine maintenance tasks being addressed. Improvements were underway at the time of the inspection to convert the former owner’s accommodation to provide three additional bedrooms with en suite facilities. A new bathroom with adapted facilities was being installed to replace the existing bathroom on the first floor. The registered providers said improvements to the existing bedrooms are planned when the three new rooms are completed. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 16 In addition, the registered providers are intending to seek planning permission to further extend the premises and provide four additional en suite bedrooms and a dayroom. Bedroom doors are not all fitted with a lock, although a lock will be provided if requested. Since the last inspection people’s rooms now have their name displayed to aid orientation. The registered providers said that temperature control devices have now been fitted to all hot water outlets accessible to people living in the home to prevent the risk of scalds. Most radiators have been fitted with radiator covers to ensure that people are protected from the risk of sustaining a burn, as required at the last inspection. However, the radiators in the lounge were yet to be addressed. The registered providers said that radiators with a low surface temperature would be fitted. The home was clean and free from unpleasant odours, other than a musty smell in one ground floor room identified. The kitchen has been decorated and refurbished with a new cooker, cupboards, and worktops installed. A new commercial tumbler dryer has also been provided in the laundry and a new washing machine with a sluice programme has been purchased and was awaiting fitting. Staff were observed to follow routine infection control measures to help minimise the risk of spreading any infection. However, liquid soap and paper towel dispensers were empty, and communal towels and soap were in use. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Overleat can feel assured that staff have the skills and experience to meet their needs. EVIDENCE: People said that staff were very kind, helpful and accessible without delays. Communication seen during the inspection between staff and people living in the home was friendly and positive. Staff spoken with and feedback from staff questionnaires showed that staff are generally positive about their work and the standard of care provided. Staff said they work together as a team. Staff rotas were inspected and the registered manager and registered providers said that staffing levels are maintained at an appropriate level. The home does not employ domestic staff as care staff carryout these tasks. There is a good range of experience and training within the staff group. The registered providers and registered manager demonstrate good commitment to staff training, including mandatory training in safe working practices. Seven of the nine care staff currently hold the National Vocational Qualification in Care at level 2 or above. Three people were due to commence National Vocational training. New staff receive induction training and staff receive regular supervision sessions. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 18 Staff records inspected provided satisfactory evidence of the recruitment and the induction processes. Criminal Record Bureau disclosures and Protection of Vulnerable Adults checks were applied for and references obtained. Several staff had not received contracts of employment. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,38.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from living in a care home that is well managed and where attention is given to their health, welfare and safety. EVIDENCE: Maureen Pearson has been registered as the manager since the last inspection. She holds the Registered Manager’s Award and is in the process of completing the National Vocational Qualification in Care at level 4. She has several years experience in working in the care of older people including 3 years in a management role in this home. The registered manager and staff team work together to create a homely and open environment. People living in the home and their relatives expressed their confidence in the manager’s approach. Mr and Mrs Hard the proprietors and registered providers have regular involvement with the home. An annual quality assurance survey takes place to Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 20 gain the views of people who live in the home, relatives and visiting professionals. The findings are summarised and made available and include matters that need to be addressed and action proposed to address. There was a high level of satisfaction expressed in most areas in the recent report, including with the management, staff and the care provided. The main area for improvement was in the decoration of the home. Most people’s relatives or their representative manage their financial affairs. There were clear records kept of the small amounts of money held in safekeeping on residents’ behalf. This included records of incoming payments and receipts for outgoing payments. Routine health and safety issues were managed satisfactorily and records inspected were maintained up to date and accurate. Accidents were recorded appropriately and any action taken. A fire risk assessment has been undertaken and records of tests and drills maintained. The testing of small electrical appliances was due to take place and had been arranged. A recent satisfactory report from the environmental health officer was seen and the “Safer Food Better Business” diary records have been introduced in the kitchen. Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 21 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? yes 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 OP25 Regulation 15 Requirement The registered providers must continue to ensure that all pipe work and radiators, to which service users have access, must guarded or have low temperature services. Previous timescale of 06/05/06 and 04/11/06 not met. Timescale for action 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP19 OP26 OP29 Good Practice Recommendations Bedrooms identified should be re-decorated Anti-bacterial liquid soap and paper towels for hand washing should be provided in the soap dispensers and paper towel holders. Staff should be issued with a contact of employment Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Overleat DS0000003768.V351107.R01.S.doc Version 5.2 Page 24 - 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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